35
4 ﺴﻤﺷ
ﺴ
ﻤﺷ
1
3 9 0
ﺘﺴ
ﺎﺘﺴ
ﻬﭼ
ﻬﭼﻤﺷ
ﻤﺷ
ﻢ
ﻢ
ﺎﻛﺮﺣ
ﺖﻴﻔﻴﻛ
ﻮﻣ
ﺮﻳﺬﭘ
ﺮﻜﺗ
ﻲﺳ
ﺮﺑ
ﺰﻐﻣ
ﺞﻠﻓ
ﺎﻛ
ﻮﻛ
ﻲ ﺎﻗﻮﻓ
6
ﻴﺣ
،
5
ﻲﻧﺎﻀﻣ
ﻬﻣ
،
4
ﻲﺤﻟﺎﺻ
ﻮﻌﺴﻣ
،
3
ﻲﻨﻴﺴﺣ
ﻲﻠﻋ ﻴﺳ
،
2
ﺐﻳﺮﻏ
ﻮﻌﺴﻣ
*
،
1
ﻲﻤﻴﻬﻓ
ﺮﺒﻛ
ﻼﻳ
ﺎﻧ
ﮔ
ﻲ ﻧﺎﻣ
ﺎﻛ
ﺘﻛ
ﻮﺠ ﺸﻧ
1
ﻮ ﻠﻋ
ﺎﮕ ﺸﻧ
،ﻲ ﻧﺎﻣ
ﺎﻛ
ﻲ ﺷ
ﻮﻣ
ﻲﺸﺨﺒﻧ
ﻮﺗ
ﻲﺘﺴﻳﺰﻬﺑ
ﺎﻘﻴﻘﺤﺗ
ﺰﻛ ﻣ
،ﻲﻧﺎﻣ
ﺎﻛ
ﺪﺷ
ﺎﻨﺷ
ﺎﻛ
2
ﻮﻠﻋ
ﺎﮕ ﺸﻧ
ﺎﻔﻃ
ﺎﺼﻋ
ﻲ ﺸﺨﺒﻧ
ﻮﺗﻲﺸﺨﺒﻧ
ﻮﺗ
ﻲﺘﺴﻳﺰﻬﺑ
ﻲ ﺸﺨﺒﻧ
ﻮﺗ
ﺎﻘﻴﻘﺤﺗ
ﺰﻛ ﻣ
ﺎ ﻳ
ﺎﺘ ﺳ
3
ﻲ ﺷ
ﻮﻣ
ﮔ
،
ﺎ ﻔﻃ
ﺎ ﺼﻋ
ﻲﺘﺴﻳﺰﻬﺑ
ﻮﻠﻋ
ﺎﮕ ﺸﻧ
ﻲﻧﺎﻣ
ﺎﻛﻲﺸﺨﺒﻧ
ﻮﺗ
ﮔ
ﺎﻳ
ﺎﺘﺳ
،ﻲﺘ ﺴﻳ
ﺎﻣ
ﺘﻛ
4
ﺖﻳ ﻳﺪﻣ
ﺪﻜ ﺸﻧ
ﻲﺘ ﺴﻳ
ﺎ ﻣ
ﻮﻠﻋ
ﺎﮕﺸﻧ
ﻲﻜﺷﺰﭘ
ﻲﻧﺎ ﺳ
ﻼﻃ
ﻬﺗ
ﻲﻜﺷﺰﭘﻲﻣﻮﺗﺎﻧ
ﺪﺷ
ﺎﻨﺷ
ﺎﻛ
5
،ﻲﺸﺨﺒﻧ
ﻮﺗ
ﺖﻳ ﻳﺪﻣ
ﺪﺷ
ﺎﻨﺷ
ﺎﻛ
6
ﺪﻤﻫ
ﻲﻜﺷﺰﭘ
ﻮﻠﻋ
ﺎﮕﺸﻧ
89/6/6 :
ﻪﻟﺎﻘﻣ
ﺖﻓﺎﻳ
90/12/8 :
ﻪﻟﺎﻘﻣ
ﻳﺬﭘ
:
ﻮﺌﺴﻣ
ﻨﺴﻳﻮﻧ
*
،ﻮﺠ ﺸﻧ
ﻮ ﻠﺑ
،ﻦ ﻳ
،
ﻬﺗ
ﻲﺘﺴﻳﺰﻬﺑ
ﻮﻠﻋ
ﺎﮕ ﺸﻧ
،
ﺎﻴﻛ
ﻮﻛ
ﻲﺸﺨﺒﻧ
ﻮﺗ
ﺎﻘﻴﻘﺤﺗ
ﺰﻛ ﻣ
،ﻲﺸﺨﺒﻧ
ﻮﺗ
ﺎﻔﻃ
ﺎﺼﻋ
22180099
:
ﻦﻔﻠﺗ
*
:
ﻪﻣﺎﻧﺎﻳ
*gharib_masoud@yahoo.com
ﻴﻜﭼ
ﻤﻠﻴﻓ
ﺪﺑ
ﺎﺑ
ﺘﻳ
ﺘﻨﻳ
، ﺘﻳ
ﺘﻨﻳ
ﻳﺬﭘ
ﻜﺗ
ﻲﺳ
ﺑ
،ﺶﻫ
ﮋﭘ
ﻦﻳ
ﺪﻫ
:
.
ﻮﺑ
ﻚﻴﺘﺳﺎﭙﺳ
ﺰﻐﻣ
ﺞﻠﻓ
ﺎﻛ
ﻮﻛ
ﻲﻧﺎﻗﻮﻓ
ﺪﻧ
ﺎﻛ ﺣ
ﺖﻴﻔﻴﻛ
ﻮﻣ
ﺪﻧ
ﺎﻫ
ﺎﻬﻣ
ﺖﻴﻔﻴﻛ
ﻪﻣﺎﻨﺸﺳ ﭘ
ﻲﺠﻨــﺳ
ﺎ ﺘﻋ
ﻪﺑ
ﻲﻌﻄﻘﻣ
ﻪﻌﻟﺎﻄﻣ
ﻚﻳ
:
ﻲــﺳ
ﺮﺑ
ﺎﺑ
ﻪﻫﺎﻣ
19-95
ﺪﺑ
ﻪﻤﻴﻧ
ﺰﻐﻣ
ﺞﻠﻓ
ﻮــﻛ
50 .
ﺪــﺷ
ﻪﺘﺧ
ﭘ
ﺰﻐﻣ
ﺞﻠﻓ
ﺎﻛ
ﻮﻛ
ﻲﻧﺎﻗﻮﻓ
.
ﺪﻧ
ﻛ
ﺖﻛ ﺷ
ﻪﻌﻟﺎﻄﻣ
ﺘﺳ
ﻲﻓ
ﺎﺼﺗ ﻴﻏ
ﺎﺨﺘﻧ
ﺎﺑ
ﺎﻣ
61/31
±
25/7
ﻲﻨــﺳ
ﻦﻴﮕﻧﺎﻴﻣ
ﺘﻳ
ﺘﻨﻳ
ﻲﺑﺎﻳ
ﺎﺠﻧ
ﻪــﺴﻠﺟ
ﻚﻳ
ﺘﻳ
ﺘﻨﻳ
ﻲﺑﺎﻳ
ﻦﻳﺪﻟ
ﺖﻳﺎﺿ
ﺐــﺴﻛ
ﺲﭘ
ﻮﻛ
46
ﻢﻠﻴﻓ
ﺪﻫﺎﺸﻣ
ﺎﺑ
ﻮﺳ
ﮕﻧﻮﻣ
ﺲﭙــﺳ
.
ﺪــﺷ
ﺎﺠﻧ
ﻤﻠﻴﻓ
ﺎﺑ
ﻤﻫ
ﺪﻌﺑ
10
ﻳﺬﭘ
ﻜﺗ
ﺑ
(
ICC
)
ﻦﻣ ﻴﭙﺳ
ﻲﮕﺘــﺴ ﻤﻫ
ﺐﻳ ﺿ
ﻮﻣ
.
ﻮﻤﻧ
ﺪﺠﻣ
ﻲﺑﺎﻳ
،
ﻮﻛ
50 66
ﺖﺷ
ﺎﻛ ﺣ
ﻜﻠﻤﻋ
ﺪﻨﺑ
ﻪﻘ ﻃ
ﻢﺘــﺴﻴﺳ
ﻤﻠﻴﻓ
ﺪﺑ
ﺎﺑ
ﺘﻳ
ﺘﻨﻳ
، ﺘﻳ
ﺘﻨﻳ
.
ﺪﻳ
ﮔ
ﺎﻔﺘﺳ
ﻮﻛ
ﻜﻠﻤﻋ
ﻦﻴﻴﻌﺗ
ﺖﻬﺟ
ﻤﻠﻴﻓ
ﺪــﺑ
ﺘﻳ
ﺘﻨﻳ
ﻲﮕﺘــﺴ ﻤﻫ
(0/996 - 0/774)
ــﺘﻳ
ﺘﻨﻳ
ﻲﮕﺘــﺴ ﻤﻫ
:
ﺎــ ﻪﺘﻓﺎﻳ
ﻮﺳ
(0/974 - 0/710)
ﻮﺳ
ﮕﻧﻮﻣ
ﻦﻴﺑ
ﻤﻠﻴﻓ
ﺎﺑ
(998/0 - 663/0).
ﻮﺑ
(
P<
0/01)
ﺎﻤﺘﺣ
ﺪﻘﻣ
ﺎﺑ
ﻪﻣﺎﻨﺸﺳ ﭘ
ﻲﻠﻛ
ﻤﻧ
ﺎﻫ
ﺎﻴﻘﻣ
ﺧ
(0/938 - 0/652)
ﺎﻫ
ﺎﻬﻣ
ﺖﻴﻔﻴﻛ
ﻮﻣ
ﻤﻠﻴﻓ
ﺪﺑ
ﺎﺑ
ﺘﻳ
ﺘﻨﻳ
ﺘﻳ
ﺘﻨﻳ
ﻳﺬﭘ
ﻜﺗ
:
ﺮﻴﮔﻪﺠﻴﺘﻧ
ﻲﺑﺎﻳ
ﺑ
ﺘﻌﻣ
ﻮﻣ
ﻚﻳ
ﻮﻨﻋ
ﻪﺑ
ﻦﻳ
ﺑﺎﻨﺑ
ﺖﺳ
ﻻﺎﺑ
ﺰﻐﻣ
ﺞﻠﻓ
ﺎﻛ
ﻮﻛ
ﻲﻧﺎﻗﻮﻓ
ﺪﻧ
.
ﻮﺷﻲﻣ
ﺎﻬﻨﺸﻴﭘ
ﺎﻛ
ﻮﻛ
ﻦﻳ
ﻲﻧﺎﻗﻮﻓ
ﺪﻧ
ﺎﻛ ﺣ
ﺖﻴﻔﻴﻛ
ﻳﺬﭘ
ﻜﺗ
،ﻲﻧﺎﻗﻮﻓ
ﺪﻧ
ﺎﻫ
ﺎﻬﻣ
ﺖﻴﻔﻴﻛ
ﻮﻣ
،
ﺰﻐﻣ
ﺞﻠﻓ
:
ﺎ
ژ
ﻴﻠﻛ
36
...
ﺎﻗﻮﻓ
ﺪ
ﺎﻛﺮﺣ
ﺖﻴﻔﻴﻛ
ﻮﻣ
ﺮﻳﺬﭘ
ﺮﻜﺗ
ﺳ
ﺮﺑ
4 ﺴﻤﺷ
ﺴ
ﻤﺷ
1
3 9 0
ﺘﺴ
ﺎﺘﺴ
ﻬﭼ
ﻬﭼﻤﺷ
ﻤﺷ
ﻢ
ﻢ
ﺪﻘ
ﻛﺮﺣ
ﺐﻴــﺳ
ﺪﻧ
ﺮــﺸﻴﭘ
ﺮﻴﻏ
ﺎﻫ
ﺪﻨــﺳ
ﻔﻴﻃ
ﺰﻐﻣ
ﺞﻠﻓ
ﻛﺮﺣ
ﻧ
ﻮﺗﺎﻧ
ﻞﻠﻋ
ﻦﻳﺮﺗﻊﻳﺎــﺷ
ﻪﻛ
ﺖــﺳ
ﻴﻌﺿ
ﻢ ﺴﻴﺳ
ﻪﺑ
ﺐﻴﺳ
ــﺷﺎﻧ
ﻼ ﺧ
ﻦﻳ
.
ﻣ
ﺎﻤــﺷ
ﻪﺑ
ﻛ
ﻮﻛ
.(1)
ﺖﺳ
ﺪﺷ
ﺎﺣ
ﺰﻛﺮﻣ
ﺎﺼﻋ
ﻪﺟﻮﺗ
ﺎﺑ
ﺰﻐﻣ
ﺞﻠﻓ
ﺎﻛ
ﻮﻛ
ﺮﺑ
ﻧﺎﻣ
ﻪﻣﺎﻧﺮﺑ
ﺎﻣ
ﻮﻧ
ﻦﻴﻴﻌﺗ
ﺮﻴﺛﺄﺗ
ﺑﺎﻴﺷ
ﺎﺒﻧ
ﻪﺑ
،
ﻮﮔﺎﻧﻮﮔ
ﺎﻫ
ﺮﻜﻳ
ﺎﻫﻪﻨﻳﺰﻫ
ﻪﺑ
ﻢﻬﻣ
ﺎﻴــﺴﺑ
ﺎﻛ
ﻮﻛ
ﻦﻳ
ﻛﺮﺣ
ﺮﻛ
ﺎﻛ
ﺮﻴﮔ
ﺪﻧ
ﮋﻳﻮﺑ
ﺎﻣ
ﻪﺑ
ﻧﺎﻣ
ﻼﺧ
ﺪﻣ
ﺮﻴﺛﺄﺗ
ﺑﺎﻴﺷ
ﻦﻴﻴﻌﺗ
ﺮﺑ
ﻚﺷ
ﺑ
ﺖــﺳ
.
ﺖﺳ
ﺎﻴﻧ
ﺎﻳﺎﭘ
ﻪﻠﻴﺳ
ﻚﻳ
ﺮﻛ
ﺎﻛ
ﺑﺎﻴــﺷ
ﺮﺑ
ﺮ ــﺳ
ﺎــﻫ
ﺰﺑ
ﺖــﻳ
ﺪﺤﻣ
ﺎﻛ
ﻮﻛ
ﻦﻳ
ﻮﺒﻬﺑ
ﺖﺒﺛ
ﻓﺎﻛ
ﺪﻫ
ﻮﺷ
ﺪﻘﻓ
ﻪﺑ
ﺮﺠﻨﻣ
ﻛﺮﺣ
ﻪﻌﺳﻮﺗ
ﻌﻴﺒﻃ
ﺎﻛ
ﻮﻛ
ﺮﺑ
ًﻓﺮﺻ
ﺎﻫ
ﺰﺑ
ﺮ ﺸﻴﺑ
ﺮﻳ
،ﺖﺳ
ﺪــﺷ
ﻮﺑ
ﺐﺳﺎﻨﻣ
ﻪﻜﻨﻳ
ﺎﺟ
ﻪﺑ
،ﺪﻧ
ﺪﺷ
ﺶﻳﺎﻣ
ﺎﻬﻧ
ﺮ ﺸﻴﺑ
ﺪﻧ
ﻪ ﻓﺎﻳ
ﺮﻜﻠﻤﻋ
.(3-6)
ﻮﺷ
ﺪﻴﻳﺄﺗ
ﺎﺷ
ﺮﻳﺬﭘﺮﻴﺛﺎﺗ
ﺮﻳﺬﭘ
ﺮﻜﺗ
، ﻳ
ﻼﺧ
ﺪﻣ
ﻮﻧ
ﺎﺤﻟ
ﻪﭼ
ﺰﻐﻣ
ﺞﻠﻓ
ﺎﻛ
ﻮــﻛ
ﻧﺎﻗﻮﻓ
ﺪﻧ
ﻦﻴﻘﻘﺤﻣ
ﻪﻗﻼﻋ
ﻮﻣ
ﻮﻤﻫ
ﺑﺎﻴﺷ
ﻮﻧ
ﺎﺤﻟ
ﻪﭼ
ﻧﺎﻣ
.
ﺖﺴﻫ
ﻮﺑ
ﺎﻛ
ﻮﻛ
ﻧﺎﻗﻮﻓ
ﺪﻧ
ﺮﻜﻠﻤﻋ
ﺖﻬﺟ
ﻮﺟﻮﻣ
ﺑﺎﻳ
ﺎﻫ
ﺰﺑ
.(7-8)
ﺪﻨ ﺴﻫ
ﺲﺣ
ﺎﻳ
ﺮﺤﺗ
،
ﺪﻗ
ﻞﻣﺎﺷ
ﺮ ــﺸﻴﺑ
ﺰﻐﻣ
ﺞﻠﻓ
ﺑﺎﻳ
ــﺳ
ﻧﻼﻀﻋ
ﻮﻣ
ﻖﻳﺮﻃ
ﺪﻗ
ﺑﺎﻳ
ًﻼــﺜﻣ
ﺮﻳﺎﺳ
(9)
1
ﻮﺷ
ﻪ ﻓﺎﻳ
ﻞﻳﺪﻌﺗ
ﻢ ﺴﻴﺳ
ﻖﻳﺮﻃ
ﻴــﺴﻴ ﺳﺎﭙﺳ
ﺖﺳ
3
ﻪﻄﻘﻧ
ﻦﻴﺑ
ﺰﻳﺎﻤﺗ
2
ﺲﻳ
ﻮﻨﮔ
ﺮ ــﺳ
ﻞﻣﺎﺷ
ﻪﻛ
ﺎﻫ ﺑﺎﻳ
،ﻪﻠﻀﻋ
ﺪﻗ
ﺳ
ﺮﺑ
ﺖﻬﺟ
ﺮﻛ
ﺎﻛ
ﺎﻫ ﺑﺎﻳ
ﺮ ــﺸﻴﺑ
.(10)
ﺎﻫﺖﺳ
ﻳ
ﺮﺟ
ﺮﻛ
ﺎﻛ
ــﺴﺣ
ﺖﻴﻌﺿ
،ﻞﺼﻔﻣ
ﻛﺮﺣ
ﻪﻨﻣ
ﺰﻐﻣ
ﺞﻠﻓ
ﺎﻛ
ﻮﻛ
ﺮﺑ
ﺲﭙﺳ
ﺪﻧ
ﺪﺷ
ﺎﺠﻳ
ﻻﺎــﺴﮔ
ﺰﺑ
ﺮﺑ
.
ﺖﻓﺮﮔ
ﺮﻗ
ﺎﻔ ﺳ
ﻮﻣ
ﺰﻴﻧ
ﺮﻠﻴﺗ
ﻂﺳﻮﺗ
ﺪﺷ
ﻼﺻ
ﻮﻣ
ﺶﻧ
ﺎﻜﻤﻫ
ﺪﻨﺳ
ﺎﺜﻣ
ﻮﻨﻋ
ﻪﺑ
ﺎﻫﺖﻴﻌﻤﺟ
ﻮﺑ
ﺪﺷ
ﺣ
ﺮﻃ
ﻻﺎﺴﮔ
ﺰﺑ
ﺮﺑ
ﻪﻛ
ﻮﺴﺒﺟ
ﺎﻜﺑ
ﻛﺮﺣ
ﺎﻫ ﻳﺎﻧ
ﻮﺗﺎﻧ
ﻞﺳﻮﮕﻨﻨﻣﻮﻠﻴﻣ
ﺎﻛ
ﻮﻛ
ﻞﻣﺎﺷ
ﻒﻠ ﺨﻣ
،ﺖﺳ
4
ﻖﻴﻗ
ﻦ ﻓﺮﮔ
ــﺳ
ﺮﺑ
ﺮﺑ
ﻧﻮﻣ
ﺎﻫ
،ﺪﻧ
ﺮﺑ
ﺮﻳﺬﭘ
ﺮﻜﺗ
ﻪــﻛ
ﺮﻛ
ﺣ
ﺮﻃ
ﻮﺗﺎﻧ
ﻪﻟﺎــﺳ
6
ﺎﺗ
0
ﺎﻛ
ﻮــﻛ
ﺎﻔ ﺳ
ﺎﻫ
ﺎﻴﻌﻣ
،ﺖــﺳ
ﺖــﺳ
ﻤﻛ
ﺎﻋﻼﻃ
ﻳ
.(11)
ﺖﺳ
ﺳ
ﺮﺑ
ﺖﺤﺗ
ﻮﻨﻫ
ﻫ
ﺮﻤﻧ
ﺮﺑ
ﺪﺷ
ﺪﺷ
ﺰﻳ
ﺎﻛﺮﺣ
ﻮــﺴﺒﺟ
ﺮﻠﻴﺗ
ﺮﻴﻈﻧ
ﺮﮕﻳ
ﺎﻫ
ﻮﻣ
ﺧﺮﺑ
ﻮﻣ
ﻟ
ﺪﻨﻨﻛ ﻣ
ﺑﺎﻳ
ﺖــﺳ
ﺮﻜﻠﻤﻋ
5
ﺎﺑ
ﭘ
ﻛﺮﺣ
ﺎﻬﻨﺗ
ﺎﺒ ﻋ
ﺮﺗﻻﺎﺑ
ﺎﻳ
ﺎﺳ
6
ﺎﻛ
ﻮﻛ
ﺮﺑ
ﺮ ﺸﻴﺑ
ﻦﻳ
ﺮﻳﺬﭘ
ﺮﻜﺗ
ﻮﻃ
ﻮﺗﺎﻧ
ﻮﻛ
20
ﻂﻠ ﺨﻣ
ﺮــﮔ
ﻚﻳ
ﻮﻣ
(12)
ﺪﻧﺪﺷ
ﻮﻣ
ﺎــﺳ
10
ﺎﺗ
8
ﻨــﺳ
ﻦﻴﮕﻧﺎﻴﻣ
ﺎﺑ
ﻮﻣ
ﻻﻼ ﺧ
ﺎﺑ
ﺎﻛ
ﻮــﻛ
ﺮﺑ
ﺎﺑ
ﭘ
ﻛﺮﺣ
ﺪــﺷ
ﺰﻳ
ﺎﻛﺮﺣ
.(13)
ﺖﺳ
ﺮﻳﺬﭘ
ﺮﻜﺗ
ﺎــﺳ
6
ﺎﺗ
2
ﻦﻴﻨــﺳ
ﻦﻴﺑ
ﻒﻠ ﺨﻣ
ﺪــﺷ
ﺮﺑ
ﺎﻫ
ﻮﻣ
ﻦﻳ
ﻪﻛ
ﺖﺴﻴﻧ
ﺺﺨﺸﻣ
ًﻘﻴﻗ
ﻪﻛ
ﺖﺳﺎﻨﻌﻣ
ﺪﺑ
ﻦﻳ
.
ﺪﺷﺎﺑ
ﺐﺳﺎﻨﻣ
ﺰﻐﻣ
ﺞﻠﻓ
ﺎﻛ
ﻮﻛ
ﻪــﺑ
ﺎــﺴﺣ
ﻪﻛ
ﻳﺎﻫ
ﺮﻴﮔ
ﺪﻧ
ﻪﺟﻮ ﻣ
،ﺶﻧ
ﺎﻜﻤﻫ
ﺎــﺒﻧ
،
ﻮﺑ
ﺰﻐﻣ
ﺞﻠﻓ
ﺎﻛ
ﻮﻛ
ﻧﺎﻗﻮﻓ
ﺪﻧ
ﺮﻜﻠﻤﻋ
ﻨﻴﻟﺎﺑ
ﺮــﻴﻴﻐﺗ
ﺮﺑ
ﻮﻣ
ﺎﺠﻳ
ﻪﺑ
ﺎﻘﻘﺤﻣ
ﺐﻴﻏﺮﺗ
ﺐﺟﻮﻣ
ﻦﻳ
.(14)
ﺪﻧﺪﺷ
ﺖﻴﻔﻴﻛ
ﺑﺎﻳ
ﻮﻣ
،ﻞﻣﺎﺷ
ﻪﻛ
ﺪﺷ
ﻧﺎﻗﻮﻓ
ﺪﻧ
ﺮﻜﻠﻤﻋ
ﺑﺎﻳ
ﻪﻓﺮﻄﻜﻳ
ﺑﺎﻳ
(
QUEST
)
6
(15)
ــﻧﺎﻗﻮﻓ
ﺪﻧ
ﺎــﻫ
ﺎﻬﻣ
ﺮﺒ ﻌﻣ
ﮋﻳ
ﻮﻣ
ﺮﻫ
.(16)
7
ﻮﺒﻠﻣ
ﻧﺎﻗﻮﻓ
ﺪــﻧ
ﺮﻜﻠﻤﻋ
ﺮﻜﻠﻤﻋ
ﺐﻴﺳ
ﺒﻴﻛﺮﺗ
ﺖــﺳ
ﺰﻐﻣ
ﺞﻠﻓ
ﺎﻛ
ﻮﻛ
ﺮﺑ
ﺎــﺳ
15
ﺎﺗ
5
ﺎﻛ
ﻮﻛ
ﺮﺑ
ﺪﻧ
ﻮﺗ ﻣ
ﻮﺒﻠﻣ
ﺑﺎﻳ
.
ﺪﺠﻨــﺳ ﻣ
18
ﻦﺳ
ﺎﻛ
ﻮﻛ
ﺑﺎﻳ
ﻳﺎﻧ
ﻮﺗ
QUEST
ﻟ
.
ﻮﺷ
ﺎﻔ ــﺳ
.
ﮕﻟﺎﺳ
8
ﺎﺗ
ﮕﻫﺎﻣ
ــﺸﺨﺑ
ﺮﻳ
ﻢﻳﺪــﺷ
ﺰﻛﺮﻤ ﻣ
QUEST
ﻪﻌﻟﺎﻄﻣ
ﻦﻳ
ﺎﻣ
ﻮﻣ
ﻦﻳ
.
ﺖﺳ
ﻂﺒﺗﺮﻣ
ﺎﮕﻨﻫ
ﻼﺧ
ﺪﻣ
ﺎﺠﻧ
ﻪﺑ
ﺎﻘﻴﻘﺤﺗ
.
ﺪﺷ
ﻪ ﺧﺎﺳ
ﺎﻧﺎﻛ
ﺶﻧ
ﺎﻜﻤﻫ
ﻮ ﻣ
ﻂﺳﻮﺗ
1991
ﺎﺳ
ﻞﻤﺤﺗ،
(
ﺎﻴﻘﻣ
ﺮﺧ
24)
ﻦ ﻓﺮﮔ،
(
ﺎﻴﻘﻣ
ﺮﺧ
64)
ﺰﺠﻣ
ﺎﻛﺮﺣ
4 (
ﺎﻴﻘﻣ
ﺮﺧ
36)
ﻇﺎﻔﺣ
ﺮﻛ
ﺎﺑ
(
ﺎﻴﻘﻣ
ﺮﺧ
50)
ﺎﻛﺮﺣ
ﺎﺠﻧ
ﺮﺑ
ﺎﻴﻌﻣ
ﺶﺨﺑ
ﺮﻫ
ﺪﻨــﺷﺎﺑ ﻣ
ﻮﻣ
ﺶﺨﺑ
ﺎﻫ
ﺎﻴﻘﻣ
ﺮﺧ
ﺎﻤﺗ
ﺮﻤﻧ
.
ﺖﺳ
ﺪﺷ
ﺢﻴﺿﻮﺗ
ﺑﻮﺧ
ﻪﺑ
ﺶﺨﺑ
ﺮﻫ
ﺮﺑ
ﺮﻤﻧ
.
ﺖﺳ
(
ﺪﺸﻧ
ﺖﺴﺗ
)
،
(
ﺮﻴﺧ
)
،
(
ﻪﻠﺑ
)
ﻮﺻ
ﻪﺑ
ﺮﺒﺟ
ﺪﺸﻧ
ﺖﺴﺗ
ﺎﻫ
ﻮﻣ
ﻪﻛ
ﻮﺷ ﻣ
ﻪﺒﺳﺎﺤﻣ
ﻮﻣﺮﻓ
ﻚﻳ
ﺎﺑ
ﻪﺒﺳﺎﺤﻣ
ﺎــﺸﻋ
ﻢﻗ
2
ﺎﺗ
100
ﺎﺗ
0
ﺶﺨﺑ
ﺮﻫ
ﺮﻤﻧ
.
ﺪﻨﻛ ﻣ
ﺮﺑ
ﻢﻴﺴﻘﺗ
ﺎﻫ
ﻮﺣ
ﻪﻤﻫ
ﺮﻤﻧ
ﻮﻤﺠﻣ
ﻮﻣ
ﻠﻛ
ﺮﻤﻧ
.
ﻮﺷ ﻣ
ﺎ ﻓ
،ﺮﮔ
ﺪﻫﺎﺸﻣ
ﻨﻫ
ﺎﺳﺎﺴﺣ
.
ﺪﻳ
ﻣ
ﺖﺳ
ﻪﺑ
ﺎﻫ
ﻮﺣ
ﺪﻌﺗ
ﻮﻃ
ﻪﺑ
ﻴــﺴﻴ ﺳﺎﭙﺳ
ﺰــﻴﻣ
ﺑﺎﻳ
ﺎــﻣ
ﻮﻃ
ﻮــﻛ
ﻮﻣ
ﺬﮔ
ﺮﻤﻧ
ﺎــﺳﺎﺴﺣ
ﻦﻳ
.
ﻮﺷ ﻣ
ﺖﺒﺛ
ﻪﻧﺎﮔ
ﺪﺟ
.
ﺬﮔ ﻤﻧ
ﺮﻴﺛﺄﺗ
ﺰﻴﻧ
ﻮﻣ
ﻳﺎﻳﺎﭘ
،ﻦﻳ
ﺮﺑﺎﻨﺑ
ﺪﻧ
ﺮﺛ
ﺐﻴﺳ
ﺎﺒﻧ
ﻪﺑ
ﺖﺳ
ﺮﻜﻠﻤﻋ
ﻤﻛ
ﺑﺎﻳ
ﻚﻳ
ﻮﻣ
ﻦﻳ
ﺎــﺴﺣ
،ﺮﻳﺬﭘ
ﺮﻜﺗ
ﻮﻣ
.
ﺪﻳ
ﻣ
ﻢﻫ
ﺮﻓ
ﻪﻴﻟ
ﻚــﻳژﻮﻟ
ﻮﻧ
ﺮﺑ
ﻮﻣ
.
ﺖــﺳ
ﻚﻴ ــﺳﺎﭙﺳ
ﺰﻐﻣ
ﺞﻠﻓ
ﺎﻛ
ﻮﻛ
ﺮــﺑ
ﺪﻴﻔﻣ
.(6
،
11
،
14
،
17
،
20)
ﺖــﺳ
ﺐــﺳﺎﻨﻣ
ﻪﻟﺎــﺳ
8
ﺎﺗ
ﻪﻫﺎﻣ
18
ﺎﻛ
ﻮﻛ
ﻪ ﻓﺮﻳﺬﭘ
ﻮــﺻ
ﻮﻣ
ﻦﻳ
ﻮــﻣ
ﻪﻛ
ﻳﺎﻫ ﻳﺎﻳﺎﭘ
ﻮــﻨﻛ
ﺎﺗ
ﻮﺑ
ﺎﻬﻧ
ﻦــﻴﺑ
ﮕ ــﺴﺒﻤﻫ
ﺶﺨﺑ
ﺮﻫ
ﻠﻛ
ﺮــﻤﻧ
ﺎــﺳ
ﺮﺑ
ﺐﻳﺮﻏ
ﻂــﺳﻮﺗ
ﻮﻣ
ﻦﻳ
ﺰﻴﻧ
ﺎﻣ
ﻮــﺸﻛ
(10
،
13-14)
ﺖــﺳ
ﻦﻴﺑ
ﺮﻳﺬﭘ
ﺮﻜﺗ
ــﺳ
ﺮﺑ
ﻦﻴﻳﺎﭘ
ﻪﻧﻮﻤﻧ
ﻢﺠﺣ
ﺎﺑ
ﺎﻜــﻤﻫ
1- Modified Ashworth 2- Stregnosis 3- Two Point of Discrimination 4- Prehention5- Fine Motor Developmental Motor Pea Body 6- Quality of Upper Extremity Skills Test7- Melbourne Assessment of Unilateral Upper-Limb Function
37
ﻤﻫ
ﻲﻤﻴﻬﻓ
ﺮﺒﻛ
ﻼﻳ
ﻧ
4 ﺴﻤﺷ
ﺴ
ﻤﺷ
1
3 9 0
ﺘﺴ
ﺎﺘﺴ
ﻬﭼ
ﻬﭼﻤﺷ
ﻤﺷ
ﻢ
ﻢ
1- Gross Motor Function Classification System-66 (GMFCS-66)
ﻧ
ﻘﻴﻘﺤﺗ
ﺮــﺑ
ﺮﻣ
ﺑ
ﻪﻛ
(18)
ﻮﺑ
ﺪــﺷ
ﻳ ﭘ
ﺮــﻓ
ﺪﻳ
ﻮﺗﻲﻣ
QUEST
ﻮــﻣ
ﺮﻳﺬﭘ
ﺮﻜﺗ
ﻮﺼﺧ
ﺪــﺷ
ﻮﻣ
ﺮﻳ
ﺪــﺷ
ﻔﺘــﺳ
ﻲﻫ
ﺮﻤﻧ
ﺖﻬﺟ
ﻳ
ﺪﻨﭼ
ﻪــﻛ
ﻬﻨﺗ
ﻦﻴﻨﭽﻤﻫ
ﺰﻳ
ﺖﺷ
ﻛﺮﺣ
ﻲﻧﻮﮔ ﻧﻮﮔ
ﻫﺖﻴﻌﺿ
ﺨﺘﻧ
ﻪﻛ
(20)
ﺪ ﻨﺳﻲﻣ
(
ﺪﺸﻧ
ﺖــﺴﺗ
)
،
(
ﺮﻴﺧ
)
،
(
ﻪﻠﺑ
)
ﺖﻟ ﺣ
3
ﺨﺘﻧ
ﻤﺘﺣ
ﻦﻳ
ﺮﺑ ﻨﺑ
ﻳ
ﺮﻈﻧ
ﻪﺑ
ﻲﮕﺘــﺴﺑ
ﻪﻨﻳﺰﮔ
ﺮﻫ
ﻦﻳ
ﻢﻳﺪﺷ
ﺮﺑ
.
ــﺳﻲﻣ
ﻪﺟ
ﻮﻣ
ﻞﻜﺸﻣ
ﺑ
ﺐــﺳ ﻨﻣ
ﻪﻨﻳﺰﮔ
ﻲﺑ ﻳ
ﺖﻗ
ﺶﻳ
ﺰﻓ
ﻮﻈﻨﻣ
ﻪﺑ
ﺮﺗﻻ ﺑ
ﻪﻧﻮﻤﻧ
ﻢ ﺣ
ﺑ
ﻖــﻴﻘﺤﺗ
ﻦﻴﺑ
ﻲﮕﺘﺴﺒﻤﻫ
ﻲﺳ
ﺮﺑ
ﺮﺑ
ﻼﻋ
ﺗ
ﻢﻴﻳ ﻤﻧ
ﻔﺘــﺳ
ﺰﻴﻧ
ﺮﺒﻤﻠﻴﻓ
ﺰﻴﻧ
ﻫ
ﻴﻘﻣ
ﺮﺧ
ﻚﺗ
ﻚﺗ
ﻲﮕﺘــﺴﺒﻤﻫ
،ﺶﺨﺑ
ﺮﻫ
ﻲﻠﻛ
ﺮﻤﻧ
ﺮﮕﻧﻮﻣ
ﻪﻛ
ﻮﻤﻧ
ﺺﺨﺸﻣ
ﻖﻴﻗ
ﻮﻃ
ﻪﺑ
ﻮﺘﺑ
ﺗ
ﻢﻴﻳ ﻤﻧ
ﻲــﺳ
ﺮﺑ
ﻳ
ﺮﺘﻤﻛ
ﺮــﻈﻧ
ﻔﺗ
ﻫﺶﺨﺑ
ﻳ
ﺶــﺨﺑ
ﺪﻛ
ﺮﮕﻧﻮﻣ
ــﻳ
.
ﺪﻧ
ﺮﺘﺸﻴﺑ
ﺮﺑ
ﻫ
ﻬﻣ
ﺖﻴﻔﻴﻛ
ﻪﻣ ﻨﺸﺳﺮﭘ
ﻲ ﻨﺳ
ﺒﺘﻋ
ﻪﺑ
ﻲﻌﻄﻘﻣ
ﻪﻌﻟ ﻄﻣ
ﻚﻳ
ﻦﻳ
ﻣ
ﻪﻌﻣ ﺟ
.
ﺪﺷ
ﻪﺘﺧ
ﺮﭘ
ﺰﻐﻣ
ﺞﻠﻓ
ﻛ
ﻮﻛ
ﻲﻧ ﻗﻮﻓ
ﺪﻧ
19-95
ﻦﻴﻨــﺳ
ﻦﻴﺑ
ﻚﻴﺘــﺳ ﭙﺳ
ﺰﻐﻣ
ﺞﻠﻓ
ﻛ
ﻮﻛ
ﻪﻴﻠﻛ
ﺶﻫ
ﮋﭘ
،ﺮﺼﻋ
ﺪﻴﻣ
ــﻬﺑ
ﻲــﺸﺨﺒﻧ
ﻮﺗ
ﺰﻛﺮﻣ
ﻬﭼ
ﻪﺑ
ﺪﻨﻨﻛ
ﻪﻌﺟ
ﺮﻣ
ــﻣ
ﺪﻌﺗ
.
ﻮﺑ
1389
ﺰﻴﻳ ﭘ
ﺗ
1387
ــﺳ
ﺘــﺴﺑ ﺗ
ﺮﻔﻇ
،ﺪﻴﻣ
ﻮﻧ
ﻞﻴﻟ
ﻪﺑ
ﻮﻛ
5
،
ﺪــﻌﺗ
ﻦﻳ
ﻦﻴﺑ
ﺪﻧ
ﻮﺑ
ﺮﻔﻧ
55
ﻛ
ﻮــﻛ
ﻦــﻳ
.
ﺪﻧﺪﺷ
ﺧ
ﻪﻌﻟ ﻄﻣ
ﺪﻳﺪــﺷ
ﻲﻨﻫ
ﻲﺘﺧ ﻨــﺷ
ﻼﻜــﺸﻣ
ﺞﻠﻓ
ﻮﻧ
ﺺﻴﺨــﺸﺗ
،ﺪﻧ
ﺮﻛ
ﺖﻛﺮــﺷ
ﻪﻌﻟ ﻄﻣ
ﻮﻛ
50
ﺖﻳ ﻬﻧ
ﺢﻄﺳ
ﺼﻋ
ﺰﻐﻣ
ﺺﺼﺨﺘﻣ
ﻚﺷﺰﭘ
ﻂﺳﻮﺗ
ﻛ
ﻮﻛ
ﻦﻳ
ﺰﻐﻣ
ﻛﺮﺣ
ﺪﻨﺑ
ﻪﻘﺒﻃ
ﻢﺘﺴﻴﺳ
ﻪﻣ ﻨﺸﺳﺮﭘ
ﺳ
ﺮﺑ
ﻛ
ﻮﻛ
ﺮﻛ
ﻛ
ﻮﺤﻧ
ﻲﻫ ﮔ
ﺲﭘ
ﻦﻳﺪﻟ
.
ﺪﻳ
ﺮﮔ
ﻦﻴﻴﻌﺗ
ﺰﻴﻧ
(19)
1
66
ﺖﺷ
ﺮﺑ
ﻲﻟ ﻤﺘﺣ
ﺮﻄﺧ
ﻪﻧﻮﮔﺮﻫ
ﻨﻴﻤﻃ
ﻮــﺼﺣ
ﻲﺑ ﻳ
ﻧ
ﻫ
ﻴﻌﻣ
.
ﺪﻧ
ﻮﻤﻧ
ﺖﻛﺮﺷ
ﻪﻌﻟ ﻄﻣ
ﻞﻣ ﻛ
ﺖﻳ ﺿ
ﺑ
ــﺸﻧ ﻛ
ﻮﻛ
ﻮﻧ
ﺰﻐﻣ
ﺞﻠﻓ
ﻪﺑ
ﻼﺘﺑ
،
ﻣ
95-19
ﻦــﺳ
:
ﻞﻣ ــﺷ
ﻪﻌﻟ ﻄﻣ
ﻪﺑ
ﺮﺧ
ﻫ
ﻴﻌﻣ
ﺖﻳ ﻤﺣ
ﺪﺑ
ﻦﺘــﺴﺸﻧ
ﻲﻳ ﻧ
ﻮﺗ
،ﻚﻴﺘــﺳ ﭙﺳ
ﺐﻘﻋ
ﺘﻓ
،ﻲﺘﺧ ﻨﺷ
ﻼﺘﺧ
،
ﺘﻓ
ﻼﻜﺸﻣ
ﻦﺘﺷ
:
ﻞﻣ ﺷ
ﻨﻴﺑ ﻧ
)
ﻲﻳ
ﻮﻨﺷ
ﻲﻳ ﻨﻴﺑ
ﻼﻜــﺸﻣ
،ﻪﺟﻮﺗ
ﻼﺘﺧ
،ﻲﻨﻫ
ﻲﮔﺪﻧ ﻣ
.
ﻮﺑ
ﻪﺘﺷﺬﮔ
ﺳ
ﻚﻳ
ﺪﭘﻮﺗ
ﻲﺣ
ﺮﺟ
ﻧ
(
ﻮﻨﺷ ﻧ
ﻳ
ﻚﻳ
ﻂﺳﻮﺗ
ﺒﻜﻳ
،ﻪﻌﻟ ﻄﻣ
ﺮﺑ
ﺪﺷ
ﺨﺘﻧ
ﻛ
ﻮﻛ
ﺪﺘﺑ
ﺮﮕﻧ ﻣ
ﻂــﺳﻮﺗ
ﻪﻠﺻ ﻓ
ﻪﺑ
ﺮﮕﻳ
ﺑ
(
ﺮــﺘﻳ
ﺮﺘﻨﻳ
) ()
ﺑ
ﺮﻤﻫ
(
ﺮﺘﻳ
ﺮﺘﻨﻳ
)
ﻣﺰﻤﻫ
ﻮــﻃ
ﻪﺑ
()
ﺮﮕﻳ
ﺮــﮕﻧ ﻣ
ﻮﻛ
ﺖــﺸﭘ
ﻮﻠﺟ
(
SX
220
ﻦﻧ ﻛ
ﻦﻴﺑ
)
ﺮــﺒﻤﻠﻴﻓ
45
ﺗ
30
ﺪﺣ
ﻮﻣ
ﺮﺟ
.
ﺪﻧﺪــﺷ
ﻪﻌﻟ ﻄﻣ
ﻮﻣ
ﻧ
ﻦﻴﺣ
ﺪﺘﻣ
ﻫ
ﻣ
ﻛ
ﻮﻛ
ﻦﻳ
ﻮﻃ
.
ﺪﻴﺸﻛ
ﻮﻃ
ﻪﻘﻴﻗ
ﻦﻳ
ﻪﻛ
ﺪــﺷ
ﺮﻓ
.
ﺪﻧ
ﺮﻛﻲﻣ
ﺖﻓ ﻳ
ﻲﭘ
ﺮﺗﻮﻳﺰﻴﻓ
ﻲﻧ ﻣ
ﻛ
ﺮﻴﮕﻤــﺸﭼ
ﺮﻴﻴﻐﺗ
ﺮﻴﮔﻮﻠﺟ
ﺮــﺑ
( )
ﻲﻧ ﻣ
ﻪــﻠﺻ ﻓ
ﺑ
(
ﻮﺳ
)
ﺮﮕﻳ
ﺮﮕﻧ ﻣ
ﺲﭙــﺳ
.
ﻮﺑ
ﺗﻮﻛ
ﻲﻓ ﻛ
ﺪﻧ
ﻪﺑ
ﺪــﺷ
ﻫ
ﻴﻘﻣ
ﺮﺧ
،ﻪﻌﻟ ﻄﻣ
ﻮﻣ
ﻮﻛ
50
ﻮﻛ
46
ﻢﻠﻴﻓ
ﺪﻫ ﺸﻣ
ﺖﺳﺪﺑ
ﻫ
.(
ﺮﺒﻤﻠﻴﻓ
ﺑ
ﺮﻳﺬﭘ
ﺮﻜﺗ
)
ﻮﻤﻧ
ﻲﻫ
ﺮﻤﻧ
،
،ﻲﭘ،
ﻣ
ﺰــﻓ
ﺮﻧ
ﻔﺘــﺳ
ﺑ
ﺶﻫ
ﮋﭘ
ﺪﻣ
ﻣ
ﻪﻛ
ﻮــﺻ
ﻦﻳ
ﻪﺑ
.
ﺖﻓﺮﮔ
ﺮﻗ
ﻞﻴﻠﺤﺗ
ﻮــﻣ
16
ﻪﺨــﺴﻧ
ﺮﺑ
ﺪﺻ
ــﻴﻌﻣ
ﺮﺤﻧ
ﻦﻴﮕﻧ ﻴﻣ
ﻪــﻠﻤﺟ
،ﻲــﻔﻴﺻﻮﺗ
ﺐﻳﺮﺿ
ﻮﻣ
ﺪــﺷ
ﻔﺘــﺳ
ﻪﻧﻮﻤﻧ
ﻫﻲﮔﮋﻳ
ــﺸﻧ
ﺮﺘﻨﻳ
ﺮﺘﻳ
ﺮﺘﻨﻳ
ﺮﻳﺬﭘ
ﺮﻜﺗ
ﻲــﺳ
ﺮﺑ
ﺮﺑ
ﻦﻣﺮﻴﭙﺳ
ﻲﮕﺘــﺴﺒﻤﻫ
.
ﺪﺷ
ﻔﺘﺳ
ﺮﺒﻤﻠﻴﻓ
ﺪﺑ
ﺑ
ﺮﺘﻳ
ﺎﻫﻪﺘﻓﺎﻳ
(
ﺪﺻ
44)
ﺮﻔﻧ
22
ﺪــﻧ
ﺮﻛ
ﺖﻛﺮــﺷ
ﻪﻌﻟ ﻄﻣ
ﻪﻛ
ﻲﻛ
ﻮﻛ
50
ﺰﻐﻣ
ﺞﻠﻓ
ﭼ
ﻮــﻛ
25
ﻪﻛ
،ﺪﻧ
ﻮﺑ
ﺮﺘﺧ
ﻲﻘﺑ ﻣ
ﺮــﺴﭘ
ﻬﻧ
10
ﻲﻧ ﺘﺤﺗ
ﺪــﻧ
ﺞﻠﻓ
ــﭼ
ﻮﻛ
15
ﺪــﺑ
ﻪﻤﻴﻧ
ﻮــﻧ
61/31
±
25/7
ﻬﻧ
ﻲﻨﺳ
ﻦﻴﮕﻧ ﻴﻣ
ﺪﻧ
ﻮﺑ
ﺪﻧ
ﻬﭼ
ﺞﻠﻓ
ﻮﻛ
ﻛ
ﻮﻛ،
ﺮﻳﺬﭘ
ﺮﻜﺗ
ﻲــﺳ
ﺮﺑ
ﻧ
ﻞﺒﻗ
ﻦﻴﻨﭽﻤﻫ
،
ﻮــﺑ
ﻣ
ﺮﻗ
ﻲﺳ
ﺮﺑ
ﻮﻣ
66
ﺖــﺷ
ﻛﺮﺣ
ﺪﻨﺑ
ﻪﻘﺒﻃ
ﻢﺘــﺴﻴﺳ
ﺤﻟ
ﺢﻄﺳ
ﺪﺻ
20
ﻪﺳ
ﺢﻄــﺳ
ﺪﺻ
50
ﻚﻳ
ﺢﻄــﺳ
ﻪﻛ
ﺪﻨﺘﻓﺮﮔ
ﮔﺪﻨﻨﻛ
ﺖﻛﺮــﺷ
ﻞﻛ
ﺪﺻ
10
ﺪﻛ
ﺮﻫ
ﺰﻴﻧ
،
ﻬﭼ
،ﺞﻨﭘ
.(1
ﺪﺟ
)
ﺪﻧ
ﻲﻣ
ﻞﻴﻜﺸﺗ
ﺮﻛ
ﺑ
ﻮﺣ
ﻮﻛ
ﻚﻳ
،
(
ﺮﺘﻳ
ﺮﺘﻨﻳ
)
ﻲﺑ ﻳ
ﻪﻠﺣﺮﻣ
ﻮﻠﻄﻣ
ﻜﻤﻫ
ﻞﻤﺤﺗ
ﻮﺣ
ﺮﮕﻳ
ﻲﻛ
ﻮﻛ
ﻲﺘﻇ ﻔﺣ
ﺮﺘﻳ
ﺮﺘﻨﻳ
ﻫ
ﻴﻘﻣ
ﺮﺧ
ﻻ ﺑ
ﻲﮕﺘﺴﺒﻤﻫ
ﻲﻛ ﺣ
ﺞﻳ ﺘ
.
ﺪﻨﺘﺷ
ﺪ
(0/981 - 0/812)
ﺮــﺘﻳ
ﺮﺘﻨﻳ
ﻲﻠﻛ
ﺮــﻤﻧ
(0/996-0/774) (0/988 - 0/663)
ﺮﺒﻤﻠﻴﻓ
ﺪﺑﺮﺘﻳ
ﺮﺘﻨﻳ
ﻫ
ﻴﻘﻣ
ﺮﺧ
ﺪﻘﻣ
ﺑ
(0/981 - 0/771)
ﺮﺒﻤﻠﻴﻓ
ﺪﺑ
ﺮﺘﻳ
ﺮﺘﻨﻳ
ﻲﻠﻛ
ﺮﻤﻧ
.(2
ﺪﺟ
)
ﻮﺑ
P<
0/01
ﻤﺘﺣ
ﺮﺧ
ﺮــﺒﻤﻠﻴﻓ
ﺑ
ﺮﺘﻳ
ﺮــﺘﻨﻳ
ﻲﮕﺘــﺴﺒﻤﻫ
ﺞﻳ ﺘﻧ
ﻦــﻴﻨﭽﻤﻫ
ﺮﻤﻧ
(0/964 - 0/710)
ﻮــﺳ
ﻳ
ﻦﻴﺑ
، ﻫ
ــﻴﻘﻣ
ﻴﻘﻣ
ﺮﺧ
(0/948 - 0/802)
ﻮﺳ
ﻳ
ﻦﻴﺑ
،ﻲﻠﻛ
ﻦﻴﺑ
،ﻲﻠﻛ
ﺮﻤﻧ
(0/954 - 0/652)
ﻮــﺳ
ﻳ
ﻦﻴﺑ
، ﻫ
P<
0/01
ﻤﺘﺣ
ﺪﻘﻣ
ﺑ
(0/936 - 0/741)
ﻮﺳ
ﻳ
.(3
ﺪﺟ
)
ﻮﺑ
38
...
ﺎﻗﻮﻓ
ﺪ
ﺎﻛﺮﺣ
ﺖﻴﻔﻴﻛ
ﻮﻣ
ﺮﻳﺬﭘ
ﺮﻜﺗ
ﺳ
ﺮﺑ
4 ﺴﻤﺷ
ﺴ
ﻤﺷ
1
3 9 0
ﺘﺴ
ﺎﺘﺴ
ﻬﭼ
ﻬﭼﻤﺷ
ﻤﺷ
ﻢ
ﻢ
ﻟﺎﻄﻣ
ﺪﻨﻨﻛ
ﺖﻛﺮﺷ
ﺎﻛ
ﻮﻛ
ﻲﻨﻴﻟﺎﺑ
ﺎﺼّﺨﺸﻣ
ـ
1
ﺪﺟﻲﻧﺎﻗﻮﻓ
ﺪﻧ
ﺎﻬﺗ
ﺎﻬﻣ
ﺖﻴﻔﻴﻛ
ﻮﻣ
،
ﺮﺒﻤﻠﻴﻓ
ﺪﺑ
ﺮﺘﻳ
ﺮﺘﻨﻳ
ﺮﺘﻳ
ﺮﺘﻨﻳ
ﻲﮕﺘﺴﺒﻤﻫ
ﺐﻳ
ﺮﺿ
ـ
2
ﺪﺟ
39
ﻤﻫ
ﻲﻤﻴﻬﻓ
ﺮﺒﻛ
ﻼﻳ
ﻧ
4 ﺴﻤﺷ
ﺴ
ﻤﺷ
1
3 9 0
ﺘﺴ
ﺎﺘﺴ
ﻬﭼ
ﻬﭼﻤﺷ
ﻤﺷ
ﻢ
ﻢ
ﺑ
QUEST
ﻪــﻛ
ﺖــﺳ
ﻲﻛﺎﺣ
ﺮﺿﺎﺣ
ﺶﻫ
ﮋﭘ
ﺞﻳﺎﺘﻧ
ﻲﻳﻻﺎﺑ
ﺮــﺒﻤﻠﻴﻓ
ﺪﺑ
ﺎﺑ
ﺮــﺘﻳ
ﺮﺘﻨﻳ
ﺮــﺘﻳ
ﺮﺘﻨﻳ
ﻲــﻳﺎﻳﺎﭘ
.
ﺖﺳ
ﺧﺮﺑ
ﻲﻳﺎﻳﺎﭘ
ﻲﺳ
ﺮﺑ
ﻪﻛ
ﺖﺳ
ﻲﺗﺎﻌﻟﺎﻄ ﺎﺑ
ــﺴﻤﻫ
ﺎ ﺶﻫ
ﮋﭘ
ﺞﻳﺎﺘﻧ
ﺎ ﺰﻤﻫ
ﻃ
ﻪﺑ
ﺮﮕﻧ
ﻦﻴﺑ
ﻪﻛ
ﺶﻧ
ﺎﻜﻤﻫ
ﻟ
ﻂﺳ ﺗ
ﻪﻴﻟ
95
ﻲﮕﺘــﺴﺒﻤﻫ
ﻪﻛ
ﺖﻓﺮﻳﺬﭘ
ﺻ
ــﻛ
16
ﺮــﺑ
95
ﺎﺗ
75
ﻦــﻴﺑ
ﺎﻫ
ﺣ
ﺮﻳﺎــﺳ
ﻲﻳﺎﻳﺎﭘ
ﺮﮕﻳ
ﻪــﻌﻟﺎﻄ ﻪﻛ
ﻪﻌﻟﺎﻄ
ﻦﻴﻨﭽﻤﻫ
(11
،
17)
ﺖــﺳ
ﺑ
ﺪ
ﺖــﺳ
ﻪﺑ
2-4/5
ﻛ
ﻚــﻳ
ﺖــﺴﻴﺑ
ﺶﻧ
ﺎﻜﻤﻫ
ﻪﻜﻨﻴﻧ
ﻂــﺳ ﺗ
ﺮﮔ
(0/85 - 0/94)
ــ
ﺎﺑ
ﺞﻳﺎﺘﻧ
ﻪﻟﺎــﺳ
ﺻ
ﻪﺑ
ﻪﻛ
(0/72 - 0/92)
ﺮﮔ
ﻦﻴﺑ
(0/63 - 0/95)
ﺑ
ﻦﻳ
ﻻﺎــﺑ
ﻲﻳﺎﻳﺎﭘ
ﻲﻛﺎﺣ
،ﺪــﺷ
ﺎﺠﻧ
ﺮــﺒﻤﻠﻴﻓ
ﻲﻳﻻﺎﺑ
ﻲﻳﺎﻳﺎﭘ
ﺶﻧ
ﺎﻜﻤﻫ
1
ﻲﻜــﺳﺰﻛﺎﺳ
ﻦﻴﻨﭽﻤﻫ
(21)
ﺖــﺳ
.(22)
ﺪﻧ
ﺰﮔ
ﺎﻫ
ﺣ
ﺎﻤﺗ
(0/85 - 0/98)
ﻲﻳﻻﺎﺑ
ﺎﻴﺴﺑ
ﻲﮕﺘﺴﺒﻤﻫ
ﺖﺳ
ﺖﻴﻤﻫ
ﺰﺋﺎﺣ
ﻪﻌﻟﺎﻄ ﻦﻳ
ﻪﻛ
ﻪﭽﻧ
ﺮﻛ
ﺎﺑ
ﻞــﻤﺤﺗ
،ﻦﺘﻓﺮﮔ
ﺎﻫ
ﺎﻴﻘ
ﺮﺧ
ﻪﻛ
ﺖــﺳ
ﺪﻌﺗ
ﺑ
ﻻﺎــﺑ
ﺿ ﻦﻳ
ﻞــﻴﻟ
ﺎ
.
ﺟ
ﻲــﺘﻇﺎﻔﺣ
ﻖﻴﻗ
ﺢﻴﺿ ﺗ
ﺪــﺷ
ﺮﺒ ﺎﻧ
ﺣ
ﻪــﺳ
ﺎﻫ
ﺎﻴﻘ
ﺮــﺧ
ﻢﻴﻬﻔﺗ
ﻪﺑ
ﺮﺠﻨ ﺖﻳﺎﻬﻧ
ﻪــﻛ
ﻢﻴﻧ
ﻲ
ﺎﻴﻘ
ﺮﺧ
ﺎﺠﻧ
ــﺤﻧ
ﺎﺜ
ﻨﻋ
ﻪﺑ
.
ــﺷﻲ ﻪﻨﻳﺰﮔ
ﻦﻳﺮﺘﻬﺑ
ﺎﺨﺘﻧ
،
ﺎﻳ
ﺮــﺘﻬﺑ
6
ﺟ
ﺎﺑ ﺒﺣ
ﺎﻴﻘ
ﺮﺧ
QUEST
ﻦــﺘﻓﺮﮔ
ﺣ
ﺪﻨﻛﻲ ﻚﻤﻛ
ﺎﻳ
ﻪﺑ
ﺎﺑ ﺒﺣ
ﻦﺘﻓﺮﮔ
ﺤﻧ
ﻒﻠﺘﺨ ﺖــﻟﺎﺣ
ﺎﻛﺮﺣ
ﺣ
ﺲــﻜﻋ
ﺮﺑ
ﺪﻨﻛ
ﺎﺨﺘﻧ
ﻪﻨﻳﺰﮔ
ﻦــﻳﺮﺘﻬﺑ
ﺎــﺗ
ﺮﺧ
ﺮﻫ
ﺎﺠﻧ
ــﺤﻧ
ﺪــﻧ
ﺢﻴﺿ ﺗ
QUEST
ﺰــﺠ ﺪﻫ
ﺧ
ﻞﻜــﺸ
ﺎﭼ
ﻪﻨﻳﺰﮔ
ﻦﻳﺮﺘﻬﺑ
ﻦﻴﻴﻌﺗ
ﺎﻳ
ﺎــﻴﻘ ﻻﺎﺑ
ﺰﻴﻧ
ﺮﺒﻤﻠﻴﻓ
ﺎﺑ
ﻲﮕﺘــﺴﺒﻤﻫ
ﺞﻳﺎﺘﻧ
ﺪﻨﭼ
ﺮﻫ
ﻦﻴﻨﭽﻤﻫ
.
ﺮﻛ
ﺎﺘــﺸﮕﻧ
ﺖﻴﻌﺿ
ﻪﻜﻧ
ﻞﻴﻟﺪﺑ
ﻦﺘﻓﺮﮔ
ﺎﻴﻘ
ﺮﺧ
ﻲﻟ
ﺑ
ﺮﺘﻳ
ﺮﺘﻨﻳ
ﻪﺑ
ﺖﺒــﺴﻧ
ﻲﮕﺘــﺴﺒﻤﻫ
ﺰﻴ
ﺒﻧ
ﺺﺨــﺸ
ﺪﺣ
ﺎﺗ
ﺖﻔﮔ
ﺗﻲ ﻪﻛ
ﺖﺳ
ﻪﺘﻓﺎﻳ
ﺶﻫﺎﻛ
ﺮﺘﻳ
ﺮﺘﻨﻳ
ﺮﺒﻤﻠﻴﻓ
ﺪﺑ
1- Sakzewski
ﻲﻧﺎﻗ ﻓ
ﺪﻧ
ﺎﻫ
ﺎﻬ ﺖﻴﻔﻴﻛ
،
(
ﺮﺒﻤﻠﻴﻓ
)
ﺳ
ﺎﺑ
ﺮﮕﻧ
ﺳ
ﺎﺑ
ﺮﮕﻧ
ﻲﮕﺘﺴﺒﻤﻫ
ﺐﻳ
ﺮﺿ
-3
ﺪﺟ