فهرست مطالب

Middle East Journal of Rehabilitation and Health Studies
Volume:3 Issue: 3, Jul 2016

  • تاریخ انتشار: 1395/04/29
  • تعداد عناوین: 6
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  • Fatemeh Motaharinezhad*, Pooran Madani, Sepideh Seyed, Karim Ayoubi Avaz, Masomeh Rasolzadeh Page 1
    Background

    Aging is a sensitive period of human life and, considering the special needs and the behaviors that lead to mental health promotion and quality of life, this period is very important. The useful methods used to maintain mental health, reduce stress and make one more adaptive are doing physical activities and aerobic exercises. No studies in the past have investigated variety of exercises such as the role of hiking on mental health and happiness of elderly women.

    Objectives

    This study was done to evaluate the impact of the six-week hiking on happiness and mental health of elderly residing in Semnan.

    Patients and Methods

    Twenty-seven elderly women with a mean age of 61 years were randomly selected in two groups with available sampling; the case group with 14 participants and the control group with 13. The case group took part in walking exercises. Both groups completed the Persian Version of the oxford happiness inventory (OHI) before and after exercises. This inventory contains 29 items, which evaluates happiness components; self-esteem, positive mood, life satisfaction, efficiency and mental health.

    Results

    There was a significant difference in the self-esteem (P = 0.003), life satisfaction (P = 0.001), efficiency (P = 0.00), positive mood (P = 0.00), mental health (P = 0.001) and happiness (P = 0.001) among elderly women in the case group before and after a regular six-week walking program.

    Conclusions

    According to the results, walking increases the happiness and mental health of elderly women. Therefore, promoting the habit of walking as a public activity among elder women could have a significant impact on them.

    Keywords: Mental Health, Happiness, Elderly, Walking
  • Anna M Ryosa *_Anders Romberg_Juhani Ruutiainen_Paivi Hamalainen Page 2
    Background

    Heat sensitivity is a common feature of multiple sclerosis (MS), and heat has been found to impair MS patients’ physical and cognitive functioning. There is, however, no simple and specific measurement tool to evaluate the possible effects of heat on these functions.

    Objectives

    The aim of this study was to evaluate the compatibility of the multiple sclerosis functional composite (MSFC) to demonstrate the effects of heat on functioning in patients with MS.

    Patients and Methods

    A total of 22 heat-sensitive MS patients and 19 healthy controls (HCs) were considered for the analysis. Moderate heat exposure took place in a Finnish sauna. Functioning was measured with the MSFC, which consists of two physical (the Nine Hole Peg test and the 25-foot timed walk test) and one cognitive (the PASAT-3) measure, before, during and one hour after the heat exposure.

    Results

    In the MS group the average MSFC scores were -0.48 (SD 0.79) at baseline, -0.99 (SD 1.97) during heat exposure and -0.68 (SD 1.58) after a one-hour delay. The average MSFC scores of the HC group were 0.58 (SD 0.42) at baseline, 0.66 (SD 0.43) during heat exposure and 0.68 (SD 0.41) after a one-hour delay. The MS group had significantly lower MSFC scores than the HC group (P = 0.01). The MS patients’ score deteriorated during the heat exposure, whereas that of the controls did not (P = 0.00).

    Conclusions

    The results suggest that the MSFC could be used as a simple tool to detect the negative effects of heat in patients with MS.

    Keywords: Multiple Sclerosis, Cognition, Physical Functioning, Heat, MSFC
  • Shirin Maleki, Mehdi Alizadeh Zarei * Page 3
    Background

    Developmental cordination disorder (DCD) is a serious deficit in development of motor coordination, which affects educational achievements and daily life activities to a considerable extent.

    Objectives

    The present study aimed to investigate correlations between components of executive function and spelling and math performance of 7 - 11-year-old children with DCD.

    Materials and Methods

    A descriptive-analytic study was conducted on 53 primary school children with DCD. Persian version of motor observation questionnaire for teachers (PMOQ-T) was used to detect DCD. Executive functions and educational achievements of these children were evaluated using behavior rating inventory of executive function (BRIEF) and a researcher-made test, respectively. Results were analyzed through SPSS software (v. 21) and Pearson correlation coefficient.

    Results

    The findings showed that components of inhibition (r = -0.27, P < 0.05), working memory (r = -0.44, P < 0.01) and organization of material (r = -0.28, P < 0.05) were significantly correlated with the spelling test. And components of inhibition (r = -0.27, P < 0.05), shift (r = -0.38, P < 0. 01), working memory (r = -0.28, P < 0.05), and planning (r = -.29, P<0.05) were correlated with math test.

    Conclusions

    The results may help clinicians for early intervention and focus on related components of executive function to improve the educational performance of DCD children. Knowing that executive function skills are associated with these two achievement domains suggests potentiality of targeted math and spelling interventions for DCD children.

    Keywords: Developmental Coordination Disorder, Executive Function, Educational Achievement, Spelling, Math
  • Masoumeh Zarei, Laleh Lajevardi *, Mahdi Alizadeh Zarei, Akram Azad, Emad Mollazadeh Page 4
    Background

    Fear of falling (FOF) is highly common in people with Parkinson disease (PD). Fear of frequent falling arises from risk factors in PD.

    Objectives

    One of the most common tools used to measure FOF in patients with PD is the survey of activities and fear of falling in the elderly (SAFFE), but no studies have been conducted on its reliability and validity in Iran. The current study attempted to examine the construct validity and test-retest reliability of SAFFE among Iranian patients with PD.
    Patients and

    Methods

    The study included a total of 71 patients with PD, among whom 61 (55.4%) were male and 10 were female. The construct validity was evaluated through the Persian version of SAFFE self-report scale using activities-specific balance confidence (ABC) scale where the correlation between the two scales was assessed using the Pearson test. The test-retest reliability was evaluated through intra-class correlation (ICC), standard errors of measurement (SEM) and minimum detectable change (MDC).

    Results

    The correlation between ABC scale and Persian version of SAFFE scale was desirable (r = -0.87 and P < 0.0001). According to the statistical results, it can be argued that the correlation between SAFFE scale test-retest scores with those of relative and absolute correlation coefficients were ICC = 0.96 and SEM = 0.16 respectively, which represent great reliability of the scale.

    Conclusions

    The Persian version of SAFFE has adequate construct validity and test-retest reliability and is an ideal tool to measure FOF in the patients.

    Keywords: Validity, Neurodegenerative Disease, Independent Living, Data Accuracy
  • Zeynep Kirac Unal *, Ebru Karaca Umay, Yasemin Tombak, Ibrahim Gundogdu, Tuba Erdem Sultanoglu, Fatma Aytul Cakci Page 5
    Introduction

    Guillain-Barre syndrome (GBS) is an immune-mediated acute inflammatory disorder of the peripheral nervous system. Infectious agents were usually accused of playing a role in the etiology of GBS. Guillain-Barre syndrome has rarely been reported following subdural and subarachnoid hemorrhage after head trauma.

    Case Presentation

    We report on a 63-year-old male patient presenting GBS following Traumatic Brain Injury (TBI). Only five other similar cases are described in the literature.

    Conclusions

    Sudden onset of GBS symptoms following trauma may erroneously be assessed as secondary complications of the TBI and can lead to unnecessary procedures such as computerized tomography (CT) scan and magnetic resonance imaging (MRI) for a definitive diagnosis and may be a waste of time.

    Keywords: Rehabilitation, Traumatic Brain Injury, Guillain-Barre Syndrome
  • Kiumars Nazari Moghaddam, Seyed Lotfoallah Derakhshan, Mohammad Adeli *, Ehsan Hamzelouei Moghadam, Mohadeseh Hashemzehi, Mohammad Sadegh Nazari, Amir Ali Karamifar Page 6
    Background

    Instrumentation with rotary instruments could potentially cause dentinal cracks possibly leading to tooth fracture. Reciproc files require a single file to finalize the root canal preparation and the effect of this procedure has not been compared with other systems.

    Objectives

    The aim of this study was to compare the incidence of dentinal micro-cracks following root canal preparations with ProTaper, Mtwo and Reciproc files.

    Materials and Methods

    In an experimental in vitro trial, 80 maxillary and mandibular first molars were selected and their crowns and distal roots were cut. The roots were then examined to remove any previous cracks and defects. An impression polyether material was used to simulate teeth periodontal ligament (PDL). The teeth were divided to four experimental groups (n = 20) and prepared using Reciproc, Mtwo and ProTaper or remained unprepared as a control group. The specimens were then sectioned horizontally on 3, 5 and 9 mm from the apex and number of micro-cracks was determined by stereomicroscope. The incidence of dentinal cracks on different systems or sections were statistically analyzed by means of the chi-square test.

    Results

    Dentinal defects on 3-mm, 5-mm and 9-mm sections from the apex were noted in 10 (5.6%); 7 (3.9%) and 9 (5.0%) samples of all, respectively. Following canal preparation using Reciproc, ProTaper and Mtwo systems, the defects were observed in 7 (3.9%), 12 (6.7%) and 7 (3.9%) the sections, respectively. No significant differences were observed regarding the defect incidence on the studied instrumentation files or sections.

    Conclusions

    Regarding the study limitations, dentinal cracks were observed in all files and distances from the apex. Although there was more crack incidence in ProTaper files, no significant differences were noted regarding the studied systems and sections from the apex

    Keywords: Dentinal Cracks, Canal Preparation Systems, ProTaper, MTwo Reciproc File, Rotary System