[ effect of constraint -induced movement therapy [CIMT] on quality of life, function and range of motion of upper extremity of patients with stroke]

Constraint-induce movement therapy is one of the treatment methods to treat those who have stroke disorders. The aim of this study was to determine the effect of constraint-induced movement therapy [CIMT] on quality of life, function and range of motion of upper extremity of patients with stroke. This study was conducted in 15 patients in accordance to random clinical trial during the treatment operation, the patients were asked to restrict their upper extremity movement with orthopedics sling for 3 days per week and each day for 8 hours. They were asked to practice on affected upper extremity for 2 hours while their hands were restricted. Additionally, the present study was conducted for 6 weeks. The statistical analysis illustrated that quality of life was significantly changed which measured by SF36 test [p=0.008]. Furthermore, the upper extremity function which was assessed by Box and Black test was statistically analyzed by t-coupled; in this regard, it showed a significant change when the treatment ended up [p=0.009]. However, active range of motions in wrist extension and elbow extension did not significantly changed [p=0.227]. Based on the results, it can be implied that constraint-induce movement therapy is an effective method for improvement of life quality and the upper extremity function .Three mechanisms are discussed: involvement of non used affected limbs, neural plasticity in CNS, and amelioration of mental and physical health of patients can be resulted in life quality and patients' hand improvement

Immediate effect of lateral-wedged insole on postural control in children with hemiplegic cerebral palsy

Cerebral palsy [CP] is the most common motor impairment in childhood and affects 2 in 1000 live births, in which postural and motor control involved. In hemiplegic type, two sides of the body have differences in postural tone that cause weight shift to the intact side. In these children postural disorders appear as postural stability disorder. The aim of this study is to assess the effect of lateral wedge insole on postural control in cerebral palsy children. Sixteen hemiplegic children attended in this program and stood in two conditions on the force plate with and without lateral wedge on the hard plate. Center of pressure displacement measured for medio-lateral and antro-posterio directions. Every test took 20 seconds. It was repeated 3 times. Range of sideways decreased significantly with use of 5° wedge. Also a shoe wedge of 5° provided symmetrical weight distribution. The results represent that a 5° lateral wedge applied to the unaffected limb, can improve factors of postural control and gain the symmetry in hemiplegic children

effects of simultaneous activation of exteroception and proprioception on function of upper extremity in children with diplegic spastic cerebral palsy, 3-7 years old

The role of function of upper extremity in activity of daily living is critical and any impairment of function could cause major problems for diplegic spastic cerebral palsy [CP] patients. So, the application of rehabilitation protocols that could regain the hand function is very important. The purpose of this study was to explore the effects of simultaneous activation of exteroception and proprioception on function of upper extremity in children with diplegic spastic CP, 3-7 years old. Thirteen CP patients [3-7 years; mean: 4.92 years; 4 boys and 9 girls] were participated in this study. Simultaneous activation of exteroception and proprioception were done 3 times a week [for 8 weeks]. Function of upper extremity was evaluated by Quest Test and the degree of spasticity in wrist was evaluated by Modified Ashworth Scale. The results of this study showed that after simultaneous activation of exteroception and proprioception, function of upper extremity was significantly improved [P<0.001]. In addition, degree of spasticity in wrist muscles was significantly decreased [P<0.022]. Based on results of current study, it might be suggested that simultaneous activation of exteroception and proprioception could improve the function of upper extremity and decrease of spasticity. This in respect could reduce the disabilities of patients. So, the application of current protocols for the patients is suggested

case report: proximal femoral focal deficiency [PFFD]

Proximal Femoral Focal Deficiency [PFFD]is a rare congenital defect with prevalence of one in 50000 to 200000 live births. It affects the proximal femur and frequently the acetabulum and may occurs unilaterally and/or bilaterally. The side effects of PFFD vary in patients. These include: limb length discrepancy, instability of the hip and knee joint, contractures of the hip and knee muscles, unequal level of the knees, short stature and associated anomalies. Usually, children with PFFD and their families are faced with many treatment decisions, both surgical and non- surgical. Therefore, the treatment of PFFD has always been a challenge for the specialists. In this report, a 3-years-old boy with PFFD with dysplasia of hip and acetabulum and femur shortness in both side and delay in motor milestones has been reported who was referred by physician to the faculty of rehabilitation for occupational therapy and rehabilitation treatment