سپیده لطیفی

Background: Late diagnosis and treatment of congenital hip dysplasia (CHD) can cause many problems in a person's daily life.   Aim: Therefore, the present study aimed to investigate and compare the effect of therapeutic exercises and education on parents’ weight bearing, range of motion, joint stability, and disease complications in 4-10-year-old children with congenital hip dysplasia. Materials and Methods: This semi-experimental study was conducted with a pre-test and post-test design on 40 children with CHD in two groups of 20 people: therapeutic exercises and education. The training program of the therapeutic exercises group was done on a middle day for 8 weeks from 60 to 90 min in each session. Also in the training group, parents were taught about the correct methods of sitting, standing, and lying down. Before and after the intervention, the subjects were evaluated by the researcher in terms of performance indicators. These indicators were evaluated with specialized tests (weight bearing with standing flexion test, range of motion with stork test, and joint stability with sitting test). The analysis of variance was used to compare the differences between groups in terms of the effect on the indicators. Results: Based on the findings, the difference between the two groups of therapeutic exercises and education to parents was significant in weight-bearing and range of motion (P=0.000 and P=0.000), but in hip joint stability and disease complications, no significant difference was observed (P=0.269 and P=0.163). Conclusion: Considering the greater effectiveness of the therapeutic exercises, it is suggested to design a codified program in the physical education program of U10 children to correct skeletal abnormalities, especially hip dysplasia.

Background: Force plates are widely used in biomechanics and sports sciences to measure various aspects of human movement. The accuracy and reliability of force plate measurements are critical for valid data interpretation. Aim: The purpose of the study was to evaluate the validity and reliability of the Iranian force plate in the vertical, anterior-posterior, and medial-lateral directions using two manual dynamometers and a load cell. Materials and Methods: In this study, the force plate device utilized had a frequency of 1200 Hz and was manufactured by the Danesh Salar Iranian Company. Additionally, to determine the device's validity, we used Lafayette hand-held dynamometers manufactured in the United States and a load cell by Zemik. Pearson's correlation coefficient was employed to determine the validity of the force plate, while the internal consistency coefficient (ICC) was used to assess the force plate's reliability. Results: The study findings indicated a significant and high level of reliability between the maximum force obtained from the force plate device and manual dynamometer devices and load cell. Additionally, the internal consistency coefficient was found to be excellent (very high) for 20 trials in the three directions of vertical (0.98), anterior-posterior (0.96), and medial-lateral (0.97). Conclusion: The study demonstrated that the Iranian force plate is a reliable device for measuring maximum force in the three directions of vertical, anterior-posterior, and medial-lateral, with very high validity.