آرشیو توانبخشی (توانبخشی)
سال:1384 | دوره: | شماره: |تعداد مقالات:8

Objective:For some clients, with lower extremity, rehabilitation purpose long leg brace appliance is prescribed. Then it will be fabricated by an orthotist then is worn by patient. According to clinical principles, the brace should be as fit as possible with the limb form. So an individual can walks and sits with his or her brace easily. Brace functions around The joint motion axis. Quality and exact place of movements are define in biomechanical principles. Therefore, such brace should be adapted with respecting biochemical principles of the limb. A brace is made up several components which are assembled through acceptable technical orthopaedic methods and this procedure should be done without omission or neglect. If orthotist has enough scientific knowledge and observes all details, he or she will fabricate a perfect brace. We considered fabricated long leg brace according to this principle to meet study objectives while answering some question of study, we will discuss on the finding of our assessment. Also, we examine some possible deviations with accured by unsuitable fabrication, more over suggesting some failures in designing procedures in which leads to such deviation. Materials & methods: In this descriptive analytic cross sectional study, long leg braces of 193 clients who were selected by random stratified sampling method, were evaluated by a previously designed questionare . Results: 1. By assessment of 7 variables, it was revealed that 28.86% of manufactured braces, were not adapted with defined fundamentals and biomechanicals. 2. By evaluation of 9 variables, it was made known that 30 % of produced braces was not adapted with established fabricating fundamentals of lower limb braces clinically. 3. By examination of 23 variables revealed that 25.4% of fabricated braces, were observed, had some failures in attention to defined fabricating technical orthopaedic fundamentals. Conclusion: All the details, fabrication and design procedures should be carefully observed and associated theories should be considered.

Objective: There are many methods for increasing muscle length and decreasing muscle stiffness. In research findings, PNF method has been found to be better than static and ballistic methods. There is another method named Harmonic Technique (introduced by E. Lederman 1997) that has been claimed to be more effective, but there is not enough documentation about this claim. Aim of this study was to compare effects of stretching by PNF and harmonic techniques on hamstring flexibility. Materials & Methods: This research is a Random Clinical Test (R.C.T) study in that 45 colledge students aged 18-35 years were arranged in three groups (Harmonic, P.N.F, and Control). Subjects haven’t had any painful pathology in low-back and lower extremities for the past six months. Subjects had limited hamstring length (20 degrees deficiency in Active-Knee-Extension test) and hadn’t professional sport activities. Dependent variablies were muscle stiffness and hamstring length which popliteal angle in Active Knee Extension (AKE) test was its indirect index. In pilot study, reliability of measurement of these variables were approved. Then hamstring muscle of subjects in harmonic and PNF groups were stretched by harmonic and PNF methods for six weeks, 5 minute perday and 3d/wks, whereas control groups were not having any exercise. Results: Findings of this study showed in both used techniques, changes of hamstring length were significant (P=0.000), but in control groups were not significantly change. There wasn’t significant differences between changes of hamstring length in PNF and Harmonic groups. Only in harmonic group, muscle stiffness had significant changes with. (P<0.03). Conclusion: According to findings of this research, both Harmonic andP.N.F methods equally increased length of hamstring, but harmonic technique can be used as an alternative stretching method in other techniques. May Concelude that Harmonic Technique is better than P.N.F, because the significant changes of stiffness observed only in harmonic group; ie. not only length of muscle increased in this group, but also stiffness decreased significantly which can be an indicator of considerable biomechanical changes in such muscles and possibly of increase muscle length in P.N.F group found to be not in real improvement flexibility, and tolerance of subjects to stretching in such group has been increased.

Objective: this research was conducted to determine the attitude of dormitory students in the university of IRAN medical medical sciences a bout existing deviant behavior in dormitories. Materials & Methods: The present study is a descriptive and cross sectional one, which was completed in the year 1383. The ultimate goal of the research is determining of the attitude of dormitory students regarding the existence of Deviant behavior among the students. In order to achieve the main objective, 325 students were selected through random sampling out of 2014 students (183 boys and 187 girls). Results: The results are as follows: More than 50% of the students believe that, living in dormitory is one of the best period of their whole life. 41.7% found dormitory as a place to take rest after the class. 53.4% believe that marriage can fulfill firstly the affection needs and secondly the sexual needs as well. 86.3% thing that roommate from different provinces leads to maladjustment. Conclusion: There are some other factors to raise deviant behavior such as: - Limitation in social relation among the students in the universityin 55.7%. - Existing social problems in the social structure which prevent marriage in 40.9%. - Family Conflicts and quarrelsin 65.6%. - Deprivation of having relation with opposite gender in 79.3%.

Objective: Thalamic Deep Brain Stimulation (DBS) is reported to be successful in Parkinsonian patients with motor symptoms resistant to medication one of the treatment procedures. Despite evidence of cortico-subcortico-cortical circuit involvement in motor control, the role of this neural circuitry on higher cognitive functions such as language is still controversial. In particular, research evidence pertaining to the impact of ventrolateral thalamic stimulation on linguistic processing is scarce. This paper investigates the effect of right and left thalamus-DBS on memory and language processing in Parkinson patients. Materials & Methods: In this paper as a case series research, measured memory and language processing done in six Parkinson patients (2 left, 2right, 2 bilateral) who underwent implantation of deep brain stimulating electrode in ventrolateral thalamic nucleus. The data were collected in two “on” and “off” positions, with at least 40 days time interval in between. The patients were assessed using Wechsler memory test, verbal fluency and some sub-tests of Farsi version of Bilingual Aphasia Test (BAT). Results: The findings of this research are suggesting an improvement on grammar comprehension and a decline in sentence production and verbal fluency in “on” position versus “off” position, in both groups. The Wechsler memory scores in left thalamus group improved but declined in right thalamus group. Conclusion: The results indicate that thalamic DBS did not cause any deficit on grammar comprehension and even improved the level of comprehension. On the contrary a decrease in verbal fluency and sentence production, as two high level linguistic processing tasks, were observed. The results confirmed contemporary theories of thalamic participation on language processing, did not confirm a laterality effect on language skills. Although observed difference after thalamic DBS between right and left group on memory score but confirmed laterality effect on memory.

Objective: The aim of this survey is to determine of emergency management of spaghetti wrist functional impairments due to these injuries which demands an adequate and accurate management of such injuries. Materials & Methods: All the Patients with Spaghetti wrist (33 Persons) due to sharp injuny that was operated by one surgeon, presenting to hand Rehabilitation center whom includeded in this study, all of them were managed with early intervention programs by one therapist for 10 weeks, and they were assessed with mono semmes – weinstein mono filament asterwards.The effects of sex, age, time of surgery and outcomes were assessed. Results: Thirty-three Patients were included in this survey. In evaluation of median nerve in the given time, non of them were not tested and 40/31% of them had diminished quality of light touch. In ulnar nerve impairoment 43/7% had diminished protective touch and in Pinch Grip evaluation we found that both unlar and median nerve injuries has most affect in increasing the power. Conclusion: early surgery and early intervention has the best effect on spaghetti wrist Motor and sensory recovery found to be better in madian nevere injuries versus ulnar nerve ones.

Objective: The main reason for hospitalisation of dialysed patients is due to high levels of blood pressure and fluid volume excess. The purpose of this study is determine the effects of applying continuous care model on blood pressure and weight control in Hemodialysed (HD) patients in Hamedan province in 2005.  Materials & Methods: This is a repeated measure design that thirty eight HD patients were selected with simple randomized sampling and were assigned in one group for the purpose of this research, which were investigated over six months. Data collection tools include: demographic questionnaire and control check lists. In the first phase of the research performed orientation stage in control group and until the end of the period he completed the questionnaires and control check lists only. Immediately after this time the researcher started to have some manipulations over the same group that had been considered as case. The present researchers applied SPSS Software V (13), descriptive statistics, Paired t-test and Friedman statistical test to analyze the collected data. Results: Data analysis shows that with repeated measurement, there is a significant relationship between applying continuous care model and amounts of systolic and diastolic blood pressure of HD patients (p<0/05). Repeated measurement Anova test showed, there is not a significant relationship between applying continuous care model and amounts of weight control of HD patients. Conclusion: According to these findings, applying CCM causes significant difference in the levels of blood pressure of HD patients.

The Majority of the long stay psychiatric patients who are in need of rehabilitation, consist of people suffering from schizophrenia. Most of them have entered old age with their above mentioned illness and besides the consequences of schizophrenia, are facing the deprivation and suffering due to their old ages.  In contrast to the previous decades that there have not been an effective treatment for schizophrenia, today with the immediate diagnosis and treatment of schizophrenia with effective medications, one can prevent chronicity and resistance to their treatment. By these means one can improve the prognosis and the quality of life of patients and their care givers. Since ten years ago the artificial discrimination of schizophrenic patients to chronic and non-chronic has lost its validity. It is recommended in spite of presenting the special and isolated hospitals for the mentally ill, also psychiatric wards in the general hospitals may be included. By all these measures the schizophrenics can have a better treatment and rehabilitation and be saved from the social and psychological consequences of staying in the isolated mental hospitals.

Acrodysostosis is a very rare congenital disorder, less than 80 cases appeared in the medical literature till now. Most of the reported cases were sporadic, but in some families evidences like; advanced paternal age and affected parent and child support autosomal dominant inheritance. Patients usually born with the symptoms and the finding will be prominent by the age. The cardinal clinical features are: growth and developmental delay, short stature, mental retardation, mid face hypoplasia, short nose, small hands and feet, severe shortness of metacarpal and metatarsal bones and on X-Ray exam, stippled epiphyses during neonatal and infantile period and cone-shape epiphyses of metacarpals in the later, is characteristic for this disease.  In this case report, an Iranian 21-year-old male patient who showed completely the symptoms of acrodysostosis is reported. Acrodysostosis is very rare, according to our experience and knowledge, this is the firs known of such case diagnosed in Iran. In mentally retarded patients who are dysmorphic, one should be aware of the characteristic features of such rare entity.