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Purpose: This study was designed to translate and assess the psychometric properties of Supports Intensity Scale among adults with intellectual and developmental disability in Ahvaz and Tehran, Iran.Method: The cross-sectional study was carried out in two stages.  The first stage consisted of the forward-backward translation of Supports Intensity Scale - Adult Version) SIS-A(. In the second stage, 197 people with intellectual and developmental disabilities were recruited in order to assess the internal consistency and test-retest reliability, concurrent and content validity of SIS-A. The confirmatory factor analysis (CFA) was performed to approve the seven-factor model of the instrument.Results: The intra-class correlation coefficient values varied between 0.85 and 0.99 (very good to excellent). All subscales of the SIS-A showed Cronbach’s alpha above 0.70. Correlation coefficient between SIS-A and Barthel index was about -0.65, which shows excellent concurrent validity of SIS-A. The findings showed SIS-A had high ability to discriminate between groups with different IQ (p<0.05). There was no significant correlation between SIS-A and the age of participants (p>0.05). The result of CFA confirmed that the seven-factor model of SIS-A is the fittest pattern for SIS-A.Conclusion: The results indicated that the Persian version of SIS-A is a valid and reliable instrument to assess function and disability among people with intellectual and developmental disability.

BACKGROUND Ankle sprain is a common problem among active people and athletes. About 80 % of the people and 73 % of the athletes, who once had an ankle sprain, have experienced a recurrence of ankle sprain during their work or sport. Chronic ankle instability is described as a repeated ankle sprain, ankle giving way, pain and swelling and functional decline. Due to impaired muscle strength and impaired neuromuscular and postural control, it seems that the morphological criteria of peri-ankle muscles have changed. The study aimed to identify the morphological and muscle performance components of peroneus longus (PL) muscle in subjects with injured and intact sides of the chronic ankle sprain. Furthermore, the difference in ultrasonographic characteristics of PL muscle between genders, and the effect of the dominant limb on PL muscle ultrasonographic characteristics were investigated. METHODS The thickness, width and cross-sectional area (CSA) as morphological components and muscle performance components like fiber length, and pennation angle of PL muscle of the injured were calculated and compared to the intact side of the control in 25 subjects with unilateral chronic ankle instability via ultrasonography. RESULTS The findings of this study indicated a significant difference in the morphological component of PL muscle between both sides with no statistically significant difference in the muscle performance component of PL muscle. CONCLUSIONS Awareness of these changes in the injured side muscle morphology may lead to better clinical decision-making to design the best treatment plan by the physiotherapist. KEY WORDS Ankle Sprain, Chronic Ankle Instability, Ankle Muscle Ultrasonography

BACKGROUND: The single-leg squat (SLS) is a common strengthening exercise after anterior cruciate ligament reconstruction (ACLR) surgery. The multi-joint nature of squatting may allow patients to shift the demand from the target muscle group to its synergies, thus reducing the strengthening effect of the SLS exercise. OBJECTIVE: To compare the muscular contribution in the involved and uninvolved side of the ACLR patients and both sides of the ACLR patients with the matched control group during SLS exercise. METHOD: Seventeen athletic men with unilateral ACL reconstruction and 16 athletic healthy men participated. Integrated Electromyography was used to calculate the relative contributions of, Vastus Medialis (VM), Vastus Lateralis (VL), rectus femoris (RF), Gluteus maximus (GMax) and Soleus (SOL) muscles to SLS performance and squat peak force was measured with a Biodex System 3 isokinetic dynamometer. RESULTS: The VM muscle contribution was significantly lower and the VL and GMax contribution was higher on the involved side of the ACLR patients compared to their uninvolved side and the control group. The SLS peak force was significantly lower on the involved side compared to the uninvolved side. CONCLUSION: The increased VL and GMax muscle contribution might be a compensatory mechanism for the reduced VM contribution on the involved side.

Purpose:This study was designed to translate and assess the psychometric properties of Supports Intensity Scale among adults with intellectual and developmental disability in Ahvaz and Tehran, Iran. Method:The cross-sectional study was carried out in two stages. The first stage consisted of the forward-backward translation of Supports Intensity Scale -Adult Version) SIS-A). In the second stage, 197 people with intellectual and developmental disabilities were recruited in order to assess the internal consistency and test-retest reliability, concurrent and content validity of SIS-A. The confirmatory factor analysis (CFA) was performed to approve the sevenfactor model of the instrument. Results:The intra-class correlation coefficient values varied between 0.85 and 0.99 (very good to excellent). All subscales of the SIS-A showed Cronbach's alpha above 0.70. Correlation coefficient between SIS-A and Barthel index was about -0.65, which shows excellent concurrent validity of SIS-A. The findings showed SIS-A had high ability to discriminate between groups with different IQ (p<0.05). There was no significant correlation between SIS-A and the age of participants (p>0.05). The result of CFA confirmed that the seven-factor model of SIS-A is the fittest pattern for SIS-A. Conclusion: The results indicated that the Persian version of SIS-A is a validand reliable instrument to assess function and disability among people with intellectual and developmental disability.

Anterior cruciate ligament (ACL) injury is one of the most common injuries among athletes that lead to postural control disorders. The aim of this study is to compare the effects of balance training with and without cognitive task and external focus of attention on postural control in individuals with ACL reconstruction. Sixty participants with ACL reconstruction, between the ages of 18 and 47 will be randomly allocated to three group’s including routine balance training, balance training with external focus of attention. Patients will be assessed at the baseline, after receiving eight weeks of intervention, and four weeks later. A double-blinded design will be used. Center of pressure data acquired from a forceplate will be used to assess amount and velocity of sway, local dynamical stability, and global stability of upright balance. Also, dynamic balance will be assessed using Star Excursion balance test. The results of this research will be used to establish effectiveness of treatment strategies for postural control in individuals with anterior cruciate ligament reconstruction. The suggested interventions would be clinically applicable in the athlete with ACL injury.

The aim of this study is to investigate the effects of combining routine physical therapy with pain neuroscience education (PNE) on psychosocial factors, physical performance, and the experienced pain in patients with chronic neck pain (CNP). This study is a double-blind randomized clinical trial in which patients will be randomly allocated to two groups, routine physical therapy with and without PNE. Patients will be assessed at the baseline, post intervention, and three months later. The results of this research will be used to establish effectiveness of treatment strategies for CNP. Due to the rigorous scientific methods used in this research, the suggested interventions would be clinically applicable in the health care systems.