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Zahra Jahangiri, Mehdi Abdollvahab, Hossein Bagheri, Mahmood Jalili, Ahmad Reza Baghestani, Volume 9, Issue 5 (1-2016)
Abstract
Background and Aim: Cerebral palsy is a common cause of inability in childhood that effects on posture and motor development and leads in activity limitation. One of the difficulty of cerebral palsy is impairment in arm and hand function. Splints and orthosis are used to improve position, range of motion and hand function. The aim of this study was to investigate the effects of static anti-pronation splint on spasticity, range of motion, grip and pinch strength and function of affected hand of spastic hemiplegic children of 8-12 years old.
Materials and Methods: This is an interventional study. Twenty spastic hemiplegic 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 randomly divided into intervention and control group. Patients in intervention group used a static anti-pronation splint for two months, 6 hours daily. In this study the Jebsen Taylor test was used to evaluate hand function, the Modified Ashworth Scale was used to assess spasticity of wrist, forearm and elbow, ROM of wrist, forearm and elbow were measured with goniometer and grip and pinch strength were evaluated with MIE.
Results: Results in intervention group showed a significant improvement in hand function (p<0.003), in wrist`s spasticity (p<0.005), forearm`s spasticity (p<0.003), wrist`s ROM (p<0.001), forearm ROM (p<0.003), grip strength (p<0.001) and pinch strength (p<0.003) in intervention group. The data did not show significant improvement on elbow`s joint ROM (p<0.343) and spasticity (p<0.157).In control group, significant improvement did not seen (p>0.05).
Conclusion: Information from present research shows that using static anti-pronation splint for 2 months ,6 hours a day, can be an effective method to improve hand function, wrist and forearm spasticity and range of motion, strength of grip and pinch in hemiplegic CP children.
Keywords: Static anti-pronation splint, Hand function, Spastic hemiplegic, Cerebral palsy.
Saba Seyyedin, Azar Mehri, Mehdi Dastjerdikazemi, Shohreh Jalaei, Volume 9, Issue 5 (1-2016)
Abstract
Background and Aim: A Concrete and Abstract Word Synonym Test is a test which assessed semantic system in patients with acquired language disorder specifically semantic impairment. The aim of this study is to design a valid and reliable test for assessment of comprehension of concrete and abstract words in different types of aphasia.
Materials and Methods: The type of study is test construction and was computed as cross-sectional. First, a collection of words based on frequency were chosen in order to construct the test. These words were given to 15 experts (10 speech and language pathologists and 5 linguists) in 3 stages, in order to rate words with 0-100 scale. Then words, which had higher average than 90 score were chosen. After determining face and content validity, the test was performed on subjects. Subjects included 20 aphasic patients (12 men and 8 women) and 50 normal people (28 men and 22 women) ranging in age from 20 to 65 years. After 5 to 7 days, to determine reliability of test, test was performed on subjects again. Results of this study were analyzed by SPSS 16.
Results: Results showed that this test has a higher validity than %90. Coronbach alpha for internal consistency was 0.500. For investigation of test-retest reliability, mean difference of test scores in 2 stages of administration was significance (p<0.038). Pearson correlation coefficient between mean scores of patients in 2stages were 0.857 and ICC range was 0.857-0.923 that was significant (p<0.001). The cut of point of test was also 46. Comparison of mean scores of concrete and abstract word synonym test in patients and normal people and also in patient with temporal lesion showed significant difference (p<0.001).
Conclusion: A Concrete and Abstract Word Synonym Test is a proper tool for assessing semantic system in aphasic patients and it can indicate semantic impairment in these patients.
Keywords: Synonym comprehension test, Concrete and abstract words, Validity, Reliability, Aphasia, Semantic impairment.
Elham Hajihosseini, Ali Asghar Norasteh, Ali Shamsi, Hasam Daneshmandi, Volume 9, Issue 5 (1-2016)
Abstract
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.
Batol Bagheripour, Mojtaba Kamyab, Fatemeh Azadinia, Ali Amiri, Mohammad Akbari, Volume 9, Issue 5 (1-2016)
Abstract
Background and Aim: Osteoarthrosis is a common condition in the cervical region due to the high mobility of this region. Despite the clinical popularity of traction that is often prescribed for patients with neck pain, there is no agreement on the effectiveness of traction. Due to the high controversy and the lack of experimental documents in the efficiency of the pneumatic traction device in reducing symptoms of neck pain, present study was conducted to evaluate the efficacy of the pneumatic traction device in reducing pain and amount of drug use, and improving disability level in patients with neck osteoarthrosis compared to the control group.
Materials and Methods: Twenty-six patients with neck pain aroused by osteoarthrosis were randomly assigned into two groups of control or experimental. The control group received hot pack, TENS, US, exercise therapy and ergonomic training as their usual physical therapy care. Patients in the experimental group also benefited from the sustained traction via the pneumatic traction device too. All participants were treated for 10 sessions. Pain (NPRS), the level of disability (NDI), the number of sedative drugs and NSAIDs were evaluated in the beginning of the first session and at the end of the last session.
Results: A significant decrease in the levels of the pain and disability in both groups were found (P<0.05). The decrease of pain and disability in the experimental group was significantly higher (P<0.05) than the control group. There was no significant difference in terms of the sedatives and NSAIDs within and between the groups at the end of the last session (P>0.05).
Conclusion: Although physical therapy and ergonomic trainings may lead to a significant improvement in neck pain and related disability in the osteoarthrosis patients, the use of pneumatic traction device can increase the rate of improvement.
Key words: Spondylosis, Neck pain, Traction, Air neck traction device
Hamed Asadi, Majid Abedi, Mahdieh Hajibozorgi, Mohammad Iman Mokhlespour, Roya Narimani, Volume 9, Issue 5 (1-2016)
Abstract
Background and Aim: In recent years, introducing the quantitative methods for diagnosing the joints injuries and its level of severity, surveying the recovery progress and effectiveness of rehabilitation methods are important for clinical practice. Using the inertial sensors is one of the custom methods for quantifying joints motion. The purpose of this study is to quantify injuries in ankle joint.
Materials and Methods: By setting the Sharif-HMIS inertial sensors on the leg and ankle of patients and control subjects, the motion of their ankle was evaluated and the amount of velocity and acceleration in 8 distinct motions were measured.
Results: Using the gathered data from the sensors in different motions and by implementing the assumed criterions, several parameters are calculated that can give a rather precise and quantitative distinction between injured people and control subjects. The results showed that RAV, M and P scores indicate the differences between patients and control subjects clearly, although their performance as a parameter for qualifying the level of ankle injuries is not good.
Conclusion: Motion analysis of ankle and comparing the results of patients and control subjects showed that the assumed criterions are valid and can be used for diagnosing the ankle injury. Also, this method is utilized to measure the ankle motion of both elderly and young groups and the results showed that this method is suitable for indicating the ankle motion differences between two groups.
Key words: Ankle sprain, Motion measurement, Arthritis, Inertial sensors.
Azar Mehri, Seyede Zohreh Mousavi, Mohammad Kamali, Volume 9, Issue 5 (1-2016)
Abstract
Background and Aim: Semantic test “pyramids and palm trees” (PPT) are the most common tests for assessing memory. Since this test is related to language and culture, normative data in different populations are needed. This study was done in Persian language.
Materials and Methods: Current study was cross-sectional and was done in 270 male and female from 20 to 69 years old. After performing Mini-Mental Status Examination test, Persian version of PPT was done. Subjects must select a picture or word between two pictures or words that was closer to target. First picture version was performed and then word version was carried out after 10 to 14 days. Data was analyzed by Spss16 software and the statistic tests were included of T-Test and a Paired T-Test and ANOVA.
Results: The Results show that difference between picture and word scores increased with rising age. There were significant differences in gender between scores of picture and word version (male P<0.001, female P=0.003). It also points out the difference increases between picture and word scores with education.
Conclusion: Both versions are affected by demographic variables and so the scores should be interpreted accordingly.
Keywords: Persian normative data, Pyramids and palm trees, Adult
Fatemeh Kazemi, Afsoon Hasani Mehraban, Melahat Akbarfahimi, Volume 9, Issue 5 (1-2016)
Abstract
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.
Saeid Izadkhah, Nasin Naseri, Nader Maarufi, Yashar Kocheili, Hashem Shabedin, Volume 9, Issue 5 (1-2016)
Abstract
Background and Aim:: Muscular shortness is one of the most common musculoskeletal impairments. It may occur as a result of trauma or even a sedentary life style and cause clinical symptoms. Hamstring muscle, due to its functional roles, is prone to injuries during physical activities. Research has shown that decreased hamstring muscle flexibility may lead to lower extremity injury. The goal of this study is to compare the effects of myofascial release (MFR) and muscle energy technique (MET) effects on hamstring muscle flexibility.
Materials and Methods: Twenty four non-athlete healthy subjects (means ± SD= 26/12 ± 5.4 Years) were randomly assigned to two groups; myofascial release group and muscle energy technique group. Passive range of motion (ROM) of knee extension was measured using a digital goniometer before and immediately after the intervention.
Results: There was a significant increase in the knee passive range of motion immediately after both interventions (in MFR group p=0.000 and in MET Group p=0.000).The amount of knee extension increase was greater in myofascial release group (p=0.023).
Conclusion: Both MFR and MET can increase hamstring muscle flexibility; however, in this study MFR has shown to be more effective than MET.
Keywords: Flexibility, Muscle energy technique, Myofascial release technique, Hamstring muscle
Hourieh Ahadi, Volume 9, Issue 5 (1-2016)
Abstract
Background and Aim: In order to compare word definition skill between bilingual and monolingual SLI (specific language impairment), we can investigate characteristics of these children and limited processing capacity (LPC) hypothesis about SLI.
Materials and Methods: Six (7-8 years old) bilingual (Azeri- Persian) children with specific language impairment were evaluated about their word definition and then compared with 12 normal children. Impaired children were diagnosed as exhibiting a significant delay (more than one year) in language that cannot be explained by intelligence deficits, hearing loss or visual impairment. We used specific language impairment and language development tests for diagnosis and Man Whitney and Wilcox tests for analyzing data.
Result: There is no meaningful difference between bilingual and monolingual children with SLI (p=0.394) (p=0.394).There is meaningful difference in structural aspect of definition skills (p=0.02) between Persian and Azeri language of bilingual children but in content aspect there is not significant difference (p=0.17).
Conclusion: Findings showed that there is no meaningful difference in comparison between Bilingual and monolingual children with SLI. Therefore, LPC hypothesis about SLI is rejected.
Keyword: Specific language impairment, Bilingualism, Monolingual, Word definition skill.
Jalal Rezaei, Farideh Babakhani, Volume 9, Issue 5 (1-2016)
Abstract
Background and Aim: Incorrect backpack carrying with overload causes musculoskeletal pain in adolescents. The aim of this study was to investigate the effect of unilateral carriage backpack with load condition on height, postural angels and gait pattern in rural children.
Materials and Methods: For this purpose, 20 healthy boys children (mean age 12.3±1.5 year) were selected randomly. Each of the subjects carried backpacks with 0%, 10%, 15% and 20% body weight with speed of 1.1(m/s) on treadmill for 30 minutes. We recorded with a videotape while children were walking on treadmill. Analyzing of cinematography of movies was done with Dartfish Software (version 7.7).
Results: Based on the results of this study, unilateral backpack carrying caused significant changes in height and trunk forward lean between 0%, 10%, 15% and 20% load conditions(P<0.05). But there were not significant changes between 10%, 15% body weights (P>0.05). Changes in knee lean angle were not significant between different weights (P>0.05). But in step length between 0%, 10%, body weights were significant. Step frequency between 0%, 10%, and 10%, 15% load conditions were significant (P<0.05).
Conclusion: Analyzing of data showed that carriage backpack with load conditions resulted in decrease in height and increase in trunk forward lean. Also the load conditions increased knee lean angle significantly. Furthermore, the carriage of backpack with load conditions showed a significant increase in step length and step frequency.
Keywords: Rural student, Unilateral backpack carrying, Posture, gait pattern
Soroor Behrozian, Majid Ravanbakhsh, Nastaran Majdi Nasab, Volume 9, Issue 5 (1-2016)
Abstract
Background and Aim: People with multiple sclerosis (MS) suffer from respiratory disorders during the course of their disease .To express disability, much of the interest was devoted to their mobility and less attention has been paid on physiological aspects such as respiration. The aim of this study was to compare some of the important indices of breathing patterns in healthy individuals and people with MS. Furthermore the correlation between duration of disease and disability scores (EDSS) with pulmonary indices were investigated.
Materials and Methods: In this descriptive analysis study, there were 32 people with MS and 32 healthy subjects. Both groups were matched and selected by some of the demographic characteristics. We investigated biochemical parameters that were assessed by measuring end-tidal CO2 pressure, saturation of O2 and respiratory rate using Capnograph. Student’s t-test was applied for independent samples. The relationships between duration of disease and EDSS with pulmonary indices were analyzed by Pearson’s correlation.
Results: The end-tidal CO2 index had significant difference between the two groups and was lower in people with MS, whereas saturation of O2 and respiratory rate did not have significant difference. There was a significant positive correlation among the disease duration and the disability scores, but was not associated with abnormal breathing pattern.
Conclusion: Existence of disorders in some parameters of respiratory pattern in people with MS are revealed that survey of respiratory system in people with MS can be effective in the early diagnosis and treatment process of breathing problems in physiotherapy centers.
Keywords: Multiple sclerosis, Breathing pattern, Biochemical parameter, Respiratory dysfunction
Reza Saber, Mostafa Rostami, Ali Tanbakoosaz, Ali Ramezani, Afsaneh Dadarkhah, Volume 9, Issue 5 (1-2016)
Abstract
Background and Aim: Fractal dimension (FD) as a measure of system complexity and a chaos and nonlinear dynamics tool has appeared successful in distinguishing subjects with different specifications such as proficiency level. The purpose of this research was to evaluate the capability of FD analysis of postural stability in distinguishing elite Wushu sportsman for dispatching to various competitions.
Materials and Methods: Eight elite and eight non-elite Wushu sportsmen from Talou section participated in this research and performed a difficult balance motion called “backward balance”. Center of pressure (COP) traces were recorded and Higuchi algorithm has been used to obtain fractal dimension of COP displacement time series. Average of FD of two groups were compared with an unpaired t-test.
Results: In both directions of anterio-posterior (AP) and medio-lateral (ML), average values of FD in elite group were significantly more than non-elite group (p<0.05). Subsequently, implementing a receiver operating characteristic (ROC) analysis indicated that FD analysis method performance is very good in AP direction (Area under the curve or AUC=0.938) and good enough in ML direction (AUC=0.668).
Conclusions: Postural control system acts more complex in elite group because of their more proficiency. FD analysis of COP time series could help coaches in choosing elite Wushu sportsman even among a group of skilled Wushu sportsmen.
Keywords: Wushu, Postural stability, Fractal dimension, Receiver operating characteristic (ROC), Center of pressure (COP)
Mehdi Ebrahimpoor, Laleh Lajavardi, So Fallah, Ghorban Taghizade, Volume 9, Issue 6 (3-2016)
Abstract
Background and Aim: Balance impairment in patients with stroke leads to dependence in activities of daily living. Appropriate, accurate and inexpensive tools are necessary to assess the severity of balance impairment. In order to identify individuals with chronic stroke who have balance impairment and to apply proper treatment, the aim of this study was to examine the sensitivity and specificity of Timed Up and Go (TUG) and Functional Reach (FR) tests, Bend Reach test (BRT) and Step test (ST) in functional balance assessment of patients with chronic cerebrovascular accident.
Materials and Methods: In this cross-sectional comparative study, eighty-one patients with chronic stroke by mean age of 58.82 (±13.48) years and the mean past duration of disease 36.33 (28.27) months were selected by simple non-probability method. Functional balance and mobility tests including TUG, FR, BRT and ST were used as index test and the Berg Balance Scale (BBS) was used as reference test.
Results: All of functional balance and mobility tests including TUG, FR, BRT and ST have a significant ability to identify individuals with chronic stroke subjected to the balance impairment compared with BBS(p<0.0001). Sensitivity of functional balance and mobility tests including TUG, FR, BRT and ST in intact and affected feet at the moderate or above threshold were 90, 90, 88, 88 and 90 percent respectively and at the sever threshold were 60, 85, 58, 88 and 60 percent respectively. Specificity of these tests at the moderate or above threshold were 56, 85, 65, 57 and 53 percent, respectively and at the sever threshold were 89, 90, 92, 30 and 92 percent respectively. TUG functional balance and mobility test had the highest agreement with BBS balance test.
Conclusion: TUG functional balance and mobility test are the best tool to identify chronic stroke patients with balance impairment in both moderate or above and severe threshold.
Keywords: Chronic stroke, Balance, Sensitivity, Specificity
Mohammad Reza Safari, Mohammad Hassan Modares Sabzevari , Mehrdad Anbarian, Seyed Farhad Tabatabai, Volume 9, Issue 6 (3-2016)
Abstract
Background and Aim: An suitable prosthesis may have contributed effectively to amputee’s ability to accomplish activities. According to the search field and empirical evidence Dynamic-Response feet and SACH feet are common prosthetic components used. Consequently, the purpose of the present review was to compare the biomechanical studies of running with SACH and Dynamic-Response according to main parameters in running analysis.
Materials and Methods: An electronical search was done in PubMed, Ovid and Science Direct without time limitation. The abstract and title of papers were reviewed based on selected Criteria. The quality of the papers was evaluated based on Downs and Black tool. Key words include “Amputee”, “Dynamic-Response”, “energy-storing”, “SACH”, and “Running” were selected for the search.
Results: Based on the search keywords, 722 articles were found. Regarding the selection criteria, 4 articles were chosen. Amount of biomechanical studies have been found is not too enough to distinguish preference between SACH feet and Dynamic-Response feet.
Conclusion: The biomechanical preference among SACH feet and Dynamic-Response during running feet is not cleared. In addition, various dependent variables among studies has made harder a comprehensive conclusion. So further studies with similar topics, measurement tools and outcome measures are recommended.
Keywords: Transtibial amputee, SACH feet, Dynamic-Response feet, Biomechanical, Running
Ghasem Sadeghi Bajestani , Ali Sheikhani, Seyed Mohammad Reza Hashemi Golpayegani , Farah Ashrafzadeh, Paria Hebrani, Volume 9, Issue 6 (3-2016)
Abstract
Background and Aim: Autism-Spectrum Disorders (ASD) are neural connectivity abnormalities at global and local of brain levels. A one-dimensional non-invasive technique that allows a highly accurate measurement of brain function and connectivity is Quantitative electroencephalography (QEEG). This is a systemic review that encompasses the key finding of QEEG application in subjects with ASD, in order to assess the relevance of this approach in characterizing brain function and clustering phenotypes.
Materials and Methods: QEEG studies evaluating both the spontaneous brain activity and brain signals under controlled experimental stimuli were examined. In despite of conflicting results, literature analysis suggests that QEEG features are sensitive to modification in neuronal regulation dysfunctions which characterizes autistic brain but features types are very important.
Results: Therefore QEEG may help in detecting regions of altered brain function and connectivity abnormalities, in linking behavior with brain activity, and subgrouping affected individuals within the wide heterogeneity of ASD. The use of advanced techniques for the increase of the specificity and of spatial localization could allow finding distinctive patterns of QEEG abnormalities in ASD subjects, paving the way for the development of tailored intervention strategies.
Conclusion: Autism is a disorder in which multiple aspects of behavior, emotion, language and cognition are disrupted, among which, autistic individuals appear to have a range of perceptual processing abnormalities, expressed especially entirely by a high level of sensitivity to auditory and tactile stimuli. It seems Autism Spectrum Disorder (ASD) is potentially caused by unbalanced portion of excitation/inhibition, in other words a disproportionate high level of excitation (or disproportionately weak inhibition) in neural circuits that mediate language and social behaviors. Holistic approaches could help us to have better detections
Keywords: Diagnosis autism-spectrum disorder, Quantitative electroencephalography, Coherence, asymmetry, Non-linear techniques
Mahdieh Tavakoli, Shohreh Jalaei, Ziba Delkhah, Hasan Poonaki, Volume 9, Issue 6 (3-2016)
Abstract
Background and Aim: Providing rehabilitation care of deglutition disorders or dysphagia is a challenging issue for speech and language pathologists. Comprehensive assessment of dysphagia includes early screening, clinical tests and finally instrumental tests to be assured. In spite of the importance and the advantages of clinical tests; accurate diagnosis and decision in dysphagia management largely depend on instrumental ones. These tests provide dynamic assessment and information about structures and physiology of normal and affected swallow for clinician. The aim of this review article was to find instrumental tests of swallowing with their application, limitation and advantages.
Materials and Methods: An electronic search was done via the PubMed, Google scholar, Science direct, Medline, Scopus, Iranian web of knowledge data bases and web of knowledge data bases from 1956 to 2012. Based on the used keywords, 150 papers were found of which 90 papers were selected in accordance with the selection criteria.
Results: Fourteen related instrumental tests were found. Only one of the tests is usable for screening and others for diagnosis and treatment of dysphagia. Three tests are used only in adults and others in children too.
Conclusion: The literature review showed that among the instrumental tests, (Video fluoroscopy swallowing study; VFSS), (Fiberoptic Endoscopic evaluation of swallowing; FEES) are golden standards for dysphagia assessment and treatment. Therefore, they are widely accepted among clinicians and researches in despite of their limitations, our study offers the possibility to professionals for selecting the appropriate instrumental test in dysphagia.
Keywords: Assessment, Dysphagia, Screening, Instrumental tests.
Leila Mahdinejad, Shahin Goharpey, Roya Ghasem Zadeh , Seyed Mahmoud Latifi, Maryam Bakhshande Bavarsad, Negin Mansouri, Volume 9, Issue 6 (3-2016)
Abstract
Background and Aim: Visually and hearing impairments are as the most common groups of physical disabilities. Due to limitation caused by these disorders, they can affect family functioning. The aim of this study was to compare the functioning of families with visual and hearing impairments with families without disorders.
Materials and Methods: In this descriptive – analytical study, 55 subjects with visually and hearing impairment from association of the blind and deaf of Ahvaz city, Iran and 55 subjects without disorders as the control group were selected by available sampling method and examined. Data collection tools include Family Assessment Device (FAD) inventory and the demographic information questionnaire. Finally, the data were statistically analyzed using descriptive and analytical statistics in SPSS 20 software.
Results: The research findings showed that the mean scores values obtained from FAD inventory
in families with visual and hearing impairments and the controls had no statistically significant differences (P=0.1). Comparing the functioning dimensions in the three groups, the families with visual impairment had poorer functioning in dimensions of behavioral control (P=0.02), communication (P = 0.01) and overall functioning (P = 0.03) with respect to the two groups.
Conclusion: The results suggest that the families with visual impairment have lower performance compared to families with hearing impairment and the control group in some aspects.
Keywords: Family functioning, Visually impairment, Hearing impairment
Soheila Shahbazi, Ali Ashraf Khazaei, Mohammad Taghi Aghdasi, Kamran Yazdanbakhsh, Volume 9, Issue 6 (3-2016)
Abstract
Background and Aim: The purpose of this study was to investigate the effects of perceptual – motor training on motor proficiency in children with hyperactivity disorder.
Materials and Methods: This study was semi-experimental. Fifty hyperactive children referred to Farabi hospital of Kermanshah. Thirty patients (mean age, 8.8 years old) were randomly selected and examined in the control group were evaluated. The tools of the research were the Conners parent questionnaire, Bruininks-Oseretsky test of motor proficiency. Firstly, the per-test was held for all participants. Then, the experimental group did the perceptual- motor activities for 2 months (24 sessions) and after this period, the post test was administered to both groups. Paired t-test and t-test were used to compare the means (P<0.01).
the significant difference between pre-test and post-test scores of experimental group, Results: In motor proficiency (total subtests: running speed and agility, balance, bilateral coordination, strength, upper body coordination, response speed, visual controls - motor skills and a high-speed trunk) was found.
Conclusion: It seems that perceptual – motor training improves motor skills in children.
Keywords: Perceptual – motor training, ADHD, Motor proficiency, Gross motor skills, Fine motor skills.
Khaled Rezaei, Azadeh Shadmehr, Gholam Reza Shirani, Gholam Reza Olyaei, Mehdi Abdollvahab, Saman Maroufizadeh, Volume 9, Issue 6 (3-2016)
Abstract
Background and Aim: The aim of this study was to compare the neck and temporomandibular joint range of motion and muscle endurance in patients with temporomandibular disorders, referring to the dental school of tehran university of medical science and healthy individuals.
Materials and Methods: A total of 30 healthy men as control and 30 patients aged 20-40 years with temporomandibular joint disorders (TMD) were selected as patients. Range of motion in flexion and extension of the head and neck and mouth opening was measured and masticatory muscle endurance as well as the neck extensor muscles was measured and averaged values for each patient group were compared with the control group.
Results: Head and neck flexion range of motion and endurance of neck extensor muscles in patients with temporomandibular joint disorders (TMD) was lower than healthy controls. (P<0.001)
Conclusion: The results of this study showed that disorders of temporomandibular joint can change extensor muscle endurance and range of motion in neck. Pay attention to neck problems can be effective in improving patients with disorders of temporomandibular joint.
Keywords: Range of motion, Muscular endurance, Temporomandibular disorder
Seyede Samira Tabatabai, Mohammad Kamali, Behnoosh Vasaghi-Gharamaleki , Narges Shafaroudi, Volume 9, Issue 6 (3-2016)
Abstract
Background and Aim: Behavior of people in the face of disease and help seeking is very different. Considering the high prevalence of urinary stress incontinence in female athletes, knowing their experiences of help seeking and identify of their needs, can be used to plan treatment strategies based on the needs of female athletes with stress urinary incontinence and shifting them to receive health care and rehabilitation services. The purpose of this study is to understand experiences of this group of female athletes from help seeking.
Materials and Methods: This is a phenomenological study and sampling was purposeful and performed after identifying professional female athletes by oral questions. Data gathering was semi-structured deep interview. The results of 29 individual and one focus group interview were analyzed using Colaizzi method.
Results: According to the results of this study, the findings were categorized to 3 themes and 11 sub-themes. Themes are self-treatment, do not help seek and use of prevention strategies.
Conclusion: Female athletes with stress urinary incontinence do not have correct awareness of available treatment for prevention and rehabilitation care of this condition and consider this condition as a part of sport injuries due to professionalism and they have less incentive to seek its cause and treatment.
Key words: Stress urinary incontinence, Experience of help seeking, Female athlete
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