Aim: The aim of the study is to evaluate deep cervical flexor endurance in patients with subacrom... more Aim: The aim of the study is to evaluate deep cervical flexor endurance in patients with subacromial impingement syndrome (SIS) and compare it with norm values proven in the literature in asymptomatic individuals. Materials and Methods: The patients' age, weight, height, duration of complaints and dominant side information were recorded. 35 patients (25 female, 10 male) diagnosed with SIS by physicians participated in the study. Pain intensity was evaluated by numerical rating scale at rest, during elevation and at night. Craniocervical flexion test (CFT) is used for evaluating cervical endurance. “Stabilizer Pressure Biofeedback” device is used for this test. Two types of points are obtained as a result of this test. One is the CFT activation score, which expresses the activation level of the deep cervical muscles, and the other is the CFT performance index, which expresses the endurance of the deep cervical muscles. Results: Both the activation score (3.9 ± 1.9) and the perfor...
Amac: Bu calisma farkli stillerde yarisan gurescilere uygulanan antrenman programlarinin bazi ant... more Amac: Bu calisma farkli stillerde yarisan gurescilere uygulanan antrenman programlarinin bazi antropometrik ozelliklerine etkisini belirlemek amaciyla planlandi. Yontem: Bu calismaya 81 erkek milli guresci dahil edildi. (Grekoromen n=46, Serbest stil n=35). Gurescilerin yaslari 17-20 yillari arasinda, vucut kutle indeksleri (VKI) 21-36 kg/m 2 arasindaydi (Grekoromen ortalama yas:18±1.1 yil, VKI:26±3.68 kg/m 2 ; serbest stil ortalama yas:18±0.8 yil, VKI:26.27±4.48 kg/m 2 ). Gurescilerin antropometrik ozelliklerindeki farkliliklar; vucut agirligi, boy uzunlugu, diz ve dirsek genisligi kaliper ile, baldir ve biseps cevre olcumu mezura ile, triseps, subskapular, supraspinal ve baldir deri alti yag kalinligi olcumu skinfold ile degerlendirildi. Yag yuzdesi Sloan ve Weir formulu ile hesaplandi. Somatotiplerin belirlenmesi icin Heath-Carter antropometrik metodu kullanildi. Bulgular: Iki grubun baldir ve biseps cevre olcumleri arasinda fark yoktu (Sirasiyla, Grekoromen:36.9±3.5 cm, 32.5±3.3...
Objective: Polypharmacy, an important geriatric syndrome, has been shown to be an independent ris... more Objective: Polypharmacy, an important geriatric syndrome, has been shown to be an independent risk factor for falling. However, the data about effects of polypharmacy on balance is lacking. We aimed to evaluate the effects of polypharmacy and inappropriate drug usage on balance in older adults. Patients and Methods: Fifty-one patients using ≥ 5 drugs and 50 patients using < 5 drugs were included in the study. Inappropriate drug usage of the patients was evaluated by Beers criteria. Postural stability and risk of falling was investigated by using Biosway Portable Balance System (BPBS). Activities and functional status of the patients were assessed by using Short Physical Performance Battery (SPPB) and Activities Specific Balance Confidence Scale (ABC). All patients underwent comprehensive geriatric assessment. Results: Age, gender, hand grip strength, SPPB scores of the patients were similar between polypharmacy and control groups (all had p>0.05). ABC score was higher in polypharmacy group than control (p<0.01). Overall, anterior-posterior, medial-lateral stability index and eyes closed firm surface scores detected in BPBS were higher, indicating worse stability in the polypharmacy group than control (p<0.05). Limit of stability score was lower in the polypharmacy group than control (p=0.03). Rates of polypharmacy and inappropriate drug usage were higher in patients with a history of falling than without (p<0.01, p<0.01, respectively). In multivariate analysis model, polypharmacy was found to be an independently correlated parameter for impaired balance (OR 24.31; 95%CI 3.05-193.91; p<0.01). Conclusion: This study has demonstrated that polypharmacy might be a related factor for impaired balance. Struggling with polypharmacy and inappropriate drug usage should be one of the most important part of comprehensive geriatric assessment.
International Journal of Academic Medicine and Pharmacy, 2021
Aging brings along a series of musculoskeletal problems due to physiological changes. Many elderl... more Aging brings along a series of musculoskeletal problems due to physiological changes. Many elderly people experience functional loss due to musculoskeletal problems. The demand for complementary, clinically effective, safe, patient-acceptable and, cost-effective therapeutic methods to reduce or partially prevent these losses is increasing day by day. Pilates is an exercise method that has beneficial effects on some health factors that are lost with aging. It is stated that it can strengthen the body against the difficulties it may encounter by strengthening the core stabilizing muscles around the pelvis and spine and improving the breathing pattern. It has been reported that Pilates has positive effects on posture, balance and fall risk, flexibility, strength, body composition and functional autonomy indicators for the advanced age group. In this review, the evidence of these most frequently studied effects of Pilates training in the elderly group is summarized in the light of the current literature.
The rotator cuff tears (RCT) are a well-known cause of shoulder pain and loss of upper extremity ... more The rotator cuff tears (RCT) are a well-known cause of shoulder pain and loss of upper extremity function. The purpose of this study was to evaluate the upper extremity function using two different methods in patients with RCT and to determine the parameters that influence the upper extremity function. A sample of 38 patients (27-76 years; 10 men and 28 women) who were diagnosed with a chronic full-thickness RCT, confirmed by magnetic resonance imaging (MRI), was studied. Upper extremity function was determined using Western Ontario Rotator Cuff Index (WORC) and 9 Hole Peg Test (9PEG). Other assessments included active range of motion (ROM), muscle strength, shoulder pain, and scapular dyskinesis. There was a weak association between WORC scores and 9PEG. A statistically significant, negative relationship was found between 9PEG and ROM in supination, as well as muscle strength of shoulder extensors, adductors, internal and external rotators. In addition to the weak association betwe...
The aim of this study was to evaluate the static postural stability and fall risk of preelderly w... more The aim of this study was to evaluate the static postural stability and fall risk of preelderly women with unilateral secondary lymphedema after breast cancer. Methods: This study was conducted on 46 preelderly women (24 with unilateral secondary lymphedema and 22 healthy) aged from 52 to 69 years. The Biodex Balance System was used to measure the parameters of postural stability and fall risk. The data acquisition involved 3 trials of 20 seconds to test the postural stability test. It was made in 3 directions (overall, anterior-posterior [AP], and mediolateral [ML]) and 2 conditions (once with open eyes, once with eyes closed). The fall-risk test was performed under the following conditions: (1) eyes open, fi rm surface; (2) eyes closed, fi rm surface; (3) eyes open, foam surface; and (4) eyes closed, foam surface. Results: For the postural stability, signifi cant differences (P Յ .000) were observed in overall, AP, and ML displacement parameters in eyes closed condition between the lymphedema and healthy groups. There were no statistically signifi cant differences in the fall-risk test results among the lymphedema and healthy group (P Ͼ 0.05). Conclusion: Preelderly women with unilateral lymphedema exhibited a lower postural stability compared with health women. These results lead to think us that asymmetric fl uid distribution in the upper body parts increases postural sway and leaving them more vulnerable to falls.
Background: With this case report we want to demonstrate the results of chemotherapy application ... more Background: With this case report we want to demonstrate the results of chemotherapy application to the mastectomized side in a patient who had undergone radical mastectomy. Case Report: A patient who was accidentally given chemotherapy on the mastectomized side (PCMS) and a control patient who received chemotherapy on the non-affected side (PCNS) were included in this study. Edema, pain, muscle strength, and shoulder mobility were evaluated. The results of the 2 patients were compared. After chemotherapy, PCMS experienced edema and pain in the affected arm compared to PCNS. Increased circumference measurement, and decreased shoulder mobility and muscle strength were observed in PCMS. Conclusion: It was suggested that chemotherapy application on the mastectomized side triggered lymphedema. Our findings on the subject revealed that education of health care professionals and patients alike is very important.
Clinical outcomes and upper extremity functions are deteriorated over time in degenerative rotato... more Clinical outcomes and upper extremity functions are deteriorated over time in degenerative rotator cuff tear (dRCT). Therefore, evaluation of the radiological and clinical parameters in cases with dRCT will guide to choose a proper treatment. This article is a case-control study which investigates the effects of age related changes on degree of anatomic abnormalities in individuals with dRCT and the influence of these parameters on upper extremity functions (UEF). 20 healthy participants and 43 symptomatic patients with dRCT participated in this study. The healthy group and patient group were divided into 2 categories based on their ages and degree of abnormalities. UEF was determined with Western Ontario Rotator Cuff Index (WORC) and 9 Hole Peg Test (9PEG). Number of tendons, tear size, humeral head migration>7mm (Mig>7mm), humeral cysts, presence of retraction (PR) and muscle atrophy (MA) were evaluated with MRI. Mean age of the patients with severe radiological parameters w...
BACKGROUND The use of pain coping questionnaires is advantageous when selecting cognitive and beh... more BACKGROUND The use of pain coping questionnaires is advantageous when selecting cognitive and behavioral targets for chronic pain management. The objective of this study was to investigate adaptation, validity, and reliability of the Coping Strategies Questionnaire (CSQ) in Turkish population with chronic musculoskeletal pain. METHODS The Turkish version of the questionnaire (CSQ-T) was checked in terms of reliability and validity with a convenience sample of 123 patients with chronic musculoskeletal pain. Reliability (test-retest) analyses were conducted by means of a retest 48 hours later with a sub-group of 40 patients. Construct validity of the CSQ was checked through convergent validity with the Hospital Anxiety and Depression Scale (HADS) and the Short Form-36 (SF-36) health survey. RESULTS Cronbach's alpha of the subscales ranged from 0.814 to 0.934 and the test-retest reliability ranged from 0.800 to 0.944. Neither floor nor ceiling effects (15%) were found in the subscales (13.8%) and the total score (4.1%) of the CSQ-T. Factor analysis indicated that the scale had two factors. The total CSQ-T score was correlated with both the HADS (r: -0.636/-0.549) and the SF-36 (r: 0.701/0.768). CONCLUSION The CSQ-T is a reliable and valid measure for assessing patients with chronic musculoskeletal pain.
After the anterior cruciate ligament (ACL) reconstruction, a loss of proprioception is observed a... more After the anterior cruciate ligament (ACL) reconstruction, a loss of proprioception is observed and it can continue years after the operation. The aim of this study is to evaluate proprioception in standing position at different knee flexion angles in patients who underwent ACL reconstruction with tibialis anterior tendon allograft. The study included 34 patients who underwent ACL reconstruction with tibialis anterior tendon allograft and 34 healthy individuals. Proprioception was evaluated in standing position at 15°, 30°, 60° flexion angles with the active joint position sense (AJPS) method using digital inclinometer. Proprioception deviation angle was found to be higher in the operated leg at 30° and 60° flexion angles in the patient group compared with the other leg (p < 0.05), the biggest proprioception difference was between the 15° and 60° flexion angles in both the patient and the control group (p < 0.05) that the difference between 15° and 30° flexion angles is lowest...
International Journal of Health and Medical Sciences
The accuracy of the content should not be relied upon and primary sources of information should b... more The accuracy of the content should not be relied upon and primary sources of information should be considered for any verification. KKG Publications shall not be liable for any costs, expenses, proceedings, loss, actions, demands, damages, expenses and other liabilities directly or indirectly caused in connection with given content. This article may be utilized for research, edifying, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly verboten.
The purpose of this study is to translate the Penn Shoulder Score into Turkish and to establish i... more The purpose of this study is to translate the Penn Shoulder Score into Turkish and to establish its cultural adaptation, reliability, and validity in patients with shoulder dysfunctions. The Penn Shoulder Score was translated and culturally adapted from English into Turkish. Subsequently, the Penn Shoulder Score, the Constant Score, the American Shoulder and Elbow Score, and the Western Ontario Rotator Cuff Index were completed by 97 patients with shoulder dysfunctions. To determine the test-retest reliability, 30 patients completed the Penn Shoulder Score again on day 3. Intraclass correlation coefficient and Cronbach alpha were calculated to assess reliability. The validity of the questionnaire was assessed in terms of convergent validity with Pearson Correlation Coefficient using the Constant Score, the American Shoulder and Elbow Score, and the Western Ontario Rotator Cuff Index. Internal consistency was good, with a Cronbach alpha of 0.81. The Intraclass correlation coefficient was 0.90 (95% confidence interval: 0.78, 0.90), demonstrating good test-retest reliability. Pearson correlation coefficients of the Penn Shoulder Score in relation with the Constant Score, the American Shoulder and Elbow Score, and the Western Ontario Rotator Cuff Index were 0.65, 0.78, and -0.77, respectively. The Turkish version of the Penn Shoulder Score is a reliable and valid measure for assessing patients with shoulder dysfunctions. Implications for Rehabilitation The Turkish version of the Penn shoulder score is valid and reliable outcome measure for assessing patients with shoulder dysfunctions. The Turkish version of the Penn shoulder score could be easily performed by patients and it is easy to score by clinicians. It is recommended to use in clinical settings and in research.
One way to measure the effectiveness of a specific treatment is to utilize measurements designed ... more One way to measure the effectiveness of a specific treatment is to utilize measurements designed specifically for the disorder. Western Ontario Shoulder Instability Index (WOSI) is a subjective self-report scale indicating the latest condition of the patients with shoulder instability. The objective is to study the cultural adaptation, validity, and reliability of WOSI in Turkish population with shoulder disability. First, WOSI was translated and culturally adapted from English into Turkish. Afterward, in order to determine the level of reliability, internal consistency and test-retest analyses were conducted. Reliability (test-retest) analyses were conducted by means of retest 72 h later with a sub-group of 30 patients. Construct validity of the WOSI was checked through convergent validity with Disabilities of Arm, Shoulder and Hand Scale, Rowe Score Questionnaire, Oxford Shoulder Instability Questionnaire, and Western Ontario Rotator Cuff Index by 60 patients with shoulder instability. The Turkish version of the questionnaire displayed high internal consistency (0.77-0.91) with a Cronbach&amp;amp;amp;amp;#39;s Alpha value of 0.91. As for the test-retest reliability, the ICC value was found to be high (95% CI 0.97). Floor and ceiling effects (15%) were observed neither in sub-parameters (0-4.9%) nor in total score (0%). WOSI total score was found to have a negative good correlation with the Rowe Score (r = -0.57) and a very good-excellent correlation with other questionnaires (r = 0.67-0.89). The Turkish version of WOSI is a valid and reliable scale for use in studies to evaluate the final condition of the patients with shoulder disabilities.
Journal of Back and Musculoskeletal Rehabilitation, 2017
Scapular muscle endurance and core endurance reportedly influence shoulder injury risk. The exact... more Scapular muscle endurance and core endurance reportedly influence shoulder injury risk. The exact relationships between scapular muscle endurance and core endurance, and how they impact one another in the healthy subjects remain unclear. To investigate the relationship between scapular muscle endurance and core endurance in healthy subjects. Fifty healthy volunteers (23 males, 27 females; mean age 20.42 ± 1.04 years) were participated in this study. Endurance of the serratus anterior and trapezius muscles was assessed using the scapular muscle endurance test. Sorensen test (endurance of trunk extensor muscles), trunk flexor endurance test, and side bridge test (endurance of lateral core muscles) were conducted to assess the core endurance. Pearson&amp;amp;amp;amp;#39;s product moment correlations examined relationships between scapular muscle endurance and each of the core endurance tests scores. Scapular muscle endurance test scores showed a positive correlation with the side bridge test scores (r = 0.414; p = 0.003). No significant correlation was found between scapular muscle endurance test scores and the other core endurance tests scores (p &amp;amp;amp;amp;gt; 0.05). There appears to be a link between the scapular muscle endurance and lateral core muscles in healthy subjects; however, more research is needed to provide a definitive answer on the nature of this relationship. Further studies involving patients with shoulder pathology are warranted.
The aim of this study was to investigate postoperative changes in spinal sagittal alignment and p... more The aim of this study was to investigate postoperative changes in spinal sagittal alignment and postural balance in patients with hip-spine syndrome (HSS) and to verify whether any significant correlation exists between these changes and improvement of low back pain (LBP) symptoms following total hip replacement (THR) surgery. Twenty-eight consecutive patients with HSS undergoing unilateral THR were prospectively enrolled. Whole spine X-rays were obtained before surgery and 6 months after surgery. The following parameters were measured: cervical lordosis, thoracic kyphosis, lumbar lordosis, pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), and sagittal vertical axis (C7 SVA). Patients underwent pre- and postoperative postural balance assessment (950-460 BioSway(TM) system; clinical test of sensory integration-CTSIB, limit of stability test-LOS) and patient reported outcome measures assessment (Short Form-36, SF-36, Oswestry Disability Index, ODI, Visual Analog Scale, VAS and Western Ontario and McMaster Universities Arthritis Index, WOMAC). Mean age of the patients was 61.7 ± 6.4. Median (interquartile range, IQR) pre-operative PI and PT were 50.0 (35.0, 60.0) and 11.0 (7.0, 23.0), respectively; lumbar lordosis was 49.0 (41.0, 68.0) and SVA 5.0 (-11.0, 41.0). No significant changes in sagittal alignment were observed postoperatively. Median LBP VAS decreased from 6.0 (5.0, 7.0) to 3.0 (2.0, 4.0) and ODI from 54.0 (39.0, 64.0) to 34.0 (26.0, 48.0) (p &lt; 0.001). Median CTSIB improved from 1.22 (1.07, 1.45) to 1.01 (0.80, 1.19) and LOS from 46.0 (42.0, 58.0) to 37.0 (32.0, 39.0) postoperatively. No significant correlation was noted between postoperative changes in spinal sagittal alignment or postural balance and improvement of LBP VAS and ODI scores. Our study demonstrated an improvement in LBP levels (VAS and ODI) and postural balance in patients with HSS following THR surgery. No significant changes have been noted in radiographic spinal sagittal alignment postoperatively. The improvement in LBP levels does not correlate with post-operative changes in spinopelvic alignment or postural balance.
Aim: The aim of the study is to evaluate deep cervical flexor endurance in patients with subacrom... more Aim: The aim of the study is to evaluate deep cervical flexor endurance in patients with subacromial impingement syndrome (SIS) and compare it with norm values proven in the literature in asymptomatic individuals. Materials and Methods: The patients' age, weight, height, duration of complaints and dominant side information were recorded. 35 patients (25 female, 10 male) diagnosed with SIS by physicians participated in the study. Pain intensity was evaluated by numerical rating scale at rest, during elevation and at night. Craniocervical flexion test (CFT) is used for evaluating cervical endurance. “Stabilizer Pressure Biofeedback” device is used for this test. Two types of points are obtained as a result of this test. One is the CFT activation score, which expresses the activation level of the deep cervical muscles, and the other is the CFT performance index, which expresses the endurance of the deep cervical muscles. Results: Both the activation score (3.9 ± 1.9) and the perfor...
Amac: Bu calisma farkli stillerde yarisan gurescilere uygulanan antrenman programlarinin bazi ant... more Amac: Bu calisma farkli stillerde yarisan gurescilere uygulanan antrenman programlarinin bazi antropometrik ozelliklerine etkisini belirlemek amaciyla planlandi. Yontem: Bu calismaya 81 erkek milli guresci dahil edildi. (Grekoromen n=46, Serbest stil n=35). Gurescilerin yaslari 17-20 yillari arasinda, vucut kutle indeksleri (VKI) 21-36 kg/m 2 arasindaydi (Grekoromen ortalama yas:18±1.1 yil, VKI:26±3.68 kg/m 2 ; serbest stil ortalama yas:18±0.8 yil, VKI:26.27±4.48 kg/m 2 ). Gurescilerin antropometrik ozelliklerindeki farkliliklar; vucut agirligi, boy uzunlugu, diz ve dirsek genisligi kaliper ile, baldir ve biseps cevre olcumu mezura ile, triseps, subskapular, supraspinal ve baldir deri alti yag kalinligi olcumu skinfold ile degerlendirildi. Yag yuzdesi Sloan ve Weir formulu ile hesaplandi. Somatotiplerin belirlenmesi icin Heath-Carter antropometrik metodu kullanildi. Bulgular: Iki grubun baldir ve biseps cevre olcumleri arasinda fark yoktu (Sirasiyla, Grekoromen:36.9±3.5 cm, 32.5±3.3...
Objective: Polypharmacy, an important geriatric syndrome, has been shown to be an independent ris... more Objective: Polypharmacy, an important geriatric syndrome, has been shown to be an independent risk factor for falling. However, the data about effects of polypharmacy on balance is lacking. We aimed to evaluate the effects of polypharmacy and inappropriate drug usage on balance in older adults. Patients and Methods: Fifty-one patients using ≥ 5 drugs and 50 patients using < 5 drugs were included in the study. Inappropriate drug usage of the patients was evaluated by Beers criteria. Postural stability and risk of falling was investigated by using Biosway Portable Balance System (BPBS). Activities and functional status of the patients were assessed by using Short Physical Performance Battery (SPPB) and Activities Specific Balance Confidence Scale (ABC). All patients underwent comprehensive geriatric assessment. Results: Age, gender, hand grip strength, SPPB scores of the patients were similar between polypharmacy and control groups (all had p>0.05). ABC score was higher in polypharmacy group than control (p<0.01). Overall, anterior-posterior, medial-lateral stability index and eyes closed firm surface scores detected in BPBS were higher, indicating worse stability in the polypharmacy group than control (p<0.05). Limit of stability score was lower in the polypharmacy group than control (p=0.03). Rates of polypharmacy and inappropriate drug usage were higher in patients with a history of falling than without (p<0.01, p<0.01, respectively). In multivariate analysis model, polypharmacy was found to be an independently correlated parameter for impaired balance (OR 24.31; 95%CI 3.05-193.91; p<0.01). Conclusion: This study has demonstrated that polypharmacy might be a related factor for impaired balance. Struggling with polypharmacy and inappropriate drug usage should be one of the most important part of comprehensive geriatric assessment.
International Journal of Academic Medicine and Pharmacy, 2021
Aging brings along a series of musculoskeletal problems due to physiological changes. Many elderl... more Aging brings along a series of musculoskeletal problems due to physiological changes. Many elderly people experience functional loss due to musculoskeletal problems. The demand for complementary, clinically effective, safe, patient-acceptable and, cost-effective therapeutic methods to reduce or partially prevent these losses is increasing day by day. Pilates is an exercise method that has beneficial effects on some health factors that are lost with aging. It is stated that it can strengthen the body against the difficulties it may encounter by strengthening the core stabilizing muscles around the pelvis and spine and improving the breathing pattern. It has been reported that Pilates has positive effects on posture, balance and fall risk, flexibility, strength, body composition and functional autonomy indicators for the advanced age group. In this review, the evidence of these most frequently studied effects of Pilates training in the elderly group is summarized in the light of the current literature.
The rotator cuff tears (RCT) are a well-known cause of shoulder pain and loss of upper extremity ... more The rotator cuff tears (RCT) are a well-known cause of shoulder pain and loss of upper extremity function. The purpose of this study was to evaluate the upper extremity function using two different methods in patients with RCT and to determine the parameters that influence the upper extremity function. A sample of 38 patients (27-76 years; 10 men and 28 women) who were diagnosed with a chronic full-thickness RCT, confirmed by magnetic resonance imaging (MRI), was studied. Upper extremity function was determined using Western Ontario Rotator Cuff Index (WORC) and 9 Hole Peg Test (9PEG). Other assessments included active range of motion (ROM), muscle strength, shoulder pain, and scapular dyskinesis. There was a weak association between WORC scores and 9PEG. A statistically significant, negative relationship was found between 9PEG and ROM in supination, as well as muscle strength of shoulder extensors, adductors, internal and external rotators. In addition to the weak association betwe...
The aim of this study was to evaluate the static postural stability and fall risk of preelderly w... more The aim of this study was to evaluate the static postural stability and fall risk of preelderly women with unilateral secondary lymphedema after breast cancer. Methods: This study was conducted on 46 preelderly women (24 with unilateral secondary lymphedema and 22 healthy) aged from 52 to 69 years. The Biodex Balance System was used to measure the parameters of postural stability and fall risk. The data acquisition involved 3 trials of 20 seconds to test the postural stability test. It was made in 3 directions (overall, anterior-posterior [AP], and mediolateral [ML]) and 2 conditions (once with open eyes, once with eyes closed). The fall-risk test was performed under the following conditions: (1) eyes open, fi rm surface; (2) eyes closed, fi rm surface; (3) eyes open, foam surface; and (4) eyes closed, foam surface. Results: For the postural stability, signifi cant differences (P Յ .000) were observed in overall, AP, and ML displacement parameters in eyes closed condition between the lymphedema and healthy groups. There were no statistically signifi cant differences in the fall-risk test results among the lymphedema and healthy group (P Ͼ 0.05). Conclusion: Preelderly women with unilateral lymphedema exhibited a lower postural stability compared with health women. These results lead to think us that asymmetric fl uid distribution in the upper body parts increases postural sway and leaving them more vulnerable to falls.
Background: With this case report we want to demonstrate the results of chemotherapy application ... more Background: With this case report we want to demonstrate the results of chemotherapy application to the mastectomized side in a patient who had undergone radical mastectomy. Case Report: A patient who was accidentally given chemotherapy on the mastectomized side (PCMS) and a control patient who received chemotherapy on the non-affected side (PCNS) were included in this study. Edema, pain, muscle strength, and shoulder mobility were evaluated. The results of the 2 patients were compared. After chemotherapy, PCMS experienced edema and pain in the affected arm compared to PCNS. Increased circumference measurement, and decreased shoulder mobility and muscle strength were observed in PCMS. Conclusion: It was suggested that chemotherapy application on the mastectomized side triggered lymphedema. Our findings on the subject revealed that education of health care professionals and patients alike is very important.
Clinical outcomes and upper extremity functions are deteriorated over time in degenerative rotato... more Clinical outcomes and upper extremity functions are deteriorated over time in degenerative rotator cuff tear (dRCT). Therefore, evaluation of the radiological and clinical parameters in cases with dRCT will guide to choose a proper treatment. This article is a case-control study which investigates the effects of age related changes on degree of anatomic abnormalities in individuals with dRCT and the influence of these parameters on upper extremity functions (UEF). 20 healthy participants and 43 symptomatic patients with dRCT participated in this study. The healthy group and patient group were divided into 2 categories based on their ages and degree of abnormalities. UEF was determined with Western Ontario Rotator Cuff Index (WORC) and 9 Hole Peg Test (9PEG). Number of tendons, tear size, humeral head migration>7mm (Mig>7mm), humeral cysts, presence of retraction (PR) and muscle atrophy (MA) were evaluated with MRI. Mean age of the patients with severe radiological parameters w...
BACKGROUND The use of pain coping questionnaires is advantageous when selecting cognitive and beh... more BACKGROUND The use of pain coping questionnaires is advantageous when selecting cognitive and behavioral targets for chronic pain management. The objective of this study was to investigate adaptation, validity, and reliability of the Coping Strategies Questionnaire (CSQ) in Turkish population with chronic musculoskeletal pain. METHODS The Turkish version of the questionnaire (CSQ-T) was checked in terms of reliability and validity with a convenience sample of 123 patients with chronic musculoskeletal pain. Reliability (test-retest) analyses were conducted by means of a retest 48 hours later with a sub-group of 40 patients. Construct validity of the CSQ was checked through convergent validity with the Hospital Anxiety and Depression Scale (HADS) and the Short Form-36 (SF-36) health survey. RESULTS Cronbach's alpha of the subscales ranged from 0.814 to 0.934 and the test-retest reliability ranged from 0.800 to 0.944. Neither floor nor ceiling effects (15%) were found in the subscales (13.8%) and the total score (4.1%) of the CSQ-T. Factor analysis indicated that the scale had two factors. The total CSQ-T score was correlated with both the HADS (r: -0.636/-0.549) and the SF-36 (r: 0.701/0.768). CONCLUSION The CSQ-T is a reliable and valid measure for assessing patients with chronic musculoskeletal pain.
After the anterior cruciate ligament (ACL) reconstruction, a loss of proprioception is observed a... more After the anterior cruciate ligament (ACL) reconstruction, a loss of proprioception is observed and it can continue years after the operation. The aim of this study is to evaluate proprioception in standing position at different knee flexion angles in patients who underwent ACL reconstruction with tibialis anterior tendon allograft. The study included 34 patients who underwent ACL reconstruction with tibialis anterior tendon allograft and 34 healthy individuals. Proprioception was evaluated in standing position at 15°, 30°, 60° flexion angles with the active joint position sense (AJPS) method using digital inclinometer. Proprioception deviation angle was found to be higher in the operated leg at 30° and 60° flexion angles in the patient group compared with the other leg (p < 0.05), the biggest proprioception difference was between the 15° and 60° flexion angles in both the patient and the control group (p < 0.05) that the difference between 15° and 30° flexion angles is lowest...
International Journal of Health and Medical Sciences
The accuracy of the content should not be relied upon and primary sources of information should b... more The accuracy of the content should not be relied upon and primary sources of information should be considered for any verification. KKG Publications shall not be liable for any costs, expenses, proceedings, loss, actions, demands, damages, expenses and other liabilities directly or indirectly caused in connection with given content. This article may be utilized for research, edifying, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly verboten.
The purpose of this study is to translate the Penn Shoulder Score into Turkish and to establish i... more The purpose of this study is to translate the Penn Shoulder Score into Turkish and to establish its cultural adaptation, reliability, and validity in patients with shoulder dysfunctions. The Penn Shoulder Score was translated and culturally adapted from English into Turkish. Subsequently, the Penn Shoulder Score, the Constant Score, the American Shoulder and Elbow Score, and the Western Ontario Rotator Cuff Index were completed by 97 patients with shoulder dysfunctions. To determine the test-retest reliability, 30 patients completed the Penn Shoulder Score again on day 3. Intraclass correlation coefficient and Cronbach alpha were calculated to assess reliability. The validity of the questionnaire was assessed in terms of convergent validity with Pearson Correlation Coefficient using the Constant Score, the American Shoulder and Elbow Score, and the Western Ontario Rotator Cuff Index. Internal consistency was good, with a Cronbach alpha of 0.81. The Intraclass correlation coefficient was 0.90 (95% confidence interval: 0.78, 0.90), demonstrating good test-retest reliability. Pearson correlation coefficients of the Penn Shoulder Score in relation with the Constant Score, the American Shoulder and Elbow Score, and the Western Ontario Rotator Cuff Index were 0.65, 0.78, and -0.77, respectively. The Turkish version of the Penn Shoulder Score is a reliable and valid measure for assessing patients with shoulder dysfunctions. Implications for Rehabilitation The Turkish version of the Penn shoulder score is valid and reliable outcome measure for assessing patients with shoulder dysfunctions. The Turkish version of the Penn shoulder score could be easily performed by patients and it is easy to score by clinicians. It is recommended to use in clinical settings and in research.
One way to measure the effectiveness of a specific treatment is to utilize measurements designed ... more One way to measure the effectiveness of a specific treatment is to utilize measurements designed specifically for the disorder. Western Ontario Shoulder Instability Index (WOSI) is a subjective self-report scale indicating the latest condition of the patients with shoulder instability. The objective is to study the cultural adaptation, validity, and reliability of WOSI in Turkish population with shoulder disability. First, WOSI was translated and culturally adapted from English into Turkish. Afterward, in order to determine the level of reliability, internal consistency and test-retest analyses were conducted. Reliability (test-retest) analyses were conducted by means of retest 72 h later with a sub-group of 30 patients. Construct validity of the WOSI was checked through convergent validity with Disabilities of Arm, Shoulder and Hand Scale, Rowe Score Questionnaire, Oxford Shoulder Instability Questionnaire, and Western Ontario Rotator Cuff Index by 60 patients with shoulder instability. The Turkish version of the questionnaire displayed high internal consistency (0.77-0.91) with a Cronbach&amp;amp;amp;amp;#39;s Alpha value of 0.91. As for the test-retest reliability, the ICC value was found to be high (95% CI 0.97). Floor and ceiling effects (15%) were observed neither in sub-parameters (0-4.9%) nor in total score (0%). WOSI total score was found to have a negative good correlation with the Rowe Score (r = -0.57) and a very good-excellent correlation with other questionnaires (r = 0.67-0.89). The Turkish version of WOSI is a valid and reliable scale for use in studies to evaluate the final condition of the patients with shoulder disabilities.
Journal of Back and Musculoskeletal Rehabilitation, 2017
Scapular muscle endurance and core endurance reportedly influence shoulder injury risk. The exact... more Scapular muscle endurance and core endurance reportedly influence shoulder injury risk. The exact relationships between scapular muscle endurance and core endurance, and how they impact one another in the healthy subjects remain unclear. To investigate the relationship between scapular muscle endurance and core endurance in healthy subjects. Fifty healthy volunteers (23 males, 27 females; mean age 20.42 ± 1.04 years) were participated in this study. Endurance of the serratus anterior and trapezius muscles was assessed using the scapular muscle endurance test. Sorensen test (endurance of trunk extensor muscles), trunk flexor endurance test, and side bridge test (endurance of lateral core muscles) were conducted to assess the core endurance. Pearson&amp;amp;amp;amp;#39;s product moment correlations examined relationships between scapular muscle endurance and each of the core endurance tests scores. Scapular muscle endurance test scores showed a positive correlation with the side bridge test scores (r = 0.414; p = 0.003). No significant correlation was found between scapular muscle endurance test scores and the other core endurance tests scores (p &amp;amp;amp;amp;gt; 0.05). There appears to be a link between the scapular muscle endurance and lateral core muscles in healthy subjects; however, more research is needed to provide a definitive answer on the nature of this relationship. Further studies involving patients with shoulder pathology are warranted.
The aim of this study was to investigate postoperative changes in spinal sagittal alignment and p... more The aim of this study was to investigate postoperative changes in spinal sagittal alignment and postural balance in patients with hip-spine syndrome (HSS) and to verify whether any significant correlation exists between these changes and improvement of low back pain (LBP) symptoms following total hip replacement (THR) surgery. Twenty-eight consecutive patients with HSS undergoing unilateral THR were prospectively enrolled. Whole spine X-rays were obtained before surgery and 6 months after surgery. The following parameters were measured: cervical lordosis, thoracic kyphosis, lumbar lordosis, pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), and sagittal vertical axis (C7 SVA). Patients underwent pre- and postoperative postural balance assessment (950-460 BioSway(TM) system; clinical test of sensory integration-CTSIB, limit of stability test-LOS) and patient reported outcome measures assessment (Short Form-36, SF-36, Oswestry Disability Index, ODI, Visual Analog Scale, VAS and Western Ontario and McMaster Universities Arthritis Index, WOMAC). Mean age of the patients was 61.7 ± 6.4. Median (interquartile range, IQR) pre-operative PI and PT were 50.0 (35.0, 60.0) and 11.0 (7.0, 23.0), respectively; lumbar lordosis was 49.0 (41.0, 68.0) and SVA 5.0 (-11.0, 41.0). No significant changes in sagittal alignment were observed postoperatively. Median LBP VAS decreased from 6.0 (5.0, 7.0) to 3.0 (2.0, 4.0) and ODI from 54.0 (39.0, 64.0) to 34.0 (26.0, 48.0) (p &lt; 0.001). Median CTSIB improved from 1.22 (1.07, 1.45) to 1.01 (0.80, 1.19) and LOS from 46.0 (42.0, 58.0) to 37.0 (32.0, 39.0) postoperatively. No significant correlation was noted between postoperative changes in spinal sagittal alignment or postural balance and improvement of LBP VAS and ODI scores. Our study demonstrated an improvement in LBP levels (VAS and ODI) and postural balance in patients with HSS following THR surgery. No significant changes have been noted in radiographic spinal sagittal alignment postoperatively. The improvement in LBP levels does not correlate with post-operative changes in spinopelvic alignment or postural balance.
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