hassan tamartash

Transcutaneous electrical nerve stimulation (TENS) is commonly used for pain management. Recent studies have shown that TENS can improve the condition of low back pain by influencing the elastic coefficient of the lumbar fascia and the balance status; however, the effect of TENS on the lumbar fascia of healthy people has not been investigated. Accordingly, this study examines the effect of TENS on the lumbar fascia of healthy people.

A total of 60 healthy participants in two groups, underwent 10 sessions of conventional TENS intervention. The first group (intervention group) received TENS with an intensity at the tolerance level, and the second group (control group) received sham TENS. Ultrasonography and a spinal mouse device were assessed lumbar fascia thickness and lumbar curvature before and after the TENS.

Significant changes were observed after TENS in the intervention group in reducing the lumbar fascia thickness (P=0.006) and increasing the lumbar curvature (P=0.000). Between-group changes after the intervention sessions indicated a significant difference between the lumbar fascia thickness and curvature (P≤0.003).

TENS in healthy people can lead to a decrease in the thickness of the lumbar fascia and improve lumbar curvature. Also, a strong correlation was found between lumbar fascia thickness reduction and increased lumbar curvature.

The Kansas City Cardiomyopathy Questionnaire (KCCQ) has been developed to measure the health status of Congestive heart failure (CHF) patients. This study aimed to translate KCCQ into a Persian version and assess its validity and reliability. We used a forward-backward procedure to translate the questionnaire. In a cross-sectional study, 150 CHF patients and 50 healthy subjects over 30 years old were selected to assess the reliability and construct validity of the instrument. The face and content validity were used for the questionnaire's validity. The validity was examined on a population of patients with CHF using the Persian version of the Minnesota Living Heart Failure Questionnaire (MLHF) health survey. Calculation of the Intraclass correlation coefficient (ICC) and Cronbach's alpha was done to evaluate the questionnaire's reliability. Test-retest reliability was examined by re-administering the KCCQ after 2 weeks. Test-retest results demonstrated that the Persian version has excellent reliability (ICC for all domains was higher than 0.93, P≤0.000). Internal consistency was found by Cronbach's alpha to be 0.86 for the clinical summary and 0.87 for the overall summary, respectively. Also, the correlation between the components of KCCQ and MLHQ showed satisfactory construct validity. Good Pearson's Correlation Coefficient was seen between KCCQ and MLHF (r= -0.44, P≤0.000 for the clinical summary; r= -0.45, P≤0.000 for the overall summary). Analysing the data from 50 healthy persons and 150 patients were shown that the Persian version of KCCQ has acceptable discriminate validity for all domains except self-efficacy. The Persian version of the KCCQ had satisfactory reliability and validity for assessing health-related quality of life status for Iranian CHF patients.

This study aims to evaluate the effect of lumbar myofascial release (MFR) technique on pain and thickness of the lumbar fascia tissue in patients with non-specific low back pain.

In this clinical trial, 20 subjects with non-specific low back pain were treated by MFR on the lumbar region at 4 sessions. Low back pain severity and thickness of the lumbar fascia tissue were assessed by ultrasonographic imaging before and after the intervention.

Subjects showed significant reduction in lumbar fascia thickness (P=0.000) and low back pain severity (P=0.000).

The lumbar MFR technique is effective in patients with non-specific low back pain due to reducing the lumbar fascia thickness and low back pain.

The present study aimed to determine the relationship between New York Heart Association (NYHA) classification and disease characteristics on the quality of life scores and the distribution of the scores at different stages of Heart Failure (HF).
A total of 150 patients with HF participated in this cross-sectional study. The method of data collection was interview based on NYHA classification and using the validated Persian version of the Kansas City Cardiomyopathy Questionnaire (PKCCQ).
According to NYHA classification, 10% of patients were classified as mild HF, 16% as moderate HF, 63% as severe HF, and 11% as very severe HF. Significant differences were observed for total score and the component scores of PKCCQ among four stages of the disease (P Distribution of the quality of life scores in patients with different stages of HF showed that quality of life scores overlap in the severe and very severe stages. Classifying the disease using NYHA classification cannot distinct patients with HF according to impairments in their health status between severe and very severe stages. In addition, the degree of education is the factor that may affect the quality of life.

Forces imposed on body members even on light working condition, may gradually result in damages caused by working. Persons engaged at goods sales centers including cashiers, may be to catch exhaustion and neuromuscular damage due to repetition of their wrist, elbow and shoulder joints movement. The aim of this research is to assess the relation between the work factors and personal characteristic in possibility of the above symptoms.

The questioners form propounded at Stanford university question were asked and coded based on the target group, and having been reviewed and surveyed were later used in this research. This questioner included parts such as recording the personal characteristics, history of illnesses, clinical diagnosis and evaluation of the work environment and the hand tools. Selected individuals were randomly employed at goods sales centers from five geographical districts of Tehran.

The most complaint of employees was pain and dysfunction in upper limbs, neck and shoulder. Half of subjects had carpal tunnel syndrome.ength of work time and employment duration at sales centers increase probability of neck and shoulder pain.

The profession of cashiering at sales centers is one of the most stress causing jobs on the peripheral joints of upper limb, so that the lengths of working in this position and the amount of activity have a positive effect on the increase of neuromuscular disorder. Apply of correct pattern of using the tools and the equipment in this work environment could substantially control the negative effects of this type of job. The most of complains expressed by individuals taking part in this research have been related to sign and symptoms of involvement of median nerve in the wrist and referral pain in the neck, shoulder and arm.