فهرست مطالب narges dabbaghipour

 In this case report of a 31-year-old female, we describe the effects of dry needling on scar tissue following total hip arthroplasty.

   Case report: 

A 31-year-old woman underwent an elective bilateral total hip replacement due to a motor vehicle accident. Based on physical examination, the patient had burning pain at the incision site at the time of menstruation and limited hip range of motion worse on the right side. The treatment program consisted of six sessions of dry needling over a three-week period alongside infrared radiation for 20 minutes during each session. The needles were spaced along the entire length of the scar tissue and rotation was performed back and forth across the scar region to release the adhesion between the scar line and the underlying tissue, focusing more on the painful-to-touch spots and adhesive points. Following the completion of the dry needling treatments hip range of motion and the patient’s functional outcome improved. Dry needling may be an effective and rapid treatment for scar tissue adhesion after surgical procedures. High-quality randomized-controlled studies are needed to verify the efficacy of this method.

Peyronie’s disease (PD) is a connective tissue disorder resulting from abnormal development of fibrotic and non-expandible thickened scar tissue in the penis. Surgical intervention might lead to other complications, including decreased sensation in the penis, persistent pain after surgery, and less-rigid erections. This study presents the physiotherapeutic assessment and management of a 33-year-old man with erectile dysfunction and impaired penile sensation following reconstructive surgeries of the penis. The patient was given physiotherapeutic interventions including dry needling (DN) and subcision of the scar and stretching exercise of the penis. After the 5th visit, the patient reported improvement in symptoms. This case report suggests that dry-needling and subcision techniques can improve pain and sexual well-being in patients with post-plication surgery problems.

The current study aimed to update prior systematic review and meta-analyses (SRMA) in order to determine the effects of supervised exercise-based cardiac rehabilitation (EBCR) and introduce a suitable exercise protocol for management of lipid profile abnormalities in patients with cardiovascular disease (CVD).

PubMed, Scopus, and Web of Science databases were searched from 1980 to December 2018. All published, randomized controlled trials (RCTs) reporting the efficacy of supervised EBCR in patients with CVD and measuring at least 1 component of lipid profile were included. The quality of articles was assessed based on the Physiotherapy Evidence Database (PEDro) scale. Random effect model was used to calculate the effect size of post-intervention data.

Initially 774 RCTs were reviewed, 14 of them were included in the study. In comparison with the control group, supervised EBCR was associated with higher serum levels of high-density lipoprotein (HDL) [weight mean difference (WMD): 1.297; 95% confidence interval (CI): -1.620, 4.214] and lower serum level of low-density lipoprotein (LDL) (WMD: -7.797; 95%CI: -14.005, -1.588), total cholesterol (TC) (WMD: -11.029; 95%CI: -20.716, -1.342), and triglyceride (TG) (WMD: -14.602; 95%CI: -28.992, -0.212).

It seems that EBCR is correlated with an insignificant increase in HDL serum level and a significant decrease in LDL, TC, and TG serum levels. Considering subgroup analysis results, it is suggested that long duration, moderate exercise volume (EV), and combination of aerobic exercise (AE) and resistance exercise (RE) be used to improve HDL and TG serum levels. Short duration, high EV, and AE+RE seem to significantly reduce LDL serum level. Moreover, moderate EV is associated with a significant reduction in TC level.

Using simulated patients (SPs) in clinical skills education is a common method of providing training to students to hone their skills for future client encounters. The aim of this systematic review is to provide an overview of the SP strategy in physical therapy (PT) education.

 PubMed, SCOPUS, and Web of Science databases were searched up to November 2019 with no language restriction. Different keywords related to the topic were selected using MeSh. Any types of quantitative study design which had used simulation-based learning in physical therapy student were eligible for inclusion. Two researchers reviewed studies and appraised them critically.

 A total of 1049 abstracts were retrieved and after reviewing the full-text paper, 11 full-text articles were included. These studies had used simulated patients for various aims including replicate different aspects of knowledge, self-perceived skills real, clinical practice, attitudes, and feasibility. Based on the result of studies, SP as an educational technique, can improve student’s clinical reasoning skills, communication, and motivation in a safe method.

The simulated patient is a useful modality to deliver learning activities in medical education and physical therapy curricula, facilitating feedback on students’ performance with opportunities to interact with realistic patients and environments.

Percutaneous Coronary Intervention (PCI) is a non-surgical procedure for the treatment of Coronary Artery Diseases (CADs). One of the most common disorders associated with these procedures is the occurrence of Cognitive Impairments (CIs). This study aimed to assess the Reaction Time (RT) and anticipatory skill of PCI patients and healthy subjects, using computer-based software as a safe and easy method.

Ten male PCI patients and ten healthy male individuals participated in this cross-sectional study. Auditory choice and complex choice RT, visual choice and complex choice RT, and anticipatory skill of the low and high speed of the ball of both groups were analyzed by Speed Anticipation Reaction Test (SART) software.

No significant difference was seen between two groups in terms of simple auditory RT (P=0.15), auditory complex choice of RT (P=0.19), and anticipatory skills of the low speed of the ball (P=0.16). However, the performance of PCI patients was significantly worse on the simple visual RT (P=0.01), visual complex choice RT (P=0.05), and anticipatory skill of the high speed of the ball (P=0.04) compared to those of the healthy controls.

The assessment of RT and anticipatory skill as neurocognitive tests is considered to be one of the useful methods for evaluating the cognition function of patients, who have cardiovascular diseases. Furthermore, the pilot study suggests that PCI patients had a similar or even poorer performance in cognitive function compared with healthy people.