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Showing 66 results for Miri

M Zamirian, A.m Handjani, N Ghahramani,
Volume 3, Issue 1 (8-1989)
Abstract

Six patients with mitral stenosis complicated by renal artery embolism studied prospectively are presented. In five patients there was unilateral and in one patient bilateral renal artery involvement. The diagnosis was confirmed by intravenous pyelography, retrograde pyelography, renal angiography, renal scan or a combination of these. All had atrial fibrillation, proteinuria and elevated LDH levels. Two had developed hypertension at the initial presentation. All patients were treated with anticoagulants and other supportive measures. One developed reversible acute renal failure and the others had an uneventful hospital course. Subsequent IV.P. and scans revealed nonfunctioning shrunken kidney in just one patient with complete obstruction of the main renal artery. We conclude that anticoagulation is an adequate substitute to embolectomy. The main role of surgery is in occasional patients who remain anuric despite medical therapy and in those whose angiography reveals complete occlusion of the main renal artcry.
M Keshmiri, M Towhidi,
Volume 7, Issue 4 (2-1994)
Abstract


B Motarjem, M Keshmiri,
Volume 9, Issue 2 (8-1995)
Abstract

Pulmonary Echinococcus granulosus is a parasitic infection found worldwide. Patients usually present with cough and/or hemoptysis with pulmonary nodule (s). Rarely do they enlarge to such sizes as to present with dyspnea. We report two cases with the largest hydatid cysts of the lung reported up to date: one measuring 24.5 x 19 cm and the other 19.5 x 16.5 cm. These cysts were removed intact without rupturing and with decreased complications using the Barrett (enucleation) technique.
Mehdi Keshmiri, Mojtaba Hashemzadeh,
Volume 11, Issue 3 (11-1997)
Abstract

Light's criteria (protein and LDH) have been used to the present to differentiate exudative pleural effusion from transudative. This is both time consuming and relatively more expensive as compared to measuring cholesterol. During 1992-1993, a prospective study on 70 patients with effusion was carried out measuring fasting LDH, protein, cholesterol, alkaline phosphatase and glucose. All patients had their underlying disease diagnosed then Light's criteria was compared to cholesterol using Wilcoxon's test and Student's t-test. Our findings showed taking a value of pleural cholesterol>55 mg/dL and pleural/serum cholesterol > 0.3 to define exudative effusion resulted in less erroneous classification with a sensitivity of 93%, a specificity of 100%, a positive predictive value (PPV) of 100% and an accuracy of 95.2%. Using Light's criteria gave a sensitivity of 95%, a specificity of 95%, a PPV of 97.6% and an accuracy of 95.2%. Using cholesterol in differentiating exudate from transudate was especially useful in patients with CH.F. who received diuretics. Therefore, using cholesterol to differentiate exudative from transudative pleural effusion is more cost-effective and just as useful as Light's criteria
Shirzad Azhari, Hosein Safdari, Massoud Shabehpoor, Hosein Nayebaghaie, Zohreh Amiri,
Volume 12, Issue 4 (2-1999)
Abstract

To determine the factors affecting the outcome of patients with traumatic acute subdural hematoma, we reviewed the records of7 4 consecutive comatose patients with a Glascow coma scale Score (GCS) of less than 8 who had been admitted to Imam Hosein Medical Center from 1990 to 1996 and had undergone a uniform treatment protocol. The overall mortality rate was 73% and 23% had functional recovery, but 4% were severely disabled or vegetative. The following variables had a statistically significant correlation with poor outcome: age over 65 years (p<0.05), preoperative GCS of 3 or 4 (p<0.05), bilateral absent pupillary light reflexes (p<0.05), and immediate and sustained coma from the moment of injury to operation without any lucid interval (p<0.00l). The time interval between injury and operation, sex, mechanism of injury, and associated craniocerebral injuries were not significantly correlated with outcome. In patients with immediate post-traumatic unconsciousness, the extent of primary brain injury is the crucial factor to predict the outcome. However, in patients with a lucid interval, the mass effect of hematoma seems to be more important, therefore prompt surgical decompression in addition to management of secondary brain insults improves the outcome remarkably.
F Nabatchian, Sh Khaghani, R Bagherian, R Miri, M Mahmoodi, P Pasalar,
Volume 18, Issue 2 (9-2004)
Abstract

Oxidation of low density lipoprotein (LDL) particles plays a key role in the etiology of atherosclerosis and coronary artery disease (CAD). Oxidative stress enhances the likelihood of LDL oxidation and atherosclerotic plaque development. Paraoxonase (PONI) is an enzyme associated with HDL that metabolizes organophosphates and has antioxidant activity. In order to investigate the relationship between oxidative stress and the onset of coronary artery disease (CAD), total ferric reducing antioxidant power (FRAP)-as a n index o f antioxidant capacity of plasma- and the activity of PON 1 were measured in 80 patients over 65 and 80 patients less than 55 years old as late and early-onset CAD groups respectively. Plasma lipids were also determined. Patients with early-onset CAD had significantly lower serum levels of HDL-C (p<0.05) and higher LDL-CIHDL-C (p<0.01) than the late-onset group. This may imply the significance of HDL at the onset of CAD. There was no difference in serum levels of TG, TC, LDL-C, PON 1 activity and FRAP values between the two groups. The FRAP value was significantly lower than the reference range for healthy subjects in our laboratory. Although the FRAP value is lower in normal elderly people compared to the younger subjects, there was no difference between the two groups. This indicates that in young CAD patients, oxidative stress may be more important than in the elderly subjects and should be monitored in conjunction with routine lipid measurements.
H. Forootan, A. Sharifi, Sh. Mirmomen, N. Daryani, H. Ghofrani, M. Farahvash, M. Nasiri, M. Talebi, A. Ghavidel, H. Vosoghinia, F. Mansourghanaei, M. Zahedi, H. Mirmomen, M. Azmi, M. Amirian,
Volume 19, Issue 1 (5-2005)
Abstract

 ABSTRACT

 Background: Combination therapy with interferon and ribavirin is the most effective treatment for chronic hepatitis C today. The aim of this study was to evaluate the efficacy and safety of thrice-weekly Heberon (interferon alfa-2b) in combination with ribavirin as first -line treatment of chronic hepatitis C.

 Methods: A total of97 treatment-naive patients received Heberon three million units thrice-weekly subcutaneously in combination with ribavirin for 12 months. Serum HCV RNA levels were measured before and during therapy and 6 months after the end of therapy. End-of-treatment and sustained virological responses was defmed as an undetectable HCV-RNA level at the end of treatment, and 6 months after treatment was completed (end of follow-up), respectively.

 Results: In an intent-to-treat analysis, HCV-RNA was undetectable at the end of treatment in 49.5% of patients. At the end of follow-up, sustained virological response was 36.1 %. Combination treatment was generally well tolerated. Six patients stopped therapy because of side effects: severe cytopenia (n=4), depression (n=1), and hyperthyroidism (n= 1 ). Common side effects of therapy include: Flu-like syndrome (85.6%), generalized alopecia (41.2% ), injection site inflammation (37.1% ), mood changes (36% ), anorexia (34%) and weight loss (32% ).

 Conclusion: Heberon as an IFN product in combination with ribavirin for treat-ment of patients with chronic hepatitis Cis relatively safe, feasible, and potentially efficacious. It has comparable results in achieving end-of-treatment and sustained virological responses in chronic hepatitis C.


B. Hooshmand, M.t. Goodarzi, F. Ourai, M.r. Safari, S. Amiri,
Volume 19, Issue 2 (8-2005)
Abstract

 ABSTRACT

 Background: Production of advanced glycation end products (AGEs) is directly linked to the level and duration of hyperglycemia in diabetic patients. Oxidative stress plays a major role in the pathogenesis of diabetes mellitus. Free radicals are f01med in diabetes by glucose oxidation, nonenzymatic glycation of proteins and subsequent oxidative degradation of glycated proteins. Thiobarbitwic acid reactive substance (TBARs) is a factor evidence in the presence of oxidative stress as a potential mechanism underlying periodontal disease associated with diabetes.

 Methods: ll subjects (mean age 38.9 years, 6M, SF) with chronic periodontitis associated with diabetes (5 Type I, 6 Type II) and 16 subjects (mean age 36.7 years, 7M, 6F) with chronic periodontitis as a matched control group participated in this study. Clinical attachment loss and bleeding on probing were determined in all subjects during clinical examination. FBS and HbAlc were measured in all subjects. Sections of gingival ti sue of all patients were removed dUiing periodontal surge1y. AGEs and TBARS were measured in all removed gingival tissues. The statistical analysis was carried out using T-test, Mann-Whitney U-test and Spearman correlation coefficient.

 Results: FBS in diabeti c and non-di abetic patients was 155.0 ± 82.0 and 87.4± I 0.6 mg/dL respectively and the difference between the two groups was statistica lly significant (p= 0.03 ). There was also a significant eli fferenee in HbA lc between the two studied groups (5±0.04 and9.1± 1.03%) in diabetic and non-diabetic subjects respectively, (p= 0.000). A higher level ofTBARs was observed in diabetic patients compared to non-diabetics ( 1.13±0.3 vs 0.05±0.01 mole/lit p= 0.00 I ). Clinical attachment loss also was higher in diabetic patient (p= 0.008).

 Conclusion: From the results of this study it can be concluded that oxidative stress plays a major role in the development of pe1iodontitis in diabetic patients.


Ali Ghafouri, N Mousavi, M Shamekhi Amiri, Ar Soroush,
Volume 21, Issue 1 (5-2007)
Abstract

 Abstract

 Castleman disease or giant node hyperplasia is a rare disorder of the lymphoid tissue most often involving the mediastinal lymph nodes. We report a case of localized retroperitoneal hyaline-vascular type of Castleman disease. A 35-year old woman presented with mild epigastric pain with radiation to the back. Amild anemia was the only abnormal associated finding. Abdominal ultrasound and CT- scan showed a homogeneous well-demarcated mass beneath the pancreas. Excisional biopsy on laparotomy revealed a highly vascular encapsulated mass with a diameter of 6 centimeters. Histopathology examination was diagnostic: hyaline-vascular hype Castleman disease. Castleman disease, although rare, is one of the differential diagnoses of a retroperitoneal mass, most often discovered incidentally or due to pain and compressive symptoms. Excision is both diagnostic and curative for management of the localized form of Castleman disease.


H. Froutan, M.s. Keshmiri, A. Shafaghi,
Volume 21, Issue 4 (2-2008)
Abstract

 Abstract

 Background: Esophageal cancer is one of the major malignancies, with various epidemiological aspects in recent years in developing countries, including increased prevalence and variations of pathologic patterns. This may be due to increasing rates of Barrett’s esophagus, gastroesophageal reflux, smoking and obesity. This study was performed from 1991 to 2005 in order to evaluate various clinicopathological aspects of esophageal cancer in patients referred to a gastroenterology clinic in Tehran.

 Methods: This retrospective cross-sectional study was performed according to data from clinical records, including demographic information, pathologic and endoscopic reports. We used SPSS/12 software for statistical analysis. Chi-square and ANOVAtests were used and a P-value less than 0.05 was considered significant.

 Results: 156 patients (87 males and 69 females) with an average age of 62.4±10.3 years (mean ± SD) were studied. 105 (67.3%), 39 (25%), and 12 (7.7%) patients had squamous cell carcinoma (SCC), adenocarcinoma and metastatic carcinoma, respectively. The location of tumors was 20.6 % (32 patients) in upper third, 35.2% (55 patients) in middle third and 44.2% (69 patients) in the lower third of the esophagus. There was no significant relation between sex and age of patients with the type of cancer and location of tumors. There was a significant relation between the location of tumors and cancer pathology (P<0.001).

 Conclusion: In our study, esophageal cancer had no significant epidemiological variations, so SCC was still more common than other esophageal cancers. Upper and lower thirds were the most common locations of SCC and adenocarcinoma of the esophagus, respectively.


Ashraf Mohammadzadeh, Ne'matollah Mokhtari, Ahmadshah Farhat, Ra'na Amiri, Habibollah Esmaeli,
Volume 23, Issue 2 (8-2009)
Abstract

 Abstract

 Background: Low birth weight neonates are confronted with some problems after

 birth, they should be followed up and evaluated at different ages of life.The aim of this study was to determine the impact of birth weight on the risk of sensorineural hearing impairment on children.

 Method: This cross sectional and retrospective study determined the prevalence

 of hearing problems in low birth weight and normal birth weight school age children.

 The sample was consisted of 2400 children who referred to special educational organization for hearing screening before entrance to school in Mashhad - Iran between

 June 2005 and June 2006. Hearing problems were checked in all groups. Case definition was based on the mean sensorineural hearing loss of more than 35 decibel (dB) hearing level (HL) and in the better-hearing ear averaged over the pure-tone hearing thresholds at 500, 1000, 2000 and 4000 Htz. The results were then compared the low birth weight and normal birth weight children.

 Result: This study showed that prevalence of hearing problems was 1.4%. The

 prevalence of hearing impairment in low birth weight (LBW) was 2.1% and 1.3% in

 normal birth weight (NBW). There wasn't significant difference in hearing impairment

 between two groups (p=0.255).

 Conclussion: In this study there was no significant difference between low birth

 weight and normal birth weight children in hearing impairment although other studies

 indicated that the risks of hearing impairment increase with the LBW and low

 gestational age neonates. More investigation is needed for detecting the subtle hearing

 problems in children.

 


Yasser Labbafinejad, Saber Mohammadi, Elham Mirzamohammadi, Mostafa Ghaffari, Mirsaeed Attarchi, Azadeh Amiri,
Volume 28, Issue 1 (1-2014)
Abstract

 

Background: Organic solvents are known as a group of organic compounds, widely used in industry and to which many workers are exposed. Neurotoxicity is one of the most important complications of the chronic exposure to the solvents and may causes neurobehavioral disorders in workers. We have studied the frequency of neurobehavioral disorders in workers exposed to organic solvents in one of the publishing houses in Tehran.

 

Methods: In this cross-sectional study, 510 workers of a publishing house, having been employed at least a year before the research, were selected to be studied. Among them, 345 workers had been exposed to organic solvents and the other (165 workers) had not. Data were collected using a questionnaire. This questionnaire included demographic and occupational information, and the Swedish Q16 questionnaire. Variables included age, duration of employment, working shift, and smoking. Then we compared both groups in terms of neurobehavioral disorders, using statistical methods.

 

Results: The mean score of the Swedish Q16 questionnaire in the exposed group (4.8±4.4) was significantly higher than the non-exposed group (3.2±3.1) (p=0.001). According to the questionnaire score, the frequency of neurobehavioral disorders in the exposed group was 38% and in the non-exposed group was 22% (p=0.001). We estimated that the frequency of neurobehavioral disorders in the exposed group was significantly higher than the non-exposed group (p<0.05) using regression analysis and removal of the confounding factors.

 

Conclusion: This study shows that the frequency of the neurobehavioral disorders in the exposed group is significantly higher than the non-exposed group.

 
Shahnaz Miri, Esmaeil Ghoreyshi, Gholam Ali Shahidi, Mansour Parvaresh, Mohammad Rohani, Mehdi Saffari,
Volume 28, Issue 1 (1-2014)
Abstract

  Background : Deep brain stimulation (DBS) of the globuspallidusinternus (GPi) is recommended as a promising technique for the management of the primary generalized dystonia (PGD) with DYT1 gene mutation. We present the first report of DBS results in Iranian patients with DYT1 positive PGD.

  Methods : Nine patients who suffered from severely disabling DYT1 positive PGD consecutively were recruited for the study between 2008 and 2010. The patients underwent bilateral deep brain stimulation of the GPi in a single procedure. The mean follow up duration was 8.8 ± 2.2 months. The efficacy of the intervention was evaluated by comparing pre- and post operative scores of patients with Burke-Fahn-Marsden's dystonia Scale (BFMDS). Statistical analysis was performed using SPSS 11.0 software.

  Results: Of 9 patients six were female with the mean age of 15.2 ± 5.5 years old (range: 8- 25 years old). The mean for Burke-Fahn-Marsden's Dystonia Rating Scale (BFMDRS) score was 47.22 ± 14.1 before surgery and 12.3 ± 8.2 after follow up, which significantly improved (P=0.0001).The mean stimulation parameters at the last visit were at a frequency of 152.2 ± 32.4 Hz (range 130- 230 Hz), a voltage of 2.6 ± 0.7 V (range 1.1- 4), and a pulse width of 60 μsec. No complication was observed during follow up.

  Conclusion: Bilateral DBS of the GPi has an encouraging result for the management of DYT1 positive PGD and is recommended as a safe technique for the treatment of these patients. Shorter pulse width in stimulation parameters is suggested for DYT1 dystonia patients.


Shahnaz Miri, Gholam Ali Shahidi, Mansour Parvaresh, Mohammad Rohani,
Volume 28, Issue 1 (1-2014)
Abstract

  Little is known about the results of pallidal deep brain stimulation (DBS) in DYT6 dystonia. This will be the first report of DYT6 dystonia treated with pallidal DBS from Iran. A 21 years old male patient with DYT6 dystonia underwent bilateral deep brain stimulation. The target of DBS was the sensorimotor region of the posteroventralglobuspallidusinternus (GPi). DBS parameters included an amplitude of 2.7 V, frequency of 160 Hz, and pulse width of 90 μs which were adjusted according to the patient's response 12 months after surgery. Treatment outcome was measured by the patient’s Burke-Fahn-Marsden Dystonia Rating Scale (BFMDRS) score. Before surgery, the patient's BFMDRSscore was 32. However, BFMDRS score reduced to 7 at one year follow up after surgery(78% improvement of total score). Dystonic symptoms of extremities and mouth completely resolved. Also speech and swallowing function significantly improved. Although previous observations reported a poor to moderate response in speech, we found DBS as an effective treatment not only for dystonic features, but also for speech improvement of DYT6 dystonia.


Payman Salamati, Ali Moradi, Hamid Soori, Mousa Amiri, Majid Soltani,
Volume 29, Issue 1 (1-2015)
Abstract

  Background: Evaluation of intra-city roads in terms of environmental factors of motor vehicle injuries can help us to better identify these factors and the share of each of the factors in injuries. Therefore, this study was conducted to determine the high injury areas and the risk factors of motor vehicle crashes resulting in injury and death in Tehran, the capital city of Iran, from November 2011 through February 2012.

  Methods : In this cross sectional study, the locations of the motor vehicle injuries resulting in injuries and deaths were obtained from police stations in Tehran. The coordinates of the injuries locations were extracted and entered into the Arc-GIS software to overlay the different layers of geographical data and extract the risk map.

  Results : A total of 4257 motor vehicle injuries were evaluated in this study. Forty-two injuries (1%) resulted in death and 4215 injuries (99%) resulted in injury. The traffic districts 5 and 21 had the highest frequency of injuries resulting in death. The type of the motor vehicle resulting in injury or death was motorcycle in 2330 injuries (54.73%).

  Conclusion : The frequency of traffic injuries is more in the west and northwest areas of Tehran, and it is caused more by motorcycles in terms of traffic and motor injuries resulting in injury and death. It is useful to conduct more studies to better identify these factors considering their importance in traffic injuries.


Maryam Delphi, Farzaneh Zamiri Abdolahi, Richard Tyler, Mahsa Bakhit, Nader Saki, Ahmad Reza Nazeri,
Volume 29, Issue 1 (1-2015)
Abstract

  Background: Our hearing ability in space is critical for hearing speech in noisy environment and localization. The Spatial Hearing Questionnaire (SHQ) has been devised to focus only on spatial haring tasks (e.g., lateralization, distance detection and binaural detection). The aim of the present study was to determine the reliability and validity of the Persian translation of the SHQ (Spatial Hearing Questionnaire).

  Methods : Translation and back-translation, reliability, content and construct validity were investigated. Eighty patients with sensory neural hearing loss (SNHL) (52.50% female and 47.5 % male) with the mean±SD age of 49.02±13.60 years completed SHQ, and they were categorized into mild, moderate, moderate to severe and severe groups based on their hearing threshold. Inclusion criteria in this study were the MMSE questionnaire score of higher than 21, good general health, no history of psychiatric disorders, dizziness or vertigo, dementia or alcohol abuse.

  Results : The reliability was assessed by Cronbach’s alpha and found to be 0.99. Item-total correlation was between r= 0.84 and 0.92. There was a significant difference between the mean score of P-SHQ in the four groups. Based on the factor analysis, two factors were extracted from the questions in P-SHQ: sound localization and music and speech understanding in noise and quiet. These factors could explain 82.1% and 9.3% of the total variance, respectively.

  Conclusion : The present study proved the reliability and validity of the Persian version of SHQ (P-SHQ). This provides a suitable tool for spatial hearing assessment in clinical/research environments.


Meysam Behzadifar, Masoud Behzadifar, Ali Sayehmiri, Maryam Behzadifar, Mandana Sarokhani, Kourosh Sayehmiri,
Volume 29, Issue 1 (1-2015)
Abstract

Background: Mental disorder is one of the most important diseases of which is predicted to increase from 10.5% to 15% until 2020. This study aimed to determine economic factors influencing mental health using multiple regression models in Ilam province in 2013.

Methods: In this cross sectional study, 903 families from different cities of Ilam were selected using multistage cluster sampling. The families were selected from each city separately and each head of family was interviewed. The instruments for data collection included general and economic questionnaires and the General Health Questionnaire (GHQ). The data were analyzed using SPSS software version 21, Eviews, t-test, ANOVA, Pearson's correlation coefficient, single and multiple linear regressions.

Results: The mean ± SD mental health score in this study was 28.5±12.10. The mental health increased for 4.26 units per each unit of life satisfaction increase, decreased for 4.09 units per each unit of gender growth, increased for 2.94 units per each unit of increase in economic status and had a significant correlation with all the three components (p<0.001).

Conclusion: In order to improve people's mental health, it is recommended that healthcare officials may more attention to this matter through implementation of programs such as life skills’ training, stress resistance skills training, and helping individuals to be able to adapt themselves to their life environment.


Vahdat Poortahmasebi, Mohammad Sajad Emami Aleagha, Mehdi Amiri, Mostafa Qorbani, Mohammad Farahmand, Hamid Asayesh, Seyed Moayed Alavian,
Volume 30, Issue 1 (1-2016)
Abstract

Background: Hepatic steatosis is commonly observed in patients with chronic hepatitis C (CHC). Many studies indicate a relationship between steatosis and fibrosis progression. The aim of this study was to analyze the prevalence of hepatic steatosis and related factors in Iranian CHC patients.

  Methods: One hundred and fifteen consecutive patients with CHC were enrolled which were treatment-naïve. The patients were divided into groups with and without steatosis according to the result of liver biopsy (58.3% and 41.7%, respectively). Demographic, histological, biochemical and virological factors were examined and compared in all patients.

  Results: In terms of host factors, body mass index (BMI), triglyceride, fasting blood glucose (FBG), necroinflammatory activity and severity in fibrosis of CHC patients with steatosis was significantly higher than the patients without steatosis. Of viral factors, HCV viral load was not significantly altered in patients with steatosis. Moreover, HCV genotypes did not meet such association. Using multivariate regression analysis, parameters of BMI values, FBG level and stage of fibrosis were independently associated with steatosis.

  Conclusion: Our data indicate that CHC patients are more susceptible to development of hepatic steatosis. Based on our results, grade of steatosis appears to be associated with hepatic fibrosis progression rate in CHC patients.


Vahdat Poortahmasebi, Mohammad Sajad Emami Aleagha, Mehdi Amiri, Mostafa Qorbani, Mohammad Farahmand, Hamid Asayesh, Seyed Moayed Alavian,
Volume 30, Issue 1 (1-2016)
Abstract

Background: Hepatic steatosis is commonly observed in patients with chronic hepatitis C (CHC). Many studies indicate a relationship between steatosis and fibrosis progression. The aim of this study was to analyze the prevalence of hepatic steatosis and related factors in Iranian CHC patients.

  Methods: One hundred and fifteen consecutive patients with CHC were enrolled which were treatment-naïve. The patients were divided into groups with and without steatosis according to the result of liver biopsy (58.3% and 41.7%, respectively). Demographic, histological, biochemical and virological factors were examined and compared in all patients.

  Results: In terms of host factors, body mass index (BMI), triglyceride, fasting blood glucose (FBG), necroinflammatory activity and severity in fibrosis of CHC patients with steatosis was significantly higher than the patients without steatosis. Of viral factors, HCV viral load was not significantly altered in patients with steatosis. Moreover, HCV genotypes did not meet such association. Using multivariate regression analysis, parameters of BMI values, FBG level and stage of fibrosis were independently associated with steatosis.

  Conclusion: Our data indicate that CHC patients are more susceptible to development of hepatic steatosis. Based on our results, grade of steatosis appears to be associated with hepatic fibrosis progression rate in CHC patients.


Batoul Bagheripour, Mojtaba Kamyab, Fatemeh Azadinia, Ali Amiri, Mohammad Akbari,
Volume 30, Issue 1 (1-2016)
Abstract

Background: Traction has been suggested to be an effective treatment for symptoms of neck disorder in patients with no contraindications. However, according to previous researches, the effectiveness of traction is controversial, particularly compared to other conservative treatments. This trial was conducted to evaluate the effect of sustained traction, using an over-the-door home cervical traction unit in combination with routine physical therapy on reducing cervical osteoarthrosis symptoms including neck pain, medication use and disability level compared to routine physical therapy alone.

  Methods: In this double- blinded pilot study with a pre-post test design and a control group, 20 women with mild to moderate osteoarthrosis were systematically assigned to the over-the-door home cervical traction (mean±SD age: 50.5±4.45yrs) or control groups (mean±SD age: 55.6±7.34yrs). Pain, level of disability, and drug consumption were evaluated before and after 10 sessions of intervention. Data were analyzed using parametric or non-parametric statistic including the paired-sample t-test, independent sample t-test, and Wilcoxon and Mann-Whitney u test for intra and inter groups comparison based on the Kolmogorov-Smirnov test results. 

  Results: Patients in both groups showed a significant decrease in pain intensity and disability level (p<0.05). Despite the greater improvement in pain levels and disability in the experimental group compared to the controls, the differences were not significant (p>0.05). No significant differences were found in terms of drugs consumption within and between the groups at the end of the treatment (p>0.05).

  Conclusion: The results revealed that applying sustained traction using an over-the-door home cervical traction unit was not significantly superior to the routine physical therapy and ergonomic training to manage symptoms including neck pain and disability in a small group of mild to moderate cervical osteoarthrosis patients.



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