Rehabilitation and Therapy Commons^™

Diagnosis And Treatment Of Stroke-Related Sarcopenia: A Narrative Reviewarticle, Szu-Han Chen, Tieh-Cheng Fu

Rehabilitation Practice and Science

Stroke patients have a high prevalence of sarcopenia due to the presence of several risk factors, including immobilization, impaired feeding, sympathetic activation, inflammation, and denervation. The occurrence of sarcopenia further exacerbates the disability caused by the stroke. Thus, appropriate diagnosis and intervention for sarcopenia is an important health issue for the stroke population. The article discusses the dilemma in diagnostic tests and potential treatment for stroke-related sarcopenia based on the currently available literature evidence.

Effectiveness And Predictors Of Home-Based Postacute Stroke Care, Yuan-Ting Lo, Wen-Chih Lin, Lin-Fu Lee, Willy Chou

Rehabilitation Practice and Science

Introduction: Stroke is the leading cause of disability in adults. In 2014, Taiwan's National Health Insurance Administration started to provide inpatient postacute care, and the results indicated that this model improves the overall functional status of patients with stroke. In 2017, home-based postacute stroke care was initiated; however, no study has evaluated its effectiveness. Therefore, we explored the functional recovery of patients with stroke after 6 weeks of postacute care at home and the factors that influenced their functional improvement. Method: We recruited patients with stroke who received a score of 3 or 4 on the modified Rankin Scale between …

Effects Of Supervised Exercise Training On Health-Related Physical Fitness In Community Dwellers Aged Over 50 Years, Chun-Yi Lee, Tieh-Cheng Fu, Jong-Shyan Wang, Chih-Chin Hsu

Rehabilitation Practice and Science

Effects of supervised aerobic exercise training on physical fitness in aging community residents were highlighted in the study. 76 community-dwellers aged ＞ 50 years who completed an 8-week cohort study were included. All participants were instructed to walk ≥ 8000 steps per day (stp/d) and wore a smart watch to record the every-day step amount. The average number of everyday step amount in a week was used as the mean walking steps per day in a week. Among them, 39 participants were randomized to the supervised exercise training (SET) and 37 were allocated to the home exercise training (HET) groups. …

Age-Related Sonoanatomical Change Of The Knee In Children, Shu-Mei Yang, Chia-Wei Lin, Wen-Shiang Chen

Rehabilitation Practice and Science

Ultrasound has been thoroughly studied and become a well-established tool for assessment of adult patients' musculoskeletal system both in research and clinical practice. However, the use of musculoskeletal ultrasound in pediatric populations is still limited. The age-dependent variability of normal sonoanatomy dueto bone maturation and ossification in children is the main limitation to establishing its validity as an imaging tool. Also, standardized definitions of gray-scale and power Doppler ultrasonography findings in different age groups of children is still lacking. Nonetheless, ultrasound is a readily accessible imaging modality that is well tolerated by children. It also allows physicians to perform a …

The Use Of Ultrasonography In Suspected Tibia Plateau Fracture With Lipohemarthrosis: A Casereport, Wei-Nung Hsu, Pon-An Chen, Sen-Wei Tsai

Rehabilitation Practice and Science

Knee pain is a common complaint in rehabilitation outpatient clinics. Plain radiography is typically used to detect knee pain and trauma. However, a slight depression plateau fracture could be easily overlooked on plain radiography. This is a casereport of a 57-year-old woman with left knee pain who visited the outpatient clinic for help. Ultrasonography showed fat-fluid level, but plain radiography did not reveal any fracture. Magnetic resonance examination confirmed the depression fracture of the tibial plateau and the lipohemarthrosis. Lipohemarthrosis is a highly sensitive predictor of intra-articular surface fractures. Ultrasound is a convenient and reliable tool to detect lipohemarthrosisof the …

Application Of Ultrasonography In The Diagnosis And Treatment (5% Dextrose Hydrodissection) For Entrapment Of Spinal Accessory Nerve: A Casereport, Tien-Lee Hsieh, Wei-Ting Wu, Chun-Ping Wang, Liang-Chun Chien, Lin-Fen Hsieh

Rehabilitation Practice and Science

The anatomical structure of the neck area is exceedingly complex; thus, cervical nerve damage during surgical procedures is not uncommon. A 25-year-old woman underwent excisional biopsy for neck lymphadenopathy. The patient reported left upper back pain and left shoulder weakness 1 day after the surgery. Physical examination revealed weakness of the left upper trapezius muscle and winging of the left scapula. A nerve conduction study indicated decreased compound muscle action potential amplitude on stimulation of the left spinal accessory nerve (SAN); electromyography also revealed denervation changes with the presence of voluntary motor unit action potentials in the left upper trapezius …

A Casereport Of Speech Therapy Combined With Repetitive Transcranial Magnetic Stimulation In Patients With Global Aphasia, Shih-Chen Lai, Yan-Ting Lin, Long-Wei Dai

Rehabilitation Practice and Science

For patients with stroke-induced aphasia, speech therapy is the most common speech rehabilitation program. In recent years, increasing empirical discussions have been conducted on the application of repetitive transcranial magnetic stimulation in treating stroke-related comorbidities; however, such discussions are lacking in Chinese. The present casereport investigated a patient with global aphasia who received frequent sessions of conventional speech therapy (2.5 hours per week) in conjunction with repetitive transcranial magnetic stimulation (5 sessions per week). The total intervention period was 6 months. The Concise Chinese Aphasia Test was used to conduct a pretest and posttest before and after the intervention. This …

Compartment Syndrome With Severe Neurovascular Complications After Trans-Radial Approach Of Percutaneous Coronary Intervention: A Casereport And Literature Reviewarticle, Pei-Yi Chen, Hong-Yi Lin

Rehabilitation Practice and Science

The gold standard for the acute coronary syndrome is percutaneous coronary intervention. Access site practice has shifted from transfemoral to transradialaccess (TRA), with the latter being more popular in Europe and Asia due to higher success rates, fewer site-related vascular complications, mortality, and shorter hospital stay. Significant complications following TRA of percutaneous coronary intervention have been reported, including spasm, occlusion, perforation, pseudoaneurysm formation, arteriovenous fistula, and rarely, compartment syndrome and complex regional pain syndrome (CRPS). Here, we report the case of a 66-y-old male who had persistent right-hand painful swelling, clawed hand, and sensory disturbance for 2 months following TRA …

Viscosity Of Commercial Thickeners In Combination With Different Beverages Of Honey- And Nectar-Like Consistency And Their Change Over Time, Wei-Chun Che, Yuan-Ching Tsai, Meng-I Kuo, Tsan-Hon Liou

Rehabilitation Practice and Science

Objective: This study investigated the viscosity of four beverages (green tea, grape juice, sugar-free soy milk, and Ensure®) thickened to a nectar- and honey-like consistency with five thickening products (Resource® Thickenup® Clear, Toromeal, Toromi-up, eNutrition, and Sentosa) marketed in Taiwan. The sample viscosity over time was compared. Furthermore, the results were compared with the guidelines of National Dysphagia Diet (NDD) established by the American Dietetic Association. Methods: The viscosity was measured using the Brookfield RVDV-II+ Pro viscometer with small sample adaptor, shear rate set at 50 s-1, temperature at 25℃. Results: The results showed that almost all thickening products in …

An Investigation Of The Relationship Between Oral Sucking Habits And Types Of Articulation Errors In Preschool Children With Phonological Impairment, Hsiang-Chan Yen, Ching-Fei Lee, Su-Fen Liao

Rehabilitation Practice and Science

Background: Phonological impairment (PI) is the most common impairment in preschool children with speech sound disorder (SSD). In preschool children with phonological disorders, the most common process is substitution, including fronting, backing, and devoicing. The parents of children with PI always complain that it is difficult for them to abstain from pacifier use or thumb sucking. The purpose of this study was to investigate the oral sucking habits of preschool children with PI, and to explore whether different sucking habits affect different types of PI. Methods: Children aged from 36 months to 72 months, who visited the Physical Medicine and …

Swallowing Function In Parkinson's Disease: Correlation With Disease Duration And Hoehn And Yahr Stage, Yi-Ya Pan, Hsueh-Pei Wang, Ruey-Meei Wu, Tyng-Guey Wang

Rehabilitation Practice and Science

Oropharyngeal dysphagia is a common complication of Parkinson's disease (PD). Swallowing assessment scales, videofluoroscopics wallowing study (VFSS), and fiberoptic endoscopic evaluation of swallowing (FEES) are used to evaluate the swallowing function of patients with dysphagia. However, few studies have been conducted that assessed tongue muscle strength and hyoid bone movement in patients with PD. To better understand the correlation between disease duration, Hoehn and Yahr (H&Y) stage and swallowing function in patients with PD, this study evaluated the swallowing function in patients with PD using ultrasonography and Iowa Oral Performance Instrument (IOPI). Ultrasonography was performed to evaluate hyoid movement, and …

Ganglion Cyst Of Lumbrical Muscles: A Casereport, Pao-Sheng Wu, Chun-Te Lu, Valeria Chiu

Rehabilitation Practice and Science

Ganglion cysts arising from joints or tendons are commonly seen in our daily work as physiatrists, but those originating from muscles have been infrequently reported. In this casereport, we present a patient with a ganglion cyst arising from the fascia of the fourth lumbrical muscle in an occupational therapist, which has never been reported before. The lumbrical muscles of the hand vary greatly from other intrinsic muscles, because of their distinctive structure and function. A ganglion cyst that arises from the lumbrical muscle is supposed to affect the precise movement of the occupational therapist's hand. As a result, the early …

Herpes Zoster And Resultant Segmental Zoster Paresis: A Casereport And Literature Reviewarticle, Yen-Jou Ho, Hong-Yi Lin, Yao-Jen Chen

Rehabilitation Practice and Science

Herpes zoster (HZV) is ascribed to the reactivation of the dormant varicella-zoster virus (VZV) in the dorsal root ganglia. The most commonly seen manifestation is a painful skin rash. However, several additional complications have been documented in the literature. A less-mentioned yet severe complication is segmental zoster paresis (SZP), which can cause limb paralysis. SZP's mechanism is still under debate, and a direct invasion of motor fibers due to anatomical adjacency has been proposed. Here we report a patient who had sudden onset of left upper limb paresis and gradually developed a skin rash afterward, which a dermatologist confirmed as …

Hubungan Tinggi Dan Lama Pemakaian High Heels Dengan Nyeri Punggung Bawah Pada Pramugari Maskapai X, Reza Almayda, Farahdina Bachtiar, Eko Prabowo, Purnamadyawati Purnamadyawati

Jurnal Fisioterapi Terapan Indonesia

Low back pain is discomfort in the lower back area in the form of a feeling of pain and discomfort. A flight attendant is a profession that uses high heels when working. The use of high heels can cause changes in the fulcrum of the body when walking. Problems occur when wearing high heels for a long time, causing the lumbar muscles to shorten and lower back pain to occur. The purpose of this study was to determine the correlation between the height of the heels and the length of use of high heels with complaints of low back pain …

Pengaruh Diaphragmatic Breathing Dan Endurance Exercise Terhdap Peningkatan Kapasitas Kardiorespirasi Pada Pasien Hospital-Acquired Pneumonia, Alifia Azzahra, Annisya Puspitarani, Zahra Sativani, Riza Pahlawi

Jurnal Fisioterapi Terapan Indonesia

The purpose of this case study is to determine the effect of diaphragmatic breathing and endurance exercise in hospital-acquired pneumonia (HAP) cases. HAP is a nosocomial pneumonia that occurs 48 hours or more after the patient is admitted to the hospital, without any signs of pulmonary infection at the time of initial treatment. The existence of clinical manifestations that appear, patients with HAP tend to avoid physical activity which can decrease the functional capacity of the respiratory system and have an impact on decreasing endurance. Diaphragmatic breathing exercise is thought to be able to help reduce shortness of breath, reduce …

Efektifitas Sustained Natural Apophyseal Glides (Snags) Terhadap Penurunan Nyeri Pada Kasus Nyeri Leher, Iman Santoso, Triana Karnadipa, Mita Noviana, Ummulkhair Sakinah

Jurnal Fisioterapi Terapan Indonesia

Neck pain attacks 16.6% of the general adult population in Indonesia. This condition causes disruption of function and motion in the neck, so it requires physiotherapy intervention. Sustained Natural Apophyseal Glides (SNAGs) is a mobilisation with movement techniques that can decrease pain during exercise without causing any secondary pain. Materials and Methods. From the search results with various databases found 385 journals that match these keywords, screened titles and abstracts were found 30 articles were then filtered and 20 articles were selected. However, from the 20 articles, there will be further screening. The final result after selection is 5 articles. …

Perbandingan Efektivitas Isometric Quadriceps Exercise Dan Aquatic Exercise Terhadap Tingkat Nyeri Pada Lansia Dengan Knee Oteoarthritis : Literature Review, Dt.Arief Rahman Bestari, Nungki Marlian Yuliadarwati, Kurnia Putri Utami

Jurnal Fisioterapi Terapan Indonesia

The elderly are the most susceptible subject to knee osteoarthritis (KOA), there are several good exercises for KOA, namely isometry quariceps exercise (IQE) and Aquatic exercise (AQE) are therapies that are often used to help improve and reduce pain in KOA. To compare the effectiveness of giving isometric quadriceps exercise and aquatic exercise on pain levels in the elderly with knee osteoarthritis. This study is a literature review where researchers will look for journals that match the theme and title to be discussed. articles or journals are obtained from several search engines, Pubmed and Google Scholar. The journal criteria used …

Pengaruh Diaphragmatic Breathing Dan Endurance Exercise Terhadap Peningkatan Kapasitas Kardiorespirasi Pada Pasien Hospital-Acquired Pneumonia, Alifia Azzahra, Annisya Puspitarani, Zahra Sativani, Riza Pahlawi

Jurnal Fisioterapi Terapan Indonesia

The purpose of this case study is to determine the effect of diaphragmatic breathing and endurance exercise in hospital-acquired pneumonia (HAP). Nosocomial pneumonia that occurs in 48 hours or more after the patient admitted to the hospital, without any signs of pulmonary infection. The existence of clinical manifestations that appear, patients with HAP tend to avoid physical activity which can decrease the functional capacity of the respiratory system and have an impact on decreasing endurance. Diaphragmatic breathing exercise is thought to be able to help reduce shortness of breath, reduce the work of the accessory muscles of breathing, improve breathing …

Terapi Manual Dan Terapi Latihan Meningkatkan Kemampuan Fungsional Pada Kasus Cervical Syndrome Et Causa Flat Neck : Studi Kasus, Faizah Abdullah Djawas, Rafiqoh Nur Huwaida

Jurnal Fisioterapi Terapan Indonesia

Cervical syndrome is a collection of symptoms, especially pain around the cervical spine. Pain in cervical syndrome is more common in conditions related to the deformity of the cervical vertebrae, one of which is a flat neck or conditions where cervical lordosis is reduced. When the lordosis curve disappears, the vertical load will be redistributed along the anterior portion of the cervical spine, causing pressure on soft tissue and surrounding bone. This can lead to various musculoskeletal problems. The combination of manual therapy and exercise is suggested to reduce problems such as pain, limitations of the range of motion (ROM), …

Hubungan Antara Durasi Penggunaan Smartphone Dan Keluhan Nyeri Leher Pada Tim E-Sport Mobile Legend, Sheilla Maurie Arthamevia, Farahdina Bachtiar, Eko Prabowo, Purnamadyawati Purnamadyawati

Jurnal Fisioterapi Terapan Indonesia

Smartphones are a real manifestation of technological progress as well as a device that works very complexly with access to the internet, social media and games. E-sports or cybersports connected to the internet network. Excessive use of smartphones, including for Mobile Legends E-sports players, can cause musculoskeletal disorders. Musculoskeletal disorders associated with smartphone use lead to neck muscle fatigue caused by poor posture. Using a smartphone for a long time can cause muscle tension. Long duration of smartphone use is the biggest factor that can cause complaints of neck pain. Purpose: This study aims to determine the relationship between the …

The Application Of Echo-Guided Injection Of Steroid And Botulinum Toxin Type A For Ankle Contracture In Traumatic Trans-Metatarsal Amputation: A Casereport, Ching Yu Wang, Simon F Tang, Yu Ting Hsieh

Rehabilitation Practice and Science

In this report we share 21 year-old young man with traumatic transmetatarsal amputation treated with multiple operations after few weeks of surgery. Foot equinovarus deformity was noted which leads to walking disability and affects daily activities. Patient was referred to us from orthopedic doctor because he hesitated to have another operation for Achilles tendon lengthening. During the physical examination, equinovarus foot with hip contracture were observed which may be caused by muscle imbalance or nerve injury. Nerve conduction velocity and electromyography tests (NCV/EMG) was arranged for differentiating between neurogenic contraction and myogenic contracture. Peroneal nerve injury was ruled outafter the …

Swallowing Dysfunction Following The Covid-19 Infection: A Literature Reviewarticle, I-Chun Liu, Yi-Hsiang Chiu, Tyng-Guey Wang

Rehabilitation Practice and Science

Coronavirus disease 2019 (COVID-19), named by the World Health Organization in 2020, is a novel infectious disease, causing by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Most symptoms, such as cough and fever, will be resolved following supportive management. However, a small number of patients will progress to respiratory distress or suffer other neurological problems that affect their swallowing function. Potential dysphagia mechanisms associated with COVID-19 include neurological complications, muscular disorder, and intensive care unit-acquired swallowing dysfunctions. As dysphagia results in a declined quality of life and increased risk of respiratory complications, early swallowing interventions are imperative after the acute …

The Influence Of Upper Limb Motor Function On The Activity Of Life And Quality Of Life In Stroke Patients, Wan-Ling Hsu, Chi-Tzu Feng, I-Shiang Tzeng

Rehabilitation Practice and Science

Objective: This study attempted to investigate the influence of upper limb motor function on activities of daily living(ADLs) and quality of life(QoL) in stroke patients. We also wanted to reveal whether a disparity exists in ADLs and QoL for patients with different upper limbs impairment. Methods: A total of 57 stroke patients (mean age=55.55±13.11 years old, onset time= 1.57±1.87 years) were analyzed in the study. Methods used to evaluate outcomes included Fugl-Meyer assessment (FMA) for assessing the motor function of upper limbs; functional independence measure (FIM) for assessing the independent of ADLs, and stoke impact scale (SIS) for evaluating the …

Symptomatic Os Supranaviculare Incidentally Found In A Professional Baseball Player: A Casereport, Xuan-Er Shen, Hao-Hong Cai, Chuan-Chao Lin

Rehabilitation Practice and Science

Background: Os supranaviculare is a rare skeletal anatomical variation with a prevalence of approximately 1%. Most patients are asymptomatic. Typically, os supranaviculare is discovered incidentally after an ankle injury or when os supranaviculare causes symptoms such as pain during activities or swelling of the ankle,. Os supranaviculare is often misdiagnosed as a stress fracture of the navicular bone or talus. Careful differential diagnosis should be considered to avoid mistreatment. casereport: A 24-year-old male athlete, who is an active Chinese Major League Baseball player, complained of swelling and pain on the dorsomedial side of his left ankle for about six months. …

Insulin Autoimmune Syndrome In A Patient With Hemorrhagic Stroke: A Rare Casereport And Literature Reviewarticle, Kuan-Yu Kung, Chu-Hsu Lin, Yen-Liang Ke

Rehabilitation Practice and Science

Introduction: Insulin Autoimmune Syndrome (IAS), also known as Hirata's disease, is a rare cause of hyperinsulinemia hypoglycemia, with an overall incidence of one over one billion. Only three hundred and eightycases of IAS were reported world-wide during 1970 to 2009. Such disease was easily underestimated and misdiagnosed. Thus, we sincerely introduce a case newly diagnosed as IAS possibly induced by Angiotensin-Converting Enzyme inhibitor (ACEI) after cerebral vascular accident (CVA).The literature of insulin autoimmune syndrome was also reviewarticleed. Case presentation: This 34-year-old male with past history of hypertension and hyperlipidemia hadsudden onset of mental drowsiness and weakness on left side limbs …

Daily Living Assistance Provided By Residents To Other Residents In Residential Aged Care Homes: Knowledge, Attitudes, And Practices, Siti Noraini Asmuri, Masne Kadar, Nor Afifi Razaob, Chai Siaw Chui, Hanif Farhan Mohd Rasdi

Makara Journal of Health Research

Background: The rise of the aged population in Malaysia has resulted in the increased need for services, especially in terms of healthcare. Hence, continuous support is crucial to managing the daily living activities of this group. This study aimed to identify the knowledge, attitudes, and practices of older adults residing in Malaysian aged care homes concerning daily living activities and their provision of assistance to other residents with more significant disabilities.

Methods: Semi-structured interviews were conducted on ten older adults and six staff members of two selected residential aged care homes. The interview session concerned the knowledge, attitudes, …

Impact Of Forearm Pronation On Ultrasound-Measured Forearm Muscle Thickness In Children And Adolescents, Takashi Abe, Hayao Ozaki, Akemi Abe, Jeremy P. Loenneke

Faculty and Student Publications

Background and Aim: It was unknown whether ultrasound-measured forearm muscle thickness was impacted by pronation of the forearm. The aim of this study was to investigate the influence of forearm pronation on two forearm muscle thicknesses (MT-ulna and MT-radius). Participants and Methods: Fourteen healthy children and adolescents sat on a chair with their right arm comfortably on a table, and their hands were fixed to the board with elastic bands. The probe was placed perpendicularly over the forearm, and the angle of the board was then pronated in 5° increments from -10° to 30°. The average value of the two …

White Matter Correlates Of Domain-Specific Working Memory, Autumn Horne, Junhua Ding, Tatiana T Schnur, Randi C Martin

Faculty, Staff and Student Publications

Prior evidence suggests domain-specific working memory (WM) buffers for maintaining phonological (i.e., speech sound) and semantic (i.e., meaning) information. The phonological WM buffer's proposed location is in the left supramarginal gyrus (SMG), whereas semantic WM has been related to the left inferior frontal gyrus (IFG), the middle frontal gyrus (MFG), and the angular gyrus (AG). However, less is known about the white matter correlates of phonological and semantic WM. We tested 45 individuals with left hemisphere brain damage on single word processing, phonological WM, and semantic WM tasks and obtained T1 and diffusion weighted neuroimaging. Virtual dissections were performed for …

The Acute Effects Of Talocrural Mwm Compared With The Application Of Soft-Tissue Of The Plantarfascia On Chronic Lateral Ankle Sprains For Ankle Dorsiflexion R.O.M., Peter Hempenstall, Brian O'Rourke

SURE Journal: Science Undergraduate Research Experience Journal

Previous research has looked at various treatment remedies for improving acute ankle Dorsiflexion Range of Motion (DFROM) post chronic Lateral Ankle Sprain (LAS). Mulligan’s Mobilisation with Movement (MWM) appears frequently however, the significance and mechanism remain quite conflicting (Gilbreath et al., 2015). It is also known that after a LAS, the Lateral Ligament Complex (LLC) is compromised and the calcaneus inverts, increasing stiffness of plantarfascia (Al-Mohrej & Al-Kenani, 2016, Denegar et al., 2002, Loudon & Bell, 1996). The objective of this study was to further explore the effectiveness of MWM compared with soft-tissue (ST) application of the plantarfascia on acute …

Ensuring A Knowledgeable Geriatric Workforce: Interdisciplinary Education In Long-Term Services And Supports, Gina Tucker-Roghi

Occupational Therapy | Faculty Scholarship

In this symposium, we describe five interdisciplinary educational programs to enhance the geriatric workforce in long-term services and supports (LTSS): Skilled nursing facilities (SNFs), assisted living, and home health and hospice. The interdisciplinary teams that came together to offer the programs leveraged technology to maximize access to experts in both the curriculum development process and the delivery of the educational programs for a wide range of target learners. The first program, an interdisciplinary telementoring series on dementia care for therapists in SNFs, was developed by a team of experts from occupational, physical and speech therapy. The program included asynchronous online …