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Background and Aim: Cerebral Palsy (CP) children are the most clients referred to occupational therapy settings. Hand function is important in Activities of Daily living .There is a hand dysfunction in most cerebral palsy children. Orthosis and splints are commonly used to improve the position, range of motion, quality of movement and function of a person's arm or hand. The aim of this study was to investigate the effects of static cock up c-bar splint on strength,spasticity, range of motion, and dominant hand function in spastic diplegic children with 8 to 12 years old. 

Materials and Methods: This interventional study is in a before-after design. Thirteen spastic diplegic cerebral palsy children with 8 to 12 years old were selected through students who studied in physical disabled schools in Tehran city and had the inclusion criteria. Patients used a static cock up c-bar splint (wrist in 10 degrees of extension and thumb in palmar abduction and opposition) for two months, 2 hours daily and 4-6 hours at night. In this study the Jebsen Taylor test was used to evaluate hand function, the Modified Ashworth Scale was used to assess spasticity of thumb, wrist and elbow, ROM of thumb, wrist and elbow were tested with goniometer and power grip was evaluated with dynamometer.  

 Results : Results showed a significant improvement in hand function (p<0.001), in wrist`s spasticity (p<0.001), elbow`s spasticity(p<0.008), palmar abduction of thumb spasticity (p<0.002), wrist`s ROM (p<0.001), Palmar abduction of thumb ROM(p<0.001) and power grip(p<0.001). The data did not show significant improvement on elbow`s joint ROM. 

Conclusion: Information from present research shows that using static cock up c-bar splint for 2 months, 2 hours a day and 4 to 6 hours nightly, can be an effective method to improve power grip, hand function, thumb, wrist and elbow spasticity and range of motion of thumb and wrist of spastic diplegic CP children.

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Background and Aim: Children's participation in leisure and recreational activities is associated with their well-being. The Purpose of this study was to compare of participation between children with cerebral palsy and typically developing peers 8-14 years old.

Materials and Methods: In this cross sectional study, 30 children with cerebral palsy (mean age: 11 years  and 1 month) from special education school and 30 typically developing peers (11 years  and 6 months) from typical schools through convenient nonprobability sampling were selected. Participants were evaluated with the Children's Assessment of Participation and Enjoyment (CAPE).The data were analyzed by spss17.

Results: There were significant differences between children with cerebral palsy and typically developing peers (p= 0.000) in diversity scale. The intensity of participation in peer group was more than children with cerebral palsy )p=0.000). No significant differences were found between the groups in the enjoyment. There were no significant main effects of gender, also significant interaction effect between group type and gender for CAPE variables.

Conclusion: The participation of peer group in most activities was more than children with cerebral palsy. Physical disability can affect participation of children in everyday activities and socialization. Knowledge about participation of cerebral palsy children can help to health care professional to establish interventions that fit with children's preferences and can promote their health and participation.

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Background and Aim:  Diabetes mellitus comprises a group of disorders associated with hyperglycemia. Diabetes can cause many complications for the person which can affect various aspects of health. This study aimed to assess the function in diabetic patients based on the International Classification of Functioning, Disability and Health (ICF).

Materials and Methods: In this cross-sectional study, evaluation of function was based on selection of assessment tools from the components of the ICF system, including the hand function (strength, dexterity, sensation), the ability to perform instrumental activities of daily living, quality of life, ability to work, social support and their self-management on 94 patients with diabetes type 1 and 2(refer to the community support for diabetic patients in Shiraz) took place. Collected data were analyzed using SPSS.

Results: In this study of the 94 participants with diabetes, 39 were male (41/5 %) and 55 females (58/5 %). 40 patients (42/6 %) with type 1 diabetes and 54 (57/4 %) patients had type 2. The results show that the strength, dexterity, sensation, self-management and work ability were significantly associated with blood sugar levels (P <0/001).

Conclusion:Using the ICF as a framework for evaluating the function and determining the health status of diabetic patients, hand function and the ability to work in patients with diabetes was not desirable. Hand function and ability to work decreases with an increase in blood sugar levels.

Keywords: Diabetes, function, International Classification of Functioning, Disability and Health.