Tehran University of Medical Sciences Journal of Modern Rehabilitation 2538-385X 15 2 2021 03 13 53 54 Ahmad Khatoonabadi Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. Roger Watson Department of Nursing,Faculty of Health Sciences, University of Hull, Hull, United Kingdom. 2020 12 18 2020 12 19 N/A   https://jmr.tums.ac.ir/index.php/jmr/article/view/346

Tehran University of Medical Sciences Journal of Modern Rehabilitation 2538-385X 15 2 2021 03 13 55 62 EN Zahra Abdollahzadeh Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. Hanieh Abbasi Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. 2020 09 12 2020 10 24 Introduction: Low back pain (LBP) is a major musculoskeletal complaint and a multidimensional problem. This study aimed to answer whether patients with LBP have an altered pattern or a reduced rate of respiration compared to healthy people. Materials and Methods: Two reviewers searched the PubMed, ScienceDirect, and Google Scholar databases from 2000 to 2020 using the search terms “low back pain” OR “low backache” OR “lumbago” AND “breath” OR “respiration”. The methodological quality of articles generated by the search was appraised using the modified version of the Newcastle-Ottawa scale. Results: A total of 7 studies were selected for the final review, with two examining respiratory parameters, one investigating the effects of cognitive tasks on respiratory function, two determining the impact of performing a task on respiratory function, and two observing breathing patterns during different tasks. Conclusion: Respiratory function is sub-optimal in chronic patients with LBP. Thus, respiratory rehabilitation is crucial to managing LBP problems. https://jmr.tums.ac.ir/index.php/jmr/article/view/317

Tehran University of Medical Sciences Journal of Modern Rehabilitation 2538-385X 15 2 2021 03 15 63 72 EN Salah Ghazi Department of Physiotherapy, School of Rehabilitation, International Campus, Tehran University of Medical Sciences, Tehran, Iran. Mohammad Reza Hadian Rasanani Department of Physiotherapy, School of Rehabilitation, International Campus, Tehran University of Medical Sciences, Tehran, Iran;Brain and Spinal Cord Injury Research Center, Institute of Neuroscience, Tehran University of Medical Sciences, Tehran, Iran. Azadeh Shadmehr Department of Physiotherapy, School of Rehabilitation, International Campus, Tehran University of Medical Sciences, Tehran, Iran. Saeed Talebian Department of Physiotherapy, School of Rehabilitation, International Campus, Tehran University of Medical Sciences, Tehran, Iran. Gholamreza Olyaei Department of Physiotherapy, School of Rehabilitation, International Campus, Tehran University of Medical Sciences, Tehran, Iran. Elie Hajouj Department of Physiotherapy, School of Rehabilitation, International Campus, Tehran University of Medical Sciences, Tehran, Iran. 2020 08 03 2020 10 19 Background: The aim of the study was to investigate the reliability and agreement of the Beta-band intermuscular coherence (Bb-IMC) as a clinical assessment tool for Non-Specific Chronic Low back pain (NS-CLBP) patients and healthy subjects by studying four phases of flexion-extension task; standing, flexion, relaxation and extension phases (F-ET). Methods: Twenty-four men with NS-CLBP and 20 healthy subjects voluntarily participated in this study. All those subjects performed three trials of F-ET while the sEMG was recorded from the lumbar erector spinal, gluteus maximus and hamstring muscles of both sides. Beta-band intermuscular coherence analysis was used to calculate the pool coherence and the pairwise coherence for all mentioned muscles. Afterward, the intra-class correlation coefficient (ICC), standard error of measurement (SEM), and minimal detectable change (MDC) for four phases of F-ET were also used to analyze the intrarater reliability and agreement of the measurements. Results: The investigation of ICC, SEM and MDC showed that the reliability was moderate to a high level of reliability for pool and pairwise coherence of Bb-IMC in all mentioned muscles for four phases of flexion-extension task in NS-CLBP patients and healthy subjects. Yet, the agreement was low because the measurement error was relatively large. Conclusion: Up until now, no studies have used the Bb-IMC method to study Low back pain which are carried out in our study to check the reliability of this new method. Our findings revealed that pool and pairwise coherence obtained during F-ET are moderate to a high level of reliability for using Bb-IMC and could be considered as a tool for the NS-CLBP patients’ assessment. Although the small sample size investigated, in clinical practice the using this measure to conclude the interaction of corticospinal in NS-CLBP and healthy subjects should help to improve the analysis. This requires including larger sample sizes in addition to studying other circumstances and functional movements such as lifting weight. Furthermore, more research appears to be warranted by the observed effectiveness of a particular intervention in modulation mechanisms of corticospinal tract function by Bb-IMC in NS-CLBP. https://jmr.tums.ac.ir/index.php/jmr/article/view/301

Tehran University of Medical Sciences Journal of Modern Rehabilitation 2538-385X 15 2 2021 03 13 73 82 Mohammad Fallah Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. Seyyedeh Maryam Khoddami Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. Shohreh Jalaie Department of physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. Keyvan Aghazadeh Otolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran. Amin Rezaei Rad Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. 2020 09 16 2020 11 06 Introduction: This study aimed to investigate the effect of Mathieson laryngeal manual therapy (MLMT) following a therapeutic course in patients with primary muscle tension dysphonia (MTD). Materials and Methods: Twelve patients with primary MTD participated in this study. At first, videostroboscopy and perceptual voice assessment was performed, and the Persian version of vocal tract discomfort (VTDp) scale was completed. After two and a half weeks that patients received no treatment, the assessments were repeated to evaluate the effect of spontaneous recovery. For studying the effect of MLMT, it was presented in five sessions. Then, all assessments were repeated. The frequency of supraglottic activity was elicited. For the perceptual evaluation and VTDp, the Wilcoxon nonparametric test was used to study and compare the effect of spontaneous recovery and MLMT. Results: After spontaneous recovery, a significant difference was observed only in strain (P<0.05). After MLMT, the frequency of supraglottic activity decreased, and perceptual voice parameters significantly changed (P<0.05), but the VTDp showed no significant difference (P>0.05). There was no significant difference between spontanous recovery and MLMT based on the paerceptual voice evaluation and VTDp scale (p>0.05). Conclusion: The MLMT can remarkably improve the supraglottic activity and perceptual characteristics of voice in primary MTD after a therapeutic course. Further studies are recommended to confirm the effectiveness of MLMT on decreasing VTD sensations. https://jmr.tums.ac.ir/index.php/jmr/article/view/323

Tehran University of Medical Sciences Journal of Modern Rehabilitation 2538-385X 15 2 2021 03 13 83 92 Omid Azad Department of Linguistics, Faculty of Humanities, University of Gonabad, Gonabad, Khorasan Razavi, Iran. 2020 10 20 2020 11 14 Introduction: A lot of research in diverse languages has tried to scrutinize the impact of canonicity upon the performance of patients with Alzheimer's disease. Regarding the gap in the Persian setting, this study tried to delve into the nature of this deficit in patients with Alzheimer. Materials and Methods: This is a case series study, and our subjects included 2 Persian-speaking monolingual patients with Alzheimer and 5 healthy elderly individuals matched with each other according to parameters like educational degree, vernacular tongue, and homeland. The categories to be tested included subject agentive, subject experiencer, object experiencer, and object cleft constructions. Results: The results of the sentence completion task demonstrated that problems would emerge when patients with Alzheimer try to comprehend the syntactic structures belonged to 2, 3, and 4 categories. Conclusion: Our findings would demonstrate that patients with Alzheimer have many challenges when trying to map syntactic representation onto semantic realization. This type of deficit escalates when patients attempt to assign thematic roles to psychological predicates. As for the clinical implication of the research, it was recommended that the type of structures utilized by neuropsychiatrists for the communicative purpose be chosen from utterances that are in line with the mapping strategy. https://jmr.tums.ac.ir/index.php/jmr/article/view/329

Tehran University of Medical Sciences Journal of Modern Rehabilitation 2538-385X 15 2 2021 03 13 93 104 Mahboobeh Abdolalizadeh Department of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Maryam Ghodrati Department of Health and Rehabilitation Sciences, University of Western Ontario, London, Canada. Ahmad Saeedi Department of Statistical Research and Information Technology, Institute for Research and Planning in Higher Education, Tehran, Iran. Hossein Kamyab Department of Neurosurgery, Emam Hossein Hospital, Kerman, Iran. Ali Rezaie Rayeni Nejad Department of civil engineering, Besat university, Kerman, Iran. 2020 09 25 2020 12 01 Introduction: This study aimed to evaluate the reliability and validity of the Persian version of the 20-item version of the MedRisk. Materials and Methods: In our study, we used a cross-sectional and prospective validation study design. This research was a test development study involving 297 outpatients with musculoskeletal disorders from the physiotherapy centers in Kerman City, Iran, in 2017. All patients completed the MedRisk instrument for measuring patient satisfaction with physical therapy care. Participants also answered a demographic questionnaire, visual analog score, and global rating of change. Internal consistency and reproducibility were investigated, too. To determine test-retest reliability, 40 randomly selected patients completed the MedRisk instrument again 5-7 days after their treatment. Factor analysis, divergent validity, convergent validity, and the floor and ceiling effects were tested, too. The Ethics Committee of the University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, reviewed and approved this research project. The SPSS software-24 was used for statistical analysis. Results: Dimension of MedRisk demonstrated a high internal consistency (the Cronbach alpha=0.82). Reproducibility was also satisfactory (intraclass correlation coefficient=0.76). The standard error of measurement, minimal detectable changes, and coefficients of variation indices were respectively 0.63, 1.76, and 0.13 for the total score. In factor analysis, the 4-factor solution has emerged. The external validity testing revealed that the MedRisk instrument score correlated negatively with the visual analog scale (r=-0.18, P=0.002) and global rating of change (r=-0.19, P=0.001). Eighteen individual items of MedRisk were positively correlated with global satisfaction. The results showed that items 5 and 7 had a floor effect, and all other items except items 4, 5, and 7 had a ceiling effect. Conclusion: The Persian version of the MedRisk instrument is a valid and reliable instrument for measuring patient satisfaction with physical therapy and can be used in a clinical setting. https://jmr.tums.ac.ir/index.php/jmr/article/view/324

Tehran University of Medical Sciences Journal of Modern Rehabilitation 2538-385X 15 2 2021 03 13 105 116 Peyman Zamani Department of Speech Therapy, Musculoskeletal Rehabilitation Research Center, Faculty of Rehabilitation, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Neda Tahmasebi Hearing Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Mohammad Soroush Mehdifard Department of Speech Therapy, Musculoskeletal Rehabilitation Research Center, Faculty of Rehabilitation, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Saeed Hesam Hearing Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. 2020 10 26 2020 12 05 Introduction: Studies have shown that syllable speech technique (SST) can be a useful and practical way to achieve stutter-free speech for children with stuttering (CWS). In this preliminary study, the use of SST in Persian-speaking school-age CWS was investigated. Materials and Methods: Ten 8- to 11-year-old students with stuttering were entered in the single-group pretest-posttest study as participants. Their speech fluency has been enhanced using SST accompanied by verbal encouragement for stutter-free speech. The percentage of stuttered syllables, stuttering severity, and communication attitude as outcome measures were evaluated in three time points: before the intervention (T0), after the intervention (T1), and one month after the intervention (T2). Results: The children showed significantly better scores on all outcome measures at T1 (P≤0.004) and T2 (P≤0.005) compared with T0. There was no significant difference between T1 and T2 (P≥0.026). Conclusion: The reported benefits of SST in stuttering reduction and speech-related anxiety-relieving of Persian-speaking school-age CWS confirms the feasibility and usefulness of this technique. https://jmr.tums.ac.ir/index.php/jmr/article/view/334

n_US">Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. Shohreh Jalaei Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. 2020 12 28 2021 01 10 Introduction: The most critical clinical presentation in myofascial pain syndrome is trigger points. Trigger points are the main problem in 30% of the patients presenting to general internal medicine practice. One of the treatments used for trigger points is ultrasound therapy. The high-power pain threshold ultrasound (HPPTUS) technique is one of the therapeutic ultrasound modifications used to treat trigger points. The present randomized clinical trial aimed to investigate the immediate effect of high-power pain threshold ultrasound on treating active trigger points of the upper trapezius muscle in men with mechanical neck pain. Materials and Methods: Fourteen men with mechanical neck pain (Mean±SD age: 34.50±5.24 years) who met the inclusion and exclusion criteria participated in this study. The visual analog scale (VAS), pressure pain threshold (PPT), and range of motion of cervical lateral flexion (CLF) were assessed before and after the treatment. The ultrasound probe was placed on the trigger point. The frequency was set to 1 MHz, and the intensity increased from 0.5 to 2 until the patient reported an unpleasant sensation. The probe was held there for 4 seconds. Then, the intensity was reduced by 50%, and the probe was moved over and around the trigger point. This process was done several times for three minutes. Results: Analysis of pre-treatment and post-treatment findings showed that the VAS (P<0.001), PPT (P=0.001), and CLF (P<0.001) improved significantly after applying the HPPTUS to trigger points. Conclusion: Ultrasound significantly improved the muscular symptoms of the trigger points. https://jmr.tums.ac.ir/index.php/jmr/article/view/350

Tehran University of Medical Sciences Journal of Modern Rehabilitation 2538-385X 15 3 2021 06 30 173 182 Louisa Aqdassi Department of Psychology, Faculty of Education and Psychology, Shahid Beheshti University, Tehran, Iran. Saeid Sadeghi Institute for Cognitive and Brain Sciences, Shahid Beheshti University, Tehran, Iran. Hamid Reza Pouretemad Department of Psychology, Faculty of Education and Psychology, Shahid Beheshti University, Tehran, Iran. Jalil Fathabadi Department of Psychology, Faculty of Education and Psychology, Shahid Beheshti University, Tehran, Iran. 2020 12 29 2021 02 01 Introduction: Children with autism spectrum disorder (ASD) experience problems in motor skills which can affect other abilities such as academic and daily life skills. In this regard, the cost of interventions and the long distance from the rehabilitation centers put pressure on the family of children with ASD. Previous studies have shown the potential for using telerehabilitation as a more affordable way to provide interventions for children with ASD. Therefore, the present study aimed to investigate the non-attendant family-centered Sports, Play and Active Recreation for Kids (SPARK) motor program intervention to develop gross motor skills in children with a high-function ASD. Materials and Methods: The research is a quasi-experimental study with a pretest-posttest design. The participants were 9 families of children with high-functioning ASD referring to the rehabilitation centers in Tehran, Isfahan, Quds, and Kermanshah provinces, Iran. Telerehabilitation of SPARK motor program involves exercising and playing performed in 24 sessions of 45 minutes each (3 sessions per week) for 8 weeks applied for parents. The test of gross motor development-2 (TGMD-2) was used for data collection. The collected data were analyzed by paired t-test. Results: The results showed that family-based telerehabilitation of the SPARK program significantly improved gross motor skills in children with high-functioning ASD (P<0.05). Conclusion: It seems that the telerehabilitation of SPARK can be helpful for families who do not have access to rehabilitation centers. https://jmr.tums.ac.ir/index.php/jmr/article/view/352