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Rehabilitation Sciences and Research - Volume:4 Issue: 1, Mar 2017

Journal of Rehabilitation Sciences and Research
Volume:4 Issue: 1, Mar 2017

  • تاریخ انتشار: 1395/12/01
  • تعداد عناوین: 6
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  • Seyedeh Marjan Jaladat, Mehdi Abdolvahab, Behrouz Attarbashi Moghadam, Alireza Ashraf, Mahmoud Jalili, Ahmadreza Baghestani Pages 1-5
    Background
    Splinting is the most common conservative method of treating patients with mild and moderate Carpal Tunnel Syndrome (CTS). The aim of this study was to determine the effectiveness of the limited dynamic wrist splint on the symptoms, function, and strength of women with CTS. In this controlled trial study, the subjects wore a splint of a new design called the “limited dynamic wrist splint”, which allowed the wrist motion in the range (between 15-degree flexion and 15-degree extension) that exerts minimum pressure on the median nerve and prevents extra pressure on the nerve by limiting the range of motions out of the allowed range.
    Methods
    In this study, 24 women diagnosed with mild to moderate CTS were initially evaluated on the basis of the Boston questionnaire, the dexterity test of the Purdue pegboard, grip and pinch strength, distal sensory latency, and sensory nerve conduction velocity. The subjects were randomly divided into two groups, control and treatment. Both groups received routine rehabilitation treatment for six weeks. The treatment group received the limited dynamic wrist splint for about six to eight hours a day. After six weeks, the initial examinations were repeated. The SPSS-16, independent t, and paired t-tests were used for data analysis.
    Results
    All the variables in the treatment and the control groups showed improvement. The function test of the Boston questionnaire, the Purdue pegboard test, and the pinch strength were significantly improved in the treatment group. The “severity of the symptoms” test of the Boston questionnaire and the pinch strength in the control group showed a statistically significant difference (P
    Conclusion
    This study showed that the use of the limited dynamic wrist splint for about six weeks for six to eight hours a day could have a significant effect on the function, dexterity, and the pinch strength of patients with CTS. Not only can the patients receive treatment by this method, but they can also perform their daily activities to some extent.
    Keywords: Carpal tunnel syndrome, Splint, Function, Symptoms, Strength
  • Farahnaz Emami, Masoud Bahremand, Zahra Rojhani-Shirazi Pages 6-9
    Background
    Wushu is one of the martial arts that combines explosive strength and speed movements with combat techniques. Most studies to date of wushurelated injuries have been published in Chinese languages. No published studies have reported the prevalence of these injuries in Iran. Therefore, the aim of the present study was to determine the prevalence of musculoskeletal injuries in male wushu players in Shiraz.
    Methods
    Male wushu athletes aged 18 to 30 years were included in this cross sectional study if they had been practicing for 2 hours per session, twice a week during the past 3 years. The athletes were recruited by convenience sampling from 30 wushu clubs in Shiraz, Iran. The sample size was 165. The study was conducted from June to September 2016. Each participant was asked to complete an information questionnaire about his musculoskeletal injuries related to wushu during the previous year.
    Results
    About two third (65.45%) of wushu players had one or more injuries during the previous year. Severe injuries were most commonly located in the head/neck and knee/tibia areas, and inflammation was more prevalent than the other types of injuries.
    Conclusion
    Wushu players in this study reported a high prevalence of injuries affecting different parts of the body.
    Keywords: Wushu, Musculoskeletal injuries, Martial arts
  • Shiva Mousavi, Behnoosh Vasaghi-Gharamaleki, Jalil Mirza-Mohammad Khanpour, Tahereh Khosravian-Arab Pages 10-14
    Background
    Currently, cardiovascular disease is the most common cause of death in the world. The current study aimed to determine the prevalence and characteristics of shoulder pain in female patients with coronary artery bypass graft (CABG).
    Methods
    This cross-sectional study enrolled 136 women after (CABG) through easy access, and questionnaires were distributed to them. The subjects were asked to complete the questionnaire regarding the time of incidence and characteristics of their shoulder pain, their history of exercise, and their history of pulmonary, cardiovascular, and other diseases. The patients’ intensity of pain was measured using the visual analog scale (VAS).
    Results
    In this study, 45 patients had shoulder pain. In nearly half of the patients, the pain began from the left shoulder, and one-third of the patients had pain in both shoulders. Onset of pain was sudden in more than 50% of cases.
    Conclusion
    One-third of patients who underwent CABG suffered from shoulder pain which appeared quickly and within less than a day. The pain was frequently in the left shoulder or between the shoulder areas. Since the age of patients in this study was 50 years, if the pain persisted, the probability of incidence of frozen shoulder is high.
    Keywords: Open heart surgery, Shoulder pain, Physiotherapy, Coronary artery bypass graft
  • Negar Kooroshfard, Sedigheh Kahrizi Pages 15-19
    Background
    Proprioception, or joint position sense, probably plays an important role in joint function. A number of studies have shown that proper joint position sense can decrease the risk of injuries in sports. It is not very clear how patellofemoral pain syndrome (PFPS) can affect athletes joint position sense (JPS). Regarding the importance of proper joint position sense for movement performance and injury prevention in athletes, the aim of this study was to evaluate knee JPS in athletes with PFPS and compare it with asymptomatic individuals under non-weight bearing (sitting) conditions.
    Methods
    The study design was comparative in which 15 patients and 15 healthy athletes participated. JPS was evaluated by active and passive replication of knee angles for 30, 45 and 60° of knee flexion target angle while visual cues were eliminated. Each test was repeated three times. By subtracting the test angle from the replicated angle, the absolute error was calculated as a dependent variable. T-statistical test was used to compare data between two groups and P value of 0.05 was considered as the level of statistical significance.
    Results
    No significant difference (P
    Conclusion
    According to results, both groups had the same JPS ability, it seems PFPS does not affect the knee JPS at least in athlete cases. It would be possible that deficiency of JPS compensated for the physical activity or on the other hand, maybe pain intensity was not high enough to interfere with JPS accuracy. According to our results, PFPS doesn’t reduce IPS but further investigation is needed to disclose if other factors such as skill level, intensity of pain or joint pathology are effective on JPS accuracy or not.
    Keywords: Athlete, Anterior knee pain, Position sense, Electrogoniometer
  • Parvane Bazipoor, Seyed Sadreddin Shojaeddin, Ali Shahhoseini, Iraj Abdollahi Pages 20-25
    Background
    Compared to the individuals with a normal arch structure, those with high or low arch can be at an increased risk of overuse injuries. The risk of overuse injury among athletes is high due, in part, to the repeated loading of the lower extremities. The current study aimed to determine if foot type (high-arched or normal) results in differences in plantar pressure during two badminton-specific movements (right-reverse lunge and right-lateral lunge).
    Methods
    Twenty badminton players (10 with normal feet and 10 with higharched feet) completed five trials in both right-reverse and right-lateral lunge, while in-shoe pressure data were collected at 100 Hz. The peak pressure and mean pressure were analyzed among the subjects for five major anatomical regions of the foot, using the independent t test in SPSS version 20. The foot type was determined by the foot posture index (FPI) (α
    Results
    Results showed that the plantar pressure characteristics of normal and high-arched feet were different; such that in high-arched feet, as compared to normal subjects, there were significantly fewer pressure strikes in the medial (P=0.010) and lateral (P=0.002) mid-foot in right-reverse lunge and this was significantly higher in forefoot (P=0.003) and toes (P=0.010). However, the peak (P=0.157) and mean (P=0.104) pressure in the heel was higher but not significant. In the right- lateral lunge, we found statistically lower peak pressure stroke for the lateral mid-foot (P=0.010) and forefoot (P=0.011); however, the mean pressure was lower in the lateral (P=0.010) and medial (P=0.040) mid-foot and forefoot (P=0.120), although it was not significant in the forefoot.
    Conclusion
    Results showed that the medial longitudinal arch of the foot might cause pressure differences in the feet among the players with normal and higharched feet. As the results demonstrated, in high-arched feet, there are some regions where plantar pressure is higher and some where it is lower. Therefore, in order to prevent the badminton players from suffering probable foot injuries, attention should be paid to the compatibility of the insole/shoe and the medial longitudinal arch and other areas of the foot that suffer more pressures than normal subjects.
    Keywords: plantar pressure, injury prevention, high arch foot, badminton
  • Zahra Ilkhani, Bijan Shafiei, Morteza Farazi Pages 26-29
    Human immunodeficiency virus (HIV) is a viral disease with immunodeficiency in human. So, it can involve different areas such as language, speech, motor and memory. The present research, as a case report, introducing the characteristics of phonological processes of a child who had Aids and lived in a nursery through referring and professional assessing in a speech therapy clinic. The child was a 4 year old boy who was in HIV base on blood test. Speech skills was assessed based on DEAP and language assessment was analyzed according to TOLD-P3. He talked with single word. He used two words sentences rarely. According to language assessment (TOLD-P3), semantic, syntax and phonology features were tested. So he was in emerging language stage. Also his expressive language was lower than his perceive language. In addition, based on DEAP-P test, phonological process of substitution type has been recognized most. Also, the most of the substitution phonological process which accrued have been velar fronting. This study showed that the most phonological process in a child with HIV was the process of substitution. It may be a risk factor for decreasing speech intelligibility. With regard to the results of the present research that showed that the subject had the disorder and there are limited researches in this area, it needs more surveys to help therapists to make a priority in therapeutic stages.
    Keywords: HIV, Intelligibility of speech, Phonological process, Process of substitution