Olyaei G.r, Jamshidi A.a, Heydarian K, Talebian S,
Volume 65, Issue 2 (3-2008)
Abstract
Background: Both isokinetic testing and functional tests are commonly used to evaluate anterior cruciate ligament reconstructed (ACLR) patients. The object of this study was to evaluate motor performance of the knee and determine the relationship of isokinetic test scores to scores on a variety of lower extremity functional tests.
Methods: Ten healthy subjects and eleven ACLR patients at least six months after surgery performed the following: knee isokinetic tests at 60 and 180 deg/sec three functional tests including leg vertical jump, single hop, and triple cross-over hop for distance. The International Knee Document Committee Subjective Knee Evaluation Form (IKDCSKEF) was used to score the self-assessment of each study participant. Paired T-test was used to compare the involved and uninvolved knee. Pearson correlation coefficients were used to determine the relationship between the scores on the isokinetic test and functional tests. Significance was determined by P<0.05.
Results: IKDCSKEF score was significantly lower in patients than control subjects. Quadriceps peak torque and functional test scores were significantly lower in the involved knee of the ACLR subjects compared to the uninvolved knee. Correlation coefficients of isokinetic peak torque to body weight and functional testing were not significant in patients or control subjects, whi1e the limb symmetry index (LSI) of the quadriceps isokinetics peak torque to body weight and the LSI of the functional tests were significant (r = 0.54 to 0.97).
Conclusion: These results indicate a significant relationship between the LSI of various functional tests and the LSI of isokinetic testing among ACLR patients. Thus, in situations where an isokinetic dynamometer is not available, the LSI of functional tests can be used to estimate quadriceps deficiency for ACLR patients.
Meshkani Z.s, Sedaghat M, Afshin A,
Volume 65, Issue 14 (3-2008)
Abstract
Background: Surgery operations are the fearful events among all other medical procedures.
This fear causes anxiety and stress which affects the outcome of treatments, recovery from
surgery and some maladaptive behaviors. To cope with surgery worries and minimize the
fear, it is important to study these fears and its associated factors. This study attempts to
explore the surgery worries and the associated factors among Iranian high school adolescents.
Methods: To measure surgery worries, high school adolescents of age 11-15 completed the
Child Worries Questionnaire (CPCI) adolescent form, and also answered the questions about
the 14 independent variables (sex, age, parents education and occupation, previous
hospitalization experience of child and immediate family and friends, number of
hospitalization during Child’s life long, previous surgery experience of child and her or his
immediate families, death of close friends in hospital). Multivariate regression method was
used for statistical analysis to determine the effective factors.
Results: The results of this study showed that the Iranian Adolescents have most worries
about the “Not being able to do the same things as before” and least worries about “What I
will feel during the anesthesia”. The factors associated with Surgery worries are parent’s
education (P=.021 for father and 0.049 for mother), adolescent previous experience and
number of hospitalizations (P=0.025 and P=0.008, respectively), the number of previous
hospitalizations (P=.003), previous experience of hospitalization of immediate family and
friends (P=0.035). The findings of this study have implications for parents, family, hospitals’
staff and care given.
Conclusions: It seems, according to the findings of this study, there should be a special
educational program for children who are going to be operated in a hospital ward to reduce
their worriships.
