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Biomechanical Analysis Of Lower Limb Muscle Power In Elderly Individuals, I-Chung Cheng, Shun-Hwa Wei, Fu-Kong Lieu, Pei-Chen Tsai 2014 Taiwan Academy of Physical Medicine and Rehabilitation

Biomechanical Analysis Of Lower Limb Muscle Power In Elderly Individuals, I-Chung Cheng, Shun-Hwa Wei, Fu-Kong Lieu, Pei-Chen Tsai

Rehabilitation Practice and Science

Background: The aging process may contribute to a decrease in lower extremity function in elderly individuals, which in turn often causes a functional decrease in activities of daily living, loss in quality of life, and increase in risk of accidental falls. In the last few decades, numerous studies in elderly individuals have reported the relation between a high incidence of accidental falls and inadequate muscle strength. Unfortunately, few studies have provided insight about their individual muscle performance, such as the explosive muscle power, from a biomechanical prospective. Quantitative analysis of the sit- to- stand (STS) ability is a useful method …


Effects Of Acetaminophen, Etodolac And Indomethacin On Migration, Proliferation And Collagen Expression Of Tendon Cells, Yun-Ming Yang, Hsiang-Ning Chang, S Jong-Hwei Pang, Chung-Bao Hou, Wen-Chung Tsai 2014 Taiwan Academy of Physical Medicine and Rehabilitation

Effects Of Acetaminophen, Etodolac And Indomethacin On Migration, Proliferation And Collagen Expression Of Tendon Cells, Yun-Ming Yang, Hsiang-Ning Chang, S Jong-Hwei Pang, Chung-Bao Hou, Wen-Chung Tsai

Rehabilitation Practice and Science

Background: Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to treat tendinopathy. Tendon healing requires migration of tendon cells to the repair site, followed by proliferation of these cells and collagen synthesis. Purpose: This study evaluated the effects of acetaminophen, etodolac, and indomethacin on tenocyte migration, proliferation, and synthesis of type I and III collagen. Methods: Rat Achilles tendon cells were treated with acetaminophen, etodolac, and indomethacin. Tendon cell migration and proliferation were assessed using transwell filter migration assay and MTT assay, respectively. The expression of collagen I and III mRNA were evaluated by quantitative real-time polymerase chain reaction. Results: Unlike …


Visual Restoration In Vertebral Artery Dissection With Cortical Blindness: A Casereport, Wen-Chih Lin, Yi-Ru Chen, Pin-Hsiu Chen, Pei-Chi Hsiao, Daniel Chiung-Jui Su, Jung-Tai Liu, Willy Chou 2014 Taiwan Academy of Physical Medicine and Rehabilitation

Visual Restoration In Vertebral Artery Dissection With Cortical Blindness: A Casereport, Wen-Chih Lin, Yi-Ru Chen, Pin-Hsiu Chen, Pei-Chi Hsiao, Daniel Chiung-Jui Su, Jung-Tai Liu, Willy Chou

Rehabilitation Practice and Science

The annual incidence of vertebral artery dissection is 1 in 100,000. The clinical manifestations are diverse, including dizziness, occipital headache, neck pain and posterior circulation ischemia. One fourth of patients with vertebral artery dissection develop posterior circulation stroke, so vertebral artery dissection is considered one of the common causes of young stroke. The most common ophthalmic signs after posterior circulation ischemia are blurry vision followed by diplopia, whereas complete visual loss is uncommon. This report describes a 34-year-old woman who presented with complete cortical blindness caused by spontaneous vertebral artery dissection with ischemic stroke in the posterior circulation. In addition …


Ultrasonography In The Diagnosis Of Carpal Tunnel Syndrome And Measurement Of Gliding Of The Median Nerve, Yi-Wei Chang, Yi-Chieh Lien, Yi-Shiung Horng 2014 Taiwan Academy of Physical Medicine and Rehabilitation

Ultrasonography In The Diagnosis Of Carpal Tunnel Syndrome And Measurement Of Gliding Of The Median Nerve, Yi-Wei Chang, Yi-Chieh Lien, Yi-Shiung Horng

Rehabilitation Practice and Science

The main purpose of the diagnostic ultrasound examination for carpal tunnel syndrome (CTS) is to compensate for the inadequacies of physical examinations and nerve conduction studies and thereby reduce the false negative rate of CTS diagnosis. The cross-sectional area of the median nerve, swelling ratio, flattening ratio, and palmar bowing of the flexor retinaculum have been reported as the diagnostic criteria for CTS in ultrasonographic examinations. In addition, Doppler ultrasound has been applied to measure the blood flow of the median nerve, and dynamic ultrasound combined with a cross-correlation algorithm has been developed to measure the gliding of the median …


Association Between The Amount Of Inpatient Rehabilitation Therapy And The Risk Of Disability And Mortality In Patients With Ischemic Stroke, Yu-Ju Chang, Gwo-Chi Hu, Yi-Pin Chiang, Yao-Chia Chuang, Chih-Lin Kuo 2014 Taiwan Academy of Physical Medicine and Rehabilitation

Association Between The Amount Of Inpatient Rehabilitation Therapy And The Risk Of Disability And Mortality In Patients With Ischemic Stroke, Yu-Ju Chang, Gwo-Chi Hu, Yi-Pin Chiang, Yao-Chia Chuang, Chih-Lin Kuo

Rehabilitation Practice and Science

Background and Purpose: Most studies have demonstrated that rehabilitation program is able to improve functional recovery and reduce the risk of disability in patients with acute stroke. However, the relationship between the amount of the inpatient rehabilitation therapy and the risk of disability and mortality among patients with acute ischemic stroke is still unknown. The present study was undertaken to investigate the relationship between the amount of inpatient rehabilitation therapy and the risk of disability and mortality among patients with acute ischemic stroke, as well as to assess whether the association varies with respect to stroke severity Methods: We designed …


Effects Of Low-Level Laser Therapy On Matrix Metalloproteinase And Collagen Expression Of Tendon Cells, Chien-Hung Chen, Shih-Wei Hung, Jong-Hwei S. Pang, Wen-Chung Tsai, Miao-Sui Lin, Tung-Yang Yu, Hsiang-Ning Chang 2014 Taiwan Academy of Physical Medicine and Rehabilitation

Effects Of Low-Level Laser Therapy On Matrix Metalloproteinase And Collagen Expression Of Tendon Cells, Chien-Hung Chen, Shih-Wei Hung, Jong-Hwei S. Pang, Wen-Chung Tsai, Miao-Sui Lin, Tung-Yang Yu, Hsiang-Ning Chang

Rehabilitation Practice and Science

Objective: Low-level laser therapy (LLLT) is commonly used to treat sports-related tendinopathy or tendon injury. However, scientific evidence of the effects and underlying molecular mechanisms of tendinopathy treatment remained limited. Tendon healing requires tenocyte migration to the repair site, followed by proliferation and synthesis of the extracellular matrix, including collagens. The study was designed to determine the effect of laser on the metabolism of collagen for injuried tendon repair, furthermore, become a foundation of the LLLT for tendon repair. Methods: Tendon cells from rat Achilles tendons were obtained to investigate the effect of LLLT on collagen metabolism in tendon repair. …


The Application Of Age-Predicted Maximal Heart Rate In Acute Myocardial Infarction Patients, Yan-Wen Chen, Yan-Kai Wen, Shyi-Kuen Wu, Chih-Yang Tang, Shin-Tsu Chang, Shin-Shan Lu 2014 Taiwan Academy of Physical Medicine and Rehabilitation

The Application Of Age-Predicted Maximal Heart Rate In Acute Myocardial Infarction Patients, Yan-Wen Chen, Yan-Kai Wen, Shyi-Kuen Wu, Chih-Yang Tang, Shin-Tsu Chang, Shin-Shan Lu

Rehabilitation Practice and Science

Heart rate is a very simple measurement values, can be used to monitor reaction of the heart to exercise response. The maximum heart rate is widely used for clinical diagnosis, exercise tolerance and exercise prescription for related diseases. The traditional formula for predicting maximum heart rate (220-age) prediction formula has large errors (overestimation or underestimation) phenomenon may overestimate or underestimate heart rate values, and thus may not reflect the actual amount of stress on the heart. Acute myocardial infarction is a common heart disease in the clinical setting. The safety and effectiveness of exercise intensity is particularly important in post-myocardial …


Associations Between Physical Fitness And Health-Related Quality Of Life Of Nurses, Chia-Huei Lin, Li-Chi Chiang, Wen-Chii Tzeng, Liang-Cheng Chen, Shin-Tsu Chang, Shang-Lin Chiang 2014 Taiwan Academy of Physical Medicine and Rehabilitation

Associations Between Physical Fitness And Health-Related Quality Of Life Of Nurses, Chia-Huei Lin, Li-Chi Chiang, Wen-Chii Tzeng, Liang-Cheng Chen, Shin-Tsu Chang, Shang-Lin Chiang

Rehabilitation Practice and Science

Background: Little is known regarding health-related quality of life (HRQOL) and its association with physical fitness among nurses. Purpose: To investigate whether physical fitness was associated with HRQOL among nurses. Methods: A cross-sectional study was conducted on 232 volunteer nurses who were 31 years of age and free of disease-related disability. Physical fitness was assessed using a cws28 health-related physical fitness system which measured body composition (BMI and percentage body fat), balance, flexibility, muscle strength, muscular endurance, and cardiorespiratory fitness. SF-36®, a structured self-reporting questionnaire, was used to evaluate HRQOL. The association between physical fitness and HRQOL (independent of potential …


The Method Of Primary Cell Culture Of Rat's Gastrocnemius Muscle And Comparison Between Skeletal Muscle Cell And Tendon Cell In Protein Expressions Of Myogenic Factor 5, Paired Box 7, And Desmin, Ying-Hsun Chen, Wen-Chung Tsai, Miao-Sui Lin, Jong-Hwei S. Pang, Kuan-Chen Pan, Tung-Yang Yu 2014 Taiwan Academy of Physical Medicine and Rehabilitation

The Method Of Primary Cell Culture Of Rat's Gastrocnemius Muscle And Comparison Between Skeletal Muscle Cell And Tendon Cell In Protein Expressions Of Myogenic Factor 5, Paired Box 7, And Desmin, Ying-Hsun Chen, Wen-Chung Tsai, Miao-Sui Lin, Jong-Hwei S. Pang, Kuan-Chen Pan, Tung-Yang Yu

Rehabilitation Practice and Science

Skeletal muscle cells generate force and produce joint movement and are easily injured. A good understanding of the biological, physiological, and pathological mechanisms of skeletal muscle cells is essential for exploring the regulation of muscle repair, which occurs in the event of an injury. A method for reproducing skeletal muscle cells is essential for studying skeletal muscles. Most studies use cell lines as study models because these are capable of reproducing numerous times. However, the function of cell lines is markedly deviated from that of normal cells. Skeletal muscle cells from primary cell culture more closely represent muscle cells in …


Lady Luck: The Rise Of Women Problem Gamblers, Antonia Massa 2014 City University of New York (CUNY)

Lady Luck: The Rise Of Women Problem Gamblers, Antonia Massa

Capstones

Gambling addiction, once considered a nearly exclusively male affliction, is becoming more common among women. This story looks at the lives and addictions of two women problem gamblers. The project includes text, audio, images and a web app for smartphones, designed to help women who think they may have a gambling problem.


Result Analysis Of The New Disability Assessment Plan For The Year 2011, Pao Huang, Pei-Lin Wu, Clement Shih-Hsien Yang, Jen-Hung Wang, Chih-Cheng Fan, Wei-Chih Kuo, Chung-Chao Liang 2014 Taiwan Academy of Physical Medicine and Rehabilitation

Result Analysis Of The New Disability Assessment Plan For The Year 2011, Pao Huang, Pei-Lin Wu, Clement Shih-Hsien Yang, Jen-Hung Wang, Chih-Cheng Fan, Wei-Chih Kuo, Chung-Chao Liang

Rehabilitation Practice and Science

Purpose: This study aims to compare the differences between the levels of disability in the old system and various scores in the disability assessment in the new system. In addition, the study explores the correlation between body function, body structure, scores on the World Health Organization (WHO) Disability Assessment Schedule 2.0 (WHODAS 2.0), environmental factors, movement performance, and employment status. Methods: The study collected a total of 9446 cases from people over 18 years old with a single disability. Cases were collected from July 2011 to June 2012. The participants in the "Disability Assessment Instrument of the New System" used …


Influence Of Pain On Depression And Quality Of Life In Patients With Spinal Cord Injury, Yao-Jen Chen, Hong-Ye Chen 2014 Taiwan Academy of Physical Medicine and Rehabilitation

Influence Of Pain On Depression And Quality Of Life In Patients With Spinal Cord Injury, Yao-Jen Chen, Hong-Ye Chen

Rehabilitation Practice and Science

Objective: To assess pain prevalence in a spinal cord injury (SCI) population and the influence of pain on depression and quality of life in patients with SCI. Methods: Two hundred twenty six SCI patients were asked to participate in this study after completing a questionnaire. The questionnaire included demographic data, clinical characteristics of SCI, performance of daily activities and pain intensity on a Numerical Rating Scale (NRS). The Chinese version of Identification (ID) of pain questionnaire was used to detect the neuropathic form of pain. The Taiwanese Depression Questionnaire (TDQ) was used for screening of depression and the Taiwan version …


The Status Of Tracheostomy Patients Receiving Speech Therapy: A Pilot Study, Cai-Jhen Lu, Ya-Hui Wang 2014 Taiwan Academy of Physical Medicine and Rehabilitation

The Status Of Tracheostomy Patients Receiving Speech Therapy: A Pilot Study, Cai-Jhen Lu, Ya-Hui Wang

Rehabilitation Practice and Science

Objectives: Many patients with tracheostomy have significant communication and swallowing difficulties, impairing their quality of life. They also have eating problems because they cannot eat by mouth, and require tube-feeding to receive adequate nutrition. Furthermore, most conscious tracheostomy patients need to communicate with body language because they have difficulties in verbal communication. The patients' treatment rate in speech therapy is not high, and the medical staff in different medical branches have varying degrees of awareness. Few studies exist in Taiwan on the needs of tracheostomy patients to treat the problems of their communication and swallowing. Methods: We conducted a survey …


An Simplified Comprehensive Assessment Tool For Long-Term Care Residents In Taiwan, Pay-Shin Lin, Ting-Chin Lin, Chih-Chung Chen, Sun-Fen Chi, Chih-Kuang Chen, Alice May-Kuen Wong 2014 Taiwan Academy of Physical Medicine and Rehabilitation

An Simplified Comprehensive Assessment Tool For Long-Term Care Residents In Taiwan, Pay-Shin Lin, Ting-Chin Lin, Chih-Chung Chen, Sun-Fen Chi, Chih-Kuang Chen, Alice May-Kuen Wong

Rehabilitation Practice and Science

Background and purpose: Along with the population and mean age of the older adults increase steadily, the prevalence of ADL impairment is getting higher which would increase the needs for elderly care. Therefore, how to evaluate patients’ care needs and resource utilization has become an important issue recently. The purposes of this study are to test the reliability and validity of a newly developed comprehensive assessment tool for care need-PRABC, hoping that it could be a easy, quick and clinical usable tool to assess the level of residents’ long-term care needs. Method: This is a cross-sectional study. Subjects were recruited …


The Effect Of Static Wrist Position On Median Nerve Over Six Hours, Ching-Ning Hsu, Yu-Sheng Yang, Jui-Jen Hsu, Yi-Chun Tsai, Pei-Hua Lin, Chia-Ling Lee 2014 Taiwan Academy of Physical Medicine and Rehabilitation

The Effect Of Static Wrist Position On Median Nerve Over Six Hours, Ching-Ning Hsu, Yu-Sheng Yang, Jui-Jen Hsu, Yi-Chun Tsai, Pei-Hua Lin, Chia-Ling Lee

Rehabilitation Practice and Science

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy, caused by the compression of the median nerve in the carpal tunnel over the wrist. The purpose of this study is to demonstrate how different wrist positions change median nerve image and their corresponding results of nerve conduction study (NCS). In this study, we investigated 40 normal wrists and 32 wrists with CTS. In both groups, subjects were randomly assigned to wear a splint, and the wrist was placed at 0, 15, 30 and 45 degrees of extension. Ultrasonography was performed before splinting, immediately after splinting and repeated again 2, …


The Characteristics Of Elderly Hip Fracture Patients And Rehabilitation Utilization After Hip Fracture Surgery During Admission In Taiwan, Tzu-Wen Hsu, Wen-Chih Lin, Chung-Han Ho, Ci-Jie Ho, Pei-Chi Hsiao, Li-Chen Tung, Willy Chou 2014 Taiwan Academy of Physical Medicine and Rehabilitation

The Characteristics Of Elderly Hip Fracture Patients And Rehabilitation Utilization After Hip Fracture Surgery During Admission In Taiwan, Tzu-Wen Hsu, Wen-Chih Lin, Chung-Han Ho, Ci-Jie Ho, Pei-Chi Hsiao, Li-Chen Tung, Willy Chou

Rehabilitation Practice and Science

Purpose: Among elderly patients, hip fracture is a common clinical problem after falling. Associated complications after hip fracture surgery increase the risk of readmission. The purpose of this article is to analyze the characteristics of elderly hip fracture patients in Taiwan and rehabilitation utilization after hip surgery during admission. We also investigated the comorbidity of hip fracture. We hope to provide information to the clinician for further medical decision making. Materials and Methods: We analyzed patients older than 65 years who received hip fracture surgery from 2000 to 2009 (n = 146405) from the Taiwan’s National Health Insurance Research Database …


Cardiac Rehabilitation Among Patients With Acute Myocardial Infarction Receiving Percutaneous Coronary Intervention After Acute Myocardial Infarction Indicator Was Activated, Yu-Yang Hung, Su-Ying Hung, Chen-Liang Chou, Shih-Ann Chen 2014 Taiwan Academy of Physical Medicine and Rehabilitation

Cardiac Rehabilitation Among Patients With Acute Myocardial Infarction Receiving Percutaneous Coronary Intervention After Acute Myocardial Infarction Indicator Was Activated, Yu-Yang Hung, Su-Ying Hung, Chen-Liang Chou, Shih-Ann Chen

Rehabilitation Practice and Science

Background and Purpose: Cardiac rehabilitation (CR) is effective in improving mortality and morbidity outcomes and may favorably influence cardiac risk factors in patients with coronary heart disease. Despite the proven benefits, CR remains considerably under-utilized worldwide. The aim of this study was to research the current status of CR for patients with acute myocardial infarction (AMI) receiving percutaneous coronary intervention (PCI) after the Taiwan Clinical Performance Indicator executes was activated in a medical center in Taiwan. Methods: The medical records of 174 patients with AMI at our hospital from January to December 2012 were retrospectively reviewarticleed to investigate the consultation …


Gender Difference In Acute Myocardial Infarction Patients Receiving Phase 1 Cardiac Rehabilitation, Chi-Che Ho, Yi-Ru Chen, Chung-Han Ho, Wen-Chih Lin, Shu-Han Yang, Hui-Chun Juan, Willy Chou 2014 Taiwan Academy of Physical Medicine and Rehabilitation

Gender Difference In Acute Myocardial Infarction Patients Receiving Phase 1 Cardiac Rehabilitation, Chi-Che Ho, Yi-Ru Chen, Chung-Han Ho, Wen-Chih Lin, Shu-Han Yang, Hui-Chun Juan, Willy Chou

Rehabilitation Practice and Science

Purpose: The effects of gender difference on the pathogenesis, epidemiology, diagnosis, treatment, and prognosis of cardiovascular diseases have been widely examined. In addition, gender differences influence cardiac rehabilitation; however, few studies have investigated the effect of gender difference on phase 1 cardiac rehabilitation patients. Therefore, this study explored gender difference in acute myocardial infarction patients who received phase 1 cardiac rehabilitation based on data collected from the National Health Insurance Research Database. For our analysis, we focused on the age distribution, comorbidities, and medical treatment of these patients. The study results are expected to serve as a reference for cardiac …


The Use Of An Orthotic Garment System On A Pediatric Patient With Mitochondrial Disease Complex 1+3: A Case Report, Stephanie Sheehan 2014 University of New England

The Use Of An Orthotic Garment System On A Pediatric Patient With Mitochondrial Disease Complex 1+3: A Case Report, Stephanie Sheehan

Case Report Posters

Background: Mitochondrial Disease (MD) is a progressive and debilitating disease that is characterized by a loss of efficiency in the electron transport chain and reductions in the synthesis of high energy molecules such as ATP. Orthotic garment systems also referred to as “TheraTogs®”, have been designed to act as a continuous somatosensory guide for proper functional alignment. Theratogs have been used in the pediatric population to treat Cerebral Palsy and Down Syndrome with excellent results but there is no known research regarding the benefits of TheraTogs® in individuals with MD. Purpose: To investigate the use of the TheraTogs® System for …


Pelvic Pain, Pelvic Organ Prolapse, Urinary And Colorectal Distress Incidence And Relationship To Quality Of Life And Birth Mode, Lori Maria Walton, Christine Abreu, Eliena Jeffus, Amy Trautwein, Shenya Xavier 2014 Andrews University

Pelvic Pain, Pelvic Organ Prolapse, Urinary And Colorectal Distress Incidence And Relationship To Quality Of Life And Birth Mode, Lori Maria Walton, Christine Abreu, Eliena Jeffus, Amy Trautwein, Shenya Xavier

Faculty Publications

Abstract Purpose: To determine the incidence and impact of pelvic pain, pelvic organ prolapse, urinary and colorectal distress and quality of life by birth mode for women in the chronic postpartum period. Study design: Cross-sectional correlational design utilizing purposive sampling of (n=21) female postpartum subjects ages 18-45. Background: Caesarean Section (CS) incidence is reported at 32% nationwide, well above the recommended safe rate of 10% (WHO). Literature is not clear regarding role of birth mode in postpartum symptoms including: pelvic pain, colorectal distress, pelvic organ prolapse, and quality of life. Methods: Data collection took place after IRB approval from Andrews …


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