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H Bahgeri , M Abdolvahab , P Raji , M Jalili , S Faghih Zadeh, Z Soltani , Volume 4, Issue 1 (6-2010)
Abstract
Background and Aim: Aging is a natural phenomenon that affects on different systems of our body. This process is not due to diseases and accidents. Activity of Daily Living (ADL) is important for elderly persons. The aims of this study are to investigate the effects of progressive resistive exercises on Activities of Daily Living of elderly persons.
Material and Methods: Fifty elder men with age above 61 years old participated in this study. Twenty five elder men in exercise group with mean age of 69.45 and 25 elder men in control group whit mean age of 72.24. Strength of shoulder and knee extensors were evaluated by Tekdyne Incentive Dynamometers (TID). Activities of Daily Living were evaluated by Barthel - Index
Results: The measurements of shoulder and knee extensors of elder men were evaluated with TID. The data showed significant differences between mean score of pre and post interventions (p ≤ 0/0001). The measurements of self care activities, mobility and total score of elder men were evaluated with Barthel-Index. The data showed significant differences between mean score of pre and post interventions (p ≤ 0.0001).
Conclusion: Presents data showed that progressive resistive exercises could be an effective approach to increase strength upper and lower body and improve Activities of Daily Living of elder men.
S Moradi , S Talebian , M Abdolvahab , Sh Jalaei , M Jalili , L Dehghan, S Bayat , Volume 4, Issue 1 (6-2010)
Abstract
Background and Aim: in hemiplegic children Postural tone of the two sides of body is different. Once, asymmetric stance is a typical state in individuals' with unilateral pain and/or paresis and standing is with weight bearing on the stronger side. Obviously, an asymmetric stance with majority of weight bearing on the affected side can counter faces individual with the falling risk and causes instability. It seems coordinating of the two sides of body is the most vitally important therapeutic exercises in hemiplegic patients. Although stable stance is a simple postural task but it's controlled semi-automatically by cortical and spinal centers. It is established that stable standing, also demands cognition resources. So, postural control demands the interaction between musculoskeletal and nervous systems.
Material and method: In this clinical trial (before-after) 17 children 5-12 years old with spastic hemiplegia were participated. The subjects stayed in the center of force plate with the most stable standing position while using /not-using lateral wedge and in each state with/without doing cognition task. Short- memory test of digit span used as dual task condition. The mean range of fore-after and mediolateral sway and velocity and area as postural control independent variables and error measures in recalling of randomized digit chain as cognition task independent variables were registered.
Results: The wedge affected Rsw (P=0.015), Area (P=0.007) and Vm (P=0.005) significantly. Dual task also had significant effect on Rfa (P=0.014), Rsw (P=0.014), Area (P=0.002) and Vm (P=0.002). But the wedge declines its effect properly.
Conclusion: The results represent that a 5º lateral wedge applied to the unaffected limb, can improve factors of postural control even in Dual tasking thus The wedge can be used with a good effect on the posture of hemiplegic children.
Narges Kord, Mohammad Rahim Shahbodaghi, Seyed Maryam Khodami, Mandana Norbakhash, Shohreh Jalaei, Masood Motesadi Zarand, Volume 4, Issue 3 (7-2010)
Abstract
Background and aim: Intonation perception mainly relies on fundamental frequency changes perception that is not available for individual with profound to severe hearing loss. The aim of the present study is to investigate the perception of intonation in cochlear implanted children and compare with normal hearing children.
Materials and methods: This study has been carried out on 25 cochlear implanted children and 50 children with normal hearing. An adult who her first language was Persian, expressed some questions and statement sentences. These sentences were playing for child and was asked him/her to determine whether it was in a question form or statement one.
Results: The results showed that perception of question and statement sentences intonation had significantly differences between two groups (P<0.05). Perception of question and statement sentences intonation had significantly correlation with age at implantation and duration of implant use (P<0.05).
Conclusion: According to the findings of the current study and previous studies, cochlear implant has some deficits in facilitating the perception of intonation. However, this limitation has been compensated partly for early surgery. Thus, speech language pathologists should consider intervention of intonation in treatment program of cochlear implanted children.
C Ghasemi, H Jafari , A.a Jamshidi , Volume 4, Issue 3 (7-2010)
Abstract
Background and Aim: Muscular fatigue is common problem that an athlete faces repeatedly during sport
competition or therapeutic exercise. Undoubtedly¸ fatigue affects the precision of subjects’ performance
and limits the range of physical and sport activities. Muscle fatigue advantages and disadvantages have
been reviewed in many previous studies. To challenge this controversy fatigue evaluation requires
reliable, stable and precise methods of analysis itself. Researches on muscle strength and subject’s
perception of fatigue have been done in many studies. Therefore researchers in this study focus on
temporal stability of both subjective perception of fatigue and produced muscle torque after fatigue.
Materials and methods: Fifteen healthy female between 20-30 years of age, who at least had some nonprofessional
light sporting activities once a week, volunteered in this research. Each of volunteers was
evaluated in 3 different sessions. The first session was to familiarize the volunteers with the Isokinetic
tests. For the main test, each of the volunteers was evaluated once and then after one week interval. At
each session after warm up, perceived fatigue was measured using Visual Analog Scale. Then Average
peak torque and average power maximal concentric Isokinetic of quadriceps were measured at the
velocity of 60 degrees per second. To perform the fatigue protocol, subjects were asked to perform
successive maximal quadriceps contractions until the three subsequent quadriceps torque output drop
below 50 percent of maximal torque output. Afterwards, for re-measurement average peak torque, average
power and perceived fatigue were evaluated similarly.
Results: The interaclass correlation coefficient (ICC) of average peak torque¸ average power and visual
analog scale before performing fatigue protocol were calculated %81.6, %87.4 and %47.9 respectively.
The repeated ICC after fatigue has estimated %59.9 ¸%64.4 and %96.6 respectively.
Conclusion: This research demonstrated that Isokinetic temporal stability parameters were high before
fatigue. In other words, both torque and power are reliable in two repetition times in a session, as well
after one week interval between. After fatigue the stability rate of torque and power recorded by
Isokinetic were repeatable and this repeatability has been moderate to high. However VAS showed a
completely opposite results, in which before fatigue the stability of imagined local fatigue perception has
been very low and was not significant, although after fatigue the VAS showed high repeatability.
Zahra Saleh Pour, Hanieh Ashrafi, Khadijeh Otadi, Saeed Talebian, Volume 4, Issue 3 (7-2010)
Abstract
Background and Aim: Neck pain is one of the common diseases (66.7%), which contains different age's groups such as youn. Results of researches indicate prevalence of women neck pain is higher than men, so experiment in neck disease in female is more necessary. The aim of this study is to evaluate changes of postural stability in patient with muscular neck pain.
Materials & Methods: Twenty patients and fifteen healthy subjects contribute in this study. Postural sway in quiet standing was assessed in both limb stance (BLS), one limb stance (OLS) of dominant side, on a force platform with open eyes (rigid-open) and standing on a force platform with closed eyes (rigid-closed) and standing on the foam (10.5 cm-thick) with open eyes (foam-open) without shoes. All of above conditions were done with dual task. Mean changes of logarithmic displacement in medial-lateral and for- aft directions were calculated.
Results: There are significant differences between two groups, especially following dual task, and difficult conditions of OLS and standing on the foam. Conclusion: Patients with neck pain have difficultly in postural control that need to attending in treatment and prevention of following damages.
Nahid Pirayeh, Saeed Talebian, Mohammad Reza Hadian, Gholam Reza Olyaei, Shohreh Jalaei, Hasan Mazaheri, Volume 4, Issue 3 (7-2010)
Abstract
Background and aim: Knee osteoarthritis is one of the most common musculoskeletal problems, can affect on patient's daily activity and produce dependency in their daily activity and functional disability The aim of present study is to compare static balance in patients with knee osteoarthritis and healthy subjects using force plate.
Materials & Methods: Postural stability in knee OA patients and healthy subjects (each group 20 subjects) were measured by force plate. Two positions were selected double stance with closed or opened eyes. Range of fore/aft (Rfa) and Range of side ways (Rsw), were measured as static postural stability.
Results: Rsw increased significantly in the double stance position in patients group (P<0.05). Also in both groups, Rsw and Rfa in the double stance with closed eyes were more than of open eyes position (P<0.05).
Conclusion: Postural control deficits and increase of center of pressure's sway were identified in participants with knee osteoarthritis. Therefore, one of the most important goals of rehabilitation is to improve balance control in knee OA patients.
Hamideh Ghaemi, Zahra Soleymani, Hoshang Dadgar, Volume 4, Issue 3 (7-2010)
Abstract
Background and aim: Dyslexia is a language learning disorder which leads to some impairment in written language including reading and spelling. Children with dyslexia are mostly suffering in areas like Morphology, Phonology, semantic and pragmatic. Thus the main purpose of this study is to investigate the morphological awareness, as a significant aspect in reading components (Speed, accuracy and understanding) in which the children are impaired.
Material and Methods: In the current study, 27 dyslexic students and 57 normal students in second grade of primary school participated. Existence of dyslexia was determined through administrating a reading test of "Nama", and in order to be sure that none of the students of normal group has language deficit, the language development test "TOLD" was administrated on normal students. In order to assess morphological knowledge of participants, a morphological awareness test was administrated too. In addition to determine the reading speed, accuracy and comprehension, the "NAMA" subtests were employed. Data obtained, were analyzed with the help of inferential statistical methods such as linear Pearson correlation coefficient test, Spearman test, Normal Kolmogrov - Smirnov test, T-test and linear regression test (ANOVA).
Result: Correlation coefficient between morphological awareness and reading speed in whole sample was calculated to be -0.9158, that of morphological awareness and reading accuracy was 0.9514, and that of morphological awareness and reading comprehension was 0.926. This shows significant correlation among morphological awareness and components of reading skill. While the same correlation coefficients, in dyslexic children were respectively -0.689, 0.1403 and 0.1062. It shows that there was not significant relationship in dyslexic children. The T-test also indicated that morphological awareness, reading comprehension skills, reading speed and reading accuracy skills had significant meaningful differences between two groups.
Conclusion: morphological awareness, reading speed, accuracy and comprehension, were in a lower level among dyslexic children in comparison with normal children, and this can be regarded as one linguistic aspect that can be effectual in reading speed, accuracy and comprehension. However among the dyslexic children whose difficulties were limited to the word level (e.g. dyslexic group sample), morphological awareness did not have any influence on their reading skills.Key words: Morphological awareness, reading speed, reading accuracy,reading comprehension, dyslexia
Faranak Ali Abadi, Reyhaneh Askary, Ghorban Taghi Zadeh, Volume 4, Issue 3 (7-2010)
Abstract
Background and aims: Low Birth Weight (2499 gr ≥ Birth Weight≥1500gr) is one of the most serious health problems in children of the world today. LBW prevalence in our country has been reported 10%. Many researches show that LBW infants who stay alive, may suffer from long-term and short-term physical, mental and social problems 2 or 3 times more than appropriate birth weight infants . The present study was done to determine effect of tactile-kinesthetic stimulation (TKS) in weight gaining of LBW neonates.
Materials and Methods: This research was a clinical trial study that 40 LBW neonates were randomly allocated into test (20) and control (20) groups. TKS was provided for three 15 minute periods per day for10 consecutive days to the test group, with the massages consisting of moderate of pressure strokes in supine and prone positions and kinesthetic exercises consisting of flexion and extension of limbs. All measurements were taken before and after completion of the study with the same equipment and by the same person.
Result: Results indicated that weight gain in the intervention group was not significantly higher than that in the control group after the 10 days TKS.
Conclusion: TKS is not an effective intervention in weight gaining of LBW neonates. Comparing this result with those of other researches, it seems to need more studies in this field.
Sahar Boozari, Hasan Jafari, Mohammad Ali Sanjari, Ali Jamshidi, Volume 4, Issue 3 (7-2010)
Abstract
Background and aim: This study was aimed to examine the reliability of a developed device measuring "arch height ratio" index.
Materials and Methods: 40 feet (the right and left foot of 20 subjects) were measured. Foot length was measured from posterior aspect of calcaneus to the tip of longest toe and dorsum height was measured at the midpoint of total foot length. All measurements were assessed in three weight bearing conditions of 10, 50 and 90 percent of total body weight on three occasions (10 minutes and five days after the first measurement) by a single rater. Finally the arch height ratio index was calculated.
Results: The ICC values in different conditions of 10, 50 and 90 percent of total body weight in 10 minutes after the first measurement were calculated 0.96, 0.97 and 0.92 and in five days after the first measurement were calculated 0.97, 0.97 and 0.91. Minimal detectable change values of arch height ratio index in all conditions of measurement were 0.01.
Conclusion: Simplicity of usage, low cost and high reliability of this device is highly recommended for clinical and research use.
Mohammad Javad Nik Ardakani, Gholam Reza Olyaei, Mehdi Abdolvahab, Hossein Bagheri, Mahmood Jalili, Soghrat Faghih Zadeh, Volume 4, Issue 3 (7-2010)
Abstract
Background and Aim: Cerebral palsy is a non progressive disorder and the most common movement problem in children. Many children with cerebral palsy are of hemiplegic type. One of the important problems of this children is unilateral upper limb dysfunction, that not using the affected side causes forgetfulness and more problems on this side. In this study, effectiveness of Constraint-Induced Therapy(CIT) and the maintainance of this technique on spasticity and performance of upper extremity in hemiplegic cerebral palsy children 6 to 12 years old have been investigated.
Materials & Methods: In this pretest - posttest quasi experimental study, 20 cerebral palsy hemiplegic children 6 to 12 years old (15 boys and 5 girls) with 8.7 years mean age were selected. Interventions were performed about 8 weeks and patients were followed for 4 weeks. Spasticity on the affected side in wrist and elbow were tested by Modified Ashworth Scale and upper extremity function by the Box & Block test. The data were analyzed with the Wilcoxon and paired t- tests.
Results: Constraint-Induced Therapy in the affected limb decreases significantly the spasticity of wrist (p = 0.00) and elbow (p = 0.005) and significantly increases performance score (p = 0.00), and the recovery significantly maintained one month after the interventions.
conclusion: Constraint-Induced Therapy of affected upper extremity could possibly decrease limb spasticity and increase function with two mechanisms: Fierstly, The reduction of not using the plegic side and secondly, neuroplasticity in CNS. This improvement may remain viable in the affected limb.
Marzieh Najafi, Sobhan Najafi, Saeed Talebian, Volume 4, Issue 3 (7-2010)
Abstract
Background and Aim: Biomechanical conditions of limbs can affect on motor unit recruitment (MUR) markedly. Surface Electromyography (SEMG) is an approach for evaluation of muscle activities and onset time during different functions. The purpose of this study is to use SEMG for detection of central motor control in different functions of knee extensor muscles.
Materials and Methods: Ten healthy subjects contributed in this study. They were done five repetitions of knee flexion/extension in open and close chain separately during recording of SEMG simultaneously. Integrated EMG (iEMG) of three middle repeated cycles were detected according to chain (open- close) and kind of contraction (concentric- eccentric).then the Average of three slope of iEMG compared to each other.
Results: There were not significant differences in MUR of three extensor muscles for concentric and eccentric contractions in open chain but vastus medialis and lateralis muscles showed significant changes in close chain (P<0.05). Result showed that there were significant differences of MUR for two kind of muscle contractions between open and close chains (P<0.05).
Conclusion: Recruitment of motor units has not shown difference in open chain between concentric and eccentric contractions. This process indicates representative similarity of control pattern in two kind of contraction in open chain. Concentric contraction at close chain cycle has more MUR in comparison with eccentric contraction. It is equal to more interference of contractible compartment in concentric to eccentric contraction. This happens due to the nature of two kind of contraction particularly in close chain cycle. Comparison between two chains indicated that more motor units contribute in close chain (concentric and eccentric). It means that motor unit recruitment increased due to effect of increase of load in close chain.
Soghra Gharebaghi, Mohammad Reza Hadian, Mehdi Abdolvahab, Leila Dehghan, Parvin Raji, Soghrat Faghih Zadeh, Volume 4, Issue 3 (7-2010)
Abstract
Background and Aim: The role of function of upper extremity in activity of daily living is critical and any impairment of function could cause major problems for diplegic spastic cerebral palsy (CP) patients. So, the application of rehabilitation protocols that could regain the hand function is very important.
The purpose of this study was to explore the effects of simultaneous activation of exteroception and proprioception on function of upper extremity in children with diplegic spastic CP, 3-7 years old.
Materials and Methods: Thirteen CP patients (3-7 years mean: 4.92 years 4 boys and 9 girls) were participated in this study. Simultaneous activation of exteroception and proprioception were done 3 times a week (for 8 weeks). Function of upper extremity was evaluated by Quest Test and the degree of spasticity in wrist was evaluated by Modified Ashworth Scale.
Results: The results of this study showed that after simultaneous activation of exteroception and proprioception, function of upper extremity was significantly improved (P<0.001). In addition, degree of spasticity in wrist muscles was significantly decreased (P<0.022).
Conclusion: Based on results of current study, it might be suggested that simultaneous activation of exteroception and proprioception could improve the function of upper extremity and decrease of spasticity. This in respect could reduce the disabilities of patients. So, the application of current protocols for the patients is suggested.
Saeed Talebian, Gholam Olyaie, Volume 5, Issue 1 (10-2011)
Abstract
Background and aim: Cognition of fatigue effects on motion response can improve treatment approaches. Determination of mechanism (maximal voluntary contraction and repetition of movement) that cause change of central responses and neuromuscular transmission have specific emphasis in evaluation and treatment of patients. Following fatigue it is arguable which is more important, neural or osteo-ligamental components. Behavior of para spinal muscles due to their roles in control of posture and spinal alignments are more importance. Gesture and motion pattern of neck and lumbar column following fatigue is due to accession of disorder in neuromuscular junction (NMJ) or limitation in reflex response at this system. Reflex influence is not just for muscle fatigue but also it appeared in synergic muscles. It is clear that stimuli and inhibitory ways have important role in this process. Materials and Methods: Twenty normal subjects (10 female and 10 male) contributed in this study. Tests were including: 1- Training and warm up 2- Placement of recording electrodes on neck extensor muscles at second and forth spinal vertebra of dominant side. 3- Five motion of neck flexion and extension in sitting position at full range without external load. 4- Fatigue test, contain A- Maximal isometric contraction at middle range about 3 minute, which were controlled by a dynamometer until onset of fatigue. B- Fifty dynamic and cyclic motions of neck flexion and extension in full range of it. 5- Perform five motions similar stage 3 immediately after muscle fatigue. Three middle cycles were chosen for evaluation. Degree of off activities in flexion, degree of onset of activities in extension, silent period and mean of muscles activities (RMS), before and after fatigue selected for analysis. Results: Comparison of two type of fatigue indicated that there are significant differences between them. Range of motion and eccentric activity were similar for two conditions. Isometric fatigue showed more effect than cyclic condition. Conclusion: In neck motions flexion relaxation occurred. Dynamic motion and isometric activities caused muscle fatigue and changed silent period. This period reduced and it means that onset of extensor muscle activities occurred very soon and moved to middle and outer ranges. In this manner, naught privilege mechanical of non contractile elements in neck region is cause of this reduction. On the other hand extensor muscles have more responsibility for control and preservation of posture. Comparison of two approaches indicated that isometric activity produce more fatigue and spectral indexes such as median and mean frequency reduced markedly.
Maryam Arasto, Shahla Zahed Nejad, Ali Arasto, Hossein Negahban, Shahin Gohar Pay, Volume 5, Issue 1 (10-2011)
Abstract
Background and aim: Flexible flat foot is a common deformity in lower extremity, the foot arch collapses and the ground reaction forces does not apply properly to the foot. Backward walking is a common rehabilitive technique and is utilized to improve strength and balance. The purpose of this present study is to compare the salient points vertical ground reaction force measurements in flat foot patients while walking forward and backward with those of healthy subjects using a force plate system. Materials and methods: 10 flexible falt foot female subjects and 10 healthy female subjects were recruited to participate in this study. Each Subject walked 5 times forward and 5 times backward and the vertical ground reaction force was measured by a force platform. Results: The results of this present study suggest a significant difference in kinetic pattern of forward walking compared to backward walking in both healthy and flexible flat foot participants. The force related to first peak of vertical ground reaction force was significantly less in forward walking compared to backward walking (p=0.000). Whereas the force related to trough and second peak of vertical ground reaction force were significantly high in forward walking compared to backward walking (p=0.000). Conclusion: The results of this study show that backward walking changes the ground reaction force compared to forward walking and the main characteristic of this difference is due to decrease of forces applied to the heel of foot which may be important in flat foot patients.
P Kazemi , S Talebian, Gr Olyaei , Sj Mousavi, Volume 5, Issue 1 (10-2011)
Abstract
Background and aim: Spinal injury especially during occupational lifting is one of the most common neuromuscular disorders in the general population of the world. Asymmetric motions of trunk frequent bending and twisting, lifting and forceful activities contribute to spine disorders. Sport as a comprehensive activity might be able to cause less force to the spine and decrease spinal injuries. The purpose of present study was to determine the effect of lifting on motor control pattern during combined symmetric and asymmetric trunk motions on athlete and non-athlete subjects.
Materials and Methods: Seventeen non-athlete female subjects and seventeen athlete female subjects performed to lift four loads ( 5,7,9 ,12 kilogram ) at symmetric and asymmetric conditions. Under each condition temporal parameters of motor control were measured on flexor and extensor of trunk muscles.
Result: In two groups of athletes and non-athletes with increasing load , muscles begin their activity faster ( P<0.05 ). No significant change was found at asymmetric condition. Also, in athletes premotor time of muscles during lifting was less than non-athletes.
Conclusion: With increasing load, according to the feed forward control mechanism and awareness of subjects from amount of loads, muscles quickly prepared to contract for starting the movement. It seems that the response of movement on the neuromotor system of athletes is preprogrammed and automatic due to sport experience. Actually muscles have anticipation activity.
Khatere Borhani, Faranak Aliabadi, Mahdi Alizadeh Zarei, Nasrin Amiri, Marzieh Kazem Targhi, Ghorban Taghizadeh Hajlouei, Volume 5, Issue 1 (10-2011)
Abstract
Background and aim: Visuo-spatial attention is an ability by which a portion of visuo-spatial space is selected for efficient processing of the information orienting from it. people show a normal bias in visuo-spatial attention. The direction of this bias in Attention deficit Hyperactivity disorder (ADHD) is different from normal people's bias. Some cases diagnosed with ADHD can show a significant inattention in one side of the space, which is called unilateral neglect. The aim of this study is to investigate on how the visou-spatial bias is in children with ADHD. Materials and Methods: In this cross-sectional study, fifteen children (7-10 years) were classified with ADHD-combined type (ADHD-C) and 15 children were matched for age, gender and IQ. Samples had been chosen through simple random sampling and they did Wechsler Intelligence Scale for children(WISC-IV) and also the Edinburgh Handedness Inventory for assessing whether they had inclusion criteria or not. For participants, visuo-spatial attention was assessed using the Star Cancellation Test. Results: The results suggest that, there is a significant difference between ADHD-C groups performance and control group's performance in the Star Cancellation Test (p<0.05). Unilateral neglect recognized in ADHD-C group and it was in the left half of the space. Conclusion: There is a significant difference in visuo-spatial attention between ADHD group and control group. Moreover, unilateral neglect which has seen in some ADHD-C cases should consider as an important item in this disorder. Further research in this area is needed.
Narges Meftahi, Javad Saraf Zadeh, Nader Marofi, Mohammad Sanjary, Hassan Jafari, Volume 5, Issue 1 (10-2011)
Abstract
Background and aim: Assessment of hip strength needs a reliable method. Hand-held dynamometers are appropriate alternatives for manual muscle testing and isokinetics. Stabilizing the dynamometer with hand will increase error in measurements. The purpose of this study was to compare the test-retest reliability of hand-held dynamometer fixed by hand and fixed to a new stable frame for measuring hip extension, abduction and external rotation strength in healthy female athletes. Materials and Methods: Normalized average and peak values of torque of three successive trials for each muscle group were calculated in two sessions one week apart in ten healthy female athletes. Strength was measured with hand-held dynamometer fixed by hand and fixed to the stable frame in each session. Intra-class correlation coefficients (ICC), coefficients of variation (CV) and standard error of measurement (SEM) were calculated to determine the reliability. Results: For hip extension, abduction, and external rotation strength measured by hand fixation. The ICC ranged from -1.22 to 0.6, the CV ranged from 8% to 33% and the SEM ranged from 0.007 to 0.04. For strength measurements with stable frame, the ICC ranged from .93 to .96, and CV ranged from 5.26% to 7.94%. The range of the SEM was from .004 to .08. Conclusion: Measurements of hip muscles strength with a dynamometer fixed to a stable frame showed higher reliability than fixation by hand in young female athletes. These findings support the error within hand fixation of dynamometers and the necessity for providing better fixation.
Mahdi Abdolvahab, Hossein Bagheri, Ghodsie Jovini, Mahmoud Jalili, Gholam Olyaie, Ahmad Baghestani, Volume 5, Issue 1 (10-2011)
Abstract
Background and Aim: Upper limb dysfunction is a common and disabling consequence of cerebral palsy. Any functional disorder in the hand can cause a person's independence to be disrupted and therefore his or her social independence is threatened. The purpose of this study was to determine the effects of volar static splint on hand function, spasticity and wrist and elbow range of motion of 8 to 12 years old spastic children. Materials and methods: The design of this study was clinical trial and before_ after. Fourteen 8 to 12 spastic cerebral palsy children that have the inclusion criteria of study were selected from rehabilitation clinics of Tehran. The patient used a volar static splint (10 degree of wrist extension, full extension of fingers and abduction and opposition of thumb) for 2 mounts (2 hours during day and 4 to 6 hours at night). In this study Jebsen Taylor Hand Function Test was used to evaluate hand function. Modified Ashworth Scale was used to evaluate spasticity. A Goniometer was used to measure range of motion. Results: The results of this study showed significant improvement in hand function ,significant reduction in wrist spasticity and elbow spasticity and significant increase in wrist range of motion The data did not show any significance in elbow range of motion . Conclusion: Our findings suggested that 2 months using of volar static splint in children with spastic cerebral palsy can improve hand function, wrist and elbow spasticity and wrist range of motion.
Niloufar Roostai, Zahra Ghadiri Nia, Golnaz Sadria, Hassan Tamartash, Volume 5, Issue 1 (10-2011)
Abstract
Background and Aim: Forces imposed on body members even on light working condition, may gradually result in damages caused by working. Persons engaged at goods sales centers including cashiers, may be to catch exhaustion and neuromuscular damage due to repetition of their wrist, elbow and shoulder joints movement. The aim of this research is to assess the relation between the work factors and personal characteristic in possibility of the above symptoms. Materials and methods: The questioners form propounded at Stanford university question were asked and coded based on the target group, and having been reviewed and surveyed were later used in this research. This questioner included parts such as recording the personal characteristics, history of illnesses, clinical diagnosis and evaluation of the work environment and the hand tools. Selected individuals were randomly employed at goods sales centers from five geographical districts of Tehran. Results: The most complaint of employees was pain and dysfunction in upper limbs, neck and shoulder. Half of subjects had carpal tunnel syndrome. ength of work time and employment duration at sales centers increase probability of neck and shoulder pain. Conclusion: The profession of cashiering at sales centers is one of the most stress causing jobs on the peripheral joints of upper limb, so that the lengths of working in this position and the amount of activity have a positive effect on the increase of neuromuscular disorder. Apply of correct pattern of using the tools and the equipment in this work environment could substantially control the negative effects of this type of job. The most of complains expressed by individuals taking part in this research have been related to sign and symptoms of involvement of median nerve in the wrist and referral pain in the neck, shoulder and arm.
Sara Bayat, Saeed Talebian, Mahdi Abdolvahab, Shohre Jalaei, Mahmood Jalili, Parvin Raji, Sima Moradi, Volume 5, Issue 1 (10-2011)
Abstract
Background and Aim: Cerebral palsy (CP) is the most common motor impairment in childhood and affects 2 in 1000 live births, in which postural and motor control involved. In hemiplegic type, two sides of the body have differences in postural tone that cause weight shift to the intact side. In these children postural disorders appear as postural stability disorder. The aim of this study is to assess the effect of lateral wedge insole on postural control in cerebral palsy children. Materials and Methods: Sixteen hemiplegic children attended in this program and stood in two conditions on the force plate with and without lateral wedge on the hard plate. Center of pressure displacement measured for medio-lateral and antro-posterio directions. Every test took 20 seconds. It was repeated 3 times. Results: Range of sideways decreased significantly with use of 5º wedge. Also a shoe wedge of 5º provided symmetrical weight distribution. Conclusion: The results represent that a 5º lateral wedge applied to the unaffected limb, can improve factors of postural control and gain the symmetry in hemiplegic children
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