فهرست مطالب

Rehabilitation Sciences and Research - Volume:5 Issue:4, 2019
  • Volume:5 Issue:4, 2019
  • تاریخ انتشار: 1397/11/27
  • تعداد عناوین: 6
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  • Sara Abolahrari, Shirazi, Farahnaz Ghafari Nezhad, Ziba Ahmadpour, Leila Zare, Farahnaz Emami* Pages 93-98
    Background
    Osteoarthritis is a common form of arthritis accompanied by varying degrees of disability and reduced quality of life. Several management regimens are available to treat knee osteoarthritis. Cupping therapy is used to treat musculoskeletal disorders but its effects on knee osteoarthritis has remained unclear. The study aimed to compare the effectiveness of intermittent cupping therapy plus routine physical therapy with routine physical therapy alone in patients with knee osteoarthritis.
    Methods
    Twenty-six patients with knee osteoarthritis were randomly assigned into two groups: intermittent cupping therapy plus routine physical therapy (intervention group, n=13) and routine physical therapy alone (control group, n=13). In the routine physical therapy group, transcutaneous electrical nerve stimulation, hot pack, and ultrasound were used, while in the cupping therapy group, intermittent vacuum therapy was used together with routine physical therapy. Both groups received 10 treatment sessions over a period of 2 weeks. Pain intensity was measured via visual analog scale (VAS). Further, functional disability was assessed using the Persian version of Western Ontario and McMaster Universities (WOMAC) osteoarthritis index questionnaire. Finally, knee joint passive range of motion (ROM) was measured with photography pre- and post-intervention.
    Results
    At follow-up, both groups had significantly lower pain intensity and functional disability, and higher knee passive ROM compared to their respective pre-intervention values (P<0.05). However, no significant differences were observed between groups in pain intensity or passive ROM in the knee (P>0.05). Differences in total WOMAC scores between pre- and post-intervention were significantly greater in the control group than in the intervention group (P<0.05).
    Conclusion
    Based on the results, both interventions can be effective in relieving symptoms in patients with knee OA.
    Keywords: Osteoarthritis, Cupping therapy, Pain, Disability
  • Amir Letafatkar, Bahram Sheikhi, Hadi Abbaszadeh Ghanati* Pages 99-105
    Background
    Current conservative management of subacromial impingement syndrome (SIS) involves generic strengthening exercises, especially for internal (IR) and external (ER) shoulder rotators. So far, no study has directly investigated the difference in muscle strength between patients with SIS and normal subjects. Accordingly, the purpose of the current study was to compare the shoulder rotator muscles eccentric and concentric peak torque in patients with SIS and normal subjects.
    Methods
    This study was a cross sectional research. Twenty-four patients with SIS (23.33±2.47 Years) and 24 normal subjects (22.83±2.15 Years), matched for hand dominance and physical activity level, completed isokinetic shoulder IR and ER testing. Within the SIS group, 18 patients had the symptoms in their dominant and 6 patients in their non-dominant side. The IR and ER strengths of both sides were measured separately using continuous reciprocal concentric and eccentric contraction cycles at speeds of 60 and 120 degrees per second, respectively. The values of peak torque were compared using independent t-tests between the SIS and normal groups.
    Results
    Significantly lower concentric ER peak torque at 120 º/second (p = 0.016), eccentric ER peak torque at 60 º/second (p = 0.022), eccentric ER peak torque at 120 º/second (p = 0.043), and eccentric IR peak torque at 60 º/second (p = 0.036) and 120 º/second (p = 0.040) were identified in the symptomatic SIS group dominant shoulder compared to the control group dominant shoulder.
    Conclusion
    Changes in eccentric and concentric peak torque in SIS group may be related to the limb dominancy, which may have clinical implications for strengthening regimes. Therefore, clinicians’ and therapeutic exercise expertise may benefit from eccentric isokinetic exercises for shoulder IR and ER rotators in order to design a treatment plan for patients with SIS.
    Keywords: Subacromial shoulder impingment, Peak torque, Shoulder rotation, Isokinetic
  • Effects of special pelvic floor muscle training on the quality of life in women with urinary incontinence, a clinical trial
    Abbas Ali Pourmomeny, Anahita Torkzadeh, Mahtab Zargham Pages 106-110
    Background
    Stress urinary incontinence (SUI) is the involuntary loss of urine which occurs with physical exertion and an increase in intra-abdominal pressure. Pelvic floor muscle training (PFMT) is generally recommended to reduce SUI. This study aimed to compare the effects of three different exercises in women with urinary incontinence by abdominal and pelvic floor muscle retraining.
    Methods
    A total of 81 patients with urinary incontinence (UI) were randomly allocated to the pelvic muscle training by biofeedback (BF), pelvic muscle training by biofeedback plus abdominal exercise (BF+AbdExs), and only abdominal exercise (AbdExs). All participants received 12 weeks of treatment. The outcome measure was maximal vaginal squeeze pressure and Quality of life (QOL) Questionnaire. Data analysis was performed using ANOVA and Kruskal-Wallis tests.
    Results
    The mean age of pa tients was 49.4 ± 8.4 years. The scores of QOL, pelvic floor muscle strength, and endurance increased in all groups after the treatment. The mean score of QOL in group BF+Abd.Exs ranged from 65.2 to 93.6, while in groups BF and AbdExs, it ranged from 61.8 to 85.6 and 63.6 to 79.1 respectively. More aspects of QOL improved significantly in the BF+ AbdExs group than in other group. However, the difference in pelvic floor muscle strength and endurance was not statistically significant among the three groups (p>0.05)
    Conclusion
    An increase in pelvic floor muscle strength was associated with AbdExs, which improved QOL. Thus, the AbdExs seems to induce co-contraction in pelvic floor exercise. However, AbdExs alone is not adequate for improving incontinence.
    Keywords: Urinary incontinence, Pelvic floor muscle training, Quality of life, Abdominal exercise
  • Reza Nazeri, Hossein Pourshahryar, Hossein Lotf Abadi* Pages 111-114
    Background
    Today, lifestyle-associated health problems are increasing, while healthy behaviors could reduce their consequences, e.g. mortality. The physical activity enjoyment (PAE) is one of the most important factors which might lead to enhanced physical activity, as a protective factor of chronic diseases and mental disorders. The main purpose of this research was to study the effectiveness of educating mindfulness, self-compassion and self-regulation on the PAE of obese and overweighed students.
    Methods
    This is a semi-experimental pre-post study on the effects of educational interventions on the PAE among the high-school students. After informing all participants about the goals of the research, through a list generated based on block randomization methods with size 4 in each block, they were divided randomly into 4 training groups (17 students per group). To assess the PAE, the valid and reliable version of 18-items questionnaire made by Kendzerski and Decarlo (1991) was employed.
    Results
    All participants were in grade 9 aging 14-16 years. Their BMI had a mean of 32.10±2.35 (ranged 26.22 to 37.28). All of the experimental groups had significantly higher levels of PAE than the control group.
    Conclusion
    The educational methods had a significant effect on increasing PAE. Mindfulness, self-compassion, and self-regulation might be used as educational methods to increase the PAE.
    Keywords: Enjoyment, Mindfulness, Self-Compassion, Self-Regulation, Physical Activity
  • Ehsan Hemmati, Sadegh Seifpanahi, Hamide Ghaemi, Davood Sobhani, rad* Pages 115-119
    Background
    The prefrontal cortex is very susceptible to traumatic brain injury (TBI), upon which many cognitive and executive functions including planning, information processing, language, memory, attention, and perception will be impaired. Working memory (WM) is associated with high levels of cognitive processes such as language and naming process communication. In the present study, the correlation between WM and confrontation naming was investigated following TBI.
    Methods
    The current research was a prescriptive-analytic cross-sectional study examining 20 TBI patients within the age range 18-45 years. The samples were selected from Iran, the city of Mashhad, between 2013 and 2016. The participants with a score 23 or higher in Mini-Mental State Examination (MMSE) were assessed through Persian naming test and sub-tests from the Wechsler Memory Scale. The collected data were analyzed by SPSS16 software.
    Results
    There was a significant association between subtests of confrontation naming involving ‘Correct answers without cue’ and WM (P<0.05), ‘Wrong answers’ and WM (P<0.05), as well as ‘Total correct answers’ and WM (P<0.05).
    Conclusion
    The present study indicated modest significant correlations between measures of confrontation naming and WM. These findings provide direction for future studies on the nature of naming deficits following brain injury.
    Keywords: Traumatic Brain Injury, Working Memory, Naming
  • Sima Farpour, Mohadese Zakeri, Hamidreza Farpour* Pages 120-123
    The number of elderlies in the world is increasing and healthy aging has become a salient issue. A health threatening factor quite prevalent among the elderlies is dysphagia. Dysphagia causes severe complications and may have negative effects on the functional ability of patients; therefore, it is known as a geriatric syndrome. Oropharyngeal dysphagia is a difficulty or an inability of forming the bolus in the mouth and safely moving it from the mouth to the esophagus. It is also interrelated to other health problems such as malnutrition and oral health. Dysphagia, malnutrition and oral health disorders are likely to cause life-threatening aspiration pneumonia in patients. As a geriatric syndrome, dysphagia should be diagnosed and managed by a multidisciplinary team of professionals. Beside health care professionals, other groups such as policymakers, researchers and scientists, industries, health funders, and the society can have their own unique role to improve the quality of care for the elderlies suffering from dysphagia.
    Keywords: Dysphagia, Malnutrition, Oral health, Aspiration pneumonia, Elderly