Description Of Motor Control Using Inverse Models,
2019
West Virginia University
Description Of Motor Control Using Inverse Models, Anton Sobinov
Graduate Theses, Dissertations, and Problem Reports (ETD)
Humans can perform complicated movements like writing or running without giving them much thought. The scientific understanding of principles guiding the generation of these movements is incomplete. How the nervous system ensures stability or compensates for injury and constraints – are among the unanswered questions today. Furthermore, only through movement can a human impose their will and interact with the world around them. Damage to a part of the motor control system can lower a person’s quality of life. Understanding how the central nervous system (CNS) forms control signals and executes them helps with the construction of devices and rehabilitation …
Elbow Injury Prevention In Youth Dominican Baseball Players: A Training Intervention Pilot Study,
2019
Bellarmine University, Louisville
Elbow Injury Prevention In Youth Dominican Baseball Players: A Training Intervention Pilot Study, Chelsey Erbaugh Franz, Dawn Hall-Bibb, Myra Stockdale, Aliya Thompson, Bailey Biggs
Internet Journal of Allied Health Sciences and Practice
Background: Research suggests deficits in shoulder and elbow strength and flexibility may explain the role of elbow injuries in overhead athletes, specifically ulnar collateral ligament (UCL) injury in baseball players. Significant damage to this ligament typically requires operative care for continued activity in the sport. Several studies have demonstrated the success of rehabilitation programs post-surgery; however, few studies have examined the role of UCL injury prevention programs. A recognized upper extremity (UE) injury prevention method is the Thrower’s Ten Program. This program may create elbow stability when pitching and throwing, theoretically reducing the risk of UCL injury. Purpose: The purpose …
The Effects Of Saddle Alignment And Pedal Stroke Training On A Competitive Cyclist With Anterior Knee Pain: A Case Report,
2019
Agility Sport and Spine of Tucson Arizona
The Effects Of Saddle Alignment And Pedal Stroke Training On A Competitive Cyclist With Anterior Knee Pain: A Case Report, Tim Evens, Jerome Danoff
Internet Journal of Allied Health Sciences and Practice
Background: Among competitive cyclists, anterior knee pain is a common overuse injury. Alignment of the rider on the bicycle and the loading pattern on the pedals are proposed as factors in this pain. The patient was a 23-year-old competitive female cyclist who was riding up to 200 miles weekly and had developed bilateral anterior knee pain within the 3 months preceding our examination. The purpose of this case report is to demonstrate the effectiveness of adjusting this patient’s static alignment (ie. position while seated on bicycle, but not actively pedaling) on the bike and modifying her habitual pedaling pattern. Methods …
Part 2: Preparing Entry-Level Occupational And Physical Therapy Students To Promote Healthy Lifestyles Emphasizing Healthy Eating With Individuals With Disabilities,
2018
University of Alabama at Birmingham
Part 2: Preparing Entry-Level Occupational And Physical Therapy Students To Promote Healthy Lifestyles Emphasizing Healthy Eating With Individuals With Disabilities, Brooks C. Wingo, Donald H. Lein, Beth A. Barstow, Christopher A. Eidson, Tara S. Pearce, Laurie A. Malone, David M. Morris
Journal of Occupational Therapy Education
Rehabilitation professionals including occupational therapists (OT) and physical therapists (PT) are increasingly called upon to incorporate health promotion of lifestyle behaviors including physical activity and healthy eating into routine clinical care. While OTs and PTs may be comfortable promoting activity-related behaviors, many are less comfortable with nutrition behaviors. To address entry-level OT and PT students’ perceived discomfort with discussing diet-related behaviors, faculty developed a healthy eating module for students to use during a community-based service learning program. The purpose of this paper is to describe the formative evaluation process of developing the healthy eating module, and to discuss results of …
A Systematic Reviewarticle Of Turning Difficulties In Individuals With Stroke,
2018
Taiwan Academy of Physical Medicine and Rehabilitation
A Systematic Reviewarticle Of Turning Difficulties In Individuals With Stroke, Pei-Yi Chou, Shu-Chun Lee
Rehabilitation Practice and Science
Introduction: Making turn is a challenging task that is reported as one of the activities that most frequently leads to fall in stroke patients. Among community-dwelling older adults, hip fractures are eight times more likely to result from falls while making turns than from falls while walking straight. The stroke patients have asymmetric posture and movements due to hemiparesis, thus their turning performance may varied depending on the direction of the turn. Therefore, the purpose of this systematic reviewarticle was to summarize the characteristics of turning after stroke and discuss the possible neuromuscular mechanisms of turning difficulties. Methods: Searches of …
The Correlation Between Spasticity Of Upper Limbs And Functional Performance In Acute And Subacute Stroke Patients,
2018
Taiwan Academy of Physical Medicine and Rehabilitation
The Correlation Between Spasticity Of Upper Limbs And Functional Performance In Acute And Subacute Stroke Patients, Wan-Ling Hsu, Pei-Jung Huang, Wei-Hsiu Chang, Chi-Tzu Feng
Rehabilitation Practice and Science
Objective: This study attempted to investigate the correlation between severity of spasticity and functional recovery in acute and subacute stroke patients. Methods: A total of 22 acute and subacute stroke patients were analyzed. Methods used to evaluate outcomes included Modified Ashworth Scale (MAS) for assessing upper limbs spasticity; Fugl-Meyer Assessment (FMA-UE), Box and Block Test (BBT) for assessing the motor ability of upper limbs; Functional Independence Measure (FIM) for assessing independent of daily life, and Stoke Impact Scale (SIS) for evaluating the quality of life. Results: Correlation was found between MAS and FMA-UE (p=.01), BBT (p=.02) and two subtests of …
An Acute Non-Traumatic Rib Fracture Detected By Ultrasound And A Reviewarticle Of The Literature,
2018
Taiwan Academy of Physical Medicine and Rehabilitation
An Acute Non-Traumatic Rib Fracture Detected By Ultrasound And A Reviewarticle Of The Literature, Tze Chao Wee, Chueh-Hung Wu, Tyng-Guey Wang
Rehabilitation Practice and Science
Ultrasound is increasingly used for the diagnosis of musculoskeletal conditions, particularly in soft tissue injuries. In some cases, it is useful for the evaluation of fractures. A 54-year-old woman presented with focal a non-traumatic right-sided chest pain. Physical examination revealed a focal area of tenderness on palpation. Erect chest X-ray was unremarkable. A focused musculoskeletal ultrasound was carried out to examine the area of tenderness and a rib fracture which was not detected on the erect chest X-ray was diagnosed during sonographic examination. A brief literature reviewarticle on the use of ultrasound in the diagnosis of fracture, in particular rib …
Return To Work And Health Management In Patients With Work-Related Musculoskeletal Disorder: Literature Reviewarticle,
2018
Taiwan Academy of Physical Medicine and Rehabilitation
Return To Work And Health Management In Patients With Work-Related Musculoskeletal Disorder: Literature Reviewarticle, Yi-Chieh Lien, Jang-Ting Wei, Yi-Shiung Horng
Rehabilitation Practice and Science
Work-related musculoskeletal disorders (WRMSDs) are cumulative traumatic disorders that result from work-related ergonomic factors, such as repetitive motion, forceful exertion, awkward posture, holding a vibrating tool, and working in an environment that causes whole-body vibration. These risk factors may induce tendinitis, tenosynovitis, entrapment neuropathy, bursitis, meniscus tear, and even herniation of the lumbar intervertebral disc. WRMSDs may not only affect a patient's health and quality of life but also entail substantial economic and labor costs. Methods for early diagnosis of WRMSDs and management of workplace risk factors must be determined. In addition, vocational rehabilitation should be offered to individuals with …
Accuracy Of Residual Urinary Volume Measurements In Patients With Neurogenic Bladder When Using A Portable Ultrasound Bladder Scanner,
2018
Taiwan Academy of Physical Medicine and Rehabilitation
Accuracy Of Residual Urinary Volume Measurements In Patients With Neurogenic Bladder When Using A Portable Ultrasound Bladder Scanner, Yao-Hung Yang, Chung-Yao Chen
Rehabilitation Practice and Science
Estimating the post-voiding residual urine amount is essential for managing patients with neurogenic bladder. Accurate post-voiding residual urine estimation provides guidance for the appropriate frequency of catheter drainage and reduces the rate of urinary tract infection. Although urethral catheterization is the most accurate method of estimating post-voiding residual urine, a bladder scanner-a noninvasive portable ultrasound device-constitutes an alternative method. In this study, we retrospectively reviewarticleed the residual urine amount in patients with neurogenic bladder of different etiologies using a bladder scanner and urethral catheterization. Data for 144 bladder scans and urethral catheterizations in 39 patients were analyzed, revealing that the …
Idiopathic Thoracic Intradural Spinal Arachnoid Cyst Associated With Syringomyelia: A Casereport And Literature Reviewarticle,
2018
Taiwan Academy of Physical Medicine and Rehabilitation
Idiopathic Thoracic Intradural Spinal Arachnoid Cyst Associated With Syringomyelia: A Casereport And Literature Reviewarticle, Jou Yu Lin, Michael Mu Huo Teng, Fu-Kong Lieu, Szu-Fu Chen
Rehabilitation Practice and Science
We report an adult woman who presented with lower limb weakness and dysesthesia caused by a thoracic spinal arachnoid cyst associated with syringomyelia. Before the diagnosis was made by thoracic magnetic resonance imaging, she was diagnosed with lumbar spondylosis and underwent lumbar spinal surgery; however, her symptoms were not relieved. The patient received multilevel laminectomy and cyst resection after thoracic pathology was identified. An upper motor neuron lesion, although rare, should be considered a differential diagnosis when leg symptoms and signs develop. For patients with leg weakness and pain, we emphasize a detailed neurological examination to localize the lesion to …
Patients' Perceptions And Patient-Reported Outcomes In Progressive-Fibrosing Interstitial Lung Diseases,
2018
National Jewish Health
Patients' Perceptions And Patient-Reported Outcomes In Progressive-Fibrosing Interstitial Lung Diseases, Jeffrey J. Swigris, Kevin K. Brown, Rayid Abdulqawi, Ketan Buch, Daniel F. Dilling, Dirk Koschel, Krishna Thavarajah, Rade Tomic, Yoshikazu Inoue
Internal Medicine Faculty Publications
The effects of interstitial lung disease (ILD) create a significant burden on patients, unsettling almost every domain of their lives, disrupting their physical and emotional well-being and impairing their quality of life (QoL). Because many ILDs are incurable, and there are limited reliably-effective, life-prolonging treatment options available, the focus of many therapeutic interventions has been on improving or maintaining how patients with ILD feel and function, and by extension, their QoL. Such patient-centred outcomes are best assessed by patients themselves through tools that capture their perceptions, which inherently incorporate their values and judgements. These patient-reported outcome measures (PROs) can be …
Patients' Perceptions And Patient-Reported Outcomes In Progressive-Fibrosing Interstitial Lung Diseases,
2018
National Jewish Health
Patients' Perceptions And Patient-Reported Outcomes In Progressive-Fibrosing Interstitial Lung Diseases, Jeffrey J. Swigris, Kevin K. Brown, Rayid Abdulqawi, Ketan Buch, Daniel F. Dilling, Dirk Koschel, Krishna Thavarajah, Rade Tomic, Yoshikazu Inoue
Internal Medicine Faculty Publications
The effects of interstitial lung disease (ILD) create a significant burden on patients, unsettling almost every domain of their lives, disrupting their physical and emotional well-being and impairing their quality of life (QoL). Because many ILDs are incurable, and there are limited reliably-effective, life-prolonging treatment options available, the focus of many therapeutic interventions has been on improving or maintaining how patients with ILD feel and function, and by extension, their QoL. Such patient-centred outcomes are best assessed by patients themselves through tools that capture their perceptions, which inherently incorporate their values and judgements. These patient-reported outcome measures (PROs) can be …
Comparison Of Laryngeal Excursion In Stroke Patients With And Without Penetration/Aspiration By Videofluoroscopy Swallowing Study,
2018
Taiwan Academy of Physical Medicine and Rehabilitation
Comparison Of Laryngeal Excursion In Stroke Patients With And Without Penetration/Aspiration By Videofluoroscopy Swallowing Study, Yun-Fang Lee, Yung-Chun Chi, Shih-Chung Chang
Rehabilitation Practice and Science
Objective: Post-stroke dysphagia is associated with increased morbidity and mortality in acute stroke patients due to malnutrition or aspiration. This study compares the hyolaryngeal movement during swallowing between post-stroke dysphagia patients with and without penetration/aspiration by videofluoroscopy swallowing study (VFSS). The goal was to find out possible defects in swallow mechunism for improving post-stroke dysphagia swallowing training. Method: We retrospectively collected VFSS images from stroke in-patients in a medical center in Central Taiwan from October 2015 to April 2017. The subjects were subdivided according to the VFSS results and 8-point penetration-aspiration scale (PAS) into those with penetration/aspiration (PAS ≥ 3) …
Hand Temperature And Heart Rate Variability In Stroke Patients When Using Yole Hands And Conventional Elastic Bandages During Passive Upper Limb Exercises,
2018
Taiwan Academy of Physical Medicine and Rehabilitation
Hand Temperature And Heart Rate Variability In Stroke Patients When Using Yole Hands And Conventional Elastic Bandages During Passive Upper Limb Exercises, Mei-Yi Lee, Chun-Han Yang, Ko-Long Lin, Shih-Ming Chen, Shu-Shi Chen
Rehabilitation Practice and Science
Therapeutic exercise can mitigate sensorimotor deficit and improve motor function in the upper limbs of stroke patients. During physical rehabilitation, elastic bandages (EB) are often used to secure stroke patients' affected upper limbs to exercise equipment. However, the application of EB can reduce blood flow and lower skin temperature in patients' hands. Furthermore, reduced skin temperature can lead to autonomic nervous reactions, of which heart rate variability (HRV) is an effective indicator. This study investigates the correlation between hand temperature and HRV. Stroke patients' hand temperatures and HRVs were documented during passive upper limb exercises, and the results between the …
Effect Of Comorbidity On Functional Recovery In Patients With Stroke,
2018
Taiwan Academy of Physical Medicine and Rehabilitation
Effect Of Comorbidity On Functional Recovery In Patients With Stroke, Kuo-Chuan Chiu, Pei-Hsin Lin, Serena Y.C Lin, Mu-Jung Kao
Rehabilitation Practice and Science
Objectives: Stroke is a vital cause of acute neurological dysfunction. This study evaluated the prevalence of comorbidities and their effects on functional recovery in patients with stroke. Methods: This was a prospective study. The participants were 105 patients with acute stroke with moderate to severe functional disability who were admitted for comprehensive rehabilitation. The participants were 76 patients who underwent the Post-acute Care-Cerebrovascular Diseases program and 29 participants who accepted a regular rehabilitation program within 6 months after stroke. The effect of each comorbidity on the patients' post-hospitalization daily living activities was analyzed based on the Charlson Comorbidity Index (CCI). …
The Preliminary Results Of Extracorporeal Shockwave Therapy In Patients With Piriformis Syndrome,
2018
Taiwan Academy of Physical Medicine and Rehabilitation
The Preliminary Results Of Extracorporeal Shockwave Therapy In Patients With Piriformis Syndrome, Ching-Fen Huang, Tien-Wen Chen, Cyuan-Fong Li, Yu-Hsuan Hsiao, Chia-Hsin Chen, Mao-Hsiung Huang
Rehabilitation Practice and Science
The study was designed to evaluate the therapeutic effect of extracorporeal shockwave therapy (ESWT) on the rehabilitation of patients with piriformis syndrome. Thirty-six patients diagnosed with unilateral piriformis syndrome were included and allocated randomly into three groups, Groups A-C, with twelve patients in each group. Patients in Groups A-C all received conventional physical modalities programs, including hot packs and interferential current therapy, three times weekly for six weeks. Patients in Group B received an extra twenty minutes of stretching exercise therapy after physical modalities therapy, and Group C received the same therapy as in Group B and extra shockwave therapy …
Effects Of Lidocaine On Migration, Proliferation, Collagen Expression And Cytotoxicity Of Tendon Cells,
2018
Taiwan Academy of Physical Medicine and Rehabilitation
Effects Of Lidocaine On Migration, Proliferation, Collagen Expression And Cytotoxicity Of Tendon Cells, Hsiang-Ning Chang, Jong-Hwei S Pang, Miao-Sui Lin, Wen-Chung Tsai
Rehabilitation Practice and Science
Background: Lidocaine is commonly used for the treatment of a variety of tendinopathies in combination with corticosteroids injection. Purpose: The goal of this study was to evaluate the effect of lidocaine on migration, proliferation, protein expressions of type I and III collagen and cytotoxicity of tendon cells. Methods: Rat Achilles tendon cells were divided into control and study groups (treated with 0.1%, 0.15%, and 0.2% lidocaine). Tendon cell migration and proliferation were assessed using transwell filter migration assay and MTT assay, respectively. Cytotoxicity of lidocaine was evaluated by the LDH-Cytotoxicity assay. The protein expression of type I and type III …
Effect Of Aerobic Dance Training In Adults With Prader-Willi Syndrome: A Pilot Study,
2018
Taiwan Academy of Physical Medicine and Rehabilitation
Effect Of Aerobic Dance Training In Adults With Prader-Willi Syndrome: A Pilot Study, Fei-Chuan Chen, Shih-Yun Hon, Li-Ping Tsai
Rehabilitation Practice and Science
Objective: Aerobic Dance Training has beneficial effects in improving physical fitness. However, there were few studies validating the physical fitness effectiveness of Aerobic Dance Training in Prader-Willi Syndrome patients (PWS). This study aims to investigate the effects of Aerobic Dance Training in PWS adults, by using integrated clinical measurements of physical fitness. Methods: This is a matched controlled study design. Twelve Prader-Willi Syndrome patients received either Aerobic Dance Training or conventional physiotherapy for 8 weeks (2 times per week for 2 hours each session). Clinical measurements of physical fitness were analyzed before and after the intervention and were followed at …
Experience In Managing Child With Congenital Fiber Type Disproportion With Rehabilitation Outcome: Casereport,
2018
Taiwan Academy of Physical Medicine and Rehabilitation
Experience In Managing Child With Congenital Fiber Type Disproportion With Rehabilitation Outcome: Casereport, Po-Cheng Hsu, Sung-Yin Chuang, Tsui-Fen Yang
Rehabilitation Practice and Science
Congenital fiber type disproportion（CFTD）為一非進行性先天性肌肉病變，須經肌肉切片病理確診，其特點為第一型骨骼肌纖維體積比第二型肌纖維至少小12%。現有文獻提及此疾病之臨床表現變異性大，除肌肉無力，可能併有弓狀顎（High-arched palate）、眼肌麻痺症（Ophthalmoplegia）、呼吸障礙等。患者皆因肌肉無力造成顯著功能障礙。本案例為一10歲確診CFTD男童之長期追蹤與復健介入之描述。患者出生時明顯肌張力不全，自四個月起因生長遲滯、吞嚥功能障礙而接受鼻胃管置入，但診斷未明；後續持續安排物理治療與與語言及吞嚥治療，該患者於一歲八個月時開始走路，三歲時成功移除鼻胃管，並於此時才確診CFTD。患者定期接受完整發展評估，結果顯示明顯動作發展遲緩，其社會心理領域評估結果皆為正常範圍。該患者的肌力與肌耐力隨著年紀增大與物理治療介入而有進步。日常生活能力評估於運動部分仍部分依賴。此外，長期追蹤過程發現該患者有多種肌肉病變之併發症，包括脊柱側彎、雞胸（pectus carinatum）、以及關節與肌肉疼痛。物理治療介入以及教導患者以及家屬運用節省能量之日常生活方式，包括輪椅使用、自我安排活動。本病例報告紀錄CFTD肌病變患者之長期追蹤與復健過程，根據患者之狀況設定個人化復健目標，及處理相關之併發症。
Immersive Virtual Reality For The Management Of Pain In Community-Dwelling Older Adults.,
2018
University of the Sciences
Immersive Virtual Reality For The Management Of Pain In Community-Dwelling Older Adults., Sara Benham, Minhee Kang, Namrata Grampurohit
Department of Occupational Therapy Faculty Papers
Immersive virtual reality (VR) can provide a high level of engagement and distraction analgesia to address pain. However, community-based applications of this technology for older adults have not been studied. The objective of this study was to examine the applicability and effectiveness of an immersive VR intervention for pain, depression, and quality of life (QOL) in older adults. This pretest–posttest, mixed-methods design included senior center members (n = 12) with pain that interfered with daily functioning. The outcomes included the Numeric Pain Rating Scale, Patient-Reported Outcomes Measurement Information System (PROMIS®) depression scale, World Health Organization Quality of Life …
