A comparative study on the influence of kinesio taping® and laser therapy on knee joint position sense, pain intensity, and function in individuals with knee osteoarthritis

زمینه و هدف: روش های توانبخشی محافظه کارانه بخش مهمی از درمان مبتلایان به استئوآرتریت زانو محسوب می شوند. هدف از این مطالعه بررسی تأثیر کینزیوتیپینگ و لیزر کم توان بر شدت درد، عملکرد و حس وضعیت زانو در این بیماران بود. روش بررسی: در این مطالعه نیمه تجربی، تعداد 26 بیمار (میانگین ± انحراف معیار سن: 6/4±5/48 سال) مرد مبتلا به استئوآرتریت یکطرفه زانو به صورت تصادفی به 2 گروه کینزیوتیپینگ (13 نفر) و لیزر کم توان (13 نفر) تقسیم شدند. هر 2 گروه در مدت زمان 10 جلسه علاوه بر درمان معمول فیزیوتراپی، پروتکل درمانی مخصوص به خود را دریافت نمودند. برای ارزیابی شدت درد، عملکرد و حس وضعیت زانو به ترتیب از مقیاس بصری سنجش درد، آزمون برخاستن و راه رفتن و روش بازسازی زاویه هدف در ابتدا و پس از اعمال مداخله درمانی استفاده شد. یافته ها: هر 2 روش به طور معنی داری باعث کاهش شدت درد، کاهش مدت زمان انجام آزمون برخاستن و راه رفتن و کاهش خطای بازسازی زاویه 60 درجه فلکشن زانو شدند (001/0P<). تغییرات میانگین خطای بازسازی زاویه هدف به طور معنی داری در گروه کینزیوتیپینگ بیشتر از گروه لیزر درمانی بود (001/0P<)، در حالی که تفاوت میانگین سایر متغیرها بین 2 گروه معنی دار نبود (05/0P>). نتیجه گیری: کینزیوتیپینگ و لیزر کم توان می توانند باعث بهبود درد، حس وضعیت زانو و عملکرد افراد مبتلا به استئوآرتریت زانو شوند؛ اگرچه اثر کینزیوتیپینگ در بهبود حس وضعیت زانو بیشتر است

Effects of Neurodevelopmental Therapy on Gross Motor Function in Children with Cerebral Palsy

How to Cite This Article: labaf S, Shamsoddini A, Hollisaz MT, Sobhani V, Shakibaee A . Effects of Neurodevelopmental Therapy on Gross Motor Function in Children with Cerebral Palsy. Iran J Child Neurol. Spring 2015;9(1):37-42.AbstractObjectiveNeurodevelopmental treatments are an advanced therapeutic approach practiced by experienced occupational therapists for the rehabilitation of children with cerebral palsy. The primary challenge in children with cerebral palsy is gross motor dysfunction. We studied the effects of neurodevelopmental therapy on gross motor function in children with cerebral palsy.Materials & MethodsIn a quasi-experimental design, 28 children with cerebral palsy were randomly divided into two groups. Neurodevelopmental therapy was given to a first group (n=15) with a mean age of 4.9 years; and a second group with a mean age 4.4 years (n=13) who were the control group. All children were evaluated with the Gross Motor Function Measure. Treatments were scheduled for three - one-hour sessions per week for 3 months.ResultsWe obtained statistically significant differences in the values between the baseline and post treatment in two groups. The groups were significantly different in laying and rolling (P=0.000), sitting (0.002), crawling and kneeling (0.004), and standing abilities (P=0.005). However, there were no significantdifferences in walking, running, and jumping abilities between the two groups (0.090).ConclusionWe concluded that the neurodevelopmental treatment improved gross motor function in children with cerebral palsy in four dimensions (laying and rolling, sitting, crawling and kneeling, and standing). However, walking, running, and jumping did not improve significantly

Comparison of Lumbopelvic and Hip Movement Patterns During Passive Hip External Rotation in Two Groups of Low Back Pain Patients with and without Rotational Demand Activities.

BACKGROUND Because different groups of people with low back pain (LBP) engage in different tasks, their lumbopelvic-hip complex may move in different ways in those groups. The purpose of this study was to quantify the differences in lumbopelvic movement pattern during the passive hip external rotation (PHER) test in LBP patients with and without rotational demand activities (RDA). MATERIAL AND METHODS A total of 30 subjects with LBP, including 15 patients with-RDA and 15 patients without-RDA were enrolled. A passive hip external rotation test was performed. Pelvic and hip rotation over the full range of the test, timing of hip and pelvic motion, and pelvic rotation in the first half of the movement were measured using a 3-D motion analysis system. RESULTS Passive pelvic rotation during the test in the group with RDA was significantly greater than in the other group. However, there was no significant difference between the groups in other kinematic variables, including hip external rotation, timing of hip and pelvic motion and pelvic rotation in the first half of the movement (p > 0.05). CONCLUSIONS 1. A greater lumbopelvic rotation ROM during the PHER existed in LBP patients who regularly participated in RDA. 2. Different groups of patients with LBP who engage in different specific activities may have a specific lumbopelvic movement pattern impairment. Therefore, each group of LBP patients in regard to their specific activities may need a different, specific plan of treatment

Effects of 8-Week Suspension Training Program on Physical Fitness, Biomechanical Lower Extremity Injury Risk Factors, Mental Health, and Work-Related Factors in Navy Personnel:Protocol for a Randomized Controlled Trial

Background: Military personnel need to be in optimal physical fitness and ready for action. Currently used physical training programs are mainly based on cardiovascular routines that do not fulfill all physical requirements. Feasible and easy-accessible training programs are needed to improve strength-related physical performance.Objectives: The current study aims to investigate the effectiveness of a suspension-training program with the total body resistance exercise band in physical fitness, biomechanical lower extremity injury risk factors, mental health, and work-related factors in navy personnel.Methods: To conduct this parallel-group randomized controlled trial, 50 young men aged 18 to 28 years will be recruited. The intervention group performs suspension training (three times a week for 8 weeks) in addition to their daily duties; however, the control group continues their daily duties. The primary outcome is physical performance. The secondary outcomes include biomechanical lower extremity injury risk factors, mental health, and work-related factors.Discussion: This study aims to evaluate the effectiveness of a randomized controlled trial of suspension training in performance, lower extremity frontal plane kinematics, job satisfaction, workability, and quality of life in navy personnel. This trial might provide new insights for various experts and military coaches and suspension-training programs can be used as new methods to meet all military personnel demands with minimum facilities

Data on heavy metal levels (Cd, Co, and Cu) in wheat grains cultured in Dashtestan County, Iran.

Due to importance of wheat as the most popular food, in this data article, we determined the accumulation of heavy metal levels including Cd, Co, and Cu in wheat grains in Dashtestan county, Iran. The concentration levels of heavy metals in wheat grains cultured were determined by Flame Atomic Absorption Spectrometry (FAAS)

Validity and Reliability of Bariatric Surgery Self- Management Behaviors Questionnaire in Iranian Population

Background: Bariatric surgery is the most effective intervention for treatment of severe obesity and patient’s adherence to self management behaviors are essential to reduce complications after surgery. The purpose of this study was to investigate the validity and reliability of bariatric surgery self-management behaviors questionnaire (BSSQ) in Iranian population. Methods: From December 2016 till June 2016, all obese patients who underwent laparoscopic obesity surgery in Shiraz Ghadir Mother and Child Hospitalwere were enrolled. Their demographic characteristics, BSSQ, General Adherence Scale (GAS), and the Specific Adherence Scale (SAS) questionnaires were collected. The content, structural and simultaneous validity and factor analysis were determined using GAS and SAS questionnaires. Results: According to psychometric factors including eating behaviors, fluid intake, vitamin and mineral supplement intake, fruits, vegetables, whole grain and protein intake, physical activity and dumping syndrome management, 6 factors could explain 61.5% of BSSQ. Total score of correlation matrix BSSQ with GAS and SAS were 0.36 and 0.70. For reliability, the Cronbach’s alpha coefficient was found 0.90 and Guttmann split-half coefficient was 0.78. Conclusion: BSSQ was shown to have an acceptable validity and reliability to be used for assessing the bariatric surgery self-management behaviors in Iranian population

Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017.

The Global Burden of Diseases, Injuries and Risk Factors 2017 includes a comprehensive assessment of incidence, prevalence, and years lived with disability (YLDs) for 354 causes in 195 countries and territories from 1990 to 2017. Previous GBD studies have shown how the decline of mortality rates from 1990 to 2016 has led to an increase in life expectancy, an ageing global population, and an expansion of the non-fatal burden of disease and injury. These studies have also shown how a substantial portion of the world's population experiences non-fatal health loss with considerable heterogeneity among different causes, locations, ages, and sexes. Ongoing objectives of the GBD study include increasing the level of estimation detail, improving analytical strategies, and increasing the amount of high-quality data. METHODS: We estimated incidence and prevalence for 354 diseases and injuries and 3484 sequelae. We used an updated and extensive body of literature studies, survey data, surveillance data, inpatient admission records, outpatient visit records, and health insurance claims, and additionally used results from cause of death models to inform estimates using a total of 68 781 data sources. Newly available clinical data from India, Iran, Japan, Jordan, Nepal, China, Brazil, Norway, and Italy were incorporated, as well as updated claims data from the USA and new claims data from Taiwan (province of China) and Singapore. We used DisMod-MR 2.1, a Bayesian meta-regression tool, as the main method of estimation, ensuring consistency between rates of incidence, prevalence, remission, and cause of death for each condition. YLDs were estimated as the product of a prevalence estimate and a disability weight for health states of each mutually exclusive sequela, adjusted for comorbidity. We updated the Socio-demographic Index (SDI), a summary development indicator of income per capita, years of schooling, and total fertility rate. Additionally, we calculated differences between male and female YLDs to identify divergent trends across sexes. GBD 2017 complies with the Guidelines for Accurate and Transparent Health Estimates Reporting

Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017

The Global Burden of Diseases, Injuries, and Risk Factors Study 2017 (GBD 2017) includes a comprehensive assessment of incidence, prevalence, and years lived with disability (YLDs) for 354 causes in 195 countries and territories from 1990 to 2017. Previous GBD studies have shown how the decline of mortality rates from 1990 to 2016 has led to an increase in life expectancy, an ageing global population, and an expansion of the non-fatal burden of disease and injury. These studies have also shown how a substantial portion of the world's population experiences non-fatal health loss with considerable heterogeneity among different causes, locations, ages, and sexes. Ongoing objectives of the GBD study include increasing the level of estimation detail, improving analytical strategies, and increasing the amount of high-quality data.; We estimated incidence and prevalence for 354 diseases and injuries and 3484 sequelae. We used an updated and extensive body of literature studies, survey data, surveillance data, inpatient admission records, outpatient visit records, and health insurance claims, and additionally used results from cause of death models to inform estimates using a total of 68 781 data sources. Newly available clinical data from India, Iran, Japan, Jordan, Nepal, China, Brazil, Norway, and Italy were incorporated, as well as updated claims data from the USA and new claims data from Taiwan (province of China) and Singapore. We used DisMod-MR 2.1, a Bayesian meta-regression tool, as the main method of estimation, ensuring consistency between rates of incidence, prevalence, remission, and cause of death for each condition. YLDs were estimated as the product of a prevalence estimate and a disability weight for health states of each mutually exclusive sequela, adjusted for comorbidity. We updated the Socio-demographic Index (SDI), a summary development indicator of income per capita, years of schooling, and total fertility rate. Additionally, we calculated differences between male and female YLDs to identify divergent trends across sexes. GBD 2017 complies with the Guidelines for Accurate and Transparent Health Estimates Reporting. Globally, for females, the causes with the greatest age-standardised prevalence were oral disorders, headache disorders, and haemoglobinopathies and haemolytic anaemias in both 1990 and 2017. For males, the causes with the greatest age-standardised prevalence were oral disorders, headache disorders, and tuberculosis including latent tuberculosis infection in both 1990 and 2017. In terms of YLDs, low back pain, headache disorders, and dietary iron deficiency were the leading Level 3 causes of YLD counts in 1990, whereas low back pain, headache disorders, and depressive disorders were the leading causes in 2017 for both sexes combined. All-cause age-standardised YLD rates decreased by 3·9% (95% uncertainty interval [UI] 3·1-4·6) from 1990 to 2017; however, the all-age YLD rate increased by 7·2% (6·0-8·4) while the total sum of global YLDs increased from 562 million (421-723) to 853 million (642-1100). The increases for males and females were similar, with increases in all-age YLD rates of 7·9% (6·6-9·2) for males and 6·5% (5·4-7·7) for females. We found significant differences between males and females in terms of age-standardised prevalence estimates for multiple causes. The causes with the greatest relative differences between sexes in 2017 included substance use disorders (3018 cases [95% UI 2782-3252] per 100 000 in males vs s1400 [1279-1524] per 100 000 in females), transport injuries (3322 [3082-3583] vs 2336 [2154-2535]), and self-harm and interpersonal violence (3265 [2943-3630] vs 5643 [5057-6302]). Global all-cause age-standardised YLD rates have improved only slightly over a period spanning nearly three decades. However, the magnitude of the non-fatal disease burden has expanded globally, with increasing numbers of people who have a wide spectrum of conditions. A subset of conditions has remained globally pervasive since 1990, whereas other conditions have displayed more dynamic trends, with different ages, sexes, and geographies across the globe experiencing varying burdens and trends of health loss. This study emphasises how global improvements in premature mortality for select conditions have led to older populations with complex and potentially expensive diseases, yet also highlights global achievements in certain domains of disease and injury