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J Zeni, F Pozzi, S Abujaber, L Miller (2015). Relationship between physical impairments and movement patterns during gait in patients with endstage hip osteoarthritis. Journal of Orthopaedic Research 33 (3), 382-389​


Patients with hip osteoarthritis demonstrate limited range of motion, muscle weakness, and altered biomechanics; however, few studies have evaluated the relationships between physical impairments and movement asymmetries. The purpose of this study was to identify the physical impairments related to movement abnormalities in patients awaiting total hip arthroplasty. We hypothesized that muscle weakness and pain would be related to greater movement asymmetries. Fifty-six subjects who were awaiting total hip arthroplasty were enrolled. Pain was assessed using a 0-10 scale, range of motion was assessed with the Harris Hip Score and isometric hip abductor strength was tested using a hand-held dynamometer. Trunk, pelvis and hip angles and moments in the frontal and sagittal planes were measured during walking using three dimensional motion analysis. During gait, subjects had 3.49 degrees less peak hip flexion and 8.82 degrees less extension angles (p < 0.001) and had 0.03 Nm/k*m less hip adduction moment on the affected side (p = 0.043). Weaker hip muscles were related to greater pelvis (r = -0.291) and trunk (r = -0.332) rotations in the frontal plane. These findings suggest that hip weakness drives abnormal movement patterns at the pelvis and trunk in patients with hip osteoarthritis to a greater degree than hip pain.​​

العلاج الطبيعيالعلاج الطبيعي3/2/2017العلاج الطبيعي
  

 Al-Yahya E, Johansen-Berg H, Kischka U, Zarei M, Cockburn J, Dawes H.

Prefrontal Cortex Activation While Walking Under Dual-Task Conditions in Stroke: A Multimodal Imaging Study. Neurorehabil Neural Repair. 2015 


Background Walking while performing another task (eg, talking) is challenging for many stroke survivors, yet its neural basis are not fully understood. Objective To investigate prefrontal cortex activation and its relationship to gait measures while walking under single-task (ST) and dual-task (DT) conditions (ie, walking while simultaneously performing a cognitive task) in stroke survivors. Methods We acquired near-infrared spectroscopy (NIRS) data from the prefrontal cortex during treadmill walking in ST and DT conditions in chronic stroke survivors and healthy controls. We also acquired functional magnetic resonance imaging (fMRI) and NIRS during simulated walking under these conditions. Results NIRS revealed increased oxygenated hemoglobin concentration in DT-walking compared with ST-walking for both groups. For simulated walking, NIRS showed a significant effect of group and group × task, being greater on both occasions, in stroke survivors. A greater increase in brain activation observed from ST to DT walking/ simulated walking was related to a greater change in motor performance in stroke survivors. fMRI revealed increased activity during DT relative to ST conditions in stroke patients in areas including the inferior temporal gyri, superior frontal gyri and cingulate gyri bilaterally, and the right precentral gyrus. The DT-related increase in fMRI activity correlated with DT-related change in behavior in stroke participants in the bilateral inferior temporal gyrus, left cingulate gyrus, and left frontal pole. Conclusion Our results provide novel evidence that enhanced brain activity changes relate to dual task motor decrements.​​

العلاج الطبيعيالعلاج الطبيعي3/2/2017العلاج الطبيعي
  

Saleh, M.&Almasri, N. (2015). Cerebral palsy in Jordan: Demographics, Medical characteristics and Access to Services. Children's Health Care​

This study examined characteristics of children with cerebral palsy (CP) in Jordan and the services they receive based on parents’ report. Profiles of the children and services received were developed based on their functional level on the Gross Motor Function Classification System. Results showed that 74.1% of the children have spasticity. Common associated impairments included speech (60.3%) and visual (40.5%) impairments. The most frequent service received was physical therapy (90.4%). Knowledge of needs of children with CP and current service utilization is helpful for future program planning. Services need to be individualized according to the child’s age and functional limitations.​​

العلاج الطبيعيالعلاج الطبيعي3/2/2017العلاج الطبيعي
  

Abu-Dahab, S., Malkawi, S., Nader, M., Al Momani, F., & Holm, M.B. (2013). The validity and reliability of the Arabic Infant/Toddler Sensory Profile. Physical and Occupational Therapy in Pediatrics, 34(3), 300-12​


In this study, we report the translation process, validity, and reliability of the Arabic Infant/Toddler Sensory Profile (IT_SP). A multistep approach was implemented to ensure the accuracy and equivalency of the Arabic and original English IT_SP. Factor analysis indicated that item loadings for over 50% of the items on the Arabic version were identical to the English version; all but three items had logical loadings. Intraclass correlation coefficients (ICC) between scores on the Arabic and English versions reported by parents who were bilingual were >.90 supporting bilingual validity. Alpha coefficients for each section varied from .40 to .74, which was within the range of the English version (.17 to .86), and were thus similar. ICCs between scores for repeated assessments varied from .81 to .99 supporting test-retest reliability. The results support the validity and reliability of the Arabic IT_SP.​​

العلاج الوظيفيالعلاج الوظيفي3/2/2017العلاج الوظيفي
  

A systematic procedure to optimise dose and image quality for the measurement of inter-vertebral angles from lateral spinal projections using Cobb and superimposition methods.


BACKGROUND:

Patients with vertebral column deformations are exposed to high risks associated with ionising radiation exposure. Risks are further increased due to the serial X-ray images that are needed to measure and asses their spinal deformation using Cobb or superimposition methods. Therefore, optimising such X-ray practice, via reducing dose whilst maintaining image quality, is a necessity.

OBJECTIVES:

With a specific focus on lateral thoraco-lumbar images for Cobb and superimposition measurements, this paper outlines a systematic procedure to the optimisation of X-ray practice.

METHODS:

Optimisation was conducted based on suitable image quality from minimal dose. Image quality was appraised using a visual-analogue-rating-scale, and Monte-Carlo modelling was used for dose estimation. The optimised X-ray practice was identified by imaging healthy normal-weight male adult living human volunteers.

RESULTS:

The optimised practice consisted of: anode towards the head, broad focus, no OID or grid, 80 kVp, 32 mAs and 130 cm SID.

CONCLUSION:

Images of suitable quality for laterally assessing spinal conditions using Cobb or superimposition measurements were produced from an effective dose of 0.05 mSv, which is 83% less than the average effective dose used in the UK for lateral thoracic/lumbar exposures. This optimisation procedure can be adopted and use for optimisation of other radiographic techniques.​​

الأطراف الاصطناعية والأجهزة المساعدةالأطراف الاصطناعية والأجهزة المساعدة3/2/2017الأطراف الاصطناعية والأجهزة المساعدة
  

Alkhamra, R. (2015). Cochlear implants in children implanted in Jordan: A parental overview. International Journal of Pediatric Otorhinolaryngology. 2015, 79(7):1049-1054


OBJECTIVE:

Exploring the perspective of parents on the cochlear implant process in Jordan.

METHODS:

Sixty parents of deaf children were surveyed on the information gathering process prior to cochlear implant surgery, and their implant outcome expectations post-surgery. Whether child or parent characteristics may impact parents' post-surgical expectations was explored.

RESULTS:

Although parents used a variety of information sources when considering a cochlear implant, the ear, nose and throat doctor comprised their major source of information (60%). Parents received a range of information prior to cochlear implant but agreed (93.3%) on the need for a multidisciplinary team approach. Post-surgically, parents' expected major developments in the areas of spoken language (97%), and auditory skills (100%). Receiving education in mainstream schools (92%) was expected too. Parentsperceived the cochlear implant decision as the best decision they can make for their child (98.3%). A significant correlation was found between parents contentment with the cochlear implant decision and expecting developments in the area of reading and writing (r=0.7). Child's age at implantation and age at hearing loss diagnosis significantly affected parents' post-implant outcome expectations (p<0.05).

CONCLUSION:

Despite the general satisfaction from the information quantity and quality prior to cochlear implant, parents agree on the need for a comprehensive multidisciplinary team approach during the different stages of the cochlear implant process. Parents' education about cochlear implants prior to the surgery can affect their post-surgical outcome expectations. The parental perspective presented in this study can help professionals develop better understanding of parents' needs and expectations and henceforth improve their services and support during the different stages of the cochlear implant process.​​​

علوم السمع والنطقعلوم السمع والنطق3/2/2017علوم السمع والنطق
  

Marie, B.,  Natour, Y. Haj-Tas, M. (2014). Jordanian teachers’ perceptions of voice handicap. Logopedics Phoniatrics Vocology.  39, 2, 81-86.​

This study aimed to investigate if Jordanian school teachers perceive their voice as handicapped using the Voice Handicap Index (VHI)-Arab. The effect of teachers' age, gender, years of teaching, class taught, and education level on VHI was examined. A total of 289 teachers and a control group of 100 participants took part in the study. The teachers' group differed significantly from the control group in the physical, emotional, and functional subscales and the total score of the VHI-Arab. There was no significant difference among teachers in any of the three VHI subscales or total regarding gender, age, years of teaching experience, education level, and classes taught. Jordanian teachers have a strong perception of voice handicap. Thus, preventive and treatment vocal programs are strongly advised.​​

علوم السمع والنطقعلوم السمع والنطق3/2/2017علوم السمع والنطق
  

Alia A.Alghwiri

Journal of Stroke and Cerebrovascular Diseases

Volume 25, Issue 2, February 2016, Pages 475-479​

Background and Objective

Depression, imbalance, and physical disability are among the serious stroke sequels. The objective of this study was to examine the correlation between depression, balance, and self-reported physical performance in patients post stroke.

Methods

The Arabic versions of the Beck Depression Inventory (BDI), Dynamic Gait Index (A-DGI), and physical Stroke Impact Scale-16 version 3 were administered to a convenience sample of patients post stroke. The correlation between the mentioned measures was calculated using the Pearson coefficient. Additionally, the Kruskal–Wallis test was used to find out if the distribution of measurement scores differs among BDI levels of depression intensity or among Orpington Prognostic Scale (OPS) levels of stroke severity.

Results

Sixty-one patients with stroke (mean age [standard deviation] = 64 [12] years, 39 male) were recruited. Significant moderate correlations were found between BDI and A-DGI, BDI and Stroke Impact Scale (SIS), and A-DGI and physical SIS. Additionally, the distribution of the A-DGI and the physical SIS scores showed significant differences among BDI levels of depression intensity. Moreover, the distribution of the BDI, A-DGI, and physical SIS scores showed significant differences among OPS levels of stroke severity.

Conclusions

Depressive symptoms were found frequent among people post stroke and were associated with balance and self-reported physical performance.

http://www.sciencedirect.com/science/article/pii/S1052305715005741​

العلاج الطبيعيالعلاج الطبيعي10/22/2017العلاج الطبيعي
  
العلاج الطبيعيالعلاج الطبيعي10/22/2017العلاج الطبيعي
  

International Journal of Occupational Safety and Ergonomics

Purpose. To investigate the point prevalence of upper back pain and lower back pain in Jordanian schoolteachers and to estimate the work-related reported disability. Method. A cross-sectional survey was used to assess back pain in a convenience sample of teachers in Jordan. Crude and weighted prevalence estimates of self-reported spinal pain and limited productivity were described. Demographic and occupational factors associated with self-reported pain and limited productivity were identified by multinomial/logistic regression. Results. Crude rates differed by gender, geographic location, school funding and grade levels of teaching. Weighted estimates for self-reported pain were 46% for females and 36% for males. Pain with limitation was 55% for males and 49% for females. Pain without limitation was associated with female gender (odds ratio [OR] = 5.26). Pain with limitations was associated with female gender (OR = 2.92), teaching in public school (OR = 2.06) and body mass index (OR = 1.1). Among subjects with pain, limitations were associated with male gender (OR = 2.34), teaching in public school (OR = 3.18) and pain in both upper and lower back (OR = 4.64). Conclusions. Pain and occupational limitations are highly prevalent in schoolteachers in Jordan.

العلاج الطبيعيالعلاج الطبيعي10/22/2017العلاج الطبيعي