فصلنامه علمی پژوهشی توانبخشی journal of Rehabilitation Medical Sciences http://www.jrehabilitation.com 55 journal55 1607-2960 fa jalali 1382 7 1 gregorian 2003 9 1 4 2 online 1 fulltext

fa مقايسه تأثيرات سه روش تمرين درمانی بر شدت درد و درصد ناتوانی افراد مبتلا به کمردرد مکانيکی مزمن فیزیوتراپی Physical Therapy پژوهشی Original <p><strong>Objective:</strong> The aim of this study was to determine the efficacy of three common remedial exercises and then compare them in severity of pain and disability in patients with chronic low back pain. </p><p><strong>Methods:</strong> 25 patients with same as level of physical activity and history of mechanical low back pain during 6-12 months ago invited to participate to this clinical trial. After routine physical exam, severity of pain and disability due to low back pain was evaluated with visual analog scale (VAS) and Oswestry Questionnaire (OSWQ) respectively. Patients distribute to three subgroups (stabilization exercise=10pateints, Williams exercise=8patients, McKenzie exercise=7patients). Means difference of pain score and OSWQ (disability index) in all groups wasn't significant. Patients had done exercises according to name of their group during 12 weeks. At first all groups performed a complete set of exercises every day in 6 weeks. Then second 6 weeks exercises had done every other day (3 days per week). After testing the repeat ability of the parameters, reassessment of parameters was performed at the end of every 3 weeks. Data analysis was done with SPSS software. Friedman and Willcoxon tests were used for determination and analysis of data in three groups and then Kruskal-Wallis test and Mann-Whitney was done for determination of differences between three groups. </p><p><strong>Results:</strong> Data showed that all exercise regimens can decrease pain and disability index (P<0.000l). Though decrease of pain and OSWQ in stabilization group was faster than the other groups (P<0.05). </p><p><strong>Conclusion:</strong> All exercise regimens due to their strengthening properties and special affects on muscles and joints of lumbopelvic region can decrease severity of pain even acute pain. But according to the effect of pain chronocity to surrounding tissues and receptors of lumbopelvic region and also central effect of pain (reorganization of motor cortex), which exercise can more effect than the other to this parameters that can more and more affect the surrounding tissues and receptors of lumbopelvic region so in the long time stabilization exercise according to activate inhibited local stabilizing muscles and then global muscle in stable position and unstable position can more effective than the other exercise regimens. </p> کمردرد مکانيکی ، تمرين درمانی ، درصد ناتوانی ، پرسشنامه اسوستری ، ورزشهای ثبات دهنده کمردرد مکانيکی ، تمرين درمانی ، درصد ناتوانی ، پرسشنامه اسوستری ، ورزشهای ثبات دهنده 7 15 http://www.jrehabilitation.com/browse.php?a_code=A-10-289-16&amp;slc_lang=fa&amp;sid=fa Farshad اخوتيان فرشاد اخوتيان 550031947532846003840 Yes Sedighe کهريزی صديقه کهريزی 550031947532846003936 No Ali صمدی پور علی صمدی پور 550031947532846003937 No

fa همراهی اللT پلی‌مورفيسم جايگاه ۶۷ – پروموتر ژن انتقال دهنده دوپامين ( DAT1 ) با اسکيزوفرنيا ژنتیک Genetics پژوهشی Original Background: Dysfunction of the central dopaminergic neurotransmission has been suggested to play an important role in the etiology of schizophrenia. The dopamine transporter (DAT1) mediates the active reuptake of dopamine from the synapses and thereby plays a key role in the regulation of the dopaminergic neurotransmission. In this study, we sought to determine the possible association of the DAT1 gene core promoter polymorphism-67A/T with schizophrenia in a case control study. Methods: The allele and genotype frequencies of the polymorphism were studied in 100 patients and 100 controls, which were matched on the basis of sex, age and ethnicity. Results: The genotype frequencies in the patients group were as follows: AA 29%, AT 59%, TT 12% vs. the genotype frequencies in the control group: AA 57%, AT 38%, TT 5%, IX2=16.54, df-2, OR=2.25 (95%CI1.46-3, 45, P≤0.0003)]. Conclusion: For the first time, these findings provide tentalive evidence for the contribution of the DAT1 gene core promoter polymorphism to the etiopathology of schizophrenia at least in the Iranian male population that we studied. Replication studies of independent samples and family-based association studies are necessary to further evaluate the significance of our findings. ژن انتقال دهنده دوپامين ، پروموتر ، اسکيزوفرنيا ، ارتباط ، دوپامين ، پلی‌مورفيسم ژن انتقال دهنده دوپامين ، پروموتر ، اسکيزوفرنيا ، ارتباط ، دوپامين ، پلی‌مورفيسم 16 19 http://www.jrehabilitation.com/browse.php?a_code=A-10-289-17&amp;slc_lang=fa&amp;sid=fa Mina اوحدی مينا اوحدی 550031947532846003841 Yes Farbod فدايی فربد فدايی 550031947532846003938 No Nazli خداياری نازلی خداياری 550031947532846003939 No Alireza رحيمی عليرضا رحيمی 550031947532846003940 No Hosein نجم آبادی حسين نجم آبادی 550031947532846003941 No

fa نشانگان روانشناختی اثر ضربه در کودکان آزارديده روانشناسی بالینی Clinical Psycology پژوهشی Original Introduction: There are many traumatic events (including natural disasters, physical, psychological and sexual abuse) that may befall children and there is clear evidence that such experiences can produce a plethora of negative psychological effects. Children’s exposure to such traumas has been associated with a wide variety of negative mental health outcomes, including anxiety and depression, post-traumatic stress and dissociation and anger and aggression. It seems that the impacts of traumatic events are significantly related to type and intensity of trauma. Materials & Method: Through a systematized clustral sampling 3042 male and female students from junior high school who were participated in a survey study for investigating point prevalence of child abuse, completed Trauma Symptoms Checklist for Children-Alternate Version (TSCC-A) and Child Abuse Self-report Scale (CASRS). After recognition of abused children, they were compared based on trauma symptoms. TSCC-A is a self-report measure of post-traumatic distress and related psychological symptomatology in male and female children aged 8-16 years. It is useful in the evaluation of children who have experienced traumatic events, including physical and sexual assault, victimization by peers, major losses, the witnessing of violence done to others and natural disasters. TSCC-A makes no reference to sexual issues. CASRS is a self-report scale to assess child abuse and neglect with 38 items and four subscales (psychological abuse, neglect, physical and sexual abuse). Results: Considering the type of traumatic experiences, the results showed that abused children significantly received higher scores in scales and subscales of TSCC-A than nonabused group. They specially reported more symptoms (depression, anxiety, post-traumatic stress, anger and dissociation) comparing normal children. Conclusion: It is concluded that the type and rate of traumatic event is related to intensity of symptomatology. نشانه شناسی ضربه ، کودکان آزارديده ، فهرست نشانه های ضربه روانی برای کودکان(فرم الف) نشانه شناسی ضربه ، کودکان آزارديده ، فهرست نشانه های ضربه روانی برای کودکان(فرم الف) 20 28 http://www.jrehabilitation.com/browse.php?a_code=A-10-289-18&amp;slc_lang=fa&amp;sid=fa Parvaneh محمدخانی پروانه محمدخانی 550031947532846003842 Yes Mohammad Reza محمدی محمد‌رضا محمدی 550031947532846003942 No Ebrahim رضايی دوگاهه ابراهيم رضايی دوگاهه 550031947532846003943 No Mohammad Ali نظری محمد‌علی نظری 550031947532846003944 No

fa بررسی مقايسه‌ای تأثير خستگی عضلات پروگزيمال و ديستال اندام تحتانی بر کنترل پاسچرال مردان سالم فیزیوتراپی Physical Therapy پژوهشی Original Objective: Several studies have shown the effects of muscular fatigue on proprioception and neuromuscular control. However all available researches have studied just the effect of local fatigue in ankle joint muscles on postural control, and no study have found about the effect of fatigue in proximal muscles of the lower extremity on postural control. To compare changes in postural control parameters after isokinetic fatigue of proximal and distal muscles of lower extremity. Materials and Methods: Subjects were twenty healthy men (age: 22.6±2.4 years, height: 173.7± 3.6 cm, weight: 63.3±7.9kg). There were 4 test sessions, with a randomized order according to site and plane of fatigue. During each session one of these muscle groups was fatigued using a Biodex isokinetic dynamometer: ankle plantar / dorsi flexors, ankle evertor / inventors, hip flexor / extensors and hip abductor/adductors. The biodex stability system was used to perform dynamic balance test before and after muscle fatigue in each session. Overall, anterior / posterior, and medial/lateral stability indices were recorded. The higher the stability indices, the lower the balancing skill. Results: Analysis of pre-and post fatigue balance results of all sessions, demonstrated significant increase (P<0.05) in all stability indices. Repeated measures ANOVA performed on the rate of changes in stability indices during each session revealed that hip muscle fatigue caused much more increase in stability indices than ankle muscle fatigue (P<0.05). Conclusion: Isokinetic fatigue of both ankle and hip muscles significantly decreases postural control ability in healthy young men. In addition, our findings suggest that the hip joint musculature plays a more prominent role in postural control. خستگی عضلانی ، کنترل پاسچرال ، اندام تحتانی ، ايزوکينتيک خستگی عضلانی ، کنترل پاسچرال ، اندام تحتانی ، ايزوکينتيک 29 36 http://www.jrehabilitation.com/browse.php?a_code=A-10-289-19&amp;slc_lang=fa&amp;sid=fa Mojgan مقدم مژگان مقدم 550031947532846003843 Yes Mahyar صلواتی مهيار صلواتی 550031947532846003945 No Ismail ابراهيمی اسماعيل ابراهيمی 550031947532846003946 No Amir Masoud عرب امير مسعود عرب 550031947532846003947 No

fa بررسی سلامت روانی زنان سرپرست خانوار روانشناسی بالینی Clinical Psycology پژوهشی Original Introduction: The present research investigates the state of psychological health in women who are heads of household and are under welfare protection by the Welfare Organization in Tehran province. The basic research question was whether or not the level of psychological health and its nine indicators according to SCL-90-R are different in women heads of house hold that are under welfare protection compared to women heads of house hold that are not under welfare protection. Method & Materials: Subjects were over 180 women who were chosen randomly from four different areas in Greater Tehran. The instruments used in this study were SCL-90-R and a demographic questionnaire. A case-control cross sectional method was employed in the present study. Data were analyzed using single-case t-test, independent t-test, and multi-variant regression and Friedman test. Results: Results show that the mean score for psychological health and its nine indicators in the experimental group were significantly higher than the mean score for normal Iranian population (p=0.0009). This indicates that women who are heads of households in Iran are at a higher risk for psychological disorders. The strongest indicators of psychological disorder in these women were depression and psychosomatic complaints. Furthermore, women who are not under welfare protection are significantly more depressed than women who are under welfare protection (p=0.016). Factors which reliably predict women's psychological health are women's income, the income of family members and their own physical health. These results support previous in the field reiterating the fact special attention should be paid to the economical welfare and standards of living in these women. سلامت روانی ، زنان سرپرست خانوار ، سازمان بهزيستی استان تهران سلامت روانی ، زنان سرپرست خانوار ، سازمان بهزيستی استان تهران 37 44 http://www.jrehabilitation.com/browse.php?a_code=A-10-289-20&amp;slc_lang=fa&amp;sid=fa Mahshid نوری مهشيد نوری 550031947532846003844 Yes Mahmood ميناکاری محمود ميناکاری 550031947532846003948 No Seyed Jalal صدرالسادات سيد‌جلال صدرالسادات 550031947532846003949 No Shahriar شهيدی شهريار شهيدی 550031947532846003950 No Mahmood حيدری محمود حيدری 550031947532846003951 No

fa پيش‌بينی خطر زمين خوردن سالمندان آسايشگاهی با استفاده از دو روش ارزيابی عملکردی سالمندی Elderly پژوهشی Original Introduction and objective: Aging decline abilities and leads to increased risk of falling and subsequently poorer quality of life. The objective of this study was to identify a proper assessment for risk of falling among institutionalized elderly people. Methods: Prospective non–interventional methodological discriminative–validation study in order to make a comparative assessment of the discriminative validity of the two clinical assessment methods among the elderly people with/ without history of falling. The frequency of falls within 6 months among institutionalized elderly individuals was prospectively studied. Finally, those having had two or more falls within 6 months were enrolled in the faller group and those having no falls within 6 months were enrolled in the non-faller group. Twenty-one women and 33 men (mean age: 75.79, standard deviation [SD]: 8.47, range: 61-98) independent in their daily activities and able to walk 10 meters using / without assistive devices volunteered to participate in the study with awareness. Background variables included age, gender, use / nonuse of assistive devices, height, weight, number of the drugs used, and number of the diseases independent variable was history of falling and dependent variables were the results of the two functional assessment methods. In order to accomplish the aim of study, two functional assessment methods, Berg scale and Tinetti scale, were used and the validity indices of these methods were calculated. Results: Independent t test indicated a significant difference between the two groups of fallers and non-fallers in the mean scores on Berg Balance Scale (p=0.00l) and Tinetti Scale (p=0.00l). The results of logistic regression test indicated much more discriminative validity for Berg Balance Scale test than Tinetti Scale test. Studying the validity of Berg Balance Scale assessment method showed that all validity indices should be regarded as bases for clinical decision. سالمندان ، زمين خوردن ، روشهای ارزيابی عملکردی سالمندان ، زمين خوردن ، روشهای ارزيابی عملکردی 45 52 http://www.jrehabilitation.com/browse.php?a_code=A-10-289-21&amp;slc_lang=fa&amp;sid=fa Ahmad Ali اکبری کامرانی احمدعلی اکبری کامرانی 550031947532846003808 Yes Fathollah آزادی فتح‌ا... آزادی 550031947532846003884 No Mahyar صلواتی مهيار صلواتی 550031947532846003952 No Behrooz کاظمی بهروز کاظمی 550031947532846003953 No

fa هنجاريابی آزمون لب‌خوانی سارا ( شماره ۲) بر روی بزرگسالان شنوا گفتاردرمانی Speech & Language Pathology پژوهشی Original <p><strong>Objective:</strong> We need lipreading tests in order to evaluate patient’s lipreading skills and necessary instructions. These are two kinds of lipreading test: synthetic & analytic. Sara (2) lipreading test is an analytic test and complementary of Sara (1) lipreading test which was a synthetic one (Movallali, 2000). Developing a lipreading test and standardization of the test in a group with normal hearing and vision was the aim of this study. </p><p><strong>Methodology:</strong> This study was a descriptive-analytical survey and its subjects included: 1) All Persian phonemes that were put in a VCV context. 2) 88 normally hearing and vision adults (58 males, 30 females) ranged from 17 to 85 years old).</p><p><strong>Findings:</strong> 1) “Sara Lipreading Test” (Number 2), composed of 23 nonsense two syllable VCVs. 2) Lipreading ability of Persian phonemes in 6 groups of homophones. 3) Subjects could distinguish between visems in 6 different homophone groups. 4) Content validity of the test. 5) No significant difference between test and retest. </p><p><strong>Conclusion:</strong> According to the results of this study, “Sara (2) Lipreading Test” is a valid and reliable analytic test for assessing lipreading ability of Persian phonemes and despite of its simple structure, gives us a lot of valuable information about lipreading skills and is complementary of synthetic lipreading tests. </p> لب‌خوانی ، ناشنوا ، توانبخشی ، آزمون تحليلی لب‌خوانی ، ناشنوا ، توانبخشی ، آزمون تحليلی 53 58 http://www.jrehabilitation.com/browse.php?a_code=A-10-289-22&amp;slc_lang=fa&amp;sid=fa Gita موللی گيتا موللی 550031947532846003845 Yes Akbar بيگلريان اکبر بيگلريان 550031947532846003954 No

fa تجويز و مصرف داروهای روان‌درمان بخش در کهنسالی روانپزشکی سالمند Elderly Psychiatric مروری Review Mental disorders are present in a large percentage of the older adults and psychotherapeutic medications are most commonly used to manage behavioral problems. Elderly leads to multiple chronic diseases, disability, declining function and frailty that affecting it. Chronologic age is only one determinant of the changes pertinent to drug therapy that occur in older people. Drug usage patterns also change as a result of the increasing incidence of disease with age and tendency to prescribe heavily for patients in hospitals and old folks’ homes. General changes in the lives of older people have significant effect on the way of the medications is used too. This article discusses about drug metabolism (with specific consideration on the psychotropic drugs), psychotropic drugs consumption and prescription in elderly with psychiatric disorders wl.ich use to various articles. کهنسالی ، داروهای روان‌درمان بخش ، متابوليسم دارويی ، داروهای سايکوتروپيک کهنسالی ، داروهای روان‌درمان بخش ، متابوليسم دارويی ، داروهای سايکوتروپيک 59 66 http://www.jrehabilitation.com/browse.php?a_code=A-10-289-23&amp;slc_lang=fa&amp;sid=fa Mohammad Reza محمدی محمدرضا محمدی 550031947532846003151 Yes Bita مسگرپور بيتا مسگرپور 550031947532846003152 No Ali دليری همپا علی دليری همپا 550031947532846003153 No Elahe سهيمی ايزديان الهه سهيمی ايزديان 550031947532846003154 No Hamid Reza ادهمی حميدرضا ادهمی 550031947532846003155 No

fa کمبود آنزيم بيوتينيداز و گزارش ۳ مورد تشخيص داده شده آن در بيمارستان مفيد اعصاب اطفال Pediatric Neurology گزارش موردی Case report Biotinidase deficiency is a rare metabolic disease that is transmitted as an autosomal recessive trait. The clinical manifestations of the disease are, lactic acidosis, alopecia, ataxia, spastic paraplegia, seizure and developmental delay. Other clinical features are erythematous rash, hearing and visual loss. In this 4 article we report 3 patients with complete biotinidase deficiency. First patient was an Infant (3 months old-male) and second patient was an infant (5months old-male) that both of them referred for developmental delay, seizure, alopecia and spastic paraplegia. Laboratory exam showed hyper ammonia, lactic acidosis and the level of Biotinidase was remarkable deficient. All of the symptoms and signs were improved with Biotin. The third patient (8 months old-female) referred for developmental delay and erythematous rash around the orifices. The laboratory exam showed Biotinidase deficiency and all of the symptoms improved with Biotin. کمبود آنزيم بيوتينيداز ، بيماری متابوليک مادرزادی، گزارش ۳ مورد کمبود آنزيم بيوتينيداز ، بيماری متابوليک مادرزادی، گزارش ۳ مورد 67 69 http://www.jrehabilitation.com/browse.php?a_code=A-10-289-24&amp;slc_lang=fa&amp;sid=fa Parvaneh کريم زاده پروانه کريم زاده 550031947532846003846 Yes

fa شيرخواری با اندام‌های بی‌نهايت کوتاه طب اطفال Pediatrics گزارش موردی Case report Grebe syndrome is a recessively inherited acromesomelic dysplasia. We studied clinically and radiographically, a 5 months old infant, originated from Tehran, Iran. The phenotype is characterized by a normal axial skeleton and severely shortened and deformed limbs. Upper and lower limbs were very short and in radiography Humerus and femur were relatively normal, the Ulna was absent and a short deformed Radius was seen, also Tibia and Fibula were not seen. Several joints of Carpus, Tarsus, hand, and foot were absent. اندام‌های کوتاه ، سندرم گرب ، ناهنجاريهای مادرزادی اندام‌های کوتاه ، سندرم گرب ، ناهنجاريهای مادرزادی 70 74 http://www.jrehabilitation.com/browse.php?a_code=A-10-289-25&amp;slc_lang=fa&amp;sid=fa Hosein داهيفر حسين داهيفر 550031947532846003847 Yes Jalaledin محمدی جلال‌الدين محمدی 550031947532846003955 No Ali فرجی علی فرجی 550031947532846003956 No Saeid يعثوبی سعيد يعثوبی 550031947532846003957 No