ObjectivesLymphedema is sometimes accompanied by high degrees of anxiety and depression. This study aimed to assess the effects of relaxation techniques on the level of edema, anxiety and depression in women undergoing Comprehensive Decongestive Therapy (CDT).DesignThis clinical trial compared two treatment methods in 31 women with post-mastectomy lymphedema, including 15 cases who received CDT and 16 who received RCDT (Relaxation plus CDT). The edema volume, anxiety and depression scores were compared at the first and last sessions of the first phase of the treatment and six weeks afterwards.ResultsThe edema, anxiety and depression scores were 63.6%, 54.1% and 65.5% in the RCDT group and 60.7%, 31.4% and 35.2% in the CDT group. There were significant differences between the two groups in terms of the reduction in depression (p = 0.024) and anxiety (p = 0.011) scores throughout the study. This significant relationship was due to the differences in the depression score in the 3rd and 9th weeks of the study between the two groups. Similarly, anxiety levels differed significantly between the two groups at the 9th week of the study (P = 0.013).ConclusionRelaxation techniques reduced the anxiety and depression scores and the volume of edema in the patients with lymphedema. The addition of this intervention to the therapeutic package for lymphedema patients requires further studies in terms of cost-effectiveness.
Introduction The purpose of this study was to translate and cross-culturally adapt the original Sensory Profile 2 questionnaires to Persian and access the psychometric properties of the adapted questionnaires. Method The translation and cultural adaptation of the original questionnaires were carried out under the published guidelines. Furthermore, we employed the multiple methods to establish the validity and reliability of the Sensory Profile 2 questionnaires. We calculated the content validity, internal consistency, and test–retest, along with the standard error of measurement. The study included 1272 children, between 0 and 14 years old, without any disabilities. They were selected from child developmental centers and elementary and middle schools of Tehran, the capital of the Islamic Republic of Iran. Results The item-level content validity index and the scale-level were satisfactory for all the items, quadrant, section, and factor of the Sensory Profile 2. The values of alpha for all questionnaires were ranged from 0.67 to 0.91. Furthermore, the test–retest reliability values for all questionnaires ranged from 0.72 to 0.95. Conclusions The Sensory Profile 2-Persian version can considered as a valid and reliable tool for utilization in Persian-speaking children between 0 and 14 years old.
Background: The recognition of problems occurring with ADHD comorbid disorders can largely facilitate their diagnosis and treatment. Objectives: The present study aims to compare the visual perception skills of 7-12-year-old children with or without dyslexia who have ADHD. Methods: This is a descriptive-comparative study that encompasses a statistical population of 7-12-year-old children with ADHD in Iran who were convenience-sampled in Tehran's therapeutic centers in 1394. The groups completed visual perception skills tests and the results were compared by independent T-test. Results: The results of the independent T-test demonstrate that the children with ADHD but without dyslexia had better form constancy, visual discrimination, visual closure, visual-spatial relationship, visual sequential memory, visual memory, and figure ground discrimination (P < 0.01). Conclusions: Due to the difficulties suffered by children with ADHD and dyslexia, we recommend early diagnosis, medical screening, and use of suitable therapeutic methods to identify and minimize the number of children exposed to the high risks of undiagnosed ADHD and dyslexia.
Background: Studies indicate that balance disorder, motor development problems, and weak postural control are likely to occur in children with severe to profound hearing deficits. Children with hearing deficits also indicate behavioral problems related to impulse control, distraction, and disability to maintain attention in the visual modality. Objectives: The present study, therefore, aimed to investigate the effect of balance exercises on balance performance, motor coordination, and attention in children with hearing deficits. Methods: In this experimental study, 36 children aged 7 to 12 years with severe to profound hearing deficits were randomly divided into two control and experimental groups using permuted block randomization. The experimental group performed a 12-session balance and vestibular sensory, motor exercise program. Assessments were performed as pretest and posttest by four subtests of the Bruininks-Oseretsky test of Motor Proficiency and Continuous Performance test. Then, the mean scores were compared between the pretest and posttest phases and between control and experimental groups by the paired t-test, Wilcoxon signed-rank test, twosample t-test, and Mann-Whitney U test. Results: The results indicated a significant difference between the control and experimental groups in the pretest and posttest scores of balance (P = 0.000), upper limb coordination (P = 0.000), bilateral coordination (P = 0.004), and visual-motor control (P = 0.023) subtests of Bruininks-Oseretsky test and Continuous Performance test (P = 0.017) in children with hearing deficits. Conclusions: Balance training including vestibular sensory and motor exercise program can simultaneously affect balance performance, motor coordination, and attention in children with hearing deficits.
Background: Autism is one of the prevalent disorders in childhood. Children with autism have difficulties in different life skills and their daily activities. Pretend plays are essential in improving these skills, but the patterns of playing are impaired in this group. Objectives: The present study was designed to compare pretend plays between high-functioning autistic children and typical peers. Methods: The research is the result of a cross-sectional study. Two groups of children with high-functioning autism and typical peers in the age range of 5 - 7 years were studied. Each group consisted of 87 participants who were selected by convenience sampling. Each participant was assessed by the Child-Initiated Pretend Play assessment (ChIPPA) test. The results were analyzed using descriptive statistics and an independent t-test. Results: Data analysis and comparison of scores between the two groups of children showed a significant difference in the mean scores. The average percentage score of the number of object substitutions (NOS) and the elaborate pretend play actions (PEPA) in children with autism were lower than typical peers (P < 0.001). In other words, children with autism were less able to organize play and pretend. But the number of imitated actions (NIA) scores in children with autism was higher than their counterparts (P < 0.001). That is, children with autism relied more on examiner-playing patterns. Conclusions: The significant difference in scores between children with autism and typical peers showed significantly lower pretend skills in children with autism. According to pretend play basics on academic skills, language, and having a flexible mind, and with the attention to the same problems in children with autism, pretend play can be in greater attention to be improved among these groups.
Background: Sensory integration is a necessary skill for acquiring reading skills because it strongly depends on the rapid and strong relation between written and verbal symbols. There is no standardized test for Iranian children with dyslexia to investigate their sensory processing problems. Therefore, understanding the validity and reliability of the child sensory profile 2 (CSP2) would be essential for a detailed assessment of sensory impairments in dyslexic children. Objectives: The current research aimed to establish the internal consistency, factor analysis, and convergent validity of the Persian version of CSP2 in children with dyslexia. Methods: The sample of this study included 200 dyslexic children aged 6 to 12 years who were referred to learning disabilities centers in Qom from September 2019 to February 2020 by using the multistage sampling method. To collect data, the CSP2 questionnaire and the dyslexia test (NEMA) were used. The factor structure was assessed by confirmatory factor analysis. The internal consistency of the CSP2 was examined by using Cronbach’s alpha. Convergent validity was assessed by examining the relationship between CSP2 and NEMA. Results: Internal consistency was obtained as 0.89, 0.92, 0.77, and 0.94 for the four subscales of sensory processing, namely registration, seeking, sensitivity, and avoiding, respectively. The result of confirmatory factor analysis gained support for Dunn's four-factor model. Total scores of NEMA were correlated with the scores of CSP2 subscales (seeking, avoiding, sensitivity, and registration). Conclusions: The Persian version of the Child Sensory Profile 2 is a valid (via confirmatory factor analysis and convergent validity) and reliable (via internal consistency) tool for assessing sensory processing in children with dyslexia.
Background and Aims: The presence of a blind child in the family puts a lot of pressure on the caregivers, especially the mother. Therefore, the mother’s mental and emotional condition is affected and disturbs her ability to balance time. By knowing the pattern of time use in mothers of blind children, it is possible to help improve the health and quality of life of these mothers. This study aims to evaluate the time use in mothers of children with blindness compared to the mothers of healthy children. Methods: This is a descriptive and cross-sectional study. Ninety mothers of blind and healthy children aged 6-14 years participated in this study. Mothers were selected from among those whose children were in exceptional schools of Shahid Mohebi, Narjes, and Khazaeili and normal schools in West of Tehran, Iran using a convenience sampling method. Mothers’ time use for different activities was evaluated by the Persian version of the Mothers’ time Use questionnaire. The collected data were analyzed in SPSS software versio 21 using independent t-test and Mann-Whitney U test. Results: Mothers of children with blindness spent more time on household chores and childcare and less time on sleeping/resting compared to the mothers of healthy children (50.0≥P). Conclusion: The presence of a blind child in the family affects the ability of mothers in balancing the time and the quality of the time spent by them on daily activities. Therefore, there is a need to pay attention to balance of time as a variable of health and quality of life.
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