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Background and aim: The aim of this study was to determine effect of home based lovaas approach on social interaction, Speech and language, Play and behavior skills, and intensity of autism in young children with Autism

Materials & Methods: This study was a quasi-experimental, interventional pre/post design. Thirty children with Autism were selected by convenience sampling in a rehabilitation center by matching closely, 8 years old, in Tehran city.

The impact of lovaas approach was evaluated in children with Autism. For evaluation total scores and dimension of social interaction skills speech and language play a behavior before and after therapeutic intervention we used The PDD assessment scale/screening questionnaire. The results were analyzed with paired T test and wilcoxon signed and multivariate T² Hotteling and SPSS software edition 17.

Results: After intervention PDD assessment scores decreased (P<0/001). Significant progress were observed in social interaction skills (P<0/001).Speech and language (P=0/001), play (p<0/001) and behavior (P= 0/002). Significant decrease wasn't seen in the intensity of PDD after intervention (P> 0/05).

Conclusion: The result showed that home based lovaas approach increased the social interaction, Speech and language, Play and behavior skills in children with Autism 

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Background and Aim: Stroke is the third leading cause of death, second cause of long-term disability and one of the very important challenging in life. The aim of this research was to explain the barriers and facilitating factors affected on stroke patients' life, and to identify relationship among them with demographic factors and severity of disease.
Materials and methods: The descriptive-analytic technique was used. All patients who suffered from stroke were recruited in Kerman city. Finally 83 patients were selected, and data were gathered by demographic qualification questionnaire, proven questionnaire by researcher for studying barriers and facilitating factors (after testing validity and reliability), and NIHSS tools . Then, data were analyzed by using descriptive and referential statistics ANOVA test, T-Test, and Pearson coefficient correlation by SPSS software (ver. 16).
Results: The findings showed that patients had more problems in the domains of politics, environmental factors, physical, and economic status. Also, they introduced social support from friends, family and prayer as facilitating factors in their lives. There was a significant positive relationship between age and physical and economical problems. Women have used social support and religious coping more than men.  Married patients received more social support and their physical and economic problems raised less.
Conclusion: Patients with higher severity of disease had more psychological problems such as depression and worry about future and Patients with lower socio-economic status more faced with barriers.

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 Background and Aim : Cerebral palsy is the most common physical disability in childhood. Children with cerebral palsy require long-term therapy for achieving improved motor function. It seems to be a need for treatment and training at home. The purpose of this study was to determine the impact of “handling training” for caregivers at home on the gross motor function of 15-72 months cerebral palsy children.

 

 Materials and Methods : In this experimental single-blinded study, 40 children with cerebral palsy (15-72 months old) were recruited from some of Tehran public or private rehabilitation clinics based on pre-determined inclusion criteria, and after matching for child age, type of clinic referred to (public or private), type of cerebral palsy, IQ score, GMFCS level and number of occupational treatment sessions already provided at the rehabilitation clinic. The children were allocated randomly into intervention and control groups. For data collection, a demographic information questionnaire, gross motor function measurement (GMFM66) test and gross motor function classification system (GMFCS) test were used. Data were collected on three occasions: before the intervention, 1.5 months and 3 months after intervention. For intervention, researchers went to the intervention group's homes and explained educations related to handling for caregivers in a 4-hours session. During 3 months, researchers would follow up to implement the intervention. Data were analyzed by one sample k-S, chi-square, independent sample t test, general linear model and analysis of Covariance.

 

 Results : There were significant differences in gross motor function of two groups in 1.5 months and 3 months after intervention than before intervention (p<0.001). There were significant difference in gross motor function improvement in pre-post (1.5 months after intervention) (p=0.006) and pre-follow (3 months after intervention) (p<0.001) between two groups and was greater in the intervention group.

 

 Conclusion : Handling training on caregivers in home improves gross motor function in 15-72 months old cerebral palsy children.

 

Keywords : Cerebra l palsy, Handling, Gross motor function

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Background and Aim: According to the attachments lumbar spine and pelvic muscles, it seems that pelvic tilt and lumbar lordosis have previous studies about this relationship have shown different results and these conflicting results can hamper therapist to set a correct therapeutic plan. The aim of this study was to examine this relationship in a large sample and with more accurate instruments. Materials and Methods: One hundred and eighty healthy women (20-65 year-old) with a mean age of 41.45 12.27 participated in this study. Pelvic tilt was measured by inclinometer and lumbar lordosis by flexible ruler. Statistical tests have been performed by SPSS (version 11.5) computer software. Results: The results of this study showed a weak correlation between pelvic tilt and lumbar lordosis (r =0.16, p<0.05). This association was little affected by age. Conclusion: This study has examined the relationship between pelvic tilt and lumbar lordosis of healthy women in static position. The present study showed a weak correlation between pelvic tilt and lumbar lordosis in healthy women.

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Backgrouna and Aim : Children with cerebral palsy have often movement and postural disorders. The purpose of this study is to evaluate the effect of new neoprene dynamic orthosis on balance in children with cerebral palsy.

  

Materials and Methods : This study is quazi experimental. Five children with cerebral palsy (spastic diplegia) with mean age of 9/6± 3.78 years old participated in this study. The degree of knee extension was measured using electrogoniometer. Center of Pressure(COP) displacement in anterior/posterior and medial/lateral planes and functional balance were also measured using kistler forceplate (BA, Kistler- Switzerland 9286) and berg test in two occasions, before and after wearing neoprene orthosis in a period of six weeks. Wilcoxon test was used for comparing data before and after 6 weeks.

  

Results : There was statistically significant difference in right knee extension before and after wearing orthosis (p<0/05). The result of this study show no statistically significant in COP parameters. However, functional balance of children with CP shows significant improvement using neoprene orthosis.

  

Conclusion : New neoprene orthosis can be effective in knee biomechanical alignment as well as functional balance

  

Keywords : Cerebral palsy, Lycra dynamic orthosis, Postural control

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Background and Aim: Forward head deformity is one of the most common undesirable situation abnormalities associated with weakness of cervical stabilizer muscles. The purpose of this study was to investigate the effects of a 6-weeks strength training, stretch training and comprehensive training in patients with forward head posture.

 

Materials and Methods: Forty females students with excessive angle (FH>46 degrees) were chosen as samples using purposive sampling method. Anthropometric data were as below: age 22.22 ± 1.77 years, weight 61.22±1.90 kg, height 161.85±2.55 cm and body mass index of the samples 23.37±0.9 kg/m². The subjects were randomly divided into four groups of 10 experimental and control groups. The first experimental group performed strength training, second group stretch training and third group comprehensive training for 6 weeks. In this period, the control group did not receive any training. In this study photogrammetric method technique was used to measure the angle of the forward head. Head angle changes of the subjects before and after 6 weeks were measured.

 

Conclusion: The results demonstrated a significant decrease in the angle of forward head in the experimental group. Therefore, using of this program is recommended in subjects with this deformity.

 

Keywords: Forward head, Corrective exercises.