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2 Acta Neuropsychologica

2 2021

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CORRELATION OF COMPUTED TOMOGRAPHY AND INTRAOPERATIVE FINDINGS WITH CLINICAL SYMPTOMS IN HEAD TRAUMA PATIENTS

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Saiediborojeni H. , Hemmatpour B. , Akrami M. , Mahdavikian S. , Saiediborojeni S. , Mahvar T.

Acta Neuropsychologica

2021

tom 19(4)

491-500

Hematoma in different parts of the brain is one of the most important complications of head injury and is associated with high mortality and morbidity rate. The aim of this study was evaluation of the relationship between Computed Tomography (CT) and intraoperative findings with clinical symptoms in head trauma patients. In this study 95 patients with cerebral hemorrhage due to head trauma, referred to Taleghani Hospital in Kermanshah were studied. After an initial clinical examination, the level of consciousness determined according to the Glasgow Coma Scale (GCS) was recorded. All patients underwent brain CT scan and findings were recorded, including size and location of the hematoma. Patients in all treatment such as surgical procedures under the supervision, and the information on their status was recorded until discharge or death. It was found that most patients (38%) were between 40-20 years: 73% of patients were male, while 27% were female. The outcome of 35 patients (35.4%) were normal, 12 patients (12.3%) had moderate disability, 9 patients (9.2%) had severe disability, 11 patients (10.8%) vegetative state and 31 patients (32.3%) died. There was a significant association between location of the hematoma and hematoma in CT scan and outcome of patients with cerebral hemorrhage caused by trauma (P<0.05). We also found a significant association between size of the hematoma and midline shift in CT scan with outcome of patients with cerebral hemorrhage caused by trauma (P<0.05). The prognosis of patients with traumatic brain injury depends on location of the hematoma; volume of hematoma, midline shift in CT scan and length of trauma to surgery more than 4 hours.

THE EFFECTS OF VARIOUS HEEL SLOPES ON LUMBOSACRAL BIOMECHANICAL ANGLES IN STUDENTS WITH HYPER LORDOSIS

100%

Saiediborojeni H. , Mashalchi H. , Mahdavikian S. , Fallahi M. , Saiediborojeni S. , Mahvar T.

Acta Neuropsychologica

2021

tom 19(2)

209-217

Posture disorders in school-age children are highly frequent. Poor movement and lack of physical mobility are the main causes of physical weaknesses. Thus, corrective exercises with the aim of solving these problems are significant. The aim of this study was an evaluation of the effects of various heel slopes on lumbosacral biomechanical angles in students with hyperlordosis. In this quasi-experimental study, 15 female students who were di- agnosed with hyperlordosis, participated in this study. They were divided into 3 groups (n=5) and performed corrective exercises on +3.7°, 0°, and -3.7° slopes for 8 weeks, 3 times a week. The changes in the lumbar lordosis angle (LLA), sacral based angle (SBA), and lumbosacral angle (LSA) were determined. Data were analyzed by SPSS 18 software using non-parametric test followed by the Krus- cal-wallis test. P<0.05 was considered significant. The results indicated no significant difference regarding the changes in LLA, SBA, and LSA in students with hyperlordosis (p>0.05) de- spite the decrease in the means of the angles in all groups. The results showed that by increasing the heel slope, the lumbo - sacral slope decreases also the lumbosacral angle decreases by decreasing the heel slope, this may indicate an association between these angles.The findings can help parents choose more appropriate shoes for their children to both prevent the incidence of posture dis- orders during childhood and spinal disorders in adulthood.