Rehabilitation and Therapy Commons^™

Cwoih Calendar Of International Conferences And Events, N/A

Rehabilitation Practice and Science

No abstract provided.

Thermal Effect Of Ultrasound Therapy On Deep Tissue, Ching-Long Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Fifty volunteers' 90 backs (10 cm in length & 4 cm in width area at bilateral second to fith lumbar paraspinal muscle) were treated by therapeutic ultrasound with different intensities & times to evaluate the effect of heat produced by ultra-sound diathermy. The temperatures were measured with digital thermometer & AK 8 needle tissue electrode and rocorded every two minute interval at every 0.5 cm depth (0.5cm to 5cm from skin). The muscles were divded into sevengroups randomly. Group A;30 backs received ultrasound at an intensity of 1.5 watts/c㎡ for 5 minutes. Group AA; 10 backs, 1.5w,/c㎡ . 10 min. …

The Assessment And Follow Up Study Of Congenital Muscular Torticollis, Baii-Jia Yang

Rehabilitation Practice and Science

Of 65 cases of congenital muscular torticollis, normal and affected. Stern-cleido-mastoid muscle were examined by Aloka realtime sect scan (5m K HZ) for muscle echogram.The patients were divided into four groups according to the severity and age during their first visiting to OPD. A follow up study was done about 6 – 10 months later by echogram and clinical examination. In Group 1, of the 9 infants, with grade I wry neck, head tilting and the affected SCM muscle reveled firm with elasticity. The muscle echogram showed no definite abnormality. Therefore, no follow up echogram was given. In Group 2, …

Outcome Of Young Stroke, Chau-Peng Leong, Fuk-Tan Tang, May-Kuen Wong

Rehabilitation Practice and Science

Twenty-two cases of age under 40 with cerebral vascular disease had received rehabilitation programs in Chang-Gung Memorial Hospital from June, 1980 lo December 1984, were follow up by questionnaires and telephone. Analysis of activities of daily living, communicating ability, vacational status, marital, economic conditions and compare with the abilities of the old age group were done. In the items of independence in activies of daily living, this study revealed an order sequence as toilet, dressing, self feeding, arid bathing. The majority of independent showed in toileting in 19 patients (86.4%). In this study, the independent ADL is better in right …

A Survery And Analysis Of Phantom Sensation And Phantom Pain Of Amputees, Tcho-Jen Liu, Tao-Chang Hsu, Mei-Lan Chang, I-Wen Yuan, Nai-Wen Guo

Rehabilitation Practice and Science

The purpose of this study were to evaluate the incidence and analyze the affecting factors of the phantom sensation and phantom pain of amputees in Taiwan, R.O.C.We collected 323 cases from the Rehabilitation Center, Veterans General Hospital, Taipei, Taiwan, R.O.C. We also design a questionnaire including general data, amputation data and emotional status self-evaluation. They were delivered by mail. The data analysis methods were Chi-square Test, T-test and Fisher Exact Test (2-tail). The results were (1) the incidences of phantom sensation and phantom pain were 74.5% and 54.5% respectively (2) the factors that affected the phantom sensation statistically significantly were …

Intellectual Functioning In Duchenne Muscular Dystrophy: A Preliminary Report, Chein-Wei Chang, Chue-Fun Chen, Mu-Jang Yang, I-Nan Lien

Rehabilitation Practice and Science

Intelligence tests with Wechsler Intelligence Scale for Children (W1SC) were carried out on 10 boys with Duchenne muscular dystrophy (DMD) and 10 age-matched controls. The verbal IQ scales came close to be significantly lower in DMD group (mean 77.2) than in control (mean 90.5). Verbal ability was found to be reduced prominantly in comparison with the performance test in DMD patients.Four patients with mildly physically disabled scored significantly lower verbal performance and full IQ scales than that in the 6 markedly physically disabled; The results are interpreted as a preliminary finding of the intellectual impairment and the significant difference of …

Centronuclear Myopathy A Casereport, Horng-Jeng Shyn, Chue-Fun Chen

Rehabilitation Practice and Science

Centronuclear myopathy is a rare disease. A 12-year-old boy was first described by Spiro in 1966. In 1968, Bethlem described an adutt case.This case was a 42-year-old female patient. She sufferred from muscle weakness over all limbs for more than 10 years gradually. She got pregnancy for seven times including five males & two females. Only one boy & one girl were survived. Other babies died within one month. She was admitted due to an accidental failing in Nov., 1985. She received an examination of EMG and muscle biopsy. The histological changes observed in biopsies was striking resemblance to the …

Facilitating Communication Skills In Adult Aphasia With Nonverbal Communication System: Casereport, Shu-Er Lee, Tao-Chang Hsu

Rehabilitation Practice and Science

This study introduces a technique for aphasic treatment with a nonverbal communication system. The 60-year-old patient used a communication booklet for facilitating communication skills over 10 weeks. The results indicate that this technique improved patient's communication, and encouraged verbal language and writing skills. Good auditory comprehension, good visual perceptual, helpful materials, family cooperation, and a high level of motivation were major factors for success- Treatment program is discussed in detail.

Age, Gender And Aphasic Type In Stroke Patients, Chein-Wei Chang, Chue-Fun Chen, I-Nan Lien, Horng-Jeng Shyn

Rehabilitation Practice and Science

75 patients with different types of aphasia attended to the Department of Physical Medicine and Rehabilitation of National Taiwan University Hospital from Oct. 1980 to Dec. i984. They were all right handed and each of them suffered from a single clinical episode of cerebral infarction. Their speech function were evaluated according to the performance on the Boston Diagnostic Aphasia Examination.The relationship among the age, gender and aphasic type was analyzed. Regardless of gender, patients with Broca's aphasia was significantly younger than those with global and transcortical sensory aphasias. Male patient was prevalent in aphasic groups, but mean age of both …

Contrasting Conditions Of Rehabilitation In Asia And The Comparative Status Of Rehabilitation In The Republic Of China, Robert J. Ronald, Tao-Chang Hsu

Rehabilitation Practice and Science

Two vastly opposite conditions in the status of rehabilitation services can be found in S.E. Asia and pacific nations. Rehab in underdeveloped countries is hampered by poverty, scattered rural populations, inadequate facilities, equipment and personnel, environmental barriers, poor nutrition and hygiene, ignorance and prejudice, low national priorities for rehab. The most developed countries offer many well-funded services, public support for equipment, housing, employment, anti-barrier legislation, active participation of persons with disabilities in national planning, etc. Rehab in Taiwan is somewhere in the middle, far ahead of the undeveloped, but still behind the developed. Though it can boast of many fine …

優秀足球運動員的大腿等速肌力研究, 佩蘭 黃, 金鑫 賴, 倚南 連

Rehabilitation Practice and Science

No abstract provided.

小兒麻痺患病預防注射及其社區背景之探討, 美娟 黃, 復旦 鄧

Rehabilitation Practice and Science

No abstract provided.

潛水減壓症導致兩下肢癱瘓：19例探討, 弘正 徐

Rehabilitation Practice and Science

No abstract provided.

小兒麻痺患者的腕隧道症候群, 銘川 林, 權維 張, 秋芬 陳, 倚南 連

Rehabilitation Practice and Science

No abstract provided.

脊髓損傷病人性功能之探討, 信穎 陳, 秋芬 陳, 倚南 連

Rehabilitation Practice and Science

No abstract provided.

Assessing The Needs Of Mothers With Mentally Retarded Offspring: An Empirical Approach, Jonathan Rabinowitz

The Journal of Sociology & Social Welfare

This exploratory study assesses the needs of mothers with retarded offspring living at home. Previous studies have focused on meeting those parental needs which would benefit their retarded offspring. This study does not limit parental needs to those needs, which if met would benefit the retarded child, and defines parents as an independent group with special needs.

Holidays As Multiple Realities: Experiencing Good Times And Bad Times After A Disabling Injury, Mary Jo Deegan

The Journal of Sociology & Social Welfare

Holidays are idealized as times of celebration. They are embedded in cultural symbols, family patterns, and lived experience. Because all holidays are not good times, however, the lived experience of holidays is considerably more complex than its symbolization. This ambivalence is dramatically deepened for recently disabled adults who view holidays as a specially strained time of remembrance. Past holidays are often idealized in a new way as one's biography is placed into a new embodied reality. Simultaneously, holidays remain days when one is supposed to celebrate, and often denote some celebration for the injured. The resulting experience is a melange …

Prediction Of Methylphenidate (Ritalin) Responsiveness Through Sensory Integrative Testing, Judith Giencke Kimball

Occupational Therapy Faculty Publications

Seventeen children previously judged to be good or poor responders to methylphenidate (Ritalin) were tested on sensory integrative measures while in the off-drug state. The tester was unaware of the children's drug response category. Results showed that children who were poor responders to Ritalin showed prolonged scores on and an adverse reaction to the Southern California Postrotary Nystagmus Test and had poorer equilibrium reactions and lower double tactile stimuli scores than the children judged good responders to Ritalin. These findings suggest that it might be possible to identify good and poor responders to Ritalin before the medication is given, something …

Ipsilateral Electromyographic Activity Of Shoulder Muscles During Unilateral Maximal Resistance Of Grasp In The Prone-On-Elbows Position, Bryan John Wodaski

Masters Theses

This study reports the relationship between electrical output of the deltoid muscle and the pectoral is major muscle (clavicular portion) ipsilaterally, following maximal resistance to grasp of the non-dominant hand while in the prone-on-elbows position. Forty-two normal college students were recruited from Western Michigan University, Kalamazoo, and were randomly assigned to experimental and control groups. The experimental subjects' shoulder muscles' electrical activity was measured for changes from baseline to maximal contraction during two trials. The control group was measured in the same manner but they were not asked to contract their hand against resistance. For both groups electrical activity was …

Age And Experience Differences In Posture And Movement Of Children While English Horseback Riding At A Walk, Mary Katherine Belissary

Theses and Dissertations

The purposes of this study were to: (1) describe posture and movement of non-disabled children while English horseback riding at a walk, (2) propose a developmental sequence for each of three components of body posture and movement: the upper extremity the lower extremity, and the head and trunk, and (3) describe age differences in posture and movement while riding.

The study was designed as a cross-sectional descriptive study. Thirty children without disabilities: ten five-year-olds who had never received formal riding lessons; ten seven- and eight-year-olds who had received six months or less of formal riding lessons; and ten nine and …

Illness Behaviour Questionnaire As A Predictor Of Problematic And Aproblematic Patients With A Painful Upper Extremity, Suzanne S. Seay

Theses and Dissertations

The purpose of this study was to measure the illness behavior of acute and chronic upper extremity pain patients using the Illness Behaviour Questionnaire (IBQ), to determine' the rehabilitation outcome by pre-set criteria, and to determine the effectiveness of the seven scales of the IBQ in predicting the problem pain patient. Each subject completed a self-administered test packet which included the IBQ. Each was identified by the investigator as a problematic or as a problematic patient using information in the medical chart. Patients entering the study with acute pain (n=12) had less pain upon discharge and returned more quickly to …

脊髓橫截合併兩下肢嚴重伸展性攣縮：一病例報告, 信穎 陳, 秋芬 陳, 倚南 連

Rehabilitation Practice and Science

No abstract provided.

Quantitative Comparison Pf The Effect Of Reference Electrode Position In Evoke Compond Muscle Action Potential, Huann Chang, Rai-Chi Chen, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study is to quantitatively compariso of the influence of different reference electrode position on the amplitude, surface area, latency and duration of CMAP during routine NCV studies in radial, ulnar and median nerves. All of these CMAP signals were sent to computer for analysis. The data revealed;(1)In median nerve examination, the surface area and amplitude decreased markedly (p＜0.05 & p＜0.02) when the reference electrode was shifted from MP joint to IP joint of the thumb. (2)In radial nerve study, reference electrode in wrist position has the largest surface area & amplitude, while 1/2 between wrist and …

The Relation Between Integrated Muscle Activity And Computerized Emg Analysis, I-Ping Liu, Rai-Chi Chen, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to evaluate the relationship between the maximal force and supramaximal electrical stimulation evoked potential of the abducter pollicis brevis muscle in normal person.Fifty volunteers from January, 1984 to June, 1984 were reviewed. Age distribution from twenty years old to seventy years old. Each sex was in same unmber of cases. There was no subjective complaint of discomfort of abnormal objective findings in hands or neck. The results of study werer: 1.There was no linear correlation between maximal force and supramaximal evoked potential of the abducter pollicis brevis(A.P.B.)muscle in normal person. 2. In both sexes …

The Study Of Muscle Weakness In Rheumatoid Arthritis: With Computerized Emg, 筱萍 潘, 瑞棋 詹, 道昌 徐

Rehabilitation Practice and Science

Weakness and atrophy of skeletal muscles are found commonly in patients suffering from rheumatoid arthritis, but the reasons of this phenomenon are still questionable.39 RA patients and 35 normal persons, as control group, were examed in 2 aspects: 1)Maximal muscle strength including grasp, 3 jaw-chuck and palmar abduction of thumb; 2)Evoked uscle action potential(EMAP) of APB, using computer measurement of the amplitude, duration and surface. (1,2)V Besides, functional class, stage of bony change, duration of the disease, medication, painful joints were also taken into consideration. Comparison between the muscle strength and the quantified EMAP in RA patients and control group …

Functional Rehabilitation In Ankle Sprains, Chrong-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

The relationship between ankle sprains and proprioceptive deficit has been much discussed. Twenty-three patients including 17.4% minor fracture were collected from Sept. 1983 to Sept. 1984. A history of the ankle sprain. Soreness and instability were complained. Modified Romberg's test for detective objective strengthening, coordination ex., deep transverse friction and proprioceptive training were prescribed. Cases analysized and the result were reported.

Patterns Of Dyslalia In Mandarin Speakers, Baii-Jia Yang, Shiang-Jiun Lai, Wen-Ling Liao

Rehabilitation Practice and Science

Four types of dyslalia-substitution, omission, distortion and addition, are common in English speakers.The purpose of our study is to find the characteristics of dyslalia in Mandarin speakers. The past two years, there were 74 dyslalic patients of which 57 were males and 17 were females. Their ages ranged from 4years to 23 years. Detailed examinations and tape records were taken. The results revealed that substitution was the most common type of dyslalia. Omission was the second one. Distortion was less common than omission and was always found in combination with one of the other types of dyslalia. Addition was not …

The Late Effects Of Polio In Taiwan, Chien-Jen Liu, Tao-Chang Hsu

Rehabilitation Practice and Science

曾經染患小兒麻痺之生還者，除了四肢或身體某部份機能喪失或麻痺外，都經由適當的復健，已「穩定」。可重新振作其殘存之力量，向世人及自己證明，他們和別人一樣，甚至比別人好。近年來，歐、美等國根據小兒麻痺長期使用患肢及輔助用具，其身體四肢長時間承受擠壓、過度或不使用，而可能造成關節酸痛或攣縮、肌肉軟弱、走路耐力減退，甚而〈再〉須使用拐杖、支架或以輪椅代步。 為使他們「早期發現、早期預防」，更生復健服務中心特別對全省各地大約二、三十年前小兒麻痺之生還者抽樣地發出問卷，主要是想調查其〈一〉生理狀況－小兒麻痺受影響之部位、使用輔助用具情形及曾接受過的手術、變形部位和目前所有的症狀。〈二〉心理、社會適應問題等。 在這兩百六十位調查回卷中，46%是男性，女性佔54%，年齡最大是四十四歲，最小者十五歲，平均年齡是二十五點三歲；大部份是在一、二歲時不幸染患小兒麻痺，僅5%是在三歲後得到的；有74.4%的人僅受過中、小學教育，其中有些家庭是低收入者，可喜的是11.5%已結婚。一般而言，他們的心理和社會適應都蠻好的，但受教育較高者對環境、社會或別人的要求也愈高，滿意程度也愈差。現在就來以小兒麻痺對其生理影響看其最近生理上的改變情形： 一、小兒麻痺對身體之影響－大部份的人是下肢受到影響，僅二十七人，10.4%下肢沒有受到侵襲，相反地，僅有28.5%的人手部受到迫害，而已有七分之一的人須靠輪椅代步。 二、最近身體之改變－在兩百六十人中，已有兩百一十四人有變壞的感覺，如39.2%的人有肌肉較弱無力的經驗，36.9%覺得容易疲勞，33.8%有脊椎側彎和20%的人有關結痠痛的經驗等。 綜合這些調查統計，雖然大多數小兒麻痺之生還者尚且太年輕，但二十八歲以上的患者比較年青者有後遺症之現象，諸如單腳的患者易造成肌肉無力，坐輪椅的人較易發胖等等，所以要注意避免新的衰弱、病痛和疲勞所造成的傷害，以免發生老化或失去活動能力了。 雖然沒有任何跡象顯示－小兒麻痺生還者會較快老化，須提早退休或甚而減少壽命，但是有些功能上的改變，是患者須特別注意的！千萬不要過度或都不使用肢體或輔助用具，都可能會造成後遺症，希望患者能做些適當地運動並保持活力。社會大眾關心此一問題及有一專責機構－如振興復健醫學中心為年齡較大的患者提供治療、測量和功能的維護，使復健醫學能繼續治癒此後遺症，好同享有美滿幸福之生活。

Work Value Needs And Job Satisfaction Of National Yang Ming Medical College Graduates, Sgu-Fen Huang, Chien-Jen Liu, Tao-Chang Hsu

Rehabilitation Practice and Science

In the past four years 116 students of N.Y.M.M.C. served one month of their internship in the Dept. of Phys. Med. & Rehab, V.G.H. The 65 of these who are presently working as resident physicians in various hospitals were contacted by mail and 48(74%) participated in this follow-up study. They were given Super's Work Values(Needs ) Inventory and the V.G.H. Job Satisfaction Inventory. The three values they rated highest for their ideal work environment were Way of Life, Indendence and Intellectual Stimulation. The three they considered least important in their work environment were Esthetics, Administrating and Security. The three things …

The Active Role Of Arthroscope In Managing Knee Disorders, Y. F. Line, M. H. Jan

Rehabilitation Practice and Science

No abstract provided.