JOURNAL OF REHABILITATION最新文献

{"title":"Investigating Social Factors Affecting Social Health Among Clients Covered by Welfare Organization in Nowshahr City, Iran","authors":"Mohammad Nabi Najafi Andarvar, M. Gholipour, Abolghasem Heydarabadi, Manouchehr Pahlavan","doi":"10.32598/rj.24.2.3477.2","DOIUrl":"https://doi.org/10.32598/rj.24.2.3477.2","url":null,"abstract":"Objective Social health, along with physical and mental health, is one of the pillars of health and represents one’s assessment of social life. Therefore, the purpose of this study was to investigate the social factors affecting the social health of the clients covered by the Nowshahr Well-being. Materials & Methods The research method in this study was the descriptive follow-up. The research community was formed by female clients 18 to 60 years old under the cover of the Nowshahr Well-being with 3951 people. 350 samples were selected using the Morgan table and simple random sampling method. The data collection tool consisted of two valid keyes social health questionnaires (1) and Babapour et al. (2010). The reliability of the questionnaires was calculated using Cronbach’s alpha method, according to which the coefficient of research variables and its dimensions were more than 0.7 and was evaluated as suitable. For research data analysis, correlation coefficient and regression analysis with SPSS software, version 24 was used. Results According to the findings of the research, there is a positive and significant relationship between all the variables, that is, between the independent variables of the research, which include social integration, social skills, social participation, and social acceptance, with the dependent variable of the research, social health. Using regression, the effect of social integration variables (β=0.137), social skills (β=0.157), social participation (β=0.156), and social acceptance (β=0.120) on social health was determined. The value of the multiple correlation coefficient of the dimensions of social integration, social skills, social participation and social acceptance with the variable of social health and its estimated value under the final regression model is equal to (0.612). The value of the coefficient of multiple determination in the final model was equal to (0.567), which indicates that 57 percent of the changes in social health can be explained by the independent variables included in the model, namely the dimensions of social integration, social skills, social participation, and social acceptance. which indicates the good fit of the model. The estimation of the coefficients of the final regression model shows that the investigated variables are all significant and each of them has different weights. Also, the regression coefficients showed that the variable of social skills (β=0.157) has the greatest impact. Conclusion According to the findings of the research, social integration, social skills, social participation, and social acceptance is an effective factors in promoting social health and feeling good and improving the quality of life and social health of clients covered by Nowshahr welfare department, so with Increasing the level of awareness and social skills of clients will also provide the basis for improving their social health.","PeriodicalId":46374,"journal":{"name":"JOURNAL OF REHABILITATION","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83708812","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 Experiences of the Families of People With Aphasia About the Barriers and Facilitators of Receiving Speech Therapy Services in Iran","authors":"Zahra Poursaeid, M. Mohsenpour, Leila Ghasisin","doi":"10.32598/rj.24.2.141.3","DOIUrl":"https://doi.org/10.32598/rj.24.2.141.3","url":null,"abstract":"Objective Aphasia is an acquired language disorder that can affect all representations of language (comprehension, expression, reading, and writing). This disorder is a communication disability that has a long-term effect on various aspects of the life of people with aphasia and their families. The most common cause of aphasia is stroke. The prevalence of this disorder is increasing in Iran. The evidence shows that the factors affecting the provision of speech therapy services to people with aphasia are different in various countries. Therefore, this study aimed to determine the barriers and facilitators of receiving speech therapy services from the perspective of the families of these people in Iran. Materials & Methods The study was conducted qualitatively with a content analysis approach. In this study, individual, semi-structured interviews with open-ended questions were conducted with 12 families of people with aphasia. Interviews were conducted by voice calls through WhatsApp or phone calls. Data analysis was done by Burnard’s approach. The duration of interviews with families was 25 minutes on average. Results Barriers to receiving speech therapy services from the perspective of families of people with aphasia were divided into five categories and twelve subcategories, and facilitators of receiving services were divided into five categories and thirteen subcategories. There was an overlap between the identified barriers and facilitators, so the titles of the categories were the same and included: factors affecting clients’ attendance in speech therapy sessions, factors related to the patient, factors related to the place of treatment, factors related to the family, and factors related to speech therapist. All the participants pointed out a barrier and a facilitator related to the category of factors affecting clients’ attendance in speech therapy sessions. Also, all of them found a barrier related to the patient and a facilitator related to the family to be effective in receiving speech therapy services. Conclusion By examining the factors extracted from the interviewees, it is possible to make the necessary plans to reduce the barriers and strengthen facilitators with the help of people who have responsibilities in this field. Most of the participants considered the high severity of the impairment a barrier to receiving treatment. All of them agreed that the existence of a source to inform about speech therapy services has facilitated receiving these services. By considering the barriers and facilitators, people with aphasia and their families can receive more appropriate treatment according to their conditions and their quality of life will increase.","PeriodicalId":46374,"journal":{"name":"JOURNAL OF REHABILITATION","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81300164","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":"Effect of a Play-based Intervention on the Anxiety of Mothers of Premature Babies Admitted to the Neonatal Intensive Care Unit: A Randomized Controlled Clinical Trial","authors":"Fatemeh Farrokhian, Hoshang Mirzaei, Ayda Ravarian, F. Soleimani, S. Hosseinzadeh","doi":"10.32598/rj.24.2.3625.1","DOIUrl":"https://doi.org/10.32598/rj.24.2.3625.1","url":null,"abstract":"Objective The present study aims to examine the effect of a play-based intervention on the anxiety of mothers of premature babies admitted to the neonatal intensive care unit (NICU). Materials & Methods This is a non-blinded randomized controlled clinical trial. The participants were recruited from among the mothers of premature babies (<37 weeks) admitted to the NICU of Hazrat-e Ali Asghar Hospital and divided into two groups of intervention (n=20) and control (n=20) using the block randomization method. They were 20-35 years old with at least a high school diploma. Their babies had stable physiological conditions with no physical disorders or specific diseases. The anxiety of mothers was measured by Spielberger’s State-Trait anxiety inventory (STAI) before study and two days after discharge. The intervention group received the play-based program for their babies at least once a day, for at least 5 days until discharge. The control group received routine hospital care. Results Independent t-test results showed no significant difference in the scores of STAI and its domains between the two groups before and after the intervention. However, mean difference of pre- and post-scores of total STAI and state anxiety domain was significant in two groups (P<0.05), but it was not significant in terms of trait anxiety (P>0.05). The ANCOVA results showed that the effect size of intervention on state anxiety (P=0.001) and total anxiety score (P=0.004) was 27% and 20%, respectively. Conclusion The play-based intervention, can reduce the anxiety of mothers of premature babies admitted to the NICU and consequently affect the growth of children and mental health of family and society.","PeriodicalId":46374,"journal":{"name":"JOURNAL OF REHABILITATION","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77243111","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 and Relation Between Vocal Tract Discomfort and Voice Handicap Index in Teachers With and Without Muscle Tension Dysphonia","authors":"S. M. Khoddami, Samira Aghadoost, A. Khatoonabadi, P. Dabirmoghaddam, S. Jalaie","doi":"10.32598/rj.24.2.3627.1","DOIUrl":"https://doi.org/10.32598/rj.24.2.3627.1","url":null,"abstract":"Objective One of the most voice-related complaints in teachers is vocal tract discomfort (VTD) which can increase the voice handicap index (VHI) to different degrees. In teachers Muscle Tension Dysphonia (MTD), increases voice complaints and decreases the voice-related quality of life. The aims of this study were to evaluate and compare the frequency and severity subscales of the VTD score and total score of VHI and determine the relation between them in primary school teachers with and without MTD. Materials & Methods This study was cross-sectional and was performed on 80 primary female teachers with and without MTD. The participants in both groups were randomly selected after checking the inclusion criteria. Voice history, auditory-perceptual assessment of voice, palpation, and laryngeal video-stroboscopy were assessed on the teachers in two groups. Then, asked the participants to complete the Persian versions of the VTD and VHI scales. After determining the normal distribution of the data using the Kolmogorov-Smirnov test, the results of VTD, VHI, and their subscales were compared between two groups with an independent t-test. Also, the relationship between them was assessed with the Pearson correlation coefficient analysis. Results The mean score of the frequency subscale of VTD in teachers with MTD was more than in teachers without MTD (30.17±5.11, 8.22±2.26), respectively. The score of severity subscales of VTD in teachers with MTD was 39.12±4.94 and in teachers without MTD was 7.89±2.13. Also, the total score of the VHI questionnaire in teachers with MTD was significantly higher than teachers without MTD (P<0.05). Moreover, there was a significant positive correlation between the frequency and severity subscales of VTD and the total score of VHI in the two groups (P<0.05). Conclusion This study showed the frequency and severity scores of the VTD and the degree of VHI experienced by MTD are remarkably higher than teachers without MTD. The authors emphasize on the use of VTD and VHI scales in screening teachers who are at risk of voice problems, and the researchers pointed out the importance of paying attention to the reduction of discomfort feelings in the vocal tract and voice handicap in the voice therapy sessions of teachers with MTD.","PeriodicalId":46374,"journal":{"name":"JOURNAL OF REHABILITATION","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79111747","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 Rights of Disabled People in Iran: A Meta-synthesis Study","authors":"Mohsen Niazi, A. Farhadian, Neda Khodakarmian Gilan, Azad Omidvar","doi":"10.32598/rj.24.1.3359.1","DOIUrl":"https://doi.org/10.32598/rj.24.1.3359.1","url":null,"abstract":"Objective There are so many people with disabilities worldwide. This condition has led to taking various national and international measures regarding the rights of people with disabilities. Protecting the rights of people with disabilities in the context of international methods is an important issue that has been explored for years. This study aims to explain the dimensions of the rights of people with disabilities in Iran. Materials & Methods In this study, the meta-synthesis method was used, and the statistical population of the research articles was extracted from various research databases, such as Magiran, Normgaz, Regional Information Center for Science and Technology, Science Net Database, Nematan, Civilica, and Humanities Portal were selected. In this study, based on the inclusion criteria, such as title, abstract, content, and quality assessment of studies, 14 articles were finally selected for study analysis. In addition, the time frame of this research is from 2009 to 2020. Also, this study used the 7-step method of Sandelowski and Barros (2007) to analyze the research data. Results The most important rights of the disabled are employment, human value and dignity, education, belonging, proper design of urban furniture, access to health services, elimination of social discrimination, recreation and leisure, social security, freedom, and transportation. By reviewing and integrating the initial findings in this study, after going back and forth between sub-fields, 7 main fields of disability rights were obtained: cultural, economic, political, architectural and urban rights, social, medical, and legal rights. This study examined the content validity ratio and content validity index. The opinions of 8 experts in this field have been used to calculate this ratio. Concerning the content validity ratio, it should be said that it was acceptable for all dimensions. The Kappa index has been used to measure the reliability of the designed model; the kappa coefficient is calculated to be 87%, which is at a high level of the agreement due to the status of the kappa index. Conclusion Legally, people with disabilities have cultural, economic, political, architectural, urban, social, medical, and legal rights. Different and negative views of managers and individuals in society have led to disregarding the rights of people with disabilities. Lack of proper knowledge about people with disabilities and subsequent marginalization will have negative consequences. Proper knowledge of this phenomenon and awareness of the capabilities of people with disabilities is an effective step toward developing a country. Most people with disabilities have been deprived of their basic social, economic, political, and cultural rights. In this regard, pervasive stereotypes, attitudes, and discrimination have reinforced this injustice. It is worthwhile that by changing the perspective of the international community, government, and citizens, able-bodied people can live a","PeriodicalId":46374,"journal":{"name":"JOURNAL OF REHABILITATION","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86220053","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":"Comparing the Effects of Lumbar-pelvic and Pelvic Belts on the Activity of Pelvic Muscles in Pregnant Women With Back and Pelvic Pain","authors":"Zhaleh Heydari, G. Aminian, A. Biglarian, M. Shokrpour, M. Mardani","doi":"10.32598/rj.24.1.3542.1","DOIUrl":"https://doi.org/10.32598/rj.24.1.3542.1","url":null,"abstract":"Objective The physical and hormonal changes occur in pregnant women, which may cause skeletal and muscular discomforts and back and pelvic pain. If the pelvic muscles mechanism is damaged, pelvic joints may have less stability, and the joint is more exposed to shearing force. As a result of this condition, the activity pattern of these muscles of the lumbar region may change, increased muscle activity compensates for the anterior forces, and bending moments may occur, especially when the abdomen volume is increased. In previous studies, the activity of pelvic muscles in the test of active straight leg raise (ASLR) was evaluated in pregnant women without using a pelvic belt. These belts are strapped at the level of the pelvic ring and do not fully support the lumbar region. The lumbar-pelvic belt can extend below the lower angle of the scapula, completely covering the lumbar region and supporting the waist and pelvis simultaneously. As a result, the whole body acts as a unit compared to a pelvic belt. The present study aims to compare the effect of the lumbar-pelvic belt with the pelvic belt in the activity of the pelvic muscles during the ASLR test of the lower limb in pregnant women with back and pelvic pain. Materials & Methods This was a clinical trial study on 48 pregnant women with pregnancy-related back and pelvic pain referred to the Kawsar Specialized and Subspecialty Clinic in Arak City, Iran. The sampling method was convenience sampling based on inclusion and exclusion. All participants completed the written consent form, and then they were randomly divided into three groups: lumbar-pelvic belt (14 women), pelvic belt (14 women), and control (20 women). First, a demographic questionnaire was completed by the participants. Then the pelvic muscles’ muscle activity was evaluated using surface electromyography during the ASLR test at the beginning of the study and then three weeks later. Covariance analysis was used in SPSS version 26 software for data analysis, and the significance level was considered 0.05. Results After three weeks of using the devices, the activity of the right rectus femoris, left rectus femoris, right biceps femoris, and left biceps femoris muscles decreased in both groups who used the belts and increased in the control group during the ASLR test. The activity of the right biceps femoris and left biceps femoris muscles in the lumbar-pelvic belt group was significantly reduced compared to the pelvic belt group (P<0.001). Although the activity level of the right rectus femoris and left rectus femoris muscles in the lumbar-pelvic belt group decreased more than the pelvic belt group, this decrease was not statistically significant. Conclusion The activity of the rectus femoris and biceps femoris muscles during the ASLR test decreased in both groups using the pelvic belts and increased in the control group after three weeks. This finding shows the effect of both pelvic belts on improving pelvic muscle activity. However, th","PeriodicalId":46374,"journal":{"name":"JOURNAL OF REHABILITATION","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90580345","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":"Evaluation of Static and Dynamic Stability and Its Relationship With Fear of Falling in Patients With Mild to Moderate Knee Osteoarthritis","authors":"Mahsa Kavyani Boroujeni, M. Taghi Karimi, Keyvan Sharifmoradi, Hossein Akbari-Aghdam","doi":"10.32598/rj.24.1.3482.1","DOIUrl":"https://doi.org/10.32598/rj.24.1.3482.1","url":null,"abstract":"Objective Knee osteoarthritis is one of the most common musculoskeletal disorders affecting balance. It is also a risk factor for falling in older people. People with a history of falling, whether being injured or not, acquire a fear of potential falling, so they limit their functional activities, leading to decreased mobility, muscle weakness, and increased risk of falling in the future. Evaluating the relationship between balance and fear of falling in these patients can detect the disability mechanisms and falling and also help find more effective therapeutic methods for these patients. Some previous studies evaluated the stability of patients by clinical methods in static situations and related it to fear of falling. However, the walking stability of patients was not assessed by laboratory-based systems in previous studies. Therefore, we aimed to evaluate dynamic (during walking and based on the center of mass sways) and static stability (based on the center of pressure sways) and their relationship with falling risk in patients with knee osteoarthritis. Materials & Methods This is a descriptive cross-sectional study. A group of 15 subjects with mild to moderate knee osteoarthritis with a Mean±SD age of 50±3.22 years and 15 normal subjects with comparable age, height, and weight participated in this study. The subjects’ standing stability was evaluated using a Kistler force plate based on mediolateral (ML) and anteroposterior (AP) displacements of the center of pressure. Also, the dynamic stability of the subjects was evaluated during walking and based on the center of mass-base of support relationship in AP and ML directions. Kinematic data were collected using a motion analysis system with 7 high-speed cameras and a Kistler force plate. To model the body segments, the output of Qualisys track manager software was exported to Visual 3D software. Fear of falling was assessed by the native version of the fall efficacy scale (FES-I). The normal distribution of data was checked by the Shapiro-Wilk test. The independent samples t-test was used to compare the stability of patients and normal subjects. The Pearson correlation coefficient was used to evaluate the relationships between static and dynamic stability parameters and fear of falling in patients with knee osteoarthritis. Results Patients with knee osteoarthritis had less stability during standing and walking than healthy subjects (P<0.05). Moreover, based on the results of this study, there was a linear relationship between the center of body pressure (COP) excursions in the AP direction and the fear of falling scale. Still, it was not significant (r=0.416, P=0.123), and there was no correlation between the other COP parameters with FES (r=0, P>0.05). The correlations between mean center of mass (COM) excursion in AP and ML directions and FES were 0.309 and -0.123, respectively; however, these correlations were also not statistically significant (P>0.05). Conclusion Based on the results of","PeriodicalId":46374,"journal":{"name":"JOURNAL OF REHABILITATION","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84682066","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 Knee Joint Muscles Deep Dry Needling on Pain and Function in Patients After Total Knee Arthroplasty","authors":"Mohammad Bagher Mashaherifard, M. Motififard, Navid Taheri","doi":"10.32598/rj.24.1.3215.1","DOIUrl":"https://doi.org/10.32598/rj.24.1.3215.1","url":null,"abstract":"Objective Osteoarthritis is one of the most common knee joint diseases. It is a multifactorial, inflammatory, and destructive disorder of the joint that involves the synovial tissues and joint cartilage and causes permanent pain, functional limitations, and a decrease in patients’ quality of life (QoL). In advanced cases of the disease, total knee arthroplasty is performed to reduce pain and improve the function of the patients. The presence of pain after this surgery is a major concern that reduces the QoL of these people. One of the causes of pain after surgery is extra-articular pain and involvement of the musculoskeletal system, the most common cause of which is pain caused by active trigger points. Dry needling is one way to deactivate trigger points. This study aimed to investigate the effects of dry needling on the pain intensity and function of patients with active trigger points in the muscles around the knee after total knee arthroplasty. Materials & Methods This research was a before-and-after clinical trial study. In this study, 49 patients aged 55 to 80 years, with at least 3 months past their total knee arthroplasty and still having pain, were included by an orthopedic specialist after reviewing the inclusion and exclusion criteria. After the first researcher considered the inclusion and exclusion criteria and the presence of active trigger points in the muscles around the knee, including the quadriceps, hamstring, and gastrocsoleus, 27 patients were qualified. The amount of pain in these patients before, one week, and one month, after dry needling was measured and compared based on the linear visual analog scale. Also, the performance of the patients was assessed based on the knee injury and osteoarthritis outcome score questionnaire. This study aimed to investigate the short-term effects of dry needling on pain intensity and function of patients with active trigger points in the muscles around the knee after total knee arthroplasty. Results The results of this study show a significant difference (P<0.001) between the amount of pain before dry needling (57.2±8.9) and one week after dry needling (10.8±33.6). Also, there is a significant (P<0.006) difference between the performance of patients before dry needling (47.5±11.9) and one week after dry needling (42.3±10.6). No significant difference was observed regarding pain and performance between one week and one month after dry needling. Conclusion Performing one dry needling session on the active trigger points of the muscles around the knee after total knee arthroplasty reduces pain and improves patients’ performance.","PeriodicalId":46374,"journal":{"name":"JOURNAL OF REHABILITATION","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75594871","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":"Comparing the Rehabilitation Structures in the Health Systems of Iran, Germany, Japan, Canada, Turkey, and South Africa","authors":"M. Farahbod, Iravan Masoudi Asl, Seyyed Jamaloddin Tabibi, M. Kamali","doi":"10.32598/rj.24.1.3582.1","DOIUrl":"https://doi.org/10.32598/rj.24.1.3582.1","url":null,"abstract":"Objective Because of the increasing number of people with disabilities and the lack of awareness of disability prevention methods in developing countries, creating a proper rehabilitation structure and providing appropriate services are among the important goals of every health system. Conducting comparative studies is one of the research methods for reviewing the structure of the rehabilitation system in the country’s health system. This study aimed to compare the rehabilitation structure in Iran with 5 other countries. Materials & Methods This research is a comparative study conducted in 2022. In this study, sampling was purposeful. Five countries of Germany, Japan, Canada, Turkey, and South Africa were compared in terms of organizational and health management, financial and legal components, and social policy components with Iran. Reliable databases and related resources in the rehabilitation structure were used to collect data. In this study, the obtained data were analyzed using the Bereday model containing four stages: Description, interpretation, proximity, and comparison. The findings were evaluated in a comparative table. Results The findings indicated that in terms of organization and health management, the Ministry of Health should be responsible for health management and rehabilitation, but in Iran, in addition to the Ministry of Health, the Red Crescent, the Martyr Foundation, and Exceptional Education Organization are also involved in the management of rehabilitation. Financial issues and problems are significant barriers for people with disabilities to access rehabilitation services in these countries. In Iran, a large part of these costs is paid from the pockets of families. Regarding legal components in Iran, as in other countries, specific rules exist to provide services to people with disabilities. But sometimes, these rules are not properly implemented. From the sociodemographic perspective, Iran has an aging population, welcomes immigrants, and holds diverse cultures. The access of all people in need of rehabilitation in this diverse population to the services needed is limited. In terms of policy components, regulating national health policy requires review and, if necessary, changes in existing health system policies. Conclusion The existence of a specific position for rehabilitation in the Iranian health system, provision of services, and management of rehabilitation affairs by a single organization such as the Ministry of Health, as well as proper implementation of laws and policies, can lead to structural improvement and management of the health system and rehabilitation. Financial obstacles and problems to rehabilitation services should be reduced, and government and insurance must cover most of the costs of rehabilitation services. Also, a review of national health policies and legislation in the country should be done to improve the access of all people with disabilities to health and rehabilitation services. Therefor","PeriodicalId":46374,"journal":{"name":"JOURNAL OF REHABILITATION","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85913393","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 Study of Vocal Function in Patients With Early Laryngeal Carcinoma After Transoral Laser Microsurgery","authors":"Arezoo Hasanvand, Akbar Darouie, Samira Aghadoost, P. Dabirmoghaddam, E. Bakhshi","doi":"10.32598/rj.24.1.3615.1","DOIUrl":"https://doi.org/10.32598/rj.24.1.3615.1","url":null,"abstract":"Objective Today transoral laser microsurgery is considered as one of the first options to control early laryngeal cancer, and voice disorder is one of the inevitable complications of this therapeutic component. This study aimed to compare the vocal function in patients with early-stage laryngeal cancer following laser surgery with healthy individuals with normal voice quality using acoustic analysis and the voice handicap index and to examine the correlation between the results of these two evaluations in each group. Materials & Methods The current research is a descriptive-correlational and comparative study that was cross-sectioned using convenience sampling into two groups consisting of 60 men (Mean±SD of age 59.18±5.170 years) with early laryngeal cancer undergoing laser surgery as a patient group and 60 men (Mean±SD of age 56.68±5.491 years) with normal voice quality, and without any history of voice disorder as a control. The vocal function of participants was assessed using acoustic parameters (including jitter, shimmer, harmonic to noise ratio, fundamental frequency, smoothed cepstral peak prominence) and a 30-item Persian version of the voice handicap index questionnaire (including overall score and scores of physical, emotional and functional subscale). Then, data were analyzed using SPSS software, version 20, descriptive statistics, Kolmogorov-Smirnov, independent t-test, and Pearson correlation coefficient at the P<0.05. Results The results show that the acoustic parameters and voice handicap index in the group undergoing laser surgery are significantly different from the control group (P<0.001). Also, a significant direct correlation between jitter and shimmer with total score and physical subscale of VHI, a significant inverse correlation between the harmonic-to-noise ratio and total score, functional and physical subscales of VHI, as well as between smoothed cepstral peak prominence with total score and all subscales of VHI (P<0.05). In addition, in the control group, there is no significant correlation between the acoustic parameters and the subscales of the voice handicap index (P<0.05). Conclusion The findings of the acoustic analysis and the voice handicap index show impairment in vocal function and a decrease in voice-related quality of life (QoL) in patients with early laryngeal cancer after laser surgery. Furthermore, a significant correlation between the scores of the voice handicap index and acoustic analysis parameters, especially cepstral analysis indicates the necessity to pay attention to frequency-based analysis. Therefore the results of the present study emphasize the need for a comprehensive assessment of vocal function, providing voice therapy programs, and attention to psychological problems in patients with early laryngeal cancer after laser surgery.","PeriodicalId":46374,"journal":{"name":"JOURNAL OF REHABILITATION","volume":"184 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72426101","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}