فصلنامه آرشیو توانبخشی
سال پانزدهم شماره 3 (پیاپی 59، پاییز 1393)

Flat foot is common deformity in children that medial longitudinal arch is decreased, which if not treated in childhood may lead to pain and other problems in adulthood. Insoles and orthopedic shoes usually prescribed for treatment of flat foot in children, but the biomechanical impact of these devices is not yet clear. The purpose of this study is comparison of two conventional orthoses intervention in Iran, including medical shoe and functional foot orthosis on static balance by measurement of displacement of center of pressure and cop sway velocity in children with flexible flat foot. This Quasi experimental study were accomplished on 30 children with flat foot and 10 healthy children for achievement of normal data in healthy children. Children stood unilaterally on force plate of Neurocom and in order to measurement of balance, displacement of center of pressure and COP (Center of Pressure) sway velocity were recorded. The results related to displacement of the center of pressure in a flat foot showed with insoles and conventional shoe the amount of displacement of center of pressure significantly were reduced (p < 0.05). There was no significant difference between orthopedic shoe and functional foot orthosis, (p = 0.12). Results of COP sway velocity showed in barefoot condition COP sway the most and in comparison with orthopedic shoe COP sway velocity were decreased with functional foot orthosis and regular shoe (significant level was 0.05). According to result of this study about static balance in flat foot children, there was no significant different among orthopedic shoe and functional foot orthosis. Due to the reduced displacement of center of pressure with functional foot orthosis and rejection of orthopedic shoe by children it seems that prescription of functional foot orthosis with regular shoe can be properly administered in flat foot children.

Abstract: Inadequate processing of sensory information especially vestibular leads to typical behaviors in attention deficit hyperactivity (ADHD) children which manifested as inattentive behaviors. In this research we aimed to study the effects of vestibular stimulation on visual attention in 7-12 year old ADHD children, using IVA-PLUS-CPT (Integrated Visual and Auditory Continuous Performance Test). Thirty Children diagnosed as ADHD (7-12 year old), which were right handed and have had normal IQ based on Wechsler test participated in this research following their consent and divided randomly in the intervention and control groups. All participants were assessed using IVA-PLUS-CPT, then the intervention group participated in normal occupational therapy activities plus vestibular stimulation while the control group were recruited only in normal occupational therapy activities. Intervention continued for 10 sessions, twice a week for 5 weeks. At the end, all participants were evaluated again using IVA-PLUS-CPT. The collected date was analyzed using SPSS software version 16 and differences in pre and post test were comprised between the two groups using independent T-Test. Vestibular stimulation leaded to significantly differences in, visual attention,, impulse (p<0.05) but visual impulse control did not show significant differences amongst the two groups. Vestibular stimulation can affect meaningfully visual attention in ADHD children. So it can be used as a therapeutic technique in treating these children.

This study aimed to investigate the role of perceived social support in predicting psychological disorders in people with mobility impairment and its comparison with normal subjects. In This causal comparative study, 49 subjects were chosen among all people with mobility impairment by random sampling and 50 subjects among ordinary people by available sampling. Data were gathered with Depression, Anxiety, Stress Scale (DASS-21) and Multidimensional Scale for Perceived Social Support (MSPSS), and were analyzed by chi-square, ANOVA and multivariate regression. Results showed that there are significant differences between mobility impaired and normal subjects with respect to their stress (P<0.05), anxiety, depression and significant others social support (P<0.01). There are relationships between the stress of mobility impaired persons and their perceived social support of friends and significant others; between the depression of mobility impaired persons and their perceived social support of friends, family, significant others and their total social support; and between the anxiety of mobility impaired persons and their perceived social support of friends, family and significant others (P<0.05). Regression analysis showed that models about the prediction of stress, depression and anxiety based on perceived social support were significant for people with mobility impairment and normal subjects (P<0.01). These results have amplifications about the prevention of social and psychological dysfunctions and are usable in rehabilitation for people with mobility impairment.

One of the most common neurological disorders in pre-school children is neuropsychological disabilities. Disorders in performing perceptual motor movements (activities) are among the signs of this disorder in children. This study aimed to find out the effect of the selected physical activities on perceptual motor abilities in preschool children with neuropsychological disabilities. This study was experimental research with pre-test, post -test and control group. The subjects of this study included all 5-6 year-old children of kindergartens and preschool centers of Babol, in 2013. To select the sample, 120 parents of these children filled up Conner neurological - psychological questionnaire and 30 children (via convenience sampling) who received higher score in psychological-neural Conner questionnaire and did not have a proper motor conditions were selected randomly for inclusion in this study. The subjects were randomly assigned into two groups of experimental and control group, each with 15 persons. The selected motor program in this research was Spark movement program that includes strengthening activities, sports and games for children. This program was administered on experimental group for 15 sessions (each session 45 minutes and for 35 days). The Oseretsky- Lincoln test was used for assessment of perceptual motor skills in children. The data were analyzed by Multivariate analysis of covariance. The results showed that the selected program was effective for improving perceptual motor skills of children with neuropsychological disabilities (p<0.05); however, only in the velocity motor components no significant difference was observed. According to the results of the study, it can be concluded that sport and physical activities as an essential part of the daily program of these children can lead to the more useful results for these children.

National Association of School Sports America reportedly common among aspirin ankle survive various ball sports such as foutsal and soccer and basketball are. According to calculations by 10 to 30% all sports injuries and 80% of involve the ankle injury. study the effect of proprioceptive training on dynamic balance basketball players with ankle sprains. The present study of quasi-experimental the with age range 22-18 years, 30 basketball players randomly divided into two equal experimental basis proprioceptive training were performed 5 weeks. Meanwhile, the dynamic balance of the subjects before and after training was measured with Biodex balance system. To analyze the data were used spss software version 16. Sample in this study men with a mean age (35/1 ± 86/19) experimental groups and (23/1 ± 66/19) in the control group was.T-test results showed that the experimental group after training compared to before the proprioceptive dynamic balance score (overall (p = 0/001, latral (p=0/001) and anterior-posterior (p=0/001)) that difference was significant, But dynamic balance scores in the conterol group overall (p=0/550), lateral (p=0/480) and anterior-posterior (p=0/840), that difference was not significant. According to results of this study can correct and early rehabilitation of injuries athletes’ ankle proprioceptive training to prevent disability re-spirin and emphasized the improvement of balance parameters.

The present study was aimed to determine the effectiveness of psychological immunization program on pessimistic attribution style in boy students with dyslexia. In this quasi experimental study, pretest and post test design with control group was used. Thirty boy students with dyslexia were selected randomly from Learning Disabilities Centers in Isfahan City. They were assigned to experimental and control groups in equal (15 individuals in each group). Their intelligence quotient and learning ability were measured by Raven Intelligence Progressive Matrices and Learning Test respectively. All students answered to Children Attributional Style Questionnaire (CASQ) before and after training sessions. Experimental group participated in 10 weekly training sessions (twice a week; each session lasts for 60 minutes) and received psychological immunization program. The results of analysis of covariance showed that psychological immunization training program has significantly (p<0.001) decreased the pessimistic attribution style of experimental group in comparison to control group. It seems that the psychological immunization intervention can be considered as an educational and rehabilitation program and lead to modify pessimistic beliefs of boy students with dyslexia.

Reliability of Performance Assessment of Self-care Skills in Evaluating the Self-care Skills of Adult Patients Suffering from Multiple Sclerosis in Tehran. Self-care skills are basic activities of daily living that a person performs for his independence. The most important results one expect from rehabilitation is to bring about independence in performing the activities of daily living (ADL) and this is the most crucial matter for the patient. PASS (Performance Assessment of Self-care Skills) is one of the comprehensive tests in evaluating the patient self-care skills. The purpose of the present study was to assess the reliability of PASS in evaluating the self-care skills of patient suffering from multiple sclerosis. 30 adult suffering from multiple sclerosis underwent test-retest evaluating using PASS. The test and retest were performed on 2 consecutive weeks and ICC

Rheumatoid arthritis is a chronic inflammatory disease which causes structural and functional changes in foot joints and results in alteration of plantar pressures. Therefore, the aim of this study was to investigate the immediate effect of insole with medial longitudinal arch support and metatarsal pad on plantar pressure distribution in females with rheumatoid arthritis. This was a quasi-experimental study in which 15 volunteer females with rheumatoid arthritis were recruited using no-probability simple sampling method. Plantar pressures were assessed using Pedar-X system in four anatomical foot region in two conditions of walking with and without foot orthosis. Average maximum pressures (Kilopascal) were calculated in each region. Foot orthosis with medial longitudinal arch support and metatarsal pad reduced plantar pressure in heel (P< 0.015), metatarsal heads (P< 0.03) and increased pressure in mid-foot area (P< 0.00). However, no significant differences in average maximum pressure were observed between two assessed conditions in the toe area. The findings of the present study revealed that the orthosis with medial longitudinal arch support and metatarsal pad corrects increased pressure on heel and metatarsal heads in rheumatoid arthritis. It could increase plantar pressure in mid-foot while decrease it in metatarsal heads and heel regions. Therefore, this orthosis is recommended to be used as a treatment in this pathology in order to re-distribute the foot pressures more normally.