Middle East Journal of Rehabilitation and Health Middle East Journal of Rehabilitation and Health Middle East J Rehabil Health http://www.jrehabilhealth.com 2423-4451 10.5812/mejrh. en jalali 2017 5 25 gregorian 2017 5 25 4 1
en 10.17795/mejrh-37043 Evaluation of Dental Status and Its Association with Oral Health-Related Quality of Life in Preschool Children in Zahedan City, Iran: A Cross-Sectional Study Evaluation of Dental Status and Its Association with Oral Health-Related Quality of Life in Preschool Children in Zahedan City, Iran: A Cross-Sectional Study research-article research-article Conclusions

Under the limitations of the present study, there is no significant relationship between the DMFT index and the index of oral health-related quality of life. Further studies are recommended.

Background

Several factors can affect the oral health-related quality of life in children.

Objectives

The aim of this study was to evaluate the dental status and its relationship with the oral health-related quality of life in preschool children in Zahedan City, Iran.

Methods

In this descriptive-analytical cross-sectional study, 200 preschool children (5 - 6 years old) were randomly selected from different areas of Zahedan city. Dental health status of children was investigated using the decayed, missing and filled teeth (DMFT) questionnaire. Oral-health-related quality of life of the children and their parents was measured using the Farsi version of the early childhood oral health impact scale (F- ECOHIS index). Data were analyzed using SPSS version 20, statistical t-test and Pearson correlation coefficient at the significant level of 0.05.

Results

The mean scores of F- ECOHIS and DMFT for all studied children were 10.94 ± 7.67 and 5.05 ± 4.48, respectively. No significant relationship was found between the DMFT and F- ECOHIS indices in children (r = 0.26, P = 0.563) and their parents (r = 0.16, P = 0.217).

Conclusions

Under the limitations of the present study, there is no significant relationship between the DMFT index and the index of oral health-related quality of life. Further studies are recommended.

Background

Several factors can affect the oral health-related quality of life in children.

Objectives

The aim of this study was to evaluate the dental status and its relationship with the oral health-related quality of life in preschool children in Zahedan City, Iran.

Methods

In this descriptive-analytical cross-sectional study, 200 preschool children (5 - 6 years old) were randomly selected from different areas of Zahedan city. Dental health status of children was investigated using the decayed, missing and filled teeth (DMFT) questionnaire. Oral-health-related quality of life of the children and their parents was measured using the Farsi version of the early childhood oral health impact scale (F- ECOHIS index). Data were analyzed using SPSS version 20, statistical t-test and Pearson correlation coefficient at the significant level of 0.05.

Results

The mean scores of F- ECOHIS and DMFT for all studied children were 10.94 ± 7.67 and 5.05 ± 4.48, respectively. No significant relationship was found between the DMFT and F- ECOHIS indices in children (r = 0.26, P = 0.563) and their parents (r = 0.16, P = 0.217).

Dental Health Status;Quality of Life;Oral Health;Children Dental Health Status;Quality of Life;Oral Health;Children http://www.jrehabilhealth.com/index.php?page=article&article_id=37043 Foroogh Amirabadi Foroogh Amirabadi Dental Research Center, Department of Pediatric Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran Dental Research Center, Department of Pediatric Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran Sara Rahimian-Imam Sara Rahimian-Imam Children and Adolescent Health Research Center, Dental Research Center, Department of Pediatric Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran Children and Adolescent Health Research Center, Dental Research Center, Department of Pediatric Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran Nahid Ramazani Nahid Ramazani Children and Adolescent Health Research Center, Dental Research Center, Department of Pediatric Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran Children and Adolescent Health Research Center, Dental Research Center, Department of Pediatric Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran Shirin Saravani Shirin Saravani Dental Research Center, Department of Oral and Maxillofacial Pathology, Zahedan University of Medical Sciences, Zahedan, Iran Dental Research Center, Department of Oral and Maxillofacial Pathology, Zahedan University of Medical Sciences, Zahedan, Iran Somayeh Kameli Somayeh Kameli Department of Pediatric Dentistry, Semnan University of Medical Sciences, Semnan, Iran; Department of Pediatric Dentistry, Semnan University of Medical Sciences, Semnan, Iran. Tel: +98-9125006746, Fax: +98-2333448990 Department of Pediatric Dentistry, Semnan University of Medical Sciences, Semnan, Iran; Department of Pediatric Dentistry, Semnan University of Medical Sciences, Semnan, Iran. Tel: +98-9125006746, Fax: +98-2333448990
en 10.17795/mejrh.37732 Effect of Progressive Locomotor Treadmill Compared to Conventional Training on Bone Mineral Density and Bone Remodeling in Paraplegia Effect of Progressive Locomotor Treadmill Compared to Conventional Training on Bone Mineral Density and Bone Remodeling in Paraplegia research-article research-article Background

The decrease in bone mass in paraplegic spinal cord injured persons increases the risk factors for fractures.

Objectives

The aim of the present study was to evaluate the effects of progressive locomotor treadmill training (LT) on muscle mass, bone mineral density, and bone remodeling in paraplegia patients.

Methods

The subjects investigated in this research included seventeen paraplegic spinal cord injured persons who were divided randomly into two groups: LT group (n = 10) and conventional exercise group (n = 7). The exercise training protocol was performed during 12 weeks, 3 days a week, 60 minutes a session. LT included 15 minutes warm-up on stationary bike plus 45 minutes LT with 50 percent body-weight support and finally 10 minutes cool-down as an adjunct to a conventional physiotherapy program. 10 percent loading weight was added per week for LT. Conventional exercise training incorporated 15 minutes warm-up plus 45 minutes over-ground training such as stretch exercise and resistance training.

Conclusions

LT training, in addition to improvement of motor function and reduction of bone loss, can be prescribed as an effective exercise intervention for the treatment of osteoporosis in incomplete spinal cord injured persons.

Results

The obtained results showed that there were significant differences in serum alkaline phosphatase levels (P < 0.001), osteocalcin levels (P = 0.003), bone mineral content (BMC) of the femoral neck (P < 0.001), bone mineral density (BMD) of femoral neck (P < 0.001), bone mineral content (BMC) of the lumbar spine (P < 0.001), and bone mineral density (BMD) of the lumbar spine (P = 0.000) between LT and conventional exercise regimes.

Background

The decrease in bone mass in paraplegic spinal cord injured persons increases the risk factors for fractures.

Objectives

The aim of the present study was to evaluate the effects of progressive locomotor treadmill training (LT) on muscle mass, bone mineral density, and bone remodeling in paraplegia patients.

Methods

The subjects investigated in this research included seventeen paraplegic spinal cord injured persons who were divided randomly into two groups: LT group (n = 10) and conventional exercise group (n = 7). The exercise training protocol was performed during 12 weeks, 3 days a week, 60 minutes a session. LT included 15 minutes warm-up on stationary bike plus 45 minutes LT with 50 percent body-weight support and finally 10 minutes cool-down as an adjunct to a conventional physiotherapy program. 10 percent loading weight was added per week for LT. Conventional exercise training incorporated 15 minutes warm-up plus 45 minutes over-ground training such as stretch exercise and resistance training.

Conclusions

LT training, in addition to improvement of motor function and reduction of bone loss, can be prescribed as an effective exercise intervention for the treatment of osteoporosis in incomplete spinal cord injured persons.

Results

The obtained results showed that there were significant differences in serum alkaline phosphatase levels (P < 0.001), osteocalcin levels (P = 0.003), bone mineral content (BMC) of the femoral neck (P < 0.001), bone mineral density (BMD) of femoral neck (P < 0.001), bone mineral content (BMC) of the lumbar spine (P < 0.001), and bone mineral density (BMD) of the lumbar spine (P = 0.000) between LT and conventional exercise regimes.

Progressive Locomotor Treadmill Training;Bone Density;Paraplegia Progressive Locomotor Treadmill Training;Bone Density;Paraplegia http://www.jrehabilhealth.com/index.php?page=article&article_id=37732 Behnam Ghasemi Mobarake Behnam Ghasemi Mobarake Assistance Professor in Corrective Exercises, University of Shahrekord, Shahrekord, Iran Assistance Professor in Corrective Exercises, University of Shahrekord, Shahrekord, Iran Ebrahim Banitalebi Ebrahim Banitalebi Assistance Professor in Exercise Physiology, University of Shahrekord, Shahrekord, Iran Assistance Professor in Exercise Physiology, University of Shahrekord, Shahrekord, Iran Asadollah Ebrahimi Asadollah Ebrahimi M.Sc in Corrective Exercises, University of Shahrekord, Shahrekord, Iran M.Sc in Corrective Exercises, University of Shahrekord, Shahrekord, Iran Mahdi Ghafari Mahdi Ghafari PhD Student in Exercise Physiology, University of Shahrekord, Shahrekord, Iran; PhD Student in Exercise Physiology, University of Shahrekord, Shahrekord, Iran. Tel: +98-3814424402 PhD Student in Exercise Physiology, University of Shahrekord, Shahrekord, Iran; PhD Student in Exercise Physiology, University of Shahrekord, Shahrekord, Iran. Tel: +98-3814424402
en 10.17795/mejrh-41622 Knowledge Towards Prevention of Osteoporosis in Adolescent Girls: Effect of Educational Program Knowledge Towards Prevention of Osteoporosis in Adolescent Girls: Effect of Educational Program research-article research-article Conclusions

In conclusion, our results indicated that awareness of Semnan high schools girls on osteoporosis, especially about its complications is poor. Lack of awareness could be due to the lack of training. Thus, more training needed with a focus on understanding the causes of disease and its complications in order to resolve the problem and reduce the incidence of osteoporosis. So by increasing awareness regarding this disease, there is a potential for prevention and reduction of the complications.

Background

Osteoporosis is one of the most common disorders in women, affecting the quality of life by having the increasing risk of fractures. There are no data on awareness of adolescent girls as a vulnerable group about osteoporosis.

Objectives

The aim of this study was to assess the knowledge concerning osteoporosis among high school female students in Semnan, Iran and to evaluate the effect of educational program.

Methods

This pre and post-study was performed on 583 high-school female students, whom selected from 8 schools using multi-stage sampling. The study questionnaires were completed by interviewing students. All students participated in a single education session (about 2 hours) and the level of knowledge about osteoporosis, its risk factors and complications were assessed before and after education.

Results

The mean ± SD score for general knowledge regarding osteoporosis was 0.35 ± 0.35, about complications of osteoporosis was -0.18 ± 0.53 and about risk factors for osteoporosis was also 0.25 ± 0.21. The mean total knowledge about osteoporosis was the highest in third high school grade girls (P = 0.009), while no difference was observed in score of knowledge towards osteoporosis across the different educational fields (P = 0.156). The mean total score of knowledge toward osteoporosis was significantly increased after educational intervention compared to prior to the educational program with the mean ± SD pre-educational score 0.23 ± 0.19 (median 0.26) and post-educational score 0.45 ± 0.22 (median 0.48) (P < 0.001).

Conclusions

In conclusion, our results indicated that awareness of Semnan high schools girls on osteoporosis, especially about its complications is poor. Lack of awareness could be due to the lack of training. Thus, more training needed with a focus on understanding the causes of disease and its complications in order to resolve the problem and reduce the incidence of osteoporosis. So by increasing awareness regarding this disease, there is a potential for prevention and reduction of the complications.

Background

Osteoporosis is one of the most common disorders in women, affecting the quality of life by having the increasing risk of fractures. There are no data on awareness of adolescent girls as a vulnerable group about osteoporosis.

Objectives

The aim of this study was to assess the knowledge concerning osteoporosis among high school female students in Semnan, Iran and to evaluate the effect of educational program.

Methods

This pre and post-study was performed on 583 high-school female students, whom selected from 8 schools using multi-stage sampling. The study questionnaires were completed by interviewing students. All students participated in a single education session (about 2 hours) and the level of knowledge about osteoporosis, its risk factors and complications were assessed before and after education.

Results

The mean ± SD score for general knowledge regarding osteoporosis was 0.35 ± 0.35, about complications of osteoporosis was -0.18 ± 0.53 and about risk factors for osteoporosis was also 0.25 ± 0.21. The mean total knowledge about osteoporosis was the highest in third high school grade girls (P = 0.009), while no difference was observed in score of knowledge towards osteoporosis across the different educational fields (P = 0.156). The mean total score of knowledge toward osteoporosis was significantly increased after educational intervention compared to prior to the educational program with the mean ± SD pre-educational score 0.23 ± 0.19 (median 0.26) and post-educational score 0.45 ± 0.22 (median 0.48) (P < 0.001).

Osteoporosis;Knowledge;Education;Prevention Osteoporosis;Knowledge;Education;Prevention http://www.jrehabilhealth.com/index.php?page=article&article_id=41622 Jamileh Moghimi Jamileh Moghimi Social Determinants of Health Research Center, Kawsar Hospital, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran Social Determinants of Health Research Center, Kawsar Hospital, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran Zahra Safaei Zahra Safaei Kawsar Hospital, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran Kawsar Hospital, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran Behnaz Behnam Behnaz Behnam Kawsar Hospital, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran Kawsar Hospital, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran Raheb Ghorbani Raheb Ghorbani Social Determinants of Health Research Center, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran; Social Determinants of Health Research Center, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran Social Determinants of Health Research Center, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran; Social Determinants of Health Research Center, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran
en 10.17795/mejrh-41802 Translation and Psychometric Properties of Persian Version of Independent Living Scale in Patients with Schizophrenia Translation and Psychometric Properties of Persian Version of Independent Living Scale in Patients with Schizophrenia research-article research-article Conclusions

The Persian version of the ILS has acceptable levels of face validity, content validity, and test-retest reliability to use for Iranian patients with Schizophrenia.

Results

The simplicity, relevance, clarity and necessity of the translated items were acceptable, according to the CVI and CVR scores. Face validity was also acceptable with respect to agreement rate (> 80%). Test-retest reliability was acceptable with respect to ICC and SEM scores. The values of the ICC were > 0.70 and the values of the SEM were ≤ 1 for the score of subscales and total score.

Background

Independent living skills are major targets for rehabilitation in patients with schizophrenia. So, assessment of their performance is required to obtain valuable information for planning intervention. The independent living scale (ILS) is a useful assessment tool for this population.

Objectives

The aims of this study were to translate the three of five subscales of ILS (“memory/orientation”, “health and safety” and “social adjustment”) into Persian language and evaluate their validity. The remaining two subscales of ILS (“money management”, “home management and transportation”) have already been translated to Persian language by other researchers in Iran. In addition, the reliability of whole Persian version of ILS subscales was evaluated to be used for patients with Schizophrenia.

Methods

The three subscales of ILS were translated from English into Persian according to the international quality of life assessment (IQOLA) approach. The translation of the three subscales: memory/orientation, health and safety and social adjustment, were analyzed by experts to develop the final version of each subscale. After translation, face and content validity of scale were performed. In face validity evaluation, the scale was investigated by 6 occupational therapists in terms of simplicity, mastery, relationship and clarity or transparency for each of the items. To assess the validity of content, scale was examined by 15 occupational therapists and content validity ratio (CVR) and content validity index (CVI) of each item were calculated. To assess the reliability of the subscales, test-retest reliability techniques (intraclass correlation coefficient (ICC) and standard error of measure (SEM) were utilized.

Conclusions

The Persian version of the ILS has acceptable levels of face validity, content validity, and test-retest reliability to use for Iranian patients with Schizophrenia.

Results

The simplicity, relevance, clarity and necessity of the translated items were acceptable, according to the CVI and CVR scores. Face validity was also acceptable with respect to agreement rate (> 80%). Test-retest reliability was acceptable with respect to ICC and SEM scores. The values of the ICC were > 0.70 and the values of the SEM were ≤ 1 for the score of subscales and total score.

Background

Independent living skills are major targets for rehabilitation in patients with schizophrenia. So, assessment of their performance is required to obtain valuable information for planning intervention. The independent living scale (ILS) is a useful assessment tool for this population.

Objectives

The aims of this study were to translate the three of five subscales of ILS (“memory/orientation”, “health and safety” and “social adjustment”) into Persian language and evaluate their validity. The remaining two subscales of ILS (“money management”, “home management and transportation”) have already been translated to Persian language by other researchers in Iran. In addition, the reliability of whole Persian version of ILS subscales was evaluated to be used for patients with Schizophrenia.

Methods

The three subscales of ILS were translated from English into Persian according to the international quality of life assessment (IQOLA) approach. The translation of the three subscales: memory/orientation, health and safety and social adjustment, were analyzed by experts to develop the final version of each subscale. After translation, face and content validity of scale were performed. In face validity evaluation, the scale was investigated by 6 occupational therapists in terms of simplicity, mastery, relationship and clarity or transparency for each of the items. To assess the validity of content, scale was examined by 15 occupational therapists and content validity ratio (CVR) and content validity index (CVI) of each item were calculated. To assess the reliability of the subscales, test-retest reliability techniques (intraclass correlation coefficient (ICC) and standard error of measure (SEM) were utilized.

Validity;Reliability;Independent Living Scale;Schizophrenia;Daily Living Activities Validity;Reliability;Independent Living Scale;Schizophrenia;Daily Living Activities http://www.jrehabilhealth.com/index.php?page=article&article_id=41802 Mitra Khalafbeigi Mitra Khalafbeigi Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, IR Iran Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, IR Iran Parisa Erfanmanesh Parisa Erfanmanesh Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, IR Iran; Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, IR Iran Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, IR Iran; Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, IR Iran Malahat Akbarfahimi Malahat Akbarfahimi Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, IR Iran Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, IR Iran
en 10.17795/mejrh-41821 Ozone Improves Pain, Function and Quality of Life in Patients with Knee Osteoarthritis: A Prospective Quasi-Experimental Before-After Study Ozone Improves Pain, Function and Quality of Life in Patients with Knee Osteoarthritis: A Prospective Quasi-Experimental Before-After Study research-article research-article Conclusions

Ozone is a safe medical treatment that can improve significantly pain relief, stiffness, and function in patients with knee osteoarthritis. The study shows a good level of evidence as well as a good grade of recommendation that allows us to consider Ozone as a conservative therapeutic option in the treatment of osteoarthritis of the knee.

Background

The study was conducted to: 1) demonstrate the effectiveness of a treatment protocol with Ozone therapy in pain, function, and quality of life in patients with knee osteoarthritis; and 2) apply Ozone as a conservative treatment option with a demonstrable level of scientific evidence.

Methods

This prospective quasi-experimental before-after study was conducted on 119 patients with knee osteoarthritis, having Kellgren-Lawrence grade 2 or more, who were referred to hospital of Santa Cristina’s University, from January 2012 to April 2016. The protocol consisted of an intra-articular infiltration of a medical mixture of Oxygen-Ozone (95% - 5%) 20mL, at a 20ug / mL concentration, during a total number of 4 sessions (once per week). Pain and quality of life were measured by visual analogical scale (VAS) and Western Ontarion and Mc Master Universities Index for osteoarthritis (WOMAC) at the beginning and end of the treatment.

Results

The mean age of participants was 66.29 years. The sample was composed of 70.5% Women (n = 84) and 29.5% men (n = 35). The severity of OA according to Kellgren-Lawrence scale was 2.94°. Post-puncture erythema was 8.4% (n = 10). Pain measured by VAS significantly decreased (P < 0.0001) from the score 7.89 to 2.1. The scores of WOMAC-pain, WOMAC-stiffness, and WOMAC-function subscales decreased significantly (P < 0.0001) from 15.9 to 4.4, 3.5 to 0.9, and 49.5 to 17.6, respectively. The WOMAC total score decreased from 68.9 to 22.9 (P < 0.0001).

Conclusions

Ozone is a safe medical treatment that can improve significantly pain relief, stiffness, and function in patients with knee osteoarthritis. The study shows a good level of evidence as well as a good grade of recommendation that allows us to consider Ozone as a conservative therapeutic option in the treatment of osteoarthritis of the knee.

Background

The study was conducted to: 1) demonstrate the effectiveness of a treatment protocol with Ozone therapy in pain, function, and quality of life in patients with knee osteoarthritis; and 2) apply Ozone as a conservative treatment option with a demonstrable level of scientific evidence.

Methods

This prospective quasi-experimental before-after study was conducted on 119 patients with knee osteoarthritis, having Kellgren-Lawrence grade 2 or more, who were referred to hospital of Santa Cristina’s University, from January 2012 to April 2016. The protocol consisted of an intra-articular infiltration of a medical mixture of Oxygen-Ozone (95% - 5%) 20mL, at a 20ug / mL concentration, during a total number of 4 sessions (once per week). Pain and quality of life were measured by visual analogical scale (VAS) and Western Ontarion and Mc Master Universities Index for osteoarthritis (WOMAC) at the beginning and end of the treatment.

Results

The mean age of participants was 66.29 years. The sample was composed of 70.5% Women (n = 84) and 29.5% men (n = 35). The severity of OA according to Kellgren-Lawrence scale was 2.94°. Post-puncture erythema was 8.4% (n = 10). Pain measured by VAS significantly decreased (P < 0.0001) from the score 7.89 to 2.1. The scores of WOMAC-pain, WOMAC-stiffness, and WOMAC-function subscales decreased significantly (P < 0.0001) from 15.9 to 4.4, 3.5 to 0.9, and 49.5 to 17.6, respectively. The WOMAC total score decreased from 68.9 to 22.9 (P < 0.0001).

Knee;Pain;Osteoarthritis;Ozone Therapy;Quality of Life Knee;Pain;Osteoarthritis;Ozone Therapy;Quality of Life http://www.jrehabilhealth.com/index.php?page=article&article_id=41821 Marcos Edgar Fernández Cuadros Marcos Edgar Fernández Cuadros Hospital Universitario Santa Cristina, Madrid, Spain; Fundación Hospital General Santísima Trinidad, Salamanca, Spain; Hospital Universitario Santa Cristina, Madrid, Spain. Tel: +34-620314558 Hospital Universitario Santa Cristina, Madrid, Spain; Fundación Hospital General Santísima Trinidad, Salamanca, Spain; Hospital Universitario Santa Cristina, Madrid, Spain. Tel: +34-620314558 Olga Susana Pérez Moro Olga Susana Pérez Moro Hospital Universitario Santa Cristina, Madrid, Spain Hospital Universitario Santa Cristina, Madrid, Spain María Jesús Albaladejo Florin María Jesús Albaladejo Florin Hospital Universitario Santa Cristina, Madrid, Spain Hospital Universitario Santa Cristina, Madrid, Spain José Antonio Mirón Canelo José Antonio Mirón Canelo Departamento de Salud Pública y Medicina Preventiva, Universidad de Salamanca, Spain Departamento de Salud Pública y Medicina Preventiva, Universidad de Salamanca, Spain
en 10.17795/mejrh-41874 Chronic Pain After Stroke: A Hospital-Based Study of Its Profile and Correlation with Health-Related Quality of Life Chronic Pain After Stroke: A Hospital-Based Study of Its Profile and Correlation with Health-Related Quality of Life research-article research-article Conclusions

The study showed that the majority of patients with stroke had chronic pain. The pain had a significant impact on all domains of health-related quality of life among the patients.

Methods

The study involved 118 participants with stroke comprising 72 (61.0%) males and 46 (39.0%) females. A convenience sampling technique was used to recruit the subjects for the study. Socio-demographic data of the participants were taken. Data on chronic pain and health-related quality of life (HRQoL) were collected using the brief pain inventory (BPI) and short form health survey (SF-36), respectively. Independent t-test was used to compare HRQoL between participants with and without chronic pain. The correlation of chronic pain with HRQoL was investigated using Spearman’s correlation coefficient. The level of significance was P ≤ 0.05.

Results

Chronic pain was reported by 88 (72%) out of the 118 participants. Musculoskeletal pain was the most common type of pain. The upper limb was the most reported site of pain (63.6%). Participants with chronic pain had poorer HRQoL than those without chronic pain (P = 0.001). There were significant correlations between chronic pain and all domains of HRQoL (P < 0.05) with r values ranging from 0.181 to 0.309.

Background

Chronic pain is one of the most troublesome sequelae of stroke. The correlation between post-stroke pain and patients’ quality of life has not been extensively studied.

Objectives

The purpose of this study was to investigate certain profiles of post-stroke chronic pain and evaluate its correlation with health-related quality of life.

Conclusions

The study showed that the majority of patients with stroke had chronic pain. The pain had a significant impact on all domains of health-related quality of life among the patients.

Methods

The study involved 118 participants with stroke comprising 72 (61.0%) males and 46 (39.0%) females. A convenience sampling technique was used to recruit the subjects for the study. Socio-demographic data of the participants were taken. Data on chronic pain and health-related quality of life (HRQoL) were collected using the brief pain inventory (BPI) and short form health survey (SF-36), respectively. Independent t-test was used to compare HRQoL between participants with and without chronic pain. The correlation of chronic pain with HRQoL was investigated using Spearman’s correlation coefficient. The level of significance was P ≤ 0.05.

Results

Chronic pain was reported by 88 (72%) out of the 118 participants. Musculoskeletal pain was the most common type of pain. The upper limb was the most reported site of pain (63.6%). Participants with chronic pain had poorer HRQoL than those without chronic pain (P = 0.001). There were significant correlations between chronic pain and all domains of HRQoL (P < 0.05) with r values ranging from 0.181 to 0.309.

Background

Chronic pain is one of the most troublesome sequelae of stroke. The correlation between post-stroke pain and patients’ quality of life has not been extensively studied.

Objectives

The purpose of this study was to investigate certain profiles of post-stroke chronic pain and evaluate its correlation with health-related quality of life.

Stroke;Chronic Pain;Health-Related Quality of Life;Correlation Stroke;Chronic Pain;Health-Related Quality of Life;Correlation http://www.jrehabilhealth.com/index.php?page=article&article_id=41874 Olajide Ayinla Olawale Olajide Ayinla Olawale Department of Physiotherapy, College of Medicine, University of Lagos, Lagos, Nigeria; Department of Physiotherapy, College of Medicine, University of Lagos, Idi Araba, Lagos, Nigeria. Tel: +234-8080774586 Department of Physiotherapy, College of Medicine, University of Lagos, Lagos, Nigeria; Department of Physiotherapy, College of Medicine, University of Lagos, Idi Araba, Lagos, Nigeria. Tel: +234-8080774586 Titilope Oluwatobiloba Ajepe Titilope Oluwatobiloba Ajepe Department of Physiotherapy, College of Medicine, University of Lagos, Lagos, Nigeria Department of Physiotherapy, College of Medicine, University of Lagos, Lagos, Nigeria Kayode Israel Oke Kayode Israel Oke Department of Physiotherapy, College of Medical Sciences, University of Benin, Benin City, Nigeria Department of Physiotherapy, College of Medical Sciences, University of Benin, Benin City, Nigeria Chidinma Joy Ezeugwa Chidinma Joy Ezeugwa Department of Physiotherapy, College of Medicine, University of Lagos, Lagos, Nigeria Department of Physiotherapy, College of Medicine, University of Lagos, Lagos, Nigeria
en 10.17795/mejrh-42022 Effect of Probiotic Administration on Acute Inflammatory Pain Effect of Probiotic Administration on Acute Inflammatory Pain research-article research-article Results

The results of this study showed the role of effective dose of probiotics (1/500) in reducing edema (P = 0.0009), hyperalgesia (P = 0.0002), serum levels of TNF-α (P = 0.0004) and IL-1β (P = 0.0004) and NF-κB expression (P = 0.0007) during the acute phase of inflammatory pain caused by CFA.

Conclusions

It seems that an effective dose of probiotics due to its direct effects on inhibition of intracellular signaling pathways and pro-inflammatory cytokines can alleviate inflammatory symptoms and pain in the acute phase.

Background

Acute inflammatory pain causes by direct stimulation of nociceptors and release of inflammatory mediators and cytokines. Probiotics are capable to modulate the immune system, down regulate the inflammatory mediators, and increase regulatory and anti-inflammatory cytokines.

Objectives

The aim of this study was to examine the effect of oral administration of probiotics on behavioral, cellular and molecular aspects of acute inflammatory pain in male rats.

Methods

Adult male Wistar rats (200 - 220 g) were selected and randomly divided into 7 experimental groups (CFA, CFA control, CFA + vehicle (distilled water), CFA + 3 doses of probiotics, CFA + indomethacin) and each group was divided into 3 subgroups based on different time points (days 0, 3, and 7) (n = 6 rats, each group). Complete Freund’s adjuvant (CFA)-induced arthritis (AA) was caused by a single subcutaneous injection of CFA into the rats’ left hind paw on day 0. Different doses of probiotics (1/250, 1/500 and 1/1000 (109 CFU/g)) was administered daily (gavage) after the CFA injection. Blood samples were taken from the vessel retro-orbital corners of rat’s eyes. After behavioral and inflammatory tests, the lumbar segments of rat’s spinal cord (L1 - L5) were removed. Hyperalgesia, edema, serum TNF-α and IL-1β levels and NF-κB expression were assessed on days 0, 3, and 7 of the study.

Results

The results of this study showed the role of effective dose of probiotics (1/500) in reducing edema (P = 0.0009), hyperalgesia (P = 0.0002), serum levels of TNF-α (P = 0.0004) and IL-1β (P = 0.0004) and NF-κB expression (P = 0.0007) during the acute phase of inflammatory pain caused by CFA.

Conclusions

It seems that an effective dose of probiotics due to its direct effects on inhibition of intracellular signaling pathways and pro-inflammatory cytokines can alleviate inflammatory symptoms and pain in the acute phase.

Background

Acute inflammatory pain causes by direct stimulation of nociceptors and release of inflammatory mediators and cytokines. Probiotics are capable to modulate the immune system, down regulate the inflammatory mediators, and increase regulatory and anti-inflammatory cytokines.

Objectives

The aim of this study was to examine the effect of oral administration of probiotics on behavioral, cellular and molecular aspects of acute inflammatory pain in male rats.

Methods

Adult male Wistar rats (200 - 220 g) were selected and randomly divided into 7 experimental groups (CFA, CFA control, CFA + vehicle (distilled water), CFA + 3 doses of probiotics, CFA + indomethacin) and each group was divided into 3 subgroups based on different time points (days 0, 3, and 7) (n = 6 rats, each group). Complete Freund’s adjuvant (CFA)-induced arthritis (AA) was caused by a single subcutaneous injection of CFA into the rats’ left hind paw on day 0. Different doses of probiotics (1/250, 1/500 and 1/1000 (109 CFU/g)) was administered daily (gavage) after the CFA injection. Blood samples were taken from the vessel retro-orbital corners of rat’s eyes. After behavioral and inflammatory tests, the lumbar segments of rat’s spinal cord (L1 - L5) were removed. Hyperalgesia, edema, serum TNF-α and IL-1β levels and NF-κB expression were assessed on days 0, 3, and 7 of the study.

Acute pain;Hyperalgesia;Edema;TNF-α;IL-1β;NF-κB Acute pain;Hyperalgesia;Edema;TNF-α;IL-1β;NF-κB http://www.jrehabilhealth.com/index.php?page=article&article_id=42022 Mahdi Shadnoush Mahdi Shadnoush Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran; Faculty of Nutrition Science and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran; Faculty of Nutrition Science and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran Vida Nazemian Vida Nazemian Neurophysiology Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran Neurophysiology Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran Homa Manaheji Homa Manaheji Neurophysiology Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Physiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Neurophysiology Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Physiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Jalal Zaringhalam Jalal Zaringhalam Neurophysiology Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Physiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Neurophysiology Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Tel/Fax: +98-2122439971 Neurophysiology Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Physiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Neurophysiology Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Tel/Fax: +98-2122439971
en 10.17795/mejrh-43200 Knee Osteoarthritis: Condroprotector Action and Symptomatic Effect of Ozone on Pain, Function, Quality of Life, Minimal Joint Space and Knee Arthroplasty Delay Knee Osteoarthritis: Condroprotector Action and Symptomatic Effect of Ozone on Pain, Function, Quality of Life, Minimal Joint Space and Knee Arthroplasty Delay research-article research-article Objectives

To evaluate the effect of Ozone on pain, function, quality of life, minimal joint space and knee arthroplasty delay in a case series of patients with knee osteoarthritis (OA).

Methods

Prospective quasi-experimental before-after study on 52 out of 120 patients with knee osteoarthritis (OA) Kellgren-Lawrence (K-L) grade 2 or more, who attended Santa Cristina's University Hospital, from January 2012 to June 2016. The Ozone protocol consisted of four sessions (1 session/week) of an intra-articular infiltration of a medical mixture of oxygen-ozone (95% - 5%) at a 20 µg/mL concentration. Pain and quality of life (QoL) were measured by visual analogical scale (VAS) and western ontario and Mc master universities index for osteoarthritis (WOMAC), and minimal internal/external joint space width were measured by plain posterior-anterior weight-bearing knee radiographies at the beginning / end of treatment.

Conclusions

Ozone treatment is capable of producing pain relief, recovery of function and radiological improvement on minimal joint space in knee OA patients. Based on the results of our study, it is assumed that Ozone could slow/revert OA progression, due to the increase in the minimal internal and external joint space width. Ozone treatment delays the need for total knee arthroplasty.

Results

Mean age 70.36 years. Women 80.8% (n = 42), men 19.2% (n = 10). The severity of OA according to Kellgren-Lawrence scale was 3° (n = 36; 69.2%). Pain measured by VAS significantly decreased (P < 0.0001) from 8.1 to 2.5. The WOMAC-pain, WOMAC-stiffness and WOMAC-function subscales decreased significantly (P < 0.0001) from 16.5 to 4.9 points, 3.2 to 2 and 48 to 17.6, respectively. With respect to minimal joint space, the internal compartment measured 4.17 mm and increased significantly to 4.44 mm (P = 0.0003); while the external compartment was 6.02 mm and improved significantly to 6.26 mm (P = 0.0032) after the treatment protocol. After a mean of 10 months follow-up to a maximum of 28 months, none of knee OA patients underwent knee arthroplasty replacement.

Objectives

To evaluate the effect of Ozone on pain, function, quality of life, minimal joint space and knee arthroplasty delay in a case series of patients with knee osteoarthritis (OA).

Methods

Prospective quasi-experimental before-after study on 52 out of 120 patients with knee osteoarthritis (OA) Kellgren-Lawrence (K-L) grade 2 or more, who attended Santa Cristina's University Hospital, from January 2012 to June 2016. The Ozone protocol consisted of four sessions (1 session/week) of an intra-articular infiltration of a medical mixture of oxygen-ozone (95% - 5%) at a 20 µg/mL concentration. Pain and quality of life (QoL) were measured by visual analogical scale (VAS) and western ontario and Mc master universities index for osteoarthritis (WOMAC), and minimal internal/external joint space width were measured by plain posterior-anterior weight-bearing knee radiographies at the beginning / end of treatment.

Conclusions

Ozone treatment is capable of producing pain relief, recovery of function and radiological improvement on minimal joint space in knee OA patients. Based on the results of our study, it is assumed that Ozone could slow/revert OA progression, due to the increase in the minimal internal and external joint space width. Ozone treatment delays the need for total knee arthroplasty.

Results

Mean age 70.36 years. Women 80.8% (n = 42), men 19.2% (n = 10). The severity of OA according to Kellgren-Lawrence scale was 3° (n = 36; 69.2%). Pain measured by VAS significantly decreased (P < 0.0001) from 8.1 to 2.5. The WOMAC-pain, WOMAC-stiffness and WOMAC-function subscales decreased significantly (P < 0.0001) from 16.5 to 4.9 points, 3.2 to 2 and 48 to 17.6, respectively. With respect to minimal joint space, the internal compartment measured 4.17 mm and increased significantly to 4.44 mm (P = 0.0003); while the external compartment was 6.02 mm and improved significantly to 6.26 mm (P = 0.0032) after the treatment protocol. After a mean of 10 months follow-up to a maximum of 28 months, none of knee OA patients underwent knee arthroplasty replacement.

Knee;Pain;Osteoarthritis;Ozone Therapy;Quality of Life Knee;Pain;Osteoarthritis;Ozone Therapy;Quality of Life http://www.jrehabilhealth.com/index.php?page=article&article_id=43200 Marcos Edgar Fernandez-Cuadros Marcos Edgar Fernandez-Cuadros Hospital Universitario Santa Cristina, Madrid, Spain; Fundacion Hospital General Santisima Trinidad, Salamanca, Spain; Calle del Ansar, 44, piso Segundo, CP 28047, Madrid, Spain. Tel: +34-620314558 Hospital Universitario Santa Cristina, Madrid, Spain; Fundacion Hospital General Santisima Trinidad, Salamanca, Spain; Calle del Ansar, 44, piso Segundo, CP 28047, Madrid, Spain. Tel: +34-620314558 Olga Susana Perez-Moro Olga Susana Perez-Moro Hospital Universitario Santa Cristina, Madrid, Spain Hospital Universitario Santa Cristina, Madrid, Spain Maria Jesus Albaladejo-Florin Maria Jesus Albaladejo-Florin Hospital Universitario Santa Cristina, Madrid, Spain Hospital Universitario Santa Cristina, Madrid, Spain