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Article ; Online: Safety and efficacy of pulmonary physiotherapy in hospitalized patients with severe COVID-19 pneumonia (PPTCOVID study)

Mohammad Javaherian / Azadeh Shadmehr / Abbasali Keshtkar / Mohammad Taghi Beigmohammadi / Narges Dabbaghipour / Aabis Syed / Behrouz Attarbashi Moghadam

PLoS ONE, Vol 18, Iss 1, p e

A prospective, randomised, single-blind, controlled trial.

2023 Volume 0268428

Abstract: Background Pulmonary physiotherapy (PPT) is an important treatment in the management of patients with different types of pulmonary disorders. We aimed to evaluate safety and efficacy of PPT in hospitalized patients with severe COVID-19 pneumonia. Methods ...

Abstract	Background Pulmonary physiotherapy (PPT) is an important treatment in the management of patients with different types of pulmonary disorders. We aimed to evaluate safety and efficacy of PPT in hospitalized patients with severe COVID-19 pneumonia. Methods In this randomised, single-blind, controlled trial, we enrolled hospitalized, non-intubated patients (18 to 75 years with oxygen saturation (Spo2) in free-air breathing ≤90%) with COVID-19 pneumonia at a referral hospital. Participants were randomly assigned (1:1) to receive PPT (six sessions PPT with breathing exercises and airway clearance techniques) or basic care. The primary outcomes were venous blood O2 (pO2) and CO2 (pCO2) pressures, Spo2, and three-minute walking test (3MWT) that were assessed before and end of sixth session. Secondary outcomes included level of dyspnea, venous blood PH, one-month mortality, three-month mortality and short form-36 (SF-36) after one and three months. The assessor was blinded to the assignment. This trial is registered with ClinicalTrials.gov (NCT04357340). Findings In April-May 2020, 40 participants were randomly assigned to PPT or basic care groups. While at the end of intervention, pO2 (adjusted mean difference to baseline measure (AMD) 6.43 mmHg [95%CI 2.8, 10.07], P<0.01), Spo2 (AMD 4.43% [95%CI 2.04, 6.83], P = 0.0011), and 3MTW (AMD 91.44 m [95%CI 68.88, 113.99], P<0.01) were higher in PPT group and basic care group, pCO2 was not improved (AMD -2.1 mmHg [95%CI-6.36, 2.21], P = 0.33). Based on the logistic model adjusted to baseline Spo2, the risks of mortality were reduced 81% ([95%CI: 97% reduction to 30% increase], P = .09) and 84% ([95%CI 74% reduction to 5% increase], P = .06) at one-month and three-month, respectively. There were no significant differences in most SF-36 domains scores after one and three months. No serious adverse event was observed during PPT sessions. Conclusion Early PPT can be considered a safe and relatively effective therapeutic choice for patients with severe COVID-19.
Keywords	Medicine ; R ; Science ; Q
Subject code	610
Language	English
Publishing date	2023-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Safety and efficacy of pulmonary physiotherapy in hospitalized patients with severe COVID-19 pneumonia (PPTCOVID study)

Mohammad Javaherian / Azadeh Shadmehr / Abbasali Keshtkar / Mohammad Taghi Beigmohammadi / Narges Dabbaghipour / Aabis Syed / Behrouz Attarbashi Moghadam

PLoS ONE, Vol 18, Iss

A prospective, randomised, single-blind, controlled trial

2023 Volume 1

Abstract	Background Pulmonary physiotherapy (PPT) is an important treatment in the management of patients with different types of pulmonary disorders. We aimed to evaluate safety and efficacy of PPT in hospitalized patients with severe COVID-19 pneumonia. Methods In this randomised, single-blind, controlled trial, we enrolled hospitalized, non-intubated patients (18 to 75 years with oxygen saturation (Spo2) in free-air breathing ≤90%) with COVID-19 pneumonia at a referral hospital. Participants were randomly assigned (1:1) to receive PPT (six sessions PPT with breathing exercises and airway clearance techniques) or basic care. The primary outcomes were venous blood O2 (pO2) and CO2 (pCO2) pressures, Spo2, and three-minute walking test (3MWT) that were assessed before and end of sixth session. Secondary outcomes included level of dyspnea, venous blood PH, one-month mortality, three-month mortality and short form-36 (SF-36) after one and three months. The assessor was blinded to the assignment. This trial is registered with ClinicalTrials.gov (NCT04357340). Findings In April-May 2020, 40 participants were randomly assigned to PPT or basic care groups. While at the end of intervention, pO2 (adjusted mean difference to baseline measure (AMD) 6.43 mmHg [95%CI 2.8, 10.07], P<0.01), Spo2 (AMD 4.43% [95%CI 2.04, 6.83], P = 0.0011), and 3MTW (AMD 91.44 m [95%CI 68.88, 113.99], P<0.01) were higher in PPT group and basic care group, pCO2 was not improved (AMD -2.1 mmHg [95%CI-6.36, 2.21], P = 0.33). Based on the logistic model adjusted to baseline Spo2, the risks of mortality were reduced 81% ([95%CI: 97% reduction to 30% increase], P = .09) and 84% ([95%CI 74% reduction to 5% increase], P = .06) at one-month and three-month, respectively. There were no significant differences in most SF-36 domains scores after one and three months. No serious adverse event was observed during PPT sessions. Conclusion Early PPT can be considered a safe and relatively effective therapeutic choice for patients with severe COVID-19.
Keywords	Medicine ; R ; Science ; Q
Subject code	610
Language	English
Publishing date	2023-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Translation and Cross-Cultural Adaptation of the Persian Version of Minnesota Living With Heart Failure Questionnaire (MLHFQ)

Behrouz Attarbashi Moghadam / Hasan Tamartash / Sara Fereydunnia / Mahdieh Ravand

Acta Medica Iranica, Vol 57, Iss

2020 Volume 7

Abstract: The Minnesota Living with Heart Failure Questionnaire (MLHFQ) has been developed to measure health-related quality of life (HRQoL) status of Heart Failure (HF) patients. The aim of this study was to translate MLHFQ into the Persian version and assess the ...

Abstract	The Minnesota Living with Heart Failure Questionnaire (MLHFQ) has been developed to measure health-related quality of life (HRQoL) status of Heart Failure (HF) patients. The aim of this study was to translate MLHFQ into the Persian version and assess the validity and reliability of the translated version. We used a forward-backward procedure for translation. In a cross-sectional study, 105 HF patients and 50 healthy subjects were selected to assess the reliability and construct validity of the instrument. The face and content validity were used to assess the questionnaire validity. Validity was examined on the HF patients group, using the Persian version of the Short form-36 health survey (SF-36) Questionnaire. In order to assess the questionnaire’s reliability, the Intraclass correlation coefficient (ICC) and Cronbach’s alpha were calculated. Test-retest reliability was examined by re-administering the MLHFQ after 2 weeks. Test-retest results demonstrated that the Persian version has excellent reliability (ICC for all 2 domains were higher than 0.91, P≤0.000). Internal consistency for Physical domain (PD), emotional domain (ED) and total scores using Cronbach’s alpha were 0.90, 0.84 and 0.92, respectively. ICC for PD, ED and total scores were 0.95, 0.94, and 0.97, respectively. Good and very good Pearson's Correlation Coefficient was seen between MLHFQ and SF-36 (r= -0.47 to -0.775, P≤0.000 for PD; r= -0.47 to -0.65, P≤0.000 for ED). The Persian version of the MLHFQ had satisfactory reliability and validity for assessing HRQoL status of Iranian HF patients.
Keywords	Heart failure ; Health-related quality of life ; Questionnaires ; Reliability ; Validity ; Minnesota living with heart failure questionnaire (MLHFQ) ; Medicine (General) ; R5-920
Subject code	150
Language	English
Publishing date	2020-01-01T00:00:00Z
Publisher	Tehran University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Therapeutic Effects of Muscle Energy Technique on Sacroiliac Dysfunction in Young Women

Ashraf Vaseghnia / Azadeh Shadmehr / Behrouz Attarbashi Moghadam / Gholamreza Olyaei / Mohammad Reza Hadian / Zahra Khazaeipour

Crescent Journal of Medical and Biological Sciences, Vol 8, Iss 2, Pp 127-

2021 Volume 133

Abstract: Objectives: Muscle energy technique (MET) is one of the alternatives for the treatment of joint dysfunctions. Previous studies investigated this technique without considering the kind of dysfunctions. Therefore, the aim of this study was to evaluate the ... ...

Abstract	Objectives: Muscle energy technique (MET) is one of the alternatives for the treatment of joint dysfunctions. Previous studies investigated this technique without considering the kind of dysfunctions. Therefore, the aim of this study was to evaluate the therapeutic effects of MET by considering the type of dysfunction and the direction of the corrective maneuver in women with iliosacral joint dysfunctions. Materials and Methods: This randomized controlled clinical trial included 60 women with anterior innominate or posterior innominate dysfunctions and were randomly divided into the treatment group (n=30) receiving a session of MET and the control group (n=30). The range of flexion and extension of the lumbar, visual analogue scale (VAS), active straight leg raising (ASLR), and pressure pain threshold (PPT) at five points were measured before, after, and 24 hours after MET. Results: Before, after, and 24 hours after the intervention, the mean change of the range of lumbar flexion and extension showed an increase. However, the mean change of the level of VAS and ASLR decreased significantly (P<0.05) in the treatment group with corresponding 95% confidence intervals. Conclusions: According to the results of this study, using MET by considering the kind of dysfunction may more efficiently improve a patient’s symptoms.
Keywords	muscle energy technique ; sacroiliac dysfunctions ; ant innominate ; posterior innominate ; Medicine ; R
Subject code	796
Language	English
Publishing date	2021-04-01T00:00:00Z
Publisher	Aras Part Medical International Press
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Reaction Time and Anticipatory Skill in Patients Undergoing Percutaneous Coronary Intervention Compared With Normal Controls

Narges Dabbaghipour / Mohammad Sadeghian / Azadeh Shadmehr / Behrouz Attarbashi Moghadam

Journal of Modern Rehabilitation, Vol 12, Iss

A Pilot Study

2019 Volume 4

Abstract: Introduction: Percutaneous Coronary Intervention (PCI) is a non-surgical procedure for the treatment of Coronary Artery Diseases (CADs). One of the most common disorders associated with these procedures is the occurrence of Cognitive Impairments (CIs). ... ...

Abstract	Introduction: Percutaneous Coronary Intervention (PCI) is a non-surgical procedure for the treatment of Coronary Artery Diseases (CADs). One of the most common disorders associated with these procedures is the occurrence of Cognitive Impairments (CIs). This study aimed to assess the Reaction Time (RT) and anticipatory skill of PCI patients and healthy subjects, using computer-based software as a safe and easy method. Materials and Methods: Ten male PCI patients and ten healthy male individuals participated in this cross-sectional study. Auditory choice and complex choice RT, visual choice and complex choice RT, and anticipatory skill of the low and high speed of the ball of both groups were analyzed by Speed Anticipation Reaction Test (SART) software. Results: No significant difference was seen between two groups in terms of simple auditory RT (P=0.15), auditory complex choice of RT (P=0.19), and anticipatory skills of the low speed of the ball (P=0.16). However, the performance of PCI patients was significantly worse on the simple visual RT (P=0.01), visual complex choice RT (P=0.05), and anticipatory skill of the high speed of the ball (P=0.04) compared to those of the healthy controls. Conclusion: The assessment of RT and anticipatory skill as neurocognitive tests is considered to be one of the useful methods for evaluating the cognition function of patients, who have cardiovascular diseases. Furthermore, the pilot study suggests that PCI patients had a similar or even poorer performance in cognitive function compared with healthy people.
Keywords	Percutaneous coronary intervention ; Reaction time ; Anticipation ; Medicine ; R
Subject code	150
Language	English
Publishing date	2019-09-01T00:00:00Z
Publisher	Tehran University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Effects of Low-Level Laser Irradiation and Dry Needling on the Symptoms of Myofascial Pain Syndrome

Maryam Motavalian / Siamak Bashardoust Tajali / Behrouz Attarbashi Moghadam / Seyedeh Zohreh Hosseini

Journal of Modern Rehabilitation, Vol 14, Iss

A Controlled Pilot Study

2020 Volume 4

Abstract: Introduction: This study aimed to compare the effects of Low-Level Laser Therapy (LLLT) combined with Dry Needling (DN) with DN alone on pain and neck disability index following myofascial pain syndrome. Materials and Methods: Sixteen women with active ... ...

Abstract	Introduction: This study aimed to compare the effects of Low-Level Laser Therapy (LLLT) combined with Dry Needling (DN) with DN alone on pain and neck disability index following myofascial pain syndrome. Materials and Methods: Sixteen women with active Trigger Points (TrPs) in their upper trapezius muscles participated in this study. They were divided into two groups: Experimental and control. The experimental group received one session of the DN plus the LLLT with 6 j/cm2 energy at their TrPs. The patients in the control group were under a similar procedure, but they did not receive any energy by the LLLT (placebo). The pain score was assessed before, immediately, and 48 hours after the treatment. Neck Disability Index (NDI) was assessed before and 48 hours after the treatment. Results: There was a significant improvement in pain intensity and NDI scores 48 hours after the treatment in both groups compared with the baseline scores (P<0.05). The pain was also significantly reduced at the patients following laser therapy immediately after the treatment (P=0.01). Conclusion: A combination of the LLLT and DN might be more effective compared with using DN alone, and reduce immediate pain at the patients with the active TrPs. There was no difference between the groups 48 hours after the treatment. It seems that LLLT has no considerable effect on NDI and pain intensity 48 hours after the treatment.
Keywords	Myofascial pain syndrome ; Pain ; Trigger points ; Low-level laser ; Dry needling ; Medicine ; R
Subject code	616
Language	English
Publishing date	2020-10-01T00:00:00Z
Publisher	Tehran University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Comparison of Dry Needling and Physical Therapy in Patients with Trapezius Myofascial Pain Syndrome

Shima Hesari / Behrouz Attarbashi-Moghadam / Azadeh Shadmehr

Journal of Modern Rehabilitation, Vol 10, Iss

2016 Volume 1

Abstract: Introduction: Myofascial trigger points (MTrPs) are one of the main characteristics of musculoskeletal disorders. The main purpose of this study was to compare the long-term effects of dry needling (DN) and physical therapy modalities (PT) on the MTrPs ... ...

Abstract	Introduction: Myofascial trigger points (MTrPs) are one of the main characteristics of musculoskeletal disorders. The main purpose of this study was to compare the long-term effects of dry needling (DN) and physical therapy modalities (PT) on the MTrPs of upper trapezius muscle. Material and Methods: A total of 34 subjects with upper trapezius MTrP participated in this study. Subjects were randomly assigned into two groups of DN (N = 17) and PT (N = 17). DN group was treated two sessions per week, and PT group was treated three sessions per week. Pain intensity, pressure pain threshold (PPT), cervical range of motion (CROM), and function of upper limbs were assessed every session. Results: Significant decrease of pain (P = 0.002), increase of CROM (P = 0.002), PPT (P = 0.003), and functional improvement of upper limbs (P = 0.001) after treatment occurred in both groups. DN group revealed more improvement than the PT group (P = 0.001). Conclusion: Although both of PT and DN are effective treatments for MTrP, the DN seems to be more effective.
Keywords	Dry needling ; Physical therapy ; Trigger point ; Trapezius muscle ; Medicine ; R
Subject code	796
Language	English
Publishing date	2016-08-01T00:00:00Z
Publisher	Tehran University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Effects of Muscle Energy Technique on Daily Activities and Lumbar Stiffness in Women With Sacroiliac Joint Dysfunction

Ashraf Vaseghnia / Azadeh Shadmehr / Behrouz Attarbashi Moghadam / Gholamreza Olyaei / Mohammad Reza Hadian / Zahra Khazaeipour

Journal of Modern Rehabilitation, Vol 13, Iss

A Randomized Controlled Clinical Trial Study

2019 Volume 1

Abstract: Introduction: Lumbar stiffness is a common complaint of patients with low back pain. The Muscle Energy Technique (MET) is a common intervention to treat the spine and sacroiliac joint dysfunctions and their resulting disability in daily activities. This ... ...

Abstract	Introduction: Lumbar stiffness is a common complaint of patients with low back pain. The Muscle Energy Technique (MET) is a common intervention to treat the spine and sacroiliac joint dysfunctions and their resulting disability in daily activities. This research aimed to evaluate the effects of MET on pain, functional disability, and lumbar stiffness of patients with sacroiliac joint dysfunctions by considering the type of dysfunction and the orientation of the correcting maneuver. Materials and Methods: Fifty women with ant innominate or post innominate dysfunctions were recruited for the research and randomly divided into two groups (n=25). One group received one session of MET, and the other group received the sham position. Visual Analogue Scale (VAS), lumbar Stiffness Disability Index (SDI) and Oswestry Disability Index (ODI) were used for the evaluation of the participants before, 24 hours after and one week after the intervention. Results: According to the results, MET significantly decreased the mean range of VAS and ODI, 24 hours, and a week after the intervention (P<0.01). We did not see any significant difference in SDI values before, 24 hours, and one week after MET in the patients (P>0.01). Conclusion: Applying MET regarding the kind of dysfunction may reduce the patient’s pain and disability.
Keywords	Sacroiliac joint ; muscle energy technique ; Pain ; Medicine ; R
Subject code	796
Language	English
Publishing date	2019-11-01T00:00:00Z
Publisher	Tehran University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Immediate Effect of Whole Body Vibration on Core Muscles in Young Healthy Females

Marzieh Beglari Neshat / Azadeh Shadmehr / Shohreh Jalaie / Seyed Mohsen Mir / Behrouz Attarbashi Moghadam

Journal of Modern Rehabilitation, Vol 12, Iss

A Preliminary Study

2019 Volume 4

Abstract: Introduction: Previous studies showed that Whole Body Vibration (WBV) is an effective modality for strength and power. WBV has many usages in training and rehabilitation. Core muscles have the central role in the stability of the spine and our daily ... ...

Abstract	Introduction: Previous studies showed that Whole Body Vibration (WBV) is an effective modality for strength and power. WBV has many usages in training and rehabilitation. Core muscles have the central role in the stability of the spine and our daily activity; so, strengthening core muscles is essential. This study aimed to investigate the immediate effect of WBV on strength, endurance, and performance of core muscles in young, healthy females. Materials and Methods: This study was a quasi-experimental interventional study. Twelve young, healthy females (18-28 years old) participated in this study; they received WBV in semi-squat position 5 times in 60 seconds separated by 30-second rest. The parameters of WBV included the frequency of 30Hz and an amplitude of 4mm. The tests used for the evaluation of core stability included Vertical Jump (VJ), pressure biofeedback, front abdominal power, trunk extensor endurance, and trunk flexor endurance tests. The tests were performed before, immediately after, and 30 minutes after the intervention. Results: According to the results, the trunk extensor endurance test, front abdominal power test, and pressure biofeedback had a significant effect (P<0.05). However, no change was observed in the trunk flexor endurance test and VJ test (P>0.05). Conclusion: This study indicated that WBV could be useful in core stability, specifically for trunk extensor endurance, lumbar strength, and front abdominal power. More studies are required to prove the effect of WBV on VJ and trunk flexor endurance.
Keywords	Core stability ; Whole body vibration ; Immediate ; Semi-squat ; Medicine ; R
Subject code	796
Language	English
Publishing date	2019-09-01T00:00:00Z
Publisher	Tehran University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Immediate Effects of Whole Body Vibration on Rounded Shoulder Posture

Zahra Salehitabar / Azadeh Shadmehr / Behrouz Attarbashi Moghadam / Seyed Mohsen Mir

Journal of Modern Rehabilitation, Vol 11, Iss

2017 Volume 3

Abstract: Introduction: The present study aimed to determine the immediate effects of Whole Body Vibration (WBV) on Rounded Shoulder Posture (RSP) in healthy women. Materials and Methods: Thirty female students aged between 18 to 30 years with RSP participated in ... ...

Abstract	Introduction: The present study aimed to determine the immediate effects of Whole Body Vibration (WBV) on Rounded Shoulder Posture (RSP) in healthy women. Materials and Methods: Thirty female students aged between 18 to 30 years with RSP participated in this study. First, the examiner measured the RSP (in supine position), Pectoralis Minor Length (PML) and Total Scapular Distance (TSD). Then, the subjects performed 5 sets of 1-min WBV (frequency=30 Hz, amplitude=5 mm) with 1 min rest between each set. After intervention, the examiner immediately measured the above mentioned variables. The paired t test was used for data analysis. Results: The analysis showed that WBV significantly decreased the supine measurement of RSP (P<0.001) and TSD (P=0.03) and increased PML (P <0.001). Conclusion: It seems that WBV had immediate effect on postural correction of rounded shoulder posture in the study subjects.
Keywords	Whole body vibration ; Rounded shoulder ; Posture ; Medicine ; R
Subject code	796
Language	English
Publishing date	2017-07-01T00:00:00Z
Publisher	Tehran University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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