Background and Aim: Multiple sclerosis (MS) is a demylinating disease that due to the involvement of multiple areas in central nervous system, including sensorimotor system can impair the patients' balance. The aim of the present study was to determine the balance, extremities muscular strength and disability rate in Iranian patients with MS and to investigate the relationship between these parameters. 

Materials and Methods: Sixty eight patients with MS participated voluntarily in this study. The berg balance scale (BBS), Motricity index (MI) and self report patient determined disease steps (PDDS) were used for assessing the balance, extremities muscular strength and patients' disability rate, respectively 

Results: Fifty six of patients showed balance impairment. Balance values were significantly correlated with muscular strength of upper (p=0.011) and lower (p<0.001) extremities in patients with balance impairment. But, the relation between balance and muscular strength in patients without balance impairment was not significant (p>0.05).There was a negative correlation between balance and disability rate (p<0.001).

Conclusion: The results of this study showed that more than 50% of patients have balance impairment. Furthermore, the importance of evaluating muscle strength in order to predict the falling risk in MS patients were identified.

Background and Aim: Shifting paradigms about how to assess the support needs of person with intellectual disability, in 1980, posed necessity of design and development of appropriate tools more than ever. In this regard, American Association on intellectual and developmental disabilities developed the supports Intensity scale to respond the lack of an appropriate tool. The aim of this study was to do the cultural adaptation and evaluation of psychometric properties of supports intensity scale in adult people with intellectual disability.

Materials and Methods: In this descriptive – analytic study, 43 adult persons with intellectual disability participated. Translation and adaptation of the SIS through International Quality of Life Assessment (IQOLA ) protocol was done. Validity of the test was evaluated by qualitative content validity. Internal consistency and test-retest reliability were used for evaluation of reliability.

Results: Based on the IQOLA protocol, The SIS had easy translation and relatively good quality. According to results, all items of the test had content validity. Cronbach's alpha coefficients fall in the range (.80-.99) and ICC ranged from .90 to .99

Conclusion: The results of this study showed that the Persian version of the SIS has good validity and reliability for identifying pattern and intensity of needed supports in adult people with intellectual disability.

Key words: Adaptation, Validity, Reliability, Intellectual disability, Supports Intensity Scale

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.

Background and Aim:  The aim of this study was to determine the short-term and long-term effects of one protocol of physiotherapy on reduction of pain, improve active lumbar range of motion and disability in the patients with chronic lumbar radicular pain.

Materials and Methods: A total of 12 patients with lumbar radiculopathy were included in this study. Physical therapy included electrical nerve stimulation at sensory level, superficial heat and therapeutic exercise for patients. Pain intensity of lumbar and affected lower extremity, active lumbar range of motion and disability were considered as variables in this study. The evaluation was performed 6 months after the end of therapy sessions. The repeated measure of ANOVA was used to assess the effect of physiotherapy and pair t-test was used to assess the follow-up.

Result: Statistically significant differences were found in lumbar pain, affected lower extremity, active lumbar flexion, right and left lateral flexion and disability after treatment (p<0.05). No statistically significant differences were found in lumbar pain, affected lower extremity , active lumbar right and left lateral flexion in the last session of treatment and 6 month later (p>0.05).

Conclusion: Physiotherapy is an effective treatment in order to reduce pain and improve active lumbar range of motion in patients with lumbar radicular pain.

Keywords:  Physiotherapy, Radicular pain, Range of motion, Disability