Journal of Modern Rehabilitation最新文献

{"title":"An Adult with Untreated Isolated Cleft Palate Since Birth: A Rare Case Report","authors":"Sonia Gupta, M. Jawanda","doi":"10.18502/jmr.v18i1.14737","DOIUrl":"https://doi.org/10.18502/jmr.v18i1.14737","url":null,"abstract":"Introduction: Orofacial clefts are one of the most common congenital anomalies involving the craniofacial region. An isolated cleft palate is the rarest (33% of all orofacial clefts) among individuals with female predominance. Individuals born with these clefts manifest craniofacial, functional, and psychological anomalies. Sometimes, patients cannot receive the required therapies due to a lack of awareness and lack of medical access or economic factors. Untreated clefts may adversely impact the patient’s life both physically and psychologically. \u0000Case Description: This study presents a case report of a 45-year-old male with an untreated cleft palate since birth due to a low socioeconomic background, leading to several oro-dental anomalies, speech defects, and psychological and social challenges. \u0000Results: Extraoral examination revealed mild facial asymmetry, dry and incompetent lips, and underdeveloped philtrum. Intraorally, there was a cleft palate, macroglossia, soft and edematous gingiva with bleeding on probing, gingival recession, and periodontal pockets, along with various dental anomalies. Full mouth orthopantomogram showed discontinuity of the palatal line, collapsed maxillary arch, root stumps, and crowding. The final diagnosis of isolated cleft palate was made. The patient was advised for surgery regarding the cleft palate, dental treatment, speech therapy, and psychological counseling. However, the patient refused all treatments except a few dental aids due to economic difficulties. \u0000Conclusion: The present case report highlights the need for these patients to receive particular concerns. Patients must be motivated to get proper treatment at a suitable stage to prevent future complications. Cleft teams must be advised to initiate some encouraging steps in imparting treatment aids to such patients, especially in rehabilitation therapy, considering their surrounding environment, psychological makeup, socioeconomic status, and motivation. In addition, social groups should also treat these patients with a positive approach, helping them to live healthy and normal lives just like any other individual.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139524275","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 Impact of Semantic Operations on PersianSpeaking Aphasics: Further Evidence on the Localization View","authors":"Omid Azad, M. Ghonchepour","doi":"10.18502/jmr.v18i1.14727","DOIUrl":"https://doi.org/10.18502/jmr.v18i1.14727","url":null,"abstract":"Introduction: Broca and Wernicke’s patients perform satisfactorily regarding the processing of canonical syntactic structures, as maintained by previous studies; however, there has been a gap in the literature because no particular research has yet investigated the performance of these patients in the Persian circumstances once they were required to analyze sentences which would demand extra-semantic processing. This study clarifies the role of two critical semantic operations demanding extra-semantic processing at the sentential level: Aspectual coercion. It complements to provide some evidence on the localist view of the brain. Our rationale for selecting these operations was their pure semantic nature, not relying on morphosyntactic properties. \u0000Materials and Methods: Having recruited two age- and education-matched Broca, two Wernicke, and four healthy controls, we conducted a semantic judgment task in which the participants were asked to express their correct semantic judgment in the two coercion and two normal conditions. \u0000Results: Our results showed an approximately above-chance performance of the Broca group for all conditions; however, in the Wernicke group, the same result was not observed due to their poor performance in coercion conditions, though in ordinary sentences, they performed much better. \u0000Conclusion: Our findings, along with similar off-line and imaging studies, corroborate the view of localism, based on which Wernicke’s area is mainly responsible for the primary semantic operations while Broca’s area predominantly takes over syntactic parsing.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"12 30","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139523576","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 Solutions for the Implementation of Articles 25 and 26 of the Convention on the Rights of Persons with Disabilities","authors":"Zahra Najafi, K. Abdi, M. Khanjani, Hamid Dalvand, Mehdi Amiri","doi":"10.18502/jmr.v18i1.14733","DOIUrl":"https://doi.org/10.18502/jmr.v18i1.14733","url":null,"abstract":"Introduction: In 2008, Iran acceded to the convention on the rights of persons with disabilities (CRPD), including the right to health and rehabilitation. However, the goals of this convention have not yet been achieved in Iran. This study provides solutions for implementing articles 25 (health) and 26 (rehabilitation) CRPD in Iran. \u0000Materials and Methods: This was a qualitative study conducted through content analysis. A total of 21 individuals were selected via the purposive sampling method. The data were collected through semi-structured interviews. The interviews continued until we reached information saturation. Data analysis was performed manually using the MAXQDA software version 10.  \u0000Results: After the interviews, 860 initial codes were obtained. After removing the unrelated codes and merging the codes by overlap, 725 codes remained. The concepts were classified into four main categories and 15 subcategories: Development of a comprehensive rehabilitation program, culture and education, capacity building, and compliance with legal requirements \u0000Conclusion: According to the results, because of severe problems in the field of health and rehabilitation of disabled people in Iran, taking necessary measures to solve these problems is essential. Hence, a comprehensive plan should be developed. Meanwhile, proper education, culture building, talents, and opportunities should be considered more carefully. Also, by facilitating services for people with disabilities and paying attention to the importance of being demanding, we can build capacity in the country. The findings of this research will provide a bright way for policymakers, administrators, and planners of the country.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"11 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139523598","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 Predictive Factors of Life Balance in Mothers of Children with Cerebral Palsy","authors":"Leyla Bastami, Seifolah Jahantabi-Nejad, Roya Ghasemzadeh, Maimanat Akbari, Maryam Dastoorpour","doi":"10.18502/jmr.v18i1.14732","DOIUrl":"https://doi.org/10.18502/jmr.v18i1.14732","url":null,"abstract":"Introduction: Having a child with cerebral palsy (CP) is a stressful experience for the family, particularly mothers. Caring for these children occupies great time and energy from the family. The balance of life may be decreased by the influence of factors related to the child or mother. Accordingly, this study investigates the predictive factors affecting the life balance of mothers with CP \u0000Materials and Methods: This cross-sectional descriptive-analytical research was conducted in Ahvaz City, Iran, in 2021. A total of 135 mothers (mean age=33.37 [7.93]) with at least one child under the age of ten suffering from CP participated in this research. The data were collected using the life-balance index, general health questionnaire, time management quality, and demographic information checklists. The gross motor function classification system was expanded and revised, and the manual ability classification system was used to determine the gross motor and manual ability function levels. Generalized univariate linear models were used to investigate the effects of predictor variables on the quantity of life balance. \u0000Results: The life balance of mothers of children with CP was heavily unbalanced (45.2%) or unbalanced (35.6%). Based on the regression coefficient of each variable, it was determined that manual ability classification system (β=0.192), comorbidity in the children with CP (β=0.187), gross motor function (β=0.137), general health (β=0.024), and maternal age (β=0.01), respectively, contributed the most in the prediction of life balance variances. \u0000Conclusion: Life balance is a seriously affected domain in mothers caring for CP children. Child-related factors had a more effective role in predicting the life balance of mothers of CP children than mother-related factors","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"13 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139523688","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 Effects of Telerehabilitation on Improving the Physical Activity of Individuals with Multiple Sclerosis: A Systematic Review of Randomized Controlled Trial","authors":"Seyyedeh Fatemeh Mousavi Baigi, M. Sarbaz, D. Sobhani-Rad, Atefeh Sadat Mousavi, Fatemeh Dahmardeh, Khalil Kimiafar","doi":"10.18502/jmr.v18i1.14724","DOIUrl":"https://doi.org/10.18502/jmr.v18i1.14724","url":null,"abstract":"Introduction: This study systematically evaluates the effect of telerehabilitation on improving physical activity, physical function, and quality of life (QoL) in individuals with multiple sclerosis (MS). \u0000Materials and Methods: Studies were obtained by searching the title, abstract, and keywords without time limit in the Scopus, PubMed, Embase, and Web of Science databases. The quality of the included studies was assessed using the Joanna Briggs institute checklist. The same checklist was used for data extraction. \u0000Results: A total of 16 eligible articles were found. In 12 studies, the results showed significant performance improvement, reduced fatigue, improved physical activity, and general balance in the telerehabilitation approach. Furthermore, of the 16 included studies, 5(31) reported an improvement in individuals’ QoL, two of which showed a significant improvement in the individuals’ QoL in the intervention group compared to the control group. \u0000Conclusion: The findings of this review showed that telerehabilitation services for MS individuals’ precautions are comparable to or better than conventional services. Telerehabilitation is an effective educational instrument to restitute and maintain physical activity and balance in individuals with MS; however, no considerable improvement in individuals’ QoL was reported.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"2 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139524283","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":"Combined Transcranial Direct Current Stimulation with Occupational Therapy Improves Activities of Daily Living in Traumatic Brain Injuries: A Pilot Randomized Clinical Trial","authors":"Mehrnaz Afsharipoor, Mahnaz Hejazi-Shirmard, A. Irani, M. Kalantari, Alireza Akbarzade Baghban","doi":"10.18502/jmr.v18i1.14736","DOIUrl":"https://doi.org/10.18502/jmr.v18i1.14736","url":null,"abstract":"Introduction: Traumatic brain injury (TBI) is one of the leading causes of long-term disability worldwide. Occupational therapy interventions in these patients are mainly focused on improving patients’ ability to perform daily occupations. Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique whose potential for motor and cognitive recovery of patients with TBI has been investigated; however, its effect on functional outcomes following TBI is unknown. This study aims to determine the effectiveness of tDCS combined with routine occupational therapy on the activities of daily living in patients with TBI. \u0000Materials and Methods: This was a single-blind, randomized clinical trial. A total of 24 patients with TBI were recruited using the convenience sampling method and were randomly assigned to the experimental (n=12) and control groups (n=12). Both groups underwent routine occupational therapy for 10 sessions (3 days per week), and the experimental group received tDCS (20 min) in addition to routine occupational therapy. Activities of daily living were assessed using the functional independence measure (FIM) at the baseline and the day after the end of the intervention. \u0000Results: After a 10-session intervention, both groups experienced significant improvements in the cognitive subscale and the FIM total score (P<0.001). Additionally, the findings showed that these improvements were significantly higher in the experimental group (P<0.001). \u0000Conclusion: According to the findings, although routine occupational therapy can effectively improve the ability of patients with TBI to perform daily living activities, adding tDCS as a complementary intervention can accelerate recovery in these patients.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"10 38","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139523621","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 Kicking Speeds Between Competitive Swimmers with Flat and Normal Feet in Selangor, Malaysia","authors":"Anita Yeoh Balakrishnan, V. Sundar, Sharmila Gopala Krishna Pillai, Sumedha Singh, Vinodhkumar Ramalingam","doi":"10.18502/jmr.v18i1.14725","DOIUrl":"https://doi.org/10.18502/jmr.v18i1.14725","url":null,"abstract":"Introduction: Competitive swimming is one of the most popular Olympic sports. Although studies indicate that explored flat feet improved running performance, research on foot types and their impact on swimming is scarce and unexplored. This study investigates the difference between flutter kicking speed among competitive swimmers with flat and standard feet. \u0000Materials and Methods: A total of 78 competitive swimmers in the age range of 13 to 19 years were recruited from Pusat Akuatik Darul Ehsan swimming training using a purposive sampling method and a cross-sectional study design. Based on their navicular drop test scores, the participants were categorized as flat-footed (group A) and normal-footed (group B). An independent t-test was applied to compare the kicking speeds between flat-footed and normalfooted swimmers. The swimmers in group A and group B were instructed to perform a standard 50-m kicking front crawl performance with the upper limb placed over the sliding board individually in a swimming pool, and their reaching time was recorded using a stopwatch. \u0000Results: The results indicated flat-foot swimmers’ front crawl kicking performance was faster than normal-foot swimmers’ (P=0.03) with a medium effect size (d=0.50). \u0000Conclusion: This study concludes that flat-footed competitive swimmers have an advantage in reaching 50 m in less time than normal-footed swimmers.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139524412","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 Gait Speed as the Index of Exercise Tolerance in Heart Failure with Preserved Ejection Fraction","authors":"Masaki Takeyoshi, Wakana Togami, Kei Hiyama, S. Takashio, Y. Arima, Kenichi Tsujita, Takeshi Miyamoto","doi":"10.18502/jmr.v18i1.14734","DOIUrl":"https://doi.org/10.18502/jmr.v18i1.14734","url":null,"abstract":"Introduction: As an essential factor affecting life prognosis and rehospitalization in patients with chronic heart failure, exercise tolerance is a significant outcome of cardiac rehabilitation. Heart failure with preserved ejection fraction (HFpEF) from reduced diastolic capacity has recently increased among patients with chronic heart failure. This study evaluates the factors indicating exercise tolerance in patients with HFpEF from various perspectives, including cardiac and skeletal muscle functions. \u0000Materials and Methods: The subjects were 31 patients with HFpEF who underwent cardiac rehabilitation. The exercise tolerance was assessed using a 6-min walking test. Physical function, physical activity, body composition test, baseline characteristics, blood data, and echocardiography results were extracted from medical records to identify the indicators of exercise tolerance \u0000Results: Gait speed significantly differed in exercise tolerance for HFpEF patients (β=0.75, P<0.01). Unlike heart failure with reduced ejection fraction (HFrEF), HFpEF was not significantly different in brain natriuretic peptide levels and cardiac function. \u0000Conclusion: Gait speed indicates exercise tolerance in HFpEF patients; however, its pathological course differs from heart failure with reduced ejection fraction, suggesting that it is poorly related to brain natriuretic peptide, a biomarker for heart failure and cardiac function.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"7 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139524624","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 Effects of Blood Flow Restriction Exercises on Strength and Cross Section Area of Hamstring Muscles and Tendons: A Case Report","authors":"Ardalan Ramezani Parsa, Zahra Poursaleh Begi, Ali Amiri, Nastaran Bahadorani, Amirhossein Shamsi","doi":"10.18502/jmr.v18i1.14738","DOIUrl":"https://doi.org/10.18502/jmr.v18i1.14738","url":null,"abstract":"Introduction: Hamstring injuries are one of the most common tendon injuries, especially in sports that require running and jumping. A comprehensive training program can help athletes to prevent this injury. Among suggested exercises, the Nordic eccentric training can reduce the injury rate by up to 50%; however, it is a high-load exercise that cannot be prescribed in the first stages of rehabilitation. Here, we describe a football player who used low-load resistance exercise with blood flow restriction as an alternative method to strengthen their hamstring after nine months of anterior cruciate ligament reconstruction surgery \u0000Case Description: A 19-year-old non-professional footballer with a body mass index of 22.18 kg/cm2 was invited to participate in this study. The variables examined included strength and cross-sectional area of the hamstring muscles (mean and maximum strength) and the crosssectional area of the hamstring tendons at their origin. The treatment program included a seated hamstring curl with a load of 30% 1 RM with blood flow restriction for four weeks (thrice a week). \u0000Results: The hamstring muscle strength improved by 6.54%, and the cross-sectional area of the muscles and tendons changed as follows: Semimembranosus (tendon=0.07%, muscle=2.57%), semitendinosus (tendon=0.00%, muscle=-4.04%), and biceps-femoris (tendon=5.5%, muscle=4.34%). \u0000Conclusion: Low load resistance training with blood flow restriction in this athlete improved the strength and cross-sectional area of the hamstring muscles as well as the cross-sectional area of the tendons. The changes observed in tendon, and muscle cross-sectional areas were more prominent for biceps-femoris. This case showed that a training program with blood flow restriction may be a good alternative for people who cannot tolerate high-load exercises in the early stages of their rehabilitation. Doing more extensive studies with more cases and a control group in the future can help our knowledge in giving the best exercise prescription to our patients.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139524318","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 Effects of Simulation-Based Teaching on Learning Domains Designed for Physiotherapy Students","authors":"Siddharth Satish Mishra, Tushar Palekar, Vrushali P. Panhale","doi":"10.18502/jmr.v18i1.14731","DOIUrl":"https://doi.org/10.18502/jmr.v18i1.14731","url":null,"abstract":"Introduction: Simulation-based teaching is a technique for imitating a situation’s behavior or process via a suitable analog situation for training or teaching purposes. Simulation-based teaching is widely used in various domains; however, there is limited literature on evaluating the role of simulated-based teaching in physiotherapy. This study investigates the effect of simulation-based teaching on learning domains for traumatic brain injury topics framed for final-year physiotherapy students. \u0000Materials and Methods: A total of 51 final-year physiotherapy students were randomly selected and allocated into two groups. Group A (n=25) includes didactic with PowerPoint presentation teaching session. Group B (n=26) includes simulated-based teaching sessions. There were eight simulators selected and trained for the Ranchos Los Amigos stages. The students were assessed using a self-designed pre-post multiple-choice questions (MCQ) test for knowledge and a clinical evaluation exercise for affective and psychomotor skills. \u0000Results: This study showed that group B significantly improved in the pre-post self-made MCQ test (t=17.34, P=0.00), and in the clinical evaluation exercise, group B performed 43.66% better than group A. \u0000Conclusion: The study concludes that simulation-based teaching significantly improves cognitive, affective, and psychomotor skills compared to traditional methods for traumatic brain injury topics framed for final-year physiotherapy students.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"1 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139524370","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}