Rehabilitation and Therapy Commons^™

The Treatment Of Pain With Heel Fat Pad Syndrome By Hyaluronic Acid Injection: A Casereport, Wei-Han Chang, Chih-Kuan Wu, Yu-Cheng Pei, Chih-Chi Chen, Alice Mk Wong

Rehabilitation Practice and Science

Plantar fasciitis and heel fat pad syndrome are two of the most common causes of plantar heel pain. Because the clinical symptoms and signs are similar, the differential diagnosis between plantar fasciitis and heel fat pad syndrome is important for proper treatment. Unfortunately, conservative treatment strategies are less effective for plantar heel pain caused by heel fat pad syndrome. We present here a 56-year-old male patient with bilateral plantar heel pain that was especially severe in the left foot. We gave him an injection of 2 ml high-concentration, cross-linked hyaluronic acid into the deep derma of the painful heel pad …

Effects Of Low Power Laser On Pain And Balance Dysfunction Caused By Periostitis Of Lower Limb: A Case Series, Hui-Yi Su, Yu-An Hu, Wei-Chun Hsu, Shih-Chi Li, Shin-Tsu Chang

Rehabilitation Practice and Science

Periostitis of the lower limb is a common problem in sports injury, and an appropriate treatment option is required for this medical issue. The purpose of this study was to assess pain reduction and functional improvement after low power laser therapy in the lower limbs with periostitis. A total of 29 adults (20-40 year-old) who had periostitis at our outpatient clinic were enrolled. The diagnosis of periostitis in the lower limbs was confirmed by skeletal scintigraphy. The treatment protocol adopted rehabilitation intervention involving low power laser treatment 3 times a day for 5 days, and a low-energy dosage of 1.4 …

Lower Extremity Prostheses Related Biomechanics, Valeria Chiu, Ming-Chuan Lin

Rehabilitation Practice and Science

During heel strike, a prosthetic foot must perform ground-reaction force shock absorption, and thereafter, must provide control of the smooth-rhythm plantar flexion movement. During the midstance phase, the foot must provide the controlled advancement of the tibia. During the terminal stance, the anterior part of the foot must act as a hard rocker to provide progression and roll over the toe and to allow center of gravity switching to the opposite site as the tibia advances. The biomechanics of the four-bar linkage knee simulates the motion of the actual human knee joint. It can be discussed by analyzed by five …

Effectiveness Of Resistance (Strength) Training For Patients With Chronic Heart Failure, Yan-Wen Chen

Rehabilitation Practice and Science

The recent advancements in cardiac disease treatments have remarkably enhanced the survival rate of patients with chronic heart failure. In patients with exercise intolerance, the accompanied peripheral myopathy plays an important role. Resistance training is beneficial for musculoskeletal function in patients with chronic heart failure. However, the left ventricular myocardial remodeling progression and the hemodynamic response are controversial. Some studies showed that for those with stable heart failure (New York Heart Association functional classes I to III level), the adequate resistance training was beneficial in improvement of aerobic capacity, muscle histology, metabolic function, and left ventricular ejection fraction. In this …

Lipoma Arborescens On Mr Imaging And The Associated Lesions: A Reviewarticle Of 78 Cases, Cheng-Yuan Lin, Cheng-Ming Chiu, Tsung-Ching Lin, Shun-Lung Li, Chia-Yi Shang, Yu-Chiang Chen

Rehabilitation Practice and Science

Objective: To identify the different morphologic patterns of lipoma arborescens (LA) and the associated lesions on magnetic resonance (MR) imaging and to evaluate their clinical implication.Methods: We conducted a retrospective reviewarticle of the MR images and medical records of 78 patients diagnosed with LA of the knee (n=73) and shoulder (n=5). The diagnosis of LA was confirmed by the histologic findings in two cases and by the characteristic MR imaging features in the other 76.Results: A typical pattern of villous lipomatous proliferation of the synovium was identified on MR imaging in all cases, as a typical frond-like pattern in 38% …

Intramedullary Astrocytoma Presenting As Cervical And Upper Back Pain: A Casereport, Chao-Pin Yang, Chun-Yuan Cheng, Ying-Hsuan Li

Rehabilitation Practice and Science

Intramedullary astrocytomas are rare, accounting for 3% of all central nervous system astrocytomas. Pain is the most common clinical symptom, although symptoms can vary. These tumors typically progress over a period of months to years before the diagnosis is established. An intramedullary astrocytoma and cervical intervertebral disc herniation may coexist; the early symptoms maybe similar and an intramedullary astrocytoma might go undetected and be misdiagnosed as cervical disc herniation. This paper reports a 30-year-old male who presented with cervical and upper back pain extending to the right upper limb. Initially, the diagnosis was a cervical radiculopathy. After rehabilitation, for two …

Effects Of Exercise Training On Cardiorespiratory Fitness And Cardiac Function Among Heart Failure Patients With Decreased Left Ventricular Function: A Pilot Study, Chia-Huei Lin, Bing-Hsiean Tzeng, Li-Chi Chiang, Wen-Chii Tzeng, Liang-Cheng Chen, Shang-Lin Chiang

Rehabilitation Practice and Science

Background: Exercise is not only beneficial for physical and psychological health but can also improve cardiac contractility; thus, exercise can result in the improvement of the functional status of patients who suffer from irreversible damage from heart failure. However, there are limited local data on the effects of moderate-intensity exercise training on cardiorespiratory fitness and left ventricular function among patients with heart failure. Purpose: The aim of our study was to investigate the effects of moderate-intensity exercise training on cardiorespiratory fitness and left ventricular function among patients with heart failure. Methods: This is a pilot study with a single group …

The Effects Of Hyaluronic Acid And Glucosamine On The Migration And Proliferation Of Tenocytes, Chien-Hung Chen, Jin-Fu Huang, Li-Lun Chen, Wen-Chung Tsai, Jong-Hwei S. Pang, Yu-Hsin Liao, Tung-Yang Yu

Rehabilitation Practice and Science

Tendinopathy or tendon rupture is a common disease. Studies have showed that hyaluronic acid and glucosamine benefit the process of tendon repair. Tendon healing requires the migration of tenocytes to the repair site, followed by the proliferation and synthesis of the extracellular matrix. However, the effects of hyaluronic acid and glucosamine on tenocytes remain to be explored. Here, we treated tenocytes from rat Achilles tendons with hyaluronic acid or glucosamine. The ability of tenocytes to migrate and proliferate was assessed by transwell filter migration assay and MTT (3-[4,5-Dimethylthiazol-2-yl]-2,5- diphenyltetrazolium bromide) assay, respectively. Results from transwell filter migration assays showed that …

Kneeling Leg Curl With Internal Rotation Training Improves Agility In Patients With Anterior-Posterior Laxity Of Knee, Chih-Kuan Wu, Shu-Chun Huang, Kuan-Chou Chen, Cheng-Hsiu Lai, Chia-Hua Kuo, Shih-Wei Chou

Rehabilitation Practice and Science

Objective: Whether strengthening exercises emphasizing on internal rotators of the knee are more effective in improving shuttle-run agility of the knees with anterior-posterior laxity (AP laxity). Methods: Twenty men with AP laxity of knee were randomly assigned to the three experimental groups in different strengthening modes: plate-loaded squat press (SP), plate-loaded kneeling leg curl with internal rotation (KLCIR), and kneeling leg curl (KLC). Control group with stable knees received no training. Anterior-posterior laxity, shuttle-run agility, and isokinetic strength were evaluated before and after training. Results: Those with AP laxity of knee have poorer performance in the shuttle run test than …

Sensory Integration Dysfunction Affects Effectiveness Of Speech Therapy On Children With Functional Articulation Disorders, Li-Chen Tung, Ching-I Hu, Chin-Kai Lin, Ching-Lin Hsieh, Daniel Chiung-Jui Su, Ching-Chi Chen

Rehabilitation Practice and Science

Purpose: To compare the efficacy of speech therapy on children with functional articulation disorder with and without sensory integration dysfunction. Method: 20 young children were divided into two groups, those without sensory integration dysfunction (normal group, 10 children) and those with it (abnormal group, 10 children). The Mandarin Consonant Articulation Test for Preschool Children was administered on the children before and after therapy for articulation function. The oral motor function was evaluated by the Riley Motor Problems Inventory Oral Motor Tasks. Total of treatment sessions was recorded after the therapy. Results: Differences between the two groups in terms of age, …

The Effect Of Health Promotion With Physical Therapy And Intra-Articular Hyaluronic Acid For Knee Osteoarthritis, Chen-Liang Chou, Wen-Hsu Sung, Fu-Wei Liu, Hsuci-Chen Lee, Li-Lung Haung, Jin-Jong Chen

Rehabilitation Practice and Science

Purpose: Knee osteoarthritis (knee OA) is a common chronic disease that affects elderly. Intra-articular injection of hyaluronic acid (IAHA) and physical therapy for knee OA have been shown to have clinical benefits in randomized, clinical trials separately. However, it is generally accepted that optimal management of knee OA requires a combination of pharmacologic and nonpharmacologic treatment. Currently, few studies have directly evaluated the benefits of combining the 2 treatments for knee OA. The purpose of this study explored the efficacy of interventions in patients with knee osteoarthritis through combined IAHA and physical therapy. This study investigated the potential benefit of …

Effect Of Arm Spasticity Grade On Blood Pressure Measurement, Chia-Min Lin, Huei-Yu Lo, Wai-Keung Lee, Meng-Tai Chen

Rehabilitation Practice and Science

Objective: The arm spasticity in patients with stroke has been proved to affect blood pressure measurement. However, earlier studies showed inconsistent results of how the spasticity affected the measurement of blood pressure. In some cases, measurement of blood pressure in patients' involved arm is necessary, so the purpose of this study was to investigate the effect of spasticity grade on blood pressure measurement in patients with stroke.Methods: We recruited 50 patients with hemiplegia or hemiparesis after stroke. The grade of arm spasticity was assessed using the modified Ashworth scale (MAS), while the bilateral brachial artery pressure was measured using an …

Cardiac Rehabilitation After Coronary Artery Bypass Graft Or Heart Valve Replacement Surgery-Experience Of A Medical Center, Ding-Hao Liu, Yi-Cheng Chen, Su-Ying Hung, Chen-Liang Chou

Rehabilitation Practice and Science

Background and Purpose: Cardiac rehabilitation (CR) is a long-term program that includes exercise prescription, education, and counseling on the limitation of physiological and psychological effects of cardiac disease and to enhance the psychosocial and vocational status of selected patients. In spite of CR being approved for patients who have experienced the consequences of coronary artery disease and for those who have had heart valve surgery, CR is widely underused. The aim of this study was to research the current status of CR for patients receiving coronary artery bypass graft (CABG) or heart valve replacement (HVR) in a medical center in …

Efficacy Of Echo-Guided Extracorporeal Shock Wave Therapy For Calcific Supraspinatus Tendinopathy: A Case Series Study, Ju-Wen Cheng, Wen-Chung Tsai, Chien-Hung Chen, Chien-Hung Chen

Rehabilitation Practice and Science

Approximately 50% of patients with calcific tendinitis of the rotator cuff experience shoulder pain. Shock wave therapy is a non-invasive alternative treatment that is effective in pain relief, function restoration, and deposit resorption. In our study, we used ultrasonography-guided shock wave therapy for the targeted treatment of calcific supraspinatus tendinopathy.We retrospectively assessed 9 patients (8 women, 1 man; age 33-57 years) who had received echo-guided extracorporeal shock wave therapy for calcific supraspinatus tendinopathy from 2006 to 2012. Pain measured by the numerical rating scale (NRS) was compared before and after therapy. The length and width of the calcification spot on …

Investigating The Core Competencies For Rehabilitation-Related Therapists In Three Hospitals Belonging To A Medical Association In Southern Taiwan, Hing-Man Wu, Kuo-Shu Yuan, Daniel Chiung-Jui Su, Willy Chou

Rehabilitation Practice and Science

Objectives: Few studies have focused on job competency among medical-technical staff in hospitals. This study investigated the core competencies for a professional job among rehabilitation-related therapists, and examined how these competencies are applied to human resource management in hospitals, including recruitment, selection, placement, development, and promotion. Methods: A total of 113 rehabilitation-related therapists (comprising 67 physical therapists, 34 occupational therapists, and 12 speech therapists) from 3 hospitals belonging to a medical association in Southern Taiwan participated in the study. A test of competency using the ＂Nine Competencies Star＂ system developed by 1111 Job Bank was administered to the participants. The …

Medical Utilization Among Patients With Cerebral Palsy, Ching-Yi Chen, Ching-Chun Lin, Jiunn-Horng Kang

Rehabilitation Practice and Science

This study aimed to investigate the differences of medical utilization between patients with cerebral palsy (CP) and patients without using a population-based database in Taiwan. Data on the sampled subjects and their medical utilization were retrieved from the ＂Longitudinal Health Insurance Database (LHID2000)＂. This study comprised of 2317 patients with CP and 6961 comparison subjects. Medical utilization was evaluated in the one-year follow-up period as follows: number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatment. A multivariate regression analysis was used to evaluate the relationship between CP and total costs of health care …

The Relationship Between Heart Rate Turning Point And Anaerobic Threshold In Patients With Cardiopulmonary Diseases, Yi-Tien Su, Su-Ying Hung, Chen-Liang Chou

Rehabilitation Practice and Science

Background: Exercise training is an efficient way to improve physical performance. Training at an intensity of a certain level of the anaerobic threshold (AT) is a successful and frequently adopted method to increase both maximal and submaximal exercise capacity. Several methods are currently used to detect the AT. Analysis of the respiratory gas exchange allows identification of the AT and is currently advocated as the ＂gold standard＂. The heart rate turning point (HRTP) is a downward or upward change from the linear HR work relationship evidenced during incremental exercise testing and has been reported to coincide with AT. Purpose: The …

Early Physical Therapy Intervention For A Child With Williams-Beuren's Syndrome And Presenting With Icf Model For Individual Activity And Participation: A Casereport, Shin-Mei Liu, Feng-Yin Lien, Shin-Tsu Chang, Heng-Yi Chu

Rehabilitation Practice and Science

Williams-Beuren's syndrome (W-B syndrome) is one of the genetic diseases, often comes with cardiovascular disease, abnormality of facial and teeth structure, poor motor control, delayed development of cognition and spatial sense. Here we present one child with W-B syndrome who underwent early intervention since she was 7 months old. After 20-month training, the child has made impressive progress in motor function and abilities of carrying ADL. Furthermore, by giving the parents instructions and guidelines for home programs, the relationship between the child and her parents also improved a lot. As the matter of fact, this casereport showed that the early …

The Teaching Self-Reflection Tool And Skills Checklist, Arlene Lorch, Otd, Otr/L, Ches

Department of Occupational Therapy Faculty Papers

OBJECTIVE.

To provide occupational therapy faculty with a collaborative system to review and improve teaching skills within the educational program.

METHOD.

Six faculty members completed a self-assessment using self-reflection tools and feedback from an interview with a fellow faculty member serving as consultant. Surveys evaluated perceptions of the experience.

RESULTS.

Survey responses indicated strong approval of the peer review process as a valuable method for faculty development. Results identified aspects of the process that needed revision, specifically, the burden of time required to complete the process.

CONCLUSION.

Findings support the need for a peer review process because it benefits faculty, …

Age-Related Modifications To The Magnitude And Periodicity Of Neuromuscular Noise, Niklas König Ignasiak

Physical Therapy Faculty Articles and Research

Background: Evaluation of task related outcomes within geriatric and fall-prone populations is essential not only for identification of neuromuscular deficits, but also for effective implementation of fall prevention strategies. As most tasks and activities of daily living are performed at submaximal force levels, restoration of muscle strength often does not produce the expected benefit in functional capacity. However, it is known that muscular control plays a key role in the performance of functional tasks, but it remains unclear to what degree muscular control and the associated neuromuscular noise (NmN) is age-related, particularly in the lower-extremities.

Objectives: The aim of this …