ABSTRACT
Background: one of the crucial problems of paraplegic patients is disturbance in7 their functional and self care skills and independence in those skills is considered as one of the most important aspects of their life. PASS [Performance Assessment of Self Care Skills] evaluates the activities of daily living [ADL], instrumental activities of daily living [IADL], and functional mobility [MOB] of the patients. Validity and reliability of this test has been evaluated in few disabilities and on small number of patients and it has never been performed on paraplegic patients. The purpose of the present study was to assess the validity and reliability of PASS in evaluating the self care skills of spinal cord injured [paraplegic] patients
Materials and Methods: PASS was first translated into Persian and, after minor modifications, was given to 5 specialists [all occupational therapists] along with a questionnaire especially designed for this purpose. Scores given by those specialists were analyzed using Kruscal-Wallis agreement tables. For the purpose of testing the reliability 20 paraplegic patients aging 25 - 60 years were randomly selected from 5 geographic region of Tehran. The test and retest was performed on 2 consecutive days using the PASS manual for evaluating the self care skills of the patients for 3 aspects of independence [I], safety [S], and outcome [O]. Pearson correlation coefficient was measured between the results using SPSS 10 package
Results: there was a significant agreement [P value = 95%] between the scores of 5 specialists in all 3 aspects of independence [X[2] = 6.73, DF = 4], safety [X[2] = 4.41, DF = 4], and outcome [X[2] = 2.21, DF = 4]. Pearson correlation coefficient for test-retest results was 99%, 96%, and 98% for independence, safety, and outcome respectively [P value = 0.99] which is indicative of very high reliability of PASS for evaluating self care skills of paraplegic patients
Conclusion: the results of the present study indicate that PASS is highly valid and reliable in evaluating the self care skills of paraplegic patients. These results were not unexpected in the sense that, as long as the standards of test performance are observed, there should be no difference between the test - retest results of the same patient performed in 2 sessions. One other important aspect is patient education and familiarization with the test procedure. This aspect was tried to be effectively observed during the tests. It can be concluded from the results of this study that PASS is an appropriate tool for assessment of the self care skills of paraplegic patients by rehabilitation specialists including occupational therapists
ABSTRACT
Background: frequent bending, heavy labor, towing, frequent bending, previous history of low back pain age, parity and obesity are the risk factors for back pain during pregnancy. The most common region is sacroiliac joint. aim of this study is investigate of prevalence of low back pain in pregnant wemen referring to the department of gynecology and obstetrics of baqiyatallah hospital
Materials and methods: the study is cross-sectional after filling out of questionnaire and collecting the results and analysis. The prevalence of low back pain and other factors was studied 230 cases
Results: according to the results, prevalence of low back pain in pregnant women was 63.5% and the most common region was sacroiliac with prevalence of 97.9%[P<0/05]. there was not statistically significant relationship between low back pain and the others factor including age, Body mass index, heavy labor, age pregnant, exercise, job and [p>0/05]
Conclusion: by regarding to the high prevalence of low back pain in Iranian women, pregnant woman we suggest that pregnancy high weight and in old age with bad habits of sitting, daily works and standin works would increase the pain and woman have to prevent of this factors. Exercise suggested by a specialist would decrease the back pain
ABSTRACT
Background: the purpose of this research is comparison of immediate of effect of Taping technique and Counterforce brace on muscle strength and range of motion of wrist extension and forearm supination of patient's with tennis elbow
Materials and methods: this study is a Quasi experimental. We selected 30 patients [in two groups, each group 15 subject] between 30-55 years and the sampling was nonpropability [sample of convenience]
Results: average difference between two methods in assessment of muscle strength of wrist extension and forearm supination was not significant [p= 0/88] but average difference range of motion of wrist extension in two methods was significant [P=0.02] so, selection of method in treatment is important
Conclusions: there is not difference between two methods on improvement of muscle strength of wrist extension and forearm supination. However, taping technique was more effective than Counterforce brace on range of motion of wrist extension