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Suror Arman, Ghazal Zahed, Fereshte Shakibaii, Mehdi Bina, Raza Bagherian, Hamid Roohafza,
Volume 11, Issue 3 (9-2008)
Abstract

Background: Marital conflicts have great impact on social, economic and cultural aspects of the couples and their children. New Psychological interventions like “Imago Relationship Therapy” (IRT) have been widely used for resolving these conflicts. This study examined the efficacy of couple dialogue technique on marital relationship and children`s behavior in Iranian society. Methods and Materials: In a Clinical Trial study eighty consecutive couples refered to general pediatric clinics due to their children’s diseases, randomly allocated to intervention group(couple dialogue technique) and control group (consult usual treatment method) in consultation center. They filled "Distance and Isolation Questionnaire" and "Gottmann Love and Respect Scale" at baseline, post treatment and three months after intervention as follow up all of them. General linear Model with Repeated Measurements was used to analyze the data. Results: In this study, scores of mutual love and respect in marital relationship (Gottmann scale) and scores in Flooding, Loneliness and Retreatment subscales of Distance and Isolation Questionnaire had a better condition in IRT group just after the trial (P<0.05) but after three months, the differences between two groups were only marginal significant (P<0.1). In Parallel lives` subscale, scores were decreased in two groups, but right after trial there was not significant scores of the groups did not difference between scores. Scores after three months in IRT group was significantly lower in compare to control group. Scores of CBCL have not statistically significant differences in both groups at any time (P>0.05). Conclusion: This study revealed couple dialogue technique was an effective intervention in solving marital conflicts in Iranian population but had not a significant effect on children’s behavioral profile. This may be due to other factors or insufficient duration of intervention and needs more investigation and needs more investigation.
Seyyed Kazem Shakouri, Bina Eftekhar-Sadat, Farzaneh Johari, Morteza Ghojazadeh, Salar Hemmati, Ghader Ghaffari,
Volume 18, Issue 9 (12-2015)
Abstract

Background: Lateral epicondylitis may cause pain and functional disability in many daily activities. Steroid injection or phonophoresis are the recommended treatments in this regard. In this study, we aim to compare the effect of ultrasound guided local injection of dexamethasone with dexamethasone phonophoresis for treatment of lateral epicondylitis.

Materials and Methods: In this clinical trial, patients with lateral epicondylitis were randomely assigned to injection (n=18) and phonophoresis (n=18) groups. Three patients in phonophoresis group dropped out from the study. In injection group, dexamethasone with lidocaine was injected once with the guide of sonography at the base of common extensor tendon. Phonophoresis group received 5 minutes treatment with ultrasound using dexamethasone gel for 10 sessions. Patients’ pain in total and in specific and usual activities according to PRTEE questionnaire before, one and three months after treatment was calculated.

Results: Injection group compared to phonophoresis had significantly better improvement in pain (p=0.04), but there was no significant difference in serial changes of functional subscale and total score of PRTEE between groups. Injection group compared to phonophoresis had also better pain and total score one month after treatment (p=0.003 and p=0.01, respectively).

Conclusion: Dexamethasone injection compared to phonophoresis had significant improvement in patients’ pain which was more apparent one month after treatment, but the results were similar between groups three months after treatment.



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