Rehabilitation and Therapy Commons^™

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% …

The Relationships Between Using The Rating Of Perceived Exertion, Metabolic Equivalent And Maximum Heart Rate At Ventilatory Threshold Into Determine Appropriate Exercise Prescription For Intensity In Obese Diabetic Patients: A Preliminary Study, Yan-Wen Chen, Francois Liang, Sen-Wei Tsai, Shih-Yi Lin, I. T. Lee, Sheu-Chen Liu, Shin-Shan Lu

Rehabilitation Practice and Science

Background: The rating of perceived exertion (RPE), metabolic equivalent (MET) and maximum heart rate (HRmax) at ventilatory threshold (VT) are commonly used methods as physiological parameters for monitoring exercise intensity. However, the appropriate levels of training intensity for obese type 2 diabetic diabetes mellitus (type 2 DM) patients have not been established.Purpose: To examine the parameters in obese Type 2 DM patients at ventilatory threshold, the exercise capacity of obese Type 2 DM patients, and to determine the appropriate levels of exercise intensity for exercise prescription in obese type 2 DM patients was investigated.Methods: Twenty obese type 2 DM patients …

Minimal Detectable Change And Responsiveness Of The 5-Item Barthel Index In Patients With Stroke, Wen-Shian Lu, Ya-Chen Lee, Fuh-Chour Twu, Ching-Lin Hsieh

Rehabilitation Practice and Science

Background and Purpose: A concise measurement tool can be easily accepted by clinicians. The 5-item Barthel Index (BI-5) has only 5 items and thus the potential to be used routinely in clinical settings. However, the minimal detectable change (MDC) and responsiveness of the BI-5 have not been verified sufficiently, limiting the interpretability of the change scores of the BI-5. The purposes of this study were to investigate the MDC and responsiveness of the BI-5 in patients with stroke and to compare the MDC and responsiveness of the BI-5 to those of the original BI.Methods: This study used secondary data analysis. …

Abnormal Heart Rate Recovery After 6-Minute Walk Test Is Associated With Diabetic Retinopathy In Patients With Type 2 Diabetes Mellitus: A Preliminary Study, Yu-Shiang Huang, Shu-Chen Chang, Shu-Fang Lee, Meng-Shuo Shen, Huey-Jen Chen, Miao-Ming Chen

Rehabilitation Practice and Science

Diabetic retinopathy is associated with cardiac autonomic dysfunction in patients with diabetes mellitus. Abnormal heart rate recovery (HRR) after exercise can be used as a marker of reduced cardiac autonomic function in submaximal and symptom-limited exercise stress testing. The 6-minute walk test (6MWT) is considered as a submaximal test that is more appropriate to assess the capacity of performing activities of daily living, and can be applied to a variety of patients in clinical settings without the need of sophisticated equipment. The aim of the present study was to investigate the association of diabetic retinopathy with HRR after 6MWT in …

Compressive Femoral Neuropathy Caused By Iliopsoas Muscle Hematoma: A Casereport, Szu-Hung Tsao, Yu-Ting Hsieh, Tai-Yi Wu, Shu-Hua Lin

Rehabilitation Practice and Science

Femoral neuropathy is uncommon compared with other mononeuropathies. We report a case of femoral neuropathy in a 53-year-old man who has cardiovascular disease and took Coumadin for 8 years. He has left lower extremity pain and weakness because of femoral nerve and lumbar plexus compression caused by an iliopsoas hematoma, which resulted from a period of prolonged bleeding. The patient’s condition improved after surgery and rehabilitation. We also reviewarticle the anatomy and pathophysiology of the femoral nerve, the clinical presentation of femoral neuropathy, the diagnostic tools used, the treatment method, and the prognosis.

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 …

台灣復健醫學雜誌通訊繼續教育測驗題, The Editors

Rehabilitation Practice and Science

No abstract provided.

Evaluation Of Pediatric Subjects With Swallowing Disorder Part Ii, Luh Karunia Wahyuni, Ming-Yen Hsiao, Hsing-Kuo Wang, Tyng-Guey Wang

Rehabilitation Practice and Science

The characteristics of pediatric swallowing, anatomical differences between pediatrics and adults, and swallowing problems in common pediatric diseases had been introduced in Part 1 of the article. The common methods for evaluation of pediatric swallowing are discussed in this part. The evaluation of swallowing function in pediatric patients is a great clinical challenge. It requires a team approach, an integration of multiple disciplines, and instrumental evaluations for establishing a diagnosis and developing an appropriate management plan. This article provides an introduction of the vital concept of clinical bedside evaluation and instrumental evaluation including the videofluoroscopic swallow study (VFSS), fibroptic endoscopic …

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 …

Incidental Finding Of A Simple Dysraphic State Of A Closed Spinal Dysraphism And Tethered Cord In An Adult Patient With Low Back Pain: A Casereport, Lin-Chien Lee, Hung-Fu Lee, Fu-Kong Lieu

Rehabilitation Practice and Science

The recognition of a closed spinal dysraphism without a subcutaneous mass and cutaneous stigmata depends on the development of relevant neurological and urological symptoms and signs. It can also be an incidental finding when symptoms that do not originate from it are investigated. We describe a 39-year-old man who presented with spondylolysis-related low back pain. Plain film showed posterior spina bifida of S1 and magnetic resonance imaging of the L-spine revealed one intradural lipoma at the L5 level and cord tethering. Conservative treatment was suggested because no relevant symptoms or signs of a mass effect of the lipoma or tethered …

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 …

Health-Related Quality Of Life And Hemophilic Arthropathy In Hemophilia Patients, Chih-Ya Chang, Hui-Yi Su, Yung-Tsan Wu, Yu-Chin Chen, Liang-Cheng Chen, Shin-Tsu Chang, Tsung-Ying Li

Rehabilitation Practice and Science

Introduction: Hemophilia is an X-linked recessive bleeding disorder caused by a deficiency of coagulation factor VIII (hemophilia A) or IX (hemophilia B). The prevalence of hemophilia is approximately 1 per 105 in the general population. Repeated joint bleeding leads to chronic synovitis, cartilage damage, and bone destruction, yielding reduced range of motion (ROM), painful joints, and muscle atrophy. Hemophilic arthropathy can negatively influence perceptions of health-related quality of life (HRQOL) among hemophilia patients. This study explored the correlation between hemophilic arthropathy and HRQOL among hemophilia patients in Taiwan. Methods: The participants comprised 86 patients enrolled from a hemophilia center. We …

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 …

Effects Of Thoracic Spinal Manipulative Therapy On Thoracic Spine And Shoulder Kinematics, Thoracic Spine Flexion/Extension Excursion, And Pressure Pain Sensitivity In Patients With Subacromial Pain Syndrome, Joseph Kardouni

Theses and Dissertations

EFFECTS OF THORACIC SPINAL MANIPULATIVE THERAPY ON THORACIC SPINE AND SHOULDER KINEMATICS, THORACIC SPINE FLEXION/EXTENSION EXCURSION, AND PRESSURE PAIN SENSITIVITY IN PATIENTS WITH SUBACROMIAL PAIN SYNDROME By Joseph R. Kardouni, Ph.D., PT A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy, at Virginia Commonwealth University. Virginia Commonwealth University, 2013. Major Director: Lori A. Michener, PhD, PT, ATC, Professor, Department of Physical Therapy In patients with shoulder pain, the use of manual therapy directed at the spine and shoulder have been reported to provide superior outcomes to exercise based interventions or usual care without …

Inter-Rater Reliability Of Lumbar Segmental Instability Tests And The Subclassification, Faisal Mohammad Alyazedi

Loma Linda University Electronic Theses, Dissertations & Projects

Objectives: This study investigated the inter-rater reliability of three structural end-range lumbar segmental instability tests with the highest positive Likelihood Ratio against flexion-extension radiographs, and three functional mid-range clinical tests that predict the success of lumbar stabilization exercises in patients with recurrent or chronic low back pain (R/CLBP). It also investigated the reliability of lumbar segmental instability subclassification as: Functional, Structural and Combined Instability. Method: 40 adult with R/CLBP patients (30 men and 10 women), 18 to 80 years of age, underwent repeated measurements of specific clinical tests for structural or functional lumbar segmental instability. Results: Other than the Lack …

Grip Strength, Multimorbidity, And Disability, Amy M. Yorke

Dissertations

The presence of two or more chronic health conditions, also known as multimorbidity, is one of the most prevalent health disorders experienced by adults. Adults with multimorbidity and functional limitations represent clinical and financial challenges to the current health care system. The purpose of this three-paper dissertation is to examine the relationship between grip strength, multimorbidity, and the prediction of disability in adults. Data from the 2008 Health and Retirement Study (HRS), a nationally representative, longitudinal study completed on Americans age 50 years and over, are used for the dissertation.

The objective of the first paper is to investigate the …

Tibial Tubercle Transfer To Correct Bilateral Patellar Tendinopathy In A Collegiate Football Player, Andrew D. Hamstra

Boise State University Theses and Dissertations

Objective: To present a case of a competitive football player with chronic patellar tendinopathy and the associated bilateral tibial tubercle transfer surgeries performed leading to the reduction of pain and return to participation.

Background: A 19 year-old male football athlete (height= 187.96 cm, mass= 112.037 kg) presented with chronic patellar tendinopathy that began in his high school career and continued to worsen with the increased physical demands associated with participation in collegiate sport.

Differential Diagnosis: Chondromalacia patella and Osgood Schlatters disease.

Treatment: After nonsurgical intervention resulted in no decrease of pain, bilateral tibial tubercle transfer surgery was conducted to correct …

Obesity And Physical Function In Rural Women Who Enroll In A Lifestyle Modification Intervention For Reducing Blood Pressure, Patricia A. Hageman, Carol H. Pullen, Paul J. Dizona, Kristin Schmidt, Linda S. Boeckner

Journal Articles: Physical Therapy

Purpose: Rural women have high prevalence of obesity and prehypertension. Obesity, if associated with poor physical function, may have implications for applying activity guidelines for women volunteering for lifestyle modification. This study examined associations of body mass index (BMI) and percent body fat with measures of 1-mile walk time, post-walk perceived exertion, and 10-repetition chair stands in rural women ages 40-69.

Methods: Cross-sectional baseline data were collected using standardized methods from 289 rural women with prehypertension who volunteered for a lifestyle clinical trial for reducing blood pressure. ANOVAs and linear regression were used for analysis.

Results: With exception of the …

The Impact Of Companion Animals On Social Capital And Community Violence: Setting Research, Policy And Program Agendas, Phil Arkow

The Journal of Sociology & Social Welfare

The term social capital has been used to describe the networks and other forces that build social cohesion, personal investment, reciprocity, civic engagement, and interpersonal trust among residents in a community. With the exception of three Australian reports describing positive associations between companion animal ownership and social capital, the literature has neglected to include the presence or absence of companion animal residents of communities as factors that could potentially affect social capital and serve as protective factors for community well-being. Companion animals are present in significantly large numbers in most communities, where they have considerable economic impact and provide emotional …