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Who Let The Dog Out? Implementing A Successful Therapy Dog Program In An Academic Law Library, Julian Aiken, Femi Cadmus 2011 Duke Law School

Who Let The Dog Out? Implementing A Successful Therapy Dog Program In An Academic Law Library, Julian Aiken, Femi Cadmus

Faculty Scholarship

No abstract provided.


Evaluation Of The Neurodegenerative Conditions Coordinated Care Program (Ncccp) In Western Australia: Barriers To Better Service Provision, Susanne T. Bahn, Margaret J. Giles 2011 Edith Cowan University

Evaluation Of The Neurodegenerative Conditions Coordinated Care Program (Ncccp) In Western Australia: Barriers To Better Service Provision, Susanne T. Bahn, Margaret J. Giles

Research outputs 2011

This paper details a 2009–2010 evaluation of the Neurodegenerative Conditions Coordinated Care Program (NCCCP) commissioned by the Disability Services Commission (DSC) in Western Australia (WA). The program, run by the Multiple Sclerosis Society of WA (Inc.) provides in-home care and supports and respite for people who are under the age of sixty-five and diagnosed with a rapidly degenerative neurological condition. In 2009, the identified barriers to the better provision of services included: shortage of quality out-of-home respite providers, and convoluted paperwork requirements to qualify for the program. Some service providers were unaware of the program and so were not referring …


Correlating The Developmental Test Of Visual Perception -2 (Dtvp And The Test Of Visual Perceptual Skills - Revised (Tvps-R) As Assesssment Tools For Learners With Learning Difficulties, Janet Richmond, K Holland 2011 Edith Cowan University

Correlating The Developmental Test Of Visual Perception -2 (Dtvp And The Test Of Visual Perceptual Skills - Revised (Tvps-R) As Assesssment Tools For Learners With Learning Difficulties, Janet Richmond, K Holland

Research outputs 2011

Learners are often referred to occupational therapists to assess their visual perceptual functioning. It is, therefore, imperative that the occupational therapists use the best assessment tools to obtain accurate and reliable results that lead to effective intervention which will be noticeable in the classroom functioning of these learners. A study was therefore conducted which correlated the results of the Developmental Test of Visual Perception (second edition) (DTVP-2) and the Test of Visual Perceptual Skills Revised (TVPS-R) in a cohort of 173 learners from Grade 1 to Grade 4 (children aged 6 years to 11 years). The learners attend a remedial …


Analysis Of Phonological Disorder Among Preschool Children, Shao-Li Han, Yen-Chi Chen, Hsiao-Yu Yen, Ya-Wen Tu, Tsung-Yu Wei 2010 Taiwan Academy of Physical Medicine and Rehabilitation

Analysis Of Phonological Disorder Among Preschool Children, Shao-Li Han, Yen-Chi Chen, Hsiao-Yu Yen, Ya-Wen Tu, Tsung-Yu Wei

Rehabilitation Practice and Science

Speech sound errors have been noted as the most common speech disorder among children. However, recent studies about pronunciation errors among preschool children are lacking. Our aim was to evaluate the characteristics and frequency of pronunciation errors among pre-school children with phonological disorder in Taiwan. Between December 2006 and November 2008, we recruited children visiting our outpatient department for evaluation of speech sound errors. Children with speech delay, hearing loss, mental retardation, orofacial abnormalities, chromosomal abnormalities and other pervasive developmental disorders identified by clinical evaluation and clinical birth histories acquired from their families were excluded. Finally, 126 children who met …


Novel Orthoses For Male Hemiplegic Patients To Perform Clean Intermittent Catheterization: A Casereport, Yu-Lin Tsai, Mao-Hsiung Huang, Chia-Hsin Chen 2010 Taiwan Academy of Physical Medicine and Rehabilitation

Novel Orthoses For Male Hemiplegic Patients To Perform Clean Intermittent Catheterization: A Casereport, Yu-Lin Tsai, Mao-Hsiung Huang, Chia-Hsin Chen

Rehabilitation Practice and Science

A 37-year-old male suffered from hemorrhagic stroke with left side hemiplegia and neurogenic bladder. On admission, due to post-renal acute renal failure with hydronephrosis, he received indwelling catheterization but felt very uncomfortable. However, he was physically unable to perform clean intermittent catheterization (CIC) due to his hemiplegia. Two novel devices were designed to help him perform CIC using one side of his body. As in our experience with this case, hemiplegic patients may now be able to perform CIC by themselves to achieve adequate bladder drainage using one-sided limbs under the assistance of the novel orthoses.


Orthostatic Postural Deficit In Subjects With Streptococcal Serology-Related Unclassified Arthritis Of The Lumbopelvis, Shao-Chi Lu, Liang-Cheng Chen, Shang-Lin Chiang, Tsung-Ying Li, Yau-Ren Tseng, Shin-Tsu Chang, Chen-Chung Dai 2010 Taiwan Academy of Physical Medicine and Rehabilitation

Orthostatic Postural Deficit In Subjects With Streptococcal Serology-Related Unclassified Arthritis Of The Lumbopelvis, Shao-Chi Lu, Liang-Cheng Chen, Shang-Lin Chiang, Tsung-Ying Li, Yau-Ren Tseng, Shin-Tsu Chang, Chen-Chung Dai

Rehabilitation Practice and Science

Titers of antistreptolysin-O (ASO) possess the diagnostic value in discriminating post-streptococcal reactive arthritis. Patients are labeled as ”unclassified arthritis” (UA) while hard to be classified as having a well-defined arthropathy. Posture is important to perform activities of daily living and its abnormality is a negative factor for trunk stability and balance. We hypothesized that an imbalance of the lumbopelvis due to sacroiliac joint disorder might produce a positional change. The purpose of this study was to determine whether there was a difference in postural sway during orthostatic standing in subjects with UA of the lumbopelvis and high ASO titers. All …


Efficacy Of Wii(Superscript Tm)-Based Virtual Reality Assisted Rehabilitation For Chronic Stroke Patients, Zheng-Yu Hoe, Jue-Long Wang, Yuk-Keung Lo, Shu-Fen Sun, Chao-Hung Chang, Hsin-I Tsai 2010 Taiwan Academy of Physical Medicine and Rehabilitation

Efficacy Of Wii(Superscript Tm)-Based Virtual Reality Assisted Rehabilitation For Chronic Stroke Patients, Zheng-Yu Hoe, Jue-Long Wang, Yuk-Keung Lo, Shu-Fen Sun, Chao-Hung Chang, Hsin-I Tsai

Rehabilitation Practice and Science

Virtual reality assisted rehabilitation provides the opportunity for a safe training environment, allows intensive practice using repetitive tasks, provides real-time auditory and visual performance feedback and also may augment patients’ motivation. Wii(superscript TM) has all of these advantages. In addition, it is relatively cheap and thus it is affordable and practical to be used in clinical settings. We recruited patients with chronic stroke (>1 yr) and limb function impairment. All patients participated in the Wii(superscript TM)-based virtual reality assisted rehabilitation program with a minimum of 30 minutes/session, three times/week for 3 months. The patients' cognitive function, motor function of both …


Subjective And Objective Evaluation On The Effect Of Splinting In Short-Term Use For Carpal Tunnel Syndrome: A Preliminary Study, Shu-Min Chen, Chun-Kai Liao, Hsiu-Yun Hsu, Ta-Shen Kuan 2010 Taiwan Academy of Physical Medicine and Rehabilitation

Subjective And Objective Evaluation On The Effect Of Splinting In Short-Term Use For Carpal Tunnel Syndrome: A Preliminary Study, Shu-Min Chen, Chun-Kai Liao, Hsiu-Yun Hsu, Ta-Shen Kuan

Rehabilitation Practice and Science

Splinting is a conservative treatment for carpal tunnel syndrome (CTS), but the duration of treatment required for symptom relief has not been determined definitively. The aim of this study was to use subjective and objective methods to investigate the short-term therapeutic effect of splinting for CTS.Six participants with CTS were enrolled in this study. Participants were required to wear the splints for at least eight hours a day. Symptom Severity and Functional Status Scales, pinch power, nerve conduction studies, and high resolution sonography were used to evaluate the patients before and at two weeks and one month after splinting. The …


Acute Abdominal Pain In Spinal Cord Injury Patient Induced By Indwelling Urethral Catheter Placed Into The Right Ureter Through The Ureteral Orifice: A Casereport, Chang-Jheng Wu, Huei-Yu Lo, Yau-Wai Wai, Han-Tin Lu 2010 Taiwan Academy of Physical Medicine and Rehabilitation

Acute Abdominal Pain In Spinal Cord Injury Patient Induced By Indwelling Urethral Catheter Placed Into The Right Ureter Through The Ureteral Orifice: A Casereport, Chang-Jheng Wu, Huei-Yu Lo, Yau-Wai Wai, Han-Tin Lu

Rehabilitation Practice and Science

Diagnosis of acute abdomen in spinal cord injury (SCI) patients remains challenging. Classic peritoneal signs, such as rigid abdomen, rebounding pain and abdominal muscle guarding may be not reliable. It is still an important cause of morbidity and mortality in patients with SCI.A 45-year-old woman with SCI and 7th and 8th thoracic vertebrae fractures suffered from lower abdominal pain, fever and chills for three days. Physical examination revealed diffuse abdominal tenderness with muscle guarding. Laboratory studies showed severe leukocytosis and mild pyuria. Abdominal contrast-enhanced computed tomography scans (CTS) revealed a urinary catheter, which had been accidentally inserted into the right …


Clinical Outcomes Of Rehabilitation On An 11-Year-Old Girl With Devic's Syndrome: A Casereport, Cheng-Cheng Hsu, Wen-Chih Lin, Tan-Hwui Lau, Ming-Chi Lai, Rong-Bin Hong, Wei-Ni Chou 2010 Taiwan Academy of Physical Medicine and Rehabilitation

Clinical Outcomes Of Rehabilitation On An 11-Year-Old Girl With Devic's Syndrome: A Casereport, Cheng-Cheng Hsu, Wen-Chih Lin, Tan-Hwui Lau, Ming-Chi Lai, Rong-Bin Hong, Wei-Ni Chou

Rehabilitation Practice and Science

Devic's syndrome-neuromyelitis optica (NMO), a rare demyelinating central nervous system diseases, must be clinically differentiated from multiple sclerosis (MS). The diagnostic criteria of Devic's syndrome include optic neuritis, acute myelitis, and at least two of the three symptoms below: brain MRI different from MS, three or more consecutive spinal segments invaded on MRI, and NMO-IgG seropositive.The case prevails over females aged 30-40 years. The courses of Devic's syndrome could be categorized in two types: single invasion and recurrence. The latter has poorer prognosis. The medical treatment mainly lies in immune modulation and the rehabilitative intervention including retaining life functions, preventing …


Dysphagia After Anterior Cervical Spine Surgery: A Casereport, Hsi-Ting Chiu, Ssu-Yuan Chen, Tyng-Guey Wang, Yen-Ho Wang 2010 Taiwan Academy of Physical Medicine and Rehabilitation

Dysphagia After Anterior Cervical Spine Surgery: A Casereport, Hsi-Ting Chiu, Ssu-Yuan Chen, Tyng-Guey Wang, Yen-Ho Wang

Rehabilitation Practice and Science

Dysphagia is one of the complications that develops after anterior cervical spine surgery. Its etiology is multifactorial. It is transient in most patients, and few patients suffer from dysphagia for more than several months. This study reports 1 patient with a dislocation fracture at the C5-C6 level who suffered from dysphagia for 6 months after the anterior cervical spine surgery. Videofluoroscopic examination of swallowing revealed pharyngeal muscle weakness and cricopharyngeal muscle dysfunction with obstruction at the level of the left upper esophageal sphincter. Serial examination revealed neither laryngeal organic lesions, such as those observed in vocal cord palsy, nor evidence …


Ultrasonographic Diagnosis Of A Knee Prosthesis Polyethylene Loose Body: A Casereport, Ying-Fang Chen, Yi-Pin Chiang, Baii-Jia Yang 2010 Taiwan Academy of Physical Medicine and Rehabilitation

Ultrasonographic Diagnosis Of A Knee Prosthesis Polyethylene Loose Body: A Casereport, Ying-Fang Chen, Yi-Pin Chiang, Baii-Jia Yang

Rehabilitation Practice and Science

Polyethylene is an important component of a knee prosthesis, but wear of this material is one of the most frequent complications following total knee arthroplasty. Diagnosis of polyethylene wear is based mainly on history, physical examination, and plain radiographs. However, even when the damage is severe, plain radiographs may not be so sensitive enough to detect the debris. Musculoskeletal ultrasound is infrequently used to evaluate the operated knee, but it is a sensitive method for evaluating the polyethylene component of a knee prosthesis.We report an 80-year-old woman who had a painful, enlarging, inflamed mass on her left knee. She had …


Toe-Out Landing Position Increases Medial Ground Reaction Force During Walking In Young Individuals, Chein-Teng Chung, Chen-Chia Yang, Chin-Hwa Chiu, Chia-Hung Lin, Yueh-Ling Hsieh 2010 Taiwan Academy of Physical Medicine and Rehabilitation

Toe-Out Landing Position Increases Medial Ground Reaction Force During Walking In Young Individuals, Chein-Teng Chung, Chen-Chia Yang, Chin-Hwa Chiu, Chia-Hung Lin, Yueh-Ling Hsieh

Rehabilitation Practice and Science

Objective: The purpose of this study was to determine how toe-out foot landing position influences ground reaction forces (GRF) during gait.Design: Values of GRF components recorded with a force platform were used to compare 3D GRF vectors of toe-out and non toe-out (including neutral and toe-in) foot landing positions. Methods: Thirty-two healthy males (ranging from 19-21 years old) were repeatedly assigned three foot landing positions: maximum toe-out, maximum toe-in and neutral. Each participant walked with three foot landing positions across a force platform while their three-dimensional motion was captured. Results: No differences were observed for vertical or anteroposterior GRF among …


Effects Of Distributed Constraint-Induced Therapy On Trunk Control, Daily Function, And Quality Of Life In Patients With Chronic Stroke, Yi-An Chen, Keh-Chung Lin, Ching-Yi Wu, Yin-Chou Lin, Ngok-Kiu Chu, Jyh-Yuh Ke, Pei-Hsuan Wu 2010 Taiwan Academy of Physical Medicine and Rehabilitation

Effects Of Distributed Constraint-Induced Therapy On Trunk Control, Daily Function, And Quality Of Life In Patients With Chronic Stroke, Yi-An Chen, Keh-Chung Lin, Ching-Yi Wu, Yin-Chou Lin, Ngok-Kiu Chu, Jyh-Yuh Ke, Pei-Hsuan Wu

Rehabilitation Practice and Science

Objective: Patients commonly have impaired arm trunk coordination following a stroke. The trunk compensation often used by stroke patients may hinder recovery of the affected arm. Given that the extent to which constraint-induced therapy (CIT) affects arm-trunk coordination has not been investigated previously, this study examines how distributed CIT (dCIT) affects arm trunk coordination and trunk compensation strategy, as well as functional performance and quality of life.Materials and Methods: Sixteen participants (at least 6 months post-onset) after stroke were randomly assigned to either the dCIT group which received training 2 hours daily for 3 weeks, with the unaffected arm restrained …


Application Of Shewhart Cycle Of "Plan-Do-Check-Act" Model To Improve The Waiting Time In Clinical Rehabilitation Therapy, Wen-Hsuan Lin, Ru-Lan Hsieh, Pei-Jei Tsai 2010 Taiwan Academy of Physical Medicine and Rehabilitation

Application Of Shewhart Cycle Of "Plan-Do-Check-Act" Model To Improve The Waiting Time In Clinical Rehabilitation Therapy, Wen-Hsuan Lin, Ru-Lan Hsieh, Pei-Jei Tsai

Rehabilitation Practice and Science

The Shewhart cycle ”Plan-Do-Check-Act” (PDCA) can be applied by organizations as a model for designing, checking, evaluating, improving, or re-designing plans to improve the quality of service. We applied the PDCA model to clinical rehabilitation services in Taiwan and discussed its effects on the improvement in waiting time. Three issues facing current clinical rehabilitation services were proposed by the Department of Physical Medicine and Rehabilitation in a medical center to which PDCA was applied: (1) arranging occupational therapy for in-patients within 3 days after consultation, (2) shortening the waiting time for therapy in children with developmental delays, and (3) shortening …


The Therapeutic Effect Of Selective Dorsal Rhizotomy On Severe Spasticity Related Spinal Cord Injury: A Casereport, Shin-Yo Lu, Tsui-Fen Yang, Tai-Tong Wong, Rai-Chi Chan, Chung-Yu Ho, Hung-Yi Chang 2010 Taiwan Academy of Physical Medicine and Rehabilitation

The Therapeutic Effect Of Selective Dorsal Rhizotomy On Severe Spasticity Related Spinal Cord Injury: A Casereport, Shin-Yo Lu, Tsui-Fen Yang, Tai-Tong Wong, Rai-Chi Chan, Chung-Yu Ho, Hung-Yi Chang

Rehabilitation Practice and Science

Spasticity refers to a velocity-dependent resistance to passive motion which was characterized as a symptom of upper motor neuron lesion. Though mild spasticity can help patients compensate for muscle weakness which is benefit for transferring and some daily living function, severe spasticity may cause difficulty in positioning, motor performance and predispose to pressure ulcer. The treatment option for spasticity includes physical therapy (positioning, stretching, range of motion exercise), splinting, oral medication (baclofen and diazepam are most commonly used), botulinum toxin or phenal block for focal spasticity, and more invasively, intrathecal baclofen pump (ITB) and selective dorsal rhizotomy (SDR). Selective dorsal …


Clinical Diagnosis And Prognosis Of Hirayama Disease: A Casereport, Min-Jung Wu, Jan-Wei Chiu, Chen-Liang Chou, Rai-Chi Chan 2010 Taiwan Academy of Physical Medicine and Rehabilitation

Clinical Diagnosis And Prognosis Of Hirayama Disease: A Casereport, Min-Jung Wu, Jan-Wei Chiu, Chen-Liang Chou, Rai-Chi Chan

Rehabilitation Practice and Science

Hirayama disease is a rare disease with unique clinical manifestations. It was first reported by Japanese physician Keizo Hirayama, and tends to develop in young people in their teens and early twenties, predominantly in men. The lower cervical spinal anterior horn cells are usually involved, resulting in asymmetric muscular atrophy or weakness of distal upper extremity. The onset is insidious and gradual. It ends up in a stable status after years of progression. By now the mechanism is still unclear, and two hypotheses are discussed. One is anterior displacement of the cervical dural sac from repeated or sustained neck flexion, …


Autonomic Dysfunction As The Initial Presentation Of Vitamin B12 Deficiency: A Casereport, Hun-Pin Lee, Huey-Wen Liang, Tung-Chou Li 2010 Taiwan Academy of Physical Medicine and Rehabilitation

Autonomic Dysfunction As The Initial Presentation Of Vitamin B12 Deficiency: A Casereport, Hun-Pin Lee, Huey-Wen Liang, Tung-Chou Li

Rehabilitation Practice and Science

Background: Vitamin B12 deficiency may be associated with variable neurological involvement, and myelopathy is the most common disorder associated with this deficiency. However, initial presentation with autonomic dysfunction is very rare.Case: The present report describes the case of a 76-year-old man who initially presented with recurrent syncope, followed by impaired vibration and proprioception, and then progressive weakness of the limbs. Result: The findings of a hematological study, blood biochemistry, gastric biopsy by panendoscopy, and electrophysiological examinations all supported the diagnosis of chronic atrophic gastritis-related vitamin B12 deficiency associated with macrocytic anemia, myelopathy, peripheral neuropathy, and autonomic dysfunction. Conclusion: We presented …


台灣復健醫學雜誌通訊繼續教育測驗題, The Editors 2010 Taiwan Academy of Physical Medicine and Rehabilitation

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.


The Effect Of Body Weight Support Treadmill Training On Walking Ability In Patients With Incomplete Spinal Cord Injury, Chien-Hsing Tseng 2010 Taiwan Academy of Physical Medicine and Rehabilitation

The Effect Of Body Weight Support Treadmill Training On Walking Ability In Patients With Incomplete Spinal Cord Injury, Chien-Hsing Tseng

Rehabilitation Practice and Science

In modern health care systems that attach importance to acute treatment and health care, there is an increasing number of patients with incomplete spinal cord injury that have increased chance of regaining their ability to walk. However, how to effectively achieve this target of promoting the ability to walk is a question that must be urgently addressed by rehabilitation medicine and public health authorities. International research has already confirmed that body weight support treadmill training has a positive therapeutic effect on walking ability in patients with incomplete spinal cord injury, but in Taiwan not many relevant studies have been performed. …


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