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Article ; Online: The Authors' Reply.

Lee, Tzu-Han / Yeh, Huan-Jui

American journal of physical medicine & rehabilitation

2022 Volume 101, Issue 10, Page(s) e156–e157

Language	English
Publishing date	2022-05-14
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	219390-5
ISSN	1537-7385 ; 0002-9491 ; 0894-9115
ISSN (online)	1537-7385
ISSN	0002-9491 ; 0894-9115
DOI	10.1097/PHM.0000000000002049
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Article ; Online: Ocular Electrophysiologic Studies in a Patient With Anti-NMDA Receptor Encephalitis and Visual Dysfunction: A Case Report.

Hung, Wei-Che / Chen, Hsin-Hung / Yeh, Huan-Jui / Wang, An-Guor / Cheng, Hui-Chen

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society

2024

Language	English
Publishing date	2024-01-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	1189901-3
ISSN	1536-5166 ; 1070-8022
ISSN (online)	1536-5166
ISSN	1070-8022
DOI	10.1097/WNO.0000000000002084
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Article: Does positive feedback or appraisal about medical providers increase patients' trust and lead to better treatment outcomes? A double-blind randomized control trial.

Yeh, Huan-Jui / Cheng, Hui-Chen / Huang, Shang-Chien / Cheng, Shun-Ping

Journal of physical therapy science

2023 Volume 35, Issue 12, Page(s) 802–809

Abstract: Purpose] Trust among patients and clinical suppliers is the foundation for achieving appropriate treatment. This double-blind randomized control trial aimed to determine whether providing patients a pre-treatment physical therapists' introductions and ... ...

Abstract	[Purpose] Trust among patients and clinical suppliers is the foundation for achieving appropriate treatment. This double-blind randomized control trial aimed to determine whether providing patients a pre-treatment physical therapists' introductions and positive appraisal can enhance the trust of patients in therapists. [Participants and Methods] This study included patients diagnosed with lumbar spine spondylosis or non-acute lower back muscle strain who were divided into intervention and control groups. The previously recorded video informed the intervention group patients that they were assigned to our best therapist because of their participation. The primary outcome was evaluated twice, once before and once after the treatment, and the secondary outcome was measured using the second time pain inventory evaluation. [Results] A total of 32 patients participated in this study. No significant difference was found in patients' trust in therapists between the two groups, and a lower successful treatment rate with a higher pain influence level to daily life was noted in the intervention group. [Conclusion] Doctors who offer introductions with a positive assessment of physical therapists cannot change the trust of patients on therapists. Furthermore, this action may risk worse treatment outcomes.
Language	English
Publishing date	2023-12-01
Publishing country	Japan
Document type	Journal Article
ZDB-ID	2038898-6
ISSN	0915-5287
ISSN	0915-5287
DOI	10.1589/jpts.35.802
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Article ; Online: Effects of different types and frequencies of early rehabilitation on ventilator weaning among patients in intensive care units: A systematic review and meta-analysis.

Wu, Ruo-Yan / Yeh, Huan-Jui / Chang, Kai-Jie / Tsai, Mei-Wun

PloS one

2023 Volume 18, Issue 4, Page(s) e0284923

Abstract: Objective: This study aimed to investigate the effects of different types and frequencies of physiotherapy on ventilator weaning among patients in the intensive care unit (ICU) and to identify the optimal type and frequency of intervention.: Data ... ...

Abstract	Objective: This study aimed to investigate the effects of different types and frequencies of physiotherapy on ventilator weaning among patients in the intensive care unit (ICU) and to identify the optimal type and frequency of intervention. Data sources: PubMed, Cochrane Library, EMBASE, and Airiti Library. Study selection: Randomized controlled trials that provided information on the dosage of ICU rehabilitation and the parameters related to ventilator weaning were included. Data extraction and management: Treatment types were classified into conventional physical therapy, exercise-based physical therapy, neuromuscular electrical stimulation (NEMS), progressive mobility, and multi-component. The frequencies were divided into high (≥ 2 sessions/day or NEMS of > 60 minutes/day), moderate (one session/day, 3-7 days/week or NEMS of 30-60 minutes/day), and low (one session/day, < 3 days/week, or NEMS of < 30 minutes/day). Data synthesis: Twenty-four articles were included for systematic review and 15 out of 24 articles were analyzed in the meta-analysis. Early rehabilitation, especially the progressive mobility treatment exerted an optimal effect in reducing the ventilator duration in patients in the ICU (standardized mean difference [SMD] = 0.91; 95% confidence interval [CI] = 0.23-1.58; P < 0.01). Regarding the treatment frequency, the high-frequency intervention did not result in a favorable effect on ventilator duration compared with the moderate frequency of treatment (SMD = 0.75; 95% CI = -1.13-2.64; P = 0.43). Conclusion: Early rehabilitation with progressive mobility is highly recommended to decrease the ventilation duration received by patients in the ICU. Depending on clinical resources and the tolerance of patients, the frequency of interventions should reach moderate-to-high frequency, that is, at least one session per day and 3 days a week. Trial registration: Registration number: PROSPERO (CRD42021243331).
MeSH term(s)	Humans ; Ventilator Weaning ; Respiration, Artificial/adverse effects ; Intensive Care Units ; Ventilators, Mechanical ; Exercise Therapy
Language	English
Publishing date	2023-04-24
Publishing country	United States
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0284923
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Article ; Online: Investigating the rate of skeletal muscle atrophy in men and women in the intensive care unit: a prospective observational study.

Wu, Ruo-Yan / Sung, Wei-Hung / Cheng, Hui-Chen / Yeh, Huan-Jui

Scientific reports

2022 Volume 12, Issue 1, Page(s) 16629

Abstract: Muscle atrophy greatly affects the prognosis of patients in the intensive care unit, but the rate of change remains unclear. In this prospective observational study, we used ultrasound to measure the change in muscle thickness of the rectus femoris (RF) ... ...

Abstract	Muscle atrophy greatly affects the prognosis of patients in the intensive care unit, but the rate of change remains unclear. In this prospective observational study, we used ultrasound to measure the change in muscle thickness of the rectus femoris (RF) and vastus intermedius (VI) in 284 patients who were admitted to the SICU of Taoyuan General Hospital between January 1 and June 30, 2020. Patients were excluded if there is a wound at the right thigh which hinders the ultrasonography probe from placing. Daily rates of muscle atrophy were calculated using linear analysis and the ratios of change were plotted against the period of hospitalization. Patient characteristics were adjusted using propensity score matching and differences between men and women were analyzed. A linear mixed model was used to calculate the influence of other factors on muscle loss. The average daily atrophy rates of the RF and VI were 0.84% and 0.98%, respectively. The rate of atrophy was the highest in the third and fourth weeks. Daily atrophy rates of the RF and VI were approximately three times higher in women than in men. Protective factors of muscle atrophy included higher BMI and lower initial thickness of the RF and VI. Our study depicts the trend of muscle atrophy in the ICU and suggests more discussion in prevention to be conducted especially for women.
MeSH term(s)	Female ; Humans ; Intensive Care Units ; Male ; Muscle, Skeletal/diagnostic imaging ; Muscle, Skeletal/physiology ; Muscular Atrophy/diagnostic imaging ; Quadriceps Muscle/diagnostic imaging ; Ultrasonography
Language	English
Publishing date	2022-10-05
Publishing country	England
Document type	Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-022-21052-3
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Article ; Online: Extracorporeal Shockwave Therapy With a Modified Technique on Tendon and Ligament for Knee Osteoarthritis: A Randomized Controlled Trial.

Ho, Kun-Dong / Yang, Chia-Ling / Lo, Huei-Yu / Yeh, Huan-Jui

American journal of physical medicine & rehabilitation

2021 Volume 101, Issue 1, Page(s) 11–17

Abstract: Background: There have been no definitive guidelines on the treatment method and specific points in the body.: Purpose: The aim of the study was to investigate the effects of extracorporeal shockwave therapy on treating the main tendons and ligaments ...

Abstract	Background: There have been no definitive guidelines on the treatment method and specific points in the body. Purpose: The aim of the study was to investigate the effects of extracorporeal shockwave therapy on treating the main tendons and ligaments of knee osteoarthritis. Method: A total of 36 patients with knee osteoarthritis were enrolled in trial and organized into two groups: 3-wk extracorporeal shockwave therapy for the intervention group and 3-wk sham extracorporeal shockwave therapy for control group. Both groups received the same physical therapies: (1) transcutaneous electrical nerve stimulation, (2) magnetic field treatment, and (3) quadricep muscle strength training. Evaluation was performed before the start of treatment, at third week after the start of treatment, and 1 wk after the end of treatment. The study used randomized controlled trials (level of evidence, 1). Result: Eextracorporeal shockwave therapy group had significant improvement in WOMAC pain score, physical function, and total score (mean difference = -2.8, P < 0.001; -5.1, P = 0.02; -8.3, P = 0.004, respectively), Visual Analog Scale score (mean difference = -2.3, P < 0.001), and the distance of 6-min walk test (mean difference = 28.7, P = 0.01) in the 1 wk after the end of treatment. Statistical significance in WOMAC pain, physical function, and total scores (mean difference = -3.0, P = 0.001; -5.6, P = 0.02; -9.3, P = 0.004, respectively) and Visual Analog Scale score (mean difference = -1.2, P = 0.027) was observed between the extracorporeal shockwave therapy group and control group. Conclusions: Extracorporeal shockwave therapy for the tendons and ligaments has clinical benefits for pain and physical function improvement in knee osteoarthritis. In addition, improvement in physical performance was observed in the short-term follow-up.
MeSH term(s)	Aged ; Arthralgia/etiology ; Arthralgia/rehabilitation ; Extracorporeal Shockwave Therapy/methods ; Female ; Humans ; Knee Joint/physiopathology ; Ligaments/physiopathology ; Male ; Middle Aged ; Osteoarthritis, Knee/complications ; Osteoarthritis, Knee/rehabilitation ; Pain Measurement ; Physical Functional Performance ; Tendons/physiopathology ; Treatment Outcome
Language	English
Publishing date	2021-12-18
Publishing country	United States
Document type	Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
ZDB-ID	219390-5
ISSN	1537-7385 ; 0002-9491 ; 0894-9115
ISSN (online)	1537-7385
ISSN	0002-9491 ; 0894-9115
DOI	10.1097/PHM.0000000000001730
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Article ; Online: Association between weather and utilisation of physical therapy in patients with osteoarthritis: a case-crossover study.

Wu, Ruo-Yan / Pan, Ren-Hao / Wu, Chiung-Yi / Chan, Chien-Lung / Yeh, Huan-Jui

BMC musculoskeletal disorders

2022 Volume 23, Issue 1, Page(s) 269

Abstract: Background: During varied weather conditions, patients with osteoarthritis experience different severity of symptoms and signs. However, weather may also cause barriers or incentives for patients to seek medical services. These factors may result in ... ...

Abstract	Background: During varied weather conditions, patients with osteoarthritis experience different severity of symptoms and signs. However, weather may also cause barriers or incentives for patients to seek medical services. These factors may result in changes in medical utilisation; however, no studies have investigated whether the probability of physical therapy utilisation among patients with osteoarthritis is associated with changes in meteorological factors. Method: By using a secondary data of NHID in Taiwan, we conducted a population-based, retrospective study with case-crossover design for patients initially diagnosed with osteoarthritis between 2000 and 2013. The meteorological factors of months with the lowest treatment rate were used as patients' own control periods and compared with the parameters of months with high treatment frequency. The risk of exposure to different meteorological factors, including mean temperature, daily highest temperature, daily minimum temperature, diurnal temperature range, relative humidity, and barometric pressure, was estimated and represented by odds ratios (ORs) and 95% confidence intervals (CIs). Results: A total of 8,130 patients were recruited. Regardless of univariate or multivariable analysis, increased daily highest temperature enhanced the frequency of physical therapy (OR: 1.04; 95% CI: 1.02-1.05; p < 0.01; OR: 1.07; 95% CI: 1.04-1.10; p < 0.01). When the weather was hotter (> 23 °C), higher diurnal temperature range and humidity resulted in an increase in the utilisation of physical therapy. However, when the weather was colder (< 23 °C), reverse effects were observed. Conclusions: An increase in temperature increases the probability of physical therapy resource use. Therefore, temperature, along with other meteorological factors, may play a key role in the utilization of physical therapy among patients with osteoarthritis.
MeSH term(s)	Cross-Over Studies ; Humans ; Osteoarthritis/epidemiology ; Osteoarthritis/therapy ; Physical Therapy Modalities ; Retrospective Studies ; Weather
Language	English
Publishing date	2022-03-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2041355-5
ISSN	1471-2474 ; 1471-2474
ISSN (online)	1471-2474
ISSN	1471-2474
DOI	10.1186/s12891-022-05233-9
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Article ; Online: Long-Term Rehabilitation Utilization Pattern Among Stroke Patients Under the National Health Insurance Program.

Yeh, Huan-Jui / Chen, Ting-An / Cheng, Hui-Chen / Chou, Yiing-Jenq / Huang, Nicole

American journal of physical medicine & rehabilitation

2021 Volume 101, Issue 2, Page(s) 129–134

Abstract: Objective: The aim of this study was to understand the frequency of patients receiving rehabilitation services at various periods after stroke and the possible medical barriers to receiving rehabilitation.: Design: A retrospective cohort study was ... ...

Abstract	Objective: The aim of this study was to understand the frequency of patients receiving rehabilitation services at various periods after stroke and the possible medical barriers to receiving rehabilitation. Design: A retrospective cohort study was conducted using a nationally representative sample in Taiwan. A total of 14,600 stroke patients between 2005 and 2011 were included. Utilization of physical therapy or occupational therapy at different periods after stroke onset was the outcome variable. Individual and geographic characteristics were investigated to determine their effect on patients' probability of receiving rehabilitation. Results: More severe stroke or more comorbid diseases increased the odds of receiving physical therapy and occupational therapy; older age was associated with decreased odds. Notably, sex and stroke type influenced the odds of rehabilitation only in the early period. Copayment exemption lowered the odds of rehabilitation in the first 6 mos but increased the odds in later periods. Rural and suburban patients had significantly lower odds of receiving physical therapy and occupational therapy, as did patients living in areas with fewer rehabilitation therapists. Conclusions: Besides personal factors, geographic factors such as urban-rural gaps and number of therapists were significantly associated with the utilization of post-stroke rehabilitation care. Furthermore, the influence of certain factors, such as sex, stroke type, and copayment exemption type, changed over time.
MeSH term(s)	Aged ; Female ; Humans ; Male ; National Health Programs/statistics & numerical data ; Occupational Therapy/economics ; Occupational Therapy/statistics & numerical data ; Patient Acceptance of Health Care/statistics & numerical data ; Physical Therapy Modalities/economics ; Physical Therapy Modalities/statistics & numerical data ; Retrospective Studies ; Risk Factors ; Rural Population/statistics & numerical data ; Stroke/economics ; Stroke Rehabilitation/economics ; Stroke Rehabilitation/statistics & numerical data ; Taiwan ; Treatment Outcome ; Urban Population/statistics & numerical data
Language	English
Publishing date	2021-04-30
Publishing country	United States
Document type	Journal Article
ZDB-ID	219390-5
ISSN	1537-7385 ; 0002-9491 ; 0894-9115
ISSN (online)	1537-7385
ISSN	0002-9491 ; 0894-9115
DOI	10.1097/PHM.0000000000001747
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Article ; Online: Using convolutional neural network to analyze brain MRI images for predicting functional outcomes of stroke.

Lai, Yu-Liang / Wu, Yu-Dan / Yeh, Huan-Jui / Wu, Ya-Ting / Tsai, Hsin-Yu / Chen, Jung-Chih

Medical & biological engineering & computing

2022 Volume 60, Issue 10, Page(s) 2841–2849

Abstract: Nowadays, the physicians usually predict functional outcomes of stroke based on clinical experiences and big data, so we wish to develop a model to accurately identify imaging features for predicting functional outcomes of stroke patients. Using magnetic ...

Abstract	Nowadays, the physicians usually predict functional outcomes of stroke based on clinical experiences and big data, so we wish to develop a model to accurately identify imaging features for predicting functional outcomes of stroke patients. Using magnetic resonance imaging of ischemic and hemorrhagic stroke patients, we developed and trained a VGG-16 convolutional neural network (CNN) to predict functional outcomes after 28-day hospitalization. A total of 44 individuals (24 men and 20 women) were recruited from Taoyuan General Hospital and China Medical University Hsinchu Hospital to enroll in the study. Based on "modified Rankin Scale (mRS)" and "National Institutes of Health Stroke Scale (NIHSS)" assessments, men, women, and mixed men and women were trained separately to evaluate the differences of the results, and we have shown that VGG-16 demonstrated high accuracy in predicting the functional outcomes of stroke patients. The new deep-learning approach has provided an automated decision support system for personalized recommendations and treatments, assisting the physicians to predict functional outcomes of stroke patients in clinical practice.
MeSH term(s)	Brain/diagnostic imaging ; Brain Ischemia/diagnostic imaging ; Female ; Humans ; Magnetic Resonance Imaging/methods ; Male ; Neural Networks, Computer ; Stroke/diagnostic imaging
Language	English
Publishing date	2022-08-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	282327-5
ISSN	1741-0444 ; 0025-696X ; 0140-0118
ISSN (online)	1741-0444
ISSN	0025-696X ; 0140-0118
DOI	10.1007/s11517-022-02636-7
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Article ; Online: Critical comments on the article "Increased risk of developing psychiatric disorders in children with attention deficit and hyperactivity disorder (ADHD) receiving sensory integration therapy: a population-based cohort study".

Lai, Hsin-Yu / Hu, Chia-Chin / Kuo, Nung-Chen / Yeh, Huan-Jui

European child & adolescent psychiatry

2019 Volume 28, Issue 10, Page(s) 1407–1409

MeSH term(s)	Attention Deficit Disorder with Hyperactivity ; Child ; Cohort Studies ; Conduct Disorder ; Humans
Language	English
Publishing date	2019-03-07
Publishing country	Germany
Document type	Letter ; Comment
ZDB-ID	1118299-4
ISSN	1435-165X ; 1018-8827 ; 1433-5719
ISSN (online)	1435-165X
ISSN	1018-8827 ; 1433-5719
DOI	10.1007/s00787-019-01302-y
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