Tehran University of Medical Sciences Current Journal of Neurology 2717-011X 15 4 2016 10 05 240 247 EN Fatemeh Mahmoudzadeh-Zarandi Department of Operation Room, School of Paramedicine, Birjand University of Medical Sciences, Birjand, Iran Farahrooz Hamedanizadeh Department of Medical Surgical Nursing, School of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran Abbas Ebadi Behavioral Sciences Research Center, Department of Nursing, School of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran Afsaneh Raiesifar Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran 2015 10 21 2016 08 07 Background: Providing a self-care program appropriate for patient needs in a supportive educative nursing system format could reduce migraine-induced disability. This study was designed to determine the effectiveness of Orem's self-care program on headache related disability in migraine patients. Methods: In this randomized clinical trial, episodic migraine patients with or without aura who signed the informed consent were randomly assigned to two groups (44 patients each). The data collection tools included a demographic questionnaire, the Migraine Disability Assessment (MIDAS) questionnaire, an Orem cognition form, and a self-care checklist. The programs were held as four 30 to 45 minutes training sessions for experimental group. The MIDAS were filled out before and three months after program in two groups. Data were analyzed with SPSS statistical software, version 16 and using chi-square, Mann-Whitney and Wilcoxon tests. Results: There was no statistically significant difference between the two groups in terms of demographic variables (P > 0.05). The mean total MIDAS score in the experimental group, before and after the intervention was 28.1 ± 17.5 and 6.03 ± 4.52, respectively (P = 0.001); and for the control group, it was 37.6 ± 16.4 and 55.6 ± 14.5, respectively (P < 0.001). Also, there was a statistically significant difference in disability indices between the two groups after the intervention (P < 0.001). Conclusion: Self-care program was suitable for needs assessment and provided basis for acquiring positive results in order to decrease disability and saved patient treatment costs. https://ijnl.tums.ac.ir/index.php/ijnl/article/view/865 https://ijnl.tums.ac.ir/index.php/ijnl/article/download/865/303

Tehran University of Medical Sciences Current Journal of Neurology 2717-011X 15 4 2016 10 05 183 188 EN Sousan Salehi Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical ‎Sciences, Tehran, Iran‎ Ali Jahan ‎Department of Speech Therapy, School of Rehabilitation, Tabriz University of Medical ‎Sciences, Tabriz, Iran Najva Mousavi Department of Psychology, School of Education and Psychology, University of Tabriz, Tabriz, Iran Mazyar Hashemilar ‎Department of Neurology, School of Medicine, Tabriz University of Medical Sciences, ‎Tabriz, Iran Zohreh Razaghi Endocrine Research Center, Tabriz University of Medical Sciences, Tabriz, Iran Maryam Moghadam-Salimi Department of Psychology, School of Education and Psychology, University of Tabriz, Tabriz, Iran 2016 06 27 2016 07 24 Background: As there is no standard aphasia screening tool for Azeri language yet, the aim of this study was to develop an aphasia screening test with acceptable validity and reliability. Methods: The present study was conducted in two phases. In the first phase, by literature search, the screening test was designed and to obtain validity it was peer reviewed by expert panel. After collecting experts’ ratings and comments, appropriate modifications were applied. For test-retest reliability in the second phase, edited test was administered in 32 patients with brain injuries, then the retest was performed two weeks later. Results: The developed test had eight subscales including: A) picture description, B) syntax, C) linguistic reasoning, D) descriptive naming, E) perception of minimal pairs, F) comprehensive vocabulary, G) expressive vocabulary, H) verbal fluency. Each section had five questions except verbal fluency which had 3 items. Content validity ratio (CVR) according to Lawshe’s approach, was 82% for the whole test. Intraclass correlation for all subscales were more than 0.8. Cronbach’s alpha coefficient for internal reliability was 0.901. Conclusion: This aphasia screening test seems to have acceptable psychometric properties. This test can probably be used in clinical setting by specialists. https://ijnl.tums.ac.ir/index.php/ijnl/article/view/1085 https://ijnl.tums.ac.ir/index.php/ijnl/article/download/1085/304

Tehran University of Medical Sciences Current Journal of Neurology 2717-011X 15 4 2016 10 05 232 234 EN Fariborz Khorvash Department of Neurology, Neurosciences Research Center, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran Nafiseh Esmaeil Department of Immunology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Omid Mirmosayyeb Neurosciences Research Center, Alzahra Hospital, Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran Nahid Eskandari Department of Immunology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Homayoon Salimian School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran 2016 01 27 2016 07 27 https://ijnl.tums.ac.ir/index.php/ijnl/article/view/966 https://ijnl.tums.ac.ir/index.php/ijnl/article/download/966/308

Tehran University of Medical Sciences Current Journal of Neurology 2717-011X 15 4 2016 10 05 219 227 EN Alireza Shamsoddini Exercise Physiology Research Center AND Department of Exercise Physiology, Baqiyatallah University of Medical Sciences, Tehran, Iran Zabihallah Rasti Exercise Physiology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran Minoo Kalantari Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran Mohammad Taghi Hollisaz Department of Physical Medicine and Rehabilitation, Baqiyatallah University of Medical Sciences, Tehran, Iran Vahid Sobhani Exercise Physiology Research Center AND Department of Exercise Physiology, Baqiyatallah University of Medical Sciences, Tehran, Iran Hamid Dalvand Department of Occupational Therapy, School of Rehabilitation, Arak University of Medical Sciences, Arak, Iran Mohammad Kazem Bakhshandeh-Bali Department of Pediatric Neurology, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran 2016 04 23 2016 07 25 Cerebral palsy (CP) is the most common movement disorder in children that is associated with life-long disability and multiple impairments. The clinical manifestations of CP vary among children. CP is accompanied by a wide range of problems and has a broad spectrum. Children with CP demonstrate poor fine and dross motor function due to psychomotor disturbances. Early rehabilitation programs are essential for children with CP and should be appropriate for the age and functional condition of the patients. Kinesio taping (KT) technique is a relatively new technique applied in rehabilitation programs of CP. This article reviews the effects of KT techniques on improving motor skills in children with CP. In this study, we used keywords "cerebral palsy, Kinesio Tape, KT and Taping" in the national and international electronic databases between 1999 and 2016. Out of the 43 articles obtained, 21 studies met the inclusion criteria. There are several different applications about KT technique in children with CP. Review of the literature demonstrated that the impact of this technique on gross and fine motor function and dynamic activities is more effective than postural and static activities. Also this technique has more effectiveness in the child at higher developmental and motor stages. The majority of consistent findings showed that KT technique as part of a multimodal therapy program can be effective in the rehabilitation of children with CP to improve motor function and dynamic activities especially in higher developmental and motor stages. https://ijnl.tums.ac.ir/index.php/ijnl/article/view/1036 https://ijnl.tums.ac.ir/index.php/ijnl/article/download/1036/302

Tehran University of Medical Sciences Current Journal of Neurology 2717-011X 15 4 2016 10 05 237 239 EN Aileen O’Shea Neuroradiology and Neurointerventional Service, Department of Radiology, Beaumont Hospital, Dublin, Ireland Sinead Culleton Neuroradiology and Neurointerventional Service, Department of Radiology, Beaumont Hospital, Dublin, Ireland Hamed Asadi Neuroradiology and Neurointerventional Service, Department of Radiology, Beaumont Hospital, Beaumont Road, Dublin, Ireland AND School of Health, Deakin University, Waurn Ponds, Australia Hong Kuan Kok Neuroradiology and Neurointerventional Service, Department of Radiology, Beaumont Hospital, Dublin, Ireland Alan O’Hare Neuroradiology and Neurointerventional Service, Department of Radiology, Beaumont Hospital, Dublin, Ireland John Thornton Neuroradiology and Neurointerventional Service, Department of Radiology, Beaumont Hospital, Dublin, Ireland Paul Brennan Neuroradiology and Neurointerventional Service, Department of Radiology, Beaumont Hospital, Dublin, Ireland Seamus Looby Neuroradiology and Neurointerventional Service, Department of Radiology, Beaumont Hospital, Dublin, Ireland 2016 04 19 2016 07 25 https://ijnl.tums.ac.ir/index.php/ijnl/article/view/1034 https://ijnl.tums.ac.ir/index.php/ijnl/article/download/1034/310

Tehran University of Medical Sciences Current Journal of Neurology 2717-011X 15 4 2016 10 05 228 231 EN Morteza Faghih-Jouibari Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Keisan Moazzeni Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Amir Amini-Navai Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Sara Hanaei Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Sina Abdollahzadeh Pasteur Hospital, Bam University of Medical Sciences, Bam, Iran Ramin Khanmohammadi Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran 2016 01 13 2016 08 21 Background: This study aimed to investigate the pedicle dimension and angulation in cervicothoracic junction (CTJ) using the findings of computed tomographic (CT) to help accurate insertion of pedicular screw. Methods: Forty three patients with high quality CT images of CTJ were evaluated. Pedicle width (PW), pedicle height (PH), pedicle axis length (PAL), transverse angle (TA) and sagittal angle (SA) were measured bilaterally from C6 to T2. Results: Mean PW was 5.3 mm at C6, 6.2 mm at C7, 8.1 mm at T1 and 6.5 mm at T2. Males had larger pedicles than females. PH was greater than PW in all vertebrae. SA was relatively constant and around 15 degrees to horizontal plane. There was high variability of vertebral characteristics especially in PAL and TA. Conclusion: Small diameter screws must be used for pedicular fixation in CTJ. Because of high variability of pedicle morphometry, CT scan is recommended in all patients before instrumentation. https://ijnl.tums.ac.ir/index.php/ijnl/article/view/959 https://ijnl.tums.ac.ir/index.php/ijnl/article/download/959/307

Tehran University of Medical Sciences Current Journal of Neurology 2717-011X 15 4 2017 01 20 1218 1218 Iranian journal of neurology Iranian journal of neurology Official journal of Iranian Neurological Association 2017 01 20 ORCID iDs can only be assigned by . You must conform to their standards for expressing ORCID iDs, and include the full URI https://ijnl.tums.ac.ir/index.php/ijnl/article/view/1218 https://ijnl.tums.ac.ir/index.php/ijnl/article/download/1218/315

Tehran University of Medical Sciences Current Journal of Neurology 2717-011X 15 4 2016 10 05 189 194 EN Seyed Alireza Derakhshanrad Department of Occupational Therapy, School of Rehabilitation Sciences AND Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Emily Piven University of Texas at El Paso, El Paso, Texas AND Health Matters First of Florida, Inc., Oakland, FL, USA 2016 04 01 2016 07 22 Background: Research has shown that in order for recovery from a stroke to occur, motivation for recovery has been essential component of rehabilitation. Researchers and clinicians have tended to categorize stroke survivors subjectively into two groups: those who have been motivated or unmotivated, perhaps due to the paucity of objective measures that distinguish the groups. Since classification of clients based on subjective inference would be prone to bias, this pilot study aimed to establish a regionally validated scale that was adequately standardized for measuring motivation of adult post-stroke survivors in Iran. Methods: The Persian version of Hermans Achievement Motivation Questionnaire (PHAMQ) was identified as the best test for the purposes of this study. A multistep process was undertaken to create an adapted scale from the PHAMQ that focused on functional behaviors, often seen in the process of rehabilitation. Thus, the Adapted Achievement Motivation Questionnaire (AAMQ) was examined for reliability and validity. Cronbach’s alpha was used for measuring internal consistency and expert panel opinions were sought to analyze the content validity of AAMQ. Results: A convenience sample of 25 stroke subjects comprised of 10 males and 15 females participated in this study with the mean age [(± standard deviation (SD)] 58.3 ± 9.8 years and range of 35-72 years. Expert opinion regarding the relevance of AAMQ items led to provide compelling evidence for a 28-item AAMQ. Cronbach’s alpha of 0.946 showed a perfect internal consistency for test items. Conclusion: This pilot study suggested that AAMQ could be utilized as a regionally validated scale for examining the motivational level of patients who have sustained strokes in Iran. Further research are recommended. https://ijnl.tums.ac.ir/index.php/ijnl/article/view/1019 https://ijnl.tums.ac.ir/index.php/ijnl/article/download/1019/301

Tehran University of Medical Sciences Current Journal of Neurology 2717-011X 15 4 2016 10 05 235 236 EN Jan Ulfberg Sleep Center, Capio Health Center, Hamnplan, Örebro, Sweden Romana Stehlik Pain Center, Uppsala University Hospital, Uppsala, Sweden Ulrike Mitchell Department of Exercise Sciences, Brigham Young University, Provo, USA 2016 07 12 2016 08 07 https://ijnl.tums.ac.ir/index.php/ijnl/article/view/1090 https://ijnl.tums.ac.ir/index.php/ijnl/article/download/1090/309

Tehran University of Medical Sciences Current Journal of Neurology 2717-011X 15 4 2016 10 05 195 201 EN Jaydip Ray Chaudhuri Department of Neurology, Yashoda Hospital, Hyderabad, India Randhir Kumar Department of Neurosurgery, Yashoda Hospital, Hyderabad, India Matapathi Umamahesh Department of Radiology, Yashoda Hospital, Hyderabad, India Kandadai Rukmini Mridula Department of Neurology, Nizam’s Institute of Medical Sciences, Hyderabad, India Suvarnal Alladi Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India Srinivasarao Bandaru Department of Neurology AND Department of Research, Yashoda Hospital, Hyderabad, India 2015 12 11 2016 07 22 Background: Intravenous recombinant tissue plasminogen activator (rt-PA) is the currently standard treatment of acute ischemic stroke within 4.5 hours of the onset of stroke. Recent studies have looked at the benefits of administration of intra-arterial (IA) rt-PA within 8 hours onset of symptoms. Our objective was to assess the outcome of stroke after administration of IA rt-PA in patients with acute ischemic stroke. Methods: We recruited 10 consecutive acute ischemic stroke patients with onset of stroke from 4.5 hours to 6.5 hours. The present study was conducted at Yashoda Hospital, Hyderabad, India, between January 2008 and December 2013. All patients underwent stroke subtyping and were administered rt-PA. We measured the thrombolysis in cerebral infarction (TICI) score after thrombolysis and functional outcomes at time of admission, after 24 hours, 30, 60, and 90 days.A good outcome was defined as modified Rankin Scale (mRS) ≤ 2 after 90 days. Results: Out of 10 patients 9 were men, mean age 56.3 ± 1.8 years and age range from 35-68 years. On stroke subtyping, 6 (60%) patients had large artery atherosclerosis, 3 (30%) had a stroke of indeterminate etiology and 1 (10%) had a stroke of other etiologies. Mean time of recanalization was 6.2 ± 0.5 hours,7 (70%) patients showed major neurological improvement with a mRS score of ≤ 2 at 90 days and one patient was lost to follow-up. Conclusion: Our study established good outcome at 90 days after administration of IA thrombolysis rt-PA in acute ischemic stroke. https://ijnl.tums.ac.ir/index.php/ijnl/article/view/920 https://ijnl.tums.ac.ir/index.php/ijnl/article/download/920/299

Tehran University of Medical Sciences Current Journal of Neurology 2717-011X 15 4 2016 10 05 202 208 EN Seyed Mansoor Rayegani Physical Medicine and Rehabilitation Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Seyed Ahmad Raeissadat Physical Medicine and Rehabilitation Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Ebrahim Alikhani Physical Medicine and Rehabilitation Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Masume Bayat Physical Medicine and Rehabilitation Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Mohammad Hasan Bahrami Physical Medicine and Rehabilitation Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Afshin Karimzadeh Physical Medicine and Rehabilitation Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2016 02 25 2016 07 22 Background: To evaluate the patients with stroke by Functional Independence Measure (FIM) scale, at the times of admission to hospital, discharge, and six-month poststroke, and to determine the level of improvement in patients after rehabilitative procedures. Methods: A total number of 108 patients with stroke entered the study who were admitted to neurology ward. They all received rehabilitation consultation, and occupational and physical therapies were prescribed for them. Finally, their functional status was evaluated by FIM scale. Results: The median (and range) of FIM scores were 86 (15-119), 102 (16-123) and 119 (17-126) at admission, discharge, and after six-month follow-up, respectively. Our observations showed a significant improvement in FIM scores (P < 0.001). About 13, 30, and 76 percent of the patients in individual functional tasks of motor domain and 61, 75, and 86 percent in cognitive domain got the score of 6 or 7 (complete or partial independence) on admission, discharge, and after six months, respectively. There was a reverse correlation between age and FIM improvement and also duration of hospitalization (P = 0.002). Conclusion: The study showed that the FIM is a valid tool for evaluation of patients with stroke, their follow-up and tracking the disease course. Moreover, we concluded that patients with stroke make a significant improvement in their functional status overtime. The exact effect of rehabilitative procedures and comparison with no treatment, must be assessed in separate studies. https://ijnl.tums.ac.ir/index.php/ijnl/article/view/1001 https://ijnl.tums.ac.ir/index.php/ijnl/article/download/1001/300

Tehran University of Medical Sciences Current Journal of Neurology 2717-011X 15 4 2016 10 05 209 213 EN Mohammad Ali Shafa Department of Neurology, Afzalipour School of Medicine, Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran Hosseinali Ebrahimi Department of Neurology, Afzalipour School of Medicine, Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran Farhad Iranmanesh Department of Neurology, Afzalipour School of Medicine, Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran Mojtaba Sasaie Department of Neurology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran 2016 01 08 2016 08 28 Background: Diabetes is a well-known risk factor for acute ischemic stroke (AIS). Some recent studies point to hemoglobin A1c (HbA1c) may have prognostic value in nondiabetic and diabetic patients with ischemic stroke (IS). The aim of this study was to evaluate the prognostic value of HbA1c on mortality and morbidity in AIS patients with and without diabetic. Methods: In this prospective observational study, 150 diabetic and nondiabetic patients with AIS were evaluated for serum HbA1c level, hypertension (HTN), hyperlipidemia, and smoking in the first 24 hours of admission to determine their value to predict mortality and mortality at 30 and 90 days. Morbidity was estimated by the National Institutes of Health Stroke Scale (NIHSS) and follow-up visits were scheduled 30 and 90 days after admission. Results were analyzed with independent t-test and logistic regression analysis. Results: In this study, 73 patients (48.7%) were female and the rest were men. At 30 days, the diabetic patients had a significantly higher mortality, but no significant difference was found between diabetics and morbidity. No significant statistical differences were seen between HbA1c and 30 and 90 days with mortality and morbidity among diabetic patients. Furthermore, no significant statistical difference was seen between HbA1c and 30 and 90 days morbidity and between HbA1c and 30 days mortality in nondiabetic patients. However, in nondiabetic patients, on multiple logistic regression analysis, a significant correlation was seen between 90 days month mortality and HbA1c (P = 0.002). Conclusion: HbA1c can be as a predictive biomarker in nondiabetic patients with AIS. https://ijnl.tums.ac.ir/index.php/ijnl/article/view/955 https://ijnl.tums.ac.ir/index.php/ijnl/article/download/955/305

Tehran University of Medical Sciences Current Journal of Neurology 2717-011X 15 4 2016 10 06 214 218 EN Masoud Mehrpour Department of Neurology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Hessam Rahatlou Department of Neurosurgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Negar Hamzehpur Department of Obstetrics and Gynecology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Sahand Kia Department of Otolaryngology-Head and Neck surgery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Mahdi Safdarian Department of Neurology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran 2016 02 23 2016 08 28 Background: The aim of this study was to evaluate whether higher serum levels of insulin-like growth factor-I (IGF-I) in the acute phase of ischemic stroke are associated with less severe strokes and better functional outcome in a period of 12-month follow-up. Methods: From October 2014 to August 2015, patients with the diagnosis of acute ischemic stroke admitted to the stroke unit of Firoozgar Hospital, Tehran, Iran, entered this prospective study. National Institutes of Health Stroke Scale (NIHSS) and Modified Rankin Scale (MRS) for stroke scores were used to measure the severity and outcomes of an acute ischemic stroke at the time of admission and 1 year after the stroke, respectively. Results: A total of 60 acute ischemic stroke patients (28 male, 32 female) with the mean age of 71.1 ± 9.0 years were evaluated for the serum level of IGF-I at the time of admission to the stroke unit of Firoozgar Hospital. There was seen a significant correlation between the IGF-I serum level and the MRS scores (P = 0.020; correlation coefficient = −0.32). IGF-I serum level had no significant correlation with NIHSS scores. Conclusion: These results support that the higher serum levels of IGF-I at the time of stroke is associated with a significant better outcome in a 1-year period of follow-up. However, this hormone serum level seems not to have a predictable value for the ischemic stroke severity. Further studies are required to clarify the neuroprotective mechanisms of IGF-I in ischemic stroke process. https://ijnl.tums.ac.ir/index.php/ijnl/article/view/1000 https://ijnl.tums.ac.ir/index.php/ijnl/article/download/1000/306