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OBJECTIVE: This study aimed to investigate the relationship between the minimum pinch force applied during object carrying and physical fatigue in patients with fibromyalgia. For this purpose, the study evaluated the association between the minimum and maximum pinch forces exerted while carrying a weight and both isokinetic muscle strength and the isokinetic fatigue index. METHODS: One hundred eight (54 FMS/54 healthy) women participated. Pinch force was measured with a force sensor, and wrist flexor/extensor strength and fatigue index were evaluated using an isokinetic dynamometer at 180°/s. RESULTS: Minimum pinch force did not differ significantly between groups, but maximum pinch force was higher in healthy subjects (p = 0.011). Wrist flexor and extensor strength were substantially lower in FMS (p < 0.001 for both). Fatigue index was lower in FMS, but differences were not statistically significant (p = 0.05, p = 0.06). In FMS patients, the minimum pinch force correlated with wrist flexor and extensor fatigue, but no correlation was found in controls. CONCLUSIONS: Our research shows that the minimum pinch force exerted by women with FMS is not different from that exerted by healthy women, but the maximum pinch force is lower. Muscle performance tests measured by isokinetic dynamometry may help assess physical fatigue in FMS patients. SIGNIFICANCE: Although women with FMS can match their healthy peers in minimum pinch force, their lower maximum force may be the main cause of the fatigue they experience during daily activities.
Asunto(s)
Fibromialgia , Fatiga Muscular , Fuerza Muscular , Fuerza de Pellizco , Humanos , Fibromialgia/fisiopatología , Femenino , Adulto , Persona de Mediana Edad , Fuerza Muscular/fisiología , Dinamómetro de Fuerza Muscular , Fatiga Muscular/fisiología , Fuerza de Pellizco/fisiología , Estudios de Casos y ControlesRESUMEN
OBJECTIVE: The effects of adenoid hypertrophy (AH) and adenoidectomy on maximal bite force (MBF) in patients were evaluated by comparing them with healthy controls. METHODS: A total of 118 children diagnosed with AH and undergoing adenoidectomy (Group A), and healthy controls (Group B) were included. The MBF and nasopharyngeal airway passage distance (NAPD) were recorded. RESULTS: There was a correlation between NAPD and MBF at the beginning of the study (r = -0.675 and p < 0.001). The initial mean MBF of Groups A and B were 318.37 ± 70.76 N and 344.04 ± 64.14 N, respectively (p = 0.041). However, there was no significant difference between the groups due to the increase in the MBF of Group A at 12 months (p = 0.165). CONCLUSION: The MBF may be negatively affected in proportion to decreased NAPD, and it could also be an indicator for monitoring the status of children with AH.
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BACKGROUND: Treatment options and surgical decision for grade 3-4 gonarthrosis remains controversial. We aimed to compare the pain level, muscle strength, physical performance, lower extremity functions, and other physical activity levels between patients who underwent arthroplasty and those who received conservative management for grade 3-4 gonarthrosis. METHODS: This prospective analytical observational study was conducted in a tertiary referral hospital. A total of 30 unicompartmental knee arthroplasty (UKA) and 30 total knee arthroplasty (TKA) patients as two different study groups and 30 patients were treated conservatively as the control group were included. The rehabilitation and complication rates were recorded. The values of the range of motion, quadriceps diameter, were measured and also the isokinetic muscle strength, pick-up, repeated sit-to-stand, stair ascending and descending, straight-line walking, timed up and go, and 20-m walk tests, the knee injury and osteoarthritis-outcome-score (KOOS), the hospital for special-surgery-knee-score (HSS), and Oxford-Knee-Score (OKS) were performed. RESULTS: Postoperative rehabilitation and complication rates were significantly higher in the TKA group compared to the UKA group (p = 0.029 and p = 0.026, respectively). Six months after the treatment, the knee extension muscle strength value at 180°/s, knee flexion degree, total work flexion, stair ascending, VAS at night, all KOOS symptom, pain and daily function and total scores in the UKA group was significantly different than the TKA and the control groups (p < 0.001). Total work extension values, knee flexion degree, in the control group were found to be significantly higher than the TKA group (p = 0.033, p < 0.001, respectively). CONCLUSIONS: The UKA was significantly superior to TKA and conservative treatment concerning pain, muscle strength, and quality of life. LEVEL OF EVIDENCE: IIa.
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Objectives: This study aimed to investigate the physical and emotional effects of the coronavirus disease 2019 pandemic in patients with fibromyalgia syndrome (FMS) and chronic low back pain (CLBP) patients. Patients and methods: The cross-sectional controlled study was performed with 1,360 participants (332 males, 1,028 females; mean age: 42.3±12.5 years; range, 18 to 65 years) between September 2020 and February 2021. The participants were evaluated in three groups: the FMS group (n=465), the CLBP group (n=455), and the healthy control group (n=440). Physical activity, pain levels, and general health status before and during the pandemic were evaluated in all participants. Stress levels were analyzed with the perceived stress scale (PSS) in all groups, and disease activity was analyzed with the fibromyalgia impact questionnaire (FIQ) in patients with FMS. Results: Patients with FMS had worsened general health status and pain levels during the pandemic compared to the other groups (p<0.01). The FMS group showed significantly higher PSS scores than those in other groups (p<0.01). There was a weak-positive correlation between FIQ and PSS parameters in patients with FMS (p<0.05, r=0.385). Conclusion: The general health status, pain, and stress levels of the patients with FMS and CLBP tended to worsen during the pandemic. This high-stress level appeared to affect disease activity in patients with FMS.