Objectives: Among the foot orthoses prescribed to improve postural control in chronic ankle instability, foot orthoses designed to affect both types of mechanical and functional instability have a limited research background. In the present study, a type of foot orthosis named the custom mold with a raised ridge around the perimeter was designed, and manufactured, and its effect on the dynamic posture control of the subjects was investigated. Methods: This study was a quasi-experimental type in which 30 active young people with chronic ankle instability were selected from sports clubs and divided into two groups. One of these groups used custom mold foot orthoses (CFO) and the other group used custom mold with a raised ridge around the perimeter foot orthoses (CRFO). Dynamic postural control of the participants was evaluated before and after one month with the star excursion balance test (SEBT). A repeated measured statistical test was used to evaluate the obtained data. Results: Both types of foot orthoses increased the reaching distance of the SEBT, but the result of CRFO was significant in this field, so that after one month in medial (P=0.045), posteromedial (P=0.002), and anteromedial (P˂0.001) directions, significant differences were observed between the two groups. Discussion: The CRFO can put the subtalar joint in optimal conditions and change the amount of input resulting from the stimulation of the mechanoreceptors in the plantar area of the foot, thus increasing the improvement of dynamic postural control; however, more studies are needed to prove this claim.
{"title":"Effects of the Custom Mold With a Raised Ridge Around the Perimeter Foot Orthoses on Dynamic Postural Control in Chronic Ankle Instability","authors":"Hanieh Khaliliyan, Mahmood Bahramizadeh, Reza Vahab Kashani, Mohsen Vahedi","doi":"10.32598/irj.21.3.1719.2","DOIUrl":"https://doi.org/10.32598/irj.21.3.1719.2","url":null,"abstract":"Objectives: Among the foot orthoses prescribed to improve postural control in chronic ankle instability, foot orthoses designed to affect both types of mechanical and functional instability have a limited research background. In the present study, a type of foot orthosis named the custom mold with a raised ridge around the perimeter was designed, and manufactured, and its effect on the dynamic posture control of the subjects was investigated. Methods: This study was a quasi-experimental type in which 30 active young people with chronic ankle instability were selected from sports clubs and divided into two groups. One of these groups used custom mold foot orthoses (CFO) and the other group used custom mold with a raised ridge around the perimeter foot orthoses (CRFO). Dynamic postural control of the participants was evaluated before and after one month with the star excursion balance test (SEBT). A repeated measured statistical test was used to evaluate the obtained data. Results: Both types of foot orthoses increased the reaching distance of the SEBT, but the result of CRFO was significant in this field, so that after one month in medial (P=0.045), posteromedial (P=0.002), and anteromedial (P˂0.001) directions, significant differences were observed between the two groups. Discussion: The CRFO can put the subtalar joint in optimal conditions and change the amount of input resulting from the stimulation of the mechanoreceptors in the plantar area of the foot, thus increasing the improvement of dynamic postural control; however, more studies are needed to prove this claim.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737854","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}
Pub Date : 2023-09-01DOI: 10.32598/irj.21.3.1906.1
Samaneh Saba, Narges Arsalani, Mohammad Ali Hosseini, Pouria Reza Soltani, Mahdieh Azizi
Objectives: Down syndrome (DS) is a genetic disorder that causes many problems for the affected person and his or her family. The present study aimed to investigate the effect of resilience training on the stress of mothers of students with DS. Methods: This study is a non-randomized clinical trial conducted on 36 mothers of students with DS studying at Shahid Rajaieh School, Tehran. They were selected by a convenience sampling method and divided into the control and intervention groups. Resilience skill training intervention was performed in ten sessions for the intervention group. The instruments used in the present study included a demographic questionnaire and a parenting stress index. Data were analyzed using SPSS software, version 18. Results: Before training resilience skills, no significant difference was observed between the mean stress scores in mothers of the intervention and control groups. After the training program, there was a significant difference between the mean stress scores of the two groups. Discussion: Training resilience skills can reduce stress in mothers of children with DS.
{"title":"The Effect of Resilience Training on the Stress of Mothers of Students With Down Syndrome","authors":"Samaneh Saba, Narges Arsalani, Mohammad Ali Hosseini, Pouria Reza Soltani, Mahdieh Azizi","doi":"10.32598/irj.21.3.1906.1","DOIUrl":"https://doi.org/10.32598/irj.21.3.1906.1","url":null,"abstract":"Objectives: Down syndrome (DS) is a genetic disorder that causes many problems for the affected person and his or her family. The present study aimed to investigate the effect of resilience training on the stress of mothers of students with DS. Methods: This study is a non-randomized clinical trial conducted on 36 mothers of students with DS studying at Shahid Rajaieh School, Tehran. They were selected by a convenience sampling method and divided into the control and intervention groups. Resilience skill training intervention was performed in ten sessions for the intervention group. The instruments used in the present study included a demographic questionnaire and a parenting stress index. Data were analyzed using SPSS software, version 18. Results: Before training resilience skills, no significant difference was observed between the mean stress scores in mothers of the intervention and control groups. After the training program, there was a significant difference between the mean stress scores of the two groups. Discussion: Training resilience skills can reduce stress in mothers of children with DS.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737074","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}
Pub Date : 2023-09-01DOI: 10.32598/irj.21.3.1920.1
Mohammad Saleem, Hadia Javaid, Tawsheeba Nisar
Objectives: The self-determination theory (SDT) posits that basic psychological needs (BPNs) are indispensable and vital nutrients for well-being. The present research was done to apply SDT to understand students’ well-being, which proposes that the realization and fulfillment of BPNs and subjective vitality significantly influence the overall well-being of an individual. Therefore, the current study analyzed the mediational effect of subjective vitality in the BPN satisfaction and well-being relationship. Methods: This study included a sample of 219 (165 females and 54 males) university students with a mean age of 25 years. The basic psychological needs satisfaction and frustration scale (BPNSFS) was used to assess BPNs. Subjective vitality was assessed using a 6-item individual difference version subjective vitality scale by Ryan and Frederick, and well-being was evaluated by the WHO well-being index. Correlational and multiple regression analysis was done and mediational analysis was done using Hayes PROCESS macro. Results: The results indicated that fulfillment of BPNs (β=0.413, P<0.01) and subjective vitality (β=0.208, P<0.01) are significant predictors of students› well-being. Mediation analysis showed that subjective vitality completely mediated the relationship between BPN satisfaction and well-being. Furthermore, the measures of BPNS (t=2.242) and well-being (t=2.154) differed significantly, while no significant differences were found in subjective vitality (t=0.108) with respect to gender. Discussion: The findings of this study highlighted the role of BPN satisfaction and subjective vitality in the promotion of students’ well-being. Moreover, the present study highlighted the underlying mechanism, through which BPNs influences students’ well-being. This study contributes to the theoretical literature by emphasizing the vital role played by BPNs and subjective vitality in students’ well-being.
{"title":"Basic Psychological Need Satisfaction and Students’ Well-being: The Mediating Role of Subjective Vitality","authors":"Mohammad Saleem, Hadia Javaid, Tawsheeba Nisar","doi":"10.32598/irj.21.3.1920.1","DOIUrl":"https://doi.org/10.32598/irj.21.3.1920.1","url":null,"abstract":"Objectives: The self-determination theory (SDT) posits that basic psychological needs (BPNs) are indispensable and vital nutrients for well-being. The present research was done to apply SDT to understand students’ well-being, which proposes that the realization and fulfillment of BPNs and subjective vitality significantly influence the overall well-being of an individual. Therefore, the current study analyzed the mediational effect of subjective vitality in the BPN satisfaction and well-being relationship. Methods: This study included a sample of 219 (165 females and 54 males) university students with a mean age of 25 years. The basic psychological needs satisfaction and frustration scale (BPNSFS) was used to assess BPNs. Subjective vitality was assessed using a 6-item individual difference version subjective vitality scale by Ryan and Frederick, and well-being was evaluated by the WHO well-being index. Correlational and multiple regression analysis was done and mediational analysis was done using Hayes PROCESS macro. Results: The results indicated that fulfillment of BPNs (β=0.413, P<0.01) and subjective vitality (β=0.208, P<0.01) are significant predictors of students› well-being. Mediation analysis showed that subjective vitality completely mediated the relationship between BPN satisfaction and well-being. Furthermore, the measures of BPNS (t=2.242) and well-being (t=2.154) differed significantly, while no significant differences were found in subjective vitality (t=0.108) with respect to gender. Discussion: The findings of this study highlighted the role of BPN satisfaction and subjective vitality in the promotion of students’ well-being. Moreover, the present study highlighted the underlying mechanism, through which BPNs influences students’ well-being. This study contributes to the theoretical literature by emphasizing the vital role played by BPNs and subjective vitality in students’ well-being.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737294","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}
Anahita Giti, Vahid Rashedi, Parisa Jalilzadeh Afshari, Marzieh Golchin
Objectives: Accurate scientific planning and societal macro policies require reviewing and evaluating research output. Scientometrics offers a valuable approach for assessing the activity of journals that publish a majority of scientific productions. This study aims to analyze the scientific activity of the Iranian Rehabilitation Journal (IRJ) by examining its publication history in the Scopus database. Methods: This bibliometric analysis adopts a scientometrics approach and includes all documents published in IRJ indexed in the Scopus database. Data collection and analysis were performed using VOSviewer and Excel software. Results: IRJ has been active since 2003, initially publishing seven articles in the Scopus database. The journal boasts an H-index 11 and has produced 701 documents over 20 years. The citation score for the journal in 2022 was approximately 0.6. The University of Social Welfare and Rehabilitation Sciences had the highest number of affiliated articles (n=395). The most productive author was “Dadkhah” with 42 documents; the most cited author was “Masah”. Most documents are articles written in English, and the most frequently used keyword is “Rehabilitation”. Discussion: This study offers an overview of the status of IRJ, indicating an increasing trend in the number of documents published and citations received since its establishment. The research findings can serve as a road map for researchers in the field of rehabilitation, providing valuable insights for future studies.
{"title":"Citation Review and Scientific Visualization of Articles Published in the Iranian Rehabilitation Journal (IRJ) 2003-2023 in the Scopus Database","authors":"Anahita Giti, Vahid Rashedi, Parisa Jalilzadeh Afshari, Marzieh Golchin","doi":"10.32598/irj.21.3.327.3","DOIUrl":"https://doi.org/10.32598/irj.21.3.327.3","url":null,"abstract":"Objectives: Accurate scientific planning and societal macro policies require reviewing and evaluating research output. Scientometrics offers a valuable approach for assessing the activity of journals that publish a majority of scientific productions. This study aims to analyze the scientific activity of the Iranian Rehabilitation Journal (IRJ) by examining its publication history in the Scopus database. Methods: This bibliometric analysis adopts a scientometrics approach and includes all documents published in IRJ indexed in the Scopus database. Data collection and analysis were performed using VOSviewer and Excel software. Results: IRJ has been active since 2003, initially publishing seven articles in the Scopus database. The journal boasts an H-index 11 and has produced 701 documents over 20 years. The citation score for the journal in 2022 was approximately 0.6. The University of Social Welfare and Rehabilitation Sciences had the highest number of affiliated articles (n=395). The most productive author was “Dadkhah” with 42 documents; the most cited author was “Masah”. Most documents are articles written in English, and the most frequently used keyword is “Rehabilitation”. Discussion: This study offers an overview of the status of IRJ, indicating an increasing trend in the number of documents published and citations received since its establishment. The research findings can serve as a road map for researchers in the field of rehabilitation, providing valuable insights for future studies.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737718","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}
Pub Date : 2023-09-01DOI: 10.32598/irj.21.3.1758.1
Shila Shabdini, Mehdi Bigham, Solmaz Bigham Soustani, Zeinab Kadkhodaei
Objectives: This study aims to evaluate the effect of a family-based sensory diet on the symptoms of attention-deficit/hyperactivity disorder (ADHD) in students. Methods: This study was conducted using a quasi-experimental method with a control group and a pre-test and post-test design. The statistical population included all children with ADHD between the ages of 6 and 12 years who were referred to the Hasti, Bahar, and Masir Sabz clinics in Tehran City, Iran in 2021. Using the convenience sampling technique, 30 kids were selected and randomly divided into the experimental and control groups. The Wilbarger sensory protocol was used in the experimental group, which underwent a family-based sensory diet intervention (3 times a week, 45 minutes per session). The Conners’ parent form scale and the Wechsler intelligence scale for children 4th edition (WISC-IV) were used to measure the study variables. The SPSS software, version 20 was used to conduct the statistical tests, which included the analysis of covariance. Results: The results of the covariance analysis showed that the family-based sensory diet program had a substantial impact on the mean post-test scores for the two groups (P=0.001). Discussion: For students with attention deficit, hyperactivity disorder, and impulsivity caused by ADHD, implementing a family-based sensory diet can be useful in lowering these symptoms.
{"title":"Effectiveness of Family-based Sensory Diet in Symptoms of Students With Attention-deficit/Hyperactivity Disorder","authors":"Shila Shabdini, Mehdi Bigham, Solmaz Bigham Soustani, Zeinab Kadkhodaei","doi":"10.32598/irj.21.3.1758.1","DOIUrl":"https://doi.org/10.32598/irj.21.3.1758.1","url":null,"abstract":"Objectives: This study aims to evaluate the effect of a family-based sensory diet on the symptoms of attention-deficit/hyperactivity disorder (ADHD) in students. Methods: This study was conducted using a quasi-experimental method with a control group and a pre-test and post-test design. The statistical population included all children with ADHD between the ages of 6 and 12 years who were referred to the Hasti, Bahar, and Masir Sabz clinics in Tehran City, Iran in 2021. Using the convenience sampling technique, 30 kids were selected and randomly divided into the experimental and control groups. The Wilbarger sensory protocol was used in the experimental group, which underwent a family-based sensory diet intervention (3 times a week, 45 minutes per session). The Conners’ parent form scale and the Wechsler intelligence scale for children 4th edition (WISC-IV) were used to measure the study variables. The SPSS software, version 20 was used to conduct the statistical tests, which included the analysis of covariance. Results: The results of the covariance analysis showed that the family-based sensory diet program had a substantial impact on the mean post-test scores for the two groups (P=0.001). Discussion: For students with attention deficit, hyperactivity disorder, and impulsivity caused by ADHD, implementing a family-based sensory diet can be useful in lowering these symptoms.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737853","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}
Objectives: Stroke is one of the most important neurological diseases in the world. Anxiety is one of the most common mental disorders associated with stroke that can disrupt the daily functioning of patients. The aim of this study was to determine the effect of foot baths on physiological parameters and anxiety in patients with stroke. Methods: The present study was a single-blind clinical trial that was performed on 60 patients with stroke admitted to Tohid Hospital in Sanandaj. The available method was used for sampling and the samples were randomly divided into two groups of test and control (30 people in each group). For the patients of the experimental group, between 2 and 5 PM., a foot bath was performed for 15 minutes by a researcher colleague. For patients in both the experimental and control groups, blood pressure, temperature, heart rate, respiration rate, SpO2, and anxiety in the supine position were measured before and half an hour after the intervention. Data were analyzed using SPSS software, version 19 by the independent and paired t-tests at a significance level of P<0.05. Results: The mean age of the subjects was 60.98±9.53 years. After the intervention in the experimental group, the mean scores of systolic (159.73 vs. 149.87) and diastolic (90.87 vs. 89.03) blood pressures, heart rate (86.47 vs. 85.37), and anxiety (51.8 vs. 48.4) significantly reduced and the amount of SpO2 (96.2 vs. 97.67) significantly increased (P<0.05). Based on the independent t-test, no statistically significant difference was observed between the experimental and control groups in terms of physiological parameters and anxiety (P>0.05). Discussion: Given the importance of the role of nurses in the rehabilitation of patients with stroke, complementary medicine methods, such as foot baths can be considered safe, inexpensive, and uncomplicated methods in patients with stroke to reduce anxiety and improve physiological parameters.
目的:脑卒中是世界上最重要的神经系统疾病之一。焦虑是与中风相关的最常见的精神障碍之一，它可以扰乱患者的日常功能。本研究的目的是确定足浴对脑卒中患者的生理参数和焦虑的影响。方法:本研究是一项单盲临床试验，对在Sanandaj Tohid医院住院的60例中风患者进行了研究。采用现有方法抽样，将样本随机分为两组，每组30人。实验组患者，在下午2点到5点之间。，由一位研究员同事进行15分钟的足浴。实验组和对照组患者分别于干预前和干预后半小时测量仰卧位血压、体温、心率、呼吸频率、SpO2、焦虑水平。数据采用SPSS 19软件进行独立t检验和配对t检验，显著性水平为P<0.05。结果:患者平均年龄为60.98±9.53岁。实验组干预后血压收缩压(159.73 vs. 149.87)、舒张压(90.87 vs. 89.03)、心率(86.47 vs. 85.37)、焦虑(51.8 vs. 48.4)均分明显降低，SpO2含量(96.2 vs. 97.67)显著升高(P<0.05)。经独立t检验，实验组与对照组在生理参数和焦虑方面差异无统计学意义(P>0.05)。讨论:鉴于护士在脑卒中患者康复中的重要作用，补充医学方法，如足浴，可以被认为是安全、廉价、简单的方法，可以减少脑卒中患者的焦虑，改善生理参数。
{"title":"The Effect of Foot Bath on Physiological Parameters and Anxiety in Patients With Acute Stroke: A Randomized Controlled Trial","authors":"Jamal Seidi, Reza Ghanei Gheshlagh, Yaser Nourifard, Fazel Dehvan","doi":"10.32598/irj.21.3.1874.1","DOIUrl":"https://doi.org/10.32598/irj.21.3.1874.1","url":null,"abstract":"Objectives: Stroke is one of the most important neurological diseases in the world. Anxiety is one of the most common mental disorders associated with stroke that can disrupt the daily functioning of patients. The aim of this study was to determine the effect of foot baths on physiological parameters and anxiety in patients with stroke. Methods: The present study was a single-blind clinical trial that was performed on 60 patients with stroke admitted to Tohid Hospital in Sanandaj. The available method was used for sampling and the samples were randomly divided into two groups of test and control (30 people in each group). For the patients of the experimental group, between 2 and 5 PM., a foot bath was performed for 15 minutes by a researcher colleague. For patients in both the experimental and control groups, blood pressure, temperature, heart rate, respiration rate, SpO2, and anxiety in the supine position were measured before and half an hour after the intervention. Data were analyzed using SPSS software, version 19 by the independent and paired t-tests at a significance level of P<0.05. Results: The mean age of the subjects was 60.98±9.53 years. After the intervention in the experimental group, the mean scores of systolic (159.73 vs. 149.87) and diastolic (90.87 vs. 89.03) blood pressures, heart rate (86.47 vs. 85.37), and anxiety (51.8 vs. 48.4) significantly reduced and the amount of SpO2 (96.2 vs. 97.67) significantly increased (P<0.05). Based on the independent t-test, no statistically significant difference was observed between the experimental and control groups in terms of physiological parameters and anxiety (P>0.05). Discussion: Given the importance of the role of nurses in the rehabilitation of patients with stroke, complementary medicine methods, such as foot baths can be considered safe, inexpensive, and uncomplicated methods in patients with stroke to reduce anxiety and improve physiological parameters.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737286","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}
Pub Date : 2023-09-01DOI: 10.32598/irj.21.3.1913.1
Natalia Rzhevskaya
Objectives: Restriction of the rights of patients in a psychiatric hospital, isolation and fixation, compulsory treatment, and round-the-clock monitoring are negatively perceived by them, contribute to the stigma of a psychiatric hospital, and prevent timely access to psychiatric help We assessed the opinions of patients in psychiatric hospitals and psychiatrists about coercion and violence in the provision of psychiatric care for recommendations on their prevention. Methods: An anonymous survey of psychiatrists and patients was conducted in psychiatric hospitals in three regions. Data were analyzed using descriptive and non-parametric statistical methods. Results: Psychiatrists and patients were positive about the coercive measures in the psychiatric hospital. Physical restraint was considered the prerogative of orderlies by 64.5% of psychiatrists and 35.4% of patients. According to 19.6% of doctors and 28.4% of patients, a psychiatrist can independently apply physical restraint to aggressive patients. Injections of sedative drugs by a psychiatrist personally were considered justified by 81.3% of physicians and 64.6% of patients. Most patients and physicians noted that the psychiatrist needed to be involved in the application of physical restraint to an aggressive patient. Discussion: Psychiatry is currently dominated by an archaic paternalistic model of doctor-patient relations and the delegation of additional functions of social control to psychiatrists. The introduction of a contractual model is required for more effective interaction between the psychiatrist and the patient.
{"title":"Restriction of the Rights and Coercion of Patients in a Psychiatric Hospital: The Opinion of People With Mental Disorders and Psychiatrists","authors":"Natalia Rzhevskaya","doi":"10.32598/irj.21.3.1913.1","DOIUrl":"https://doi.org/10.32598/irj.21.3.1913.1","url":null,"abstract":"Objectives: Restriction of the rights of patients in a psychiatric hospital, isolation and fixation, compulsory treatment, and round-the-clock monitoring are negatively perceived by them, contribute to the stigma of a psychiatric hospital, and prevent timely access to psychiatric help We assessed the opinions of patients in psychiatric hospitals and psychiatrists about coercion and violence in the provision of psychiatric care for recommendations on their prevention. Methods: An anonymous survey of psychiatrists and patients was conducted in psychiatric hospitals in three regions. Data were analyzed using descriptive and non-parametric statistical methods. Results: Psychiatrists and patients were positive about the coercive measures in the psychiatric hospital. Physical restraint was considered the prerogative of orderlies by 64.5% of psychiatrists and 35.4% of patients. According to 19.6% of doctors and 28.4% of patients, a psychiatrist can independently apply physical restraint to aggressive patients. Injections of sedative drugs by a psychiatrist personally were considered justified by 81.3% of physicians and 64.6% of patients. Most patients and physicians noted that the psychiatrist needed to be involved in the application of physical restraint to an aggressive patient. Discussion: Psychiatry is currently dominated by an archaic paternalistic model of doctor-patient relations and the delegation of additional functions of social control to psychiatrists. The introduction of a contractual model is required for more effective interaction between the psychiatrist and the patient.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737295","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}
Pub Date : 2023-09-01DOI: 10.32598/irj.21.3.1816.1
Sarika Chaudhary, Harsirjan Kaur
Objectives: We assessed the effect of change in core isometric strength and endurance on upper limb isometric strength in female athletes. Methods: In this experimental study, 32 female athletes aged 18-25 years were recruited based on the inclusion criteria. (17 cases in the experimental group and 15 cases in the control group). Before and after the core stabilization knockdown protocol, participants were assessed for isometric core strength (abdomen/back rehab 5310; rehab line), core endurance (curl-up test), and upper limb isometric strength (push up/pull down rehab 5120; rehab line). Results: The results showed a significant reduction in abdomen, back, push-up, pull-down isometric strength, and curl-up test scores in the experimental group and no significant differences in these parameters in the control group after the protocol. The experimental and control groups showed significant differences in the aforementioned parameters after the protocol. Discussion: This research suggests that performing extensive and exclusive core exercises to relieve fatigue prior to upper limb training can decrease the potential for core activation. This can ultimately lead to reduced effectiveness of upper extremity exercises or rehabilitation sessions, which can lead to upper body injuries. These exercises can be useful to enhance the knowledge regarding the sequencing of core and upper limb exercises in an athlete’s training protocols.
{"title":"Transient Change in Core Strength, Endurance, and Upper Limb Isometric Strength After Core Stabilisation Knockdown Protocol in Female Athletes","authors":"Sarika Chaudhary, Harsirjan Kaur","doi":"10.32598/irj.21.3.1816.1","DOIUrl":"https://doi.org/10.32598/irj.21.3.1816.1","url":null,"abstract":"Objectives: We assessed the effect of change in core isometric strength and endurance on upper limb isometric strength in female athletes. Methods: In this experimental study, 32 female athletes aged 18-25 years were recruited based on the inclusion criteria. (17 cases in the experimental group and 15 cases in the control group). Before and after the core stabilization knockdown protocol, participants were assessed for isometric core strength (abdomen/back rehab 5310; rehab line), core endurance (curl-up test), and upper limb isometric strength (push up/pull down rehab 5120; rehab line). Results: The results showed a significant reduction in abdomen, back, push-up, pull-down isometric strength, and curl-up test scores in the experimental group and no significant differences in these parameters in the control group after the protocol. The experimental and control groups showed significant differences in the aforementioned parameters after the protocol. Discussion: This research suggests that performing extensive and exclusive core exercises to relieve fatigue prior to upper limb training can decrease the potential for core activation. This can ultimately lead to reduced effectiveness of upper extremity exercises or rehabilitation sessions, which can lead to upper body injuries. These exercises can be useful to enhance the knowledge regarding the sequencing of core and upper limb exercises in an athlete’s training protocols.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737083","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}
Pub Date : 2023-09-01DOI: 10.32598/irj.21.3.1625.1
Ebrahim Masoudnia
Objectives: In recent years, various treatment programs have been implemented in Iran aimed at rehabilitation and improvement of drug-dependent patients but so far, few studies have been conducted on the effectiveness of different treatment programs in terms of different outcomes. This study was conducted to determine the differences among patients participating in three therapeutic programs, outpatient, mid-term residential program, and therapeutic community (TC) in terms of social, psychological, economic, and therapeutic outcomes. Methods: The present study was conducted using a descriptive design and ex post facto method. Data were collected from patients participating in three treatment plans (outpatient treatment=49; mid-term residential treatment=49; and TC plan=49). Patients participating in the TC program were all enumerated and patients participating in the outpatient and mid-term residency treatment plan were selected by random sampling. Data collection tools were a socio-demographic characteristics checklist, researcher-made questionnaire for relapse, a general health questionnaire (GHQ), a world health organization quality of life (WHOQOL) questionnaire, and a family relationship index (FRI). The data were analyzed by one-way analysis of variance (ANOVA), chi-square, and Scheffe’s post hoc test. Results: Significant differences were observed between the three treatments in terms of the rate of relapse (P<0.01), participation in criminal activities (P<0.01), changes in drug use in the treatment process or after treatment (P<0.01), employment status (P<0.01), mental health (P<0.01), quality of life (P<0.01), and family relationships index (FRI) (P<0.01). Discussion: The TC program showed more positive outcomes in terms of the rate of relapse and quality of life compared to the other two therapeutic programs. The outpatient treatment program was more effective in terms of participation in criminal activities, changes in drug use, employment, and quality of family relationships. The mid-term residency program showed a low or negative impact on all studied outcomes. Therefore, it is necessary to reevaluate the programs presented in the mid-term residential program.
{"title":"Effectiveness of Addiction Treatment Programs in Iran in Terms of Social, Psychological, Economic, and Therapeutic Outcomes: An Appraisal","authors":"Ebrahim Masoudnia","doi":"10.32598/irj.21.3.1625.1","DOIUrl":"https://doi.org/10.32598/irj.21.3.1625.1","url":null,"abstract":"Objectives: In recent years, various treatment programs have been implemented in Iran aimed at rehabilitation and improvement of drug-dependent patients but so far, few studies have been conducted on the effectiveness of different treatment programs in terms of different outcomes. This study was conducted to determine the differences among patients participating in three therapeutic programs, outpatient, mid-term residential program, and therapeutic community (TC) in terms of social, psychological, economic, and therapeutic outcomes. Methods: The present study was conducted using a descriptive design and ex post facto method. Data were collected from patients participating in three treatment plans (outpatient treatment=49; mid-term residential treatment=49; and TC plan=49). Patients participating in the TC program were all enumerated and patients participating in the outpatient and mid-term residency treatment plan were selected by random sampling. Data collection tools were a socio-demographic characteristics checklist, researcher-made questionnaire for relapse, a general health questionnaire (GHQ), a world health organization quality of life (WHOQOL) questionnaire, and a family relationship index (FRI). The data were analyzed by one-way analysis of variance (ANOVA), chi-square, and Scheffe’s post hoc test. Results: Significant differences were observed between the three treatments in terms of the rate of relapse (P<0.01), participation in criminal activities (P<0.01), changes in drug use in the treatment process or after treatment (P<0.01), employment status (P<0.01), mental health (P<0.01), quality of life (P<0.01), and family relationships index (FRI) (P<0.01). Discussion: The TC program showed more positive outcomes in terms of the rate of relapse and quality of life compared to the other two therapeutic programs. The outpatient treatment program was more effective in terms of participation in criminal activities, changes in drug use, employment, and quality of family relationships. The mid-term residency program showed a low or negative impact on all studied outcomes. Therefore, it is necessary to reevaluate the programs presented in the mid-term residential program.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737715","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}
Pub Date : 2023-09-01DOI: 10.32598/irj.21.3.1540.8
Arnengsih Nazir
Objectives: This review aimed to explore inspiratory muscle training (IMT) use in patients with mechanical ventilation (MV). The topics were related to its effect on the duration of MV or weaning, respiratory symptoms or lung function, inspiratory muscle strength (IMS) or endurance, functional ability, and quality of life (QoL). Methods: Articles published in the last ten years were reviewed narratively to obtain data about how inspiratory muscle training (IMT) can affect breathing muscle strength in prolonged mechanically ventilated patients. Results: Eleven articles were relevant to the topic, including seven original articles and four systematic reviews. We also found one practical guide on IMT in intensive care unit (ICU) patients. Discussion: Inspiratory muscle weakness is found in most intensive care unit (ICU) patients which further causes difficulty in weaning from MV. No standard protocol exists for the use of IMT in patients who failed to wean from MV. The use of IMT was found to be safe with the incidence of side effects or unexpected events was very rare. Several studies found various effects on the success of weaning after IMT administration, such as decreased MV and weaning duration or no effect on these parameters. Studies also found various effects on IMS or endurance although most investigators found increased IMS after IMT administration. These effects vary with exercise intensity and baseline maximum inspiratory pressure (MIP). The IMT program improves lung function thereby reducing symptoms, leading to improved functional abilities and QoL.improved functional abilities and quality of life (QoL).
{"title":"A Review of Effects of Inspiratory Muscle Training on Clinical and Functional Outcomes of Patients With Mechanical Ventilation","authors":"Arnengsih Nazir","doi":"10.32598/irj.21.3.1540.8","DOIUrl":"https://doi.org/10.32598/irj.21.3.1540.8","url":null,"abstract":"Objectives: This review aimed to explore inspiratory muscle training (IMT) use in patients with mechanical ventilation (MV). The topics were related to its effect on the duration of MV or weaning, respiratory symptoms or lung function, inspiratory muscle strength (IMS) or endurance, functional ability, and quality of life (QoL). Methods: Articles published in the last ten years were reviewed narratively to obtain data about how inspiratory muscle training (IMT) can affect breathing muscle strength in prolonged mechanically ventilated patients. Results: Eleven articles were relevant to the topic, including seven original articles and four systematic reviews. We also found one practical guide on IMT in intensive care unit (ICU) patients. Discussion: Inspiratory muscle weakness is found in most intensive care unit (ICU) patients which further causes difficulty in weaning from MV. No standard protocol exists for the use of IMT in patients who failed to wean from MV. The use of IMT was found to be safe with the incidence of side effects or unexpected events was very rare. Several studies found various effects on the success of weaning after IMT administration, such as decreased MV and weaning duration or no effect on these parameters. Studies also found various effects on IMS or endurance although most investigators found increased IMS after IMT administration. These effects vary with exercise intensity and baseline maximum inspiratory pressure (MIP). The IMT program improves lung function thereby reducing symptoms, leading to improved functional abilities and QoL.improved functional abilities and quality of life (QoL).","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737856","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}
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