Alireza Amiri, Nazila Akbarfahimi, Seyed Ali Hosseini
{"title":"An Integrative Review of Outcome Measures Used in Occupational Therapy Research for School-age Children with Cerebral Palsy in Iran","authors":"Alireza Amiri, Nazila Akbarfahimi, Seyed Ali Hosseini","doi":"10.18502/jmr.v17i4.13883","DOIUrl":"https://doi.org/10.18502/jmr.v17i4.13883","url":null,"abstract":"Introduction: Identifying the currently-used outcome measures for clients with cerebral palsy (CP) in the Iranian occupational therapy (OT) research can declare the new trend of such researchers and identify the more focused domains regarding such individuals. Accordingly, this integrative review aims to define the utilized outcome measures for school-age children with CP in the Iranian OT research.
 Materials and Methods: We conducted an integrated review of online Persian and English databases, namely PubMed, Web of Science, Otseeker, Cochrane, Medline, Embase, CINAHL, PsycInfo, OVID Medline, Magiran, ISC, SID, IranMEDEX, Irandoc, and IRCT, along with the Google Scholar search engine from January 2000 to March 2021.
 Results: Out of 605 potentially relevant articles that were initially retrieved, 51 articles met the inclusion criteria, and their used outcome measure(s) was identified. A total of 42 identified outcome measure(s) were not diagnosis-specific and or child-report. A maximum of 15 tools, which assessed the motor components of CP children based on a biomedical bottom-up approach, was commonly used by the majority of studies.
 Conclusion: Most Iranian OT studies utilized bottom-up outcome measures. Iranian OT researchers were suggested to highlight the current paradigm of OT in their research regarding school-age children with CP to comprehensively address their multiple challenges and needs according to a top-down client-centered approach.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136142744","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 High-arch and Flat Foot Deformities on Postural Control: A Systematic Review and Meta-analysis","authors":"Parisa Sedaghati, Fereshteh Kazemi Pakdel, Hamed Zarei","doi":"10.18502/jmr.v17i4.13884","DOIUrl":"https://doi.org/10.18502/jmr.v17i4.13884","url":null,"abstract":"Introduction: High-arch and flat foot deformities can negatively impact an individual’s performance in different situations. They may also balance as well as disturb postural control, which is essential for performing optimal routine and port activities, in addition to preventing injuries. This is a comparative meta-analysis of postural control in people with high-arch and flat foot deformities with normal feet.
 Materials and Methods: This is a systematic review of articles published from 2004 to 2021 in Medline/PubMed, Embase/Scopus, LILACS, CINAHL, CENTRAL (cochrane central register of controlled trials), Web of Science, PEDro, and Google Scholar databases.
 Results: The results revealed that the total balance score in people with high-arch and flat foot deformities was lower (P=0.001), compared to normal people. However, no significant difference was observed in the total balance of people with high-arch and flat foot deformities (P>0.05). Additionally, flat-foot people showed a weaker balance in the postural control test on a force plate, when compared to individuals with high-arch feet (P=0.001). Nevertheless, the results of dynamic balance were the same for all groups (P>0.05).
 Conclusion: Our findings indicate that people with high-arch and flat foot deformities suffer from weaker postural control when compared to their normal peers. Moreover, flat-foot people showed lower scores on postural control tests on force plates, compared to subjects with higharch feet, even though they had no significant differences for static and dynamic tests. There was no difference in the results of dynamic balance among the 3 groups.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136142743","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}
Balambigai N, Usha Rani Chittathur, Priya Kanagamuthu, Jayachandran Ganesh
{"title":"Investigating the Use of Gestures Among Children with Down Syndrome in India","authors":"Balambigai N, Usha Rani Chittathur, Priya Kanagamuthu, Jayachandran Ganesh","doi":"10.18502/jmr.v17i4.13887","DOIUrl":"https://doi.org/10.18502/jmr.v17i4.13887","url":null,"abstract":"Introduction: Gesture is a form of non-verbal communication. Down syndrome (DS) is one of the most common congenital syndromes in which speech and language deficits are prominent. Earlier studies have revealed mixed results regarding the advanced use of gestures among children with DS in Western literature. Indian culture influences parent-child interactions and gesture use differently. This study aims to assess whether a gesture advantage exists among DS children in the Indian context
 Materials and Methods: In this case-control study, 5 Tamil-speaking children with DS and 5 typically developing (TD) language-age-matched controls were observed. Their spontaneous interactions with their mothers were analyzed for type and frequency of gestures and gestureword combinations using a checklist.
 Results: Except for the frequency of deictic (requesting, giving) gestures, all the other gestures, namely deictic (pointing, showing), symbolic and representational gestures, and word-gesture combinations (equivalent, complementary, and supplementary) were observed much less frequently in DS children, although only pointing had a statistical significance. Also, fewer types of gestures were observed among DS children.
 Conclusion: Children with DS in the Indian context do not exhibit a gesture advantage. This study highlights the importance of gesture assessment and intervention among these children.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"222 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136142500","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}
Parisa Fakhari, Azadeh Shadmehr, Roya Khanmohammadi, Mohammad Reza Hadian, Amir Hooman Kazemi Motlagh
{"title":"Investigating the Effects of Dry Needling on Hamstring Muscles Flexibility: A Randomized Controlled Trial","authors":"Parisa Fakhari, Azadeh Shadmehr, Roya Khanmohammadi, Mohammad Reza Hadian, Amir Hooman Kazemi Motlagh","doi":"10.18502/jmr.v17i4.13888","DOIUrl":"https://doi.org/10.18502/jmr.v17i4.13888","url":null,"abstract":"Introduction: Flexibility or the ability of a muscle to increase in length is an integral part of musculoskeletal characteristics and is essential in preventing musculoskeletal injuries and increasing functional levels. Hamstring muscles rupture is a common injury. One of the important factors in the occurrence of this injury is poor hamstring muscle flexibility, which because of its stiffened structure, has less ability to quickly increase in length. Some researchers have recently suggested that the dry needling technique could reduce the number of treatment sessions for hamstring muscle tightness and bring faster and more effective results. Accordingly, this study aims to investigate the effect of the application of dry needling through an acupuncture technique on hamstring muscle flexibility. \u0000Materials and Methods: The present study is a single-blinded randomized controlled trial in which 16 individuals with bilateral hamstring muscle shortness were randomly allocated into dry-needling and sham-needling groups. The sampling method was non-probability convenience. The outcome measures were the right and left active knee extension range of motion, assessed before and after the first, third, and fifth sessions of intervention. A 2-factor mixed analysis of variance was applied to determine the differences between and within the two groups. \u0000Results: Except for the group main effect, time main effect and interaction effect were statistically significant for the right and left active knee extension range of motion (P<0.001). There were differences in behavioral patterns in groups; accordingly, in the real dry-needling group, a significant difference was detected across times. However, in the sham dry-needling group, no significant difference was observed. \u0000Conclusion: The application of dry needling into motor points of hamstring muscles in individuals with bilateral hamstring muscles shortness could improve flexibility and increase the range of knee extension after 3 and 5 sessions of intervention because of the therapeutic effects of the dry needling technique in improving the muscle flexibility.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136142323","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}
Farzaneh Askarpour, Seyedeh Tahmineh Mousavi, Mohammad Hossein Harirchian
{"title":"Investigating the Occupational Performance Problems in Individuals with Multiple Sclerosis in Relapsing-remitting Phase: A Cross-sectional Study","authors":"Farzaneh Askarpour, Seyedeh Tahmineh Mousavi, Mohammad Hossein Harirchian","doi":"10.18502/jmr.v17i4.13886","DOIUrl":"https://doi.org/10.18502/jmr.v17i4.13886","url":null,"abstract":"Introduction: Multiple sclerosis (MS) is one of the most common disabling neurologic diseases worldwide. Although occupational performance problems are reported in many people living with MS, there is little information on these problems in people with relapsingremitting MS (RRMS). This study aims to determine occupational performance problems in people with RRMS.
 Materials and Methods: The Canadian occupational performance measure was used to collect data from 58 participants in the age range of 20 to 50 years. The participants were recruited via the convenience sampling method from a neurology outpatient unit in a general hospital in Tehran City, Iran, in 2020. The data were analyzed using the Spearman, ManWhitney, and Kruskal-Wallis tests.
 Results: A total of 91 activities in self-care, 96 activities in productivity, and 67 activities in leisure were identified by the participants as their priorities. No significant difference was observed between the mean scores of occupational performance with age, gender, employment status, and marital status. Still, there was a considerable difference between occupational performance and education level.
 Conclusion: People with RRMS suffer from many occupational performance problems, especially in productivity areas. Although occupational therapy interventions are essential in promoting self-care and activities of daily living, engaging in productive and instrumental activities of daily living is more cost-effective and valuable to promote independence in people with RRMS.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136142461","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}
Sina Mostowfi, Hamid Dalvand, Mohammad-Reza Hadian Rasanani, Abbas Sheikhtaheri, Kheirolah Rahsepar Fard
{"title":"Introducing Educational Application of Neurodevelopmental Treatment for Children with Cerebral Palsy","authors":"Sina Mostowfi, Hamid Dalvand, Mohammad-Reza Hadian Rasanani, Abbas Sheikhtaheri, Kheirolah Rahsepar Fard","doi":"10.18502/jmr.v17i4.13882","DOIUrl":"https://doi.org/10.18502/jmr.v17i4.13882","url":null,"abstract":"The Article Abstract is not available.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136142746","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 Verbal Repetition in Persian-speaking Patients with the Semantic Variant of Primary Progressive Aphasia Compared to Healthy Individuals","authors":"Omid Azad","doi":"10.18502/jmr.v17i4.13890","DOIUrl":"https://doi.org/10.18502/jmr.v17i4.13890","url":null,"abstract":"Introduction: Language deficit is regarded as one of the most important hallmarks of primary progressive aphasia. This study aims to analyze the nature of verbal repetition ability in a group of patients suffering from the semantic variant of primary progressive aphasia and investigate their cognitive capability.
 Materials and Methods: In this cross-sectional study, 12 patients of the semantic variant of primary progressive aphasia and 12 healthy individuals accomplished a set of tasks, including naming, word comprehension, digit span, repetition of multisyllabic single words, monosyllabic word span under similar or dissimilar phonological conditions, and sentence repetition
 Results: The patients exhibited some degree of impairment with diverse patterns in each task, although the accomplishment of the sentence repetition task was the most challenging activity for the primary progressive aphasic patients of the semantic variant. However, the healthy individuals performed well in all tasks.
 Conclusion: The recognition of the quantity and quality of the cognitive deficit in the semantic variant of primary progressive aphasics can illuminate the nature of this disease and contribute to a better diagnosis of this disease. Furthermore, it can assist speech therapists and neuropsychologist to recruit appropriate therapies and employ better techniques for the diagnosis and cure of these patients.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136142745","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":"Acquiring the First Words by Persian Toddlers: A Longitudinal Study Using the MacAuthor-Bates Inventory","authors":"Asma Ebtedaei, Fatemeh Paknazar, Raheb Ghorbani, Masoomeh Salmani","doi":"10.18502/jmr.v17i4.13885","DOIUrl":"https://doi.org/10.18502/jmr.v17i4.13885","url":null,"abstract":"Introduction: A robust vocabulary improves all areas of communication. Vocabulary is critical to a child’s success to think and learn about the world. Expanding a child’s knowledge of words provides unlimited access to new information. This study describes the early development of comprehension and production vocabularies in a group of Persian-speaking toddlers.
 Materials and Methods: The mothers of 33 typical, Persian-speaking toddlers during 6 months (from 12-14 months to 19-21 months) completed the Persian McArthur-Bates communicative development inventories 7 times per month. The collected data were analyzed via the SPSS software, version 21, through non-parametric tests.
 Results: The results indicated that the only significant increase for both vocabularies was between 15 and 16 months (P comprehension=0.045 and P production=0.027). The development of phrase comprehension showed significant increases during six months (P<0.001). Further analysis of production vocabulary growth demonstrated the word spurt in each child (in different months and with different word levels). According to the figures, the composition of vocabulary production was different during the selected 6 months. Nouns were the largest group during the 50-, 100-, and 200-word stages; however, verbs presented a faster rate of development. Both genders showed significant changes during follow-ups (P<0.001) and there were no significant differences between the vocabularies of different genders (P>0.05).
 Conclusion: Persian-speaking children follow commonalities of lexical development reported for different languages; however, few differences could be traced between these children and their peers from other languages.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136142288","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}
S. Jomhouri, S. Talebian, Mohammad Vaez-Mousavi, Seyed Hamid Sadjadi-Hazaveh
{"title":"Training Interventions Change Relative Power Spectrum of Alpha After Anterior Cruciate Ligament Deficiency in Athletes","authors":"S. Jomhouri, S. Talebian, Mohammad Vaez-Mousavi, Seyed Hamid Sadjadi-Hazaveh","doi":"10.18502/jmr.v17i3.13073","DOIUrl":"https://doi.org/10.18502/jmr.v17i3.13073","url":null,"abstract":"Introduction: In individuals with anterior cruciate ligament deficiency (ACLD), defective sensory and motor neuroplasticity occurs in the central nervous system (CNS) due to defects in sensory afferents. To successfully restore ACLD individuals to pre-injury conditions, it is necessary to modify the neuroplasticity created in the CNS by prescribing more appropriate training. For this aim, in this study, we used perturbation training differently. \u0000Materials and Methods: Thirty athletes with unilateral anterior cruciate ligament (ACL) rupture were randomly assigned to the perturbation and standard training groups. The training program of two groups was performed in three intermittent sessions per week for one month. The relative power spectrum of alpha of quantitative electroencephalography (QEEG) was measured in three tasks: (1) the single-leg jump-landing, (2) the single-leg stance with opened eyes, and (3) the single-leg stance with closed eyes. \u0000Results: The perturbation training group only showed significant symmetry in the relative power spectrum of alpha between the two limbs in the single-leg jump-landing test (P=0.92, ES=0.04) in comparison pre-post test. Also, this group showed high symmetry in the alpha band in the single-leg stance test with closed eyes (P=0.53, ES=0.16). \u0000Conclusion: The results of the present study showed that both mechanical perturbation and standard training are suitable for transporting ACLDs back to sports. It also seems that mechanical perturbation training had higher effectiveness in modifying the CNS alpha power.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46634572","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}
A. Daryabor, Javad Naghizad, A. Jamehbozorgi, K. Kalantari, M. Rezaei
{"title":"The Evaluation of Electromyography Biofeedback on Proprioception and Balance in Healthy Young Athletes","authors":"A. Daryabor, Javad Naghizad, A. Jamehbozorgi, K. Kalantari, M. Rezaei","doi":"10.18502/jmr.v17i3.13074","DOIUrl":"https://doi.org/10.18502/jmr.v17i3.13074","url":null,"abstract":"Introduction: We evaluated the effect of electromyography biofeedback on proprioception and functional balance in healthy young athletes. \u0000Materials and Methods: In this clinical trial, 24 athletes were randomly divided into two study (n=12) and control (n=12) groups. The study group received rehabilitation exercises, including one-foot standing, squatted standing, and isometric contraction of quadriceps muscle at different knee angles, including 30, 45, and 90 degrees of knee flexion along with electromyography biofeedback. The control group received only rehabilitation exercises without electromyography biofeedback. Exercises were performed by both groups for a 4-week period in three sessions per week. Functional balance and proprioception before and after exercises were measured using the star excursion balance test and a system consisting of digital photography non-reflective markers, respectively. The data of the center of pressure and time of vertical ground reaction force using a force plate was also collected to evaluate static balance and dynamic balance, respectively. \u0000Results: The absolute error in knee joint reconstruction for 30° (P=0.005), 45° (P=0.001), and 90° (P=0.033) angles significantly decreased after the intervention in the study group compared to the control group. Star excursion balance test scores in all directions did not show any significant differences between the two groups (P>0.05), except for the anterior-lateral direction (P=0.03). Moreover, all variables related to static and dynamic balance did not show a significant difference between two the groups after the interventions (P>0.05). \u0000Conclusion: The electromyography biofeedback intervention can probably be used as a rehabilitation protocol in recovering and healing proprioception injuries resulting from sports injuries.","PeriodicalId":34281,"journal":{"name":"Journal of Modern Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49493172","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}