Journal of Modern Rehabilitation
Year:2013 | Volume:7 | Issue:3|Papers Count:10

Background and Aim: The current research was performed to investigate validity measurement of Persian version of stuttering prediction instrument (SPI) in children among 3-8 years old who stutter and determination of its reliability.Materials and Methods: Translation of the SPI Test was examined by using IQOLA’s translation protocol and equalization. Then for determination of its logical validity, expertise views were collected by means of the method of Lawasche content validity.52 children who stutter were examined by SPI test and also SSI3 test and the cooper stuttering chronicity prediction checklist for determination of construct and concurrent validity. Internal stability was examined by using alpha ration and finally at the end, Persian version of SPI was completed by twice examination of 15 stutterer children with duration of 7-10 days concerning examination of reliability of test-retest.*/1-+ Conclusion: Existing strong and meaningful correlation between SSI3 and SPI test and also between cooper chronicity prediction checklist and SPI test are indicative of good convergence of each part in SPI test. Finally, these analyses verify that all parts of the test are benefiting from proper reliability and validity.

Background and Aims: One important complication of breast cancer treatment is ipsilateral upper extremity lymphedema. Secondary lymphedema is a chronic condition that leads to loss of function and cosmetic problems. The aim of this study was to evaluate the effects of Complex Decongestive Physiotherapy (CDP) on volume of lymphedema in patients with secondary lymphedema after breast cancer treatments.Material and Methods: A total of 30 women with lymphedema after breast cancer treatments and according to inclusion and exclusion criteria were chosen. They were treated with complex decongestive physiotherapy. This protocol involved manual lymphatic drainage (MLD), Compression garments, remedial exercise and skin care. The women were taken 4-week therapy program once per day, 5 days per week. Absolute volume of the lymphedema and circumference of the limb were evaluated before and after treatment.Results: After 4 weeks treatment, lymphedema volume, circumference in all of the evaluated points and severity of the pain are decreased after treatment.Conclusion: In upper extremity lymphedema, the use of complex decongestive physiotherapy (CDP) can decrease edema.

Background and Aim: Improving the affecting factors of balance could be a critical procedure in managing the elderly’s balance dysfunction. The goal of this study is to find out how and to which amount a prolonged period of stretch and massage impact on elderly’s balance.Materials and Methods: In this RCT study with a simple randomized case selection, 205 normal subjects screened and after that, 18 subject (74.6±5.45 Years) for intervention group and 17 (75.8±4.27 Years) subjects for control group contributed for the study. The procedure was 15 sessions in 5 weeks (3 sessions per week). Each session last about 1 hour. Berg Balance Scale (BBS) and Timed Up and Go (TUG) were used for evaluation of balance.Results: Using by SPSS-19 software and after independent T-test, significant differences in balance scales were found between the intervention and the control groups (p<0.05).Conclusion: According to present evidence, stretch and massage are significantly effective on elderly’s balance function.

Background and Aim: Semantic test “Pyramid and Palm Trees” (PPT) Test was used for assessing cognition and semantic system in brain disorders, semantic dementia, Alzheimer disease and aphasia. This test was designed in 1992 by Howard and Patterson and includes both versions picture and word. It has validity and reliability. The aim of this study is to determine of validity and reliability of Persian picture version “Pyramids and Palm Trees” Test and compare with aphasia and normal adults.Materials and Methods: In this cross - sectional study, 45 subjects included 15 Aphasia and 30 normal adults respectively the mean age and standard deviation of 53 (7.77), 53 (7.91) years participated. All of participants were matched in the age and sex, and education and bilingualism. In the first stage, the picture version PPT had given to 14 expert (11 Speech and language pathologists, 3 Linguists) in order to determine content and face validity. According to their comments, pictures that were very far from Persian culture were replaced with proportional pictures with Persian culture. Then the reliability was calculated by performance of PPT during an interval of 5-7 days in two stages for all of aphasia patients. In order to compare of results, PPT was performed on normal adults. Then, the results were analyzed by SPSS18 software. The statistic tests were included of lavashh correlation for validity, Intra-class correlation coefficients (ICC) for reliability and independent T-Test for comparison of scores mean of picture version PPT between aphasia and normal adults.Results: ICC ranges for reliability were 0.88-0.93. Also difference of scores mean of picture version PPT between aphasia and normal adults were significant (p<0.05).Conclusion: The Persian version PPT have validity and reliability. This study showed semantic disorder in aphasia patients in compared with normal adults.

Background and Aim: Osteoarthritis is the most common joint disease in adults around the world and plays a great role in inducing disability in elderly. Patients suffering from severe knee osteoarthritis usually complain of pain and severe functional disability. For these patients, conservative treatments are often induces least remedy for pain and improvement of functional ability. This study evaluates the effects of knee mechanical traction on pain, edema, range of movement and functional ability in patients with severe knee osteoarthritis.Materials and Methods: In this clinical trial, forty women with severe knee OA (grade 3 & 4 on the Kellgren-Lawrence grading scale) were recruited and randomly divided into two groups with different treatment protocols (common physiotherapy treatment and common physiotherapy treatment accompanied by knee traction). Functional capacity and level of pain were assessed by 6-minute walking test and visual analog scale respectively. A goniometer was used to measure knee range of movement and edema was also evaluated by use of measuring tape.Results: Common physiotherapy treatment accompanied by knee traction compared to common physiotherapy treatment leads to significant decrease in pain (P<0.01) and increase in functional capacity (P<0.05).Conclusion: Common physiotherapy treatment accompanied by knee traction is a more effective treatment than common physiotherapy procedure in patients with severe knee osteoarthritis.

Background and Aim: Reading disorder is a neurodevelopmental disorder with deficits in cognition and motor skills. According to available studies, the brain structure in these children is intact, but the brain function is abnormal. So, neurofeedback as a new treatment, can improve brain function in this disorder through regulating abnormalities of electroencephalogram (EEG). The purpose of this study was to investigate the effectiveness of neurofeedback balance protocol (to inhibit 4-7 Hz while reinforcing 15-18 Hz at electrode sites O1 and O2) on EEG and balance performance in children with reading disorder.Materials and Methods: The study was conducted in a single subject design in 20 sessions. Participants were 4 children (1 girl and 3 boys) aged between 8-12 years old who completed twelve 30-min neurofeedback sessions. Repeated measurements were performed during the baseline, treatment and follow-up by means of 2nd subtest of BOTMP for balance performance and EEG for brain waves changes.Results: The results showed that the effect of treatment on balance performance was high (Cohen’d>0.8) in all subjects but there were no significant changes in absolute power of brain waves.Conclusion: The results of this study indicated that neurofeedback balance protocol can improve balance in children with reading disorder and may be more treatment sessions are needed for significant brain waves changes.

Background and Aim: Cerebral palsy is the most common chronic physical disability in childhood which may have negative effects on quality of life of parents. The aim of this research was to study the quality of life in mothers of children with severe cerebral palsy.Materials and Methods: In this cross-sectional study, 70 children (aged 4 to 12) and their mothers referring to rehabilitation centers in Tehran in 2012 were selected by convenience sampling method. SF-36 was used to assess mother`s quality of life. Mother’s stress and their children gross motor function were assessed using the Resource and Stress Questionnaire and Gross Motor Function Classification System (GMFCS) respectively. Descriptive statistics and logistic regression tests were used for analyzing the data.Results: The mothers’ mean age was 34.41 years (SD=5.72). The total mean score on health survey was 53.74. There was a statistically significant relationship between all dimensions of quality of life measures except mental health, social functioning and role limitations from emotional health problems with GMFCS level (p<0.05). Also, it was found that there is a significant relationship between mothers’ mental health, physical health and their total score of quality of life with their level of stress (p=0.000).Conclusion: Considering the above results, parents of children with cerebral palsy describe their quality of life as moderate. Also, cerebral palsy severity and stress can negatively impact on a mothers’ life.

Background and Aim: One of the most common defects after stroke is deficit in trunk control and balance which can lead to disability or dependency in many functional activities in life. Many therapeutic approaches were used in the stroke rehabilitation, but there is not any unique accepted approach in this field yet. However there are many evidences that show task-oriented practice for neuro-movement rehabilitation can be efficient. The purpose of this study was to examine the effect of intensive task-oriented balance practices on functional balance and mobility in patients with chronic stroke.Materials and Methods: This was an interventional - quasi-experimental study on 13 patients (4 women, 9 men, mean age 55.07±8.41) with chronic stroke which were selected according to inclusion criteria. The intervention included 10 days of intensive practice during 2 weeks, 5 days per week and 3 hours a day. The assessments (Berg Balance Scale, Time Up-Go) were performed before and after the intervention.Results: Intensive task-oriented balance training in patients with chronic stroke significantly increased the functional balance (p=0.005) and reduced the time of functional mobility (p=0.001) Conclusion: The results showed that intensive task-oriented balance training can improve functional balance and functional mobility. Because this study was done only in one group, conducting more studies with appropriate control group is suggested.it is recommended to follow up the long lasting effects of training.

Background and Aim: Accurate control of movement is one of the multiple components in skillful motor performance that can be impaired by disease. Trackingtests quantify the effects oftreatments designed toimprovecontrol of movement and they are considered as anideal protocol forimproving motor control. The purpose of the present study was to examine reliability of the control error during target tracking tasks in trunk region in sagittal transverse torque plane in healthy subjects.Materials and Methods: Nine healthy subjects (4 females and 5 males) randomly performed target tracking tasks at levels of 0% to 80% Maximum Voluntary Exertions (MVE) and twelve different directions (0o, 30o, 60o, …, 330o) twice in upright standing posture. In this study, the tracking system included a moving target circle, which moved on a straight line in specific direction from 0 to 80% of individual MVE with speed of 6% MVE/S.The direction of isometric trunk exertion was presented to participants in the online visual feedback by a computer monitor positioned in front of them. Trunk controllability was determined by computing the control errors (Absolute Value Error from the Target [AVET], Error from the Target Path [ETP] and E rror from the Target in the Target Path [ETTP]) during each performance. Relative reliability (Intra-class Correlation Coefficient [ICC]) of the control error in each direction was determined. Also absolute reliability (Standard Error of Measurement [SEM]) and Minimal Detected Change (MDC95) were computed.Results: The results have shown that ICC for AVET, ETP and ETTP ranged from 0.81 to 0.99, 0.71 to 0.98 and 0.7 to 0.99, respectively. Also SEM for these variables ranged between 0.003- 0.013, 0.001- 0.009 and 0.003- 0.011, respectively and finally MDC95 ranged between 0.008 to 0.036 for AVET, 0.003 to 0.025 for ETP and 0.008 to 0.03 for ETTP.Conclusion: The study showed high and very high reliability for control error measures during target tracking tasks in sagittal transverse torque plane in asymptomatic subjects. Therefore this performance may be used as a test in trunk controllability assessment.

Background and Aim: Since utilization of different patterns to perform voluntary movements influence human function, the aim of this study was to compare the selected kinematic parameters of active males in voluntary and involuntary gait initiation.Materials and Methods: In this quazi-experimental study 13 young male subjects with age (23.3±3.1) years, height (1.75±0.13) m, weight (68.9±7) kg and body mass index (22.4±1.8) k/m2, performed initiation of gait in 6 trials included three voluntary and three involuntary. Kinematic parameters measured by motion analysis system. K-S test was used to ensure the normal distribution of data and dependent T- test to compare within group variable at P£0.05 level.Result: The results showed that use of perturbation that leads to the initiation of motion, increased distance (p: 0.00) and velocity (p: 0.00) and reduced the time of gait initiation (p: 0.00), swing time (p: 0.00), stance time (p: 0.00) and double support time (p: 0.00), increased the amount of hip (p: 0.00) and knee flexion (p: 0.00) and decreased the amount of ankle dorsiflexion (p: 0.00). In addition, the displacement of the center of mass in the medio-lateral and vertical directions was decreased (p=0.03) and increased (p=0.01) respectively.Conclusion: The results indicate significant changes in most of the spatio-temporal parameters of gait initiation as a result of using Perturbation that leads to the initiation of motion. The results of this study can be recommended to be used in the field of gait initiation studies as well as in clinical cases to diagnose the normal and abnormality.