Research Report Abstracts - Gesundheit

WPT2011, Research Report Abstracts eS691
rehabilitation services from 2004 to 2008. In cases received
rehabilitation services, the rise in percentage coded cancer
was similar to the rise in percentage of admissions coded cancer.
The utilization of rehabilitation in cancer cases was less
than half of which in non-cancer cases. Sixty eight percent
of rehabilitation services were delivered to cases admission
to orthopedics (25.6%), neurology (14.4%), rehabilitation
(11.9%), neurosurgery (9.2%), and medical (7.7%) departments.
Physical therapy accounted for more than 70% of
rehabilitation services. In cases coded cancer and received
rehabilitation, higher utilization in admissions of rehabilitation,
orthopedics, neurology, neurosurgery wards were noted.
The utilization of rehabilitation services was relatively lower
in departments with higher percentage of cancer admissions
such as hematology oncology ward.
Conclusions: In Taiwan, a rise in utilization of rehabilitation
service during hospitalization among people with cancer
was found. The increase of utilization might just because of
increasing admissions coded cancer, and also might indicate
increasing rehabilitation need of patients with cancer.
Implications: Rehabilitation services used in cancer patients
during hospitalization were mainly for system-specific
impairments. Further researches are needed for implications
in delivery of services for cancer specific rehabilitation needs.
Keywords: Cancer; Rehabilitation service; Utilization
Funding acknowledgements: This study is based in part on
data from the National Health Insurance Research Database
provided by the Bureau of National Health Insurance, Department
of Health and managed by National Health Research
Institutes. The interpretation and conclusions contained
herein do not represent those of Bureau of National Health
Insurance, Department of Health or National Health Research
Institutes.
Ethics approval: N/A.
Research Report Poster Display
Number: RR-PO-209-9-Tue Tuesday 21 June 13:00
RAI: Exhibit Halls2&3
RELATIONSHIPS BETWEEN CLINICAL
SENSORIMOTOR PERFORMANCE AND
STRUCTURAL INTEGRITY OF POSTERIOR
COLUMN-MEDIAL LEMNISCUS AND
CORTICOSPINAL TRACTS IN PATIENTS WITH
CHRONIC STROKE
Tang P.-F. 1 , Lin I.-C. 1 , Chen H.-I. 1,2 , Chu Y.-H. 1,3 , Tseng
W.-Y.I. 4
1School and Graduate Institute of Physical Therapy, College
of Medicine, National Taiwan University, Taipei, Taiwan,
2Department of Physical Therapy, Hungkuang University,
Taichung, Taiwan, 3Department of Physical Therapy, Graduate
Institute of Rehabilitation Science, China Medical
University, Taichung, Taiwan, 4Center for Optoelectronic
Biomedicine, College of Medicine, National Taiwan University,
Taipei, Taiwan
Purpose: This study was aimed to: (1) compare the differences
in structural integrity of the posterior column-medial
lemniscus tracts (PCMLs) and corticospinal tracts (CSTs)
between the two hemispheres of patients with chronic stroke
using diffusion spectrum MR imaging (DSI) and (2) investigate
the correlations between structural integrity of the PCML
and CST fibers of the affected hemisphere and clinical sensorimotor
performance in these patients.
Relevance: This study provided evidence for the relationships
between sensorimotor function measures and structural
integrity measures of brain sensorimotor tracts in patients
with chronic stroke.
Participants: Six patients (3 females and 3 males;
age = 61.8 ± 6.8 years) with first-ever stroke (post-onset
year = 1.6 ± 1.3 years) received DSI scans of the brain and
clinical assessments of sensorimotor functions using the
Fugl-Meyer Assessment.
Methods: The DSI scans were performed on a3Tesla
MRI system using the pulsed-gradient spin-echo echo-planar
imaging sequence. Clinical assessments included the lower
extremity motor and sensory sections of the Fugl-Meyer
Assessment (FMA M and FMA S).
Analysis: Structural integrity of the CST and PCML tracts
was measured by calculating the general fractional anisotropy
(GFA) of the CST segment above the internal capsule
(GFA AIC) and of the PCML segment above the thalamus
(GFA AT), respectively. The higher the GFA values,
the better the integrity of the tracts. Between-hemisphere
comparisons of the GFA AIC and GFA AT values were performed
using the Wilcoxon Singed-Rank test. Correlation
between the GFA values and the FMA scores were analyzed
using the Spearman’s rho.
Results: The mean FMA M and FMA S scores of the stroke
subjects were 26.7 ± 7.3 and 12 ± 0, respectively, indicating
that these patients had mild-to-moderate residual motor