Shiraz University of Medical SciencesJournal of Rehabilitation Sciences & Research2345-616710220230601Cardiac Telerehabilitation, an Effective Strategy Against Covid-19 Epidemic61624861310.30476/jrsr.2022.93908.1254ENMohammadRafati FardHealth Science/ Exercise physiology, Clinical Research Development Unit, Hajar Hospital, Shahrekord University of Medical Sciences, Shahrekord, Iran0000-0002-2427-6314BehnamShakerianDepartment of Cardiovascular Surgery, Shahrekord University of Medical Sciences, Shahrekord, Iran0000-0001-8514-836XJournal Article20211213Covid 19 infection has a profound effect on cardiac rehabilitation (CR) program. With public quarantine policies, hospital based cardiac rehabilitation services were impossible in most countries, including Iran. that the consequences of reduced access and long term closure of CR centers may lead to long term complications include increased hospital admission and re-exposure of this vulnerable population to. These challenges have led many countries' rehabilitation centers and health care systems to develop and replace cardiac rehabilitation models such as E - health interventions and the use of mobile technology to provide these services with remote patient monitoring in order to reduce the effects of the spread of the epidemic, and to remove the barriers between physician – patient communication and in order to continue care and secondary prevention measures for cardiovascular patients. Therefore, due to the prolongation of the COVID-19 pandemic period and the identification of various types of coronavirus mutations, it is suggested that health - care services and cardiac rehabilitation associations in Iran create the necessary infrastructure to support and use digital methods and smartphone applicationhttps://jrsr.sums.ac.ir/article_48613_7adce796a98f29d6cc61434ba8a34238.pdfShiraz University of Medical SciencesJournal of Rehabilitation Sciences & Research2345-616710220230601Narrative and Reading Comprehension Performance in Dyslexic Persian Students63694851910.30476/jrsr.2022.94496.1276ENFarshadKhazraieDepartment of Speech Therapy, Varastegan Institute for Medical Sciences, Mashhad, Iran0009-0001-1607-4026SalimehJafariDepartment of Speech Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, IranRehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, IranMaryamJalalipourDepartment of Speech Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, IranRehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran0000-0001-5624-3560Journal Article20220209<strong>BACKGROUND: </strong>Through research on the role of storytelling skills in building learning and writing elements, little attention has been paid to assessing strengths and weaknesses in story structure, especially microstructure, in dyslexic students. The purpose of this study is to assess the role of this structure as a manifestation of the verbal and cognitive performance of these students.<br /><strong>Method:</strong> This is a descriptive analysis study. To identify dyslexic students, the Screening test for dyslexia diagnosis by Shafii et al. and Shirazi-Nilipour's reading diagnostic test were used. A total of 31 dyslexic students at secondary elementary school were identified during testing, and the remaining subjects (n = 35 students) were assigned to the control group. The story retelling test was used to assess students' storytelling skills. A parametric test (independent-samples t-test) was used to compare normally distributed data. A nonparametric test (Mann-Whitney U test) was used for non-normal data. Pearson's correlation test was also used to examine correlations for normally distributed data, and Spearman's correlation test was used for non-normal data.<br /><strong>Results:</strong> Students with dyslexia had significantly lower mean scores in all substructures of the macrostructure, including topic maintenance, sequence of events, and the main information. They also had significantly lower microstructure scores, including mean length of utterance, conjunction use, and syntactic complexity, compared to their normal counterparts (p<0.05).<br /><strong>Conclusion:</strong> Dyslexic students perform worse than their peers on most micro- and macrostructures of the retelling test. In other words, these students have poor linguistic and cognitive prerequisites for understanding and mastering reading skills. On the other hand, the results show that there is a meaningful association between storytelling skills and subsequent reading and comprehension acquisition.https://jrsr.sums.ac.ir/article_48519_cdd20e62066e2f3c9eb2d498778b5461.pdfShiraz University of Medical SciencesJournal of Rehabilitation Sciences & Research2345-616710220230601Leisure Questionnaire of People with Multiple Sclerosis70744861810.30476/jrsr.2022.93525.1239ENSeyed Mohammad SadeghHosseiniDepartment of Occupational Therapy, Faculty of Rehabilitation Sciences, Hamadan University of Medical Sciences, Hamadan, Iran0000-0002-9802-3424SaharNurani GharaborgheDepartment of Occupational Therapy, Faculty of Rehabilitation Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.0000-0001-9471-5725AliAsgariDepartment of Educational Psychology, Kharazmi University, Tehran, Iran.Journal Article20211107<strong>Background: </strong>Leisure activities are an important part of life for people with multiple sclerosis )MS). Unfortunately, there are no proper assessment tools for evaluating the leisure activities of MS patients. The current research purposed to develop such a questionnaire and to determine its factor structure.<br /><strong>Methods:</strong> This psychometric study aimed to determine the factor structure of a questionnaire for evaluating the leisure activities of MS patients and was conducted in explanatory and confirmatory phases.<br /><strong>Results: </strong>The questionnaire was completed, and the data were entered in SPSS for the explanatory phase and using linear structural relations (LISREL) for the confirmatory phase. The lowest Eigenvalue was 1.01, which corresponds to the Kaiser criterion. The validity coefficients of the extracted factors are considerable. There is a very slight difference between the highest coefficient that<br />is related to the third factor (0.846) and the lowest coefficient that is related to the fifth factor (0.799), indicating the number of factors was correctly determined. Confirmatory factor analysis illustrated that the goodness-of-fit (GFI) and the comparative fit index (CFI) indices were considerable (higher than 0.95),showing good fit of data. RMSEA was 0.024.<br /><strong>Conclusion:</strong> It can be concluded that the 5-factor structure (difficult, social,spiritual/religious, outdoor-physical, and cultural-artistic activities) of the multiple sclerosis leisure questionnaire with 50 items is confirmed.https://jrsr.sums.ac.ir/article_48618_138b05bd5f4ecc107f1907ccf6247d16.pdfShiraz University of Medical SciencesJournal of Rehabilitation Sciences & Research2345-616710220230601Quality of Life in Acromegaly Disease Among Iranian Population:One Longitudinal Before-After Study75804854310.30476/jrsr.2022.91838.1188ENArezooChouhdariSkull Base Research Center, Loghman Hakim Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IranSocial Determinants of Health Research Center, Amir-al-Momenin Hospital,Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran0000-0002-2999-6636FarnazSaberianDepartment of Internal Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranOmidvarRezaeiSkull Base Research Center, Loghman Hakim Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0001-5881-2042MohammadSamadianSkull Base Research Center, Loghman Hakim Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0002-4212-1738KavehEbrahimzadehSkull Base Research Center, Loghman Hakim Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0002-1435-3688GuiveSharifiSkull Base Research Center, Loghman Hakim Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0001-5691-2509ZahraDavoudiSkull Base Research Center, Loghman Hakim Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran0000-0003-3332-9382Journal Article20210705<strong>Background: </strong>The current study aimed to determine the quality of life (QoL) scores before and after treatment in patients with acromegaly.<br /><strong>Methods: </strong>In this longitudinal before-after study, the acromegaly quality of life (AcroQoL) questionnaire was used to assess the QoL. Demographics, clinical manifestations and co-morbidity data, pituitary axis involvement, biochemical and hormonal component tests, and health-related quality of life (HRQoL) before and after treatment (endoscopic transsphenoidal surgery, medication, radiotherapy) were evaluated in patients over 18 years of age. To compare the mean of continuous data, the independent t and Mann–Whitney tests were used. To compare the mean QOL score before and after the study, the paired-t and Wilcoxon tests were performed. The significance level was set at <em>p</em><0.05.<br /><strong>Results</strong>: Among 80 patients with acromegaly who underwent trans-sphenoid surgery with or without radiotherapy or medication therapy with somatostatin analogs, 52 (65%) entered the remission phase within 6 months. Associations were found between the remission phase and female gender (<em>p</em>=0.004) and lower growth hormone (GH) (<em>p</em>=0.04) but not between remission and lower insulin-like growth factor-I (IGF1) after surgery (<em>p</em>=0.02) or gonadal axis disorder after treatment (<em>p</em><0.001) statistically. Moreover, a significant association was found between not being in the remission phase and gonadal axis disorder before treatment (<em>p</em>=0.04). The QoL score in all dimensions of the AcroQoL questionnaire increased 6 months after treatment (<em>p</em><0.001). Total AcroQoL score was higher after treatment in the remission group (<em>p</em>=0.03). The psychological scale had a significantly higher score both on the total scale (<em>p</em><0.001) and on the two subscales of appearance (<em>p</em><0.001) and personal relationship (<em>p</em>=0.003).<br /><strong>Conclusion: </strong>Because of the importance of QoL in acromegaly patients, further studies in this field are recommended.https://jrsr.sums.ac.ir/article_48543_12590bd3783c4232539fd62c19d726c0.pdfShiraz University of Medical SciencesJournal of Rehabilitation Sciences & Research2345-616710220230601Psychometric Properties of the Persian Version of the Burden Scale for Family Caregivers-short Version in Patients with Stroke81864834510.30476/jrsr.2022.91822.1187ENAli RezaJamaliDepartment of Occupational Therapy, Iran University of Medical Sciences, Tehran, Iran0000-0001-6603-6952AfsoonHassani MehrabanDepartment of Occupational Therapy, Iran University of Medical Sciences, Tehran, Iran0000-0002-1011-4760MalekAminiDepartment of Occupational Therapy, Iran University of Medical Sciences, Tehran, Iran0000-0001-7643-7822Journal Article20210704<strong>Background:</strong> Considering the prevalence of stroke, an economical and reliable questionnaire is needed for use in research and rehabilitation to measure the amount of burden on caregivers of stroke patients. True to our knowledge, there is no exclusive Persian language instrument for assessing the burden of stroke caregivers. The current study investigated the validity and reliability of the Burden Scale for Family Caregivers-short version (BSFC-s) for stroke patients’ caregivers.<br /><strong>Methods: </strong>In this cross-sectional study, 51 stroke patients and their caregivers were studied using the above-named questionnaire translated from English into Persian.<strong> </strong>Construct validity of the questionnaire was evaluated by Spearman and Eta correlation. Cronbach’s Alfa was used to assess internal consistency. Factorial structure was evaluated by exploratory analysis.<br /><strong>Results: </strong>The test-retest reliability of the questionnaire was calculated to be 0.93, and the questionnaire’s internal consistency was 0.93. The construct validity of the questionnaire was acceptable.<br /><strong>Conclusions: </strong>In general, it can be said that this questionnaire has a good structure for assessing the burden of caregivers. In addition, by 10 items we can consider this questionnaire as an economically viable option in research and practice.https://jrsr.sums.ac.ir/article_48345_a7280311505a565658ccc92d2ccb0592.pdfShiraz University of Medical SciencesJournal of Rehabilitation Sciences & Research2345-616710220230601Depression, Anxiety, Stress, and their Associated Factors among Iranian Physical Therapists during COVID-19 Pandemic: An Onlinebased Cross-sectional Survey87924858510.30476/jrsr.2022.95749.1298ENLeilaValizadehMusculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranDepartment of Physiotherapy, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran0000-0001-9951-6506RaziehMofatehMusculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranDepartment of Physiotherapy, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran0000-0003-0902-1900MaryamSeyedtabibDepartment of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran0000-0003-1599-9374Journal Article20220607<strong>Background</strong>: Most physiotherapy treatments require direct contact with patients, which could predispose physical therapists to the transmission of infection. The present study aimed to investigate the depression, anxiety, and stress of physical therapists during the coronavirus disease 2019 (COVID-19) pandemic.<br /><strong>Method</strong>: A cross-sectional, web-based survey was applied during the pandemic. The survey was completed by 135 physical therapists working in Iran. The depression-anxiety and stress scale 21 (DASS-21) was used to evaluate their depression, anxiety, and stress statuses. A multiple regression analysis was used to identify the demographic characteristics factors related to depression, anxiety, and stress.<br /><strong>Results</strong>: The results showed that 43.7%, 43.8%, and 54.8% of physical therapists had severe and very severe levels of depression, anxiety, and stress, respectively. In addition, female physical therapists had higher levels of depression, anxiety, and stress. The level of anxiety was higher in physical therapists working in hospitals and those with more work experience.<br /><strong>Conclusion</strong>: Our findings indicated that COVID-19 resulted in high levels of depression, anxiety, and stress in Iranian physical therapists. Therefore, the mental health of physical therapists should be regularly monitored, and the proper support and training in coping strategies should be provided for them.https://jrsr.sums.ac.ir/article_48585_26a45472a5ac497f4ea6ce835c0e2aca.pdfShiraz University of Medical SciencesJournal of Rehabilitation Sciences & Research2345-616710220230601Effects of Exercise Therapy Plus Quadriceps, Gluteus Medius and Quadratus Lumborum Muscles Self-myofascial Release on Pain, Function, and Balance in Patients with Patellofemoral Pain Syndrome through Telerehabilitation: A Study Protocol for a Randomized Clinical Trial93994921810.30476/jrsr.2023.98264.1355ENSafooraAkhavan HaririPhysical Therapy Department, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, IranStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran0009-0003-0816-3840SaraAbolahrari-ShiraziPhysical Therapy Department, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, IranRehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran0000-0002-1999-1778LeilaAbbasiPhysical Therapy Department, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, IranRehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, IranJournal Article20230305<strong>Background</strong>: Patellofemoral pain syndrome (PFPS) is one of the most common knee pathologies that is highly prevalent in adolescents and adults. Patients who suffer from this syndrome usually experience weakness in the hip and knee muscles, as well as myofascial trigger points in the lumbopelvic- hip region, which can negatively impact their lower limb biomechanics. The purpose of this study is to evaluate the effectiveness of exercise therapy combined with self-myofascial release (SMFR) techniques for quadriceps, gluteus medius, and quadratus lumborum muscles on pain, function, and balance in these patients through telerehabilitation.<br /><strong>Methods:</strong><strong> </strong>The study will be a prospective, single-blinded, randomized controlled clinical trial, involving 60 patients who will be randomly allocated to either an experimental group that will receive four weeks of exercise therapy with SMFR techniques through telerehabilitation or a control group that will receive four weeks of exercise therapy only in the same manner. The outcome measures will include pain, pressure pain threshold, function, and balance. Data will be collected at baseline, at the end of treatment and two weeks after treatment.<br /><strong>Results:</strong><strong> </strong>Ultimately, the results of this study will provide evidence regarding the efficacy of exercise therapy combined with SMFR techniques for quadriceps, gluteus medius, and quadratus lumborum muscles on pain, function, and balance in patients with PFPS through telerehabilitation.https://jrsr.sums.ac.ir/article_49218_cca7eac435545eb18fc79d21d1da1692.pdfShiraz University of Medical SciencesJournal of Rehabilitation Sciences & Research2345-616710220230601Comparison of Auditory Localization Ability between Preschool Bilateral Hearing-Impaired Children and Normal Hearing Children1001054849710.30476/jrsr.2022.95333.1287ENNasrinGohariDepartment of Audiology, School of Rehabilitation, Hamadan University of Medical Sciences, Hamadan, Iran0000-0002-6873-2174ZahraHosseini DastgerdiDepartment of Audiology, Isfahan University of Medical Sciences, Isfahan, Iran.0000-0002-6376-6033FooziehDehghaniDepartment of Audiology, School of Rehabilitation, Hamadan University of Medical Sciences, Hamadan, Iran.EhsanNeginDepartment of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, IranAttaHeidariDepartment of Audiology, School of Rehabilitation, Hamadan University of Medical Sciences, Hamadan, IranJournal Article20220423<strong>Background:</strong> Sound localization is a valuable skill whose maturation is influenced by auditory experience and is limited by bilateral sensorineural hearing loss. No study has assessed auditory localization in bilateral hearing-impaired children (BHIC) aged 5-6 years. The present study aimed to investigate the auditory localization skill in children with moderate-to-severe bilateral hearing loss and using hearing aids compared to their normally hearing peers.<br /><strong>Methods: </strong>This cross-sectional study recruited 19 participants aged 5-6 years (60-72 months) with a mean age of 65.31± 3.83 months as the BHIC group and 21 participants aged 5-6 years with a mean age of 60.21±3.02 months as the normally hearing children (NHC) group. The localization ability of both groups was tested in 24 positions with 15-degree intervals by a speaker connected to a laptop and a calibrated speech stimulus named "test." A score of +0.5 for each 15 degrees of error on the right side of the position and -0.5 on the left side of the position were considered.<br /><strong>Results: </strong>The results revealed a significant difference in the error rates between the two groups in four (out of 24) positions (<em>p</em><0.05). Differences were not statistically significant in other positions.<br /><strong>Conclusion: </strong>The BHIC had a defect in the localization skill in some situations. Therefore, localization test and localization training are recommended for these children.https://jrsr.sums.ac.ir/article_48497_57354623694196cdb62f108afb573ac8.pdfShiraz University of Medical SciencesJournal of Rehabilitation Sciences & Research2345-616710220230601Dysphagia as a Main Symptom of Myasthenia Gravis in a Middleaged Adult Male: A Case Report1061084853810.30476/jrsr.2022.93045.1221ENPayamSariaslaniNeuroscience Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.Department of neurology, Kermanshah University of Medical Sciences, Kermanshah, Iran.Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran0000-0003-1924-4649GhazalehHomagostarNeuroscience Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.Department of neurology, Kermanshah University of Medical Sciences, Kermanshah, Iran.Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, IranHiwaMohammadiNeuroscience Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.Department of neurology, Kermanshah University of Medical Sciences, Kermanshah, Iran.Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran0000-0002-2364-9430Journal Article20211002<strong>Background: </strong>Myasthenia gravis (MG) is a rare neuromuscular disorder resulting from the destruction of acetylcholine receptors at the neuromuscular junction by IgG antibodies. Although dysphagia is a common symptom in generalized form of MG, it is rarely reported as a sole manifestation of the disease, specifically in younger patients. Herein, we report a middle-aged adult patient with dysphagia as the sole manifestation of MG.<br /><strong>Case presentation:</strong> A 49-year-old male complaining of severe dysphagia underwent an extensive clinical and paraclinical examination. Oropharyngeal dysphagia was confirmed by an experienced speech-language pathologist using the water swallowing test. Unilateral right paresis of the soft palate and vocal fold was confirmed using laryngeal video stroboscopy. Chest computerized tomography (CT) scan, brain Magnetic resonance imaging (MRI), and routine blood, urine, and thyroid tests were normal. In electromyography, slow repetitive nerve stimulation (RNS) showed a decremental response in the right nasalis muscle. The diagnostic neostigmine test with 1.5 mg of intramuscular neostigmine led to significant recovery of laryngeal and pharyngeal motor dysfunction and dysphagia within 12 hours, so the MG diagnosis was confirmed. The patient was treated with plasmapheresis, pyridostigmine, and prednisolone, which followed an improving course and led to better swallowing of solid and liquid foods.<br /><strong>Conclusion: </strong>MG should be considered as a diagnosis in middle-aged adults with complaints of dysphagia.https://jrsr.sums.ac.ir/article_48538_35004e5a9b545459183ec5f75b832e49.pdf