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The Effect Of Pre-Operative Rehabilitation In High Risk Open Heart Surgery Patients On The Length Of Hospital Stay, Wen-Chih Lin, Yi-Ru Chen, Chiao-Hsin Chen, Shu-Han Yang, Chin-Tsan Huang, Mei-Yi Wu, Willy Chou 2011 Taiwan Academy of Physical Medicine and Rehabilitation

The Effect Of Pre-Operative Rehabilitation In High Risk Open Heart Surgery Patients On The Length Of Hospital Stay, Wen-Chih Lin, Yi-Ru Chen, Chiao-Hsin Chen, Shu-Han Yang, Chin-Tsan Huang, Mei-Yi Wu, Willy Chou

Rehabilitation Practice and Science

The study was to evaluate the effect of pre-operative education for diaphragmatic breathing and coughing techniques in elective open heart surgery patients on the post-operative pulmonary complications, ventilator use duration and post-operative hospital days.The retrospective chart reviewarticle of the 27 elective open heart surgery patients was from March 2008 to April 2009. The basic data and risk factors of post-operative complications were recorded. The complications, mechanical ventilation duration, and hospital days in the two groups with and without the education were compared; so were the high risk and nonhigh risk group according to the risk score of the post-operative pulmonary …


Development Of Brain Abscess At The Exact Site Of A Previous Intracerebral Hematoma: A Casereport, Yi-Yen Chu, Shu-Huan Lin, Tyng-Guey Wang 2011 Taiwan Academy of Physical Medicine and Rehabilitation

Development Of Brain Abscess At The Exact Site Of A Previous Intracerebral Hematoma: A Casereport, Yi-Yen Chu, Shu-Huan Lin, Tyng-Guey Wang

Rehabilitation Practice and Science

Brain abscess is a neurological emergency that requires immediate high-dose antibiotics or surgical intervention. Brain abscess at the site of a previous hemorrhagic stroke that did not receive surgical intervention is rare. Here, we report the case of a 48-year-old man who developed a brain abscess as infective transformation of a preceding right putaminal hemorrhage, 22 days after the stroke. The patient recovered after surgical treatment and systemic antibiotics therapy. An abscess culture test revealed the presence of Group D Salmonella, which has never been reported in a case of brain abscess. A comprehensive literature reviewarticle was performed. We concluded …


Macrodystrophia Lipomatosa: A Casereport, Pai-Yin Chen, Shu-Min Chen, Chii-Jeng Lin 2011 Taiwan Academy of Physical Medicine and Rehabilitation

Macrodystrophia Lipomatosa: A Casereport, Pai-Yin Chen, Shu-Min Chen, Chii-Jeng Lin

Rehabilitation Practice and Science

Macrodystrophia lipomatosa is a rare congenital anomaly of localized gigantism, characterized by progressive overgrowth of all mesenchymal components, particularly fibroadipose tissue. The anomaly occurs frequently in the distribution regions of the median nerve in the upper extremity and the plantar nerve in the lower extremity. It is usually noticed at birth with predominately unilateral distal involvement of the digits. The cause of this condition is still unknown. Physicians use the patient's clinical history, physical examination, and imaging techniques to diagnose the condition, with characteristic imaging findings revealing macrodactyly with hypertrophy of the soft tissue and osseous structures. This study reports …


Wrist Schwannoma Mimicking De Quervain's Disease: A Casereport, Pon-An Chen, Chung-Liang Lai, Ming-Miau Tsai, Chuan-Chin Leu, Tyng-Guey Wang 2011 Taiwan Academy of Physical Medicine and Rehabilitation

Wrist Schwannoma Mimicking De Quervain's Disease: A Casereport, Pon-An Chen, Chung-Liang Lai, Ming-Miau Tsai, Chuan-Chin Leu, Tyng-Guey Wang

Rehabilitation Practice and Science

For decades, ultrasonography has shown a high degree of accuracy in the evaluation of soft tissue tumors. In this study, we report the condition of a 80-year-old male patient who had been suffering from left thumb pain for 2 years. The patient had initially been diagnosed with de Quervain's disease, but responded poorly to conservative treatment. An ultrasonographic examination unexpectedly identified a well-margined solid tumor with marked vascularity. Suspicion of a neurogenic tumor led to an excision surgery and finally pathology revealed a Schwannoma. Following excision, the symptoms were entirely ameliorated. We concluded that, in the evaluation of persistent chronic …


Panuveitis After Intravenous Injection Of Bisphosphonate: A Casereport, Chi-Kai You, Si-Huei Lee, Chen-Liang Chou 2011 Taiwan Academy of Physical Medicine and Rehabilitation

Panuveitis After Intravenous Injection Of Bisphosphonate: A Casereport, Chi-Kai You, Si-Huei Lee, Chen-Liang Chou

Rehabilitation Practice and Science

As human life expectancy has increased, osteoporosis has become a major epidemic disorder. The most common consequences of this are fractures in different parts of the body. In addition to regular follow-up tests of bone-mineral density, treatment methods include: 1. increasing the dietary intake of calcium and vitamin D, 2. maintenance of body weight, avoiding alcohol and tobacco, regular exercise, and fall prevention, 3. medications, the most widely used being bisphosphonates. Bisphosphonates can limit bone loss via the inhibition of osteoclasts. They have been widely prescribed for senile osteoporosis, osteoporosis due to administration of steroids, bone loss due to malignancies …


Compensatory Assistive Technology For Adults With Cognitive Disabilities, Hsin-Yu Chen, Ling-Fu Meng 2011 Taiwan Academy of Physical Medicine and Rehabilitation

Compensatory Assistive Technology For Adults With Cognitive Disabilities, Hsin-Yu Chen, Ling-Fu Meng

Rehabilitation Practice and Science

People with cognitive disabilities often face difficulties when performing various activities in their daily lives. Although today's compensatory assistive technology (AT) can reduce the impact of such difficulties and enhance the quality of life in this population, universal guidelines for the appropriate application of cognitive AT have not been developed. The present study reviewarticleed and integrated information regarding models, assessments, selections, needs, and other relevant evidence. This paper presents a discussion of the limitations of current methods, and suggests novel approaches for the successful application of compensatory cognitive AT. The rehabilitative/compensatory model, the human activity assistive technology model, and the …


Matrix Metalloproteinase-3 Expression And Structural Changes In Biomechanical Loaded Articular Cartilage, Jue-Long Wang, Shu-Fen Sun, Chiao-Wen Hwang, Ko-Long Lin, Pei-Te Hsu, Yu-Ling Wang, Zhang-Yu Hoe 2011 Taiwan Academy of Physical Medicine and Rehabilitation

Matrix Metalloproteinase-3 Expression And Structural Changes In Biomechanical Loaded Articular Cartilage, Jue-Long Wang, Shu-Fen Sun, Chiao-Wen Hwang, Ko-Long Lin, Pei-Te Hsu, Yu-Ling Wang, Zhang-Yu Hoe

Rehabilitation Practice and Science

Background: Cartilage functions as a highly successful load-bearing tissue. However, frequent mechanical loading can affect cartilage metabolism and viability significantly. Intrinsic changes in the metabolism of chondrocytes have also been proposed as an important feature of osteoarthritis. Although many aspects of chondrocyte catabolism have been extensively investigated, the signals that initiate such metabolic changes, and their correlation with structural changes, remain unclear. We hypothesized that matrix metaproteinase-3 (MMP-3) may play a significant role. The purpose of this study was to investigate the activity of MMP-3 in cartilage under load, as well as degeneration-related structural changes of the cartilage matrix under …


Oxygen Uptake Efficiency Slope Before And After Weight Reduction Program In Obese Adults, Chueh-Hung Wu, Shu-Ming Yeh, Ke-Vin Chang, Hung-Pin Lee, Ssu-Yuan Chen, Ching Lan, Hung-Chih Tsai, Ya-Ling Huang, Jin-Shin Lai 2011 Taiwan Academy of Physical Medicine and Rehabilitation

Oxygen Uptake Efficiency Slope Before And After Weight Reduction Program In Obese Adults, Chueh-Hung Wu, Shu-Ming Yeh, Ke-Vin Chang, Hung-Pin Lee, Ssu-Yuan Chen, Ching Lan, Hung-Chih Tsai, Ya-Ling Huang, Jin-Shin Lai

Rehabilitation Practice and Science

Background and Purpose: Oxygen uptake efficiency slope (OUES) is an index for evaluating cardiorespiratory fitness without performing maximal exercise and correlates well with the individual's peak oxygen uptake (□O(superscript 2peak)). The purpose of this study was to determine the clinical usefulness of OUES for determining the cardiorespiratory fitness of obese adults without cardiovascular diseases by investigating (1) the correlation between OUES and weight (2) the change in the OUES after a weight-reduction program. Methods: Fifty-eight obese subjects (13men and 45women) were enrolled in a 12-week weight-reduction program, including diet, exercise and psychological programs. They underwent maximal cycle ergometer exercise testing, …


T12 Compression Fracture Complicated With Delayed Spinal Epidural Hematoma: A Casereport, Chia-Wei Wu, Ching-Shiang Tseng, Lin-Fen Hsieh 2011 Taiwan Academy of Physical Medicine and Rehabilitation

T12 Compression Fracture Complicated With Delayed Spinal Epidural Hematoma: A Casereport, Chia-Wei Wu, Ching-Shiang Tseng, Lin-Fen Hsieh

Rehabilitation Practice and Science

Delayed spinal epidural hematoma (SEH) after a spinal compression fracture is a very rare but important cause of symptomatic spinal cord compression. We report a patient with spinal cord compression and cauda equina syndrome due to delayed SEH after a traumatic T12 compression fracture. A 74-year-old male patient had severe back pain without neurologic deficits after a traumatic T12 compression fracture. He developed progressive bilateral lower extremity weakness, sensory loss, and sphincter dysfunction 2.5 months after the injury. Magnetic resonance imaging of the spine revealed a huge spinal epidural hematoma at the level of T12 to L5. He then received …


Concurrent Ankylosing Spondylitis And Tophaceous Gout In Spine Causing Spinal Cord Compression: A Casereport, Chia-Chen Lin, Nai-Hsin Meng 2011 Taiwan Academy of Physical Medicine and Rehabilitation

Concurrent Ankylosing Spondylitis And Tophaceous Gout In Spine Causing Spinal Cord Compression: A Casereport, Chia-Chen Lin, Nai-Hsin Meng

Rehabilitation Practice and Science

Ankylosing spondylitis (AS) rarely coexists with tophaceous gout in the spine. We present a case of a 57-year-old businessman with AS who did not have previous history of hyperuricemia or gouty arthritis. He had a three-month history of progressive bilateral lower limb weakness caused by spinal cord compression (rooted on a tophaceous gout), leading to incomplete paraplegia. He received surgical decompressive laminectomy, which removed the hypertrophic ligamentum flavum and tophus in the level of thoracolumbar junction. There was no obvious neurologic recovery after the surgery. We reviewarticleed the incidence, clinical manifestations, and management of the spinal tophaceous gout coexisting with …


Cerebral Venous Thrombosis With Cerebral Arterial Infarction During Pregnancy: A Casereport, Shih-I Huang, Tien-Wen Chen, Mao-Hsiung Huang 2011 Taiwan Academy of Physical Medicine and Rehabilitation

Cerebral Venous Thrombosis With Cerebral Arterial Infarction During Pregnancy: A Casereport, Shih-I Huang, Tien-Wen Chen, Mao-Hsiung Huang

Rehabilitation Practice and Science

Cerebral venous thrombosis (CVT) usually occurs in young adult or middle aged adult women. Although not of high incidence, it is an important cause of brain hemorrhage or infarction in pregnant women. According to previous studies, the most common symptom is headache. However, because of only headache mostly, correct diagnosis is a challenge before progression to stroke. The patient was a 30-year-old female. Except for hyperthyroidism history during last pregnancy, she did not have any special associated past history. She suffered sudden onset of left side weakness; when her term was 32 weeks. Brain magnetic resonance imaging showed right middle …


Health And Wellness Using Occupations To Explore Internal Motivators For Change, Shayal Ram, Susan MacDermott, Becki Cohill, Karen Park 2011 University of St. Augustine for Health Sciences

Health And Wellness Using Occupations To Explore Internal Motivators For Change, Shayal Ram, Susan Macdermott, Becki Cohill, Karen Park

Fall 2020 Virtual OTD Capstone Symposium

The purpose of this capstone project was to create an occupation-based program that could be integrated into the lifestyle patterns of adults to potentially assist reducing the risk of Alzheimer’s disease (AD). The number of Americans living with AD is expected to grow up to 16 million by 2050 (Smallfield & Heckenlaible, 2017). The risk for developing the disease could be reduced through lifestyle modifications (Hussenoeder & Riedel-Heller, 2018). Using occupation as a means for health promotion and disease prevention is an emerging area for occupational therapy practice (AOTA, 2014). This capstone sought to increase awareness of internal motivators that …


Effect Of Duration And Amplitude Of Direct Current When Lidocaine Is Delivered By Iontophoresis, Susan A. Saliba, Courtney L. Teeter-Heyl, Patrick O. McKeon, Christopher D. Ingeroll, Ethan N. Saliba 2011 University of Virginia

Effect Of Duration And Amplitude Of Direct Current When Lidocaine Is Delivered By Iontophoresis, Susan A. Saliba, Courtney L. Teeter-Heyl, Patrick O. Mckeon, Christopher D. Ingeroll, Ethan N. Saliba

Physical Therapy Faculty Publications

Dosage for the galvanic stimulation for iontophoresis varies. Clinicians manipulate the duration or the amplitude of the current, but it is not known which is more effective. We compared the anesthetic effect of lidocaine HCL (2%) by manipulating the current parameters on 21 healthy volunteers (age: 21.2 ± 4.2, height 170.7 ± 10.2 cm, mass 82.1 ± 19.2 kg). Three conditions were administered in a random order using a Phoresor II® with 2 mL, 2% lidocaine HCL in an iontophoresis electrode. (1) HASD (40 mA*min): High amplitude (4 mA), short duration (10 min); (2) LALD (40 mA.min): …


The Overtraining Syndrome In Endurance Athletes; A Guide For Coaches And Athletic Trainers For Prevention And Treatment, Shannon M. Hughes 2011 University of Texas Permian Basin

The Overtraining Syndrome In Endurance Athletes; A Guide For Coaches And Athletic Trainers For Prevention And Treatment, Shannon M. Hughes

Graduate Theses

Training may be the most vital aspect of competition for serious athletes. The goal of training is to improve athletic performance by improving physiological performance, but there are instances when training can push an athlete physiologically beyond the threshold of tolerance. Most coaches and athletic trainers are aware that overtraining leads to physical injury when little recovery time is allowed, but what is still unclear is how overtraining affects the emotional and psychological stability of the athlete. The purpose of this guide is to educate coaches, athletic trainers, and even athletes, on the methods to potentially avoid overtraining, to recognize …


Chhs December 2011 E-Newsletter, Dr. John Bonaguro, Dean, VaShon S. Wells, editor, WKU College of Health and Human Services, Western Kentucky University 2011 WKU College of Health & Human Services

Chhs December 2011 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health And Human Services, Western Kentucky University

College of Health & Human Services Publications

No abstract provided.


An Examination Of The Effectiveness Of An 8-Week Bikram Yoga Program On Mindfulness, Perceived Stress, And Physical Fitness, Zoe L. Hewett, Lynda B. Ransdell, Yong Gao, Linda M. Petlichkoff, Shelley M. Lucas 2011 Jaeger Circuit, Australia

An Examination Of The Effectiveness Of An 8-Week Bikram Yoga Program On Mindfulness, Perceived Stress, And Physical Fitness, Zoe L. Hewett, Lynda B. Ransdell, Yong Gao, Linda M. Petlichkoff, Shelley M. Lucas

Kinesiology Faculty Publications and Presentations

Previous research reports positive effects of yoga on health. The physical and psychological outcomes of participation in Bikram yoga are under-researched despite its increasing popularity, and this type of yoga may be significant with regards to stress management due to its unique method of practice. This study was designed to assess changes in levels of mindfulness, perceived stress, and physical fitness after participation in an 8-week Bikram yoga program. Fifty-one participants aged 20–54 years (mean, 31.57 years) were recruited by word of mouth from a large university located in the Northwestern United States. Participants attended a minimum of 20 Bikram …


Comprehensive Strength Training Program For A Recreational Senior Golfer 11-Months After A Rotator Cuff Repair, Jason Brumitt, Erik P. Meira, Hui En Gilpin, Meredith Brunette 2011 George Fox University

Comprehensive Strength Training Program For A Recreational Senior Golfer 11-Months After A Rotator Cuff Repair, Jason Brumitt, Erik P. Meira, Hui En Gilpin, Meredith Brunette

Faculty Publications - College of Physical Therapy

Background and Purpose: Golf is a popular sport played by hundreds of thousands of individuals of all ages and of varying skill levels. An orthopedic or sports-related injury and/or surgery may limit an individual’s sport participation, require him/her to complete a course of rehabilitation, and initiate (or resume) a sportspecific training program. Unlike the availability of evidence to guide postsurgical rehabilitation and sportspecific training of athletes from sports other than golf, there have only been two reports describing outcomes after surgery and for golfers. The purpose of this case report is to present a post-rehabilitation return to sporttraining program for …


Comparison Of Hip And Knee Strength And Neuromuscular Activity In Subjects With And Without Patellofemoral Pain Syndrome, Lori Ann Bolgla, Terry R. Malone, Brian R. Umberger, Timothy L. Uhl 2011 Georgia Health Sciences University

Comparison Of Hip And Knee Strength And Neuromuscular Activity In Subjects With And Without Patellofemoral Pain Syndrome, Lori Ann Bolgla, Terry R. Malone, Brian R. Umberger, Timothy L. Uhl

Physical Therapy Faculty Publications

Purpose/Background: Historically, patellofemoral pain syndrome (PFPS) has been viewed exclusively as a knee problem. Recent findings have suggested an association between hip muscle weakness and PFPS. Altered neuromuscular activity about the hip also may contribute to PFPS; however, more limited data exist regarding this aspect. Most prior investigations also have not concurrently examined hip and knee strength and neuromuscular activity in this patient population. Additional knowledge regarding the interaction between hip and knee muscle function may enhance the current understanding of PFPS. The purpose of this study was to compare hip and knee strength and electromyographic (EMG) …


Widespread Regulation Of Mirna Biogenesis At The Dicer Step By The Cold-Inducible Rna-Binding Protein, Rbm3, Julie Pilotte, Esther E. Dupont-Versteegden, Peter W. Vanderklish 2011 Scripps Research Institute

Widespread Regulation Of Mirna Biogenesis At The Dicer Step By The Cold-Inducible Rna-Binding Protein, Rbm3, Julie Pilotte, Esther E. Dupont-Versteegden, Peter W. Vanderklish

Physical Therapy Faculty Publications

MicroRNAs (miRNAs) play critical roles in diverse cellular events through their effects on translation. Emerging data suggest that modulation of miRNA biogenesis at post-transcriptional steps by RNA-binding proteins is a key point of regulatory control over the expression of some miRNAs and the cellular processes they influence. However, the extent and conditions under which the miRNA pathway is amenable to regulation at posttranscriptional steps are poorly understood. Here we show that RBM3, a cold-inducible, developmentally regulated RNA-binding protein and putative protooncogene, is an essential regulator of miRNA biogenesis. Utilizing miRNA array, Northern blot, and PCR methods, we observed that over …


Effects Of Neck Muscle Fatigue On The Vestibulo-Ocular Reflex, Amer Al Saif 2011 Loma Linda University

Effects Of Neck Muscle Fatigue On The Vestibulo-Ocular Reflex, Amer Al Saif

Loma Linda University Electronic Theses, Dissertations & Projects

In order to maintain balance, the brain receives and processes input from multiple sensory systems including the visual, vestibular, and somatosensory systems. The information from these systems is sent to the brain where the information is then combined, organized and interpreted. This results in the output of reflexes (vestibulo-ocular reflex [VOR] and vestibulospinal reflex [VSR]). The VOR and the VSR work together with other motor systems to control gaze stability and control whole body equilibrium. Impairment in any of these sensory systems can result in dizziness, loss of balance, and visual instability. While the contributions of the visual, vestibular, and …


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