Review of trigeminal neuralgia in a regional neurology clinic

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A Correlation Study Between In-brace Correction, Compliance To Spinal Orthosis And Health-related Quality Of Life Of Patients With Adolescent Idiopathic Scoliosis

Background It has been proposed that in-brace correction is the best guideline for prediction of the results of brace treatment for patients with Adolescent Idiopathic Scoliosis (AIS). However, bracing may be a stressful experience for patients and bracing non-compliance could be psychologically related. The purpose of this study was to assess the correlation between brace compliance, in-brace correction and QoL of patients with AIS. Methods Fifty-five patients with a diagnosis of AIS were recruited. All were female and aged 10 years or above when a brace was prescribed, none had undergone prior treatment, and all had a Risser sign of 0–2 and a Cobb angle of 25-40°. The patients were examined in three consecutive visits with 4 to 6 months between each visit. The Chinese translated Trunk Appearance Perception Scale (TAPS), the Chinese translated Brace Questionnaires (BrQ) and the Chinese translated SRS-22 Questionnaires were used in the study. The in-brace Cobb angle, vertebral rotation and trunk listing were also measured. Patients’ compliance, in-brace correction and patients’ QoL were assessed. To identify the relationship among these three areas, logistic regression model and generalized linear model were used. Result For the compliance measure, a significant difference (p = 0.008) was detected on TAPS mean score difference between Visit 1 and Visit 2 in the least compliant group (0–8 hours) and the most compliant group (17–23 hours). In addition, a significant difference (p = 0.000) was detected on BrQ mean score difference between Visit 2 and Visit 3 in the least compliant group (0–8 hours) and the most compliant group (17–23 hours). For the orthosis effectiveness measure, no significant difference was detected between the three groups of bracing hours (0–8 hours, 9–16 hours, 17–23 hours) on in-brace correction (below 40% and 40% or above). For the QoL measure, no significant difference was detected between the two different in-brace correction groups (below 40% and 40% or above) on QoL as reflected by the TAPS, BrQ and SRS-22r mean scores. Conclusion The results showed a positive relationship between patients’ brace wear compliance and patients’ QoL. Poor compliance would cause a lower QoL.published_or_final_versio

Early experience of the acute stroke unit

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Unilateral carotid territory ischaemia and carotid artery atherosclerosis

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Characteristics of local migraine patients

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Delay in presentation, admission, and diagnostic imaging among stroke patients

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Investigation of voltage dip restorer using square wave inverter

Author name used in this publication: K. W. E. ChengAuthor name used in this publication: S. L. HoAuthor name used in this publication: K. P. WongRefereed conference paper2004-2005 > Academic research: refereed > Refereed conference paperVersion of RecordPublishe

Return to work after stroke in Hong Kong. Part 2: a psychosocial perspective

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Diagnostic approaches in tuberculous meningitis

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Short-latency somatosensory-evoked potential in patients with central nervous system space-occupying lesions: a study of 261 cases

INTRODUCTION: Short-latency somatosensory-evoked potential (SSEP) is an electrophysiological technique to study the dorsal column–medial lemniscal sensory system. Its application in central nervous system spaceoccupying lesions (CNS SOLs) has sparsely been published. METHODS: A total of 261 patients with CNS SOLs underwent SSEP before neurosurgeries. Anatomical locations of the lesions, histopathological diagnoses and prognosis were tried to correlate with the SSEP variables. RESULTS: The spinal SOLs, especially nerve sheath tumours, was associated with significant abnormalities in various variables including the central conduction time. Other anatomical sites and histopathologies did not correlate with the SSEP findings. Also SSEP did not reflect clinical prognosis. CONCLUSION: Short-latency somatosensory-evoked potential is probably not a sensitive test for CNS SOLs except spinal cord lesions. This is probably due to anatomy of the somatosensory pathway. The fact that SSEP has different sensitivities to various tumours may reflect that sensory neurons have heterogenous susceptibilities to different pathologies.published_or_final_versionThe 15th Medical Research Conference; Department of Medicine, The University of Hong Kong, Hong Kong, 16 January 2010. In Hong Kong Medical Journal, 2010, v. 16 suppl 1, p. 13, abstract no. 1