Tarbiat Modares University International Journal of Musculoskeletal Pain Prevention 2476-5279 1 3 2016 09 01 Treatment of Low Back Pain: Extended follow up of an Original Trial comparing a Multidisciplinary Group-based Rehabilitation Program with Oral Drug Treatment alone up to 36 months 93 100 20054 EN Sedigheh Sadat Tavafian Department of Health Education Faculty of Medical Sciences Tarbiat Modares University, Tehran, Iran. Ahmad Reza Jamshidi Rheumatology Research Center Tehran University of Medical Sciences, Tehran, Iran. Ahmad Reza Jamshidi Rheumatology Research Center Tehran University of Medical Sciences, Tehran, Iran. Kazem Mohammad Departments of Epidemiology and Biostatistics Tehran University of Medical Sciences, Tehran, Iran. Journal Article 1970 01 01 Background: This study is an extended follow up of the original trial study (NCT00600197) that has been published in the clinical journal of pain. This trial aimed to explore if the proposed multidisciplinary program could improve quality of life and disability of the patients suffering from chronic low back up to 36 months. Methods and Material: In this Clinical Randomized trial seventy percent (139 of 197) of the participants who had taken part in the original study including 66 patients in intervention group and 73 patients in control group were followed up to 36 months after intervention. The intervention group continued receiving monthly motivational consultation and booster classes plus oral medication but the other group received just medication. Data on measures of Short Form 36 (SF-36) Quebec Disability Scale (QDS) and Ronald Morris Disability (RDQ) were collected at 3-6-12-18-24-30- and 36-month follow ups and analyzed through RMANOVA. Results: The 2 groups were comparable regarding all baseline characteristics (P > 0.05) except for education level that was better in intervention group (P = 0.01). Two groups were improved regarding all studied variables over time up to 36 month (P < 0.001) Moreover the intervention group in comparison with the control group had consistently better outcomes regarding all variables. There were no significant differences within each group by time in terms of all variables (P < 0.05). Conclusions: The proposed multidisciplinary program could reduce low back pain and improve quality of life and disability up to 36 months in chronic low back pain patients.

https://ijmpp.modares.ac.ir/article_20054_aed56e569b6d56dc436e9c9d9bce42dd.pdf

Tarbiat Modares University International Journal of Musculoskeletal Pain Prevention 2476-5279 1 3 2016 09 01 Foot-Care Self-efficacy Beliefs, Physical Self-Concept and actual Foot-Care Behavior in People with Diabetes Mellitus 101 107 20055 EN Fatemeh Pourhaji Expert in charge of Health Education, Health Network Pardis, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Mohammad Hossien Delshad Expert in charge of Development, Health Network Shemiranat, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Mohammad Hossien Delshad Expert in charge of Development, Health Network Shemiranat, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Abbas Ali Ammari Mashhad university medical sciences, Samen Health Center, Mashhad, Iran. Roya Pourhaji Department of Faculty of Education and Psychology, Ferdowsi University, Mashhad, Iran. Journal Article 1970 01 01 Background: The concept of self efficacy and physical self-concept have been shown to be an effective predictor of behavior in many areas of health. This study investigated the relationships between foot-care self-efficacy beliefs, Physical self-concept, self-reported foot-care behavior in people with diabetes. Methods and Material: This is a cross sectional study in which the 90 diabetic individuals who had been admitted to the diabetic clinic of health centers located in Mashhad- Iran between the years 2015 and 2016 was invited to be entered into the study. The demographic questionnaire and the self-report "Foot Care Confidence Scale" (FCCS) questionnaire and also the self-report Marsh “Physical Self-Description Questionnaire” (PSDQ) were applied to measure data. SPSS 20.0 was used for the analyses. Results: Ninety patients with a mean age of 51.82 ± 11.3 years were assessed. There is the significant association between foot-care self-efficacy beliefs and higher foot care behavior. (r = 0.4, P < 0.05). Also, there was a significant association between physical self-concept and foot-care, so that people who had a better physical self-concept had better foot care behavior. Conclusions: This study has found that foot-care self-efficacy beliefs and physical self-concept improvement could help foot-care behavior improvement among diabetic people.

https://ijmpp.modares.ac.ir/article_20055_05d9badacfacac78a47cc067c4e90353.pdf

Tarbiat Modares University International Journal of Musculoskeletal Pain Prevention 2476-5279 1 3 2016 09 01 Transplantation of Autologous Adipose Derived Mesenchymal Stem Cells for Improvement of Quality of Life in Osteoarthritis Patients 109 116 20056 EN Hajar Shafaei Department of Anatomical Sciences, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. Hassan Bagernezhad Bonyan Cellule Kosar Company, East Azarbaijan Science and Technology Park, Tabriz, Iran. Hossein Soliemanlou Orthopedic ward, Shahid Mahallati Hospital, Tabriz, Iran. Masoud Poureisa Department of Radiology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. Journal Article 1970 01 01 Background: Osteoarthritis (OA) has been recognized, as the most common inflammatory disease in the world. Adipose Stem Cells (ASCs), as a new feasible source with high numbers of stem cells and proliferative capacity have been used for regenerative medicine. Based immunomodulatory and chondrogenic properties of ASCs, this study aimed to assess intra articular injection of ASC effect on improvement of osteoarthritis signs. Methods and Materials: Adipose tissue samples were obtained from subcutaneous of abdomen. ASCs were isolated and cultured for at least three passages in culture media containing autologous serum and expanded them to 15-20 × 106 cell. The morphology and proliferative potency of ASCs were determined. Immuno phenotype characteristics of ASCs were analyzed by flow-cytometry. Then cell suspensions were injected into knee articular spaces. After 6 months the function of knee was assessed by WOMAC, KOOS, Lysholm and Lequesne indexes. Results: The results of this study showed that homogenous spindle-shape ASCs expanded rapidly with low doubling time. The low expression of CD14 and CD45 indicated that ASCs are non hematopoietic cells and expressed high percentages of CD44, CD105 and CD90. Our results showed that injected ASCs were effective in improvement of OA by scoring systems for evaluation of pain, joint movements and daily physical activities were significantly changed due to injection of stem cells. Osteoarthritis severity indexes means of WOMAC and Lequesne were decreased from 53 to 12.3 and 15.1 to 2.1 respectively. Also osteoarthritis improvement indexes Lysholm & KOOS means were significantly increased from 35 to 15.1 and 70 to 126.7 respectively. In six months follow up of intra articular injection of ASCs, we observed no local or systemic side effect. After ASCs injection, walking distance considerably increased. The flexion angle of knee improved by 20-30 degrees compares to before of treatment. Conclusion: Autologous ASCs injection could be resulted in increasing of knee function, alleviated of pain and quality of life improvement.

https://ijmpp.modares.ac.ir/article_20056_b1823297adf46a9cadba8244c11655ad.pdf

Tarbiat Modares University International Journal of Musculoskeletal Pain Prevention 2476-5279 1 3 2016 09 01 Low Back Pain, Disability and Related Risk Factors among a sample of Women in Tehran, Iran 117 122 20057 EN Fatemeh Mirsalimi Department of Health Education & Promotion, Faculty of Medical Sciences, Iran University, Tehran, Iran. Journal Article 1970 01 01 Background: low back pain is a common health problem that has many consequences, including disability and absence from work. This study aimed to determine the prevalence of Low Back Pain among women referred to Quds clinic in Tehran, Iran. Material and Methods: This cross-sectional study was conducted on women referred to Quds clinic, in East of Tehran. A total of 100 patients were studied over a period of one month. Two questionnaires were used for this study. The first one contains general information such as age, height, weight, Body Mass Index (BMI), education level, smoking and physical activity. Also the participants were asked whether over the past two weeks had LBP or not and if yes their pain severity was measured through Visual Analogue Scale (VAS). The second questionnaire was Roland-Morris Disability Questionnaire (RDQ) that was only available to persons that expressed a report of pain over the past two weeks. Data were analyzed using SPSS. Results: 52 patients (52%) of the samples reported LBP. Also significant relationship between LBP and functional disability was shown (P < 0.05). More than 48% of patients who had LBP were physically low performance. Age, weight, body mass index, physical activity hours, number of pregnancy and parity and level of education were significantly associated with the severity of LBP (P < 0.05) whereas height, employment status and cigarette smoking were not significantly associated with LBP (P > 0.05). Conclusion: The results of this study showed individual suffering from LBP were more likely to suffer from disability.

https://ijmpp.modares.ac.ir/article_20057_bd5bbd79ead46e4172253e0d862b5246.pdf

Tarbiat Modares University International Journal of Musculoskeletal Pain Prevention 2476-5279 1 3 2016 09 01 Quality of Life of Nurses Working in Hospital: A Cross Sectional Study from Yazd, Iran 123 129 20058 EN Marjan Ghassemi MSc of Health education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran. Sedigheh Sadat Tavafian Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran. Alireza Heydarnia Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran. Journal Article 1970 01 01 Background: Back injury in nurses is one of the most common health problems. The chronic low back pain leads to several problems including disability, daily activities, physical and emotional problems and decreasing quality of life. The purpose of this study was to assess the quality of life of nursing staff with chronic nonspecific low back pain in Yazd, Iran. Materials and Methods: This study was a descriptive-analytic study. A total of 119 nurses were selected with nonrandom purposive sampling method. Health-related quality of life of the participants was assessed using the 36-item short-form health survey questionnaire (SF-36) and analyzed through SPSS software version 20 by appropriate statistical tests. Results: This study showed that there were significant differences between the quality of life of nursing staff with chronic low back pain and Iranian normal population in all aspects (P < .0001). It was revealed that only in the area of physical function there was a significant relationship between age and the quality of life (P < .0001). Conclusion: The results confirmed the effect of income on dimensions such as physical role, bodily pain, mental health, and social function.

https://ijmpp.modares.ac.ir/article_20058_0a3c79e912ed10a932239ea1af3aa9d3.pdf

Tarbiat Modares University International Journal of Musculoskeletal Pain Prevention 2476-5279 1 3 2016 09 01 A Comparison of Automatic and Voluntary Contractions in subjects with and without Low Back Pain 131 136 20059 EN Sedighe Kahrizi Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. Fatemeh Mirzae MSc of Physical therapy,Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. Manijeh Mokhtari Dizaji Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. Journal Article 1970 01 01 Background: The comparison between voluntary and automatic contraction of deep abdominal muscles in patients with Nonspecific Low Back Pain (nLBP) may the best treat for them. The aim of this case-controlled study was to compare changes in the thickness of the Transverses Abdomin is (TrA) and Internal Oblique (IO) muscles during the Abdominal Drawing-In Maneuver (ADIM) and the Active Straight-Leg Raise (ASLR) test. Methods: This study involved 30 women including 20 women with and 10 women without non-specific low back pain. The abdominal muscle thickness in the supine crook-lying, ASLR, and ADIM exercises were measured. Two-way repeated-measures ANOVA was used to compare the thickness ratio results between the two groups. Results: There were significant differences between the TrA (p < 0.05) and IO (p < 0.05) muscle thickness ratios during the ADIM compared to the ASLR in the neutral lumbar posture in supine lying in the healthy group; However, in the subjects with nLBP, only the TrA (p < 0.005) muscle thickness ratio was significantly higher in the ADIM rather than in the ASLR. Conclusion: These findings suggest that in both groups the deep abdominal muscles (the TrA and the IO) responded differently according to the variable type of activities such as voluntary or automatic, therefore, in training programs, in addition to a voluntary workout, automatic type of exercises should also be taught.

https://ijmpp.modares.ac.ir/article_20059_9b567223cada8f26e92a5223b1c7d8a8.pdf

Tarbiat Modares University International Journal of Musculoskeletal Pain Prevention 2476-5279 1 3 2016 09 01 The Effect of Educational Interventions based on Health Belief Model in adopting Preventive Behaviors of Musculoskeletal Problems in Female Afghan Health Workers 137 142 20060 EN Masomeh Vaezi Ministry of Public Health, Islamic Republic of Afghanistan, Department of Health Education, Faculty of Medical Sciences, University, Afghanistan. Journal Article 1970 01 01 Background: Preventive measures such as training and awareness and prevention skills for personal protection in the musculoskeletal areas are one of the most important strategies in health care systems. The aim of this study was to investigate the effect of an educational intervention based on Health Belief Model (HBM) on promoting preventive behavior of musculoskeletal problems in female Afghan health workers. Material and Methods: In this study, 60 female employees of Afghanistan health ministry were selected and divided randomly into control and experimental groups (N = 30 women for each one). Data, collected through a questionnaire based on health belief model on preventive behaviors of musculoskeletal problems. The experimental group received the educational intervention for a month, and three months after the program, both groups completed a questionnaire and data were analyzed. Results: The results indicated that before the educational intervention program, there were no significant differences between the experimental and control groups in knowledge, perceived susceptibility, severity, benefits and barriers and performance. However, after the intervention, these factors significantly increased in the experimental group compared to the control group and also perceived barriers decreased (all P < 0. 001). Conclusion: According to this study, health education program based on Health Belief Model was an effective program on promoting preventive behaviors of musculoskeletal problems. Therefore, for successful implementation of these programs, control, monitoring and follow-up training is recommended.

https://ijmpp.modares.ac.ir/article_20060_4e9f20772a3fa0c83f76dae9c6e06008.pdf