By Z. Nefarius. University of Phoenix. 2018.
Data were collected via Another assistive devices buy lumigan 3 ml low price, wearable knee orthoses discount lumigan 3 ml mastercard, can assist in lev- standardized questionnaires for 3 measurements points: t0=begin el walking or standing, but they are usually used to limit the range of rehabilitation, t1=one month after rehabilitation, t2=nine month of motion instead of providing assistance for stairs. Survey in- goal of this study is to develop a device incorporated into existing struments: Godin Leisure Time Exercise Questionnaire (physical knee orthoses to reduce the muscle demand on lower limbs for stair activity), Western Ontario and McMaster Universities Osteoarthritis descending and to evaluate its effcacy. Intervention: individu- required knee extension torque was computed from previous stud- al and group discussions, identifcation of suitable local sports pro- ies. Results: 295 patients were included in the analysis adults are asked to perform stair ascending and descending at self- (average age: 71. Over the period of nine month, all patients show statisti- and with knee orthoses and our devices on both legs. Results: The muscle activation Mean differences between the measurement points in the self-re- during the stance phase of descending when subjects use our de- ported level of physical activity (minutes per week) were only in the vice signifcantly reduce from that when subjects wear nothing. Conclusion: The study rehabilitation, patients of the intervention group show a signifcant has successfully proved that our assistive device can provide ef- higher level of physical activity than patients without professional fective intervention to reduce stair-descending muscle demand. Conclusion: The designed assistive device is able to reduce Center Göttingen, Göttingen, Germany the muscle activity of deltoid muscle while descending, which can improve the diffcult using of the hand truck on stairs. Our previous results showed that using neural information it is possible to increase the control performance of traditional 126 control methods in this patient group. The proportional control perfor- mance of two Artifcial Neural Network regressors using the two Introduction/Background: Developed with the purpose of helping feature sets was compared based on the captured kinematics. Results: The control performance with neural information walking and climb stairs up and down is essential part of every- was signifcantly better than with traditional features. This includes a can separate motor units even if their surface representations over- Cochrane review (Merholz 2013) and a randomized clinical trial lap. This is demonstrated by the observation that the total motor (Hesse 2012) where the effectiveness of use of end effector tech- unit surface area that was active during each movement was smaller nologies in combination with conventional therapy are compared than 20% of the electrode grid surface. Conclusion: Neural infor- with either conventional therapy approach only or other mechani- mation is capable to outperform traditional features in proportional cal robotic gait interventions. By defnition, on an end-effector device, patient’s feet are placed on foot plates, whose trajectories simulate the stance and swing 125 phases (Schmidt 2007). The force required to con- patients (acute and subacute) who have received end effector trol the hand truck while descending makes it diffcult to use hand electromechanical-assisted gait training in combination with physi- trucks on stairs. Therefore, the aim of this research is to design an otherapy after stroke are more likely to achieve independent walk- assistive device of hand truck to reduce the muscle activity dur- ing and ability to climb stairs. Specifcally, people in the frst three ing the stair descending process, and evaluate the effcacy of this months after stroke and those with high dependency in walking device. Material and Methods: The assistive device is designed to seem to beneft most from this type of electromechanical-assisted attach on the hand truck and can provide a 100 N-supporting force gait approach. Further studies with wider impairment-oriented training may possibly yield functionally rel- range of games are needed to cater for children of different age evant improvements. Two-way repeated- tion and Rehabiltation, Mainz, Germany measures analysis of variance was used to investigate the treatment effects. Both groups demonstrated signifcant within-group terms of mobility in this context, the use of an objective stand- improvements in motor function, muscle power, and quality of life. The tool uses an also visually interpretable array to describe an individual’s level of independ- ence regarding eight common tasks involving mobility, based on a 128 professional observer’s appraisal. Wong1 over 15,000 patients, regardless of medical condition, have been 1Monash University Malaysia, Jeffrey Cheah School of Medicine assessed by the respective therapist twice during his/her in-patient and Health Sciences, Bandar Sunway, Malaysia, 2Cheras Reha- stay. Once shortly after admission and again within 5 days of being bilitation Hospital, Department of Rehabilitation Medicine, Kuala discharged. Based on the parameters of age, sex, medical condi- Lumpur, Malaysia tion, medical department and period of in-patient stay, the results Introduction/Background: Effectiveness of physical rehabilitation can automatically be analysed. Acknowledging that family factor also play an important basis for multidisciplinary communication within the an important role in successful rehabilitation, the research team is clinical decision-making process. Signifcant physical improvements Center for Medical Statistics- Informatics- and Intelligent Systems, were noticed among S and D who played the game consistently Vienna, Austria, 4Swiss Paraplegic Research, Directorate, Lucerne, but no improvement was observed in K. It was observed that par- Switzerland ents’ commitment plays a major role in determining the success of a rehabilitation programme. All parents view the system positively, Introduction/Background: Functioning is an important outcome however time commitment has been reported to be one of the main in rehabilitation. The heterogeneity of patient-reported outcome challenges in ensuring the compliance level. To illus- 1Swiss Paraplegic Centre, Acute Care and Rehabilitation, Not- trate these methods, we have conducted secondary analysis of data twil, Switzerland, 2Swiss Paraplegic Centre Nottwil, Rehabilita- from 253 persons who participated in the Vienna Hand Osteoar- tion Quality Management, Nottwil, Switzerland, 3Swiss Paraplegic thritis Cohort Study. There are different internationally discussed testlets, all scales satisfed the assumptions of the Rasch model. Numerous patient-reported outcome measures rehabilitation clinic in Switzerland (the Swiss Paraplegic Centre, exist with similar, yet slightly different wording of items and re- Nottwil). Con- Introduction/Background: Despite the consensus on the impor- clusion: Assessments are clinically established and integrated into tance of participation as an outcome measure of rehabilitation a lot goal setting and rehabilitation. National demanded standards are of problems remain in the operational application of the concept. This data analysis serves to close the gap between combining the insiders and the outsiders perspective of the patient. Material and Methods: Objec- step would be to defne and recommend meaningful standards of tive: To examine the psychometric of the Ghent Participation Scale assessments and implement this into practice. Patients: 365 former rehabilitation outpatients from 8 diagnostic groups in 6 rehabilitation centers. The construct va- 8 9 10 lidity was supported by high correlations between subscales form son , A. More Introduction/Background: OnabotulinumtoxinA injection has been patients (n=602/715, 84. Gender was tifed onabotulinumtoxinA treatment parameters for lower-limb nearly evenly distributed (52. Conclusion: ture, use of localization techniques, and treatment adjustments for Global epidemiological data for spasticity is lacking. Recommendations were tailored toward less represents the largest existing international database prospectively experienced injectors. Results: Consensus was reached on targeted evaluating demographics and clinical characteristics of spasticity subsets of muscles for each posture. Further analyses will describe onabotu- for individual muscles and 50U–300U for postures. An onabotuli- linumtoxinA utilization patterns, treatment satisfaction, individual/ numtoxinA dilution of 50 U/mL (2:1 dilution ratio) was considered caregiver burden, and characterize the healthcare-providers treat- most appropriate; however, may vary in clinical practice (2:1 to ing spasticity.
Some deafblind people are totally these genetic conditions and difﬁculties in assessment cheap 3ml lumigan fast delivery, congen- deaf and blind purchase 3ml lumigan overnight delivery, whereas others have residual hearing and resid- ital deafblindness can sometimes be missed and hidden due to ual vision. Another categorisation of deafblindness is to discuss these disorders as either congenital or acquired deafblindness. Acquired deafblindness As in congenital deafblindness, there are many causes of acquired Congenital deafblindness deafblindness. The prevalence of acquired deafblindness is hard Congenital deafblindness is extremely rare: about 1 in 10,000 to estimate, in part depending on the deﬁnition. Causes of congenital deafblindness young and middle-aged people are included and most of the syn- include genetic syndromes, premature birth, infections, etc. It should be noted, however, that in 56 Genetics and hearing impairment old people, a severe hearing loss as well as a severe visual loss Table 4. The audiogram might sometimes show a little residual is an autosomal recessive disorder. The profound in different countries but approximately 50% of all people deafness does not allow development of speech. The next to made early in life (before two years of age), the results are describe the disease was Charles Usher in 1914. Another well as beneﬁting sound localisation later in life when vision historic landmark was the recognition by Julia Bell in 1933 of deteriorates. The ﬁrst visual symptoms can be observed The disease in the retina is degeneration. The child is insecure in darkness, clumsy, “bones spicules,” which are caused by release of pigment from etc. The fundus changes are seen rather late, thus the ﬁrst reli- the pigment epithelium, forming black spots in the retina. The clinical classiﬁcation is at present based on three This is easily assessed in small children by using video-Frenzel Deafblindness 57 during rotation. Thus screening for vestibular deﬁciency in deaf mild progression can be seen from the fourth decade. The hear- and hearing-impaired children, and a ﬁnding of a bilateral ing beneﬁts from bilateral hearing aid ampliﬁcation as early as vestibular areﬂexia, will in approximately 30% to 40% of these possible. The gene is linked to chromosome 1q and the mutation 2299delG is the expressed in many organs. The mutations present (2005) more than 80 different mutations have been are found in a gene named Usherin, which codes for a novel reported. Its exact function is and was ﬁrst described in the French Acadian population of still unclear. Genetic testing and is suggested to play a role in transmission of nerve is available on a clinical basis. The gene is not ■ Usher type Id: This condition is linked to chromosome 10q known (18). A mouse model for Usher type Id, called the Waltzer and has so far been reported in four families. The protein is related to oto- rapid and results in acquired profound deafness at the age of 30 cadherin and the gene is expressed both in the retina and in to 40 years (21). A mouse model of Usher type If has Balance: The vestibular function is, in most cases, normal been created, which is called the Ames Waltzer mouse (13). At present, one gene has been linked to with each other and in the future new research will proba- chromosome 3q25. The lence ﬁgures are likely to be underestimates due to the late age hearing loss is bilateral, symmetrical, and moderate to severe. The prevalence of type I is signiﬁ- The audiogram is down sloping with a mild-to-moderate loss at cantly higher in the northern parts of Sweden, which indicates lower frequencies and a severe-to-profound loss at higher a founder effect (24). The are genotype–phenotype correlations with differences between author knows of ﬁve individuals who all are above 20 years of different types. Treatment modalities could be antioxidants, Very few persons with Alström syndrome are over 40 years of growth hormone factors, or gene or stem cell therapy. These can be ﬁne motor skills, language delay, and autistic-spectrum behaviour abnormalities (27). This gene probably interacts with Alström syndrome is a rare autosomal recessively inherited dis- genetic modiﬁers, which could explain the large heterogeneity. Since Alström syndrome is a very complex disorder 1959 by the Swedish doctor Carl Henry Alström (25). It is affecting many organs and with a large heterogeneity, it is likely characterised by multiple organ system involvements, with that other genes are also involved in this disorder. The disorder has different clinical This disorder was ﬁrst described by Gordon Norrie in 1933. Norrie disease belongs to the category of congenital deaf- sensitivity and nystagmus. The symptoms of function and later a progressive deterioration of rod func- Norrie disease are variable and may include many organs. The localisation of the 50% of children suffer from a cardiomyopathy, which can hearing loss is in the cochlea (unpublished observations by the be misinterpreted as pulmonary infection. The vision loss is due to several abnor- darkness sensitivity and diminished vision ﬁelds. The child malities such as iris atrophy, retinopathy, pseudoglioma, and is clumsier than other children. A Usually severe mental retardation and microcephaly are rapid weight gain is usually observed even before two years found and other dysfunctions can include cryptorchidism and of age. Because of the small size of the Norrie gene, muta- many children elevated blood lipids. More than 50% develop tion detection in Norrie disease is particularly simple and fast diabetes type 2 during childhood. The hearing disorder is where four generations were affected with a progressive form of in some cases progressive from moderate to severe and at deafness. Deafblindness 59 Vision: The visual loss is severe and includes myopia, This might also explain the low-frequency hearing loss found, decreased visual acuity, constricted visual ﬁelds, and abnormal which shows similarities to Menière’s syndrome. Hearing: The hearing loss is progressive and will eventually Refsum disease be profound. A combination of cochlear loss and auditory neuropathy might be found (unpublished observations by the The disorder is named after Sigvard Refsum who in 1949 author). Other symptoms spasticity, dysphagia, dysarthria, tremor, hyperreﬂexia, and mental described are ichthyosis and dysplasia of the skeleton.
Melancholics are not mentioned in this pas- sage buy 3ml lumigan overnight delivery, but it demonstrates precisely the same thought structure as that used to describe melancholics: most of the people of noble descent (eugeneis) belong to the category of ‘the simple-minded’ (euteleis buy lumigan 3ml line, 1390 b 24; cf. In this passage, similarly to the melancholic’s ‘instability’, reference is made to the quick decline of the eugeneis, either to ‘those who are by character more inclined to madness’ (examples for this are the descendants of Alcibiades and Dionysus) or to stupidity and obtuseness (belter©a kaª nwqr»thv; 1390 b 27–30). It appears that these two forms of degeneration correspond very well with both the ‘manic-passionate’ and ‘depressive-cold’ expressions of the melancholic nature in Pr. A consideration of the physiological aspect to people’s mental processes and ethical behaviour, as is done frequently in the Problemata,89 turns out 89 On this tendency of the Problemata, which is sometimes unfortunately referred to as ‘materialistic’, see Flashar (1962) 329ff. Aristotle on melancholy 167 to be an approach that Aristotle fully recognises and which he provides with a methodological foundation; it is by no means incompatible with the more ‘psychological’ approach demonstrated in particular in the Ethics, and Aristotle considers it rather as complementary. Whether the text of the chapter goes back to a treatise on melancholy that may have been part of Aristotle’s lost Problemata or whether it goes back to an attempt made by a later Peripatetic (perhaps Theophrastus)91 to systematise the scattered statements of the Master, will remain unknown. In any case, our analysis of the chapter, in particular of the author’s two different objectives, and of the prima facie disproportionate discussion of these objectives, has shown that it is possible to read the text as a deliberate attempt to explain an observation that would at ﬁrst sight be unthinkable in Aristotle’s philosophy (i. Ascription can only be based on the statement in 954 a 20–1 (erhtai d safsteron perª toÅtwn n to±v perª pur»v) and the fact that Diogenes Laertius (5. The former argument has proved to be rather weak: as Flashar (1962, 671) must admit, the statement is not really in line with Theophrastus’ writing De igne. One might point to chapter 35, but precisely at the relevant point the text of the passage is uncertain, and even if one accepts Gercke’s conjecture di¼ kaª toiaÓta qerm»tata t purwqnta kaqper s©dhrov, the parallel is not very speciﬁc (safsteron). The statement would make more sense as a reference to a lost book on ﬁre in the Problemata (see Flashar (1962) 671) or the Aristotelian treatment of heat and ﬁre in Part. Yet even if one is prepared to accept the statement as referring to Theophrastus’ De igne, there is the possibility that the Peripatetic editor/compilator of the Problemata collection is responsible for this, and it need not imply that the theory presented in the chapter is originally from Theophrastus (see Flashar (1956) 45 n. These terms correspond to Aristotle’s usage, whereas the word melagcol©a reminds one either of the Hippocratic names for melancholic diseases (for instance Airs, Waters, Places 10, 12; 52, 7 Diller) or of Theophrastus’ theory on character. This way, the explanation of the anomalia¯ and the variety of expressions of the melancholic nature serves to answer the chapter’s opening question, which at the end should not look quite so un- Aristotelian (and indeed no longer does) as at the start. Finally, this chapter should hopefully provide a starting-point for a re- newed testing of the working hypothesis that those parts of the Problemata that have been passed on to us can be used as testimonies of Aristotle’s views, on the understanding that these passages do not contradict the authentic texts. These occurrences do not really seem to contradict the statements made by Aristotle (perhaps with the exception of 860 b 21ff. However, only an in-depth analysis of these at times very difﬁcult passages can more clearly deﬁne the precise relationshipwithAristotle’sconcept. For a rather sceptical view on the working hypothesis see Flashar (1962) 303 and 315. As a result, dreams were mostly approached with caution because of their ambiguous nature. The Greeks realised that dreams, while often presenting many similarities with daytime experiences, may at the same time be bizarre or monstrous. This ambiguity gave rise to questions such as: is what appears to us in the dream real or not, and, if it is real, in what sense? What kind 1 perª d tän tekmhr©wn tän n to±sin Ìpnoisin Âstiv ½rqäv gnwke, meglhn conta dÅnamin eËrsei pr¼v panta, On Regimen 4. For general surveys of Greek thought on dreams see van Lieshout (1980) and Guidorizzi (1988); for discussions of early and classical Greek thought on sleep see Calabi (1984), Marelli (1979–80) and (1983), Wohrle (¨ 1995) and Byl (1998). In the ﬁfth and the fourth centuries bce we can see a growing concern with the nature of dreams and with the kind of information they were believed to provide among philosophers (Heraclitus, Plato, Democritus), physicians (such as the Hippocratic author just quoted), poets (Pindar) and historians (Herodotus). In this context of intellectual and theoreti- cal reﬂection on the phenomenon of dreaming, Aristotle’s two works On Dreams (Insomn. At the same time, Aristotle’s style in these treatises is characteristically elliptical, and they present numerous problems of inter- pretation. In this chapter I will of course say something about the contents of this theory and its connection with other parts of Aristotle’s work; but the emphasis will be on the methodology which Aristotle adopts in these writings. First, I will deal with how Aristotle arrived at his theory, with particular consideration of the relation between theoretical presuppositions and empirical observations in both works. We know that Aristotle in his biological works often insists on the importance of collecting empirical evidence in order to substantiate ‘theories’ or ‘accounts’ (logoi) of nature. He sometimes takes other thinkers to task for their lack of concern with empirical corroboration of their theories, or he even accuses his opponents of manipulating the facts in order to make them consistent with their theories. My second question concerns the ratio underlying Aristotle’s treatment, especially the selection of topics he deals with and the order in which they are 5 For a translation with introduction and commentary of these works see van der Eijk (1994); see also Pigeaud (1995); Gallop (1996) (a revised edition of his ); Dont (¨ 1997); Morel (2000); Repici (2003). For although Aristotle, within the scope of these short treatises, covers an admirable amount of topics and aspects of the phenomenon of dreaming with a sometimes striking degree of sophistication, it is at the same time remarkable that some important aspects of dreaming are not treated at all – aspects which are of interest not only to us, but also to Aristotle’s contemporaries. Nor does he pay serious attention to the interpretation of dreams: he only makes some very general remarks about this towards the end (464 b 9–16); he does not specify the rules for a correct interpretation of dreams. Yet the meaning of dreams was what the Greeks were most concerned with, and we know that in Aristotle’s time there existed professional dream interpreters who used highly elaborated techniques to establish the meaning of dreams. This lack of interest calls for an explanation, for not only does experience evidently suggest that these mental operations are possible in sleep, but there was also a powerful tradition in Greek thought, widespread in Aristotle’s time, that some mental operations, such as abstract thinking (nous), could function better and more accurately in sleep than in the waking state, because they were believed to be ‘set free’ in sleep from the restrictions posed by the soul’s incorporation in the body. Now, in response to this, one could argue that Aristotle was under no constraint from earlier traditions to discuss these points, for early and clas- sical Greek thought tends to display rather ambivalent attitudes to the phenomenon of sleep, and in particular to whether we can exercise our cognitive faculties in sleep. On the one hand, there was a strand in Greek thought, especially in some medical circles, in which sleep was deﬁned negatively as the absence of a number of activities and abilities that are characteristic of the waking life, such as sense-perception, movement, con- sciousness and thinking. And as we shall see in a moment, Aristotle’s theory of sleep shows strong similarities to this tradition. On the other hand, there was also a strand in Greek thought, represented both in Orphic circles but 8 See del Corno (1982). These experiences and impulses can be subdivided into stimuli that have their origin within the dreamer and those that come from outside. The external stimuli can in their turn be subdivided into two categories: those that have their origin in the natural world, and those that come from the supernatural (gods, demons, etc. A similar, related ambivalence surrounded the question whether the sleeping life of an individual presents a complete negation of the character and personality of his/her waking life, or whether there is some connection or continuity between the two states. It would seem that if one deﬁnes sleep negatively (as Aristotle does) as an incapacitation of our powers of consciousness, the consequence would be that in the sleeping state the characteristics of our individual personalities are somehow inactivated: it would be as if, in sleep, we lose our identity and temporarily become like a plant. Yet, paradoxically, this negative view also allowed a positive valuation of the state of sleep.
Material and Methods: This is 16-month ducted in Pediatric Rehabilitation Clinic in University of Malaya old boy discount lumigan 3ml with mastercard, born by forceps with a fetal distress purchase lumigan 3ml without prescription. The child underwent a soft rehabilitation and past 6 weeks was documented to assess compliance. He took initially Baclofen, which was stopped because graphic and medical background data were obtained from caregiv- of convulsions. Spinal deformity is common in cerebral palsy and will result 718 in functional impairment and pain. The basic data including age, sex, and Gross Motor 1 Fudan University Huashan Hospital, Department of Rehabilita- Function Classifcation System were recorded. We retrospectively tion Medicine, Shanghai, China reviewed the radiographs to assess the progression of the scoliosis and analyze the factors related to the severity of scoliosis. Results: Introduction/Background: Transcutaneous electrical acupoint stim- There were 34 participants recruited in this study. During the four year follow up, there were respiratory diseases, pain and enhancing motor functions of stroke fve participants who have rapid progression of scoliotic curve. Those who have a spinal ercise was performed 40 minutes per day, 5 days per week in both curve above 40 degrees before age 12 years have higher risk of groups. Recently Mariko Taniguchi-Ikeda et al succeeded in vious, though without statistical signifcance (p=0. Material and Methods: We collected clinical data promoting motor functions in children with cerebral palsy. Fine and gross motor development of the blind babies are crucial in order to achieve maximum independence. Zhou3 Material and Methods: The longitudinal study compared the de- 1Kunming, China, 2Honghe University, Rehabilitation, Honghe, velopmental data concerning 9 motor skills of 11 blind children China, 3The Second Peoples Hospital of Honghe Prefecture, Reha- (retinopathy of prematurity) from Special Care Center “Speranta” bilitation, Yunnan, China Timisoara with age 2 months -3 years old, to a control group of sighted children at the same age. Objectives: to establish the age Introduction/Background: To explore the behavior and signifcance when they perform the milestones; to evaluate the motor behavior of distinctive neonate disposal during the Mang in the natural state. Results: The results the motor development of blind children tion were carried out to the Mang in China. Results: After 20 years was delayed in all the stages, but signifcant in 5 motor skills that trace and a cross-sectional investigation, none of children with cer- were examined (p<0. This delay shows the major importance ebral palsy or mental retardation and 1 case of children with suspi- of vision in motor development and in self-care skills, but also is cious mental problem were found. Conclusion: In the absence of modern medical means, Conclusion: Early intervention and individualized programs of the dispose of the neonates with distinctive method in the Mang is the physiotherapist for the achievement of maximum potential of to abandon therapies of “problem newborn” initiatively, which is to the child, a safe and an adequate stimulating environment, proper prevent the waste of resource in maximum. It is the unique choice handling could shorten the motor developmental delay and could of the Mang to follow the natural law for racial maintenance. Yoshitada5 1 Introduction/Background: To summarize the clinical features and Kobe University Hospital, Department of Rehabilitation Medi- the genetic factors of Sotos syndrome and to look for an effective cine, Kobe, Japan, 2Kobe University Graduate School of Medicine, method to rehabilitate. Material and Methods: Report the clinical Department of Orthopaedic Surgery, Kobe, Japan, 3Kobe Univer- manifestation, genetic testing results and other relevant factors of sity Graduate School of Medicine, Department of Pediatrics, Kobe, a patient with Sotos syndrome and review the literatures. Results: Japan, 4Kobe University Graduate School of Medicine, Depart- Sotos syndrome is a overgrowth syndrome, which features mainly ment of Neurology/Molecular Brain Science, Kobe, Japan, 5Kobe overgrowth in childhood, craniofacial abnormalities, developmen- University Graduate School of Medicine, Division of Rehabilita- tal delay and learning diffculties, meanwhile with some different tion Medicine, Kobe, Japan characteristics. Orthopaedic management of the club foot in The Prof Dr R 1University Malaysia Sabah, Faculty of Medicine and Health Sci- Soeharso Ortopaedic Hospital using the Ponseti method. Manage- ence, Kota Kinabalu, Malaysia, 2University Kebangsaan Malaysia, ment of Rehabilitation Medicine for the club foot is maintained Rehabilitation Unit- Department of Orthopaedics and Traumatol- the corrected club foot after the period of conservative treatment ogy- Faculty of Medicine, Kuala Lumpur, Malaysia, 3University of with Ponseti serial cast by Orthopedic Surgeon. Material and Methods: This study used cross sectional de- Introduction/Background: In the early childhood years, children sign with data collected from the medical records from Jan at 2013 begin to learn fundamental motor skills which is not maturation- until Dec at 2014. Flexibility assessment of the foot by measuring ally driven but requires environmental support and multiple op- of cavus, adductus, varus and equinus degrees pre Ponseti cast, pre portunities to acquire and hone these skills. These samples included 18 children, or has been linked to other areas of development such as language 27 feet, due to not all the children had bilateral club foot. Results: and social skills, working memory and verbal fuency, children’s the number of baby boy is more dominant for 11 children (61. Results: Twenty three autism, 8 treatment to maintained the correction of the club foot. All the children had normal ability 724 with audition, limb (left) and overall health. Left eye and right eye abilities were lack- 1Bundang Jesaeng General Hospital, Department of Rehabilitation ing in 5. Lacking in right limb abilities Medicine, Seong-nam si- Gyounggi-do, Republic of Korea was in 2. The data 1University of Padjadjaran, Physical Medicine & Rehabilitation, were analyzed using frequency analysis. Results: At the domain Bandung, Indonesia level, the activities and participation domain was highly checked in the all age groups. Items related with activities of daily lives were Introduction/Background: Most children with arthrogryposis have frequently mentioned. In the body functions domain, mental functions of lan- their potential functional. Rehabilitation programs aim to achieve guage, mobility of joint functions, and gait pattern functions were their fullest potential to facilitate and promote maximal independ- J Rehabil Med Suppl 55 Poster Abstracts 211 ent function in mobilization, activities of daily life and so improve 728 quality of life. X ray of upper and lower extremi- tion Department, Kunming, China ties revealed arthrogryposis of these joints. Serial casting Introduction/Background: To discuss the common causes of in- was undertaken at the age of 5 days to 3 months once a week in fants’ emeses in the course of hyperbaric oxygen therapy and fnd Orthopaedics Department. Cock up splint was un- The top four reasons of infants vomiting in the course of hyperbaric dertaken at the age of 7 months to present. Researchers took appropriate measures depend- Results: Range of motion of contracted joints has been increased ing on the situations. Mobilization function including sit- advance, the rest all had a normal and safe therapy and no asphyxia ting independently from prone position, standing and side to side happened. Conclusion: Not following the before entering cabin di- walking with support has been achieved. However, hand dexterity etary guidance combining crying in the cabin is the main cause is poor and no improvement in fne motor skill. Taking appropriate eral services in rehabilitation can improve functional performance measures according to the different situations, end the therapy in in arthrogryposis. Further follow up and evaluation of interventions advance if necessary, is the effective measure to make sure infants is still be needed to achieve optimal function in mobilization and will not be chocked on vomits.