Papers by Nastaran Ghotbi
The effect of trapezius muscles kinesio taping on pain , functional movement of shouhder joint and lateral scapular slide in athletes with impingement syndrome
Journal of Modern Rehabilitation, Jan 10, 2016
شنواییشناسی, Dec 12, 2022
Background and Aim: The face-to-face education was suspended during the COVID-19 pandemic. In suc... more Background and Aim: The face-to-face education was suspended during the COVID-19 pandemic. In such situations, online education method was used. In this study, we aim to assess the quality of online education for theoretical courses of audiology from the perspective of audiology students at Tehran University of Medical Sciences (TUMS) during the COVID-19 pandemic. Methods: This comparative cross-sectional study was conducted on 77 audiology students of the School of Rehabilitation at TUMS. Data collection were a demographic form and two quality and satisfaction assessment questionnaires. Statistical analysis was performed in SPSS version 17. Results: There was a significant difference in all subscales of Shourcheh questionnaire among students with different educational stages (p<0.05), but there was no significant difference between age (except for social solidarity component) and gender (p>0.05) groups. The results of Kruskal-Wallis test showed a statistically significant difference in the quality scores among students with different educational stages (p=0.033), but there was no significant difference between age (p=0.300) and gender (p=0.630) groups. Conclusion: The quality of online education for theoretical courses of audiology at TUMS is high from the perspective of PhD students, while it is low according to BSc and MSc students.
Journal of Physical Therapy Science, 2017
This study examined the immediate effects of transcutaneous electrical nerve stimulation on a six... more This study examined the immediate effects of transcutaneous electrical nerve stimulation on a six-minute walking test, Borg scale questionnaire and hemodynamic responses in patients with chronic heart failure. [Subjects and Methods] Thirty patients with stable systolic chronic heart failure came to the pathophysiology laboratory three times. The tests were randomly performed in three sessions. In one session, current was applied to the quadriceps muscles of both extremities for 30 minutes and a six-minute walking test was performed immediately afterward. In another session, the same procedure was followed except that the current intensity was set to zero. In the third session, the patients walked for six minutes without application of a current. The distance covered in each session was measured. At the end of each session, the subjects completed a Borg scale questionnaire. [Results] The mean distance traveled in the six-minute walking test and the mean score of the Borg scale questionnaire were significantly different across sessions. The mean systolic and diastolic pressures showed no significant differences across sessions. [Conclusion] The increase in distance traveled during the six-minute walking test and decrease in fatigue after the use of current may be due to a decrease in sympathetic overactivity and an increase in peripheral and muscular microcirculation in these patients.
Effect of Kinesio Tape on Symptoms Induced by Delayed Onset Muscle Soreness in Hamstrings
Journal of Modern Rehabilitation, Dec 1, 2020
Journal of Modern Rehabilitation
Introduction: Multiple sclerosis (MS) is a chronic degenerative autoimmune disease targeting the ... more Introduction: Multiple sclerosis (MS) is a chronic degenerative autoimmune disease targeting the central nervous system, causing impairment in both physical and cognitive functioning. There is currently no cure for MS; its treatment is based on symptom management. One way for symptom management is to have physical activity which has been shown to reduce the number, length, and duration of disease relapse and remitting. The opportunities for mobile health use have increased significantly in recent years, largely due to technological advances in mobile applications. This study aims to determine the information needed for designing a mobile application to increase the physical activity of patients with MS. Materials and Methods: This is a descriptive study that was done in two stages. Participants were a panel of experts. The data collection tool was a researcher-made questionnaire based on the Likert scale with confirmed validity and reliability (Cronbach’s alpha=0.79). Items with an ...
Tehran University Medical Journal TUMS Publications, 2018
Background: Sports injuries of the knee joint are very common. There are both contact injuries an... more Background: Sports injuries of the knee joint are very common. There are both contact injuries and non-contact injuries. Contractile injuries may be due to an impairment of the knee joint position sense or a decrease of the quadriceps muscle strength. Using a Kinesio taping method may decrease this impairment. The aim of the current study was to assess the effect of direction and tension of Kinesio taping of the quadriceps muscle on repositioning sense of the knee joint and maximum concentric and eccentric torque of the knee extensors. Methods: Twenty-one recreationally active healthy males, determined by convenient nonprobability sampling method, participated in this quazi-experimental study. The tests were performed in biomechanics laboratory of School of Rehabilitation of Tehran University of Medical Sciences, Iran, between July to November 2017. They visited biomechanics laboratory 5 sessions. The first session was for familiarization with the main tests and signing an informed consent form. For 2 through 5 sessions, one of each Kinesio tape tension approaches of 100, 115 and 140 percent (origin to insertion direction) and 100 percent (insertion to origin direction) was randomly applied on the quadriceps muscle. Active and passive repositioning sense of the knee joint at 60-degree flexion and maximum concentric and eccentric torque of the knee extensors of the dominant extremity before and after Kinesio taping were measured using a Biodex System 3 isokinetic dynamometer (Biodex Medical Systems, Shirley, NY, USA). Order of measuring active and passive repositioning sense and maximum concentric and eccentric torque of the knee extensors were randomly selected. Results: Origin to insertion Kinesio taping method with tension of 100, 115 and 140 percent significantly decreased means of active and passive repositioning sense errors (P< 0.05) and changed means of maximum concentric and eccentric torque of the quadriceps muscle (P< 0.05). But, insertion to origin Kinesio taping did not change significantly any parameter (P> 0.05). Conclusion: According to the results, Kinesio taping could influence on repositioning sense of the knee joint at 60-degree knee flexion. Maximum concentric and eccentric extensor torques was also increased.
The effect of sensory information on knee dynamic balance after anterior cruciate ligament reconstruction in comparison with normal people
Knee joint repositioning error in different trunk positions among females with chronic nonspecific low back pain: A cross-sectional study
Journal of Bodywork and Movement Therapies
Archives of Neuroscience, Apr 28, 2020
Context: Kinesio taping (KT) is recently used as a therapeutic tool for the treatment of chronic ... more Context: Kinesio taping (KT) is recently used as a therapeutic tool for the treatment of chronic low back pain (CLBP). However, the effectiveness of different types of lumbar KT is still unclear when not combing with other therapeutic methods. This review aimed to summarize the results of studies investigating the effect of various methods of lumbar KT alone on pain and functional disability in patients with CLBP.
Journal of Psychosomatic Research, Oct 1, 2018
Comparison of Motor Output and Movement Pattern Changes of the Spine in Healthy and Law Back Pain Patients Before and After Physiotherapy by Isostation B200
Trauma monthly, Apr 1, 2002
BioMed Research International, Oct 26, 2022
Introduction. Applying computerized simulation education tool for learning in medical domains is ... more Introduction. Applying computerized simulation education tool for learning in medical domains is widely used in many countries. This review is aimed at systematically investigating the computerized simulation tools developed to educate physiotherapy students and determine the effectiveness of these interventions. Methods. A comprehensive search was conducted in Medline (through PubMed) and Scopus databases from inception to Sept. 10, 2022. The studies that examined the effectiveness of computerized simulation-based interventions were included. Results. Sixteen studies were included in this systematic review. All included examinations were ranked "good" or "low risk of bias" based on the criteria utilized in the Joanna Briggs Institute (JBI) scale and the Effective Public Health Practice Project (EPHPP) tool. Most of the articles (43%) were conducted in the USA and 25% in Australia. In 43% of the total studies, the study population was only physiotherapy students, and in 12.5% of them, the scope of education was related to practical skills training. Three of the 16 reviewed articles presented positive qualitative results; thirteen quantitative investigations also declared statistically positive effects. Positive effects have been seen in areas such as improving professional and behavioral abilities, improving knowledge and self-confidence, and reducing stress. The sample size of the studies ranged from eight to 162 participants. The limited sample sizes in groups, lack of interaction, and short follow-up duration were the most consistent limitations evident within the included studies. Conclusion. Computerized simulation education approaches can help to improve physiotherapy students' skills and knowledge. They also have great potential to reduce learning costs and increase the quality of education.
Journal of Modern Rehabilitation, 2015
Background and Aim: Anterior cruciate ligament (ACL) injury is common in sports competition and t... more Background and Aim: Anterior cruciate ligament (ACL) injury is common in sports competition and training. Following ACL rupture, neuromuscular system performance is disrupted. Perturbation training can improve the function of patients with ACL reconstruction. The aim of the present study was to assess the effects of perturbation training on ground reaction force and functional status of these patients. Materials and Methods: Twenty patients with ACL reconstruction were randomly assigned into intervention (mean age: 24/2 ±3/4 years) and control (mean age: 27/1± 2/5 years) groups. The intervention group performed ten sessions perturbation training with rocker board, wobble board and Bosu. Peak vertical ground reaction force (GRF) and time to peak vertical GRF were recorded by KISTLER force plate during single leg landing from a 30cm height step. In addition, cross hop test also was evaluated as a functional test. Results: Before perturbation training, both GRF and time to peak vertical GRF in reconstructed knee had not significant difference between two groups (P>0/05). In addition, functional test score had not significant difference between the groups (P=0/62). Following perturbation training, peak vertical GRF in reconstructed knee was greater than that in control groups (P<0/003).Although time to peak vertical GRF in reconstructed knee increased, there was not statistically significant difference between two groups (P=0/50). Furthermore, functional test score was statistically greater in intervention group (P=0/03). Conclusion: This s tudy showed that perturbation training can improve functional status in patients with ACL reconstruction. In addition, force plate findings indicated that the patients tolerated more forces at longer time in single leg landing.
Electrophysiological evaluation of the Modified Tardieu Scale (MTS) in assessing poststroke wrist flexor spasticity
NeuroRehabilitation, Feb 18, 2014
BMJ Open, 2012
Introduction: Reliable and valid tools must be used to assess spasticity in clinical practise and... more Introduction: Reliable and valid tools must be used to assess spasticity in clinical practise and research settings. There is a paucity of literature regarding the validity of the Modified Modified Ashworth Scale (MMAS) and the Modified Tardieu Scale (MTS). No study, to date, has been performed to compare the validity of the MMAS and the MTS. This neurophysiological study protocol will compare the validity of the MMAS and the MTS in the assessment of poststroke wrist flexor spasticity. Methods and analysis: Thirty-two patients with stroke from the University Rehabilitation clinics will be recruited to participate in this cross-sectional, noninterventional study. All measurements will be taken in the Physical Medicine and Rehabilitation Department of Shafa University Hospital in Tehran, Iran. First, wrist flexor spasticity will be assessed clinically using the MMAS and MTS. The tests will be applied randomly. For the MTS, the components of R1, R2, R2−R1 and quality of muscle reaction will be measured. Second, neurophysiological measures of H-reflex latency, H max / M max ratio, H slp and H slp /M slp ratio will be collected from the affected side. The results will be analysed using Spearman's ρ test or Pearson's correlation test to determine the validity of the MMAS and the MTS as well as to compare the validity between the MMAS and the MTS.
Reaction time and anticipatory skill of athletes in open and closed skill-dominated sport
European Journal of Sport Science, Sep 1, 2013
In sports, reaction time and anticipatory skill are critical aspects of perceptual abilities. To ... more In sports, reaction time and anticipatory skill are critical aspects of perceptual abilities. To date, no study has compared reaction time and anticipatory skill of athletes from open and closed skill-dominated sport. Accordingly, the present study investigated whether a difference exists in sensory-cognitive skills between these two different sport domains. Eleven volleyball players and 11 sprinters participated in this experiment. Reaction time and anticipatory skill of both groups were recorded by a custom-made software called SART (speed anticipation and reaction time test). This software consists of six sensory-cognitive tests that evaluate visual choice reaction time, visual complex choice reaction time, auditory choice reaction time, auditory complex choice reaction time, and anticipatory skill of the high speed and low speed of the ball. For each variable, an independent t-test was performed. Results suggested that sprinters were better in both auditory reaction times (P&amp;amp;amp;amp;lt;0.001 for both tests) and volleyball players were better in both anticipatory skill tests (P = 0.007 and P = 0.04 for anticipatory skill of the high speed and low speed of the ball, respectively). However, no significant differences were found in both visual choice reaction time tests (P &amp;amp;amp;amp;gt; 0.05 for both visual reaction time tests). It is concluded that athletes have greater sensory-cognitive skills related to their specific sport domain either open or closed.
DOAJ (DOAJ: Directory of Open Access Journals), Apr 1, 2019
Flexibility is considered as one of the most significant components of rehabilitation protocols i... more Flexibility is considered as one of the most significant components of rehabilitation protocols including two definitions: static flexibility measured by the Range of Motion, and dynamic flexibility measured by stiffness. Generally, a normal flexibility is necessary for an appropriate posture and flawless activity in daily life. With regard to various methods that contribute to increasing flexibility of hamstring muscles, the current study aimed at investigating immediate effects of Muscle Energy Technique (MET) on hamstring flexibility and stiffness in healthy young females Materials and Methods: Ten healthy young females with the mean age of 22.5±2.67 years old participated in the study. Flexibility was measured via active knee extension and modified sit-and-reach test, and stiffness was measured based on the ratio of torque to angular changes via Biodex System 3 before and after MET interventions by post-isometric relaxation method. Results: The amounts of active knee extension and modified sit-and-reach tests significantly increased after MET intervention; the amounts of active knee extension and modified sit-andreach increased significantly (P<0.001). Moreover, the estimated hamstring stiffness decreased significantly in comparison with its values before treatment (P<0.001) Conclusion: The results of this study indicated that MET may improve hamstring flexibility as well as its stiffness.
Journal of Modern Rehabilitation, Dec 30, 2019
Compared with professionals and semi-professionals, amateur athletes need more strengthening moda... more Compared with professionals and semi-professionals, amateur athletes need more strengthening modalities due to their lower muscle strength, as well as limited facilities and time. Transcutaneous Electrical Nerve Stimulation (TENS) is a sensory-targeted modality traditionally used to treat pain, but it is also one of the most successful methods for increasing muscle activation level, too. Materials and Methods: A total of 30 sportswomen in basketball, volleyball, futsal, football, and taekwondo with the Mean±SD age of 23.5±3.6 years were randomly divided into two groups: intervention (n=15) and control (n=15). In the intervention group, a single session of TENS with a frequency of 150 Hz and pulse duration of 150 µs was applied for 20 minutes. The control group received placebo TENS. Isokinetic dynamometer and vertical jump test were used to assess quadriceps activation and strength. All samples were evaluated at three different time intervals: before, immediately after, and 30 minutes after the intervention. Results: The mean maximal voluntary isometric contraction, central activation ratio, and height of jumping in the TENS and control group were not significantly different immediately and 30 minutes after the intervention (P>0.05). Conclusion: According to this study, a single session of TENS cannot immediately improve quadriceps activation and strength in amateur female athletes.
Journal of Rehabilitation Sciences and Research, Mar 21, 2016
Introduction: Nowadays the use of music therapy for neurological disorders in developed countries... more Introduction: Nowadays the use of music therapy for neurological disorders in developed countries is widely emphasized. Despite this, there is little scientific evidence regarding the use of this method for the treatment of Iranian patients with stroke. Case report: Since Iranian patients are more familiar with Persian music, this study was performed to describe the effects of listening to the Persian music played with Daf (an Iranian music instrument) in a 54-year-old man with chronic stroke. Discussion: This case report could show for the first time, the positive effect of passive listening to Persian music with Iranian Daf instrument on the hand dexterity and depression in a patient with chronic stroke.
Effects of dry needling and exercise therapy on post-stroke spasticity and motor function– protocol of randomized clinical trial
Contemporary clinical trials communications, Aug 1, 2022
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Papers by Nastaran Ghotbi