Z. Sadeghi, M. Afshar, A. Ebadi, Kowsar Baghban, Zahran Qureshi
Objective: Dysphagia is commonly encountered in Multiple Sclerosis (MS). It can consequently cause severe complications such as the increased risk of dehydration, malnutrition and aspiration pneumonia that associated with an increased risk of death in the late stages of the disease. These complications can be prevented with an effective screening protocol. The Dysphagia in Multiple Sclerosis (DYMUS) is the only questionnaire developed specifically for patients with MS. The aim of the present study was translation and cross-culturally adaptation of DYMUS for the Persian population and estimation of the questionnairechr('39')s reliability and validity. Also, we investigated the frequency and severity of dysphagia in the patients referring to the Tehran MS Society and its association with the course of MS, disease duration, and Expanded Disability Status Scale (EDSS). Materials & Methods: This is a methodological and descriptive-analytic study. The statistical populations consist of the patients with MS referring to the Tehran Multiple Sclerosis Society in 2018. The study sample consisted of 108 patients who were selected through a convenient sampling method. The research instruments consisted of 10-items DYMUS questionnaire (in the first part of the study, translated and its psychometric properties examined), Dysphagia Handicap Index and a demographic information questionnaire. In methodological section, translation and cross-cultural adaptation were fulfilled and the Confirmatory Factor Analysis (CFA) was used to assess the construct validity and to test the goodness-of-fit of the presented model. The association between the DYMUS and Dysphagia Handicap Index (DHI) scores investigated to convergent validity. The inter-item correlation matrix was calculated to assess the homogeneity of the questionnaire items. Kuder - Richardson (KR-20) was measured to assess the internal consistency of the questionnaire. Also, the test-retest procedure was conducted on the 19 subjects understudy to assess the reliability. Finally, the frequency and severity of dysphagia and its association with the course of MS, disease duration, and EDSS was investigated. KR-20 reliability coefficient, Intraclass Correlation Coefficient (ICC), inter-item correlation matrix, Mann-Whitney U test and rank correlation coefficient or Spearmanchr('39')s were used to inferential statistical analysis. Results: Analysis of the inter-item correlations matrix indicated a positive correlation between all items, exception item 10. Based on the results of the inter-item correlation, item 10 had the lowest correlation coefficient that was deleted from the questionnaire. CFA results confirmed the two-factor model of DYMUS, “dysphagia for solids” and “dysphagia for liquids”, and revealed that the item 10 was minimally contributing to the measurement of "dysphagia of solids" and internal consistency increased after the deletion of this item. Also, the solution of the 9-item Model was the best go
{"title":"Swallowing Disorder in Multiple Sclerosis: Modified Version of the Screening Tool","authors":"Z. Sadeghi, M. Afshar, A. Ebadi, Kowsar Baghban, Zahran Qureshi","doi":"10.32598/RJ.21.2.3036.1","DOIUrl":"https://doi.org/10.32598/RJ.21.2.3036.1","url":null,"abstract":"Objective: Dysphagia is commonly encountered in Multiple Sclerosis (MS). It can consequently cause severe complications such as the increased risk of dehydration, malnutrition and aspiration pneumonia that associated with an increased risk of death in the late stages of the disease. These complications can be prevented with an effective screening protocol. The Dysphagia in Multiple Sclerosis (DYMUS) is the only questionnaire developed specifically for patients with MS. The aim of the present study was translation and cross-culturally adaptation of DYMUS for the Persian population and estimation of the questionnairechr('39')s reliability and validity. Also, we investigated the frequency and severity of dysphagia in the patients referring to the Tehran MS Society and its association with the course of MS, disease duration, and Expanded Disability Status Scale (EDSS). Materials & Methods: This is a methodological and descriptive-analytic study. The statistical populations consist of the patients with MS referring to the Tehran Multiple Sclerosis Society in 2018. The study sample consisted of 108 patients who were selected through a convenient sampling method. The research instruments consisted of 10-items DYMUS questionnaire (in the first part of the study, translated and its psychometric properties examined), Dysphagia Handicap Index and a demographic information questionnaire. In methodological section, translation and cross-cultural adaptation were fulfilled and the Confirmatory Factor Analysis (CFA) was used to assess the construct validity and to test the goodness-of-fit of the presented model. The association between the DYMUS and Dysphagia Handicap Index (DHI) scores investigated to convergent validity. The inter-item correlation matrix was calculated to assess the homogeneity of the questionnaire items. Kuder - Richardson (KR-20) was measured to assess the internal consistency of the questionnaire. Also, the test-retest procedure was conducted on the 19 subjects understudy to assess the reliability. Finally, the frequency and severity of dysphagia and its association with the course of MS, disease duration, and EDSS was investigated. KR-20 reliability coefficient, Intraclass Correlation Coefficient (ICC), inter-item correlation matrix, Mann-Whitney U test and rank correlation coefficient or Spearmanchr('39')s were used to inferential statistical analysis. Results: Analysis of the inter-item correlations matrix indicated a positive correlation between all items, exception item 10. Based on the results of the inter-item correlation, item 10 had the lowest correlation coefficient that was deleted from the questionnaire. CFA results confirmed the two-factor model of DYMUS, “dysphagia for solids” and “dysphagia for liquids”, and revealed that the item 10 was minimally contributing to the measurement of \"dysphagia of solids\" and internal consistency increased after the deletion of this item. Also, the solution of the 9-item Model was the best go","PeriodicalId":43655,"journal":{"name":"Archives of Rehabilitation","volume":"13 1","pages":"236-255"},"PeriodicalIF":1.0,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82496265","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}
Mohamad Sharifpoor, M. Dehghan, Shima Matloubi, S. Khafri
Objective One of the parameters showing the correct phonetic and phonological development is the correct and clear articulation of vowels is achieved by changing the shape of vocal cords through altering the height and position of the tongue and the movement of the lips and jaw. The tongue’s height and position are the basis of the production and difference of vowels. In other words, the raw sound produced by vocal cords, which has a base frequency, changes and intensifies according to the displacement of organs and vocal tract cavities which makes harmonies from the base sound called formats. These intensified harmonies depend on the shape, size, and material of the cavities, and can affect a person’s speech clarity and, consequently, the listeners’ perception. Due to such effects and the significant role of vowels space and formants on communicative aspects in each language, they are considered as one of the most important acoustic characteristics of any spoken language. Therefore, determining a scale as a tool to assess vowel errors and speech disorders is necessary. This study aimed to investigate vowel space and formant structure of Mazani language in adults. Materials & Methods This descriptive-analytical study with a cross-sectional design was conducted on 60 adults (30 males and 30 females) with Mazani language aged 18-40 years who were selected randomly and based on the inclusion and exclusion criteria (no history of respiratory diseases, verbal and auditory disorders and having at least 5 years of experience in living in Babol county. After producing the vowels by participants, the first, second, and third formants (F1, F2, and F3) of all 6 vowels were obtained in PRAAT v.6.0 program, and analyzed finally using independent t-test in SPSS v. 18 software. Results In men, the highest mean value for the base frequency was related to the vowels /i/ and /u/ (136 Hz), and for F1, F2, and F3, it was related to the vowels /æ/ (646 Hz), /i/ (2182 Hz), and /i/ (2888 Hz), respectively. On the other hand, their lowest mean values were related to the vowels /a/ (124 Hz), /i/ (283 Hz), /a/ (1150 Hz), and /e/ (2629 Hz), respectively. In women, the highest mean values of base frequency, F1, F2 and F3 were related to the vowels /u/ (222 Hz), /æ/ (828 Hz), /i/ (2346 Hz), and /i/ (3151 Hz), while the lowest mean values were related to the vowels /æ/ and /e/ (202 Hz), /i/ (364 Hz), /a/ (1167 Hz), and /o/ (2775 Hz), respectively. Conclusion There was difference in formants and vowel space between men and women with Mazani language. The /a/ was the lowest pitch vowel and /i/ and /u/ were the highest pitch the vowels in men, while /æ/ and /e/ were the lowest pitch vowels and /u/ was the highest pitch vowel in women. Furthermore, the most open, closed, backward and forward vowels were /æ/, /i/, /i/ and /a/, respectively. The /e/ in men and /o/ in women were the most rounded vowels, while the /i/ in both genders was the most unrounded vowel. The results are some
{"title":"The Study of Vowel Space and Formant Structure in Mazani Language","authors":"Mohamad Sharifpoor, M. Dehghan, Shima Matloubi, S. Khafri","doi":"10.32598/rj.21.2.2735.1","DOIUrl":"https://doi.org/10.32598/rj.21.2.2735.1","url":null,"abstract":"Objective One of the parameters showing the correct phonetic and phonological development is the correct and clear articulation of vowels is achieved by changing the shape of vocal cords through altering the height and position of the tongue and the movement of the lips and jaw. The tongue’s height and position are the basis of the production and difference of vowels. In other words, the raw sound produced by vocal cords, which has a base frequency, changes and intensifies according to the displacement of organs and vocal tract cavities which makes harmonies from the base sound called formats. These intensified harmonies depend on the shape, size, and material of the cavities, and can affect a person’s speech clarity and, consequently, the listeners’ perception. Due to such effects and the significant role of vowels space and formants on communicative aspects in each language, they are considered as one of the most important acoustic characteristics of any spoken language. Therefore, determining a scale as a tool to assess vowel errors and speech disorders is necessary. This study aimed to investigate vowel space and formant structure of Mazani language in adults. Materials & Methods This descriptive-analytical study with a cross-sectional design was conducted on 60 adults (30 males and 30 females) with Mazani language aged 18-40 years who were selected randomly and based on the inclusion and exclusion criteria (no history of respiratory diseases, verbal and auditory disorders and having at least 5 years of experience in living in Babol county. After producing the vowels by participants, the first, second, and third formants (F1, F2, and F3) of all 6 vowels were obtained in PRAAT v.6.0 program, and analyzed finally using independent t-test in SPSS v. 18 software. Results In men, the highest mean value for the base frequency was related to the vowels /i/ and /u/ (136 Hz), and for F1, F2, and F3, it was related to the vowels /æ/ (646 Hz), /i/ (2182 Hz), and /i/ (2888 Hz), respectively. On the other hand, their lowest mean values were related to the vowels /a/ (124 Hz), /i/ (283 Hz), /a/ (1150 Hz), and /e/ (2629 Hz), respectively. In women, the highest mean values of base frequency, F1, F2 and F3 were related to the vowels /u/ (222 Hz), /æ/ (828 Hz), /i/ (2346 Hz), and /i/ (3151 Hz), while the lowest mean values were related to the vowels /æ/ and /e/ (202 Hz), /i/ (364 Hz), /a/ (1167 Hz), and /o/ (2775 Hz), respectively. Conclusion There was difference in formants and vowel space between men and women with Mazani language. The /a/ was the lowest pitch vowel and /i/ and /u/ were the highest pitch the vowels in men, while /æ/ and /e/ were the lowest pitch vowels and /u/ was the highest pitch vowel in women. Furthermore, the most open, closed, backward and forward vowels were /æ/, /i/, /i/ and /a/, respectively. The /e/ in men and /o/ in women were the most rounded vowels, while the /i/ in both genders was the most unrounded vowel. The results are some","PeriodicalId":43655,"journal":{"name":"Archives of Rehabilitation","volume":"63 1","pages":"272-285"},"PeriodicalIF":1.0,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84937772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of Modified Constraint-Induced Movement Therapy on Upper Extremity Function of a Patient With Severe Acquired Brain Injury","authors":"S. Abedi, Nazila Akbarfahimi","doi":"10.32598/RJ.21.1.2938.1","DOIUrl":"https://doi.org/10.32598/RJ.21.1.2938.1","url":null,"abstract":"","PeriodicalId":43655,"journal":{"name":"Archives of Rehabilitation","volume":"22 1","pages":"106-119"},"PeriodicalIF":1.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85131399","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}
Mahdi Rahmati-Yami, Elham Azarmi, L. Rahnama, S. Hosseinzadeh, N. Karimi
{"title":"The Relationship between Work-Related Musculoskeletal Disorders and Types of Used Treatment Methods Among Iranian Physiotherapists","authors":"Mahdi Rahmati-Yami, Elham Azarmi, L. Rahnama, S. Hosseinzadeh, N. Karimi","doi":"10.32598/RJ.21.1.2538.2","DOIUrl":"https://doi.org/10.32598/RJ.21.1.2538.2","url":null,"abstract":"","PeriodicalId":43655,"journal":{"name":"Archives of Rehabilitation","volume":"39 1","pages":"22-39"},"PeriodicalIF":1.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76213492","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}
N. Jalili, Ali Poursafa, Khadijeh Khazaali, Hamid Reza Rostami, Ehsan Jamshidian, Z. Mohammadi, F. Kamali, N. Bahrani
{"title":"Investigating Environmental Barriers Affecting Participation in Patient With Multiple Sclerosis","authors":"N. Jalili, Ali Poursafa, Khadijeh Khazaali, Hamid Reza Rostami, Ehsan Jamshidian, Z. Mohammadi, F. Kamali, N. Bahrani","doi":"10.32598/rj.21.1.1627.2","DOIUrl":"https://doi.org/10.32598/rj.21.1.1627.2","url":null,"abstract":"","PeriodicalId":43655,"journal":{"name":"Archives of Rehabilitation","volume":"43 1","pages":"2-21"},"PeriodicalIF":1.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85217694","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}
Ali-Asghar Jamebozorgy, Zeinab Bolghanabadi, A. Mahdizadeh, A. Irani
{"title":"Effect of Neurofeedback on Postural Balance and Attention of Women With Knee Osteoarthritis After Bilateral Total Knee Replacement","authors":"Ali-Asghar Jamebozorgy, Zeinab Bolghanabadi, A. Mahdizadeh, A. Irani","doi":"10.32598/rj.21.1.2843.3","DOIUrl":"https://doi.org/10.32598/rj.21.1.2843.3","url":null,"abstract":"","PeriodicalId":43655,"journal":{"name":"Archives of Rehabilitation","volume":"74 1","pages":"40-53"},"PeriodicalIF":1.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86314352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Validity and Reliability of the Persian Version of Brace Questionnaire for Assessing the Quality of Life Life in Subjects With Scoliosis","authors":"F. Jafarian, Ebrahim Sadeghi Demneh","doi":"10.32598/rj.21.1.2983.1","DOIUrl":"https://doi.org/10.32598/rj.21.1.2983.1","url":null,"abstract":"","PeriodicalId":43655,"journal":{"name":"Archives of Rehabilitation","volume":"82 1","pages":"74-87"},"PeriodicalIF":1.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76934868","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}
Z. Azari, S. Hosseini, M. Rassafiani, Sayed Ali Samadi, W. Dunn, S. Hosseinzadeh
{"title":"A Contextual Intervention Adapted for Autism Spectrum Disorders: A Pilot Study With Single-Subject Design","authors":"Z. Azari, S. Hosseini, M. Rassafiani, Sayed Ali Samadi, W. Dunn, S. Hosseinzadeh","doi":"10.32598/RJ.21.1.2932.1","DOIUrl":"https://doi.org/10.32598/RJ.21.1.2932.1","url":null,"abstract":"","PeriodicalId":43655,"journal":{"name":"Archives of Rehabilitation","volume":"08 1","pages":"120-137"},"PeriodicalIF":1.0,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85858833","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}
L. akrami, Malekpur Mokhtar, S. Faramarzi, A. Abedi
{"title":"The Effect of Behavioral Management and Social Skills Training Program on Behavioral and Adaptive Problems of Male Adolescents with High-Functioning Autism","authors":"L. akrami, Malekpur Mokhtar, S. Faramarzi, A. Abedi","doi":"10.32598/rj.20.4.322","DOIUrl":"https://doi.org/10.32598/rj.20.4.322","url":null,"abstract":"","PeriodicalId":43655,"journal":{"name":"Archives of Rehabilitation","volume":"1 1","pages":"322-339"},"PeriodicalIF":1.0,"publicationDate":"2019-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73424398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effects of Continuous Cognitive Task on Postural Control of People with Anterior Cruciate Ligament Reconstruction Using Balance Error Scoring System","authors":"P. Ahmadi, R. Salehi, M. Mehravar, S. Goharpey","doi":"10.32598/rj.20.4.298","DOIUrl":"https://doi.org/10.32598/rj.20.4.298","url":null,"abstract":"","PeriodicalId":43655,"journal":{"name":"Archives of Rehabilitation","volume":"16 1","pages":"298-309"},"PeriodicalIF":1.0,"publicationDate":"2019-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75887588","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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