فصلنامه علمی پژوهشی توانبخشی journal of Rehabilitation Medical Sciences http://www.jrehabilitation.com 55 journal55 1607-2960 fa jalali 1381 3 1 gregorian 2002 5 1 3 1 online 1 fulltext

fa بررسی وضعيت انواع فلج و قطع اندام در ايران عمومى General پژوهشی Original A cross sectional study of the prevalence and etiologic factors of limb paralysis and amputation was performed in Iran. Using systematic cluster sampling (each cluster consists of 15 families) 59678 people have been evaluated. The sample size was 1 per 1000 of total population. The prevalence of different kinds of paralysis and limb defects was 7 per 1000 population. Hemiplegia and paraplegia were the most prevalent, accounted for 2.8 per 1000 population. The prevalence of disabilities due to cerebral palsy, limb amputation and poliomyelitis per 1000 were 2.0, 1.3 and 0.9 respectively. Prevalence of poliomyelitis was zero in age group 0-4, which supports the recent reports declared that incidence rate of poliomyelitis is very low, and it is the consequence of vaccination done all over the country. 24.5% of all kinds of paralysis and limb defects were congenital other etiologic factors were physical injury, infectious disease, non-infectious disease and aging which accounted for 25.6%, 15.6%, 28.8% and 3.1% respectively. Most of the cases of cerebral palsy were congenital (67.2%). The main cause of hemiplegia and paraplegia was non-infectious disease (54.8%) and the main cause of amputation was physical injury. (73.7%), prevalence of disabilities due to paraplegia, hemiplegia and limb amputation considerably increased with age so it was most prevalent among people of 65 years old and over (29.0 per 1000). The prevalence of the above-mentioned disabilities was 6.3 per 1000 among men and 2.8 per 1000 among women. So male female ratio was 2:1 (p<0.001). Overall, the prevalence of hemiplegia, paraplegia and limb amputation were 4.9 per 1000 in urban and 4.1 per 1000 in rural areas, but after adjusting for age difference between urban and rural areas was not significant (P=0.059). Logistic Regression analysis declared that variables age, sex and living area have separately significant effect on odds of hemiplegia, paraplegia and limb amputation. Considering these variables concurrently, age and sex again showed significant effect but living area effects through age. (P<0.001) فلج مغزی ، فلج اطفال ، همی پل‍ژی ، پاراپلژی ، قطع اندام فلج مغزی ، فلج اطفال ، همی پل‍ژی ، پاراپلژی ، قطع اندام 7 16 http://www.jrehabilitation.com/browse.php?a_code=A-10-44-59&amp;slc_lang=fa&amp;sid=fa Mohammad Taghi جعتايی محمد تقی جعتايی 550031947532846003818 Yes Kazem محمد کاظم محمد 550031947532846003897 No Mahdi رهگذر مهدی رهگذر 550031947532846003898 No Saeid سيادتی سعيد سيادتی 550031947532846003899 No

fa ارزيابی سير پيشرفت ناتوانی های عملکردی بيماران مبتلا به آميوتروفيک لترال اسکلروز عمومى General پژوهشی Original Amyotrophic Lateral Sclerosis (ALS) is a progressive degenerative fatal disorder of motor neuron. In this research course of functional disability and possible underlying factors affecting disability were studied. First 59 patients with definite ALS were selected and for each patient ALSFRS (ALS Functional Rating Scale) was determined at Initial and the end of a six month period. During this period 9 patients expired. Bulbar onset localization showed a more rapid course than non-bulbar onset group. There was no meaningful relationship between the age group or gender with progression of disability. In expired group, mean survival in bulbar onset and older patients were significantly less than those with non-bulbar onset and younger ones. There was no meaningful relationship between survival and gender. آميوتروفيک لترال اسکلروز ، ناتوانی عملکردی ، عصب حرکتی ، بيماری دژنراتيو آميوتروفيک لترال اسکلروز ، ناتوانی عملکردی ، عصب حرکتی ، بيماری دژنراتيو 17 21 http://www.jrehabilitation.com/browse.php?a_code=A-10-44-60&amp;slc_lang=fa&amp;sid=fa Akbar سلطان زاده اکبر سلطان زاده 550031947532846003819 Yes Mahdi سلطانی مهدی سلطانی 550031947532846003900 No

fa مقايسه رفتار تطببيقی افراد عادی با افراد کم توان ذهنی عمومى General پژوهشی Original The purpose of the present study was to compare adaptive behavior among mental retarded and normal subjects. 246 normal and 74 mental retarded subjects between 7 and 18 years of age participated in the study. Their adaptive behavior scores were obtained by means of "Adaptive Behavior Scale-Residential and Community" (ABS-RC:2) It is consisted of two parts and 18 domains. Significant differences were found for independent functioning, economic activity, language development, number and time, prevocational / vocational activity, self-direction, responsibility, disturbing interpersonal behavior, domestic activity, socialization, social engagement, conformity and trustworthiness. Mental retarded subject showed lower performances in these domains. No significant differences were found for physical development, stereotyped and hyperactive behavior, sexual behavior, self-abuse behavior and social engagement. رفتار تطببيقی ، کم توان ذهنی رفتار تطببيقی ، کم توان ذهنی 22 28 http://www.jrehabilitation.com/browse.php?a_code=A-10-44-61&amp;slc_lang=fa&amp;sid=fa Seyed Jalal صدر السادات سيد جلال صدر السادات 550031947532846003820 Yes Hasan شمس اسفند آباد حسن شمس اسفند آباد 550031947532846003901 No Suzan امامی پور سوزان امامی پور 550031947532846003902 No

fa اپيدميولوژی و اتيولوژی صدمات ارتوپدی ناشی از کار عمومى General پژوهشی Original Work accidents and injuries are important issues because it usually happens for the young and active population in the society. Every year, lots of workers in the country loss their productivity and health because of work accident. The aim of this study is finding the main causes of accidents and injuries at work and suggesting the possible prevention solutions. In Fayyazbakhsh hospital which is the most active hospital in referring work injuries, the study was done. For one month, 320 patients related to work injury participated in the study. Most injuries were related to the hand and they were severe. The most important factors in work accidents were psychic problems, past illness history, lack of education, budget problem and not using safety tools and helmet during the work. اپيدميولوژی ، اتيولوژی ، صدمات ارتوپدی ، طب کار ، حوادث کار اپيدميولوژی ، اتيولوژی ، صدمات ارتوپدی ، طب کار ، حوادث کار 29 34 http://www.jrehabilitation.com/browse.php?a_code=A-10-44-62&amp;slc_lang=fa&amp;sid=fa Seyed Mohammad Ebrahim موسوی سيدمحمدابراهيم موسوی 550031947532846003821 Yes

fa استفاده از بريس شست و توانبخشی زودرس در بيماران مشکوک به شکستگی اسکافوئيد عمومى General پژوهشی Original Suspected Scaphoid fractures are common problems in medical practice, which account for countless work-hours losses each year. This was a prospective study that was performed on 51 patients with suspected Scaphoid fracture in Doctor Shariati and Shahid Moaieri hospitals within eight months. The patients were treated with removable thumb splint and weekly physical examination. We found that 90% of immobilizations were unnecessary and removable brace and weekly examination and early rehabilitation can reduce the immobilization time in more than half of our patients. مشکوک به شکستگی اسکافوئيد ، آتل شست ، بريس ، توانبخشی مشکوک به شکستگی اسکافوئيد ، آتل شست ، بريس ، توانبخشی 35 38 http://www.jrehabilitation.com/browse.php?a_code=A-10-44-63&amp;slc_lang=fa&amp;sid=fa Reza Shahriar کامرانی رضا شهريار کامرانی 550031947532846003822 Yes Mohammad Ali سازگاری محمد علی سازگاری 550031947532846003903 No Mohammad Taghi طهماسبی محمد تقی طهماسبی 550031947532846003904 No Bahador اعلمی هرندی بهادر اعلمی هرندی 550031947532846003905 No

fa معرفی ۶۰ مورد اسپاسم شير خواران عمومى General پژوهشی Original Among different epileptic syndrome infantile spasm is one of the most malignant forms which cause irrepairable brain damage in the child. Consequently the longer this type of epilepsy lasts the more harmful results will follow. The majority of children with infantile spasm are younger than one year age and only 5 percent of affected children are in the age group above one year. This descriptive study was done on 60 (36 male and 24 female) infants 2-24 months age in pediatric neurology department of Mofid children hospital during two years. From 60 patients (36 male and 24 female), 48 case (80%) symptomatic and 12 case (20%) cryptogenic and idiopathic. Based on clinical manifestation 35 case (58%) were flexor type. 6 case (10%) extensor and 19 cases (32%) mixed. In EEG hypsarrhythmia in all patients was seen. Brain CT scan in 11 cases showed brain atrophy and in remainder was normal. So in our study etiologically symptomatic and clinically flexor type was more common. Hysparrhythmia in all patients was seen and brain CT scan in 80% of patients was normal. اسپاسم شير خواران ، اپی لپسی ، الکتروانسفالوگرافی اسپاسم شير خواران ، اپی لپسی ، الکتروانسفالوگرافی 39 42 http://www.jrehabilitation.com/browse.php?a_code=A-10-44-64&amp;slc_lang=fa&amp;sid=fa Mohammad Mahdi تقديری محمد مهدی تقديری 550031947532846003823 Yes Maryam شکوهی مريم شکوهی 550031947532846003906 No

fa مقايسه فراوانی علائم ظريف عصبی در اختلالات روان پزشکی عمومى General پژوهشی Original Existence of neurological soft signs in psychological disorders is considered by researchers. Since these signs are applicable in the medical diagnosis discrimination when there is a doubt, so the aim of this study is to find out the prevalence of these sings in different kind of psychological patients who are referred to Shahid Beheshti psychological hospital and also this prevalence is compared in different patients with different disorders. Therefore 213 patients who had the final discrimination are selected as a simple systematic sample. This sample size based on a pilot study (with prevalence 32%, d=6%, and confidence coefficient 93%) Six tests of neurological soft signs were used on this sample. The results showed that the relation between age and four of these tests were significant, (standing on one foot, heel walking, toe walking, tandem walk) and the relation between psychological disorders and two of these tests, " two-point discrimination PV=0.01" and "Tongue extrusion PV=0.02", were significant. In the first test depression and in the other test schizophrenia were above normal, and in the remaining tests the relations were not significant. The results of this research showed that neurological soft signs are the same in different psychological disorders or the difference in negligible. فراوانی ، علائم ظريف عصبی ، اختلالات روانی فراوانی ، علائم ظريف عصبی ، اختلالات روانی 43 47 http://www.jrehabilitation.com/browse.php?a_code=A-10-44-65&amp;slc_lang=fa&amp;sid=fa Seyed Hadi متعمدی سيد های متعمدی 550031947532846003824 Yes Ali دريجانی علی دريجانی 550031947532846003907 No

fa خلاصه ای از تحقيقات انجام شده روی سيستم ايمنی سلولی سالمندان با استفاده از آزمونهای تکثير سلولی عمومى General مروری Review One of the first identified age-associated functional changes in immune response was decreased DTH responses. In fact the DTH response is an example of a T.h response mediated primarily through th-1-type cytokines although many events are required before proliferation, assessment of lymphocyte proliferation often has been used as an indicator of the cell-mediated immune potential of on individual. Therefore, many studies have utilized the proliferative response to assess age-associated changes in T-cell response. A decreased ability of PEMCs to proliferate in response to T-cell stimuli is among the most consistent age-associated of the immune system. It has been reported that 40 percent of individuals over age 70 demonstrate decreased reactivity to Askin test panel regardless of their overall health status. A decreased DTH response can result from change in the initial activation of T cells. A shift in cytokine production by the activated cells, or altered reactivity by macrophages. Also, multiple age-associated changes have been observed in vitro. (Respond to antigens: Dinitrochlorobenzen. streptokinase or streptodomase) including decreased proliferative responses, modified activation signals and altered cytokine production protiles. In addition numerous studies over the last two decades have examined whether phenotypic changes in the T-cell compartment accompany human aging and it is generally accepted that healthy aging is accompanied by a slight decrease in circulating lymphocytes, number of total T cells. In end, aging is accompanied by many modifications of immune reactivity, with the most significant changes being observed in the T-cell compartment. Therefore, these changes merit close attention by health care professionals. سالمندی ، ايمنی با واسطه سلولی ، سلول تی سالمندی ، ايمنی با واسطه سلولی ، سلول تی 48 53 http://www.jrehabilitation.com/browse.php?a_code=A-10-44-66&amp;slc_lang=fa&amp;sid=fa Najmosadat موسوی نجم السادات موسوی 550031947532846003825 Yes

fa بررسی اثر تکنيکهای کرانيوساکرال در درمان سردردهای مزمن عمومى General گزارش موردی Case report The purpose of this study was to assess the effect of Craniosacral techniques on chronic headache. We used an A-B-A single subject design which consisted of one week of baseline (pretreatment), four weeks of treatment, and follow up period. The subject of this study was a 47 years old female who complained of severe headache during the last five years. Patient had received multiple medical and physical therapy treatments without success. Began starting Craniosacral therapy. After treatment patient's headache decreased from 7.5 to 1 (0-10 scale), and her sleep disorder improved by 50% and the vertigo and tinnitus that patient complained removed. Although this study showed the positive effect of Craniosacral techniques on chronic headache in a single subject, more studies are needed in this area. سردرد مزمن ، سرگيجه ، وزوز گوش ، کرانيوساکرال سردرد مزمن ، سرگيجه ، وزوز گوش ، کرانيوساکرال 54 58 http://www.jrehabilitation.com/browse.php?a_code=A-10-44-67&amp;slc_lang=fa&amp;sid=fa Mohammad Reza نوربخش محمدرضا نوربخش 550031947532846003826 Yes Bashari هاتف بشری هاتف 550031947532846003908 No

fa نورپاتی ناشی از گير افتادن شاخه داخلی عصب سورال عمومى General گزارش موردی Case report <p align="justify">Chronic calf pain may have various etiologies including stress fracture, chronic compartment syndrome, accessory Soleous muscle, and muscle sprains. An uncommon cause of chronic calf pain is entrapment neuropathy. Because entrapment neuropathies are uncommon, they are often under diagnosed. A 15-year-old adolescent developed progressive calf pain 10 months before his presentation. Physical examination and paraclinical studies revealed no abnormality and electrodiagnostic study was reported as normal. 2 months nonoperative the superficial Sural aponeurosis treatment and one surgical intervention were failed. Reexamination was revealed positive Tinel's sign and paresthesia in distribution of the Sural nerve. Surgical exploration revealed entrapment of the medial Sural cutaneous nerve localized in the passage of the nerve resulted in completeresolution of symptoms and full recovery. Several location for entrapment of the Sural nerve were reported, but we couldn't found any report in English language literature about Sural nerve entrapment in the superficial Sural aponeurosis in no athletics. </p> عصب پوستی سورال داخلی ، گير افتادن اعصاب ، درد مزمن خلف ساق عصب پوستی سورال داخلی ، گير افتادن اعصاب ، درد مزمن خلف ساق 59 62 http://www.jrehabilitation.com/browse.php?a_code=A-10-44-68&amp;slc_lang=fa&amp;sid=fa Mahmood فرزان محمود فرزان 550031947532846003827 Yes Seyed Mohammad Javad مرتضوی سيد محمد جواد مرتضوی 550031947532846003909 No

fa بررسی موارد فلج عصب سياتيک به دنبال ترزيق آمپول ديکلوفناک سديم در ناحيه سرينی و نتايج عمل جراحی در آنها عمومى General گزارش موردی Case report Gluteal intramuscular injection in newborns and children is one of the most common causes of sciatic palsy. Two factors are important to cause this palsy: kind of injection material and injection side. In this article we reported 28 cases of sciatic palsy (complete or incomplete) after Gluteal region injection of Diclofenac during years of 1389 to 2001 referring to Imam Khomeini hospital. Ten of these patients underwent surgical release that all of them got satisfactory results. فلج عصب سياتيک ، صدمات ناشی از تزريق ، ترزيق در ناحيه سرينی ، ديکلوفناک فلج عصب سياتيک ، صدمات ناشی از تزريق ، ترزيق در ناحيه سرينی ، ديکلوفناک 63 66 http://www.jrehabilitation.com/browse.php?a_code=A-10-44-69&amp;slc_lang=fa&amp;sid=fa Taghi بغدادی تقی بغدادی 550031947532846003828 Yes Abolfazl باقری فرد ابوالفضل باقری فرد 550031947532846003910 No