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Showing 14 results for Pishyareh

Ebrahim Pishyareh, Esmaeil Ebrahimi, Seyyed Ali Hosseini, Anoushirvan Kazem-Nejad, Mohammad Ramin,
Volume 1, Issue 3 (Winter 2001)
Abstract

Objective: The purpose of this study was to assess the facilitating impact of craniosacral therapy on inhibition of hypertonicity of the lower limb in children with spastic dipelgic cerebral palsy.

Materials & Methods: 100 children with cerebral palsy were studied and 36 children selected, aged 3 to 8 years, were randomly assigned to a control and an experimental group. Muscle tone was assessed using modified Ashworth scale, passive range of motion by goniometer, neurodevelopment level by Bobath scale. All children were Pre-Post-tested with in an interval of three months.

Results: A further finding of the analyses revealed that significant reduction was observed in hypertonicity of the hip adductors and the ankle plantar flexors. Significant increase was observed in passive range of motion of the hip abduction and the ankle dorsiflexion. There was found no significant difference of reduction in hypertonicity of the knee flexors, of increase in passive range of motion of the knee extensor, of improvement neurodevelopmental level. Meaningful relationship was observed between reduction hypertonicity of the hip adductors and improvement of the neurodevelopmental level.

Conclusion: It should be mentioned that in all above cases the was set at 5%. Implications for clinical O.T. are mentioned.


Kaveh Moghaddam, Mahnaz Esteki, Ebrahim Pishyareh, Mozhgan Farahbod, Masoud Gharib,
Volume 11, Issue 0 (Special Issue: Pediatric Neurorehabilitation 2011)
Abstract

Objective: The purpose of this study was to examine the effect of visual Arts education on improvement of visual perceptual skills in dyscalculic students.

Materials & Methods: utilizing an experimental pretest – posttest with control group design and using screening and via DSM-IV dyscalculia diagnosis questionnaire 30 dyscalculic male students were selected who were studying in the primary school and the research instruments used were Frostig Visual Perception and Key- mat Tests.

Results: the data of the research were analyzed through descriptive statistic method and covariance analysis model which showed that there is meaningful difference between clay, painting and control groups. .

Conclusion: the Visual Arts education can be effective on all of the visual perceptual skills in dyscalculic students except the Form Constancy skill.


Solmaz Solouki, Fatemeh Behnia, Katayoun Khoushabi, Ebrahim Pishyareh, Samaneh Hossein-Zadeh,
Volume 13, Issue 1 (Spring 2012)
Abstract

Objective: Present study compares relationship between motor performance, sustained attention and impulse control in children with Attention Deficit Hyperactivity Disorder and normal children.

Materials & Methods: In this descriptive-analytic study, 21 boys with ADHD and 21 normal boys in the age range of 7- 10 years old were participated. Motor performance by using Bruininks Oseretsky Test of Motor Proficiency and sustained attention and impulse control by using Continuous Performance Test were evaluated.

Results: Analysis by T-Test and Mann-Whitney revealed significant difference between ADHD group and normal group in gross, fine and battery motor performance also sustained attention and impulse control (P<0.0001). Analysis by Z-Fisher test indicated no significant difference between Correlation Coefficient of inattention and gross motor performance in two groups (P=0.276) but significant difference between Correlation Coefficient of inattention and fine (P<0.0001) and battery (P<0.0001) motor performance were shown. Correlation Coefficient impulsivity and gross (P=0.379), fine (P=0.92) and battery (P=0.562) motor performance shown no significant difference between two groups.

Conclusion: According to study results there was a positive relation between sustained attention and impulse control and most of motor performance in both groups. Therefore these findings help Occupational Therapist to determine rehabilitation priorities and to use exact strategies in order to enhance motor performance in children.


Mitra Janghorban, Amir Tayebi-Sani, Sadegh Ja'far-Zadeh, Ebrahim Pishyareh,
Volume 16, Issue 1 (Spring 2015)
Abstract

Objective: Falls are one of the major problems in the elderly and are considered one of the “Geriatric Giants”. Recurrent falls an important cause of morbidity and mortality in this segment of the population and is a marker of poor physical and cognitive status. The aim of the present study is to compare the VNG (Videonystagmography) test results in adults with and without falls history.

Materials & Methods: 60 adults ( 30 with one or more falls history and 30 without any falls history) above 65 year old performed the VNG subtests included saccade, gaze, smooth pursuit, positional nystagmus, spontaneous nystagmus and caloric at rehabilitation faculty of Tehran University of Medical Sciences.

Results: According to the data 74% of the faller group showed abnormal performance in the caloric subtest and more than 60% had abnormal results in the saccade, gaze and smooth pursuit subtests too. The members who suffered from central vestibular disorders had worse function than the others who suffered from peripheral vestibular ones.

Conclusion: The non- faller group had better performance than the faller group in all of the subtests which indicates better vestibular system status in this group. According to the results, VNG performance can help guide the clinicians in the development of a safe exercise program.


Vali Shiri, Seyyed Ali Hosseini, Ebrahim Pishyareh, Vahid Nejati, Akbar Biglarian,
Volume 16, Issue 3 (Autumn 2015)
Abstract

Objective: The relation between autism disorder’s symptoms and cognitive capabilities can help with a better phenotype description of this disorder and can facilitate its pathological evaluation and treatment. Destruction of executive functions seems to be one of the cognitive reasons of potential phenotype in autism disorder. Thus, the present paper aims to study the relationship between executive dysfunction and autism disorder’s symptoms.

Materials & Methods: In this cross-sectional research, 50 children with high-functioning autism were selected using convenience sampling method from Behara, Tehranpars and Roshd centers. Then, the GARS test and Autism Spectrum Screening Questionnaire was completed by therapists and neuropsychological tests of Strop and continuous performance test and shift attention were taken by the subjects. Pearson correlation coefficient and multi-variant regression were used for data analysis.

Results: There is a significant positive relationship between selective attention with communicative and social interaction symptoms, sustained attention with social interaction symptoms and repetitive behaviors, shifting attention with communicative, social interaction and repetitive behavior symptoms (P<0.001) (P<0.01) (P<0.05). In addition, the results of regression analysis also revealed that selective attention and shifting attention can predict communication, and sustained attention can predict social interaction and repetitive behaviors symptoms (P<0.01) (P<0.05).

Conclusion: The results obtained by this study indicate the significant role of executive functions in autistic symptoms. Thus, it is recommended to consider new treatment interventions in repairing executive functions for treatment of children with autistic disorder.


Vahid Reza Khodabandeh, Mozhgan Farahbod, Ebrahim Pishyareh, Mehdi Rahgozar,
Volume 16, Issue 3 (Autumn 2015)
Abstract

Objective: Cerebral palsy is one of the most common causes of physical disability in childhood that lead to various difficulties for children. These children may have abnormalities in visual perception. Visual perception plays an important role in learning of basic childhood’s skills. This research was designed to study the relation between each of subtests of visual perception with accuracy and speed components of reading skills in school-aged cerebral palsy children.

Materials & Methods: In this cross-sectional study, 24 spastic cerebral palsy students in second grade (10 girls and 14 boy) were selected be available as from Tehran’s rehabilitation clinics. Visual perception and Reading skills were evaluated with the Test of Visual Perceptual Skill-revised (TVPS-R) and Diagnostic Reading Test.

Results: The results showed that between standard score of visual perception with accuracy and speed components of reading skills of cerebral palsy student were significantly correlated. Visual Discrimination with accuracy (P<0.001) and with speed (P<0.001), Visual Memory with accuracy  (P=0.002) and with speed (P=0.004), Visual-Spatial with accuracy (P<0.001) and with speed (P<0.001), Form Constancy with accuracy (P=0.003) and with speed (p<0.001), Visual Sequential Memory with accuracy (P=0.023) and with speed (P<0.028), Figure Ground Discrimination with accuracy (P=0.010) and with speed (P<0.011), Visual Closure with accuracy (p=0.009) and with speed (P<0.009)

Conclusion: In general we can say that the relationship between visual perception skills with reading skills in first and second grade students with cerebral palsy is evident.


Fateme Rafati, Masoume Pourmohamadreza-Tajrishi, Ebrahim Pishyareh, Houshang Mirzaei, Akbar Biglarian,
Volume 17, Issue 3 (Autumn 2016)
Abstract

Objective Communication deficiency is one of the diagnostic criteria for autism, which leads to difficulty in learning speech and linguistic skills. Nowadays, it is common to use play therapy for supporting children with autism. Play therapy is an active approach that helps a child to reveal his conscious and unconscious feelings through playing. The present study aimed to determine the effectiveness of group play therapy on the communication skills of children with high functioning autism.
Materials & Methods The present research was an experimental study, including a pretest and posttest design with a control group. Twelve 5-8 years old boys with high functioning autism were selected purposively from the Autism Charity Foundation in Tehran in 2013. All subjects were included according to get a diagnose of high functioning autism, literacy of parents to complete the questionnaire, lack of sensory disorders such as visual or auditory disorders, lack of physical or motor disorders such as cerebral palsy, not attending to the same play therapy intervention program simultaneously. All subjects were assigned randomly to the experimental and control groups (6 children in each group). The experimental group participated in 20 sessions (three times a week; 45 to 60 minutes for each session) and received group play therapy along with the routine program (mental and physical occupational therapy, and speech therapy). However, the control group received only the routine program. The communication skills of all the children were evaluated using the Gilliam Autism Rating Scale (GARS) before, at 20th session, and 2 months after the intervention. The collected data from two situations (pre-test, post-test) were analyzed by analysis of covariance. Repeated measure test was used to determine the lasting effect of group play therapy on the communication of boys after two months follow-up.
Results The findings of the analysis of covariance showed that the group play therapy significantly influenced the communication of male children with high functioning autism. In addition, it was found that the effects of the group play therapy lasted significantly on the communication skills of the children even at two months follow-up (P<0.001). 
Conclusion It is concluded that the group play therapy can help the children to understand and communicate well. This therapy can be used as a complementary training and therapeutic method for children with high functioning autism to help improve their communication deficiencies.


Nasim Kasirian, Hooshang Mirzaie, Ebrahim Pishyareh, Mojgan Farahbod,
Volume 19, Issue 1 (Spring 2018)
Abstract

Objective Mathematical learning disorder is a type of neurodevelopmental disorder detected by three types of working memory deficits, procedural and visual-spatial problems. The limited capacity of attention and a lot of environmental stimuli have encountered children with learning disorders with the problems. Since attention is one of the most important cognitive functions in the development of mathematics learning, it is important to recognize and evaluate a variety of attention deficits in this group of disorders. Therefore, considering to the three-factor model of Manly, based on sustained attention, selective attention, and control attention, in this study difference of patterns of attention in children with mathematical learning disorder using “Test of Everyday Attention for Children” was investigated.
Materials & Methods The present study was a descriptive-analytic study in a community of students aged 7-11 years with a learning disorder in Tehran, Iran. The selection was based on the early diagnosis of learning disorder with psychiatric and the standard intelligence scores of the Wechsler test in the academic records. Accordingly, 17 male and female students aged 7-11 years with the mathematical disorder were selected from five public learning centers in Tehran and 17 normal children were matched in age and gender. Initially, the demographic information questionnaire was completed by families. Then A version of “Test of everyday attention for children” was taken by the researcher during the standard period in the calming room. Accordingly, two groups with a mathematical learning disorder and normal peers were compared in three domains of sustained attention, selective, control in “Test of Everyday Attention for Children.”
Results The results of the Shapiro-Wilk test indicated that the distribution of values of all variables, except “sky search dual task” (sustained attention) and the speed of “creatures counting” (control attention), have a normal distribution in the learning disorder group (P>0.05). While the values of variables such as “Score” (sustained attention), “Opposite worlds”, accuracy of “creatures counting” (control attention), and “walk don’t walk”(sustained attention) do not follow a normal distribution in the control group (P<0.05).
In sustained attention and control attention domains, the results of the nonparametric tests indicated that have a significant difference in two groups in the subtests of “Score”, “walk don’t walk”, “sky search dual task”, “creatures counting” and "opposite worlds." Homogeneity of variances with the Leven test, reports that equality of variances. Accordingly, the results of independent t-test indicated that children with mathematical learning disorder were worse than the control group in the "Code Transition" and “Score Dual Task" subtests. In the domain of selective attention, the results of independent t-test indicated that significant difference in the subtests of "map mission" and the speed and accuracy of "sky search" in the two groups. Therefore, all domains of sustained and control attention (P<0.001) and selective attention (P<0.05) were significantly different in the two groups.
Conclusion The results demonstrate that children with mathematical learning disorders were significantly worse than their normal peers in all three domains. Findings indicated that “Test of Everyday Attention for Children” has the potential to evaluate the attention deficits in mathematical learning disorder as compared with normal peers. Therefore, it can be an appropriate tool for the evaluation in this group.

Maryam Pouramiri, Mojtaba Azimian, Nazila Akbarfahimi, Ebrahim Pishyareh, Samaneh Hossienzadeh,
Volume 20, Issue 2 (Summer 2019)
Abstract

Objective Multiple Sclerosis (MS) is the most prevalent neurological progression that often affects young adults. Cognitive impairment is a frequent symptom of the disease. One cognitive domain is an executive function. Executive function is important in individuals’ cognitive skills, adaptive behaviors,  and life satisfaction. Thus, accurately recognizing and investigating the factors affecting it greatly helps with improving MS. The current study investigated the relationship between individual and clinical characteristics and executive dysfunction in patients with MS. 
Materials & Methods This was a cross-sectional, descriptive and analytical study conducted on MS patients referring to Rofeydeh Rehabilitation Hospital in 2017. In total, 71 patients were selected through unpredictable sampling method. MS patients and their families provided written consent forms for participation in the study, and the subjects' data were kept confidential. Moreover, the patients were allowed to discontinue study participation as desired. The inclusion criteria were a diagnosis of MS disease based on McDonald's criteria  by a neurologist, the lack of memory impairments, including Alzheimer's disease, non-congenital syndromes like Down syndrome, no thyroid dysfunction, the lack of consuming drugs that affect memory and cognitive function like benzodiazepines, and the lack of severe vision and motor impairments. Exclusion criteria included the lack of patient’s cooperation with completing the questionnaire and performing the test, dissatisfaction with continuing the collaboration, and the emergence of an acute problem in the patient that enables him/her to continue cooperation. In this research, instruments such as Pittsburgh Sleep Quality Index (PSQI), Fatigue Assessment Scale (FAS), Beck's Depression Inventory (BDI), Expanded Disability Status Scale (EDSS), and Delis–Kaplan Executive Function System (D-KEFS) test were used. The collected data were analyzed in SPSS. For data analysis, general linear regression was used.
Results The obtained results suggested that age, disease duration, and fatigue had a significant reverse relationship with executive functions (descriptive and categorical) (P>0.05). Executive function (classification) had a significant relationship with the first symptom of the onset of disease (P>0.05).  
Conclusion We investigated the relationship between individual and clinical characteristics and the executive function in MS patients. A significant relationship was observed between the first sign of the disease onset and the level of performance. People who initially demonstrated vision problems had a weaker performance than others. This can be considered as an important finding in the early stages of diagnosis and the development of therapeutic programs to postpone cognitive complications.


Omid Farajpour Khazai, Ebrahim Pishyareh, Mahdi Rassafiani, Enayatollah Bakhshi, Mohsen Poursadeqiyan,
Volume 20, Issue 2 (Summer 2019)
Abstract

Objective Parkinson's Disease (PD) is a neurodegenerative progressive condition with a number of nonmotor symptoms such as depression, anxiety, and stress. These have the most debilitating characteristics and increase the severity and progression of the disease and often reduce functional ability in the sufferers. For this reason, they may, over time, lose their daily living activities skills (basic and instrumental) and social participation. The current study investigated the relationship between the areas of occupation and severity of depression, anxiety, and stress in PD.
Materials & Methods In this cross-sectional (descriptive-analytical) study, 91 PD patients referring to rehabilitation centers and hospitals in Tehran City, Iran, were selected through convenience sampling method. After obtaining approval from the University of Social Welfare and Rehabilitation, we referred to the centers and hospitals; if managers of the centers accepted to cooperate with the research team, the study was conducted in accordance with the inclusion criteria in that center. The Assessment of Life Habits (Life-H) test was used to evaluate the areas of occupation and the Depression, Anxiety and Stress Scale (DASS-21) was applied to assess depression, anxiety, and stress. Life-H test subscales were categorized by the occupational therapists of the university, based on the classification of the areas of occupation. The obtained data were analyzed using Pearson’s correlation coefficient, Spearman's rank correlation coefficient, multiple regression analysis, focal correlation, Independent Samples t-test and Mann-Whitney U test in SPSS.
Results The collected results indicated a reverse and significant correlation between the level of Activities of Daily Living (ADL)'s participation and depression. Additionally, the correlation between the levels of participation in education and leisure was inverse and significant in terms of anxiety and stress. The correlation coefficient between the areas of occupation and depression was as r=0.362, P=0.06; between the areas of occupation and anxiety was as r=0.49, P=0.001; and between the areas of occupation and stress was as r=0.5,  P=0.001. There was a significant correlation between the different areas of occupation and stress and anxiety; however, the correlation between the areas of occupation and depression was not significant. Focal correlations between the areas of occupation and nonmotor symptoms (depression, anxiety, and stress) were equal to r=0.55, P=0.05 and significant.
Conclusion There was a significant relationship between the areas of occupation and the incidence of nonmotor symptoms (depression, anxiety, and stress) in people with PD. Therefore, we can facilitate the direction of rehabilitation and occupational therapy’s settings for clinicians, by identifying the areas of occupation that are more affected by the disease; this may help to provide disease-related facilities and may have economic benefits for caregivers of PD patients.

Mohammad Taghi Mohseni Takalu, Seyed Ali Hosseini, Hamid Reza Khankeh, Ebrahim Pishyareh, Enayatollah Bakhshi,
Volume 21, Issue 3 (Autumn 2020)
Abstract

Objective: Caring for individuals with multiple sclerosis (MS) can affect their caregivers’ occupational performance in various areas such as work, rest/sleep, and social participation. Part of the rehabilitation process is educating caregivers. Primary caregivers need knowledge and information to deliver their caring role. Although face-to-face learning is useful, it can have some limitations. For example, a caregiver should refer to a specific center to receive information and interventions, which is often time-consuming and may trouble them to perform other roles, including their occupational roles. Written health education is used for complementing or strengthening verbal education and maximizing its effectiveness. These materials play an essential role in increasing knowledge, self-management, and commitment to treatment. When health professionals and health services are not available to caregivers, written health education materials can partially answer their questions and needs. It can also help reduce the costs of health care for caregivers. The present study aims to develop and validate the appearance and content of an educational booklet to improve the occupational performance of primary caregivers of individuals with MS (PCIMS).
Materials & Methods: This is a methodological study conducted. 1. preparing the content based on grounded theory study of PCIMS and their challenges, and then preparing an initial draft, 2. examining the face validity and content validity of the initial draft according to the opinions of 22 experts in MS, and 3. examining the face validity and content validity of the initial draft according to views of 22 PCIMS. An item-level content validity index (I-CVI) value of ≥0.78 and a scale-level content validity index/average (S-CVI/Ave) value of ≥0.9 were considered as the criteria for having acceptable validity in the second and third phases. The binomial test was also used to test the statistical reliability of the I-CVIs at a significance level of 0.05 and the expected proportion of agreement (test proportion) of 0.8.
Results: The minimum I-CVI and S-CVI/Ave values for the items of a scale designed to assess the face validity and content validity of the booklet were respectively reported 0.9 and 0.97, according to the panel of experts. Also, the minimum observed proportion of agreement for items under the binomial test was obtained 0.9, which was higher than the expected proportion of agreement (0.8). I-CVIs values, S-CVI/Ave value and the observed proportion of agreement between PCIMS were equal to 1. For participating experts and PCIMS, the booklet had appropriate validity, and their comments on the appearance and content of the booklet were applied to the final version of the booklet.
Conclusion: The developed educational booklet has acceptable face validity and content validity, and specialists can use it for the rehabilitation intervention of PCIMS. Further studies are recommended to investigate the effectiveness of this booklet on improving the quality of life of PCIMS.
Elham Shakiba, Saeid Fatorehchy, Ebrahim Pishyareh, Mohsen Vahedi, Seyed Mehdi Hosseini,
Volume 22, Issue 3 (Autumn 2021)
Abstract

Objective: Ataxic cerebral palsy accounts for 5%-10% of the population with cerebral palsy. This palsy is characterized by poor balance and coordination, clumsiness, and involuntary tremor. As a result, balance training is one of the essential parts of the rehabilitation programs for children with ataxic cerebral palsy. Wii Balance Board (WBB) is an efficient tool for balance training in children with different physical problems, including cerebral palsy. This study aims to assess the effect of WBB-based balance training on functional balance and the persistence of its effect two months after the intervention in children with ataxic cerebral palsy.
Materials & Methods: This is a single-case study with a pre-test, post-test and follow-up design conducted on 3 children (2 girls and 1 boy) with ataxic cerebral palsy (Mean±SD age=10.56±1.09 years). They were classified at levels I and II of the gross motor function classification system. They received conventional occupational therapy three sessions per week, each for 45 minutes in the baseline and follow-up phases. In the intervention phase, each session consisted of 25 minutes of routine rehabilitation followed by 20 minutes of WBB-based balance training for 3 months (12 hours). The changes were evaluated by the Pediatric Balance Scale (PBS) and Timed Up And Go (TUG) test, three times in the baseline phase, three times in the intervention phase (at the end of 12th, 24th, and 36th sessions), and two times in the follow-up phase (one and two months after the intervention). Assessments were done by a pediatric occupational therapist who was unaware of the study process. Finally, the results were analyzed using the Percentage of Nonoverlapping Data (PND), 2 Standard Deviations (2SD), Hedges’s g, and the visual analysis method.
Results: The results of the PBS and TUG test showed the improvement of functional balance in all children in the intervention phase and maintained in the follow-up phase. The PND of PBS and TUG test results was 100% for all children, indicating that balance training by the WBB improved functional balance in the intervention and follow-up phases compared to the baseline. Hedeges’ g value for all participants was more than 0.8, indicating a significant difference between the baseline and follow-up phases. The 2SD results showed a significant increase in the PBS score and a significant reduction in the TUG test duration in all children. Furthermore, the visual analysis revealed a significant improvement in the functional balance of all children in the intervention phase and the stability of these changes in the follow-up phase.
Conclusion: Balance training by the WBB is an effective method for improving the functional balance of children with ataxic cerebral palsy. Further studies are needed using a larger sample size to confirm its effectiveness.
Behzad Amini, Seyed Ali Hosseini, Ebrahim Pishyareh, Enayatollah Bakhshi, Hojjat Allah Haghgoo,
Volume 25, Issue 0 (Special Issue 2024)
Abstract

Objective Impulsivity, as one of the early diagnostic indicators of attention deficit hyperactivity disorder, appears in childhood through movement. Decreasing impulsive behavior and increasing emotional-motor control over this disorder have been the focus of researchers and clinical experts. Inhibition deficiency is considered the root cause of impulsivity, leading to a deficit of impulsivity control and response control disorder. 
Materials & Methods Based on the hypothesis of an inhibition deficiency, leading to disruptions in three areas of executive functioning, namely behavioral control, cognitive flexibility, and working memory, impulsivity control, and response control disorder are at the center of attention deficit hyperactivity disorder (ADHD) symptoms. This study designs a specific exercise package, including physical exercises in the form of rhythmic movements in the dual-task paradigm along with cognitive exercises in a step-by-step and difficulty level, considering the child’s interests, capabilities, and freedom of choice. The type of exercise at each level and its effect on improving impulsivity control in these individuals have been investigated.
Results The results indicated the possibility of performing the exercises in dual tasks and the high acceptance of gradual difficulty in performing the exercises of this package. The preliminary analysis of the study shows the relative improvement of the indices of attention, caution and response control in each of the individual participants separately. 
Conclusion The combination of exercises in the protocol, including rhythmic and providing optional settings adding companionship therapists in the form of therapeutic relation led to feasibility. The results in the field of improving the infrastructure of impulsivity control can be promising and worthy of consideration; however, conducting research with a larger number of participants and examining the results compared to the control group can be the basis for extensive research in this field.
 

Zahra Ghorbanpour, Seyed Ali Hosseini, Reza Osqueizadeh, Shamsi Jamali, Ebrahim Pishyareh, Soheila Fallah,
Volume 25, Issue 4 (Winter 2025)
Abstract

Objective Fear of falling (FOF) is a critical and highly prevalent neuropsychological disorder in stroke patients, confining the individual in mobility, activities of daily living, and communication. Screening and detecting FOF is crucial in effective and efficient rehabilitation management. Considering that none of the questionnaires that assess the FOF in patients with stroke are single-item, the present study was conducted to design and validate a single-item scale (FOF rating scale [FOF-RS]) for a faster and step-by-step screening of the FOF in stroke patients. Also, considering the impact of psychosocial factors such as anxiety and depression on the fear of falling in these patients, they were controlled in this study.
Materials & Methods In a cross-sectional study, 180 participants suffering post-stroke symptoms were recruited from public and private rehabilitation clinics, including Rafideh Hospital, Loqman Hospital, Tajrish SHohada Hospital, Nizam Mafi Clinic, Hasti Clinic, and Iran Rehabilitation Faculty Clinic through convenience sampling in Tehran City, Iran. Sampling was conducted within 3 months, between December 2021 and March 2022. The cut-off point and validity indicators were computed for FOF-RS, considering FES-I (falls efficacy scale-international) as a criterion measure.
Results Based on receiver operating characteristics curve analysis, the resulting cut-off point for the FOF-RS (>3) had a satisfactory level of specificity (82.30) and sensitivity (77.61). Also, the positive predictive value and negative predictive value were 32.8 and 97.1, respectively. 
Conclusion The FOF-RS has an adequate level of diagnostic accuracy and may well be used as a fast tool for screening FOF. Besides, it could assess step-by-step protocols in chronic stroke patients.

 


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