ABSTRACT
Foot and ankle problems are common complications in rheumatoid arthritis disease. Gait pattern such as normal foot and ankle rocker is impaired in patients with rheumatoid arthritis. Rocker sole as an external shoe modification is commonly prescribed in this pathology. The aim of this study was to investigate the effect of rocker shoe on vertical ground reaction force parameters during walking in patients with rheumatoid arthritis. Sixteen female participants with rheumatoid arthritis were recruited in this study. All patients were prepared with a pair of high-top, heel-to-toe rocker shoe and were asked to wear the shoes for one month. Ground reaction force parameters including peak forces and peak force times were evaluated in the first session, and after seven days and thirty days follow up were carried on. First maximal vertical force was significantly increased with rocker shoe compared to barefoot after 7 days follow up. Walking with rocker shoe reduced the minimal vertical force after 7 days. The second maximal vertical force showed to be statistically lower with rocker shoe than barefoot after 7 and 30 days. Furthermore, stance time decreased with rocker shoe after one month. Results of this study revealed that vertical ground reaction force parameters changed in rheumatoid arthritis patients with heel-to-toe rocker shoe, both immediately and after one month follow up. This might suggest the effectiveness of rocker shoes in improving gait in rheumatoid arthritis patients
ABSTRACT
Patellofemoral pain syndrome [PFPS] is the most common overuse syndrome in athletes. It is one of the causes of anterior knee pain in athletic population who come to the sports medicine clinic. Patellofemoral pain is more common among female athletes especially adolescents and young adults. Symptoms include: persistent pain behind the patella or peripatella. Pain increases on ascending and descending stairs and squatting and prolonged sitting. The aim of this study was to evaluate the prevalence of PFPS in Iranian female athletes. 418 female athletes aged 15-35 years were examined in five sports: Soccer [190], volleyball [103], running [42], fencing [45] and rock climbing [38]. The athletes who had non- traumatic onset anterior knee pain of at least 3 months that increased in descending and ascending stairs and squatting, had no other causes of anterior knee pain such as ligament instability, bursitis, meniscal injury, tendonitis and arthritis and no history of knee surgery during the one past year were diagnosed as PFPS. 26/190 [13.68%] soccer players, 21/103 [20.38%] volleyball players, 7/42 [16.66%] runners, 6/45 [13.33%] fencers and 10/38 [26.31%] rock climbers had patellofemoral pain. Among the 418 female athletes who were evaluated 70 had PFPS. Rock climbers were the most common athletes with PFPS followed by volleyball players and runners
Subject(s)
Humans , Female , Athletes , Knee , Prevalence , Soccer , Volleyball , RunningABSTRACT
Carpal Tunnel Syndrome is the most common compression neuropathy which can cause mild, moderate and sever disability in patients hands. The first standard treatment is to use Cock-up splint. This study was done to compare therapeutic effects of long [With MP Joint restriction] and short [without mp Joint restriction] Cock-up splint patients with Carpal Tunnel Syndrome. Materials and In this clinical trail study was done on 23 patients with mild and moderate Carpal Tunnel Syndrome in Shafa Yahyayian Hospital, Tehran, Iran. The diagnosis of Carpal Tunnel Syndrome in patients confirmed with electrodiagnostic method. In this study 23 Patients was treated with long and short cock-up splint in two groups. Group A [12 Patients] was treated by long Splint and group B [11] Patients was treated by short Splint for 4 weeks. Patients were evaluated by Semmes-Wein stein monofilaments, Two Point discrimination, Visual analog Scale [VAS], pinch and Grip Strength. Both types of splints appear to be effective in decreasing CTS symptoms but long Splint more beneficial than Short splint. The results of SWMS, 2PD, Pinch and grip Strength in group A had higher significant difference than group B. [P < 0.05]. Two groups did not have significant difference in results of severity of pain according to VAS. This study revealed that long Cock-up Splint in comparison with short Cock-up splint demonstrate high efficacy in improving the signs of Carpal Tunnel Syndrome