Clinical Outcomes Of Rehabilitation On An 11-Year-Old Girl With Devic's Syndrome: A Casereport,
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,
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 …
Toe-Out Landing Position Increases Medial Ground Reaction Force During Walking In Young Individuals,
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 …
Application Of Shewhart Cycle Of "Plan-Do-Check-Act" Model To Improve The Waiting Time In Clinical Rehabilitation Therapy,
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 …
Effects Of Distributed Constraint-Induced Therapy On Trunk Control, Daily Function, And Quality Of Life In Patients With Chronic Stroke,
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 …
The Therapeutic Effect Of Selective Dorsal Rhizotomy On Severe Spasticity Related Spinal Cord Injury: A Casereport,
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,
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,
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,
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,
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. …
Ultrasonographic Examination Of Tongue Movement During Articulation In Preschool Children,
2010
Taiwan Academy of Physical Medicine and Rehabilitation
Ultrasonographic Examination Of Tongue Movement During Articulation In Preschool Children, I-Chun Chen, Chien-Lun Peng
Rehabilitation Practice and Science
Ultrasound imaging provides a unique and complete representation of tongue structure in almost all planes of interest and is rapid enough to record real-time tongue movement during speech. Recording tongue movement with ultrasound is non-invasive, and has not been shown to have any biologic effects in humans at diagnostic intensities. As a result, ultrasound has been widely used in speech studies to measure tongue functions in recent years. However, these previous studies are subject to inconsistent plane images caused by additionally movement of the traditional handheld transducer. The artifacts that result from depression of the submental soft tissue contacted by …
Analysis Of Phonological Disorder Among Preschool Children,
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 …
Moyamoya Disease Presenting With Hemichorea: A Casereport,
2010
Taiwan Academy of Physical Medicine and Rehabilitation
Moyamoya Disease Presenting With Hemichorea: A Casereport, Min-Hsin Lai, Shin-Yo Lu, Pei-Chi Chou, Shin-Tsu Chang, Heng-Yi Chu
Rehabilitation Practice and Science
We report an unusual case of a 13-year-old boy with moyamoya disease whose predominant manifestation was right hemichorea with initial dystonic spasms of the right limbs and face. A diffusion-weighted MR image of the brain in the initial stage showed no infarcted or other parenchymal lesions. However, MR angiography and intracranial angiography showed stenosis of the bilateral internal carotid and middle cerebral artery with prominent basal collaterals, which was compatible with moyamoya disease. Chorea or hemichorea is one of the rarer presenting features of moyamoya disease. Our findings suggest that moyamoya disease should be included in the differential diagnosis of …
Novel Orthoses For Male Hemiplegic Patients To Perform Clean Intermittent Catheterization: A Casereport,
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.
Carpal Tunnel Syndrome As An Initial Presentation Of Glioblastoma Multiforme: A Casereport,
2010
Taiwan Academy of Physical Medicine and Rehabilitation
Carpal Tunnel Syndrome As An Initial Presentation Of Glioblastoma Multiforme: A Casereport, Chih-Hung Tseng, Kun-Lin Wu, Sin-Hao Ho, Su-Ju Tsai
Rehabilitation Practice and Science
A 43-year-old woman was clinically diagnosed as carpal tunnel syndrome due to the presentation of intermittent numbness, tingling and pain in her right thumb and index finger. The symptoms gradually exacerbated together with positive Phalen's test and Tinel's sign. Endoscopic carpal tunnel release procedure failed to relieve her symptoms. Ensuing symptoms developed such as headache, extensive numbness and mild weakness in her right upper and lower limbs. MRI of brain revealed a left thalamic tumor. Stereotactic biopsy confirmed the pathologic diagnosis as glioblastoma. Post-operative radiotherapy and temozolomide chemotherapy were performed to suppress disease progression. She also received comprehensive rehabilitation program, …
Posterior Interosseous Neuropathy Related To Cumulative Trauma Disorder: A Casereport,
2010
Taiwan Academy of Physical Medicine and Rehabilitation
Posterior Interosseous Neuropathy Related To Cumulative Trauma Disorder: A Casereport, Cheng-Hao Tseng, Tsung-Cheng Huang, Jen-Wen Hung, Bin-Chi Chang
Rehabilitation Practice and Science
Work related cumulative posterior interosseous neuropathy is a rare cumulative trauma disorder. To the best of our knowledge, a locksmith with this kind of disorder has never been reported. The locksmith was a 57-year-old man, and he had to perform repeated supination and pronation movements when working. He complained of weakness of right third and fourth finger extension when typing on a computer keyboard. Radial deviation was also noted when his wrist was extended. Electromyography was performed and right posterior interosseous neuropathy was suspected. Magnetic resonance imaging (MRI) showed perineural muscle edema, obliteration and fluid accumulation at the level of …
Multiple Heterotopic Ossifications In A Patient With Traumatic Brain Injury And Femoral Fracture: A Casereport,
2010
Taiwan Academy of Physical Medicine and Rehabilitation
Multiple Heterotopic Ossifications In A Patient With Traumatic Brain Injury And Femoral Fracture: A Casereport, Chun-Sheng Ho, Chein-Wei Chang, Eou-Ting Hsieh, Jen-Li Pan
Rehabilitation Practice and Science
Sporadic heterotopic ossification is a common complication in patients with spinal cord injury, traumatic brain injury, electrical burns, hip fracture, elbow fracture or total hip arthroplasty. However, multiple heterotopic ossifications in a traumatic brain injury case are quite rare. We report a case of a 23 year-old female patient with traumatic brain injury and a right femoral open fracture due to a traffic accident. She started to develop local erythema, swelling, warmth and pain over the left elbow and right hip about two months after the accident. The range of motion of the affected joints decreased and this severely impeded …
The Effect Of A New Gelatinous Elastomers Cushion On Reducing Pressure And Temperature,
2010
Taiwan Academy of Physical Medicine and Rehabilitation
The Effect Of A New Gelatinous Elastomers Cushion On Reducing Pressure And Temperature, Mu-Jung Kao, Yang-Hwei Tsuang, Chi-Jou Kuo, Jen-Ling Chou, Hung-Wen Wei, Mei-Wun Tsai
Rehabilitation Practice and Science
Objective: The aim of this study was to analyze the effectiveness of a new air cell cushion (Elaston cushion) made of gelatinous elastomers, a newly developed material with a novel structure on reducing pressure and temperature.Methods: We compared the pressure and thermal responses of the Elastone cushion to three other available cushions (foam, gel-filled and air-filled villous) and four regular wooden or spongy chair seats. The skin temperature at the buttocks was also continuously measured for eight-hours sitting. Results: The Elastone cushion reduced the peak pressure (39.7 mmHg) compared with foam (60.0 mmHg), gel-filled (60.3 mmHg) and air-filled cushions (69.3 …
Primary Reasons For Rehabilitation Service Referrals: The Recent Experience Of A Medical Center In Taiwan,
2010
Taiwan Academy of Physical Medicine and Rehabilitation
Primary Reasons For Rehabilitation Service Referrals: The Recent Experience Of A Medical Center In Taiwan, Chung-Po Su, Ssu-Yuan Chen, Tyng-Guey Wang, Yen-Ho Wang, I-Nan Lien
Rehabilitation Practice and Science
Objectives: To better understand the current utilization of rehabilitation services and to project future trends, this study investigated the primary reasons for rehabilitation services referrals in a medical center in Taiwan. Methods: We reviewarticleed records of those patients who visited rehabilitation clinics (4,305 new and 12,163 returned patients) or received a rehabilitation consultation during their hospital stay (1,345 patients) between June and October 2007 at the National Taiwan University Hospital. The primary diagnoses of study patients were classified into 12 groups: musculoskeletal and soft tissue diseases, brain diseases, spinal cord diseases, peripheral neuropathy, myopathy, fractures and amputations, language disorders, cardiovascular …
Effect Of Perceptual Interference And Response Conflict On P300 Latency,
2010
Taiwan Academy of Physical Medicine and Rehabilitation
Effect Of Perceptual Interference And Response Conflict On P300 Latency, Yu-Shen Huang, Fen-Fen Chen
Rehabilitation Practice and Science
Background: The latency of the P300 component of the event related-potential (ERP) is an index of stimulus classification speed. In this study, we assessed the mental chronometry of stimulus discrimination and decision execution by study the effect of congruence visual stimuli and and compatibility on ERP and reaction time.Methods: The reaction time was divided into two sections based on the peak amplitude of P300. P300 latency was defined as the discrimination time needed to interpret the stimulus. The time from the peak of P300 to the initiation of movement was defined as duration of response selection. We hypothesized that congruency …
