Function and Disability Journal最新文献

{"title":"Perception and Experiences of Rehabilitation Service Providers of Teamwork Barriers in Tehran Province, Iran","authors":"Seyed Hasan Taghavi, Mohammad Kamali, Reza Salehi","doi":"10.32598/fdj.6.278.1","DOIUrl":"https://doi.org/10.32598/fdj.6.278.1","url":null,"abstract":"Background and Objectives: The team plays a role as one of the crucial indicators in increasing the performance of the organization. Understanding the perspective of teamwork providers in rehabilitation regarding the existing obstacles can help a lot to improve the situation. This study aims to percept and experience rehabilitation service providers about teamwork barriers in Tehran Province, Iran. Methods: This qualitative study was conducted by conventional content analysis. The participants included 15 service providers with different genders and locations of activities from within Tehran Province in a snowball pattern. The data were collected by in-depth and quasi-structured interviews and analyzed by conventional content analysis method and using constant comparison. Results: After analyzing the meaningful statements of the interviewees, 3 sub-themes “regulations”, “procedural” and “executive” emerged and from the integration of these sub-themes, the theme of “obstacles” emerged. Conclusion: Some of the results of this research, such as defects in rehabilitation management, imposing double treatment costs on clients, and weakness of teamwork training in the university, have common results. Also, some phrases, such as not paying attention to the role of the municipality in rehabilitation and the number of rehabilitation trustees have not been mentioned in the interviews. Based on the results, it was found that obstacles based on regulations, processes, and implementation play a role in the development of teamwork in rehabilitation.","PeriodicalId":330157,"journal":{"name":"Function and Disability Journal","volume":"52 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140254814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Balance and Fine Motor Skills in Children With Intellectual Disability","authors":"Reihaneh Askary kachoosangy, Sousan Salehi, Amir Almasi-Hashiani, Seyedeh Zeinab Beheshti","doi":"10.32598/fdj.6.275.1","DOIUrl":"https://doi.org/10.32598/fdj.6.275.1","url":null,"abstract":"Background and Objectives: Children with intellectual disabilities (ID) have problems in adaptive behavior and developmental areas, including cognition, language, social interactions, and motor skills. Among motor skills, fine motor skills and balance are crucial due to their role in child-environment interactions, learning, physical activity, and play. Therefore, this study aims to investigate the relationship between balance and fine motor skills in children with ID. Methods: The present study was a descriptive-analytic cross-sectional study. Participants in the study were selected by non-random method, 80 children (4-7 years old) with ID were selected from special school and occupational therapy centers in Arak City, Iran. Data were collected through Peabody developmental motor scale edition 2 (PDMS-2) for the fine motor skills area. Bruninks-Oseretsky test of motor proficiency (BOTMP) was used for balance. The Spearman correlation coefficient was used to determine the correlation between variables. The significance level was considered to be P≤0.05. Results: The results showed that 60% of the participants were at a low level in terms of balance skills, 60% in terms of visual motor integration (VMI), and 47.5% in terms of grasping skills. Spearman correlation coefficient was used to measure the relationship between VMI, grasp, and total score of fine motor skills with balance, which showed a significant relationship between balance and these variables (P≤0.05). Conclusion: The results of this study showed a strong relationship between fine motor skills and balance in children with ID.","PeriodicalId":330157,"journal":{"name":"Function and Disability Journal","volume":"72 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140254884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Vocal Warm up and Cool Down Exercises on the Acoustic Characteristics in Speech and Language Pathologists: A Pilot Study","authors":"Fariba Iranpour","doi":"10.32598/fdj.6.280.1","DOIUrl":"https://doi.org/10.32598/fdj.6.280.1","url":null,"abstract":"Background and Objectives: This cross-sectional study aims to explore the effect of vocal warm-up and cool-down exercises (VWCE) on the acoustic characteristics of speech and language pathologists (SLPs). Methods: This pilot study was conducted on 18 SLPs. The participants received VWCE for 6 weeks, 3 times per week, every other day. The acoustic characteristics, including jitter, shimmer, and harmonic to noise rat (HNR) were outcome measures. All outcome variables were measured before the exercise program (T0), after the end of the 9th session (T1), and after the end of the 18th session (T2). Results: A significant decrease was observed in jitter after the VWCE at T1 and T2. The shimmer showed significant decreases in T2 compared to T0 (P<0.05). No significant difference was observed in shimmer in T1 compared to T0 and T2. The HNR indicated a significant increase at T2 compared to T0 and T1 (P<0.05). No significant difference was observed in HNR in T1 compared to T0. Conclusion: This pilot study demonstrated that vocal warm-up and cool-down exercises significantly improved the acoustic characteristics in SLPs.","PeriodicalId":330157,"journal":{"name":"Function and Disability Journal","volume":"39 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140255486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gap in Noise Auditory Brainstem Responses: A Systematic Review","authors":"Mitra Ghorbani, Mohammad Maarefvand, Mahsa Sepehrnejad","doi":"10.32598/fdj.6.262.1","DOIUrl":"https://doi.org/10.32598/fdj.6.262.1","url":null,"abstract":"Background and Objectives: The gap in noise auditory brainstem responses (GIN-ABR) is a valuable assessment tool for auditory temporal processing, offering non-invasive and objective measurements encompassing the entire auditory system from the cochlea to the brainstem. This method has been utilized in investigating various factors, including age-related effects, hearing loss, and tinnitus. This systematic review was conducted to present a thorough examination of (GIN-ABR), encompassing its methodology, applications, and inherent limitations. Methods: This study was conducted based on preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Cochrane, PubMed, and Ovid databases were used to extract English articles from 1990 to June 2023. The search terms used were “gap in noise auditory brainstem response”, “ABR gap detection”, “ABR gap duration”, “ABR gap threshold”, and “ABR temporal processing”. Articles were included if gap-evoked ABR was used, investigating the effect of any factor on the responses, and using any gapped stimulus type. Articles whose evoked potentials did not include ABR waves were excluded. The outcome of interest was gap-evoked ABR in different participant groups. Results: A total of 10 studies were deemed suitable for inclusion in the review. The articles were reviewed that including the study population, the methods, and the results. Despite the variability in the results of the studies, in the aged group, longer latency shifts and decreased peak amplitude were reported compared to the young group. Correspondence of behavioral thresholds with GIN-ABR has also been mentioned in studies. Conclusion: The GIN-ABR method has been extensively utilized in investigating various factors, including age-related effects, hearing loss, and tinnitus. Notably, GIN-ABR has several clinical advantages, such as cost-effectiveness, shorter test duration, independence from alertness levels, attention, sleep depth fluctuations, or medication. Additionally, it has shown its compatibility with psychophysical tests. Further research is warranted to explore the impact of various factors on different components of GIN-ABR. Consequently, with its promising findings and growing body of research, the gap in noise test has the potential to be gradually integrated into the set of audiological clinical evaluations.","PeriodicalId":330157,"journal":{"name":"Function and Disability Journal","volume":"52 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140255336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of the Model of Human Occupation (MOHO) in Psychosocial Needs of Adolescents With Type 1 Diabetes: A Case Study","authors":"Marjan Shahbazi, Samaneh Karamali Esmaeili","doi":"10.32598/fdj.6.274.1","DOIUrl":"https://doi.org/10.32598/fdj.6.274.1","url":null,"abstract":"Background and Objectives: Using the model in the clinical reasoning of occupational therapy practitioners create a mental framework and the ability to organize the variables involved in the rehabilitation process. The most comprehensive occupational therapy model, the Model of Human Occupation (MOHO), is based on open systems theory. This model can be widely used in rehabilitation and even education. However, several sources indicate that it is used in pediatrics. So, this study aimed to investigate the application of MOHO in an adolescent with type 1 diabetes. Case Presentation: The participant was assessed and treated at home by an occupational therapist based on MOHO principles. MOHO analyzes the transaction among the individual's internal factors (volition, habituation, and performance capacities), the activity, and the environmental conditions. Discussion: Since in adolescents with type 1 diabetes, volition, habituation, and performance capacities are affected by disability, designing and structuring goals and treatment based on MOHO will help occupational therapists perform more effectively, however, further studies with more methodological rigor are needed on this topic.","PeriodicalId":330157,"journal":{"name":"Function and Disability Journal","volume":"39 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140263435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Pelvic Floor Muscle Exercises Therapy on the Fatigue and Quality of Life in Multiple Sclerosis Women With Urinary Disorders","authors":"Z. Ghafari, Shohreh Noorizadeh Dehkordi, Afsaneh Nikjooy, Seyedeh Roghayeh Mousavi Khatir, M. Moghaddasi","doi":"10.32598/fdj.5.65","DOIUrl":"https://doi.org/10.32598/fdj.5.65","url":null,"abstract":"Background and Objectives: More than 50% of multiple sclerosis (MS) patients suffer from urinary disorders. Exercise therapy is one of the first lines of treatment for urinary disorders in people with MS. This study evaluated the effectiveness of pelvic floor muscle exercise at home on quality of life (QoL) and fatigue in MS women with urinary disorders. Methods: A randomized, double-blinded, controlled trial was conducted. Thirty women with relapsing and remitting urinary incontinence participated for eight weeks (daily) in this study. The participants were randomly divided into intervention (n=15) and control groups (n=15). The participants of the intervention group received common medicines and specific exercises for the pelvic floor. The control group used only conventional drugs during the study. Results: The results showed significant differences in all variables related to fatigue and QoL in the intervention group (P<0.05). But no significant difference was found in any of the variables related to fatigue and QoL in the control group (P>0.05). However, in the intervention group, significant differences were found in the total score of the QoL and the three subgroups (bothered, worry, and restricted) (P<0.05). In addition, the results showed a significant difference in the cognitive, physical, and psycho-social subgroups in the fatigue questionnaire (P<0.05). The fatigue scores and QoL in the intervention group compared to the control group showed a significant difference (P<0.05). Conclusion: It seems that pelvic floor exercises at home reduce fatigue and improve QoL in women with MS with urinary incontinence. Although the total score of fatigue between the two groups was not significant, the results in the intervention group showed significant results and it seems that by controlling the intervening factors, a significant difference can be observed in the total score of fatigue between the two groups. Therefore, we demonstrated that pelvic floor muscle exercises in women suffering from urinary incontinence improve urinary incontinence and reduce fatigue, and improve the QoL.","PeriodicalId":330157,"journal":{"name":"Function and Disability Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123671893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Relationship Between Medical History and General Health Status of Bank Workers With Voice Handicap Index and Vocal Fatigue Index","authors":"Mohammad Sedigh Mahmoud Zadeh, F. Torabinezhad, A. Saffarian, J. Abolghasemi","doi":"10.32598/fdj.5.69","DOIUrl":"https://doi.org/10.32598/fdj.5.69","url":null,"abstract":"Background and Objectives: The present study examined the relationship between the total score of the voice handicap index (VHI) and the total score and scores of the three factors of the vocal fatigue index (VFI) with the medical history of Melli bank workers working in Tehran and Kurdistan privences. Methods: The research is a descriptive-analytical cross-sectional study that was conducted on 444 clerks of Melli Bank branches in Iran (76% male and 24% female with a mean age of 42.3). A demographic questionnaire, the medical history checklist, and the Persian version of VHI and VFI were used to collect data. Results: The voice handicap index had a significant relationship with a history of neurological (P=0.030) and head and neck (P=0.048) disorders, speech and language disorders (P=0.001), and reflux (P=0.041). Regarding vocal fatigue index, the total score had a significant relationship with head and neck (P=0.006) and speech and language disorders (P<0.001); the first factor with diseases of the head and neck (P=0.018), pharynx and larynx (P=0.005) and speech and language disorders (P=0.001), the second factor with neurological (P=0.020), head and neck (P=0.006), and speech and language disorders (P<0.001), and allergies (P=0.032), and finally, the third factor with neurological (0.044), pharynx and larynx (P=0.031), speech and language disorders (P=0.044), and reflux (P=0.021). Conclusion: Regardless of the respiratory system, suffering from diseases of the speech and language system can have a significant effect on the scores of the VHI and VFI indices. Meanwhile, the history of speech and language problems and head and neck disorders affect the total score of most factors of the VFI.","PeriodicalId":330157,"journal":{"name":"Function and Disability Journal","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134330849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptation of the Test of Playfulness for Iranian Children (3-6 Years): Face and Content Validity of the Persian Version","authors":"A. Tavoosi, Saeed Akbari-Zardkhaneh, Samaneh Karamali Esmaili, Ali Ostadzadeh","doi":"10.32598/fdj.5.70","DOIUrl":"https://doi.org/10.32598/fdj.5.70","url":null,"abstract":"Background and Objectives: The term “playfulness” is a new word in Persian and one of the intervention areas in pediatric occupational therapy/psychology. The aim of this study was to investigate the face and content validity of the Persian version of the test of playfulness (ToP) and its adaptation to the population of Iranian children aged 3 to 6 years. Methods: First, the ToP was translated according to the standard forward-backward (IQOLA) methodology. The face validity was qualitatively evaluated by five and content validity was qualitatively-quantitatively examined by ten occupational therapy experts specialized in rehabilitation of children’s play. The content validity ratio (CVR), content validity index (CVI), and modified kappa statistic were calculated. Results: The face validity investigation of the Persian version of ToP led to changes in four items and the title of the intensity scale. The CVR for the 21 ToP items ranged from 0.8-1, indicating the necessity of all items. Also, the CVI was in the range of 0.85-1, which indicates the suitability of all items. The Scale-CVI/Ave quality and relevance were 0.93 and 0.95, respectively, and the Scale-CVI/UA quality and relevance were 0.43 and 0.95, respectively. Conclusion: According to the findings of this study, no items were deleted or added in translation during the cultural adaptation process of the ToP. The experts confirmed that all items measure the construct of playfulness and that the items and instructions in the Persian version of ToP have good face validity and high content validity; therefore, the other dimensions of psychometrics can be examined in future studies.","PeriodicalId":330157,"journal":{"name":"Function and Disability Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132336556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Responsiveness of the Persian Version of the Core Outcome Measure Index Neck Questionnaire in People With Non-specific Chronic Neck Pain","authors":"Seyyed Shahab Mirhajian, R. Salehi, S. Sohani","doi":"10.32598/fdj.5.62","DOIUrl":"https://doi.org/10.32598/fdj.5.62","url":null,"abstract":"Background and Objectives: This study aims to investigate the responsiveness of the Persian version of the core outcome measure index (COMI) neck questionnaire in patients with chronic non-specific neck pain. Methods: The participants included 104 subjects in the age range of 18 to 15 years with non-specific chronic neck pain who were undergoing physiotherapy intervention. The participants received and completed the Persian version of the COMI neck questionnaire before the first session of physiotherapy treatment. After completing the treatment sessions, the subjects were re-evaluated and completed the Persian version of the COMI neck questionnaire. In this study, to evaluate external responsiveness, in addition to completing the mentioned questionnaire, the participants received and completed the global rating of change questionnaire in the final session of the treatment. The internal responsiveness was evaluated by performing the paired t-test in addition to evaluating changes in the Persian version of COMI neck scores before and after treatment and calculating the effect size consisting of standard response mean and Cohen d. Meanwhile, the external responsiveness was calculated via the receiver operating characteristic curve and the correlation analysis. Results: The Persian version of the COMI neck questionnaire has acceptable external responsiveness. The standard response mean was large and the Cohen d was very large. Significant changes were observed between the scores of the COMI neck questionnaire before and after the treatment. In this study, the minimal clinically important difference was 1.82. Also, a good correlation was found between COMI neck and the global rating of change questionnaire. Conclusion: The Persian version of the COMI neck questionnaire has acceptable responsiveness. This questionnaire can be used to study the effects of physiotherapy intervention in patients with chronic non-specific neck pain.","PeriodicalId":330157,"journal":{"name":"Function and Disability Journal","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127062676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the Components of Brainstem Auditory Responses Using Click and Chirp Stimuli in Premature Infants","authors":"Seyedeh Maryam Hosseini, Maliheh Mazaher Yazdi, Mohammad Maarefvand, Hasan Haddadzadehniri, A. Heidari","doi":"10.32598/fdj.5.66","DOIUrl":"https://doi.org/10.32598/fdj.5.66","url":null,"abstract":"Background and Objectives: Prematurity means that the baby is born before 37 months of age, which leads to various problems, including hearing defects. Timely detection of hearing loss with the help of tools that facilitate this identification, can have a significant impact on the child’s personal, social, and educational development. The aim of the present study was to achieve better responses using the chirp stimulus along with the click. The chirp stimulus can compensate for the time delay caused by low-frequency stimuli and increases the simultaneous presentation of high and low frequencies in the cochlea. Therefore, the morphology of the waves is improved, and the amplitude of responses increases; thus, the waves can be better identified despite the prematurity of the infants. Methods: Eighy newborns were examined in four groups, which were divided into term and preterm groups based on gestational age (including late preterm, moderate, and very preterm). The intensity of the click and chirp stimuli was fixed at 40 and 80 dB. The amplitude and latency of waves I, III, and V, the inter-peak latencies of I-III, III-V, and I-V, as well as the ratio of the amplitude of wave V/I were among the compared parameters. It should be mentioned in tables paired t-test was used in cases marked with *. Wilcoxon test was used in other cases. Results: The chirp stimulus mainly had less latency than the click stimulus and created a larger amplitude at a high intensity (80 dB). In the intensity close to the threshold, i.e. 40 dB, these findings were slightly different. The more developed the infants, the stronger the responses and the more effective the chirp stimulus in eliciting responses. Conclusion: The chirp stimulus was more effective in obtaining multiple components of brainstem-evoked responses in infants, especially preterm infants, and investigating the status of their auditory system. The use of a higher sample size could lead to an increase in the growth of clinical use and better efficiency of diagnostic protocols and responses.","PeriodicalId":330157,"journal":{"name":"Function and Disability Journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121677093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}