Reliability of 3-Dimensional scapular kinematics measures of acromion marker cluster in patients with shoulder impingement syndrome during humeral elevation and lowering

Introduction: The purpose of this study was to investigate the Reliability of 3-D scapular kinematics measures of Motion analyzer and Acromion cluster in patients with Shoulder impingement syndrome during humeral elevation and lowering.Material & Methods: 20 Patients (Males=13, Females=7) with Shoulder Impingement Syndrome (mean age: 46.15 years) who participated in the study. They elevated and lowered humerous in frontal, sagittal and scapular movement plane during 8 seconds, using the VICON motion analyzer and Acromion marker cluster. The Scapular 3-D kinematics was measured, using VICON motion analyzer and Acromion marker cluster. Interclass correlation coefficient and Standard error of measurement were used.Results: Participants showed average of age 46.53±13.314 as well as average of BMI 28.14±3.93, and all quantitative and qualitative variables had the normal distribution. Trial-to-trial ICCs for the 3-D scapular kinematics variables for both elevation and lowering condition in the sagittal, frontal and scapular planes ranged from 0.58 to 0.99, which indicated fair to excellent reliability, and the SEM for both elevation conditions ranged from 1.7˚ to 15.4˚.Discussion: The reliability of the three-dimensional scapular attitudes for elevation and lowering phases were very good. The estimation of three-dimensional scapular attitudes using the method of calculation relative to the trunk is reproducible in the three movement planes during elevation and lowering phases and can be used to document the scapular behavior

Effect of Comprehensive Short-Term Oral Health Instruction on Level of Knowledge and Behavior of Patients

Background and Aim: Prevention of dental caries and periodontal disease is an important health priority. Oral health instruction can help to achieve this goal. This study sought to assess the effect of a short-term, targeted, well-structured comprehensive oral health instruction on the level of the knowledge and behavior of patients. Materials and Methods: This study was conducted on 120 patients who were randomly divided into two groups of case and control (n=60). The control group received routine oral health instructions, while the case group received a two-session comprehensive, well-structured oral health instruction provided by trained dental hygienists. The level of the knowledge in the two groups was assessed before and after the intervention using a questionnaire. To assess the effect of the instructions on the oral health behavior of the patients, bleeding on probing (BOP) and periodontal pocket depth (PPD) were measured before and after the instructions. Data were analyzed using generalized estimating equations (GEE). Results: The level of knowledge, PPD, and BOP were not significantly different between the two groups at the baseline (P>0.05). There were significant differences in the level of knowledge (P=0.02), PPD (P=0.03), and BOP (P=0.03) between the two groups after the intervention such that the patients in the case group experienced a reduction in PPD by 2 mm, while BOP decreased by 45%, and knowledge was enhanced by 16% in the case group, compared to the control group, two months after the intervention. Conclusion: Well-structured, targeted, comprehensive short-term oral health instructions can greatly enhance the knowledge and change the behavior of patients

Supplemental Material - Pre-Hospital and Post-Hospital Quality of Care in Traumatic Spinal Column and Cord Injuries in Iran

Supplemental Material for Pre-Hospital and Post-Hospital Quality of Care in Traumatic Spinal Column and Cord Injuries in Iran by Arman Zeinaddini-Meymand, Vali Baigi, Mehdi Mousavi-Nasab, Sina Shool, Mohsen Sadeghi-Naini, Zahra Azadmanjir, Seyed Behnam Jazayeri, Samuel Berchi Kankam, Mohammad Dashtkoohi, Aidin Shakeri, Esmail Fakharian, Leila Kouchakinejad-Eramsadati, Habibollah Pirnejad, Homayoun Sadeghi-Bazargani, Laleh Bagheri, Yasaman Pourandish, Malihe Amiri, Ahmad Pour-Rashidi, James Harrop, and Vafa Rahimi-Movaghar in Global Spine Journal</p