Rehabilitation and Therapy Commons^™

A Model Of Management Learning For Occupational Therapists In Small Business In Australia, Jeannine Millsteed

Theses: Doctorates and Masters

This research sought to identify factors that contribute to occupational therapists developing management competencies when they become small business owners providing professional clinical services. This is an important for several reasons and precipitated by the Australian government’s introduction of incentives that encourage health professions to move from employment in public hospitals into the private sector, coupled with a recognition that occupational therapists receive no formal business training in their professional education, and the reported high levels of business failure in the small business sector. A review of the literature established the value of small business to the Australian economy, growth …

Changes In Neurochemicals Within The Ventrolateral Medullary Respiratory Column In Awake Goats After Carotid Body Denervation, Justin Robert Miller, Suzanne E. Neumueller, Clarissa Muere, Samantha Olesiak, Lawrence Pan, Matthew R. Hodges, Hubert V. Forster

Physical Therapy Faculty Research and Publications

A current and major unanswered question is why the highly sensitive central CO₂/H⁺ chemoreceptors do not prevent hypoventilation-induced hypercapnia following carotid body denervation (CBD). Because perturbations involving the carotid bodies affect central neuromodulator and/or neurotransmitter levels within the respiratory network, we tested the hypothesis that after CBD there is an increase in inhibitory and/or a decrease in excitatory neurochemicals within the ventrolateral medullary column (VMC) in awake goats. Microtubules for chronic use were implanted bilaterally in the VMC within or near the pre-Bötzinger Complex (preBötC) through which mock cerebrospinal fluid (mCSF) was dialyzed. Effluent mCSF was collected …

Pediatric Medical Traumatic Stress : The Impact On Children, Parents And Staff, Sarah Mcgarry

Theses: Doctorates and Masters

Burns are one of the most painful and traumatising injuries an individual can sustain and constitute a serious global health threat to children. Despite the magnitude of this public health problem, little research has examined the psychological burden of these injuries. This study used a mixed-methods approach to investigate the effect of paediatric medical trauma on children who have sustained a burn, their parents and the healthcare professionals caring for these patients. The paediatric medical traumatic stress model provided a theoretical framework for this study.

Firstly, this study aimed to gain an understanding of the lived experience of children who …

The Level Of Cultural Responsiveness And Its Preparation Among Grand Valley State University’S Occupational Therapy Graduates, Kathleen Kovach, Rebecca Palmitier, Robyn Ward

Education

Background: In a field that aims to be holistic and client-centered, occupational therapists need to consider their client's culture. Culture is comprised of values, beliefs, and lifestyles and will affect the therapy process (Cheung, Shah, & Muncer, 2002; Cole, Stevenson, & Rogers, 2009). To truly treat clients holistically, therapists need to be culturally responsive in their practice, considering factors which influence therapy and its outcomes. Occupational therapy education programs, therefore, need to prepare its students to be culturally responsive practitioners. This research examined whether Grand Valley State University (GVSU) Occupational Therapy (OT) graduates are culturally responsive and how the program …

The Therapeutic Effects Of Intra-Articular Hyaluronic Acid On The Physical Functioning Of Patients With Knee Osteoarthritis: A Preliminary Report, Chen-Liang Chou, Yuan-Ting Lo, Fu-Wei Liu, Li-Lung Haung, Jin-Jong Chen

Rehabilitation Practice and Science

Osteoarthritis of the knee joints is one of the most disabling diseases among the elderly because it causes limitations affecting many daily activities, and this results a large economic burden on public health. According to the date from the Bureau of National Health Insurance in 2000, the total expenditure of money on total knee replacements due to osteoarthritis reached 2.63 billion dollars, which was the second place in all inpatient medical expenses.The natural course of osteoarthritis of the knee joints is a gradual degeneration. As a result, treatments are aimed at pain alleviation, improving the joint's range of motion and …

The Associated Factors In Home-Based Rehabilitation Utilization Of Stroke Patients, Shu-Chuan Wu, Yu-Chia Chang, Te-Feng Yeh, Ting-Yu Chang, Wei-Chaio Lu, Chien-Tsai Huang, Chuan-Hsiung Lin, Li-Ling Huang

Rehabilitation Practice and Science

This study explores the factors correlated to the use of home-based rehabilitation services by stroke patients for whom care is provided according to the state policy pertaining to the 10-year long-term care plan.During July 2008–June 2010, data were collected from 759 stroke patients by using a long-term care management service evaluation form. These patients had initially applied for services at the long-term care centers of the Bureau of Public Health in Taichung County. Of these, 119(15.7%) eventually used home-based rehabilitation services. Using the Andersen health behavior model, we investigated how various factors influence the use of home-based rehabilitation services by …

The Comparison Of The Dynamic Balance Abilities Between Young And Elderly Adults, Chen-Yang Kao, Shun-Hwa Wei, Chao-Chih Lee, Fu-Kong Lieu

Rehabilitation Practice and Science

Background: Falls are one of high risk factors to the quality of health of elderly adults. A study with early screening for potential high risk factors for elderly adults is helpful to reduce the incidence of falls. Little research has been done to evaluate elderly adults in terms of limits of stability (LOS). Moreover, regarding elderly adult balance, most focuses have been placed on their feet when standing for long periods of time and looking at the static center of pressure (COP) change; few focuses have been placed on the dynamic parameter changes during weight shifting.Purpose: To compare dynamic balancing …

The Results Of The 2010 New System For Assessment Of Disability In Hualien County: A Preliminary Study, Pao Huang, Pei-Lin Wu, Chih-Cheng Fan, Chung-Chao Liang

Rehabilitation Practice and Science

Objective: This study uses the assessment results from the new system of the disability assessment schedule to investigate the relationships between the short version of the WHODAS 2.0 and the body functions, activities and participation, and environmental factors in this schedule. The influence of using this assessment schedule on changes in disability levels is analyzed.Method: In total, this study recruits 148 individuals with disabilities in Hualien County as cases for study. The new system assessment schedule from the ICF's promotion program is adopted to perform an assessment. The assessment items include body functions, activities and participation, environmental factors, and the …

Ipsilateral Hemiparesis Caused By Supratentorial Stroke: Two Casereports, Yen-Chung Chen, Ta-Sen Wei, Chih-Lin Chen

Rehabilitation Practice and Science

A common symptom that occurs after strokes is impaired contralesional motor function and contralateral limbs weakness. Such weakness of the limbs is often found in a supratentorial stroke. Two patients with ipsilateral limbs weakness after supratentorial stroke events were reported. One was a recurrent ischemic stroke in the right frontal lobe with right hemiparesis; the other was a new ischemic stroke in the right thalamus with right hemiparesis. There were few reported cases of ipsilateral hemiparesis caused by a supratentorial cerebral lesion. The mechanism of such symptoms may be related to 1. Activation and cortical reorganization within the motor areas …

A Positron Emission Tomography Study Of Brain Activation In Chinese-Speaking Stutterers, Feng-Chu Tseng, Jung-Lung Hsu, Yen-Kung Chen, Lin-Fen Hsieh, Hung-Che Wang, Fa-Shun Tsai, Ya-Ling Chao

Rehabilitation Practice and Science

Background/Purpose: Although neuroimage studies on English-speaking stutterers have been reported previously, there was few positron emission tomography (PET) study of brain activation in Chinese- speaking stutterers. The purpose of this study was to investigate brain activation patterns in stutterers who speak Chinese.Each subject was scanned via using a PET scanner with a [18F] deoxyglucose marker. The stutterers group received two separate PET scans, one during solo reading (stuttering condition) and the other during choral reading (fluent condition). The normal speakers had only one scan following solo reading.Significant statistical difference in brain activation between the stutterers during solo reading and normal …

Mirror Image Artifact Of Sonography Mimicking Intraosseous Tumor: A Casereport, Zong-Han Yang, Lu-Wen Chen, Chia-Chieh Wu, Chung-Che Lin

Rehabilitation Practice and Science

Although mirror-image artifacts of soft tissue sonography are not common, they produce phantom pictures and may lead to misdiagnosis. Relevant literature on mirror-image artifacts, even casereports, are rare. We described a 70-year-old female initially having a painless, immovable nodule with an insidious onset on her right anterior middle leg. After she received an initial physical examination and a radiographic approach, musculoskeletal sonography disclosed an oval non-compressible hypoechoic tumor, which seemed to invade the bony cortex medial to her tibia crest. A real, dome-shaped tumor above the tibia bone with an intraosseous mirror-image artifact was detected after MRI study, and the …

Effect Of Alendronate And Teriparatide On Bone Mineral Density In Postmenopausal Women, Pei-Tsen Chen, Piya-On Numpaisal, Ching-Chuan Jiang, Hong-Sen Chiang

Rehabilitation Practice and Science

Background: Alendronate and teriparatide have been proved to benefit osteoporosis patients in some prospective studies. However, no data have been described about the clinical practice of these medications and their efficacy in Taiwanese people.Method: We reviewarticleed the medical records of an outpatient clinic at National Taiwan University Hospital from 2008 to 2010, and collected data on the postmenopausal women diagnosed with osteoporosis or spinal compression fracture. Lumbar spinal bone mineral density (BMD) was recorded at baseline and at 6, 12, 18, 30, and 42 months after initiating therapy. We compared the patients' BMD before and after the treatment by paired …

The Effect Of Ice Pack On Lumbar Range Of Motion In Patients With Low Back Pain And Lumbar Sacralization, Shih-Chieh Lin, Yi-Chun Hung, Yin-Chou Lin, Wei-Han Chang, Yu-Tsai Tu, Shih-Wei Chou

Rehabilitation Practice and Science

Purpose: This research was designed to investigate the short-term effect of an ice pack on lumbar range of motion in patients. Patients with low back pain caused by sacralized fifth lumbar spine were selected after clinical diagnosis.Method: Twenty-four subjects were recruited for this study. Twelve subjects with low back pain who were diagnosed with sacralized fifth lumbar spine were selected as the experimental group, and twelve healthy subjects were selected as the control group. The age, body height, and weight of the patients in the two groups were compared. Measurements of lumbar range of motion were used as the pretest …

Effects Of Intraarticular Botulinum Toxin A In The Treatment Of Ankle Osteoarthritis, Shu-Fen Sun, Chien-Wei Hsu, Yi-Jiun Chou, Yu-Nong Wang, Chiao-Wen Hwang, Mei-Chia Chou, Jue-Long Wang

Rehabilitation Practice and Science

Background: Preliminary evidence suggests that Botulinum toxin type A (BoNT-A) injected intraarticularly into painful joints has a significant nociceptive effect. The purpose of this study is to investigate the effects of intraarticular BoNT-A on the pain and physical function for patients with ankle osteoarthritis (OA).Method: A prospective study with 6 months follow-up done in a university-affiliated tertiary care medical center, patients with symptoms and radiographic evidence of ankle OA for at least 6 months were recruited. Patients received intraarticular injections of 100 units of BoNT-A in 2 cc of normal saline. The injections were performed by the same experienced doctor. …

A Ruptured Baker's Cyst Mimicking Deep Vein Thrombosis In A Patient With Rheumatoid Arthritis: A Casereport, Ting-Chun Chou, Chung-Liang Lai, Ming-Miau Tsai, Chuan-Chin Leu, Szu-Li Tsai

Rehabilitation Practice and Science

Baker's cysts arise from a distension of a gastrocnemio-semimembranosus bursa, which are often associated with knee pathology including osteoarthritis, rheumatoid arthritis, and other inflammatory arthropathies. Clinical presentations of Baker's cysts are posterior knee swelling, tightness, and pain. Knee joint aspiration and intra-articular corticosteroid injection can relieve symptoms. However, treating underlying diseases is more important for recurrence prevention. Cyst rupture is a complication of Baker's cysts and may induce leg swelling and pain mimicking deep vein thrombosis. It is difficult to distinguish between a ruptured Baker's cyst and deep vein thrombosis because of similar symptoms. If a ruptured Baker's cyst is …

The Correlation Of Lumbar Spine Flexibility And Lumbar Extensor Activity In Healthy Adults, Chung-Che Lin, Ta-Sen Wei, Pen-Ta Liu

Rehabilitation Practice and Science

The modified fingertip-to-floor method is one of the clinical measurements used to assess forward bending. The present research is based on recording the measurements obtained by lumbar extensor surface electromyography (EMG) during the modified ”fingertip-to-floor” method in order to investigate the correlation between the two approaches. Our hypothesis is that poorer flexibility of the low back is associated with larger amplitude of low back extensor surface EMG activity.Measurements were obtained from 36 subjects (12 male and 24 female aged 28.9±5.3 year-old). The subjects stood on a wooden box and bent forward so that measurements could be taken. The top of …

Application Of Digital Volume Pulse Analysis In Patients With Spinal Cord Injury, Wei-Lun Tsai, Alice May-Kuen Wong, Yu-Cheng Pei, Yu-Ru Lin, Yu-Hsin Liao, Shu-Chun Huang

Rehabilitation Practice and Science

Orthostatic hypotension is a common complication following spinal cord injury (SCI). However, an easy method to quantify the degree of vasomotor impairment below the level of injury is lacking. We postulated that SCI patients with different sympathetic reserves exhibited different digital volume pulse contours. Thirty-one patients with high chronic SCI (above the T6 neurologic level) and 28 low-level SCI patients (below T6) were recruited. Thirty-two age- and BMI-matched healthy participants were enrolled in the control group. All participants were positioned on a tilting table for five minutes in each of the following: supine rest (SR), 60-degree head-up tilt (HUT), and …

The Effect Of Vibration On Shoulder Strength And Flexibility Of Volleyball Athletes, Yun-Tai Lin, Hsing-Kuo Wang, Shao-Yi Liu, Tzyy-Yuang Shiang

Rehabilitation Practice and Science

Purpose: The aim of this study was to compare the effect of vibration and static stretching on shoulder strength and flexibility of volleyball athletes.Methods: Fifteen female volleyball athletes were randomly divided into 2 groups: 8 athletes who received vibration training were allocated to the vibration-stretching group and 7 athletes who did not receive vibration training comprised the static-stretching group. During a 6-week training period, pre- and post-tests were conducted using a Biodex system to evaluate the shoulder flexibility and the maximal isokinetic torque of the biceps and the anterior deltoid muscle.Results: After 4 weeks of training, the maximal isokinetic torque …

Related Factors In Children With The Motor Development Delay And Flat Feet, Hui-Wen Cheng, Chin-Kai Lin, Ching-Shiang Chi, Mei-Hua Tang

Rehabilitation Practice and Science

Condition of flat feet is a common among preschool children. Clinical studies show that children with developmental delays have problems similar to flat feet, perhaps of a more and complicated nature compared to the normal children. As literature on flat feet in children with developmental delays was hardly available, the main topic of this study was to explore factors associated with flat feet in preschool children with developmental delays, and the effect of flat feet on lower-extremity functions.The 50 participants in this study were selected from 88 children aged 4-6 years with motor delay. They were divided into two groups …

Ankle Joint Flexibility, Muscle Strength, And Unilateral Stance Balance Of Elite Men's High School Basketball Players: A Preliminary Study, Meng-Tai Chen, Chia-Hong Chen, Wai-Keung Lee, Chia-Ming Lin

Rehabilitation Practice and Science

Objective: This study aimed to investigate ankle dorsiflexion flexibility, ankle invertor and evertor muscle isokinetic performance and balance during unilateral stance in high school division I basketball players. This study also aimed to investigate the similarities and differences between the dominant and non-dominant leg of the basketball players.Method: Thirty-six high school division I basketball players were recruited. The exclusion criteria were sustaining injuries in the lower limbs within the past 3 months and experiencing residual symptoms of pain in the ankle joints. Further, the study was conducted such that the test performances were not affected by the training that the …