فصلنامه آرشیو توانبخشی
سال دوازدهم شماره 6 (پیاپی 45، زمستان 1390)

Introduction and This research is aimed at determining the impact of tacit knowledge transfer via storytelling method on clinical competency of I.C.U nurses working at Fatemeh Zahra Hospital, Bushehr, Iran 2011. This study is a double-group semi-experimental research with pre and post test which was conducted on 16 nurses in I.C.U. Research community contain all 41 nurses who occupied at I.C.U. Research instrument was a self- reflective questionnaire containing questions of general and specialized I.C.U skills. Questionnaires were completed by the participants prior to and after intervention and the results obtained were analyzed by paired t-test. To evaluate clinical competency, average pretest score of general and specialized competency was obtained 219.50 and average post-test score was calculated 239.69. Comparing these two score, it was clear average posttest score was significantly higher (p = 0.003).Discussion and Results of the present research reveal that transfer of knowledge and experience by storytelling method improves and enhances clinical competency of nurses in different fields which are related to clinical competency.

To determine the reliability of the Persian translation of the Manual Ability Classification System (MACS) between parents and therapists in children with cerebral palsy (CP). After the forward and backward translation procedures and investigation of face and content validity, inter-rater reliability was assessed between parents and occupational therapists using the intra-class correlation coefficient (ICC) and the weighted kappa coefficient. 100 Children (4 to 18 years, mean age 85.15 months; 63 boys, 37 girls) with various types of CP were classified according to MACS by both parents and therapists. Additional data on the Gross Motor Function Classification System (GMFCS), intellectual delay, visual acuity, auditory acuity and epilepsy were collected. The inter-rater reliability was high; the ICC was 0.96 (ranged from 0.94 to 0.97) among occupational therapists and parents. Total agreement there was between the GMFCS and the MACS. The Persian version of the MACS is found to be reliable between parents and therapists, and is suggested to be appropriate for the assessment of manual ability within the Iranian population.

Abstract Object: dynamic neoprene orthosis were assessed in one child with spastic diplegia cerebral palsy using gait analysis. Metode: After fitting of the neoprene legging, and initial assessment (with orthosis and without orthosis), there was a period of 6 weeks that child wearing the legging for at least 5 h everyday, and followed which she was re-assessed. difference of means of variables in immediate effect of neoperen orthosis showed decrese more of 5 degree in mean of maximum and minimum of knee flexion, decrese of ROM of hip joint and increase of cadence whith orthosis. After 6 weeks wearing orthosis, maximum knee flexion, hip and knee joint ROM decresed and cadence incresed without orthosis and in a cycle of gait. dynamic neoprene orthosis appear to provide an improved base of support for functional gains in balance, dynamic stability, general and specific movement control with improved postural and muscle readiness. Both deep sensory and subtle biomechanical factors may account for changes observed. This orthosis developed for a specific child and expected that mechanism of orthosis could be effective in children with type of cerebral palsy.

Behavioral problems constituted a wide range of childhood problems. Acquiring information regarding the behavioral problems in cerebral palsy children is essential for identification and management of this problems and improving psychological services for cerebral palsy children’s mental health. The aim of the study was to describe behavioral problems in children with cerebral palsy.

In this cross-sectional study, 90 children aged 4 to 12 referring to rehabilitation centers in Tehran in 2011, were selected by available sampling method and evaluated with parent version of Strengths and Difficulties Questionnaire. Descriptive statistics, chi-square and logistic regression tests were used for analyzing the data.

The findings showed prevalence of behavioral problems in cerebral palsy children that was about 3/43 percent. The results of prevalence according to sub-groups of diagnostic class of Strengths and Difficulties Questionnaire shown that the highest degree of prevalence belongs to peer problems(82.2%) and the lowest degree of prevalence belongs to hyper activity problems(4.4%). There was a significant difference between IQ level, GMFCS level and Total Difficulties Scores (p<0/05).

Considering the significant proportion of cerebral palsy children have behavioral problems, recommended specific educational and therapeutic programs.

Psychological pressure, increase incidence of musculoskeletal disorders, Inactivity and fatigue are Adverse effects of technological development Despite increase production and efficiency.The purpose of this study was to determine burnout and musculoskeletal disorders - in computer users and other office workers, Comparing these two groups. Proposals to control risk factors If there are such problems in the workplace. A cross-sectional study was conducted on 426 office workers(40%males and 60%female)and Based on the use of computers in a week and were divided into two groups of user and nonuser and Burnout and of musculoskeletal disorders are compared between these two groups. The findings showed in the total employees, The highest rate of burnout in employee related to individual quality reduction(29.2%)The lowest is about depersonalization(4.6%).there was no Significant difference between users and non users computer in the three dimensions of burnout, But between the two groups in rates of musculoskeletal disorders in Neck (p =. 03), right shoulder (p =. 03) thorx (p =. 44), right wrist (p =. 03) there are differences So that the computer user is amount of more of musculoskeletal disorders.. Rate quality personal reduction and also amount of pain in the lumbar and Thorax of office workers is relatively high that require Ergonomics guidelines To improve the quality of working life And prevent the development of causal risk factors musculoskeletal disorders

Background and Work related problems are important parts of musculoskeletal disorders. Because of prolonged use of upper extremity by physiotherapists, they are at risk of work related upper extremity disorders. The purpose of this project was the study of upper limb disorder prevalence in physiotherapists of Tehran.A questionare was developed that consist of personal and occupational information and upper limb disorders and offered to many of physiotherapists in Tehran randomely. 96 physiotherapists participated in this research. This research revealed that the most of them have upper limb disorders so that 74% of men and 89% of women have at least a problem in their upper extremities. With increase of work time, this prevalence was increased. This research revealed high prevalence of upper extremity disorders in physiotherapists and serious attention is needed for prevention of this problems and increase performance in physiotherapists population.

Falling is a common problem in elderly. Researches show that impairment of balance and postural control plays a major role in falling. The biomechanical evidence suggests that increasing BMI worsens the postural control. As falling is so important in elderly population, This study aimed to determine one of the factors for falls in elderly and also suggest way to prevent falling. A cross-sectional study, 30 women and men over 60 were selected. The Burg Balance Scale and Body Mass Index were measured and the relationship between them was investigated. Results showed that the relationship between BMI and balance based on Pearson test was R= -0.39 and significant (P<0.05).No Relationship was found between age and balance, but balance in men was better than women. It seems that there is a relationship between BMI and balance in older people, and this index can be used as a criterion to predict falls in elderly people.

To investigate the intra-tester reliability of electromyographic (EMG) activity of lumbo-pelvic muscles during prone hip extension in subjects with chronic hamstring strain. A convenience sample of 10 athletes with history of hamstring strain injury. EMG signal amplitude (AMP) of the right and left erector spinea (RES, LES), gluteus maximus (GM), biceps femoris (BF) and semitendinosus (ST) was measured during prone hip extension (PHE) three times a day. The peak amplitude of the muscles was normalized to maximum voluntary exertion (MVE) of each muscle. Intraclass Correlation Coefficient (ICC) and Standard Error of Measurement (SEM) were used to assess the reliability. The ICC values were greater than 0.90 for all tested muscles. The results indicate high reliability for EMG activity of the lumbo-pelvic muscles during prone hip extension in subjects with chronic hamstring strain. The prone hip extension test can be used as a reliable method to assess the activity pattern of the lumbo-pelvic muscles in subjects with history of hamstring strain injury.

The purpose of this study was to investigate the compare to scapular rotational movement's measures of Motion analyzer and Acromion cluster between patients with Shoulder impingement syndrome and healthy persons during humeral elevation in scapular plane. 15 Patients (Males=7, Females=8) with Shoulder Impingement Syndrome (mean age= 46.6±14.242 years) and 13 healthy (Male=7, Female=6) with average age of 47.461±14.309 who participated in the study. They elevated humerous in scapular movement plane during 4 seconds with one-kilogram weight hand, using the VICON motion analyzer and Acromion marker cluster. The marker set and kinematics analysis were based on ISB protocol. Independent T-test statistical exam was used to compare nonimpaired subjects to the impingement group. Scapular rotational movements were described by upward rotation angle. The estimation of three-dimensional scapular attitudes using the method of calculation relative to the trunk is reproducible in the scapular movement plane during elevation and can be used to document the scapular behavior. During scapular plane elevation of the arm, the scapular movements showed a similar pattern of increasing posterior-tilt angle, increasing upward-rotation angle, and decreasing internal-rotation angle in both impingement and nonimpaired groups, but the amount of upward rotation among patients was significantly, decreased in the scapular plane (13.694 degrees ± 9.427, p=0.48). These results suggest that altered scapular rotational movements may be an important aspect of scapulohumeral rhythm in the impingement syndrome and must be take attention during assessment and treatment, specific in patients with shoulder pain

Target: This study investigated coping strategies in relation to spiritual intelligence of students of Social Welfare and Rehabilitation University. In this Descriptive – creational study the study population is students of University of Social Welfare and Rehabilitation Sciences. 150 students were selected by stratified random sampling method.. Data collected in this study included a survey of King's spiritual intelligence and copping with stress survey. Data were analyzed by software spss17 and Independent t-test and simple linear regression test and descriptive statistics were used for this purpose. By Descriptive statistics Spiritual intelligence and coping strategies mean and standard deviation were calculated for students. By T-test calculated the difference scores of spiritual intelligence and copping strategies for boys and girls (P<0/001). Regression analysis shows a significant (P<0/001) relationship between spiritual intelligence and copping strategies. There is a significant (P<0/001) relationship between spiritual intelligence and copping strategies and Spiritual intelligence is a predictor of coping strategies.