Randomized comparison trial of balance training by using exergaming and conventional weight-shift therapy in patients with chronic stroke.
Identifieur interne : 000915 ( Main/Exploration ); précédent : 000914; suivant : 000916Randomized comparison trial of balance training by using exergaming and conventional weight-shift therapy in patients with chronic stroke.
Auteurs : Jen-Wen Hung [Taïwan] ; Chiung-Xia Chou [Taïwan] ; Yen-Wei Hsieh [Taïwan] ; Wen-Chi Wu [Taïwan] ; Min-Yuan Yu [Taïwan] ; Po-Chih Chen [Taïwan] ; Hsueh-Fen Chang [Taïwan] ; Shan-Er Ding [Taïwan]Source :
- Archives of physical medicine and rehabilitation [ 1532-821X ] ; 2014.
Descripteurs français
- KwdFr :
- Accident vasculaire cérébral (complications), Accident vasculaire cérébral (physiopathologie), Adulte d'âge moyen (MeSH), Femelle (MeSH), Force musculaire (MeSH), Humains (MeSH), Jeux vidéo (MeSH), Maladie chronique (MeSH), Mise en charge (MeSH), Mâle (MeSH), Méthode en simple aveugle (MeSH), Réadaptation après un accident vasculaire cérébral (MeSH), Résultat thérapeutique (MeSH), Sensation vertigineuse (physiopathologie), Sensation vertigineuse (rééducation et réadaptation), Sensation vertigineuse (étiologie), Techniques de physiothérapie (MeSH), Traitement par les exercices physiques (MeSH), Équilibre postural (MeSH), Études de faisabilité (MeSH), Études de suivi (MeSH).
- MESH :
- physiopathologie : Accident vasculaire cérébral, Sensation vertigineuse.
- rééducation et réadaptation : Sensation vertigineuse.
- étiologie : Sensation vertigineuse.
- complications : Accident vasculaire cérébral, Adulte d'âge moyen, Femelle, Force musculaire, Humains, Jeux vidéo, Maladie chronique, Mise en charge, Mâle, Méthode en simple aveugle, Réadaptation après un accident vasculaire cérébral, Résultat thérapeutique, Techniques de physiothérapie, Traitement par les exercices physiques, Équilibre postural, Études de faisabilité, Études de suivi.
English descriptors
- KwdEn :
- Chronic Disease (MeSH), Dizziness (etiology), Dizziness (physiopathology), Dizziness (rehabilitation), Exercise Therapy (MeSH), Feasibility Studies (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Muscle Strength (MeSH), Physical Therapy Modalities (MeSH), Postural Balance (MeSH), Single-Blind Method (MeSH), Stroke (complications), Stroke (physiopathology), Stroke Rehabilitation (MeSH), Treatment Outcome (MeSH), Video Games (MeSH), Weight-Bearing (MeSH).
- MESH :
- complications : Stroke.
- etiology : Dizziness.
- physiopathology : Dizziness, Stroke.
- rehabilitation : Dizziness.
- Chronic Disease, Exercise Therapy, Feasibility Studies, Female, Follow-Up Studies, Humans, Male, Middle Aged, Muscle Strength, Physical Therapy Modalities, Postural Balance, Single-Blind Method, Stroke Rehabilitation, Treatment Outcome, Video Games, Weight-Bearing.
Abstract
OBJECTIVE
To compare the effects of exergaming with conventional weight-shift training on balance function in patients with chronic stroke.
DESIGN
Single-blind randomized controlled trial.
SETTING
Medical center.
PARTICIPANTS
Patients (N=30) with chronic stroke and balance deficits.
INTERVENTIONS
Twelve weeks of Wii Fit training or conventional weight-shift training.
MAIN OUTCOME MEASURES
Static balance was assessed using posturography. We recorded the stability index and percentage of weight bearing on the affected leg in 8 positions. We also used the timed Up and Go and forward reach tests for dynamic balance evaluation, Falls Efficacy Scale-International for fear of falling assessment, and Physical Activity Enjoyment Scale for estimating the enjoyment of training.
RESULTS
The exergaming group showed more improvement in stability index than the control group in head straight with eyes open while standing on a foam surface, eyes closed while standing on a solid surface with head turned 30° to the left, and eyes closed while standing on a solid surface with head turned up positions (time-group interaction P=.02, .04, and .03, respectively); however, the effects were not maintained. At 3-month follow-up, the control group showed more improvement in weight-bearing symmetry in the head straight with eyes open while standing on a solid surface position than the exergaming group (time-group interaction P=.03). Both groups showed improvement in the timed Up and Go test, forward reach test, and fear of falling. The improvement in fear of falling was not maintained. The exergaming group enjoyed training more than the control group (P=.03).
CONCLUSIONS
Exergaming is enjoyable and effective for patients with chronic stroke.
DOI: 10.1016/j.apmr.2014.04.029
PubMed: 24862764
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chronic Disease (MeSH)</term>
<term>Dizziness (etiology)</term>
<term>Dizziness (physiopathology)</term>
<term>Dizziness (rehabilitation)</term>
<term>Exercise Therapy (MeSH)</term>
<term>Feasibility Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Follow-Up Studies (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Muscle Strength (MeSH)</term>
<term>Physical Therapy Modalities (MeSH)</term>
<term>Postural Balance (MeSH)</term>
<term>Single-Blind Method (MeSH)</term>
<term>Stroke (complications)</term>
<term>Stroke (physiopathology)</term>
<term>Stroke Rehabilitation (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
<term>Video Games (MeSH)</term>
<term>Weight-Bearing (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral (complications)</term>
<term>Accident vasculaire cérébral (physiopathologie)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Force musculaire (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Jeux vidéo (MeSH)</term>
<term>Maladie chronique (MeSH)</term>
<term>Mise en charge (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Méthode en simple aveugle (MeSH)</term>
<term>Réadaptation après un accident vasculaire cérébral (MeSH)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sensation vertigineuse (physiopathologie)</term>
<term>Sensation vertigineuse (rééducation et réadaptation)</term>
<term>Sensation vertigineuse (étiologie)</term>
<term>Techniques de physiothérapie (MeSH)</term>
<term>Traitement par les exercices physiques (MeSH)</term>
<term>Équilibre postural (MeSH)</term>
<term>Études de faisabilité (MeSH)</term>
<term>Études de suivi (MeSH)</term>
</keywords>
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</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dizziness</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Sensation vertigineuse</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dizziness</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Dizziness</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Sensation vertigineuse</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Sensation vertigineuse</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Chronic Disease</term>
<term>Exercise Therapy</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Muscle Strength</term>
<term>Physical Therapy Modalities</term>
<term>Postural Balance</term>
<term>Single-Blind Method</term>
<term>Stroke Rehabilitation</term>
<term>Treatment Outcome</term>
<term>Video Games</term>
<term>Weight-Bearing</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Force musculaire</term>
<term>Humains</term>
<term>Jeux vidéo</term>
<term>Maladie chronique</term>
<term>Mise en charge</term>
<term>Mâle</term>
<term>Méthode en simple aveugle</term>
<term>Réadaptation après un accident vasculaire cérébral</term>
<term>Résultat thérapeutique</term>
<term>Techniques de physiothérapie</term>
<term>Traitement par les exercices physiques</term>
<term>Équilibre postural</term>
<term>Études de faisabilité</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To compare the effects of exergaming with conventional weight-shift training on balance function in patients with chronic stroke.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>Single-blind randomized controlled trial.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTING</b>
</p>
<p>Medical center.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b>
</p>
<p>Patients (N=30) with chronic stroke and balance deficits.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b>
</p>
<p>Twelve weeks of Wii Fit training or conventional weight-shift training.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b>
</p>
<p>Static balance was assessed using posturography. We recorded the stability index and percentage of weight bearing on the affected leg in 8 positions. We also used the timed Up and Go and forward reach tests for dynamic balance evaluation, Falls Efficacy Scale-International for fear of falling assessment, and Physical Activity Enjoyment Scale for estimating the enjoyment of training.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>The exergaming group showed more improvement in stability index than the control group in head straight with eyes open while standing on a foam surface, eyes closed while standing on a solid surface with head turned 30° to the left, and eyes closed while standing on a solid surface with head turned up positions (time-group interaction P=.02, .04, and .03, respectively); however, the effects were not maintained. At 3-month follow-up, the control group showed more improvement in weight-bearing symmetry in the head straight with eyes open while standing on a solid surface position than the exergaming group (time-group interaction P=.03). Both groups showed improvement in the timed Up and Go test, forward reach test, and fear of falling. The improvement in fear of falling was not maintained. The exergaming group enjoyed training more than the control group (P=.03).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Exergaming is enjoyable and effective for patients with chronic stroke.</p>
</div>
</front>
</TEI>
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<Month>10</Month>
<Day>21</Day>
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<Month>11</Month>
<Day>25</Day>
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<Issue>9</Issue>
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<Title>Archives of physical medicine and rehabilitation</Title>
<ISOAbbreviation>Arch Phys Med Rehabil</ISOAbbreviation>
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<ArticleTitle>Randomized comparison trial of balance training by using exergaming and conventional weight-shift therapy in patients with chronic stroke.</ArticleTitle>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare the effects of exergaming with conventional weight-shift training on balance function in patients with chronic stroke.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Single-blind randomized controlled trial.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Medical center.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Patients (N=30) with chronic stroke and balance deficits.</AbstractText>
<AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">Twelve weeks of Wii Fit training or conventional weight-shift training.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Static balance was assessed using posturography. We recorded the stability index and percentage of weight bearing on the affected leg in 8 positions. We also used the timed Up and Go and forward reach tests for dynamic balance evaluation, Falls Efficacy Scale-International for fear of falling assessment, and Physical Activity Enjoyment Scale for estimating the enjoyment of training.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The exergaming group showed more improvement in stability index than the control group in head straight with eyes open while standing on a foam surface, eyes closed while standing on a solid surface with head turned 30° to the left, and eyes closed while standing on a solid surface with head turned up positions (time-group interaction P=.02, .04, and .03, respectively); however, the effects were not maintained. At 3-month follow-up, the control group showed more improvement in weight-bearing symmetry in the head straight with eyes open while standing on a solid surface position than the exergaming group (time-group interaction P=.03). Both groups showed improvement in the timed Up and Go test, forward reach test, and fear of falling. The improvement in fear of falling was not maintained. The exergaming group enjoyed training more than the control group (P=.03).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Exergaming is enjoyable and effective for patients with chronic stroke.</AbstractText>
<CopyrightInformation>Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hung</LastName>
<ForeName>Jen-Wen</ForeName>
<Initials>JW</Initials>
<AffiliationInfo><Affiliation>Department of Rehabilitation, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan. Electronic address: hung0702@adm.cgmh.org.tw.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chou</LastName>
<ForeName>Chiung-Xia</ForeName>
<Initials>CX</Initials>
<AffiliationInfo><Affiliation>Department of Rehabilitation, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hsieh</LastName>
<ForeName>Yen-Wei</ForeName>
<Initials>YW</Initials>
<AffiliationInfo><Affiliation>Department of Rehabilitation, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wu</LastName>
<ForeName>Wen-Chi</ForeName>
<Initials>WC</Initials>
<AffiliationInfo><Affiliation>Department of Rehabilitation, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yu</LastName>
<ForeName>Min-Yuan</ForeName>
<Initials>MY</Initials>
<AffiliationInfo><Affiliation>Department of Rehabilitation, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chen</LastName>
<ForeName>Po-Chih</ForeName>
<Initials>PC</Initials>
<AffiliationInfo><Affiliation>Department of Rehabilitation, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chang</LastName>
<ForeName>Hsueh-Fen</ForeName>
<Initials>HF</Initials>
<AffiliationInfo><Affiliation>Department of Rehabilitation, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ding</LastName>
<ForeName>Shan-Er</ForeName>
<Initials>SE</Initials>
<AffiliationInfo><Affiliation>Department of Rehabilitation, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016449">Randomized Controlled Trial</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2014</Year>
<Month>05</Month>
<Day>23</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Arch Phys Med Rehabil</MedlineTA>
<NlmUniqueID>2985158R</NlmUniqueID>
<ISSNLinking>0003-9993</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004244" MajorTopicYN="N">Dizziness</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005081" MajorTopicYN="N">Exercise Therapy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005240" MajorTopicYN="N">Feasibility Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D053580" MajorTopicYN="N">Muscle Strength</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D026741" MajorTopicYN="N">Physical Therapy Modalities</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004856" MajorTopicYN="Y">Postural Balance</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016037" MajorTopicYN="N">Single-Blind Method</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000071939" MajorTopicYN="Y">Stroke Rehabilitation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018910" MajorTopicYN="Y">Video Games</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016474" MajorTopicYN="Y">Weight-Bearing</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Feedback, sensory</Keyword>
<Keyword MajorTopicYN="N">Postural balance</Keyword>
<Keyword MajorTopicYN="N">Rehabilitation</Keyword>
<Keyword MajorTopicYN="N">Stroke</Keyword>
<Keyword MajorTopicYN="N">Video games</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year>
<Month>02</Month>
<Day>05</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2014</Year>
<Month>04</Month>
<Day>22</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2014</Year>
<Month>5</Month>
<Day>28</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2014</Year>
<Month>5</Month>
<Day>28</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2014</Year>
<Month>10</Month>
<Day>22</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">24862764</ArticleId>
<ArticleId IdType="pii">S0003-9993(14)00366-9</ArticleId>
<ArticleId IdType="doi">10.1016/j.apmr.2014.04.029</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Taïwan</li>
</country>
</list>
<tree><country name="Taïwan"><noRegion><name sortKey="Hung, Jen Wen" sort="Hung, Jen Wen" uniqKey="Hung J" first="Jen-Wen" last="Hung">Jen-Wen Hung</name>
</noRegion>
<name sortKey="Chang, Hsueh Fen" sort="Chang, Hsueh Fen" uniqKey="Chang H" first="Hsueh-Fen" last="Chang">Hsueh-Fen Chang</name>
<name sortKey="Chen, Po Chih" sort="Chen, Po Chih" uniqKey="Chen P" first="Po-Chih" last="Chen">Po-Chih Chen</name>
<name sortKey="Chou, Chiung Xia" sort="Chou, Chiung Xia" uniqKey="Chou C" first="Chiung-Xia" last="Chou">Chiung-Xia Chou</name>
<name sortKey="Ding, Shan Er" sort="Ding, Shan Er" uniqKey="Ding S" first="Shan-Er" last="Ding">Shan-Er Ding</name>
<name sortKey="Hsieh, Yen Wei" sort="Hsieh, Yen Wei" uniqKey="Hsieh Y" first="Yen-Wei" last="Hsieh">Yen-Wei Hsieh</name>
<name sortKey="Wu, Wen Chi" sort="Wu, Wen Chi" uniqKey="Wu W" first="Wen-Chi" last="Wu">Wen-Chi Wu</name>
<name sortKey="Yu, Min Yuan" sort="Yu, Min Yuan" uniqKey="Yu M" first="Min-Yuan" last="Yu">Min-Yuan Yu</name>
</country>
</tree>
</affiliations>
</record>
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