فصلنامه آرشیو توانبخشی
سال سیزدهم شماره 2 (پیاپی 47، تابستان 1391)

Having a child with cerebral palsy affected all aspects of quality of life the mothers. This is a Quasi-experimental study which was carried out in order to determine the effects of applying supportive program health-centered on the quality of life of cerebral palsy children’s mothers. Method& materials: This study is a quasi-experimental research with two groups case (n=30) and control (n=30) who were selected by random sampling method. Supportive Programs health-centered for case group performed in three stages (assessment, protection and evaluation). Data collection tools include: demographic questionnaire and quality of life questionnaire. Data collected before and two months after intervention. Statistical analysis was done by spss16 software. Data analysis with Chi-square showed that demographic data were similar in both groups (p>0.05). Comparison of quality of life after intervention by independent samples t-test was significant in two groups (P<0.05) But in dimensions of social function this difference is not significant (P> 0.05). Paired t-test showed that there is a significant difference between mean scores of eight dimensions of QOL and whole QOL before and after study in experimental group (P<0.05) But this difference is not significant in control group (P> 0.05).meams difference of whole QOL was significant in Both groups (P<0.05). According to these findings, applying supportive program health-centered on the quality of life of cerebral palsy children’s mothers is effective. So it is suggested that supportive program health-centered to be applied as an effective method to promotion quality of life of chronic disease children’s mothers.

Objects: Crossed aphasia (CA) refers to aphasia occurring after right brain damage in dextral. CA is a rare phenomenon in the world and there has not been any report of crossed aphasia in Persian, because of that we aim to report a Persian patient with crossed aphasia and this is a first report of incidence of CA in Persian. In this case report study, we offered a complete report of a 31-year-old right handed man with right hemisphere damage who experienced language disturbances after his brain injury. We assessed the patient with persian version of Bilingual Aphasia Test (BAT), Test of Anomia and Apraxia. In addition, more than 100 utterances of connected speech in three situations (talking about daily activity, describing serial pictures and making egg)were gathered and analyzed. According to the results of anomia and apraxia tests, he was at normal level in both of them, but he couldn’t get complete score in BAT, the worst score was achieved in making sentence subtest of BAT (20%). His performance in the syntactic comprehension, grammaticality judgments, lexical decision, verbal fluency and reading comprehension subtests of BAT was between 60% to 70%. His connected speech was nonfluent (about 30 words per minute) and telegraphic, with 5 words mean length of utterance and omitting or misusing prepositions and deficit in using compound of noun and verb. When he was talking about a topic, he used pronouns ambiguously and selected inappropriate word to convey meaning. Some times he lost topic and had circumlocution. These findings show that his speech was incoherent and non-cohesive, because of grammatical problems(such as deficit in using proposition, complex sentences and discourse marker appropriately) and pragmatic problems(such as circumlocution, deficit in topic maintenance and using pronoun unclearly). According to the role of right hemisphere in processing of pragmatic information in dextral with left hemisphere dominancy for language, this patient show combination of aphasia, specially agrammatism, and right hemisphere damage(pragmatic deficit) together

The aim of this study was to consider the effectiveness of Applied Behavioral Analysis (ABA) therapy and Treatment and Education of Autistic and related Communication handicapped children (TEACCH) on the autistic Children. Subjects of this experimental study were 29 autistic children who were selected using random sampling method and were placed in experimental and control groups. The design was Pre and Post test with control group. Modified Checklist for Autism in Toddlers was used for screening the autistic children from non-autistics. Also, Gilliam Autism Rating Scale was used for assessing symptoms of autistic children. The data were analyzed using analysis of covariance. The results of this research showed that the means of behavioral problem indicators in both ABA and TEACCH methods were reduced significantly in comparison with control group (P<0/01). Also in comparison of ABA therapy and TEACCH method reducing in the mean scores of communication problems was significant and in favour of ABA therapy (P<0/05). According to the results of study, although both ABA therapy and TEACCH method were effective in reducing symptoms of behavioral problems but cause of being more effective Applied Behavioral Analysis is the selective therapeutic approach for this research.

Shoulder pain caused by hemiplegia a common finding after Stroke that patient independence in performing daily activities are severely restricted. Study to determine the effects of massage S. S.B.M massage on the amount of shoulder pain stroke patients was conducted this study is a quasi-experimental research, the study population were include 70 patients with hemiplegia upper extremity in stroke who were in Tabassom Rehabilitation Centre of Tehran. sample was consisted 34 patient with shoulder pain were selected according to inclusion and exclusion criteria. finaly after attrition 30 patient with shoulder pain were selected.. The samples were selected by simple random sampling and then allocated to two groups of experimental(n=15) and control(n=15). Then for each sample by intervention group 6 session of S. S B.M massage for 10 minutes in time 12-9 has done. Status pain using the visual pain scale (Visual Analog Scale) before and 24 hours after the last massage session in both intervention and control groups were measured and between the two groups were compared. data analysis is descriptive and analytical statistical tests (t independent, t paired) was performed. : the mean of shoulder pain before intervention in experimental group was 8 /40 and in control group was 8 / 40 after intervention the mean of shoulder pain in experimental group was 1 / 13 and in control group was8 / 40. .different between 2 group was significant in 95% level. According to the results of research, training and massage using S. S. B. M treatment and care by staff can be an effective step in preventing or reducing shoulder pain and therefore improve motor function Patients with Hemi Plegia be considered due to stroke

Using rehabilitation ultrasonography imaging (RUSI) is widely growing in the physiotherapy clinics of developed countries. Due to this new application, it is necessary to consider the repeatability of this new technique by novice physiotherapists and applied methods to measure the muscle size. This study has been designed to investigate the intrarater reliability and also the relation between multiplying linear dimension (MLD) and cross sectional area (CSA) measurements to evaluate the size of lumbar multifidus muscles by novice physiotherapists. Ultrasonographic images of L2 to L5 lumbar multifidus muscles of sixty healthy female volunteer were taken bilaterally. Then, the size of multifidus was calculated by CSA and also by MLD methods for all level of lumbar region. The repeatability of data were also evaluated in a parallel study on a group of 16 healthy female subjects in two different evaluation sessions. Significant intrarater reliability was found between recoded data from two different evaluation sessions for both CSA and MLD measurements (ICC= 0.81 to 0.98). The results also indicated a significant relation was also found between CSA and MLD methods to evaluate the size of multifidus muscles for the L2 to L5 lumbar vertebra (r=0.89 to 0.97, P<0.0001). Our findings confirm that using RUSI and the MLD method are an efficient method to evaluate the size and also any change in the lumbar multifidus muscle, during rehabilitation protocols.

This study intends to determine the factors influence to use of research evidences results in practice, by rehabilitation’s practitioners in educational hospitals of Tehran. In this study, the research community included all the 485 rehabilitation’s practitioners working in educational hospitals of Tehran. The samples were 165 persons which have been selected through cluster random sampling. For data collection, Funk questionnaires were used to determine the barriers and facilitators of evidence based rehabilitation. For data analyzes, descriptive statistics, independent T- test and one-way ANOVA were used. %70.5 of participants was female with mean age of 38 and 12 mean years of employment. Most of them (%38) were physiotherapists and undergraduate. According to the findings, factors of the facilities are inadequate for implementation of evidences and practitioners has not enough authority to change patient rehabilitation procedures, were known the most barriers and the factors of increment interest and individual motivation for implementation of research, supplying enough facilities such as computer and accessing to internet were the most facilitators for evidence based rehabilitation practice. In this study, insufficient facilities for implementation of evidences and increasing interest and individual motivation for implementation of research were reported as the most barrier and facilitator of evidence based rehabilitation practice.

In this research the effect of perturbation training on correlation index of detrended fluctuation analysis index (α) of anterior cruciate ligament (ACL) patients was evaluated using nonlinear dynamic methods. The study was done on ten male athletes with at least 6 months elapsed after their ACL lesions. Subjects were selected using non-probability sampling technique. Stride time for about 270 gait cycles for each patient was recorded and used for detrended fluctuation analysis. Analysis showed difference in values of α between primary and shuffled data which indicates a non-trivial trend of data structure. According to the range of α (0.5>α>1), long time correlation between gait cycles was found. Also, the results showed no significant difference on α before and after training (p=0.515). The results showed persistent patterns in time series which are similar to slow speed walking patterns. Also, it can be concluded that, according to their correlation values, ACL deficient patients had a similar behavior to healthy people.

Birth weight is one of the most important, simplest and common determinations for assessments infants status in each country. this study has been designed to investigate the articles that published in its prevalence and related factors.

this study is a review articles that focuses on the prevalence and association factors whit low birth weight in the last 10 years. Articles were searched in 6 data base (PubMed، Iranmedex، SID، Irandoc، Scholargoogle، magiran)، the refrences of each articles with the use of keywords: low birth weight, infant mortality, risk factors, related factors, prevalence and social determinants of health.

Overall, 36 articles were assess, 14 article reported low birth weight related factors and 22 articles reported prervalence and its related factors, that in 70% prevalence was (5-12%) and in 5 articles prevalence were reported (13-19/1%). association factors that were reported include demographic, socioeconomic, lifestyle factors and social support. demographic factors had the most relationship whit low birth weight.

Although there was some different in their studies (differences in the definition of low birth weight, non or low reporting, low sample size, etc), the overall prevalence of low birth weight is relatively high in Iran so we suggest education, increasing prenatal care particularly for high –risk age groups that can be useful for reducing the consequences of this adverse pregnancy outcome

Assessment of cognitive functions in schizophrenia patients is very important. Because the cognitive deficiencies in memory and intelligence are the fundamental and underlying aspects. Both indicate from a structural and neurological similar deficits. The present study sought to examine the impact of severity and prognosis of schizophrenia on cognitive function, such as memory and intelligence and the relationship between intelligence and memory. In this study, 60 schizophrenia patients participate, who had at least 2 years of their diagnosis. Based on interviews by the PANSS scale in the two groups of 30 persons including the first group with mild symptoms (stable group) and the second group with severe symptoms (deteriorate group), were studied. Two groups by age, literacy, lack of mental retardation before diagnosis of disease, the use of ECT, the lack of anti-psychotic drug treatment more than three months during the past year were cloning. the Wechsler memory test and the raven IQ test for adults were used, the results were analyzed with using independent t-test, correlation and regression. Average of memory quotient in stable group with 77.4 and in deteriorated group with 65.93 had significant difference (p=0.002). Average of IQ in stable group with 84.26 and in deteriorated group with 76.9 had significant difference (p=0.015). Regression test showed that the memory can be predicted from IQ (p=0.001). with severity of disease and deteriorated of schizophrenia and negative symptoms, deficiency in memory, has increased. In these patients, there was a positive relationship between intelligence and memory. The level of intelligence was in deteriorated group significantly lower than from stable group