A large and significant effect on perceived pain in patients with first carpometacarpal joint osteoarthritis was observed after 4 weeks of splint use. Differences in treatment effects were found with regard to muscle cross-sectional areas, but these were not significant. Clinical relevance Custom-made splints may be recommended for the treatment of first carpometacarpal joint osteoarthritis. Moderate to large but non-significant treatment effects were found with regard to muscle cross-sectional areas.

Objective Cerebral Palsy (CP) is a group of non-progressive disorders in a developing brain that results in motor problems and other limitations in daily living activities. The presence of motor functions in these children reduces their participation in daily activities. This is one of the important aspects of the child's health and development, especially the child's physical and psychological development. Participation in social activities promotes life satisfaction. Besides, family has a prominent role in identifying and supplying the child's needs. In other words, family plays an essential role in ensuring the health and well-being of their children. Thus, provisions of growth-related health services has now changed from a child-cantered model into a family-cantered model. As a result, it is very important to understand the parents' priorities about participation of their children in the daily activities and providing appropriate client-center services. Materials & Methods In this descriptive-analytic study, 78 children and teenagers with CP aged 3-18 years without psychiatric problems and their parents from Yazd City, Iran had participated. The samples were selected by convenience sampling method, from clients of private and public rehabilitation centers in Yazd Province. In this regard, one state and two private centers were randomly selected and the study samples were selected from the clients referred to the centers. Parents' priorities for participation of their children in activities of daily living were found through semi-structured interviews. In these interviews, we used Canadian occupational performance measure to evaluate the child's level of occupational performance and parents' satisfaction in the three areas of self-care, productiveness, leisure from the parents' perspective. In addition, the level of gross motor performance was evaluated based on the Gross Motor Function Classification System (GMFCS) at five levels. In the Iranian society, the validity of Canadian occupational performance measure for each of three areas of occupational performance has been reported to be between 9.75 and 3.75 and the reliability level for the three domains reported above 0.78. The statistical analysis of data was performed in SPSS V. 16. Descriptive statistics and odds ratio were used for analyzing the data. Results the children' Mean±SD age was 8.12±4.22 years. The first priority reported by the parents was self-care. Mobility was known as the second important priority in everyday life for children. The results obtained from the statistical analysis showed no significant relationship between age and different motor levels (P≥0.05). Conclusion Parents reported functional priorities in similar performance aspects by all age groups and GMFCS levels in Cerebral Palsy children. The first priority was related to self-care. This reflects the desire of the parents to children' doing self-care activities, which not only reduces care pressure, but also leads to promotion in social participation and independence in indiv...

Objective This study aimed to assess the construct validity of the Child Occupational Self-Assessment, translated to Persian that could provide occupational therapists with a tool to evaluate occupational competence and values of children in Iran. Methods A total of 250 children (87 girls and 163 boys) with attention deficit hyperactivity disorder aged 7.5–11 years referred from two specialised children’s hospitals were included. The researchers read the questions to the children and they identified their own answers. The data were analysed based on the Rasch Rating Scale Model. Results Four of the items showed misfit and as a result of deleting these items the Persian version of the questionnaire has 21 items with an appropriate validity. Conclusion The Persian version of Child Occupational Self-Assessment can be used with new items format. It could be also useful to replace the missing question to develop the tool further.

Objective Attention Deficit Hyperactivity Disorder (ADHD) is the most common psychiatric disorders among children referred to treatment centers that caused problems in their personal and social lives. Thus, this study aimed to investigate the prevalence of behavioral problems in children with ADHD. Methods & Materials This descriptive-analytical study included 278 children (aged 7-11 years) with ADHD who were referred to the Children's Medical Center and Clinic of Psychiatry, Atiyeh during 30-03-2012 to 20-04-2012. The behavioral problems of children who were diagnosed with ADHD by psychiatrists were assessed using Child Symptom Inventory (CSI-4). SPSS19 was used to describe and analyze data. Results Based on the results, most visitors were boys, and AD in the girls and combined ADHD in the boys had the highest frequency. No significant relationship was found between gender and type of disorder. Most of the children reported only one behavioral disorder such as confrontational behavior, specific phobia, generalized anxiety disorder, separation anxiety and dysthymia. Conclusion The prevalence of inventory disorders in the three types of ADHD varied according to age and sex. Statistically significant differences were observed between the three types of ADHD, confrontational disorder (4000.0), and anxiety (0.02).

Background/aim: Occupational therapists use different models and measurements for assessing children with attention-deficit/hyperactivity disorder (ADHD). One of those measurements is the Child Occupational Self-Assessment. In this study, concurrent validity of the Child Occupational Self-Assessment with Pediatric Quality of Life was tested in children with ADHD. Methods: A correlational study was conducted. The Child Occupational Self-Assessment and Pediatric Quality of Life were filled by 128 children with ADHD aged between 8 and 11 years. Findings: The results indicated that in competency subscale the highest correlation coefficient was for the total score of Pediatric Quality of Life ( r = 0.56, p < 0.01) and the lowest was for social performance ( r = −0.44, p < 0.01). The highest and lowest correlation coefficient in value subscale were for the total score ( r = −0.46, p < 0.01) and emotional performance of Pediatric Quality of Life ( r = −0.34, p < 0.01), respectively. Conclusions: The Child Occupational Self-Assessment has an acceptable concurrent validity with Pediatric Quality of Life. It can be a suitable measurement for assessing of children with ADHD.