Showing 12 results for Taghizadeh
Shamsi Jamali, Akram Azad, Ghorban Taghizadeh,
Volume 1, Issue 2 (Spring 2018)
Abstract
Background and Objective: Fear of falling is a major problem among people suffering from stroke. This study aimed to investigate the relationship between functional balance (FB) and fear of falling (FOF) in chronic stroke patients with and without history of falling and to identify the best measurement tool for FB which can assess the FOF in these patients.
Methods: Eighty-two participants with chronic stroke with the mean age of 54.90 (±11.30) years participated in this non-experimental cross sectional study. They were divided into faller and non-faller groups based on their history of falling during the last month. The FB was measured by Berg Balance Scale (BBS), Dynamic Gait Index (DGI), Tinetti Balance Test, and Functional Reach Test (FRT). The Persian versions of the self-completed Fall Efficacy Scale-International (FES-I) and Activity-specific Balance-Confidence scale (ABC) were used to evaluate FOF.
Results: The results of this study showed that the correlation between FES-I with FRT, BBS, DGI and Tinetti Balance Test were -0.38, -0.67, -0.44 and -0.62, in faller group and -0.11, -0.59, -0.31 and -0.24 in non-faller group. The correlation between ABC and FRT, BBS, DGI and Tinetti Balance Test were 0.58, 0.48, 0.68 and 0.57 in faller group and 0.17, 0.55, 0.45 and 0.44 in non-faller group. The results of multiple regression analysis showed that BBS was the best predictor for FOF (which explained 25% and 31% of total variance of FES-I and ABC in faller group as well as 68% and 42% of total variance of FES-I and ABC in non-faller group).
Conclusion: The results of this study showed a low to moderate correlation between FB and FOF in both groups of faller and non-faller chronic stroke patients. Furthermore, BBS seems to be the best functional balance measurement to predict FOF in these patients.
Ali Yalfani, Maede Taghizadeh, Aylar Haji Ahmadi,
Volume 2, Issue 1 (Continuously Updated 2019)
Abstract
Purpose: Comparison of lower limbs injuries in male and female professional athletes in Poomsae Premier League. Methodology: The statistical population consisted of 143 martial athletes in men and women premier leagues who are 76 females and 67 males. Among them, the athletes who suffered injuries were considered as samples of this study. The mean age of male subjects was 28 +/- 11.14 years; mean weight was 50 +/- 6.91 kg; mean height was 161 +/- 7.44 cm; and mean age of female subjects was 30 +/-12.02 years; mean weight was 49 +/-6.47 kg; and mean height was 160 +/-7.55. The data was collected by the researcher and under supervision of a physician using modified questionnaire of Destombe et al. (2006). Descriptive statistics and chi-Square were used for data analysis. Results: Results of the present study showed that the highest rate of injury in men and women related to ankle and hamstring, respectively. And there was a significant difference between men and women in hamstring injuries (x2=12.52, p≤0.05). The most common type of injury in men was sprain and in women was strain; and the most common mechanism of injury in men was previous injuries and in women was due to rotational strikes. According to the results of this study, it can be concluded that if coaches pay more attention to teaching the techniques, and the team’s physiotherapist rehabilitate the athletes completely, the prevalence of injuries at any age and gender can be minimized.
Zakieh Sadat Saberi, Seyed Amir Hasan Habibi, Saeed Behzadipour, Ghorban Taghizadeh,
Volume 2, Issue 1 (Continuously Updated 2019)
Abstract
Background: Freezing of gait (FOG) is a disabling clinical phenomenon in patients with Parkinson's disease (PD), which is characterised by short episodes of inability to step and affect about 38.2 % of these patients. Abrupt FOG may disturb the balance and, thus, it is considered as a common cause of falls in PD. This study was designed to evaluate the fall diagnostic accuracy of the Timed Up and Go Test (TUG), a reliable and valid clinical test to assess mobility and risk of falls, in patients with PD who had FOG.
Methods: In this cross-sectional study, 80 subjects with a diagnosis of idiopathic PD who had FOG by mean ± SD age of 63.63±9.76 years and mean ± SD disease duration of 7.82±5.76 years were enrolled by simple non-probability sampling method. They were divided into two faller and non-faller groups based on the history of fall during the past six months. Sensitivity, specificity, negative and positive likelihood ratios, and receiver operator characteristic curve was calculated for TUG.
Results: The TUG score indicated significant differences between faller PD patients who had FOG and non-faller PD patients who had FOG (p=0.003). The best cut-off point for discriminating faller and non-faller PD patients who had FOG was 11.85 seconds (sensitivity= 68.97% and specificity= 86%).
Conclusion: TUG demonstrated moderate sensitivity and specificity to fall status in patients with PD who had FOG, suggesting its use in conjunction with other tests for screening those who may need intervention for decreasing falls.
Maryam Binesh, Dorsa Hamedi, Ghorban Taghizadeh,
Volume 2, Issue 1 (Continuously Updated 2019)
Abstract
Background: The majority of hemi-paretic stroke patients showed weight bearing asymmetry effects on postural control during bending and reaching tasks. The purSpose of this study was to investigate the effect improving weight bearing asymmetry using 5˚ and 7.5˚ lateral shoe wedges on dynamic postural control of chronic stroke patients during bending and reaching.
Methods: Seventeen hemi-paretic patients (10 female and 7 male, 11 left hemiparesis and 6 right hemiparesis), and weight bearing asymmetry more than 10% during standing participated in this study. Postural sway parameters were computed for six targets (2 distances and three directions) in four conditions of wedges: non- wedge, wedge 5˚, wedge 7.5˚ and last non wedge during bending and reaching tasks.
Results: There were no statistical differences between the effects of two types of lateral shoe wedges (5˚ and 7.5˚) on symmetry index and postural sway parameters. The main effects of target were significant for all body sway parameters but the main effects of wedges were only significant for sway path and velocity. Interaction effects of target by wedge were not significant for any of sway parameters.
Conclusion: Lateral shoe wedges have a positive effect on dynamic postural control of stroke patients. This method may be used to treat postural control deficits during bending and reaching tasks in stroke rehabilitation.
Mahnoosh Khanipuor, Laleh Lajevardi, Ghorban Taghizadeh,
Volume 3, Issue 1 (Continuously Updated 2020)
Abstract
Background and Objectives: Burn injuries are one of the most common traumas after traffic accidents, falls, and interpersonal violence. This study was done to investigate the correlation between psychological factors, pain, and sleep quality, and disability and occupational performance in subjects with hand and upper extremity burns.
Methods: A total of 80 patients with hand and upper extremity burn injuries (16 females and 64 males) with a Mean±SD age of 39.9±10.79 years, mean burn depth (Deep Partial Thickness/ Full Thickness) of 3.42±2.66, and Mean±SD burns extent 1.06±0.24 participated in this non-experimental cross-sectional study using a non-probability sampling method. Their psychological disorders were measured using the Beck Anxiety Disorder Scale and the Self-Rating Depression Scale. The pain was assessed using the Visual Analogue Scale, sleep quality was measured by the Pittsburgh Sleep Quality Index (PSQI), disability was assessed using the Shortened Disabilities of the Arm, Shoulder, and Hand (DASH) Questionnaire, level of independence in daily living activity was measured by the Modified Barthel Index, and occupational performance was measured by the Canadian Occupational Performance Measure (COPM).
Results: Psychological factors, pain, and sleep quality were significantly correlated with disability and occupational performance. The regression models explained up to 34.4% of the variance for disability outcome and 12.4% for occupational performance. By assessing the correlation between the psychological disorders, pain, and sleep quality, and disability and occupational performance in these patients, we found that sleep quality was the strongest contributing factor Followed by PSQI.
Conclusion: Sleep quality is one of the important factors affecting the occupational performance of patients with hand and upper extremity burns injury that should be considered by therapists.
Zahra Nodehi, Saeed Behzadipour, Akram Azad, Akbar Soltanzadeh, Ghorban Taghizadeh,
Volume 3, Issue 1 (Continuously Updated 2020)
Abstract
Background and Objectives: To investigate the correlation between reach and grasp kinematic measures and clinical measures of gross and fine manual dexterity in patients with idiopathic Parkinson Disease (PD).
Methods: Sixty patients (44 men, 16 women) with idiopathic PD (Mean±SD of age: 59.85±11.89 years) were recruited in this non-experimental cross-sectional study using a non-probability sampling method. Their gross and fine manual dexterity were assessed using the Box and Block Test (BBT) and Nine Hole Peg Test (NHPT), respectively. Also, reach and grasp kinematic measures (including normalized movement time, peak velocity, Maximum Grip Aperture [MGA], and percentage of movement time in which MGA occurred [PMGA]) were measured in the more affected hand.
Results: The results showed a significant and moderate correlation between reach kinematic measures (i.e. normalized movement time and peak velocity) and both gross and fine manual dexterity assessed by BBT (P=0.000) and NHPT (P=0.000), respectively. However, there was not a significant correlation between grasp kinematic measures (i.e. MGA and PMGA) and gross manual dexterity measured by BBT (P>0.05) as well as fine manual dexterity assessed by NHPT (P>0.05).
Conclusion: This study showed no to moderate correlation between reach and grasp kinematic measures and clinical measures of gross and fine manual dexterity in patients with PD, supporting the significance of multi-level evaluation using both clinical and kinematic measures in the evaluation of upper limb function in patients with PD.
Mrs Nahid Sadeghi, Dr Malahat Akbarfahimi, Dr Ghorban Taghizadeh Hajlouee,
Volume 4, Issue 1 (Continuously Updated 2021)
Abstract
Background and Objectives: “Meaningful Activity Participation Assessment” (MAPA) questionnaire is a suitable tool for examining the frequency and meaningfulness of 28 activities. The aim of this study was to assess the face and content validity of the Persian version of MAPA for older adults.
Methods: The face validity was assessed qualitatively using interviews and quantitively using the item impact method (IIM) with 15 elderly aged 65-90 years old and MMSE≥21. They measured the suitability simplicity and comprehensibility of the items. To assess the content validity using CVR and CVI, 15 occupational therapists (eight PhD. Candidates, seven masters) who had more than five years of experience in geriatric rehabilitation and aged>30 years old took part.
Results: All items of MAPA using IIM were more than 1.5. The CVR scores for each item were 0.6-1 (the cut-off base on Lawshe table 0.49). The average CVR value of MAPA was 0.84. The I-CVI of the Persian version of MAPA ranged from 0.86-1. All items scored higher than 0.79. The S-CVI/UA was 0.58 and the S-CVI/Ave was 0.96.
Conclusion: The Persian version of MAPA has acceptable content and face validity in the elderly. Investigation of test-retest and internal consistency reliability and construct validity (convergent, divergent, and factor analysis) is suggested.
Farahnaz Farhanginasab, Laleh Lajevardi, Ghorban Taghizadeh,
Volume 4, Issue 1 (Continuously Updated 2021)
Abstract
Background and Objectives: Cognitive and psychological disorders are among the most debilitating complications of Parkinson’s Disease (PD). Despite the high prevalence of these disorders in patients with PD and the important effect of psychological factors on cognitive factors in other neurological diseases, no study was found on the relationship between psychological factors and cognitive function in patients with PD who have chronic fatigue. The present study was conducted to investigate the relationship between psychological factors and cognitive function in patients with PD and chronic fatigue.
Methods: In the present cross-sectional study, a total of 73 patients with PD who had chronic fatigue were selected by non-random convenience sampling method from those visiting Tehran’s rehabilitation centers in 2019. The following questionnaires were used: Fatigue Severity Scale (FSS) for fatigue, Beck’s Depression Inventory for depression, Beck’s Anxiety Inventory for anxiety, and Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) for cognitive function, as well as Unified Parkinson’s Disease Rating Scale (UPDRS-III) and Pain Visual Analog Scale (Pain VAS).
Results: The regression models explained the cognitive function variance by a maximum of 1.43% in MMSE and 8.79% in MoCA. In all stepwise models of cognitive function, anxiety was the strongest predictor of cognitive function followed by age and UPDRS-III score.
Conclusion: The results of this study indicated that anxiety as the strongest predictor can affect cognitive function in patients with PD who have chronic fatigue. Hence, therapeutic interventions focusing on psychological factors may be particularly important for improving cognitive function in these patients.
Arian Dehmiyan, Akram Azad, Ghorban Taghizadeh,
Volume 4, Issue 1 (Continuously Updated 2021)
Abstract
Background and Objectives: One of the most important areas in the rehabilitation of stroke patients is participation in meaningful activities. Participation of individuals with stroke in meaningful activities can increase their satisfaction and quality of life. The present study aimed to investigate the relationship between psychological factors and participation in meaningful activities as well as determining factors predicting participation in meaningful activities in patients with stroke.
Methods: In this cross-sectional study, 100 people with chronic stroke participated which were selected from four rehabilitation centers using a convenience non-probability sampling method. Participants were assessed using Meaningful Activity Participation Assessment (MAPA), Satisfaction with Life Scale (SWLS), Center for Epidemiological Studies of Depression Scale (CED-S), 36-Item Short-Form Health Survey (SF-36), Visual Analogue Scale for Fatigue (VAS ‐ F), and Visual Analog Scale for Pain (VAS Pain).
Results: The severity of depression had the highest relationship with the level of participation in meaningful activities. Also, the severity of depression, cognitive status, pain intensity, and severity of fatigue were identified as significant factors predicting the rate of participation in meaningful activities of patients with stroke.
Conclusion: Participating in meaningful activities in people with stroke is an important issue and a major obstacle in the lives of people with stroke. As a result, identifying problems and making appropriate interventions to remove obstacles, such as fatigue, pain, cognitive problems, and most importantly depression should be a priority for professionals.
Laleh Lajevardi, Ghorban Taghizadeh, Akram Azad, Amir Seyed Ahmadi,
Volume 6, Issue 1 (Continuously Updated 2023)
Abstract
Background and Objectives: An ankle sprain is one of the most common musculoskeletal injuries and has various complications. Various factors can predict post-injury complications, including ankle muscle strength, pain, and activity level. So far, no study has exclusively investigated the predictive role of these factors. Therefore, this study aims to investigate the role of these factors in ankle instability, functional mobility, and gait speed in individuals with ankle sprain.
Methods: This study was conducted on 140 individuals with ankle sprains who were referred to medical centers in Shiraz City, Iran. The demographic information of the patients (including the time elapsed since the sprain, etc.) was recorded by a demographic questionnaire. Related tests were also used to evaluate ankle muscle strength, pain, activity level, ankle functional instability, functional mobility, and gait speed, respectively.
Results: In the regression models, the predictive value for each outcome of ankle functional instability, functional mobility, and walking speed was 45.5%, 58.8%, and 65.3% of the variance, respectively. In all stepwise models, ankle muscle strength was the strongest predictor for the outcomes of functional ankle instability, functional mobility, and gait speed.
Conclusion: Ankle muscle strength, level of education, history of sprain in the last year, and age were the vital predictors of ankle functional instability. Muscle strength, age, and sprain status were the critical predictors of functional mobility respectively. Muscle strength, pain, age, duration of sprain, and activity level were the crucial predictors of gait speed.
Ms Mahya Eshghi, Dr. Malahat Akbarfahimi, Ghorban Taghizadeh Hajlouee, Elahe Hojati Abed,
Volume 7, Issue 1 (Continuously Updated 2024)
Abstract
Background and Objectives: Occupational identity (OI) is a crucial factor in occupational therapy evaluations and interventions which is not investigated in chronic conditions, including multiple sclerosis (MS). The Occupatinal Identity Questionnaire (OIQ) is an appropriate tool for assessing occupational identity. As a result, this research aims to adapt the Persian version of OIQ for people with MS and evaluate its face and content validity.
Methods: The face validity of OIQ was qualitatively and quantitatively evaluated with 15 participants diagnosed with MS. Interviews were used to qualitatively assess the face validity. In addition, the item impact method (IIM) was applied to quantitatively assess face validity. A total of 12 experts with experience in the field of neurology participated in evaluating content validity. The content validity ratio (CVR) and the content validity index (CVI) were applied in this evaluation.
Results: All the items received IIM scores above 1.5 (3.03 to 4.62). Also, none of the items were mentioned as incomprehensible during interviews. The CVR scores for each item ranged from 0.63 to 1 (based on Lawshe >0.59). After that stage, a CVI study was conducted. In that study, scores for each item ranged from 0.83 to 1. S-CVI/Ave score was 0.94 and scale CVI/universal agreement (S-CVI/UA) was 0.57. Based on experts’ comments, it was determined that adjustments were necessary for item number 6 and 10.
Conclusion: The Persian version of the OIQ demonstrates acceptable face and content validity in the context of MS. It is recommended to conduct a test re-test, internal consistency, construct validity, and factor analysis.
Diba Sharifi, Laleh Lajevardi, Ghorban Taghizadeh, Akram Azad,
Volume 8, Issue 1 (Continuously Updated 2025)
Abstract
Background and Objectives: Investigating the impact of occupational therapy interventions on the participation levels of adults with stroke is crucial due to its significant influence on their satisfaction and quality of life (QOL). Therefore, it is essential to provide a more comprehensive understanding and an accurate assessment of individual participation, while ensuring the affordability of evaluation tools. This study aims to translate and evaluate the face and content validity of the Persian version of the participation measure–3 domains, 4 dimensions (PM-3D4D) questionnaire in adults with chronic stroke.
Methods: This methodological study was conducted following the international QOL assessment (IQOLA) protocol after obtaining permission from the test developer. The Persian version of PM-3D4D was created, and the face and content validity were evaluated with the participation of 20 adult patients with chronic stroke and 15 occupational and physiotherapists experienced in stroke rehabilitation. Both quantitative and qualitative approaches were utilized to assess face validity, while the content validity index (CVI) (to evaluate clarity, relevance, simplicity, and of items) and content validity ratio (CVR) (to establish the necessity of items) were applied to evaluate content validity.
Results: Participants’ opinions regarding all items of the questionnaire were favorable; thus, the Persian version was entirely clear, appropriate, and satisfactory in terms of both structure and content. In terms of importance, quantitative assessments of face validity showed that all items had impact scores above 1.5 and were thus accepted. The CVR and CVI results confirmed that all items were necessary, simple, sufficiently clear, and relevant to the concept of participation.
Conclusion: The Persian version of the PM-3D4D questionnaire demonstrates good face and content validity and warrants further investigation in psychometrics as a tool to measure participation among adults with chronic stroke.
