هومن مینونژاد

Background: Assessment of spasticity and wheelchair skills performance is important in both clinical practice and research.Aim: The present study aimed to systematically review the psychometric properties (reliability and validity) of outcome measures used to assess spasticity and wheelchair skill tests in people with spinal cord injury.Materials and Methods: A search was conducted using terms through PubMed, Embase, Scopus, and Web of Science databases. Related articles included measures of spinal cord injury patients published in English from 2010 to 2021.To determine the publication quality of studies COSMIN checklist was used.Results: A total of 2150 potentially eligible studies were retrieved from four databases. The remaining 20 full-text studies were retrieved for complete review. Finally, 12 studies involving a total of 658 participants were included in the systematic review.Conclusion: Ethical, safety, and psychological issues were considered during the test for people with disabilities. According to previous studies, the Spasticity Evaluation Tool has been suggested as a reliable tool for assessing spasticity in SCI subjects. However, due to the variety of tests and the elimination of selected tools, wheelchair skills tests cannot be recommended.

Background: Karate consists of two somewhat different disciplines, kata, and kumite; each one may have a different effect on foot structure and dynamics in the longterm.   Aim : As pedobarography is indicative of foot function, the present study aimed to compare pedobarographic profile during gait between young females participating in international kata and kumite competitions and non-karate-ka females. Materials and Methods: Displacement and velocity of the center of pressure, and peak pressure in ten regions of the foot of 10 kata-ka, 12 kumite-ka, and 16 non-karate-ka were measured with a pressure platform during barefoot walking. Results: Peak pressure in the lateral-heel and lateral-toes of kata-ka and kumite-ka was significantly lower than non-karate-ka ( P <0.05). Furthermore, peak pressure in the kata-ka midfoot was lower than non-karate-ka ( P =0.01 in medial-foot, P =0.01 in lateral-midfoot). In the anteroposterior direction, center of pressure velocity and displacement were significantly different among the three groups ( P <0.05). Conclusion: It can be concluded that the practice of repeated intensive karate exercises has a demonstrable effect on foot progression, dynamic loading velocity, and plantar load distribution during gait. Moreover, practicing kata probably has a greater impact on the measured parameters.

Background: Instrument Assisted Soft Tissue Mobilization (IASTM) and electrotherapy have shown to help alleviating post-operation complications and affect gait kinematics and muscle strength.Aim: This case study aimed to manage the post-operative complications in a patient with investigate excessive ankle stiffness with kinetics, kinematics and Electromyography (EMG) approach.Materials and Methods: A 41-year-old female with post-operation complications including decreased right ankle range of motion (ROM) and strength underwent a 12-week of IASTM and Electrotherapy. Gait analysis was performed before and after the intervention.Results: The results showed notable improvements in ankle 3-dimensional (3D) ROM, power, moment, velocity, cadence, step length, ground reaction force (GRF) and decreased stiffness, muscles activity, single and double support time. Ankle dorsiflexion ROM was not notably increased during gait.Conclusion: Findings suggest that a 12-week intervention of IASTM and electrotherapy can improve gait mechanics and reduce muscle activity in a patient with excessive ankle stiffness.

Background: Both of transcranial direct current electrical stimulation (tDCS) and neuromuscular training (NMT) have used to relive motor deficits in neurological disease.Aim: We decided to investigate augmenting effect of tDCS and NMT to improve static and dynamic balance and gait parameter in autism spectrum disorder (ASD).Materials and Methods: 24 children with ASD aged 6-10 years old were randomly assigned to one of three groups: NMT+ sham, anodal tDCS, and NMT + tDCS. NMT consisted of 10 sessions motor training (each for 40 min). tDCS training was performed with 1.5 mA on left primary motor cortex for 20 min. Pre-test and post-test evaluations included static and dynamic balance and gait parameters (length and width of stepping and speed of gait).Results: Although improvement of variables were seen in all groups, but in post intervention comparison, combined group was better in static and dynamic balance and gait parameters than two other groups. NMT was more effective than tDCS only in dynamic balance.Conclusion: Our findings were indicated tDCS enhance NMT effect on neuromuscular function in ASD, so regarding the augmented effect in combination of NMT and tDCS, it can be considered in rehabilitation of motor deficits in these children.

The musculoskeletal and support systems along with biomechanical factors lead to tissue adaptations in the skeletal, musculoskeletal and nervous systems, resulting in changes in movement pattern. The aim of this study was to investigate the effect of tactile feedback along with corrective exercises on the degree of thoracic kyphosis in people with Hyperkyphosis . Twenty patients with postural kyphosis greater than 42 were selected voluntarily and randomly divided into experimental and control groups. In the pre-test and post-test, the degree of kyphosis of both groups was measured using a flexible ruler. In the intervention phase, both groups performed corrective exercises for 8 weeks, 3 sessions per week and each session for 30 to 45 minutes. With this difference, the experimental group received tactile feedback, but the control group did not receive any feedback. The results of 2-factor analysis of variance showed that tactile feedback along with corrective exercises (D = -12%) compared to corrective exercises (D = -8%) led to a reduction in kyphosis in people with Hyperkyphosis (P = 0.018).It seems that tactile feedback with changes in sensory inputs can be an effective complement to corrective exercises to reduce the degree of kyphosis.

Introduction: This study aimed to investigate the effect of a 4-week core stability training program on landing kinetic parameters in athletes with functional ankle instability during a single-leg drop landing exercise. Methods: This study used a pre-post quasi-experimental design and was conducted in the biomechanics laboratory. A total number of 24 athletes with functional ankle instability participated in two experimental (n=12) and control (n=12) groups. The experimental group performed core stability training for 4 weeks. The kinetic variables (maximum vertical Ground-Reaction Force [GRF], maximum shear GRF, and time to peak vertical GRF) were measured with force plate at the frequency of 400 Hz, in the pre-test and post-test. The obtained data were compared using Analysis of Covariance (ANCOVA) and multivariate analysis of covariance MANCOVA in SPSS V. 18. Results: In the experimental group, all variables significantly differ between the pre-test and post-test. Also, the ANCOVA and MANCOVA indicated significant differences between the experimental and control groups in all variables. Conclusion: The results indicated that the core stability training improved the kinetic parameters of landing in people with functional ankle instability; thus, it can reduce the re-injury risk of the ankle.

Introduction: The present research aimed to compare and follow-up the effect of 8-week corrective exercises with and without the myofascial release on functional kyphosis deformity in young adults. Methods: It was a randomized controlled trial in the university laboratory. Forty-five male students suffering from abnormal hyperkyphosis deformity (kyphosis of more than 42°) were selected and randomly assigned to three groups: corrective exercises, combinational exercises (corrective and myofascial release), and control. The Mean±SD age, height, and weight of the study sample were 22.12±2.88 years, 175.44±6.80 cm, and 71.21±7.31 kg, respectively. The study groups did the exercises for 8 weeks, under the direct observation of the researchers. The kyphosis angle of the participants was measured using a flexible ruler, at the baseline, post-test, and follow-up (4 weeks after the end of the exercises) stages. The collected data were analyzed with repeated measures Analysis of Variance (ANOVA) and Analysis of Covariance (ANCOVA) tests. Results: After 8 weeks of exercises, the degree of kyphosis in the post-test and follow-up stages was significantly lower than that in the pre-test, in both training groups. The results of the ANCOVA test demonstrated that the thoracic kyphosis degree in the combinational exercises group was significantly lower than that of the corrective exercises group (P≤0.05), in the post-test and follow-up stages. Conclusion: According to the results, the corrective exercises program in combination with the myofascial release is more effective than the corrective exercises alone, in correcting the thoracic kyphosis deformity.