Journal of Paramedical Science and Rehabilitation
Year:2017 | Volume:6 | Issue:1 |Papers Count:10

Purpose: Lateral ankle sprain is one of the most common injuries among athletes mainly result in the problem of proprioception. Regarding the high possibility of reinjuries, the rehabilitation of this injury is so important, therefore the aim of this study was to compare separate and combined effects of traditional and suit therapy methods of rehabilitation on proprioception of people who suffer from lateral ankle sprain. Methods: Thirty men and women suffering from lateral ankle sprain participated voluntarily in this study. They were divided into three groups of rehabilitation. All individuals participated in rehabilitation were under training for eight weeks (three sessions each week for 45 minutes each session). Proprioception was assessed using proprioception system of ankle before and after eight weeks. Data were analysed using Analysis of Variance test (p<0. 05). Results: The results of the present study showed significant difference in proprioception between three groups (p=0. 026). The combination method was significantly more effective than traditional method (p=0. 024), however, no significant differences were noted between combination with suit therapy method (p=0. 236), and also between suit therapy with traditional (p=0. 928). Conclusions: It seems that the combination method has a significant effect on proprioception in comparison with traditional method. However, further studies with larger sample size with groups of different ages and more or less disabilities are needed to reach to a more comprehensive conclusion.

Purpose: Hospital environments have different types of microorganisms. The release of airborne fungi in hospitals is a health risk factor for nosocomial infections in hospitalized patients. The object of this study was to assess the kinds and concentration of fungal contamination in the hospital wards and operating theaters. Methods: In the present study, 96 of indoor air samples were collected from hemodialysis sections of women and men, kidney transplant, liver transplant, ICU and three operating rooms of organ transplantation Hospital in Mashhad city. The sampling was taken according to the NIOSH (The National Institute for Occupational Safety and Health) standard instructions and Anderson procedure with a flow rate of 12 L per 2 minutes and the concentration of fungal contamination was determined in term of CFU/M3. The identification of fungal agents was examined by the mycological microscopic and macroscopic procedures. Results: The genera Aspergillus (29. 98%) and Penicillium (25%) were the most fungal agents of air contamination in wards and operating rooms. The fungal contamination in the ICU, dialysis of men and women, kidney transplantation and liver transplantation were 3. 8%, 3. 58%, 3. 33%, 7. 16% and 33. 3%, respectively. Conclusion: In this study, the fungal contamination of wards and operating rooms was relatively low. However, due to the high sensitivity of the transplant recipients and immunocompromised patients to nosocomial fungal infections, the periodic surveys of the hospitals are essential.

Purpose: Altered scapular kinematics are common disabilities among patients with shoulder impingement syndrome and/or rotator cuff tear. The scapular assistance test (SAT) might be a helpful diagnosis tool to identify clinical type of scapular dyskinesia. The SAT may correct scapular upward rotation and posterior tilt. The aim of this pilot study was to identify the SAT application as a diagnostic tool for type of scapular dyskinesia and among patients with shoulder impingement syndrome and rotator cuff tear. Moreover, another aim was to determine the effect of SAT on the shoulder pain and shoulder range of Abduction. Methods: Seven patients with shoulder impingement syndrome and seven patients with rotator cuff tear met the inclusion criteria and included in the study population. An experienced therapist palpated patient's scapula as starting position for the SAT. In the next stage, patient was asked to perform shoulder Abduction and reported any pain or inconvenience during the examination. Meanwhile, the therapist kept upward rotation and posterior tilt of the scapula. The pain level in shoulder (by VAS, Visual Analogue Scale), shoulder range of Abduction, Flexion and scapular plane elevation (by electrogoniometer) and also, shoulder disability (by DASH, Disability of Shoulder and Hand Questionnaire) had been measured during shoulder Abduction and also the SAT performance. The statistical analysis was performed using independent and paired t-test after normal distribution approval. Results: Duration of disease (p=0. 02), night pain (p<0. 001), work part of DASH questionnaire (p=0. 001), initial Abduction ROM (p=0. 02), first scapular elevation ROM (p=0. 009) and pain during the SAT (p=0. 048) have been shown significantly different between patients with shoulder impingement syndrome and rotator cuff tear. In patients with shoulder impingement syndrome, the VAS values have been substantially different through Abduction and the SAT (p=0. 001). Conclusion: Current study depicts that the SAT might be a useful test to diagnose the type of scapular dyskinesia in patients with shoulder impingement syndrome. However, the SAT may not be a valuable diagnostic test for patients with rotator cuff tear.

Purpose: Helicobacter pylori infection is one of the most common chronic bacterial infections in human worldwide. Recent evidences suggest that iron deficiency and anemia associated with H. pylori. The aim of this study was to evaluate iron deficiency in patients with H. pylori infection who referred to Medical Diagnostic Laboratory of ACECR-Razavi Khorasan in Neyshabur. Methods: This Case-control study has performed on 162 patients who referred to Medical Diagnostic Laboratory of ACECR-Razavi Khorasan in Neyshabur and was conducted Between September 2015 to March 2016. Demographic data including age and gender were recorded. Participants were questioned for use of supplemental iron drugs. Based on the amount of IgG antibodies against H. pylori infection by ELISA, all participants were divided into two groups. Then hemoglobin, ferritin, iron and TIBC tests were performed for all samples. Results were analyzed by SPSS software. Results: The results showed that there is a significant difference between two groups infected with H. pylori infection and control in hemoglobin, ferritin, iron, TIBC tests (P <0/001). Averages of H. pylori IgG antibody titer, hemoglobin, ferritin, iron and TIBC in patients with H. pylori infection were 86, 12. 9, 13, 41. 6 and 424, respectively. In healthy individuals (controls), the amounts were 10. 2, 14. 3, 110, 91 and 362 respectively. Conclusions: According to the results of the present study, there is a relationship between H. pylori infection and anemia. Therefore, it would be suggested that doctors and specialists should consider this issue prior to any treatment.

Purpose: Lateral ankle sprain (LAS) is one of the most common sport related injuries. It is estimated that most of the individuals who suffer from LAS develop chronic ankle instability(CAI), therefore detection of contributing factors to this injury is essential. The aim of present study was to evaluate the endurance of core muscles in patients with chronic ankle instability in female athletes. Methods: Fifteen athletes with CAI (Mean± S. D: age=25± 3. 5years, height=167. 6± 8. 5cm, weight=64/8± 6/1kg) and fifteen healthy female athletes (Mean± S. D: age 26± 4. 2 years, height=168. 9± 4. 7 cm, weight=62. 1± 7. 3kg) were selected with non-probability sampling. We used the method of McGill to assess endurance of core muscles that include trunk flexors, trunk extensors and bilateral side flexors. Data were analyzed using MANOVA test and independent sample t-test (p≤ 0. 05). Results: Athletes with CAI showed significant difference in the time of endurance tests in relation to healthy athletes (f=13. 18, p= 0. 00). The most related muscle endurance to CAI were back extensors (PES=0. 62) and after that, trunk flexors (PES=0. 51), right side flexors (PES=0. 38) and left side flexors (PES=0. 31), respectively. There were no significant differences in the ratios of flexor / extensor and right side flexors / left side flexors tests. Conclusion: Based on the result of this study, the endurance of core muscles was lower in patients with CAI, so it would be suggested that trainers, physicians and athletes consider core endurance assessment in prevention and rehabilitation to avoid athletes from ankle sprain and instability.

Purpose: One of the most common surgical problems was acute cholecystitis. Accurate and timely diagnosis to start proper treatment and to decrease mortality rate is very essential. Due to contradictory results regarding diagnostic methods in acute cholecystitis, this study investigated the sensitivity of laboratory tests and sonography results in diagnosis of acute cholecystitis. Methods: This cross-sectional descriptive-analytical study was performed using all people records that had cholecystectomy with diagnosis of acute cholecystitis in Dezful large hospital in 1393. Laboratory findings included the number of leukocytes, levels of AST, ALT, alkaline phosphatase, direct and indirect bilirubin and ultrasound that compared with pathological findings as definitive diagnosis. Data were analyzed using SPSS statistical software (version 18), and descriptive statistics and Pearson's correlation coefficients were employed. Results: In this study records of 67 patients with mean age of 47. 58 ± 17. 36 years (23 patients (%34. 3) male and 44 patients (%65. 7 female) were enrolled. Positive predictive value or sensitivity was %56. 1 for WBC, %34. 2 for alkaline phosphatase, %37. 5 for AST, ALT (50%), direct bilirubin (%77. 4), % 62. 1 indirect bilirubin and (% 96. 2) for ultrasound. Conclusions: Due to the ease of access to ultrasound and liver enzymes and their values obtained in this study, they can guide us to the cost – effective diagnosis.

Purpose: There are a large group of children and adults in our community with certain aspects of mental, physical, emotional or behavioral characteristics that differ from other peers. The purpose of this study was to examine the effect of eight weeks playing therapy program on balance of mentally retarded children. Methods: In this semi-experimental search, thirty mentally retarded children were selected and randomly divided into two groups; training group (N=15 with mean average age of 12. 16± 3. 8 years, height 144± 2. 33cm, weight 43. 33± 2. 18 kg) and control group (N=15 with mean average 12. 16± 3. 8 years old, height 144± 1. 8 cm, weight 42/25± 2/22 kg). The Biodex Balance System (BBS) was used to evaluate balance in pre and posttests. The experimental group performed playing therapy for eight weeks (three sessions per week). However control group did not perform any strength and balance exercises. Independent and dependent T tests were used to analyze the data. All statistical analyzes were performed using SPSS statistical software version16 and significance level was set at 0. 05. Results: There were significant differences in balance between pre and post tests in experimental group and also between experimental and control groups. Conclusion: It may be suggested that playing therapy program that presented in this study is an effective method to improve balance in the mentally retarded Children.

Purpose: Speech rate is one of the main characteristics of speech fluency and it affects speech intelligibility and communication. Intervention for normal speech rate in language disorders, fluency disorders, dysarthria, and apraxia is one of the responsibilities of speech and language pathologists. Effective intervention needs knowledge of normal speech rate in the target language. Therefore, the aim of this study was to determine and compare speech and reading rate in monolingual and bilingual third grade students. Methods: Forty Persian monolingual students in the third grade (22 boys, 18 girls) and 50 Kurdish-Persian bilingual students (40 boys and 10 girls) were recruited after considering the inclusion and exclusion criteria. Afterwards, free and descriptive speech and reading were elicited. Reading, free and descriptive and speech rate were calculated. SPSS software 16 and independent t-test for data analysis were used. Results: The mean score for free, descriptive speech and reading in monolingual students were 108 (25. 31), 103(21. 75) and 79. 14(23) words per minute, respectively. In addition, the mean score for bilingual students were 90. 3(13. 88), 89. 91(19. 20), 87. 55(23. 66) words per minute, respectively. There were no significant differences between the rate of reading in mono and bilingual students, however, there was a significant difference between rate of free and descriptive speech in monolinguals and bilinguals. The rate of free and descriptive speech were faster in monolinguals than bilinguals. Conclusion: While bilingual students demonstrate higher rate in reading, they obtained lower score in descriptive and free speech. A possible explanation for this result might be related to descriptive and free speech, therefore, it may be assumed that bilingual students require more time for making decision about what to say and how to say in their second language.

Purpose: Chronic sinusitis is a disease which causes the facial congestion and facial tenderness. The aim of this study was to investigate the impact of a face therapeutic massage for the facial congestion and tenderness in athletes with chronic sinusitis. Methods: Forty male athletes were selected based on their availability and purposively. They were divided randomly into two equal experimental and control groups. The experimental group was exposed to a special face massage therapy protocol. The control group received no treatment. Prier and after the treatment, facial congestion and tenderness was measured based on the average score of 0-5 reported by 3 doctors. Data were analyzed using (2*2) repeated measures analysis of variance (ANOVA) (p<0. 05). Results: A significant difference in facial congestion variable and facial tenderness were observed between groups with massage therapy group showed better clinical symptoms compared to control group (p>0. 05). Conclusion: According to the results of this study and effect of massage therapy, health centers can use this method to program exercises as a treatment modality in these patients.

Purpose: Laboratory plays an important role in diseases treatment and prevention. As a result, information systems can improve health organization performance. The purpose of this study was to investigate the output information quality of Laboratory Information Subsystem in teaching hospital laboratories in Shiraz. Methods: This was a descriptive cross-sectional study. The study population consisted of all laboratory staffs in teaching hospitals. Data collection tool was the questionnaire, with its validity and reliability was measured before. The collected data were analyzed using descriptive statistics and SPSS software. Results: The results showed that output information of Laboratory Information Subsystem had favorable quality in relevance, accuracy, reliability, safety and speed dimensions with maximum frequency percent respectively 44. 3, 51. 7, 55. 7, 57. 2, 56. 7, but in the economic dimension of output information with 64. 2 frequency percent had partly favorable quality. Total average (3. 11) from (1-5) scale showed that output information of Laboratory Information Subsystem had a high quality. Conclusion: The output information of these systems is an important step in the diagnosis and treatment of diseases, more attention to reinforce the quality of output information prevent from costs and duplication in the health care sector.