The Clinical Necessity of Lumbar Spine Mag-netic Resonance Imaging Prescriptions for Low Back Pain in Bushehr Teaching Hospitals in 2018 (original) (raw)
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Journal of Mazandaran University of Medical Sciences, 2016
Background and purpose: Chronic non-specific low back pain (CNLBP) is associated with decreased lumbar Multifidus (LM) muscle cross-sectional area (CSA) and Transverse abdominis (TrA) muscle strength which highly predispose the person to recurrent occurrence of disease. We compared the Pilates (PL) and McKenzie (MK) methods on LM CSA and TrA strength in these patients. Materials and methods: In this clinical trial, 47 female patients, mean age 39.7 years, with CNLBP were allocated to one of three groups including PL training (n=16), MK exercises (n=15), and control (n=16). The measurements of LM CSA and TrA muscle strength were performed using imaging ultrasonography and Bent Knee Lowering Test, respectively at baseline, following a 6-week intervention program, and a follow-up of one month. To evaluate the changes of outcome measurements over time, repeated measures ANOVA test was applied at P< 0.05 in SPSS V. 21. Results: Compared with MK exercises, PL training could significant...
مقایسه اثر تمرینات سنتی و اصلاحی آکادمی ملی آمریکا بر درد گردن و زاویه سر به جلو در دانشجویان مرد
2017
Increased forward head angle causes neck pain. The aim of this study was to compare the effect of traditional and National Academic of Sport Medicine (NASM) corrective exercises on the neck pain and forward head angle in college male students. Methods: Twenty male with forward head were selected within male students, and randomly divided into 2 groups (n=10 rats per group): Both groups performed traditional and NASM corrective exercises. First group performed traditional exercises and the second group performed NASM corrective exercises for 8 weeks that related to the forward head practices. Angle of head pain and head pain were measured by pain Visual Analogue Scale (VAS) and goniometer before and after the training period. Data were analyzed by paired t-test and independent t-test in P<0.05. Results: The result of this study showed significant differences between pre and post-intervention conditions regarding the VAS, and head angle values in both groups (P<0/05). There is a significant difference between groups in pain scale VAS and head angle before and after the training period that the rate of healing in NASM group is higher than in the traditional group. Conclusion: NASM corrective exercises was more effective in improvement of the pain scale and head angle and it is recommended to the occupational therapist to the benefits of these exercises as a modern training methods in correction of the forward head angle.
Iranian Journal of Diabetes and Metabolism, 2014
Background: Discordance (the presence of different categories of T scores in two skeletal sites of a single patient) can affect the physician's decision to start medication or not. The present study was therefore conducted to assess the prevalence of T-score discordance between spine and femoral neck as well as its risk factors in a group of postmenopausal Iranian women. Methods: The present analytical cross sectional research was conducted based on the results of IROSTEOPs study on 8146 postmenopausal women referred to the bone mineral density (BMD) center of Shariati Hospital affiliated to Tehran University of Medical Sciences between 2000 and 2011. Based on their BMD results, the patients were categorized into three groups: Concordance and Minor and Major discordance. The factors affecting the risk of developing discordance was then studied through uni/and multivariate logistic regression. Results: Discordance between spine and femoral neck was reported in 3741 (45.9%) of the participants. Multivariate logistic regression revealed that older age, higher number of pregnancies and higher body mass index (BMI) are the main risk factors for T-score discordance at the studied sites. The use of hormonal replacement therapy (HRT) on the other hand played a protective role. Conclusion: It could be concluded that performing BMD at two different sites is necessary for the Iranian population, particularly postmenopausal women.
2015
Background: Chairs are one of the instruments in life that have a significant role in personal health. Therefore, anthropometric dimensions as well as ergonomic issues of the users should be considered in design of seats. The present study was performed to determine the impact of class seats on students' musculoskeletal problems and satisfaction. Methods: In this cross-sectional study, three different types of classroom seats in Birjand University of Medical Sciences were evaluated through using an ergonomics checklist. In addition, 316 students of the university were asked to complete the musculoskeletal problems and satisfaction questionnaires. Data were analyzed through SPSS 15 and using Chi-square, Mann-Whitney U and Kruskal Wallis tests as well as Spearman's correlation coefficient. Results: The participating students included 122 boys and 194 girls. In whole, 21.5 % of the studied students had at least one musculoskeletal discomfort. Back discomfort was the most common complaint. Students' satisfaction rate of different types of chairs was different (P<0.0001) and satisfaction showed significant correlations with age, weight and height of participants (P=0.002, P=0.024, P=0.025, respectively). Conclusion: The results of the present study show the prevalence of musculoskeletal disorders among the students and shortness of comfort during use of the chairs. Since these can adversely affect health, in designing classroom chairs the students' anthropometric dimensions should be considered.
Evidence-Based Medicine in Iranian Schools of Traditional Medicine According to Experts
Background & Objective: Most experts of Iranian traditional medicine believe that it is absolutely necessary and inevitable to update the field to utilize evidence in education of Iranian traditional medicine students and treatment of its patients. In this regard, this study attempted to evaluate utilization of evidence-based medicine (EBM) in the curriculum of School of Iranian Traditional Medicine. Methods: In this qualitative study, semi-structured, individual, and face-to-face interviews were done to collect Iranian traditional medicine expert’s point of views in regard to EBM. Content analysis was done to analyze the data. Results: The study findings were classified in two major categories including EBM in the curriculum of Iranian traditional medicine, and EBM application in Iranian School of Traditional Medicine. The sub-categories were also mentioned. Conclusion: Although some sections of PhD program in traditional medicine are related to evidence based medicine, it is not s...
Occupational Medicine, 2020
Introduction: Carpet industry is one of the most important, dangerous and traditional industries in Iran. Non-Ergonomic factors such as non-standard work tools, inappropriate physical postures, long hours of work and insufficient rest of carpet weavers can lead to musculoskeletal disorders. The purpose of this study was to determine the prevalence of musculoskeletal discomfort and its relationship with posture in rural carpet weavers in Boshruyeh city. Methods: This study is descriptive, analytical and cross-sectional. The sampling method was census-based and included all rural carpet weavers in Boshruyeh city who were active at least 6 months prior to the beginning of the study and were willing to cooperate (62 people). In order to investigate musculoskeletal discomforts, used from Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) and for posture assessment, The Occupational Repetitive Action Index (OCRA) method was used. The collected data by using SPSS software IBM 24 (Pe...
The Effect of Facial and Head Massage on the Pain Severity of Sinus Headache
2014
Purpose: Headache is one of the most common signs in Sinusitis which may reduce the quality of life and increase the sleep problems. The aim of this study was to assess the effect of massage therapy on the pain severity of sinus headache in women. Methods: The present study was a single group, pre and post test study which was conducted on 35 women with sinus headache in Esfahan. Purposive sampling method was used for this study. For each sample, 15 minutes facial and head massage was performed. Results: Before an intervention, the mean score severity of the pain was 6.17 and after that was reduced to 3.34. The statistical analysis indicated that there was a significant difference in the pain severity before and after the intervention (p<0.0001). Conclusion: Applying massage therapy can lead to reducing the pain severity of sinus headache; thus, using this technique as an effective method is recommended for this group of patients.