Purpose: Developmental dysplasia of the hip (DDH) increases the risk of secondary degenerative changes and subsequent total hip arthroplasty. The postoperative quality of life in patients with DDH who have been born and grown with this disability and adapted to it during the life, is one of the most challenging issues. This study aimed to compare the quality of life of patients with DDH before and after total hip arthroplasty (THA) operation. Methods:This research has a quasi-experimental/interventional design. A group of 20 patients with DDH, who underwent THA operation in Akhtar and Shafa yahyaiyan hospitals, were evaluated before operation and 6 months after it using SF36 quality of life questionnaire. Results:Findings showed significant improvement in all SF-36 subscales scores, including physical function, role physical, role emotional, vitality, mental health, social function, bodily pain, general function, and general health as well as total score (P=0.002). SF-36 mean(SD) scores before and after surgery was 27.41(22.75) and 79.12(28.03), respectively. Conclusion:THA operation improves the quality of life of patients with DDH.

The present study examined the effect of home-based handling training of mothers on the improvement of gross motor function of children with Cerebral Palsy (CP). Methods: In this randomized control trial, 42 children with CP (5-12 years old) were randomly assigned into the intervention and control groups. Data were collected using the Gross Motor Function Classification System and Gross Motor Function Measure. Results: Gross motor function suggested significant improvement in the intervention group, in comparison with the control group (P<0.01). Discussion: Handling training of mothers could be advised as a complementary and helpful intervention for gross motor function improvement in children with CP.

Background/aims Occupational performance coaching is a family-centred approach that helps mothers who have children with occupational performance challenges. This study sought to identify the barriers and facilitators to goal achievement and engagement with occupational performance coaching based on the experiences of mothers of children with cerebral palsy who were receiving occupational performance coaching. Methods This qualitative study was embedded within a randomised control trial. Twelve mothers of children with cerebral palsy who had received occupational performance coaching were interviewed using a semi-structured interview technique. Their responses were analysed using inductive content analysis. Results The most important barriers to goal achievement and engagement with coaching were societal, family-related and mother-related factors. The facilitators were new resources, family cohesion, mother-related factors and child-related factors. Conclusions Different factors can affect the outcomes of occupational performance coaching based on the viewpoint of mothers of children with cerebral palsy. Occupational therapists should consider societal, family and individual factors when using this intervention with clients.