OTHERS_CITABLE مقایسه ارتباط کلامی و غیرکلامی کودکان ناشنوا بدون کاشت حلزون و کودکان ناشنوای برخوردار از کاشت حلزون پس از 12 تا 24 ماه http://fdj.iums.ac.ir/article-1-66-fa.pdf 2018-12-15 1 7 10.30699/fdisj.1.3.1 Comparison of Verbal and Non-Verbal Communication Between Deaf Children with no Cochlear Implantation and Deaf Children 12-24 Months After Cochlear Implantation Background and Objectives: It has been shown that cochlear implant significantly improves verbal communication in deaf children. The aim of the current study was to investigate and compare the verbal and non-verbal communication abilities in two groups of deaf children: without cochlear implant (CI), and children using CI for 12-24 months. The results were then compared with typically-developing children as the control group. Methods: 87 children participated in this cross-sectional, descriptive analytical study, (14 deaf children without CI, 25 children with CI that their hearing ages were 12 to 24 months and 48 normal children aged 12 to 24 months). A reliable verbal and non-verbal checklist was completed by parents and nonparametric method was used for data analyzing.    Results: The results indicated that non-verbal communication skills were similar in all groups with no significant difference (P>0.05). However, verbal abilities in deaf children without CI were significantly impaired compared to the children with CI and control group (P<0.05). Furthermore, there was no significant difference between the verbal communication scores of children with CI and normal children (P>0.05).  Conclusion: It can be expected that deaf children who receive CI, will reach the verbal communication abilities of 12-24-month-old typically children, at least 12 to 24 months post-implantation    http://fdj.iums.ac.ir/article-1-66-en.pdf 2018-12-15 1 7 10.30699/fdisj.1.3.1 Non-Verbal and verbal communication Deaf children Cochlear implantation Typically-Developing children Nahid Jalilevand jalilevand.n@iums.ac.ir 1 PhD, Department of Speech Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran AUTHOR Mona Ebrahimipour 2 PhD, Department of Speech Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran AUTHOR Masoud Motasaddi Zarandi 3 PhD, .Department of Otolaryngology, Tehran University of Medical Sciences, Tehran, Iran AUTHOR Mohamad Kamali 4 PhD , Department of Rehabilitation Management, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran AUTHOR Leyla Fayazi 5 PhD Student in Linguistics, Department of Speech & Language Pathology, Special Education Organization, Tehran, Iran AUTHOR
OTHERS_CITABLE شاخص‌های اکوستیکی در بیماران فارسی زبان مبتلا به گرفتگی صدا http://fdj.iums.ac.ir/article-1-67-fa.pdf 2018-10-28 8 17 10.30699/fdisj.1.3.8 Acoustic Parameters in Persian-Speaking Patients with Dysphonia Background & Objectives: Studying voice acoustic parameters in vowel production is a crucial component of every standard voice evaluation. Voice Analysis is non-invasive. Nowadays, computerized Voice Analysis is growing rapidly. Therefore, understanding acoustic parameters in healthy and unhealthy individuals is more significant than before. This research is a step toward boosting our knowledge about voice acoustic parameters. The main purpose of this research is to study acoustic characteristics in dysphonic and healthy Iranian individuals.  Methods: The current study was descriptive-analytic. Vowel Analysis was conducted through Praat software. Voices of 50 dysphonic patients and 50 healthy participants were evaluated. The acoustic parameters included average, standard deviation, and range of fundamental frequency, jitter, shimmer, the number and degree of voice breaks, and harmonic to noise ratio. Results: In all studied acoustic characteristics, patients’ mean scores were higher than controls’ mean scores, except for harmonic to noise ratio which was higher in the healthy individuals. Although, the number of voice breaks in healthy male and female population was zero, it was 1.8 in male patients and 4.4 in female patients (P<0.05). jitter and shimmer in patients were dramatically higher (P<0.05) than their amount in healthy controls; moreover, patients’ fundamental frequency range (male: 54.6±59.0, female: 78.6±68.4) was extremely broader than individuals with normal voices (male: 9.7±4.1, female: 16.2±7.3). Conclusion: It was clarified that there are considerably significant differences in some acoustic features. These differences may be used as a foundation for diagnosis and intervention in dysphonic patients. This study illustrated that Acoustic Analysis can differentiate healthy individuals from patients. Hence, it can be used as a non-invasive, fast and accurate method.   http://fdj.iums.ac.ir/article-1-67-en.pdf 2018-10-28 8 17 10.30699/fdisj.1.3.8 Voice acoustic Fundamental frequency Voice break Perturbation. Farhad Torabinenezhad 1 Assistant Professor, Department of Speech & Language Pathology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran AUTHOR Farzad Izadi 2 Professor, Department of ENT, Hazrat Rasoul Medical Complex, Iran University of Medical Sciences, Tehran, Iran AUTHOR Abbas Pourshahbaz apourshahbaz@yahoo.com 3 Associate Professor, Department of Clinical Psychology, Social Welfare & Rehabilitation Sciences University, Tehran, Iran AUTHOR Mahmood Bijankhan 4 Professor, Department of Linguistics, University of Tehran, Tehran, Iran AUTHOR Moharam Eslami 5 Associate Professor, Department of Linguistics, University of Zanjan, Zanjan, Iran AUTHOR Mohammad Rohani 6 Associate Professor, Department of Neurology, Hazrat Rasoul Medical Complex, Iran University of Medical Sciences, Tehran, Iran AUTHOR Mona Ebrahimipor 7 Assistant Professor, Department of Speech Therapy, Social Welfare & Rehabilitation Sciences University, Tehran, Iran AUTHOR
OTHERS_CITABLE موانع تحرکی افراد مبتلا به مالتیپل اسکلروزیس: یک مطالعۀ کیفی http://fdj.iums.ac.ir/article-1-68-fa.pdf 2018-12-15 18 27 10.30699/fdisj.1.3.18 Mobility Barriers for People with Multiple Sclerosis: a Qualitative Study Background & Objectives: The purpose of this study was to identify the experiences of people with multiple sclerosis (MS) from mobility barriers they are faced with. Methods: This study included 13 patients with MS (7 women and 6 men), with informed consent, whose average age is 43 years. A qualitative content analysis approach was used. According to the EDSS criteria, the severity of their disability was between 8-4. The sampling was carried out purposefully with maximum variation, and the data was collected through semi-structured in-depth interviews. Immediately after each interview, the data was analyzed using the Cheevakumjorn`s method.  Results: After analyzing the obtained data and categorizing the resulting codes; three main categories were observed: “disease-affected barriers”, “personal barriers” and “environmental barriers”. The data of each theme were classified as subthemes.  Conclusion: Based on research findings and experiences of the participants, rehabilitation specialists during the assessment, management and treatment of patients with MS should alert and educate patients about personal mobility barriers and try to help them fit in their physical environment.   http://fdj.iums.ac.ir/article-1-68-en.pdf 2018-12-15 18 27 10.30699/fdisj.1.3.18 Multiple sclerosis Mobility barriers Qualitative study Lived experiences Atefeh Saadati Qamsari 1 MSc student of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran AUTHOR Shohreh Noorizadeh Dehkordi Noorizadeh.sh@iums.ac.ir 2 Assisstant Professor, Department of Physiotherapy, Iranian Center of Excellence for Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran AUTHOR Mehdi Dadgoo 3 Assisstant Professor, Department of Physiotherapy, Iranian Center of Excellence for Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran AUTHOR
OTHERS_CITABLE بررسی تأثیر کاربرد تبلت و گوشی‌های هوشمند بر حدت و عملکرد بینایی کودکان کم‌بینا http://fdj.iums.ac.ir/article-1-69-fa.pdf 2018-12-15 28 35 10.30699/fdisj.1.3.28 Impact of Using Tablet Computer and Smart Phone on Vision Performance In a Group of Visually Impaired Children Background & Objectives: To assess the effect of using tablets and smartphones on visual acuity and vision-related performance in a population of visually impaired children.  Methods: 24 children between the ages 4 to 13 years with visual acuity between 20/80 (0.6 Log Mar) to light perception participated in this study. The case group comprised children who scheduled to work with a tablet or smartphone for 2 hours a day for 6 months. The control group received nothing. Near and far vision as well as refraction were measured. Children of the two groups were asked to paint and the duration of painting was recorded. A questionnaire was designed to assess the quality of life the of children. All measurements were repeated 6 months later in both groups. There was no significant difference in vision between the two groups before using a tablet. Parents were also asked to explain any changes that occured in the behaviors of their children. Results: Distant vision in the tablet group was significantly different from the control group (P=0.04) which indicates improvement in visual acuity of the case group with about 0.20 Log Mar compared to the control group. There was 0.20 log Mar better vision in the tablet group in comparison with the control group (P=0.04). Results from the questionnaire showed that in the tablet group, the score was about 14.04 units better than the control group. The time consumption for painting was the same in both groups after 6 months. There was no significant difference in near acuity and refractive errors. Interviews with parents showed improvement in the tablet group in the area of navigation, mobility as well as objects’ recognition. Parents stated that their child performed better in the environment. They had less accidents with objects and individuals. They were more comfortable in walking and using stairs.  Conclusion: using tablets and smart phones by visually impaired children can improve distant vision and increase their functionality in performing daily life activities.   http://fdj.iums.ac.ir/article-1-69-en.pdf 2018-12-15 28 35 10.30699/fdisj.1.3.28 Visually impaired children Tablet Smart phone Visual acuity. Akram Zarei 1 MSc, Department of Optometry, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran AUTHOR Abbas Riazi abbas.riazi@gmail.com 2 PhD, Senior Lecturer, Department of Ophthalmology, School of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran. AUTHOR Javad Heravian Shandiz 3 Professor, Department of Optometry, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran AUTHOR Abdollah Farzaneh 4 PhD Candidate, Department of Optometry, Iran University of Medical Sciences, Tehran, Iran AUTHOR
OTHERS_CITABLE تأثیر تربیت شنوایی به روش «اربر» بر پیشرفت مهارت‌های شنوایی کودکان کم‌شنوای 4-3 ساله http://fdj.iums.ac.ir/article-1-70-fa.pdf 2018-12-30 36 44 10.30699/fdisj.1.3.36 The Effects of Auditory Training by Erber Method on Improvement of the Auditory Skills in 3-4 Year-Old Hearing-Impaired Children Background & Objectives: Auditory sense is important for the learning of speech and language in childhood. Sensory-neural hearing loss can cause serious consequences in the development of auditory and communicational skills. Auditory training is of great importance in the aural rehabilitation services for decreasing these effects. Currently, there are several methods such as AVT, SKI-HI, DASL and also the Erber method. Given the specific characteristics of the Erber method, its benefit has not been shown in available researches yet. Therefore, this study aimed to apply Erber method to examine the improvement of auditory skills in sensorineural hearing-impaired children. Methods: This clinical trial study was performed on 13 toddlers with severe-to-profound hearing loss. The Erber method was applied for auditory training. Exercises were performed over the first three months (only language therapy), and following that, auditory training was increased for six months. This 9-month period was repeated once. The assessments were repeated every three months by the “Tavana” test. The data of five repetitions of the Tavana test were analyzed by paired t-test. Results: No significant difference was observed between the results from tests 1, 2 and 4, 5 tests. However, noticeable difference was observed between the results from the 2, 4 and 5, 7 tests. These findings revealed the auditory training by Erber method, which greatly improved the auditory skills.  Conclusion: Mere use of appropriate hearing-aid with language therapy without auditory training, would not lead to the improvement of auditory skills. Theseskills were rather improved by auditory training in hearing-impaired children. So, the Erber method was an appropriate and effective method for auditory training.   http://fdj.iums.ac.ir/article-1-70-en.pdf 2018-12-30 36 44 10.30699/fdisj.1.3.36 Auditory Training Hearing loss Erber’s method Tavana test Children Farnoush Jarollahi jarollahi.f@iums.ac.ir 1 PhD in Audiology, Audiology Department, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran AUTHOR Afsaneh Alinejad Kashani 2 BS in Audioloy, Audiology Department, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran AUTHOR MohammadReza Keyhani 3 MSc in Statistics, Basic Sciences Department, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran AUTHOR Atefeh Kamalvand 4 MSc in Audiology, Audiology Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran AUTHOR
ORIGINAL_ARTICLE بررسی درک نحو در کودکان 4 تا 6 سالۀ مقیم مرکز نگهداری http://fdj.iums.ac.ir/article-1-59-fa.pdf 2018-12-30 45 53 10.30699/fdisj.1.3.45 Syntax Comprehension in 4-6 Year Old Foster Children Background & Objectives: The educational environment and family are of the most important factors in the growth and development of linguistic and verbal skills of a child. Certain conditions such as environment can influence the linguistic characteristics of the child. This study aimed to examine the syntax comprehension of Persian language speaking children among foster families and typically-developing children.  Methods: 72 Persian speaking children living in orphanages between the ages 4 to 6 and 75 typically-developing 4 to 6 year-old children were assessed by the Persian syntax comprehension test. This test measures 24 syntactic constructs of Persian language in 96 items. Also, the Mann-Whitney Test was used to compare the groups.  Results: Given the results of the Persian syntax comprehension test, the mean syntax compression score of children living in orphanages were significantly lower than those of typically-developing children (P<0.05).  Conclusion:The foster children should be more paid attention to, in order to particularly enhance their syntax comprehension.    http://fdj.iums.ac.ir/article-1-59-en.pdf 2018-12-30 45 53 10.30699/fdisj.1.3.45 Orphanage Syntax comprehension Language Foster children Typically-developing children Ali Jafari Naimi alijafarinaimi@yahoo.com 1 MSc Student, Speech Pathology Department, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran AUTHOR Zohre Arani Kashani Arani.kashani.z@iums.ac.ir 2 Assistant Professor, Speech Pathology Department of Speech & Language Pathology, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran AUTHOR Reyhane Mohamadi mohamadi.r@iums.ac.ir 3 Assistant Professor, Speech Pathology Department of Speech & Language Pathology, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran AUTHOR Mahboobeh Rasouli mahrasouli@gmail.com 4 Assistant Professor, Department of Biostatistics, Faculty of Public Health, Iran University of Medical Sciences, Tehran, Iran AUTHOR
ORIGINAL_ARTICLE Misdiagnosis of Patients with Cervicogenic Headache: A Case Series Study Background and Objectives: Cervicogenic headache is considered to be one of the most controversial headaches because of its diagnostic challenges. It has several pathogeneses resulting in different signs and symptoms that make therapists prone to misdiagnosis. The aim of this study was to estimate the prevalence of diagnostic errors in cervicogenic headache patients. Methods: In this study that was conducted in the physiotherapy ward of the Ministry of Cooperatives, Labour, and Social Welfare clinic in summer 2018, 60 patients with chronic headache were examined using the International Headache Society Diagnostic criteria and five physical tests. The aim of this study was to determine the number of the patients with cervicogenic headache who were not diagnosed or were misdiagnosed before this study. Results: Fifty-three of the volunteers had cervicogenic headache. Only four of them were diagnosed correctly before this study, indicating that 92% of the cervicogenic headache patients were not diagnosed properly in this study. Conclusion: There is a significantly high rate of misdiagnosis in patients with cervicogenic headache. Because of the physical mechanisms that induce this type of headache, applying valid and reliable physical tests together with diagnostic criteria may lead to accurate diagnosis of cervicogenic headache. http://fdj.iums.ac.ir/article-1-78-en.pdf 2018-12-24 54 61 10.30699/fdisj.1.4.54 Cervicogenic headache Misdiagnosis Diagnostic error Mohammad Amir Bonakdar Tehrani tehrani.dpt@gmail.com 1 MSc. Student, Department of Physiotherapy, Iran University of Medical Sciences, Tehran, Iran AUTHOR Mohammad Akbari Akbari.mo@iums.ac.ir 2 Professor, Department of Physiotherapy, Iran University of Medical Sciences, Tehran, Iran AUTHOR Mehdi Dadgoo dadgoo.m@iums.ac.ir 3 Assistant Professor, Department of Physiotherapy, Iran University of Medical Sciences, Tehran, Iran AUTHOR
OTHERS_CITABLE Investigating the Effect of Participation-based Individualized Occupational Therapy on Functional Mobility of Children with Cerebral Palsy in School: A Single-blind Randomized Clinical Trial Background and Objectives:  Cerebral palsy is a non-progressive disorder in the growing brain that disrupts movement and ultimately limits the individual’s performance and participation in a variety of areas, such as everyday life, play, and school activities. Individualized occupational interventions help these children receive appropriate services and supports based on their needs, abilities, and disabilities. Current research aimed at investigating effect of individualized occupational therapy interventions on mobility in children with cerebral palsy in the schools. Methods: This is a Single-blind randomized clinical trial, in which 18 children with cerebral palsy at ages 6-12 were selected using convenience method, and were divided into control and intervention groups using block randomization method. During the research period, the control group like before the research received the conventional occupational therapy interventions for 5 weeks and 12 sessions. The intervention group received occupational interventions based on the individualized appropriate goals. Both groups were assessed by School Function Assessment (SFA). Results: The average age of participants was 10.17 years old. Of these children, 52% used wheelchair .Difference in changes of mobility variables was significant between control and intervention group (P<0.05). Conclusion: The results showed that individual occupational therapy based on participation of children with cerebral palsy in exceptional schools had significant impact on mobility of children in non-academic activities of the school, which requires further studies. http://fdj.iums.ac.ir/article-1-50-en.pdf 2018-12-24 62 70 10.30699/fdisj.1.4.62 Individual occupational interventions School-based occupational therapy Cerebral palsy Mobility Atefeh Kalooti ati.kalooti@gmail.com 1 MSc. Student, Occupational Therapy Department, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran AUTHOR Mehdi Alizadeh Zarei mehdi.alizadeh@yahoo.com 2 Rehabilitation Research Center, Occupational Therapy Department, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran AUTHOR Malek Amini malekamini8@gmail.com 3 Rehabilitation Research Center, Occupational Therapy Department, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran AUTHOR