Bilateral Cataract Caused By High-Voltage Electrical Injury: A Casereport,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Bilateral Cataract Caused By High-Voltage Electrical Injury: A Casereport, Chin-Man Wang, Jui-Yung Yang, Pei-Ying Hsueh, Yu-Cheng Pei, Cheng-Fung Tsai, Katie P. Wu
Rehabilitation Practice and Science
Few victims can survive high-voltage electric burns in which the electricity passes through the scalp. Notably, 0.7% to 8.0% of these survivors will progressively develop cataracts caused by the electric injury. This report presents a unique case manifested with rapid visual deterioration as a result of posterior subcapsular cataract. A 36-year-old male was incidentally injured by an electric burn of 11,000 volts during work. Immediately following the injury, his vision remained sufficient in daily activities. Unfortunately, progressive non-painful visual loss developed in his right eye within a month during rehabilitation training and then later in the left eye. Ophthalmologist confirmed …
Ulnar, Median, And Radial Neuropathies After Coronary Artery Bypass Surgery: A Casereport,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Ulnar, Median, And Radial Neuropathies After Coronary Artery Bypass Surgery: A Casereport, Wang-Lin Su, Chia-Yu Hsu
Rehabilitation Practice and Science
Peripheral neuropathies after cardiac surgery are usually attributed to manipulation during the surgical procedure itself. A 54-year-old man developed left ulnar, median, and radial neuropathies after off-pump coronary artery bypass surgery. An electrodiagnostic study indicated a lesion located in the distal part of the upper arm. In view of the anatomy, this patient most likely developed neuropathy associated with intraoperative blood pressure monitoring. Iatrogenic peripheral neuropathy after cardiac surgery should be carefully assessed to find the exact cause.
Dysphagia In Critical Illness Polyneuropathy And Myopathy: A Casereport,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Dysphagia In Critical Illness Polyneuropathy And Myopathy: A Casereport, Hung-Chou Chen, Yen-Hsia Hsu, Shin-Ching Chen, Tyng-Guey Wang, Sung-Hui Tseng, Jiunn-Horng Kang
Rehabilitation Practice and Science
Critical illness polyneuropathy and myopathy (CIPNM) is a common complication seen in patients with critical illness. However, long-lasting oropharyngeal dysphagia in patients with CIPNM has not been reported previously. Besides, severe dysphagia is also a rare condition in patients with diabetes. Here, we present the case of a woman with diabetes, who developed neuromuscular weakness after recovery from severe pneumonia and respiratory failure. Brain lesion was excluded by magnetic resonance imaging of brain. CIPNM was confirmed by nerve conduction and electromyographic studies. Videofluoroscopic swallow study showed severe oropharyngeal dysphagia. The general weakness and functional status improved gradually after rehabilitation. However, …
Swallowing Therapy In Children With Bilateral Cleft Lip And Palate: A Casereport,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Swallowing Therapy In Children With Bilateral Cleft Lip And Palate: A Casereport, Shih-Chung Chang, Ching-Ching Yang, Yu-Hui Huang
Rehabilitation Practice and Science
Other than craniofacial anomaly, children with cleft lip and palate usually have problems of speech and swallowing. Therefore, in addition to multiple sessions of operations for repair and reconstruction, active rehabilitation is also required to improve their function of speech and swallowing. This report disclosed a ten-year-old boy who depended on nasogastric tube feeding and respired via tracheotomy after birth because of bilateral cleft lip and palate as well as subglottic stenosis. He started training of swallowing and speech at the age of 8. However, having lacked adequate practice for a long period of time, coordination and strength of his …
Tetraplegia Caused By Critical Illness Polyneuropathy Superimposed On Diabetic Neuropathy: A Casereport,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Tetraplegia Caused By Critical Illness Polyneuropathy Superimposed On Diabetic Neuropathy: A Casereport, Chia-Chen Li, Shih-Fu Hsieh, Ming-Chuan Lin, Chung-Wei Huang, Yi-Shiung Horng
Rehabilitation Practice and Science
Objective: To describe a patient with the critical illness polyneuropathy superimposed on diabetic neuropathy and to highlight the importance of early rehabilitation after critical illness. Methods: A 42-year-old man with a previous history of diabetic polyneuropathy developed flaccid tetraplegia with respiratory failure after septic shock due to a liver abscess. This clinical manifestation, combined with the result of an electrodiagnostic study, suggested the acute exacerbation of polyneuropathy. Because a pre-existing polyneuropathy history complicated a differential diagnosis, we performed a comprehensive work-up to rule out other systemic diseases or metabolic disorders that may cause polyneuropathy. Finally, the diagnosis of critical illness …
Swallowing Therapy For Systemic Amyloidosis-Induced Dysphagia: A Casereport,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Swallowing Therapy For Systemic Amyloidosis-Induced Dysphagia: A Casereport, I-Hsien Wu, Ching-Chi Chen, Mei-Yi Wu, Li-Chen Tung, Jung-Tai Liu
Rehabilitation Practice and Science
Amyloidosis is defined as the extracellular deposition of fibrillar proteins in different organs and tissues. The clinical features of amyloidosis include cardiomyopathy, hepatomegaly, proteinuria, macroglossia, and dysphagia. We report the case of a 52-year-old man with myeloma-associated amyloidosis who complained of progressive dysphagia, dysarthria, and macroglossia. Videofluoroscopic swallowing study revealed severe reduction in tongue movements, aspiration after swallowing, and retention in the valleculae and pyriform sinuses. The patient underwent swallowing therapy for 6 months; the therapy included compensatory neck flexion, vocal cord adduction exercises, supraglottic swallow, and the Mendelsohn maneuver. The swallowing therapy enabled the patient to swallow liquid and …
Acute Paraplegia After Spinal Manipulation: A Casereport,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Acute Paraplegia After Spinal Manipulation: A Casereport, Kao-Chih Chen, Yao-Jen Chen
Rehabilitation Practice and Science
This is a casereport about a 53-year-old female patient with a history of chronic back pain, suffered from complete paraplegia shortly after spinal manipulation. CT and MRI images consistently showed ossification of the ligamenta flava in conjunction with bilateral facet joints hypertrophy at the T10-11, T11-12 and L1-2 levels. Spinal cord injury with T12 paraplegia ASIA-A was thus diagnosed. Posterior laminectomy at the T10, T11, L1 and L2 levels and interbody fusion from T10 to L2 spines for fixation were performed. After rehabilitation, the patient regained some activities of daily living despite complete paraplegia. To raise public awareness, our report …
Cerebral Infarction Following Traumatic Internal Carotid Artery Dissection Without Significant Neck Injury: A Casereport,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Cerebral Infarction Following Traumatic Internal Carotid Artery Dissection Without Significant Neck Injury: A Casereport, Kwan-Shan Chan, Mao-Hsiung Huang, Chia-Hsin Chen
Rehabilitation Practice and Science
A 37-year-old female had an occlusion of right middle cerebral artery (MCA) due to traumatic internal carotid artery (ICA) dissection without significant neck injury after a traffic accident. Although this phenomenon has been documented in recent studies, it remains a relatively rare event. She presented with a left shoulder abrasion injury and mild neck pain initially, although there was no direct head injury or loss of consciousness after the traffic accident. After 12 hours, she had developed confusion, weakness over left limbs and slurred speech. A hyperdense area on the right frontotemporoparietal lobes was found on magnetic resonance imaging (diffusion-weighted …
Serotonin Syndrome In Acute Transverse Myelitis: A Casereport,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Serotonin Syndrome In Acute Transverse Myelitis: A Casereport, Pei-Chun Hsieh, Jo-Tong Chen, Ta-Shen Kuan, Shu-Min Chen
Rehabilitation Practice and Science
Numerous serotonergic drugs have been increasingly used in recent years to treat depression, pain, insomnia and obesity. However, concomitant use of these drugs may cause serotonin syndrome. The three main clinical features of serotonin syndrome are neuromuscular abnormalities, autonomic hyperactivity, and mental status changes. A wide variety of the clinical presentations range from: very mild symptoms such as tremor, diarrhea, muscle rigidity, or clonus, and hyperreflexia; to fatal consequences such as disseminated intravascular coagulation or multiple-organ failure. Symptoms resolve spontaneously after prompt discontinuation of the precipitating medication. The diagnosis is based on clinical presentation, history of medication, and resolution after …
Effect Of A Modified Module Insole And Foot Exercise On Foot Deformity In Children With Developmental Delay,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Effect Of A Modified Module Insole And Foot Exercise On Foot Deformity In Children With Developmental Delay, Hung-Wen Wei, Mei-Wun Tsai, Ming-Jor Lo, Mei-Ta Ho, Su-Limg Chang, Young-Hue Yu, Yu-Rui Zhan, Mu-Jung Kao
Rehabilitation Practice and Science
The effects of foot orthoses and foot exercise on foot deformity in children with developmental delay are unclear. The purpose of this study is to investigate the effects of a modified module insole and foot exercise on foot deformity in children with development delay. We recruited subjects from outpatient clinics of early intervention for children with development delay in Taipei City Hospital. The inclusion criteria were (1) evidence of low arch or no arch in either foot while standing or walking, (2) independent walking, and (3) age from 3 to 12 years. The 95 participants were classified into three groups: …
Factors Affecting The Burden On Foreign Caregivers Of Long-Term Disabled Survivors In Taiwan,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Factors Affecting The Burden On Foreign Caregivers Of Long-Term Disabled Survivors In Taiwan, Chang-Jheng Wu, Wai-Keung Lee, Won-Jean Lin, Yau-Wai Wai
Rehabilitation Practice and Science
Hiring in-home foreign caregivers for long-term disabled patients is common in Taiwan. Caregivers help relieve the stress of caregiving on the patient's family members, and patients who receive care at home can also interact with their family. Caring for disabled patients can be a challenge, and can lead to physical or mental breakdown. This study aims to investigate the sources of burden on foreign caregivers of long-term disabled patients.The scores obtained using the translated Perceived Stress Scale (PSS) represent the level of burden on foreign caregivers. Data were collected and compared using an independent T-test or ANOVA to determine the …
Effectiveness Of The Osaka Medical College Brace For The Treatment Of Idiopathic Scoliosis: A 1-Year Outcome Analysis,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Effectiveness Of The Osaka Medical College Brace For The Treatment Of Idiopathic Scoliosis: A 1-Year Outcome Analysis, Cheng-Fang Tsai, Po-Liang Lai, Alice M.K. Wong, Chih-Kuang Chen
Rehabilitation Practice and Science
The Osaka Medical College (OMC) brace is an underarm spinal orthosis for the treatment of scoliosis. It consists of a plastic pelvic section with a pad extended from the lateral bar to correct the convexity of the curve. The plastic cover on the trunk is minimized, and thus perspiration under the plastic contour is reduced. This is favorable for people who are heat intolerant or for those living in a hot and humid climate. In Taiwan, the use of the OMC brace has been increasing because it allows for good ventilation, is light, and has a less-restrictive design, yet its …
The Immediate Effects Of Two Different Frequencies Of Whole Body Vibration On Balance And Flexibility,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
The Immediate Effects Of Two Different Frequencies Of Whole Body Vibration On Balance And Flexibility, Chung-Liang Lai, Shiuan-Yu Tseng, Chun-Huo Wang, Mu-Jung Kao, Te-Zhang Zhang
Rehabilitation Practice and Science
Background and Purpose: Whole body vibration (WBV) training is a novel exercise intervention that is used in both athletic and general populations with the aim of improving muscle strength and balancing ability. The present study investigated the immediate effects of different frequencies of WBV on flexibility and balance performance.Methods: Thirty untrained subjects were assigned to a 5-min horizontal WBV (LV-1000, X-trend, Taiwan) training session using a vibrating plate that produced sinusoidal oscillation at 20 Hz (low frequency) and 40 Hz (high frequency) with constant amplitude. Balance ability was assessed using the Balance system (Biodex, USA), including the limits of stability …
Ecological Executive Function Training In Patient With Brain Injury: A Casereport,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Ecological Executive Function Training In Patient With Brain Injury: A Casereport, Hsiao-Ting Ho, Yu-Hsin Wu, Mao-Hsiung Huang, Nai-Wen Guo
Rehabilitation Practice and Science
It has been reported that inappropriate behavior and cognitive/social dysfunction might be the result of poor impulse control after brain injury. A disorganized condition can be attributed to a failure to use a goal list. Goal management training (GMT), a neuropsychological rehabilitation program, was therefore designed for patients with poor inhibition, impaired goal- management and disorganized daily behavior. In this report, Ecological Executive Function Training (EEFT), based on the GMT model, was applied to a 55 year-old male patient with poor impulse control that was secondary to brain injury. The treatment lasted for two weeks and aimed to improve his …
Spondylolysis And Spondylolisthesis In Baseball Athletes: Five Casereports,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Spondylolysis And Spondylolisthesis In Baseball Athletes: Five Casereports, Chun-Yao Yu, Hsiao-Yun Chang, Chuan-Chao Lin, Yi-Luen Hung, Su-Ju Tsai
Rehabilitation Practice and Science
Low back pain is one of the commonest complaints of young athletes who visit the physical medicine and rehabilitation outpatient department. Spondylolysis and spondylolisthesis are frequent causes of low back pain in young athletes. The pain in these conditions is exacerbated by lumbar extension and relieved by rest. Although genetic predisposition plays an important role in the development of pars defect, certain activities involving lumbar hyperextension and rotation movements result in spondylolysis and spondylolisthesis.From December 2005 to March 2009, there were five baseball athletes who visited our outpatient department because of low back pain. The diagnosis was grade I spondylolisthesis …
Paraplegia Caused By Intramedullary Tuberculoma: A Casereport,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Paraplegia Caused By Intramedullary Tuberculoma: A Casereport, Ching-Yao Yang, Huey-Wen Liang, Yen-Ho Wang, Wei-Hwa Liaw
Rehabilitation Practice and Science
Tuberculosis is one of the oldest diseases known to affect humans and is a major cause of death worldwide. This disease, which is caused by bacteria of the Mycobacterium tuberculosis complex, usually affects the lungs, although other organs are involved in up to one-third of cases. If properly treated, tuberculosis caused by drug-susceptible strains is curable in virtually all cases. Spinal tuberculosis (Pott's disease or tuberculous spondylitis) often involves two or more adjacent vertebral bodies, and solitary tuberculoma of the spinal cord as part of a generalized infection is a rarity. Here, we report the case of a 54-year-old man …
Development Of Delayed Splenic Rupture In A Patient With Cervical Cord Injury: A Casereport,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Development Of Delayed Splenic Rupture In A Patient With Cervical Cord Injury: A Casereport, Yiu-Chung Lau, Chau-Peng Leong, Yi-Jung Hsin, Tsung-Hsun Yang
Rehabilitation Practice and Science
This is a report of a 65-year-old male patient with incomplete spinal cord injury caused by a traffic accident. He was robust prior to this injury. He was hospitalized due to tetraplegia caused by the accident, and did not lose consciousness at the time of injury. A cervical spine MRI was performed and showed cervical spondylosis with a C4-5, C5-6 herniated intervertebral disc. After decompressive surgery, he was transferred to our ward for inpatient rehabilitation, where balance and exercise activities on a mattress were carried out regularly. After 20 days of rehabilitation, acute dyspnea, abdominal distension and unstable vital signs …
Decreasing The Incidence Of Skin Damage Caused By Physical Agents,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Decreasing The Incidence Of Skin Damage Caused By Physical Agents, Mei-Chu Chen, Der-Sheng Han
Rehabilitation Practice and Science
Physical therapists play a crucial role in preventing skin damage, the causes of which are usually due to improper machine settings and a failure to adhere to standard operation procedures during treatments involving physical agents. To decrease incidents, this study examines the causes of skin damage, and drafting intervention and evaluation index.This paper analyzed 12 cases of skin damage occurring during physical therapy at the Department of Physical Therapy and Rehabilitation of a regional hospital, between Jan. 2006 and Aug. 2009. The probable causes were failure on the part of the therapist to inform the patient on operation procedures and …
Effects Of Taping On Motor Function Of Upper Extremity In Chronic Stroke Patients,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Effects Of Taping On Motor Function Of Upper Extremity In Chronic Stroke Patients, Rong-Bin Hong, Yi-Ru Chen, Da-Fang Chan, Willy Chou, Jeng-Feng Yang
Rehabilitation Practice and Science
The purpose of this study was to evaluate the effects of taping on motor recovery of paretic upper limb in chronic stroke patients. Ten chronic stroke patients with upper limb paresis were recruited. They all received regular rehabilitation programs before this study. Taping was applied to the upper trunk and paretic shoulder of those patients in addition to regular 3-week rehabilitation. Succeedingly, they received only regular rehabilitation for another 3 weeks. Three tests were conducted before and after taping and at 3 weeks follow-up. For each test, we measured the movement amplitudes of active shoulder flexion and abduction, Fugl-Meyer Motor …
Can Heart Rate Variability Be A Prognostic Factor After Coronary Artery Bypass Surgery?,
2011
Taiwan Academy of Physical Medicine and Rehabilitation
Can Heart Rate Variability Be A Prognostic Factor After Coronary Artery Bypass Surgery?, Chen-Liang Chou, Si-Huei Lee, Yi-Chieh Chou, Po-Chin Strong, Wei-Cheng Weng, Huey-Wen Yien, Zen-Chung Weng
Rehabilitation Practice and Science
Imbalance in automatic cardiovascular function has been shown to increase the risk of ventricular arrhythmias and sudden death in patients with coronary artery disease and after myocardial infarction. The study evaluated preoperative heart rate variability (HRV) as an independent prognostic factor for hospitalized patients undergoing coronary artery bypass surgery (CABG).In this single-blind study, we enrolled 25 patients scheduled to undergo CABG. Preoperative Holter electrocardiography was used to collect linear analysis and non-linear analysis (Poincare plot analysis) data. Four patients died after the operation. We compared the HRV data of the 2 groups (expired vs. survived), and found that the data …
