Rehabilitation and Therapy Commons^™

A Comparison Of Clinical Assessments Of Disease Activity In Rheumatoid Arthritis, Helen Sheau-Ping Pan, Tao-Chang Hsu

Rehabilitation Practice and Science

12chinical assessments and 4 laboratory tests of disease activity, including a newly designed dolorimeter, have been compared in a group of 42 patients with rheumatoid arthritis seen in 2 disease active and stable stages within 6 months. Number of painful joints, dolorimetry, distance of fingertip-to-distal palmar crease, functional score, C-reactive protein, and grasp strength correlate best with other assessments and tests, and are therefore to be the best clinical indices of disease activity.

The Straight-Leg-Raising Test, Ching-Hwa Chou, Chrong-Song Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

A positive unilateral straight-leg-raising sign is routinely interpreted as indicative of a disc lesion. A review of the literature was undertaken in an attempt to more clearly illustrate the mechanisms and results of the straight-leg-raising test. It was found that a positive straight-leg-raising test has minimal value in differentiating a patient with herniated disc from other patients with low back pain and sciatica.

Treatment For Mandarin Agrammatism: Casereport, Shu-Er Lee, Tao-Chang Hsu

Rehabilitation Practice and Science

A syntax stimulation program, based upon the syntactic hierarchy of difficulty, was used to treat a thirty year old brain injury patient with severe agrammatism. This program is designed to elicit the basic Mandarin sentence constructions using a story completion technique. With 80 sessions of treatment, the patient's spontaneous speech and picture description showed increased phrase length, use of grammatical onstructions and communication skills. From the preliminary study, this program appears to have therapeutic merit in training syntactic skills of agrammatic Chinese patients.

中華民國復健醫學會復健醫學科專科醫師甄審規則, N/A

Rehabilitation Practice and Science

No abstract provided.

中華民國復健醫學會復健醫學科訓練綱要, N/A

Rehabilitation Practice and Science

No abstract provided.

中華民國復健醫學會復健醫學科專科醫師繼續教育實施辦法, N/A

Rehabilitation Practice and Science

No abstract provided.

Effect Of Choice Making On A Self-Care Activity In Mentally Retarded Adults And Adolescents, Martin S. Rice

Masters Theses

Of central importance to occupational therapy is the issue of motivation in activity. The purpose of this study was to look at the effects of choice on motivation during an activity undertaken by mentally retarded adults and adolescents. Each subject was given a choice of five wrinkled T-shirts that had sports logos on them. The subject chose one but was then asked to iron the T-shirt before he took it to keep. With counterbalancing for order of presentation, each subject also experienced not having a choice between five T-shirts and then ironing the one given to him. The amount of …

Rheumatoid Arthritis: Balancing Activity And Rest, Lynn A. Lowe

Masters Theses

Fatigue is a major symptom of rheumatoid arthritis (RA), along with joint pain, stiffness and functional impairment. Balancing activity and rest in order to decrease fatigue is frequently mentioned by health professionals as an important strategy in the management of the disease. One hundred and three adult men and women with RA were surveyed via a written questionnaire about their experience of fatigue, four types of rest, employment status, duration of illness, age, sex, and advice about rest. Frequencies related to these variables are reported. Some rest variables were found to be significantly correlated with age and fatigue. No significant …

A Comparison Of An Ideal And A Real Quality Of Work Life Program, Noreen Goldschmidt

Masters Theses

The purposes of this study were to examine the differences between: (a) a real and idealized Quality of Work Life program; (b) individual groups and the idealized Quality of Work Life program, and (c) groups surveyed.

Two departments were surveyed to obtain perceptions of a Quality of Work Life program existing within a utility company located in the state of Michigan.

Percentages were calculated on the Agree and Strongly Agree response alternatives for all items included on the survey. For the three comparisons made the difference in percent was tested at the.05 level of significance. The results indicated that the …

Congruence Between Type Of Activity And Volition And Its Relationship To Life Satisfaction In Nursing Home Residents, David De Noble

Masters Theses

This study examines the relationship between life satisfaction and the volition subsystem of 32 older adults who reside in nursing homes. Specifically, it attempts to measure congruence or the perception of the individual that the inherent characteristics of an activity "fit" his or her sense of personal causation, values and interests. The study examines the relationship between this congruence and life satisfaction.

Results of the study identified positive correlations between congruence and life satisfaction. Correlations between congruence of volition subsystem components and activity were at a statistically significant level (p <.05) for personal causation, values and total volition. Correlations between congruence of volition subsystem components and some specific activities were also found.

Head And Trunk Movement Responses In Healthy Children To Induced Versus Self-Induced Lateral Tilt, Donnalee Milette, Rose Marie Rine

Physical Therapy Faculty Research

The purpose of our study was to determine head and trunk movement responses that occur in healthy 7-year-old children during induced and self-induced lateral tilt. Twenty subjects, while tailor sitting on a tiltboard, participated in three trials of both induced and self-induced left and right lateral displacements. Measurements of neck and trunk lateral flexion; trunk counterrotation; and neck, trunk, and body anterior-posterior movement were obtained from slide transparencies made at three stages of tilt (original position, initial tilt, and full tilt). For each subject in the two test conditions, changes in these measurements between the stages of tilt were determined …

Community-Based Occupational Therapy With A Head-Injured Adult., Elizabeth Depoy

Department of Occupational Therapy Faculty Papers

In the early 1970s, the National Head Injury Foundation identified 422,000 adults with permanent brain damage caused by traumatic head injury. It is estimated that 400,000 new cases of varying severity are treated in hospitals each year, the majority of whom are previously employed young adult men. Although many persons with traumatic brain injuries are able to return to productivity, approximately 35% of the adults who have been rated as mildly head injured on the Glascow Coma Scale (Teasdale & Jennet, 1974) never return to work and have difficulty reentering society after restorative efforts are discontinued (Rosenthal, Griffith, Bond, & …

Using Neuromuscular Electrical Stimulation To Facilitate Limb Control In The Head-Injured Patient, Cynthia Zablotny

Faculty Publications - College of Physical Therapy

Neuromuscular electrical stimulation (NMES) has been used to treat a variety of extremity problems in head-injured patients. Specifically, NMES has been used to gain motor control, reduce joint contractures, and reduce muscle hypertonicity.1 Such uses rely on intact peripheral nerve excitability to generate the desired muscular response. This article will present some clinically relevant methods of maximizing the effectiveness of NMES programs for facilitating limb control in the head-injured patient. Stimulator features that help ensure treatment success will be identified. The special cognitive considerations that must be addressed when using NMES on the head-injured patient will also be discussed. The …

Serial Casting: Clinical Applications For The Adult Head-Injured Patient, Cynthia Zablotny, Maureen Forte Andric, Charlotte Gowland

Faculty Publications - College of Physical Therapy

Serial casting has been used for over a decade to manage soft tissue contractures in patients with traumatic head injuries. Its use has also extended to the prevention of contractures in extremities exhibiting potentially deforming spasticity. This article will review the causes of soft tissue contractures and discuss how serial casting can manage such deformities. It will also identify how a serial casting program can be modified and integrated with other therapeutic efforts as the head-injured patient progresses physically and cognitively. Finally, it will address the timing and priority of casting in the patient's overall program.

The Evaluation Of Factors Affecting Adherence To An Exercise Program Among College Students, Mark Robert Dean

Dissertations

Though investigative studies have identified the many benefits of aerobic exercise for both biological and behavioral health, only a small percentage of individuals maintain regular exercise. Team or group exercise programs report higher participation rates, but studies of individually prescribed exercise programs typically report problems of compliance and attrition. The purpose of the present study was to evaluate the effectiveness of various interventions--including the provision of course bonus points, cash lottery, and partner assignment--designed to increase exercise compliance among college students. Thirty-two student volunteers reporting "no current exercise" were randomly assigned to either the "partner" or the "individual" exercise group. …

The Effects Of Activity Group Structure On Cohesion, Engagement, And Affective Meanings In Acute-Care Psychiatric Patients, Hope L. Brucki

Masters Theses

Through activity analysis, occupational therapists identify various components of group structure and group processes for use in therapeutic activities. This study compared the effects of individual activity group structure (members engage in individual projects) and common activity group structure (members share a common project) in a sample of 38 acute-care psychiatric patients. Subjects were randomly assigned to one of eight theme-oriented poster-making groups, four for each experimental condition. Cohesion among group members was measured by the Group Environment Scale (GES), engagement was assessed by the Group Climate Questionnaire-Short Form (GCQ-S), and affective meanings were evaluated by Osgood's short-form semantic differential …

Effectiveness Of A Video Recorded Ocean Scene Technique As A Relaxation Therapy, David M. Ford

Masters Theses

The purpose of this study was to examine the effectiveness of a video recorded ocean scene as a relaxation technique by comparing it with an established method, progressive relaxation training (Jacobson, 1938) on their ability to affect the following physiological measurements: systolic blood pressure, diastolic blood pressure, pulse, and respiration.

Thirty female elementary school teachers participated in this study and were randomly assigned to one of three treatment groups: Video Recorded Ocean Scene Group, Progressive Relaxation Training Group, and Self Directed Relaxation Group (used as control). The general protocol for each treatment group consisted of a forty minute session with …

An Assessment Of Pain Responses During Stages Of Pregnancy, Ann H. Dunbar

Theses and Dissertations

As physical therapists are becoming more involved with the pregnant population both in traditional patient care as well as in childbirth education, a better understanding of the influence of pregnancy on the pain system is needed. The purpose of this study was to determine if an endogenous analgesia system is present in pregnant humans as has been shown to be present in animals (Ginzler, 1980). Women's affective and intensity responses were measured during late pregnancy, labor and post-partum. Using a repeated measures design, fifteen women responded to thermal stimuli (43-52 degrees C) by marking a visual analogue scale. No significant …

Health Locus Of Control Belief And Health Behavior In Patients With Job Related Injuries, Elnora H. Allen

Theses and Dissertations

This study examines the relationship between an individual's health locus of control belief and four variables: previous job injury experience, the duration of work absence due to previous job injury, appointment keeping behavior, and the wage replacement ratio. Seventy-two subjects with job related injuries referred to an industrial physical therapist were administered the Multidimensional Health Locus of Control Scale (MHLC). There was an uneven distribution of subjects according to MHLC belief patterns with more subjects demonstrating a "pure internal" health locus of control belief. No significance (Q > .05) was found between our four variables associated with a job injury and …

The Influence Of A Rehabilitation Program On Perceived Exertion In Cardiac Patients, Maria Jean Miller

Dissertations and Theses @ UNI

The purpose of this study was to determine the difference in the correlation between ratings of perceived exertion (RPE) and heart rate during a graded exercise treadmill test in entry level cardiac rehabilitation participants and those participants that had been in a program for more than 28 months. Files containing the results of graded exercise treadmill tests for 22 entry level participants (G2) and 18 participants that had been in a rehabilitation program for more than 28 months (G1) were utilized. None of the subjects were currently taking medications that would alter the heart rate. The Bruce protocol was used …

Chronic Injuries In Musical Practice, Sheng-Jye Tzeng, Guo-Uei Chen, Tao-Chang Hsu

Rehabilitation Practice and Science

We describe out experience with 339 musical students in whom occupation related chronic injuries developed. We analyzed and discussed the possibilities of chronic injuries on account of longterm instrument t-performing in order to emphasize the importance of musical medicine and to draw attention to musical injuries of musical fields. We found that 61% of the examines com-planed of at least one instance of somatic discomforts. These symptoms persisted at lest one week and were directly due to instrument-performing. Most commonly found symptom was chronic pain (72%). Most common lesion was in cervical area (48%) with right side predominance. Most symptom-inducing …

小兒麻痺患者之運動測驗, 佩珍 鍾, 秋芬 陳, 金鑫 賴, 澤杰 薛, 倚南 連

Rehabilitation Practice and Science

No abstract provided.

A Survey Study Of Tennis Injuries In 601 Tennis Players, Tcho-Jen Liu, Tao-Chang Hsu

Rehabilitation Practice and Science

Investigation and analysis of 601 tennis players. 431 male and 170 female, indicated that 71.2% of them had tennis injuries. Eye accounted for 3% of the injuries, shoulder 24.3%, elbow 27%, wrist 20.5%, knee 3%, thigh 3.5%. leg 12.1%, ankle 7,2%. achilles tendon 6% rupture 0.3% and toe 4%. No significant difference was found between male and female players except for wrist (more females) and leg injuries (more males). Playing ability, warm-up frequency and limeappeared to make a significant difference in the occurence of tennis injuries. The incidence of injuries in players who used a large size racket grip was …

Sexual Dysfunction In Male Spinal Cord Injuries, Hsin-Ying Chen, Cheu-Fen Chen, I-Nan Lien

Rehabilitation Practice and Science

The present study is conducted with a purpose of disclosing the condition of sexual dysfunction in our spinal cord injuries (SCI). Totally 134 cases of SCI who had suffered for at least 6 months and had been admitted to the ward of the department of physical medicine and rehabilitation of NTUH were studied by questionnaire. Fifty five replies were obtained and only 45 data of male cases were analysed. The cases were excluded because 2 male cases had perished and the replies of 8 female cases were incomplete. The range of age of these 45 cases is 20 to 57 …

Early Intervention For Speech-Language Delayed Children With Casereport, Yu-Mei Chung, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this report is to investigate intervention for young speech-language delayed children. The rationale, evaluation, and detailed methodology are proposed first. Then the case of a 3-year-old is reported. His speech-language abilities progress is described and shown by the test results of the Preschool Language Scale-Chinese Version. Language samples analysis showed: 1. Mean length of utterance increased gradually as speech-language abilities progressed. 2. Type- token ratio was negatively related to mean length of utterance. The increase of the total number of different words was slower then increase of the mean length of utterance. 3. The content categories increased …

單極與同軸針極運動單位參數之定量比較, 瑞棋 詹, 道昌 徐

Rehabilitation Practice and Science

No abstract provided.

Turns-Amplitude And Associated Conditions In Suspected Steroid Induced Myopathy, Tsui-Fen Yang, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study is to investigate the myopathy induced by steriod therapy with clinical symptoms and signs, the dosage and duration of steriod use, determination of serum muscle enzyme and EMG turns-amplitude analysis. 23 inpatients, aged from 16 to 62 years old. duration of onset from 6 months to 20 years, were studied. Among this 23 patients. 17 were SLE. 3 RA. 1 CGN and 2 cervical syndrome. All had been under steroid medication for a variable period. Electrodiagnostic procedure including NCV of median, ulnar, radial, pcroneal and tibial nerves, EMG with turns-amplitude analysis of BIC, EDC. QUA …

優秀女足球運動員之最大攝氧量研究, 金鑫 賴, 倚南 連

Rehabilitation Practice and Science

No abstract provided.

體位變化對脊髓損傷患者肺功能之影響, 秋芬 陳, 倚南 連

Rehabilitation Practice and Science

No abstract provided.

正常人之最大肌力與超大電刺激肌肉反應圖形之關係, 憶平 劉, 瑞棋 詹, 道昌 徐

Rehabilitation Practice and Science

No abstract provided.