Muscle forces analysis in the shoulder mechanism during wheelchair propulsion

CMUR > College of Health Care > Department of Physical Therapy, Graduate Institute of Rehabilitation Science > Journal articles > Item 310903500/29231

Please use this identifier to cite or link to this item: http://ir.cmu.edu.tw/ir/handle/310903500/29231

Title:	Muscle forces analysis in the shoulder mechanism during wheelchair propulsion
Authors:	Lin, HT;Su, FC;Wu, HW;An, KN
Contributors:	健康照護學院物治系;Natl Cheng Kung Univ, Inst Biomed Engn, Tainan, Taiwan;China Med Univ, Sch Phys Therapy, Taichung, Taiwan;Mayo Clin & Mayo Fdn, Orthopaed Biomech Lab, Rochester, MN USA
Keywords:	muscle loading;physical rehabilitation therapy;wheelchair propulsion
Date:	2004
Issue Date:	2010-09-24 14:27:57 (UTC+8)
Publisher:	PROFESSIONAL ENGINEERING PUBLISHING LTD
Abstract:	There is no consensus on how to quantify the abnormality of upper airway structures in patients with obstructive sleep apnea (OSA). This research aimed to use morphological indicators as clinical predictors to correlate morphological stage and surgical results in OSA patients. One hundred and five patients with OSA received palatopharyngeal surgery, i.e. extended uvulopalatal flap (EUPF). Morphological indicators including modified Mallampati grade (MMP), tonsil size, and body mass index were used to stage OSA patients preoperatively. Change of respiratory disturbance index (RDI) was used to monitor change of sleep apnea events. Success rates were compared among patients of different morphological stages. One year after EUPF, the success rates of EUPF in stage I, II, and III patients were 100, 92.9 and 61.4%, respectively. Change of RDI was significantly correlated with MMP and tonsil size. MMP and tonsil size were predictive of the change of RDI (R-2 = 0.29). Morphological stage may serve as a reliable selection criterion for patients undergoing EUPF surgery and can significantly predict the change of sleep apnea events following EUPF surgery. Copyright (C) 2004 S. Karger AG, Basel.
Relation:	PROCEEDINGS OF THE INSTITUTION OF MECHANICAL ENGINEERS PART H-JOURNAL OF ENGINEERING IN MEDICINE 218(H4):213-221
Appears in Collections:	[Department of Physical Therapy, Graduate Institute of Rehabilitation Science] Journal articles

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