Archives of Rehabilitation (Journal of Rehabilitation)
Year:2010 | Volume:11 | Issue:1 (41)|Papers Count:13

Objectives: The purpose of present study was to investigate the relationship of religiosity and personality dimensions with satisfaction of rehabilitation practitioner students about their clinical experiences as a therapist.Materials & Methods: In this descriptive study, three hundreds eighteen rehabilitation practitioner students including one hundred forty physical therapy students, ninety seven occupational therapy students, and eighty one speech therapy students were selected by randomized and stratified sampling method. Data were collected through Islamic religiosity scale, NEO inventory and job satisfaction questionnaire, and analyzed by statistical methods such as: Pearson correlation coefficient and multiple regression analysis.Results: The finding showed that satisfaction from clinical experiences was positively and significantly correlated with religiosity, religious pretentiousness, and three dimensions of personality include extraversion, agreeable and consciousness, and was negatively and significantly correlated with neuroticism and religious disorganization in all of rehabilitation students. (P<0.0001). Results of multiple regression analysis showed that in physical therapy, religiosity and extraversion and agreeable, in occupational therapy students, extraversion, consciousness and gratification and in speech therapy students, religiosity and religious disorganization have more power to predict of satisfaction with clinical experiences.Conclusion: With regarding to results, can conclude that religiosity is important factor to predict of satisfaction from clinical experiences in physical therapy, occupational therapy and speech therapy practitioner students.

Objective: One of the main factor sinfluencing chronicity and disability in low back pain is pain related fear and fear of movement. It was shown that fear of pain is more disabling than the pain itself. The purpose of this study was to evaluate the psychometric properties of Tampa Scale of Kinesiophobia - Iranian version (TSK-IV) which is one of the most common instruments for measuring fear of movement and reinjury.Materials & Methods: In this descriptive and methodologic study which is a tool making and validity testing research, 232 low back pain patients were selected simply from some hospitals and clinics in Tehran. Among these patients 61 patients, participated for retest after seven days. To evaluate psychometric properties of TSK-IV, internal consistency, item-total correlation, test-retest reliability and construct validity were measured. The tools which were used included TSK to measure fear of movement, VAS for measuring pain intensity, Fear-Avoidance Beliefs Questionnaires (FABQ) for measuring the physical activity and work related fear and Roland Morris Disability Questionnaire (RDQ) to measure perceived disability were used.Results: TSK-Iranian version yielded acceptable values for internal consistency. Cronbach’s Alpha was 0.796 in 17 items of TSK. Item-total correlation was in acceptable range except for four items. ICC between the first test and retest was 0.86. There was a moderate correlation between TSK and FABQ-PA and FABQ-W respectively 0.59 and 0.32. TSK and disability measure using RMDQ correlated (r=0.60) moderately.Conclusion: The Iranian version of TSK is a reliable and valid instrument for measuring fear of movement and injury in low back pain patients, similarly to its original English version. This instrument can be used in clinical environment and also for research purposes

Objective: Quality of life has recently been recognized as an important goal of health care in psychiatry. In this study quality of life of chronic psychiatric patients was evaluated after psychosocial occupational therapy interventions.Materials & Methods: This study is interventional and quasi experimental. Twenty four chronic mental patients who had refered to SINA Daily Center as intervention group and fifty chronic mental patients as control group were selected by simle and convenient sampling. The instrument was Wisconsin Quality of Life Client Questionnaire that included 8 subscales. Occupational therapy services consisting group therapy, activity therapy and art therapy, according to center’ plane, were performed during 3 months (2 times in week, 90 minutes in each session) for intervention group. Independent T test & Paired T test were used for data analysis.Results: There was no significant difference between two groups in parts of QOL before intervention, but after intervention, significant differences were observed in mean scores of satisfaction level, occupational activities, psychological well-being, physical health and total quality o life (P<0.001), also social relation (P=0.005) and economic situation (P=0.003).There was no significant difference between two group in symptoms (P=0.277) and activity of daily living (P=0.020) after intervention.Conclusion: Psychosocial occupational therapy services are effective on satisfaction level and quality of life of chronic psychiatric patients.

Objective: Having the information about pattern of substance abuse in the community and its epidemiological features is one of the most important protocols for evaluation, follow-up and control of the use of these substances. The aim of this study was to evaluate the patterns of substances abuse among narcotic anonymous (N. A.) addicted patients.Materials & Methods: In this descriptive and analytical study, three hundred patients from narcotic abusers anonymous (N. A.) association who were referred to a treatment center in Tehran were participated consecutively. The information about demographic characteristics, socioeconomic status, type of drug and the patterns of substance abuse of all cases were collected by researcher made questionnaire. Data were analyzed by Chi-Square test.Results: 80% of the patients were male. Almost 65.2% of cases aged less than 40 years. More than two-third of cases had free jobs and 21. 2% of them were unemployed. Also, 32% of patients had college degrees. The most common types of abused substance were opium (88%), cigarette (76.7%), and alcohol (63%) and 34% of them used substances intravenously. The use of alcohol (P=0.033), cannabis (P<0.001), cocaine (P=0.009) and ecstasy (P<0.001) was more prevalent significantly in the cases less than 40 years old than the elderly.Conclusion: It seems that the trend of substance abuse has been changed to younger population. The pattern of drug abuse in young adults is more toward psychosis drugs such as cocaine and ecstasy.

Objective: With increased recognition of the importance of conscious process and cognition activities in the stability and regulation of posture and also in line of probable adaptation in central nervous system in patients with functional ankle instability, this study was aimed to assess interference patterns between short-term memory task and postural stability tasks in functional ankle instability patients in comparison with healthy individuals.Materials & Methods: In this cross-sectional and case-control study, with dual-task paradigm fifteen functional ankle instability patients whom were selected simply and conveniently and fifteen healthy persons whom were matched with patients as control group were assessed and compared. Six steps of tests were performed for every case with two situation of balance Biodex system instability and three situation of auditory short-term memory task. Data were analyzed by repeated measurement ANOVA.Results: Finding showed that there was significant interference between postural task and cognitive task in both groups (P<0.05), but there was no significant difference between interferences of two groups.Conclusion: Present study, certificated disruption in information processing in a peripheral musculoskeletal injury such as functional ankle instability. Application of training programs in order to facilitate central information processing in balance rehabilitation process of this patients and improved dual-task paradigms with different degrees of cognitive and postural tasks seems to be effective.

Objective: This study was aimed to determine a long-term effect of the Bobath approach (6 years) using modern tools on a child with hemiplegia.Material & Methods: This research is a single case study design and performed on a spastic hemiplegic child. Bobath general assessment was used for evaluating of the quality of the gross motor function and Gross Motor Function Measure tool - 66 was used for quantitative evaluation of the gross motor function. Therapeutic interventions, based on Bobath approach were done for 6 years, in every age level commensurate with their child age once a week.Results: After therapeutic intervention, based on Gross Motor Function Classification System, the child developed from level II to I. At the entrance to the occupational therapy session, based on general assessment, the major problems included hypertonia, muscle stiffness, lack of doing various movements and disassociation movement patterns abnormal in trunk, upper and lower extremities, and hyper lordosis and scoliosis in her left side. Also she could assume sitting, rolling from left to right and creeping. In the sixth year, she acquired walking, jumping, fast running in out door, hopping and stepping up and down alternatively. In assessing with GMFM- 66, at the beginning of intervention the score was 46.09 and the end of sixth year was 79.99.Conclusion: Bobath treatment programs that planned based on the précis assessment, can prevent of abnormal patterns of movement and as much as possible client abilities to be close to base of natural development.

Object: Since Spielberger's State–Trait Anger Expression Inventory–2 (STAXI–2) has enormous potential for research and therapy, the current study aimed to investigate psychometric properties and normalization of STAXI–2 among Iranian college students.Method: Descriptive–survey research method, developing an instrument one, was used. 1140 students (Mean age=21.92, SD=2.89) were drawn from Tehran University via cluster sampling method. 554 (48.6%) and 586 (51.4%) participants were females and males respectively. Among participants 1080 were singles. The participants were asked to complete two instruments. One of these instruments STAXI–2 and other was one of Multi–dimensional Anger Inventory, Over controlled Hostility Scale, Oxford Happiness inventory, Emotional and NEO- Five Factor Inventory.Results: There were not observed significant differences between females and males participants in most sub–scales of STAXI–2. Also data analysis demonstrated that STAXI–2 and its subscales had significant relationship with parallel instruments. Moreover, the results showed significant mean differences between two groups including high and low emotion intelligence groups and all subscales of STAXI–2. Factor analysis also extracted as many as factors in any part of STAXI–2 in comparison with original version. Based on T scores, separate norms tables were reported.Conclusion: STAXI–2 has an appropriate validity and reliability to measure anger in Iranian young population. Therefore, STAXI–2 as a state and trait assessment device can be used in clinical sets and research.

This is a case report. In this essay, a 4years old boy with "Hydrocephalus and Autism" is presented who referred to an occupational therapy clinic by a psychiatrist and received occupational therapy interventions. Hydrocephalus together with Autism had caused to severe cognitive, perceptual, motor, communicative and self care problems. Occupational therapy goals were facilitation of development in different areas and making adaptive behavior. finally, his difficulties and dysfunctions decreased noticeably: his eye contact was improved seriously, he could keep almost good communication with his family, hyperactivity and aggressive behaviors are decreased, he could draw simple paintings, could run and ride tricycle. By continued rehabilitation interventions, ultimately he could begin studying in one of Tehran normal state schools. The last following up showed that he could passed fifth level of elementary successfully (with average, 17), and now is ready to go to the guidance school.Results of this study show the importance of careful and all-around evaluation of hydrocephalus children, careful combination of therapeutic interventions, cooperation and coordination of all rehabilitation team members, continued following up clients even after discharge, and attracting active cooperation of child parents in occupational therapy successful process.