Parisa Zamani; Khosro Khademi Kalantari; Amin Norouzi Fashkhami; Alireza Akbarzade Baghban; Mohammad Mehravar; Mohammadjafar Shaterzade Yazdi
Volume 24, Issue 5 , 2022
Abstract
Background: Detection of abnormal movement patterns and disorders and their classification into specific sub-categories may result in effective therapeutic choices. Classification of movement system impairments has provided seven sub-categories for movement disorders in the knee joint with specific treatment ...
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Background: Detection of abnormal movement patterns and disorders and their classification into specific sub-categories may result in effective therapeutic choices. Classification of movement system impairments has provided seven sub-categories for movement disorders in the knee joint with specific treatment recommendations for each.
Objectives: This study aimed to investigate the effectiveness of specific treatments proposed by this classification method and compare the effectiveness of this treatment method with routine ones.
Methods: Participants who met the inclusion criterion were randomly assigned into control and experimental groups after the diagnosis of their movement impairment. Subcategories including patellar lateral glide syndrome and tibiofemoral rotation syndrome were recruited. Experimental groups were treated specifically based on their impairment; however, all control groups received the same routine physiotherapy, regardless of their movement impairment. Two knee function and disability instruments were used, including Knee Injury and Osteoarthritis Outcome Score and the Lower Extremity Functional Scale. Eventually, each experimental groups outcome scores on the visual analog scale and frontal plane projection angles were compared with those in the control group.
Results: Movement system impairments could be one of the contributing factors for disabilities in people with knee pain. Treatment based on the classification of these movement impairments would lead to better outcome.
Conclusion: We assumed that the specific treatments based on the movement impairment classification have beneficiary over the routine treatment. This would also give clues about the validity of this classification in knee pain. If this is the case, detecting the movement impairment and giving treatment on this basis could be used as a comprehensive guideline.
Zahra Kosarian; Mehrnoosh Zakerkish; Mohammad-Jafar Shaterzadeh-Yazdi; Saeed Hesam; Mohammad Mehravar
Volume 24, Issue 3 , 2022
Abstract
Background: Diabetes mellitus (DM) is one of the most common chronic non-communicable diseases (NCD).
Objectives: The present study aimed to investigate the relationship between demographic and clinical data with balance impairments in people with diabetic peripheral neuropathy (DPN), considering the ...
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Background: Diabetes mellitus (DM) is one of the most common chronic non-communicable diseases (NCD).
Objectives: The present study aimed to investigate the relationship between demographic and clinical data with balance impairments in people with diabetic peripheral neuropathy (DPN), considering the importance of early detection of balance impairments in this population.
Methods: Forty-three patients with DPN were evaluated in this cross-sectional study. Age, disease duration, height, weight, and physical activity, along with blood sugar samples and neuropathy disability scores were collected to explore correlations with the balance evaluation system test (BESTest) in this population.
Results: A significant weak to moderate correlations was found between physical activity (p-value=0.046/ CC= 0.286), severity of neuropathy (p-value=0.025/ CC= -0.317), and gender (p-value=0.032/ CC= -0.311) with BESTest, using multivariate linear regression analysis.
Conclusion: It is recommended that diabetic patients with a sedentary lifestyle, more severe scores on neuropathy screening instruments, and female patients be referred for early screening of balance disorders regardless of age and disease duration. Also, increasing physical activity to prevent balance impairments in the future can be recommended.
