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  1. Article ; Online: Effects of cardiac rehabilitation on cognitive impairments in patients with cardiovascular diseases: a systematic review.

    Dabbaghipour, Narges / Javaherian, Mohammad / Moghadam, Behrouz Attarbashi

    The International journal of neuroscience

    2020  Volume 131, Issue 11, Page(s) 1124–1132

    Abstract: Background: One of the most common problems associated with cardiovascular diseases (CVDs) is cognitive impairments (CIs) leading to reduced quality of life and treatment adherence in patients. The aim of this systematic review was to examine the ... ...

    Abstract Background: One of the most common problems associated with cardiovascular diseases (CVDs) is cognitive impairments (CIs) leading to reduced quality of life and treatment adherence in patients. The aim of this systematic review was to examine the effects of cardiac rehabilitation (CR) on cognitive function in CVD patients.
    Material and method: PubMed, Scopus, Web of Science and Ovid MEDLINE databases were searched for identification the relevant studies without language restriction. We included the studies published from root to August 2019, evaluating the effects of CR on at least one type of cognitive functions through valid neuropsychological tests. Finally, nine studies with different study designs were entered in this systematic review. The full texts of these studies were critically appraised with various quality assessment tools.
    Result: Patients were evaluated by different cognitive domains including global cognition, attention, executive function, memory and language prior to and following CR program among included studies. Most of the included studies reported significant cognitive improvement of the attention/executive function and memory domains. Two studies showed statistically significant improvement in global cognition using Modified Mini-Mental State (3MS) and Montreal Cognitive Assessment (MoCA) tools. Similar effects were not found in language domain.
    Conclusion: It seems that cognitive impairments in CVD patients can be improved with CR program. Because this review is limited by low number of included studies, and there were various study designs without control groups, the results should be generalized cautiously. Further studies are recommended.
    MeSH term(s) Cardiac Rehabilitation ; Cardiovascular Diseases/complications ; Cardiovascular Diseases/therapy ; Cognitive Dysfunction/etiology ; Cognitive Dysfunction/rehabilitation ; Humans ; Outcome Assessment, Health Care
    Language English
    Publishing date 2020-06-04
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 3061-2
    ISSN 1563-5279 ; 1543-5245 ; 0020-7454
    ISSN (online) 1563-5279 ; 1543-5245
    ISSN 0020-7454
    DOI 10.1080/00207454.2020.1773823
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 657: Show issues Location:
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  2. Article: Efficacy of Dry Needling in Treating Scars following Total Hip Arthroplasty: A Case Report.

    Bahramian, Mehrdad / Dabbaghipour, Narges / Aria, Amir / Sajadi Moghadam Fard Tehrani, Bahareh / Dommerholt, Jan

    Medical journal of the Islamic Republic of Iran

    2022  Volume 36, Page(s) 156

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2022-12-20
    Publishing country Iran
    Document type Journal Article
    ZDB-ID 1095990-7
    ISSN 1016-1430
    ISSN 1016-1430
    DOI 10.47176/mjiri.36.156
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3383: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  3. Article ; Online: Safety and efficacy of pulmonary physiotherapy in hospitalized patients with severe COVID-19 pneumonia (PPTCOVID study): A prospective, randomised, single-blind, controlled trial.

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

    PloS one

    2023  Volume 18, Issue 1, Page(s) e0268428

    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.: ... ...

    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.
    MeSH term(s) Humans ; COVID-19/therapy ; SARS-CoV-2 ; Prospective Studies ; Single-Blind Method ; Physical Therapy Modalities ; Treatment Outcome
    Language English
    Publishing date 2023-01-31
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0268428
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  4. Article: The role of the characteristics of exercise-based cardiac rehabilitation program in the improvement of lipid profile level: A systematic review and meta-analysis.

    Javaherian, Mohammad / Dabbaghipour, Narges / Mohammadpour, Zinat / Attarbashi Moghadam, Behrouz

    ARYA atherosclerosis

    2020  Volume 16, Issue 4, Page(s) 192–207

    Abstract: Background: The current study aimed to update prior systematic review and meta-analyses (SRMA) in order to determine the effects of supervised exercise-based cardiac rehabilitation (EBCR) and introduce a suitable exercise protocol for management of ... ...

    Abstract Background: The current study aimed to update prior systematic review and meta-analyses (SRMA) in order to determine the effects of supervised exercise-based cardiac rehabilitation (EBCR) and introduce a suitable exercise protocol for management of lipid profile abnormalities in patients with cardiovascular disease (CVD).
    Methods: PubMed, Scopus, and Web of Science databases were searched from 1980 to December 2018. All published, randomized controlled trials (RCTs) reporting the efficacy of supervised EBCR in patients with CVD and measuring at least 1 component of lipid profile were included. The quality of articles was assessed based on the Physiotherapy Evidence Database (PEDro) scale. Random effect model was used to calculate the effect size of post-intervention data.
    Results: Initially 774 RCTs were reviewed, 14 of them were included in the study. In comparison with the control group, supervised EBCR was associated with higher serum levels of high-density lipoprotein (HDL) [weight mean difference (WMD): 1.297; 95% confidence interval (CI): -1.620, 4.214] and lower serum level of low-density lipoprotein (LDL) (WMD: -7.797; 95%CI: -14.005, -1.588), total cholesterol (TC) (WMD: -11.029; 95%CI: -20.716, -1.342), and triglyceride (TG) (WMD: -14.602; 95%CI: -28.992, -0.212).
    Conclusion: It seems that EBCR is correlated with an insignificant increase in HDL serum level and a significant decrease in LDL, TC, and TG serum levels. Considering subgroup analysis results, it is suggested that long duration, moderate exercise volume (EV), and combination of aerobic exercise (AE) and resistance exercise (RE) be used to improve HDL and TG serum levels. Short duration, high EV, and AE+RE seem to significantly reduce LDL serum level. Moreover, moderate EV is associated with a significant reduction in TC level.
    Language English
    Publishing date 2020-12-29
    Publishing country Iran
    Document type Journal Article
    ISSN 1735-3955
    ISSN 1735-3955
    DOI 10.22122/arya.v16i4.2123
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  5. Article ; Online: Efficacy of low-level laser therapy on management of Bell's palsy: a systematic review.

    Javaherian, Mohammad / Attarbashi Moghaddam, Behrouz / Bashardoust Tajali, Siamak / Dabbaghipour, Narges

    Lasers in medical science

    2020  Volume 35, Issue 6, Page(s) 1245–1252

    Abstract: The aim of this study is to evaluate the efficacy of low-level laser therapy (LLLT) in patients with Bell's palsy (BP) through a systematic review method. We systematically searched international databases including PubMed, Scopus, and Web of Science to ... ...

    Abstract The aim of this study is to evaluate the efficacy of low-level laser therapy (LLLT) in patients with Bell's palsy (BP) through a systematic review method. We systematically searched international databases including PubMed, Scopus, and Web of Science to find eligible articles without language limitation. All relevant randomized controlled trials (RCTs) that compared the efficacy of the LLLT with placebo laser, exercise, massage, or no intervention on BP patients were included. Four studies (out of 259) had met our inclusion criteria involving 171 patients and were entered to the systematic review. Full texts of the selected studies were retrieved and critically appraised using Physiotherapy Evidence Database (PEDro) scale. The patients of all trials were in sub-acute (less than 1 week) stage. Both of LLLT and control groups showed significant improvement after trials. Two authors reported significant differences between the groups after 6 weeks of laser application (830 nm, 100 mW). In converse, two other authors did not identify any effectiveness following 4 weeks and 15 days of LLLT application with 670 and 830 nm wavelength, sequentially. There is clear lack of information lead to get and evidence-based suggestion for the LLLT application on Bells' palsy; however, the LLLT irradiation with 830 nm and 100 mW power for a period of 6 weeks might be beneficial on recovery for the patients with sub-acute Bell's palsy. There were no reported adverse effects during treatment and/or follow-up sessions.
    MeSH term(s) Bell Palsy/radiotherapy ; Humans ; Lasers ; Low-Level Light Therapy ; Physical Therapy Modalities ; Treatment Outcome
    Language English
    Publishing date 2020-04-21
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 632808-8
    ISSN 1435-604X ; 0268-8921
    ISSN (online) 1435-604X
    ISSN 0268-8921
    DOI 10.1007/s10103-020-02996-2
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    Zs.A 2148: Show issues Location:
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  6. Article ; Online: Safety and efficacy of Pulmonary physiotherapy in hospitalized patients with severe COVID-19 pneumonia (PPTCOVID): A prospective, randomised, single-blind, controlled trial

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

    medRxiv

    Abstract: Background: Pulmonary physiotherapy (PPT) is an important therapeutic tool 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. ...

    Abstract Background: Pulmonary physiotherapy (PPT) is an important therapeutic tool 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 2020, 40 participants were randomly assigned to PPT or basic care groups. At the end of intervention, pO2mortality rates wererence to baseline measure (AMD) 6-43mmHg [95%CI 2-8,10-07],P<0.0001), pCO2(AMD -2-1mmHg [95%CI-6-36,2-21],P=0.0011), Spo2(AMD 4-43% [95%CI 2-04,6-83],P=0.0011), and 3MTW (AMD 91-44m [95%CI 68-88,113-99],P<0.0001) were different between groups. While the mortality rate was not different at one month, at three months it was 25% lower in the PPT group (P=.05). This result needs to be reviewed overall though within the manuscript as it is also reported as insignificant "after considering baseline Spo2 as a covariate: OR=.16 [.26,1.05], P=.07;table 4). There were no significant difference in all SF-36 domains scores between groups after one and three months except body pain domain which was higher in PPT group than basic group significantly(P=.01). No serious adverse event was observed during PPT sessions. Conclusion: Early PPT can be considered as a safe and effective therapeutic choice for patients with severe COVID-19. Clinical Trial Registration ID #NCT04357340.
    Keywords covid19
    Language English
    Publishing date 2021-04-25
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2021.04.24.21255892
    Database COVID19

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