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A Comparative Study of the Rehabilitation Services Systems for People With Disabilities 残疾人康复服务体系的比较研究
IF 1 Q4 REHABILITATION Pub Date : 2020-12-10 DOI: 10.32598/RJ.21.4.3225.1
M. Iravani, L. Riahi, K. Abdi, Seyed Jamaledin Tabibi Seyed
Objective Providing desirable rehabilitation services to people with disabilities has always been one of the most critical concerns of the health system in all countries. Today, it is crucial for policymakers and health care providers to recognize the different systems for providing rehabilitation services to people with disabilities. In this regard, it is beneficial to conduct comparative studies and use successful countries’ experiences in this subject. This comparisonanalytical study aimed to compare the systems for providing rehabilitation services to people with disabilities. Materials & Methods This comparative study was conducted in nine countries in 2020. To determine the comparison framework in this research, four dimensions of health systems’ functions were used based on the 2000 report of the World Health Organization. The countries were compared in dimensions of stewardship, resource production, financing, and service provision. Findings obtained from each country were presented separately in the comparative tables. The model used in this comparative study was based on the Beredy Model that contains four stages of description, interpretation, proximity, and comparison. In the present study, the purposive sampling method was used. The statistical population included rehabilitation systems globally, and the research examples were Iran, China, Turkey, India, the USA, Mexico, Germany, England, and South Africa. Criteria for entering the research according to the functional model of the World Health Organization were the availability of data and selecting at least one country from each continent of America, Europe, Asia, and Africa. Results The findings showed that in Iran, the Welfare Organization was responsible for providing rehabilitation services for people with disabilities, while in other countries, it was the Ministry of Health. Also, to compare resource production, two staff training indicators and access to comprehensive national data were used. In all countries studied, the training of specialized human resources is done through the university system. Iran, India, and Mexico did not have full access to comprehensive national data, but the United States, Germany, China, South Africa, and Turkey provided the platform for planning and policy-making. Moreover, funding in Germany, the United States, China, and Turkey is mainly provided through the insurance system. In the United Kingdom, it is mainly provided through tax, but in Iran, it is provided through subsidies from the public revenues and taxes. Finally, besides the private sector, rehabilitation services in Iran’s public sector were provided incoherently by various organizations. Some of these organizations are the Ministry of Health and Medical Education, the Exceptional Education Organization, the Red Crescent, the State Welfare Organization, and the Martyrs and Veterans Affairs Foundation, while in other countries, these services are often provided through hospitals and th
为残疾人提供理想的康复服务一直是各国卫生系统最关注的问题之一。今天,决策者和卫生保健提供者必须认识到为残疾人提供康复服务的不同系统。在这方面,进行比较研究和借鉴成功国家在这方面的经验是有益的。本比较分析研究旨在比较为残障人士提供康复服务的系统。材料与方法本比较研究于2020年在九个国家进行。为了确定本研究中的比较框架,基于世界卫生组织2000年的报告,使用了卫生系统功能的四个维度。这些国家在管理、资源生产、融资和服务提供等方面进行了比较。从每个国家获得的调查结果分别列在比较表中。本比较研究使用的模型基于Beredy模型,该模型包含描述、解释、接近和比较四个阶段。本研究采用目的抽样的方法。统计人口包括全球范围内的康复系统,研究实例包括伊朗、中国、土耳其、印度、美国、墨西哥、德国、英国和南非。根据世界卫生组织的功能模型,进入研究的标准是数据的可用性,并从美洲、欧洲、亚洲和非洲各大洲至少选择一个国家。结果调查结果表明,在伊朗,福利组织负责为残疾人提供康复服务,而在其他国家,则由卫生部负责。此外,为了比较资源生产,使用了两个工作人员培训指标和获得综合国家数据的机会。在所研究的所有国家中,专门人力资源的培训都是通过大学系统进行的。伊朗、印度和墨西哥不能完全获得全面的国家数据,但美国、德国、中国、南非和土耳其提供了规划和决策的平台。此外,在德国、美国、中国和土耳其,资金主要通过保险制度提供。在英国,它主要通过税收提供,但在伊朗,它通过公共收入和税收的补贴提供。最后,除了私营部门之外,伊朗公共部门的康复服务是由各种组织不连贯地提供的。其中一些组织是卫生和医学教育部、特殊教育组织、红新月会、国家福利组织以及烈士和退伍军人事务基金会,而在其他国家,这些服务通常是通过医院和私营部门提供的。尽管在伊朗向残疾人提供康复服务的系统中有许多优势,但将卫生部内各组织的康复部门整合起来,不仅增加了部门间和部门内的协调、管理的一致性和统一政策,而且还降低了成本,适当分配了资源,增加了该部门的财政资源。此外,它还可以减少任务和责任的重叠,防止重复工作,根据需要培训专门人员,并最终提供更理想的服务。因此,决策者和规划者必须审查和改革法律和程序,以形成一个为伊朗残疾人提供康复服务的系统。摘要
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引用次数: 1
Effect of Concurrent Training Order With Electromyostimulation on Physical Performance in Young Elderly Women 同时训练顺序与肌电刺激对年轻老年女性运动表现的影响
IF 1 Q4 REHABILITATION Pub Date : 2020-12-10 DOI: 10.32598/RJ.21.4.3147.1
Mehri Derakhshan Nejad, M. Nikbakht, M. Ghanbarzadeh, R. Ranjbar
Objective: Aging is one of the stages of life that needs special attention due to the special conditions of this period of life. Inactivity and myasthenia due to aging are important factors in reducing the physical and functional activities in the elderly, which can affect their quality of life. On the other hand, electromyostimulation (EMS) is one of the modern training methods that can be suitable for disabilities in the elderly. Also, the training sequence in concurrent training is one of the variables of training that can affect its adaptations. This study aimed to compare the effect of exercise sequence in concurrent training with EMS on the motor performance of elderly women. Materials & Methods: In this semi-experimental single-blinded study, 50 healthy elderly female volunteers, age range of 60-70 years, were selected by random sampling divided randomly into the following groups (each group of 10 people): Aerobic-resistance training with EMS, resistance-aerobic exercise with EMS, rotational exercise (change of priority periodically in training sessions) with EMS, and rotational and control (without training) groups. The training protocol consisted of twelve weeks of exercise, three sessions per week, and each session three stages of warm-up (10-15 minutes), main exercises (20 minutes) and cooling (10 minutes). The main training program consisted of 20 minutes of parallel combination exercises, which were two 10-minute steps with a 3-5 minute intervals. Aerobic exercises were performed with the intensity of 70%-50% of maximum oxygen consumption and resistance exercises using body weight and elastic bands for different muscle groups. The training schedule was the same for all groups in terms of volume and intensity, with the only difference being in the exercise sequence and EMS presentation. Strength of the upper and lower torso muscles were measured with chest press and seated leg extension, respectively, maximum oxygen consumption (VO2 max) with a one-mile Rockport walking test, muscular endurance with a 2-minute marching on a spot-test and lower torso strength with a walking test on the slope in two stages before and after the intervention. Statistical analysis was performed using dependent t-tests and Covariance Analysis (ANCOVA) and Bonferroni post hoc test using SPSS software V. 22 and P≥0.05 was considered statistically significant. Results: Significant increase was observed in all measured dependent variables relative to the baseline values (P<0.001). In the study of intergroup changes, a significant increase was observed in VO2 max level, upper and lower torso strength, and muscular endurance in all of the intervention groups compared to the control group (P<0.001), but lower torso strength was significant only in the intervention groups with EMS compared to the control group (P<0.001). VO2 max changes and the lower torso strength in training groups with EMS were significantly higher than the groups without EMS (P<0.01). Also, the
目的:由于这一时期的特殊情况,衰老是需要特别关注的生命阶段之一。衰老导致的活动不足和肌无力是老年人身体和功能活动减少的重要因素,影响老年人的生活质量。另一方面,肌电刺激(EMS)是适合老年人残疾的现代训练方法之一。同时,并行训练中的训练顺序也是影响训练适应性的变量之一。本研究旨在比较同步训练中运动顺序与EMS对老年女性运动表现的影响。材料与方法:本研究采用半实验的单盲方法,随机抽取年龄在60-70岁的健康老年女性志愿者50名,随机分为有氧-阻力训练组、有氧-阻力训练组、旋转训练组(在训练中周期性改变优先级)和旋转对照组(不训练),每组10人。训练方案包括12周的锻炼,每周三次,每次三个阶段的热身(10-15分钟),主要练习(20分钟)和冷却(10分钟)。主要的训练计划包括20分钟的平行组合练习,这是两个10分钟的步骤,间隔3-5分钟。有氧运动强度为最大耗氧量的70%-50%,阻力运动采用体重和弹力带针对不同肌肉群进行。所有组的训练计划在量和强度方面都是相同的,唯一的区别是运动顺序和EMS呈现。在干预前后的两个阶段,分别通过胸部按压和坐姿伸腿来测量上半身和下半身肌肉的力量,通过一英里Rockport步行测试来测量最大耗氧量(VO2 max),通过2分钟步行测试来测量肌肉耐力,通过斜坡上步行测试来测量下半身力量。采用相关t检验和协方差分析(ANCOVA)进行统计学分析,采用SPSS软件进行Bonferroni事后检验,以P≥0.05为差异有统计学意义。结果:与基线值相比,所有测量的因变量均显著增加(P<0.001)。在组间变化研究中,与对照组相比,所有干预组的最大摄氧量水平、上下躯干力量和肌肉耐力均显著增加(P<0.001),但只有EMS干预组的下躯干力量较对照组显著(P<0.001)。EMS组VO2 max变化和下肢力量显著高于未EMS组(P<0.01)。抗阻训练优先组的上肢力量和下肢肌肉耐力均高于不进行抗阻训练的组合组(P<0.01)。结论:综合以上结果,可以说联合并发运动是促进老年女性身体健康和体能表现的有效方法,EMS的使用可以提高运动产生的适应效果,特别是老年人下肢力量,可以预防肌无力相关并发症。另一方面,阻力训练优先的训练顺序可以有效地增加运动对上肢肌力和肌肉耐力等变量的影响,但对下肢肌力、心肺耐力和下肢肌力的影响不显著。
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引用次数: 2
تعیین کنندههای اجتماعی اقتصادی ناتوانی و مرگ و میر زودرس ناشی از ناهنجاریهای مادزادی: یک تحلیل ثانویه از دادههای موجود
IF 1 Q4 REHABILITATION Pub Date : 2020-09-10 DOI: 10.32598/RJ.21.3.1719.6
بهزاد کرمی متین, مسلم صوفی, علی کاظمی کریانی, شاهین سلطانی, بیتا شکری, شیوا امانی, زهرا شهبازی
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引用次数: 1
Developing a Persian Version of the Checklist of Pragmatic Behaviors and Assessing Its Psychometric Properties: A Preliminary Study 波斯语版语用行为检查表的编制及其心理测量特性评估:初步研究
IF 1 Q4 REHABILITATION Pub Date : 2020-09-10 DOI: 10.32598/RJ.21.3.2923.1
F. Koohestani, Parisa Rezaei, Mahboubeh Nakhshab
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引用次数: 0
Effect of Group Play Therapy on Emotional/Behavioral Problems of Children With Attention Deficit Hyperactivity Disorder Aged 6-12 Years 团体游戏治疗对6-12岁注意缺陷多动障碍儿童情绪/行为问题的影响
IF 1 Q4 REHABILITATION Pub Date : 2020-09-10 DOI: 10.32598/RJ.21.3.3158.1
Sepideh Teimourian, Hooshang Mirzaei, E. Pishyare, S. Hosseinzadeh
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引用次数: 0
Inequality in the Utilization of Rehabilitation Services Among Urban and Rural Households in Iran: A Cross-Sectional Study 伊朗城乡家庭利用康复服务的不平等:一项横断面研究
IF 1 Q4 REHABILITATION Pub Date : 2020-09-10 DOI: 10.32598/RJ.21.3.2893.1
Jafar Yahyavi Dizaj, Faroogh Na'emani, M. Fateh, M. Soleimanifar, A. Arab, M. Zali, Shahin Soltani, Ali Kazemi Karyani
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引用次数: 2
Effect of Capacitive Tecar Therapy on Foot Pain and Tactile Sensation in Patients with Type 2 Diabetes 电容式电疗对2型糖尿病足部疼痛和触觉的影响
IF 1 Q4 REHABILITATION Pub Date : 2020-09-10 DOI: 10.32598/RJ.21.3.60.5
Maryam Niajalili, Meghdad Sedaghat, Asghar Reazasoltani, A. Baghban, S. Naimi
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引用次数: 3
The Prevalence of Fall and Related Factors in Iranian Elderly: A Systematic Review 伊朗老年人跌倒患病率及相关因素:一项系统综述
IF 1 Q4 REHABILITATION Pub Date : 2020-09-10 DOI: 10.32598/RJ.21.3.2084.6
Aliakbar Pahlevanian, R. Najarian, Sadegh Adabi, Mina Sadat Mirshoj
1. Neuromuscular Rehabilitation Research Center, School of Rehabilitation, Semnan University of Medical Sciences, Semnan, Iran. 2. Student Research Committee, Department of Paramedical, School of Paramedical Sciences, Semnan University of Medical Sciences, Semnan, Iran. 3. Department of Occupational Therapy, School of Rehabilitation, Semnan University of Medical Sciences, Semnan, Iran. Ali Akbar Pahlevanian1 , Reyhaneh Najarian2, Sadegh Adabi3, *Mina Sadat Mirshoja1
1. 1 .伊朗塞姆南医科大学康复学院神经肌肉康复研究中心;2 .伊朗塞姆南医科大学辅助医学学院辅助医学系学生研究委员会,塞姆南。塞姆南医科大学康复学院职业治疗系,伊朗塞姆南。Ali Akbar Pahlevanian1, Reyhaneh Najarian2, Sadegh Adabi3, Mina Sadat Mirshoja1
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引用次数: 6
Development and Validation of an Educational Booklet to Improve Occupational Performance of the Primary Caregivers of Individuals With Multiple Sclerosis 提高多发性硬化症患者主要照护者职业表现的教育小册子的开发与验证
IF 1 Q4 REHABILITATION Pub Date : 2020-09-10 DOI: 10.32598/RJ.21.3.3081.1
Mohammad Taghi Mohseni Takalu, Seyed Ali Hosseini, H. Khankeh, E. Pishyareh, E. Bakhshi
* Corresponding Author: Ebrahim Pishyareh, PhD. Address: Department of Occupational Therapy, School of Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Tel: +98 (912) 2165995 E-Mail: eb.pishyareh@uswr.ac.ir Research Paper: Development and Validation of an Educational Booklet to Improve Occupational Performance of the Primary Caregivers of Individuals With Multiple Sclerosis
*通讯作者:Ebrahim Pishyareh, PhD。地址:伊朗德黑兰社会福利与康复科学大学康复科学学院职业治疗系。电话:+98 (912)2165995 E-Mail: eb.pishyareh@uswr.ac.ir研究论文:开发和验证一本教育小册子,以提高多发性硬化症患者的主要照顾者的职业表现
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引用次数: 0
The Effect of Filial Therapy on the Parenting Stress of Mothers of Children With Autism Spectrum Disorde 孝道疗法对自闭症谱系障碍母亲教养压力的影响
IF 1 Q4 REHABILITATION Pub Date : 2020-07-10 DOI: 10.32598/rj.21.2.2726.1
Z. Kiyani, H. Mirzai, S. Hosseini, Hossein Sourtiji, S. Hosseinzadeh, Elaheh Ebrahimi
1. Department of Occupational Therapy, School of Rehabilitation, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. 2. Department of Occupational Therapy, School of Rehabilition, Isfahan University of Medical Sciences, Isfahan, Iran. 3. Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. 4. Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti Univercity of Medical Sciences, Tehran, Iran. Zahra Kiyani1 , Hoshang Mirzai1* , Seyed Ali Hosseini1 , Hossein Sourtiji2 , Samaneh Hosseinzadeh3 , Elahe Ebrahimi4
1. 伊朗德黑兰社会福利与康复科学大学康复学院职业治疗系;2 .伊斯法罕医科大学康复学院职业治疗系,伊朗伊斯法罕。3 .伊朗德黑兰社会福利与康复科学大学生物统计学系。Shahid Beheshti医学科学大学康复学院职业治疗系,伊朗德黑兰。Zahra Kiyani1, Hoshang Mirzai1*, Seyed Ali Hosseini1, Hossein Sourtiji2, Samaneh Hosseinzadeh3, Elahe Ebrahimi4
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引用次数: 1
期刊
Archives of Rehabilitation
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