Pub Date : 2023-03-06DOI: 10.32598/irj.20.4.1739.1
Kamran Gholamizadeh, Leili Tapak, I. Mohammadfam, A. Soltanzadeh
Objectives: Work-related accidents as one of the most prominent indicators of safety and health in the industry play an undeniable role in developing and improving the quality of industrial health management. Therefore, their accurate analysis on a large scale is essential. To provide controlling solutions, we aimed to investigate the causes of occupational accidents in Iran for 10 years (2007-2017). Methods: At first, the reports of 10-year work-related accidents were taken from the Social Security Organization, then classified, and entered into SPSS software, version 18.0. Analyses were performed in two stages. Descriptive analyses were initially performed and then multivariate Cox regression was implemented to determine the significance of the effects of the identified factors. Accordingly, six parameters including the cause of the occurrence, gender, type of insurance, time of the accident, marital status, and type of accident were extracted as the effective factors. Next, the effect of each parameter was examined using multivariate Cox regression with a 95% confidence interval. Results: The findings showed that falls and slips (18.3%) and physical strikes (14.6%) were the most common causes of accidents, and carelessness (61.9%) and equipment density (21.1%) had the strongest impact on accidents. Accidents had the highest incidence rate from 9 AM to noon (34.77%). The findings also showed that accident location (P<0.001), cause of the accident (P<0.001), type of insurance (P<0.001), and age (P<0.001) had significant effects on the duration of absence from work. Moreover, the findings demonstrated that the mental condition of workers and workplace design/layout had the strongest impacts on the rate of accidents. Discussion: to control and reduce the risk of occupational accidents, appropriate working situations should be provided.
{"title":"Investigating the Work-related Accidents in Iran: Analyzing and Comparing the Factors Associated With the Duration of Absence From Work","authors":"Kamran Gholamizadeh, Leili Tapak, I. Mohammadfam, A. Soltanzadeh","doi":"10.32598/irj.20.4.1739.1","DOIUrl":"https://doi.org/10.32598/irj.20.4.1739.1","url":null,"abstract":"Objectives: Work-related accidents as one of the most prominent indicators of safety and health in the industry play an undeniable role in developing and improving the quality of industrial health management. Therefore, their accurate analysis on a large scale is essential. To provide controlling solutions, we aimed to investigate the causes of occupational accidents in Iran for 10 years (2007-2017). Methods: At first, the reports of 10-year work-related accidents were taken from the Social Security Organization, then classified, and entered into SPSS software, version 18.0. Analyses were performed in two stages. Descriptive analyses were initially performed and then multivariate Cox regression was implemented to determine the significance of the effects of the identified factors. Accordingly, six parameters including the cause of the occurrence, gender, type of insurance, time of the accident, marital status, and type of accident were extracted as the effective factors. Next, the effect of each parameter was examined using multivariate Cox regression with a 95% confidence interval. Results: The findings showed that falls and slips (18.3%) and physical strikes (14.6%) were the most common causes of accidents, and carelessness (61.9%) and equipment density (21.1%) had the strongest impact on accidents. Accidents had the highest incidence rate from 9 AM to noon (34.77%). The findings also showed that accident location (P<0.001), cause of the accident (P<0.001), type of insurance (P<0.001), and age (P<0.001) had significant effects on the duration of absence from work. Moreover, the findings demonstrated that the mental condition of workers and workplace design/layout had the strongest impacts on the rate of accidents. Discussion: to control and reduce the risk of occupational accidents, appropriate working situations should be provided.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41984910","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: One of the prominent vital needs for implementing a community-based rehabilitation (CBR) program is correct perception and we know that CBR is linked to several challenges. The current study was performed to identify the challenges of implementing a CBR program in Iran based on the perceptions of the stakeholders. Methods: This study was qualitative conventional content analysis. In total, 25 participants who were staff of the Welfare Organization at different levels, managers, and experts working in the CBR project and non-governmental organizations (NGOs) were selected according to purposive sampling. Data gathering was performed by semi-structured and in-depth interviews and continued until saturation. The interviews were performed in 2020. To test the trustworthiness of data, the Guba and Lincoln criteria (credibility, dependability, confirmability, and transferability) and MAXQDA were used for data analysis. Results: The challenges of implementing a CBR program were identified. Eight novel categories and 39 subcategories were generated as follows: neglecting the local conditions and role of provinces, poor policymaking, and planning, deviation from the main goals, lack of a comprehensive evaluation system, inefficient resource management, weakness in facilitation, ineffective communication, and the inefficiency of NGOs). Discussion: Policymakers, service providers, and managers must understand the challenges of implementing a CBR program. Also, they are expected to address to this issue. This paper showed evidence for all stakeholders. Paying attention to these challenges can lead to the program’s tremendous success and ultimately, improved service provision and quality of life for people with disabilities and their families. The results support the need for policymakers and managers in the rehabilitation sector to change their vision and address the CBR as an essential part of the rehabilitation system. Also, the collected data could help to reinforce the CBR services.
{"title":"The Experience of Involved Individuals From the Implementing Challenges of Community-Based Rehabilitation in Iran: A Qualitative Study","authors":"M. Khanjani, Najibeh Fallahi Bookani, K. Abdi","doi":"10.32598/irj.20.4.51.5","DOIUrl":"https://doi.org/10.32598/irj.20.4.51.5","url":null,"abstract":"Objectives: One of the prominent vital needs for implementing a community-based rehabilitation (CBR) program is correct perception and we know that CBR is linked to several challenges. The current study was performed to identify the challenges of implementing a CBR program in Iran based on the perceptions of the stakeholders. Methods: This study was qualitative conventional content analysis. In total, 25 participants who were staff of the Welfare Organization at different levels, managers, and experts working in the CBR project and non-governmental organizations (NGOs) were selected according to purposive sampling. Data gathering was performed by semi-structured and in-depth interviews and continued until saturation. The interviews were performed in 2020. To test the trustworthiness of data, the Guba and Lincoln criteria (credibility, dependability, confirmability, and transferability) and MAXQDA were used for data analysis. Results: The challenges of implementing a CBR program were identified. Eight novel categories and 39 subcategories were generated as follows: neglecting the local conditions and role of provinces, poor policymaking, and planning, deviation from the main goals, lack of a comprehensive evaluation system, inefficient resource management, weakness in facilitation, ineffective communication, and the inefficiency of NGOs). Discussion: Policymakers, service providers, and managers must understand the challenges of implementing a CBR program. Also, they are expected to address to this issue. This paper showed evidence for all stakeholders. Paying attention to these challenges can lead to the program’s tremendous success and ultimately, improved service provision and quality of life for people with disabilities and their families. The results support the need for policymakers and managers in the rehabilitation sector to change their vision and address the CBR as an essential part of the rehabilitation system. Also, the collected data could help to reinforce the CBR services.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45978292","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 : 2023-03-06DOI: 10.32598/irj.20.4.1019.2
Maedeh Taghizadeh Kerman, A. Yalfani, A. Ebrahimi Atri
Objectives: Children aged 10 to 12 years often show dangerous maneuvers during landing, which include increased knee valgus, placing them at higher risk of anterior cruciate ligament (ACL) injuries. The study aimed to investigate the relation of the trunk and hip kinematics with the peak knee abduction angle during single-leg landing among preadolescent female soccer players. Methods: Thirty-six preadolescent female soccer players aged 10 to 12 years attended the study. Participants did a static trial and after that performed landing trials. A single-leg landing was applied to assess the landing kinematics. A three-dimensional motion capture system was applied to analyze trunk, hip, and knee kinematics. Results: Pearson correlation coefficient demonstrated a significantly positive relationship between peak hip internal rotation angle (r=0.361) (P=0.03) and peak knee abduction angle. Furthermore, no significant relationship was identified between peak hip adduction (r=-0.102) (P=0.55), peak trunk rotation (r=0.239) (P=0.16), peak trunk lateral flexion (r=0.052) (P=0.76), and peak valgus knee. Discussion: Peak hip rotation angle was correlated with the valgus knee with a weak correlation value among preadolescent female soccer players. Future studies should consider kinematic risk factors related to ACL injuries in combination with neuromuscular control trunk and hip during more demanding tasks.
{"title":"The Association of Trunk and Hip Kinematic With Knee Abduction Angle During Single-Leg Landing","authors":"Maedeh Taghizadeh Kerman, A. Yalfani, A. Ebrahimi Atri","doi":"10.32598/irj.20.4.1019.2","DOIUrl":"https://doi.org/10.32598/irj.20.4.1019.2","url":null,"abstract":"Objectives: Children aged 10 to 12 years often show dangerous maneuvers during landing, which include increased knee valgus, placing them at higher risk of anterior cruciate ligament (ACL) injuries. The study aimed to investigate the relation of the trunk and hip kinematics with the peak knee abduction angle during single-leg landing among preadolescent female soccer players. Methods: Thirty-six preadolescent female soccer players aged 10 to 12 years attended the study. Participants did a static trial and after that performed landing trials. A single-leg landing was applied to assess the landing kinematics. A three-dimensional motion capture system was applied to analyze trunk, hip, and knee kinematics. Results: Pearson correlation coefficient demonstrated a significantly positive relationship between peak hip internal rotation angle (r=0.361) (P=0.03) and peak knee abduction angle. Furthermore, no significant relationship was identified between peak hip adduction (r=-0.102) (P=0.55), peak trunk rotation (r=0.239) (P=0.16), peak trunk lateral flexion (r=0.052) (P=0.76), and peak valgus knee. Discussion: Peak hip rotation angle was correlated with the valgus knee with a weak correlation value among preadolescent female soccer players. Future studies should consider kinematic risk factors related to ACL injuries in combination with neuromuscular control trunk and hip during more demanding tasks.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69707341","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 : 2023-03-06DOI: 10.32598/irj.20.4.1693.1
Reihane Saber-Moghadam, Afsaneh Zeinalzadeh, Mehrzad Momenzadeh, Mohammad Taghi Farzadfar, H. Ghaemi, D. Sobhani-Rad
Objectives: The brain’s widespread neural functions lead to aphasia in which the patients experience difficulties in cognitive and language functions. Memory, type, and severity of aphasia are associated with language and the naming process. In the current study, we investigated the relationship between memory, type, and severity of aphasia using the confrontation naming test in post-stroke patients with chronic aphasia. Methods: This research was a descriptive-analytic cross-sectional study. We selected 45 chronic aphasia patients aged 35-70 years. The participants with a mild to moderate score in Mini-Mental State Examination (MMSE) were assessed with the Persian naming test, Wechsler Memory Scale, and Persian Western Aphasia Battery. Results: There was a significant difference between memory with correct answers without a cue, correct answers with a semantic cue, and the total correct answers from confrontation naming (P<0.001, r=0.62; P=0.01, r=0.37; and P<0.001, r=0.71; respectively). Furthermore, the results indicated a significant difference between the type of aphasia with subtests of confrontation naming involving correct answers with semantic cues and total correct answers (P=0.02). Also, the results showed a significant difference between the severity of aphasia with correct answers without a cue, correct answers with a semantic cue, and the total correct answers from confrontation naming (P<0.001, r=0.77; P=0.03, r=0.31; and P<0.001, r=0.67; respectively). In comparing semantic and phonetic cues, memory, type, and severity of aphasia indicated significant association only with semantic cues. Discussion: There is an association between memory, type, and severity of aphasia with confrontation naming in patients with aphasia. The data have highlighted the importance of factors that need to be considered to formulate a comprehensive treatment plan to achieve further improvement in naming skills.
目的:大脑广泛的神经功能导致失语症，患者在认知和语言功能方面遇到困难。失语症的记忆、类型和严重程度与语言和命名过程有关。在本研究中，我们使用对抗命名测试来研究脑卒中后慢性失语症患者失语症的记忆、类型和严重程度之间的关系。方法:本研究采用描述性分析横断面研究。选择年龄35 ~ 70岁的慢性失语症患者45例。采用波斯语命名测验、韦氏记忆量表和波斯语西方失语症量表对轻度至中度精神状态检查(MMSE)得分的受试者进行评估。结果:无提示的正确答案记忆、有语义提示的正确答案记忆和对峙命名的正确答案总记忆差异有统计学意义(P<0.001, r=0.62;P = 0.01, r = 0.37;P<0.001, r=0.71;分别)。此外，结果显示，包含语义线索的正确答案的对位命名子测试失语症类型与全部正确答案之间存在显著差异(P=0.02)。无提示的正确答案、有语义提示的正确答案和对峙命名的总正确答案的失语严重程度差异有统计学意义(P<0.001, r=0.77;P = 0.03, r = 0.31;P<0.001, r=0.67;分别)。在语意线索和语音线索的比较中，失语症的记忆、类型和严重程度仅与语意线索有显著的关联。讨论:失语症患者的记忆、类型和失语症严重程度与对抗性命名之间存在关联。这些数据强调了在制定全面的治疗计划以进一步提高命名能力时需要考虑的因素的重要性。
{"title":"The Relationship Between Memory, Type, and Severity of Aphasia With Confrontation Naming in Post-stroke Patients With Chronic Aphasia","authors":"Reihane Saber-Moghadam, Afsaneh Zeinalzadeh, Mehrzad Momenzadeh, Mohammad Taghi Farzadfar, H. Ghaemi, D. Sobhani-Rad","doi":"10.32598/irj.20.4.1693.1","DOIUrl":"https://doi.org/10.32598/irj.20.4.1693.1","url":null,"abstract":"Objectives: The brain’s widespread neural functions lead to aphasia in which the patients experience difficulties in cognitive and language functions. Memory, type, and severity of aphasia are associated with language and the naming process. In the current study, we investigated the relationship between memory, type, and severity of aphasia using the confrontation naming test in post-stroke patients with chronic aphasia. Methods: This research was a descriptive-analytic cross-sectional study. We selected 45 chronic aphasia patients aged 35-70 years. The participants with a mild to moderate score in Mini-Mental State Examination (MMSE) were assessed with the Persian naming test, Wechsler Memory Scale, and Persian Western Aphasia Battery. Results: There was a significant difference between memory with correct answers without a cue, correct answers with a semantic cue, and the total correct answers from confrontation naming (P<0.001, r=0.62; P=0.01, r=0.37; and P<0.001, r=0.71; respectively). Furthermore, the results indicated a significant difference between the type of aphasia with subtests of confrontation naming involving correct answers with semantic cues and total correct answers (P=0.02). Also, the results showed a significant difference between the severity of aphasia with correct answers without a cue, correct answers with a semantic cue, and the total correct answers from confrontation naming (P<0.001, r=0.77; P=0.03, r=0.31; and P<0.001, r=0.67; respectively). In comparing semantic and phonetic cues, memory, type, and severity of aphasia indicated significant association only with semantic cues. Discussion: There is an association between memory, type, and severity of aphasia with confrontation naming in patients with aphasia. The data have highlighted the importance of factors that need to be considered to formulate a comprehensive treatment plan to achieve further improvement in naming skills.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41304457","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 : 2023-03-06DOI: 10.32598/irj.20.4.1772.1
Masume Zareei, Seyed Abolfazl Tohidast, M. Salmani
Objectives: Parents of children with autism spectrum disorder (ASD) have valuable experiences of the possible developmental problems and other issues of their children as the primary caregivers. The present study aimed to obtain proper information by considering these experiences using a qualitative approach to explain the parents’ perception of problems in their children with ASD. Methods: This study with a qualitative design was performed on 35 parents of children with ASD (33 mothers and 2 fathers) who were selected via purposive sampling. The study data were collected using semi-structured interviews, and all sessions were recorded and immediately transcribed verbatim. We followed the Graneheim and Lundman (2003) content analysis approach (a step-by-step extraction of meaning unit, initial codes, subtheme, and theme). Results: We extracted 5 main themes of developmental, language comprehension and expression, social communication, behavioral, and general health problems. Each of these mentioned themes has several subthemes. Discussion: According to the results, the parents’ perceptions and experiences of their ASD children’s problems were similar to the findings reported by experts in a few related studies. Given the lived experiences of the parents of children with ASD, they could help enrich the references regarding the problems of children with ASD. Such data should be considered during the assessment and intervention for this group of children.
{"title":"Parents’ Perceptions of the Problems in Children With Autism Spectrum Disorders: A Qualitative Study","authors":"Masume Zareei, Seyed Abolfazl Tohidast, M. Salmani","doi":"10.32598/irj.20.4.1772.1","DOIUrl":"https://doi.org/10.32598/irj.20.4.1772.1","url":null,"abstract":"Objectives: Parents of children with autism spectrum disorder (ASD) have valuable experiences of the possible developmental problems and other issues of their children as the primary caregivers. The present study aimed to obtain proper information by considering these experiences using a qualitative approach to explain the parents’ perception of problems in their children with ASD. Methods: This study with a qualitative design was performed on 35 parents of children with ASD (33 mothers and 2 fathers) who were selected via purposive sampling. The study data were collected using semi-structured interviews, and all sessions were recorded and immediately transcribed verbatim. We followed the Graneheim and Lundman (2003) content analysis approach (a step-by-step extraction of meaning unit, initial codes, subtheme, and theme). Results: We extracted 5 main themes of developmental, language comprehension and expression, social communication, behavioral, and general health problems. Each of these mentioned themes has several subthemes. Discussion: According to the results, the parents’ perceptions and experiences of their ASD children’s problems were similar to the findings reported by experts in a few related studies. Given the lived experiences of the parents of children with ASD, they could help enrich the references regarding the problems of children with ASD. Such data should be considered during the assessment and intervention for this group of children.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41979497","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 : 2023-03-01DOI: 10.32598/irj.21.1.1944.2
Firas Al-aboudy, H. Baiee, R. Azeez
Objectives: The aim of the study was to assess the sleep characteristics among patients with chronic liver diseases (CLDs) and find the relationship between variables of their demographic and sleep disorder. Methods: This descriptive cross-sectional study was designed to achieve the stated goals of patients with CLD in the Al-Najaf Center for Gastroenterology and Hepatology in Al-Sadr Medical City from November 1, 2020, to June 1, 2021. The sample was selected from 120 adult patients ≥18 years using non-probability sampling (purposeful) with CLD (disease duration of six months or more) . The questionnaire consisted of two socio-demographic parts with clinical data (18 items) and a general health questionnaire (28 items) with 4 implicit subscales, including insomnia and anxiety level. Results: There was a strong significant relationship between sleep disorder and age (P=0.001), occupational status (P=0.001), daily activity (P=0.001), BMI (P=0.001), and duration of disease (P=0.001), gender (P=0.021), educational level (P=0.04), marital status (P=0.049), and type of disease (P=0.01). However, there was no significant relationship between sleep disorder and the remaining demographic and clinical data. Discussion: In conclusion, there is a relationship between the sleep disorder of CLD patients and their socio-demographic data. There is a strong significant relationship between patients’ physical status and their sleep disorder (P=0.001). This result means that the disease has a significant effect on sleep.
{"title":"Sleep Disorder Among Patients With Chronic Liver Disease","authors":"Firas Al-aboudy, H. Baiee, R. Azeez","doi":"10.32598/irj.21.1.1944.2","DOIUrl":"https://doi.org/10.32598/irj.21.1.1944.2","url":null,"abstract":"Objectives: The aim of the study was to assess the sleep characteristics among patients with chronic liver diseases (CLDs) and find the relationship between variables of their demographic and sleep disorder. Methods: This descriptive cross-sectional study was designed to achieve the stated goals of patients with CLD in the Al-Najaf Center for Gastroenterology and Hepatology in Al-Sadr Medical City from November 1, 2020, to June 1, 2021. The sample was selected from 120 adult patients ≥18 years using non-probability sampling (purposeful) with CLD (disease duration of six months or more) . The questionnaire consisted of two socio-demographic parts with clinical data (18 items) and a general health questionnaire (28 items) with 4 implicit subscales, including insomnia and anxiety level. Results: There was a strong significant relationship between sleep disorder and age (P=0.001), occupational status (P=0.001), daily activity (P=0.001), BMI (P=0.001), and duration of disease (P=0.001), gender (P=0.021), educational level (P=0.04), marital status (P=0.049), and type of disease (P=0.01). However, there was no significant relationship between sleep disorder and the remaining demographic and clinical data. Discussion: In conclusion, there is a relationship between the sleep disorder of CLD patients and their socio-demographic data. There is a strong significant relationship between patients’ physical status and their sleep disorder (P=0.001). This result means that the disease has a significant effect on sleep.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49295162","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 : 2023-03-01DOI: 10.32598/irj.21.1.1837.1
M. Hadianfard, Batoul Safari, Leila Sadat Mohamadi Jahromi
Objectives: Hallux rigidus is one of the main etiologies of disability in the elderly. It is a degenerative disease of the first metatarsophalangeal joint causing restriction of movement as well as pain and swelling. This study was conducted to evaluate the effectiveness of methylprednisolone and dextrose prolotherapy in pain reduction and functional improvement of patients with hallux rigidus. Methods: A randomized double-blind control trial was designed with the inclusion of 32 patients assigned to the two groups. Group one received a mixture of 1 cc methylprednisolone 40 mg with 1 cc lidocaine 2% while the second group received a combination of 1 cc dextrose 50% with 1 cc lidocaine 2%. Standard questionnaires, including visual analog scale (VAS) and Manchester-Oxford foot questionnaire (MOXFQ) were completed by all patients at baseline and 1, 4, and 8 weeks after injections. Results: Both groups revealed significant improvement in VAS and MOXFQ scores 1, 4, and 8 weeks post-injection with no difference between the two groups in the follow-up. Discussion: Both corticosteroid injections and prolotherapy are effective in pain reduction and functional improvement in patients with hallux rigidus but neither is superior to the other.
{"title":"Comparative Effectiveness of the Corticosteroid Injection and Prolotherapy in Patients With Hallux Rigidus: A Clinical Trial","authors":"M. Hadianfard, Batoul Safari, Leila Sadat Mohamadi Jahromi","doi":"10.32598/irj.21.1.1837.1","DOIUrl":"https://doi.org/10.32598/irj.21.1.1837.1","url":null,"abstract":"Objectives: Hallux rigidus is one of the main etiologies of disability in the elderly. It is a degenerative disease of the first metatarsophalangeal joint causing restriction of movement as well as pain and swelling. This study was conducted to evaluate the effectiveness of methylprednisolone and dextrose prolotherapy in pain reduction and functional improvement of patients with hallux rigidus. Methods: A randomized double-blind control trial was designed with the inclusion of 32 patients assigned to the two groups. Group one received a mixture of 1 cc methylprednisolone 40 mg with 1 cc lidocaine 2% while the second group received a combination of 1 cc dextrose 50% with 1 cc lidocaine 2%. Standard questionnaires, including visual analog scale (VAS) and Manchester-Oxford foot questionnaire (MOXFQ) were completed by all patients at baseline and 1, 4, and 8 weeks after injections. Results: Both groups revealed significant improvement in VAS and MOXFQ scores 1, 4, and 8 weeks post-injection with no difference between the two groups in the follow-up. Discussion: Both corticosteroid injections and prolotherapy are effective in pain reduction and functional improvement in patients with hallux rigidus but neither is superior to the other.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49442338","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}
Minoo Dabiri Golchin, H. Mirzaie, S. Hosseini, E. Pishyareh, E. Bakhshi
Objectives: Attention-deficit/hyperactivity disorder (ADHD) is highly common in children and can continue lifelong. Looking at children's participation in detail is excessively important since it affects their quality of life (QoL). The Iranian children's participation assessment scale is a questionnaire that determines children's participation and is primarily built for children with cerebral palsy. This study aims to estimate the psychometric properties of this questionnaire for children with ADHD. Methods: The content validity was estimated using the Lawshe method with 8 occupational therapy experts (5 with a PhD and 3 with a MA degree with at least 5 years of experience). Test-retest reliability was done using an intraclass correlation class (ICC) in a two-week interval among 30 children with ADHD. Results: Regarding content validity, CVI was found to be 1 for all items, and CVR values were between 0.75 and 1 for all items. Regarding reliability, the ICC result was 1 for all the items. Discussion: No item was omitted in the validity part, and all items showed good reliability. The test is valid and reliable for children with ADHD.
{"title":"The Psychometric Properties of Iranian Children's Participation Assessment Scale for Iranian Children With Attention-deficit/hyperactivity Disorder","authors":"Minoo Dabiri Golchin, H. Mirzaie, S. Hosseini, E. Pishyareh, E. Bakhshi","doi":"10.32598/irj.21.1.761.3","DOIUrl":"https://doi.org/10.32598/irj.21.1.761.3","url":null,"abstract":"Objectives: Attention-deficit/hyperactivity disorder (ADHD) is highly common in children and can continue lifelong. Looking at children's participation in detail is excessively important since it affects their quality of life (QoL). The Iranian children's participation assessment scale is a questionnaire that determines children's participation and is primarily built for children with cerebral palsy. This study aims to estimate the psychometric properties of this questionnaire for children with ADHD. Methods: The content validity was estimated using the Lawshe method with 8 occupational therapy experts (5 with a PhD and 3 with a MA degree with at least 5 years of experience). Test-retest reliability was done using an intraclass correlation class (ICC) in a two-week interval among 30 children with ADHD. Results: Regarding content validity, CVI was found to be 1 for all items, and CVR values were between 0.75 and 1 for all items. Regarding reliability, the ICC result was 1 for all the items. Discussion: No item was omitted in the validity part, and all items showed good reliability. The test is valid and reliable for children with ADHD.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48682404","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: The current study was performed to determine the validity and reliability of the Persian version of the Khalfa Hyperacusis questionnaire (HQ) and its differential validity between normal people and patients with hyperacusis or tinnitus. Methods: The international quality of life assessment (IQoLA) method was considered for the translation process. After determining face and content validities of the Persian version, 81 patients with hyperacusis and or tinnitus (22 participants with hyperacusis, 18 with hyperacusis and tinnitus and 41 with tinnitus) with a mean age of 40±2.9 years and 80 normal people with a mean age of 36.9±1.31 years were tested for reliability and differential validity for clinical use. The reliability of this questionnaire was tested through the test-retest method in all participants of both groups with an interval of two weeks. Results: The content validity ratio and content validity index approved the face validity of the Persian version of the HQ. The average total score for patients in group 1 was 21.3, significantly higher than 3.75 for the normal group. A high total score Cronbach coefficient was found to be 0.90, which approved the internal consistency of the HQ. The cut-off point of the questionnaire was estimated to be 17.5 for the total HQ score in the Persian version. The Persian version of the HQ shows high reliability with an intraclass correlation coefficient of 0.97. Discussion: The Persian version of the HQ showed high validity and reliability, which suggests its usefulness in hyperacusis clinics. A total HQ score of 17.5 or more is indicated as a cut-off point for classifying hyperacusis patients. Further studies on other populations are suggested for generalizing the results.
{"title":"Persian Version of the Hyperacusis Questionnaire: The Translation Process, Psychometric Properties, and Diagnostic Criteria in Normal Hearing People","authors":"Mohanna Javanbakht, Poria Seddigh-Hamidi, Mohsen Vahedi","doi":"10.32598/irj.21.1.1492.1","DOIUrl":"https://doi.org/10.32598/irj.21.1.1492.1","url":null,"abstract":"Objectives: The current study was performed to determine the validity and reliability of the Persian version of the Khalfa Hyperacusis questionnaire (HQ) and its differential validity between normal people and patients with hyperacusis or tinnitus. Methods: The international quality of life assessment (IQoLA) method was considered for the translation process. After determining face and content validities of the Persian version, 81 patients with hyperacusis and or tinnitus (22 participants with hyperacusis, 18 with hyperacusis and tinnitus and 41 with tinnitus) with a mean age of 40±2.9 years and 80 normal people with a mean age of 36.9±1.31 years were tested for reliability and differential validity for clinical use. The reliability of this questionnaire was tested through the test-retest method in all participants of both groups with an interval of two weeks. Results: The content validity ratio and content validity index approved the face validity of the Persian version of the HQ. The average total score for patients in group 1 was 21.3, significantly higher than 3.75 for the normal group. A high total score Cronbach coefficient was found to be 0.90, which approved the internal consistency of the HQ. The cut-off point of the questionnaire was estimated to be 17.5 for the total HQ score in the Persian version. The Persian version of the HQ shows high reliability with an intraclass correlation coefficient of 0.97. Discussion: The Persian version of the HQ showed high validity and reliability, which suggests its usefulness in hyperacusis clinics. A total HQ score of 17.5 or more is indicated as a cut-off point for classifying hyperacusis patients. Further studies on other populations are suggested for generalizing the results.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43114147","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}
Fatemeh Hassanati, Salime Jafari, R. Nilipour, Zahra Sadeghi, Z. Ghoreishi
Objectives: Lexical access problems are one of the limitations observed in children with developmental language disorders during the initial years of schooling. Semantic context has a powerful influence on lexical access. The cross-modal visual-auditory picture-word interference paradigm is a method for studying adults and children's lexical access. Because few studies have examined lexical access in Persian-speaking children, the present study aimed to investigate the effect of different semantic contexts on lexical access in children with and without developmental language disorder. Methods: In this experimental study, 20 children aged 7-9 years with developmental language disorders and 20 age-matched peers were recruited according to the inclusion and exclusion criteria. At first, the picture-word interference paradigm was prepared. In so doing, 16 common pictures of objects paired with four auditory interfering words (related verb, related noun, unrelated verb, and unrelated noun) were presented to the children in a silent condition to determine their naming accuracy and latency. The DMDX software calculated the naming latency. The percentage of correct names also calculated naming accuracy. Results: Naming latencies were significantly faster in children without language disorders (P≤0.05). In addition, a reliable interference effect was found. According to the results, naming latencies were significantly faster for related verb distractors than unrelated verbs and related noun distractors (P<0.05). In addition, a significant difference was observed between the silent and interference conditions regarding the naming accuracy. However, accuracy was not affected by distractors. Discussion: Different semantic contexts affect lexical access differently in children. These differences cause semantic relatedness between verbs and nouns in lexical networks. The present study findings indicate that lexical knowledge and semantic relatedness are lower in children with developmental language disorders than in those with typical language development. These results can be useful for future studies and interventions on lexical access in children with and without language disorders.
{"title":"The Effect of Semantic Context on Lexical Access in Children With and Without Developmental Language Disorder","authors":"Fatemeh Hassanati, Salime Jafari, R. Nilipour, Zahra Sadeghi, Z. Ghoreishi","doi":"10.32598/irj.21.1.678.2","DOIUrl":"https://doi.org/10.32598/irj.21.1.678.2","url":null,"abstract":"Objectives: Lexical access problems are one of the limitations observed in children with developmental language disorders during the initial years of schooling. Semantic context has a powerful influence on lexical access. The cross-modal visual-auditory picture-word interference paradigm is a method for studying adults and children's lexical access. Because few studies have examined lexical access in Persian-speaking children, the present study aimed to investigate the effect of different semantic contexts on lexical access in children with and without developmental language disorder. Methods: In this experimental study, 20 children aged 7-9 years with developmental language disorders and 20 age-matched peers were recruited according to the inclusion and exclusion criteria. At first, the picture-word interference paradigm was prepared. In so doing, 16 common pictures of objects paired with four auditory interfering words (related verb, related noun, unrelated verb, and unrelated noun) were presented to the children in a silent condition to determine their naming accuracy and latency. The DMDX software calculated the naming latency. The percentage of correct names also calculated naming accuracy. Results: Naming latencies were significantly faster in children without language disorders (P≤0.05). In addition, a reliable interference effect was found. According to the results, naming latencies were significantly faster for related verb distractors than unrelated verbs and related noun distractors (P<0.05). In addition, a significant difference was observed between the silent and interference conditions regarding the naming accuracy. However, accuracy was not affected by distractors. Discussion: Different semantic contexts affect lexical access differently in children. These differences cause semantic relatedness between verbs and nouns in lexical networks. The present study findings indicate that lexical knowledge and semantic relatedness are lower in children with developmental language disorders than in those with typical language development. These results can be useful for future studies and interventions on lexical access in children with and without language disorders.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48352258","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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