Iranian Rehabilitation Journal
Volume:12 Issue: 20, Jun 2014

Rehabilitation program is a critical piece of clinical care strategy in order to accelerate healing and improve quality of life to the fullest extent possible. An innovated program should have 3 inspiring concepts: Seek; inspire and Advance. Seeking and evaluating is a breakthrough technology, innovative methodology and emerging trend in the healthcare industry. The program should inspire clinicians to critically evaluate and implement the highest standards of care. Also an innovated program should advance clinical program development to maximize opportunities for first to market positioning and community partnerships. The scope of program can be from psycho-rehabilitation to predictor in addiction (1-3), Cognitive and motor rehabilitation researchers are quite concerned about system wide biases that may impair development of innovative rehabilitation techniques. In this issue. .

In a single blinded randomized controlled study, we investigated the effect of stabilization exercise on lumbar multifidus muscle thickness in patients with non-specific chronic low back pain. Low Back Pain is highly prevalent and results in considerable level of disability. Many causes have been associated with weakness or injury of the soft tissues in the lumbar area. A total of 122 individuals (44 males, 78 females) with non-specific chronic low back pain participated in this study. They were assigned to four different groups. Group 1 received stabilization exercise only. In addition to stabilization exercise, groups 2 and 3 received Transcutaneous Electrical Nerve Stimulation and massage therapy respectively and group 4 was the control group who received drug therapy only. Participants went through this protocol twice weekly for 8 consecutive weeks. Measurement of muscle thickness using Ultrasound scanning machine was done at baseline and end of 8th week. Analysis of variance was used to determine significant difference at p<0.05. There was an increase in the Lumbar Multifidus muscle thickness at L4-L5 lumbar vertebra post-intervention assessment with more increment in group 2 with a mean and standard deviation of 3.28 ± 0.47, within the three groups except the control. The study established that stabilization exercise alone and in combination with Transcutaneous Electrical Nerve Stimulation and massage is effective in increasing the thickness of Lumbar Multifidus muscle in patients with non-specific chronic low back pain.

The main objective of this study was to determine the effectiveness of narrative therapy and group counseling on depression and loneliness among elderly women. This is a quasi experimental research method using post-test design with a control group. 24 women were selected from all the elderly women referring to Iranian Alzheimer’s Association in 2012 through randomized sampling method and have been assigned to experiment and control groups. The tools for assessing depression and loneliness were the Geriatric Depression Scale and the Loneliness questionnaire. The experiment group had eight 90 -minute sessions of group counseling narrative therapy which took place once a week. The collected data have been statically analyzed using independent t -test in SSPS-19. The findings showed that there is a significant difference between the mean scores of the experiment and control group and it can be argued that employing narrative therapy group counseling was influential in reducing depression and loneliness (P<0.01). The effect of group counseling narrative therapy on reducing depression and loneliness of elderly women has been confirmed by the results of this study. Based on the findings, conducting narrative therapy group counseling is strongly recommended in health care organizations for the elderly people.

Lexical access is the process by which the basic conceptual, syntactical and morpho-phonological information of words are activated. Most studies of lexical access have focused on picture naming. There is hardly any previous research on other parameters of lexical access such as verbal fluency and analysis of connected speech in Persian normal participants. This study investigates the lexical access performance in normal speakers in different issues such as age, sex and education. The performance of 120 adult Persian speakers in three tasks including picture naming, verbal fluency and connected speech, was examined using "Persian Lexical Access Assessment Package”. The performance of participants between two gender groups (male / female), three education groups (below 5 years / above 12 years / between 5 and 12 years) and three age groups (18 - 35 years / 36 - 55 years / 56 - 75 years) were compared. According to findings, picture naming increased with increasing education and decreased with increasing age. The performance of participants in phonological and semantic verbal fluency showed improvement with age and education. No significant difference was seen between males and females in verbal fluency task. In the analysis of connected speech there were no significant differences between different age and education groups and just mean length of utterance in males was significantly higher than females. The findings could be a primitive scale for comparison between normal subjects and patients in lexical access tasks, furthermore it could be a horizon for planning of treatment goals in patients with word finding problem according to age, gender and education.

The aim of this study was to examine the effects of consecutively supervised core stability training on postural control and functional disability in female patients with non-specific chronic low back pain. Twenty nine female participants with non-specific chronic low back pain participated in the study. They were randomly divided into two groups: experimental group (10 days consecutively core stability exercises under physical therapist’s supervision) and control group (without intervention). Before and after the intervention, stability situations, pain intensity and functional disability were assessed with Biodex, visual Analogue Scale, Oswestry and Quebec questionnaire scales respectively. Data were analyzed by using statistical methods, independent T test and ANCOVA. The study results indicated no statistically significant differences in all variables except age between two groups before intervention. Analysis by ANCOVA showed a significant difference in disability, pain intensity, Overall Stability Index with Double Leg Eyes Closed, Anterior-Posterior Stability Index with Double Leg Eyes Closed and Medio-Lateral Stability Index with Double Leg Eyes Closed scores between two groups after intervention. However, other variable differences were not significant while these changes were greater in the intervention group. The present study indicates that consecutively supervised core stability training is an effective approach in pain relief and improving postural control in female patients with non-specific chronic low back pain.

The aim of the present study was to compare the performance of the vertical jump task and the level of disability between the coper and non-coper athletes with an anterior cruciate ligament-minus knee. Thirty-four professional male athletes with isolated complete anterior cruciate ligament -tear (age 20-29 years and 6-12 months time past injury) were recruited in this study. The subjects were allocated into the coper (n=17) and non-coper (n=17) groups according to their history of having giving way and feeling an instability in their injured knee. The maximum vertical jump height was recorded by a 6-camera Vicon motion analysis system. The functional outcomes of the subjects were assessed with use of the Persian versions of the International Knee Documentation Committee, Knee Injury and Osteoarthritis Outcome Score and Tegner Questionnaires. The results revealed that the coper ACK-deficient knee subjects had a significantly higher International Knee Documentation Committee score as well as two subscales of the KOOS questionnaire including the sports (p=0.001) and the quality of life (p=0.016) than non-copers. However, the subscales of pain (p=0.0137), symptoms (p=0.353) and the activities of daily living (p=0.133) of the KOOS questionnaire did not show any significant differences between the coper and non-coper ACL-deficient knee subjects. In addition, the maximum jumping height was significantly higher in the copers too (p=0.008). While the pain, symptoms and daily activities were not different between the two groups, a higher level of the functional abilities, sports activities, quality of life and the maximum jumping height were shown in the coper ACL-deficient knee subjects when compared to the non-copers. A deliberate evaluation of the functional abilities in ACL-deficient knee subjects might play a key role in distinguishing the coper and non-coper ACL-deficient knee subjects.

The theory of mind hypothesis states that children with autism are impaired in the development of the ability to appreciate their own and other people's mental states. The people with Autism Spectrum Disorder needs treatment approach which to strengthen their movement, focus of attention, eye contact and relaxation. "Dohsa-hou" is a Japanese psycho-rehabilitation method by motor training, that many of researches investigated its effectiveness on many aspects of autism spectrum disorders The purpose of this study was to evaluate the effect of Dohsa training on theory of mind in high-functioning autistic children. In a quasi-experimental study with pre-test, post-test designs without control group, 6 children with Autistic Spectrum Disorder participated in the study Pre-test was administered for all participants by theory of mind questionnaire. Participants were given Dohsa training for a period of 4 weeks, 3 sessions of one hour a week. At the end of training, the post test was done by the same questionnaire. In the study, two tools for measuring the effect were used; Autism Spectrum Screening Questionnaire and Theory of mind Questionnaire. The results showed that there were significant differences between the subjects participated in treatment before and after the intervention, and indicated that in the subjects after the 2 weeks of enforcement of treatment and one month after performing the post-test there was no significant difference. As data showed, Dohsa training was an effective treatment for autistic children and movement has very important role in cognition, learning and cognition performance, especially theory of mind because movement and rhythm stimulate the brain. Together these findings suggest that it may be the autistic children motivation to move in ways they have not tried before that led their improvement during this psycho-rehabilitative program which affect their cognition and theory of mind.

Since problem solving group training is a comprehensive, active program and based-on cognitive behavioral approach, the aim of present study was to determine the effectiveness of problem solving therapy on depression and coping style in patients with type 2 diabetes mellitus. In an experimental design the study was done with pretest-posttest with control group. Totally 30 female clients who had inclusion criteria with score of 20-28 in Beck Depression Inventory was selected from Prophet Mohammad hospital in Tehran and divided to two groups. Then coping skills questionnaire was completed by experimental and control group. The experimental group participated in seven sessions on problem solving therapy, while the control group received no intervention. T-test analysis and variance analysis with repeated measures on one variable were used for data analysis. The results of variance analysis show that teaching problem solving therapy on Zurilla and Goldfried model lead to significant reducing emotion focused coping skills and significant increasing problem focused coping skills among patients with type 2 diabetes on the experimental group. The results also indicated significant reducing depression between this individual in experimental groups. The results of this study indicated that problem solving therapy could be effective way for improvement coping skill and reducing depression in patients with type 2 diabetes mellitus.

This paper proposes a Fuzzy Group Decision Making approach for ranking work stations based on physical pressure. Fuzzy group decision making approach allows experts to evaluate different ergonomic factors using linguistic terms such as very high, high, medium, low, very low, rather than precise numerical values. In this way, there is no need to measure parameters and evaluation can be easily made in a group. According to ergonomics much work contents and situations, accompanied with multiple parameters and uncertainties, fuzzy group decision making is the best way to evaluate such a chameleon of concept. A case study was down to utilize the approach and illustrate its application in ergonomic assessment and ranking the work stations based on work pressure and found that this approach provides flexibility, practicality, efficiency in making decision around ergonomics areas. The normalized defuzzification numbers which are resulted from this method are compared with result of quantitative assessment of Automotive Assembly Work Sheet auto, it’s demonstrated that the proposed method result is 10% less than Automotive Assembly Work Sheet, approximately.