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1.
Taiwan J Obstet Gynecol ; 63(3): 329-335, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38802195

RESUMEN

OBJECTIVE: To examine the effects of Jacobson's Progressive Muscle Relaxation Technique (JPMRT) on menstrual pain and symptoms, anxiety, quality of life (QoL), social activity, and work/school performance in primary dysmenorrhea (PD). MATERIALS AND METHODS: Women with PD were randomly divided into two groups as relaxation and control groups. JPMRT was applied three times a week from the estimated date of ovulation to the onset of the next menstruation. No treatment was performed in the control group. Pain intensity, menstrual symptoms, anxiety, impacts on QoL, social activity, and work/school performance were assessed before and after the interventions. RESULTS: After the interventions, there was a further decrease in menstrual pain intensity, menstrual symptoms, anxiety level, the impact of QoL, and the work/school performance scores in the relaxation group than in the control group (p < 0.05). CONCLUSION: JPMRT might be used as an alternative method in the treatment of PD.


Asunto(s)
Dismenorrea , Calidad de Vida , Humanos , Femenino , Dismenorrea/terapia , Adulto , Adulto Joven , Resultado del Tratamiento , Ansiedad/terapia , Terapia por Relajación/métodos , Dimensión del Dolor , Relajación Muscular/fisiología
2.
J Sports Med Phys Fitness ; 64(6): 516-525, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38358367

RESUMEN

BACKGROUND: Circuit training (CT) is an important type of training that can combine different types of exercises in a single form of training. This study aimed to investigate the effects of 16-week CT on physical fitness parameters, pulmonary function, and quality of life in healthy women. METHODS: Twenty-nine healthy women (median age: 37.00 [31.50/39.50] years) were included in the study. CT was applied to the participants for a total of 16 weeks. Participants' body composition with the Bioelectrical Impedance Analysis System, knee flexor and extensor muscle strength with the Biodex System-4 Pro, flexibility with the sit-and-reach test, pulmonary function with a spirometer device, and quality of life with Short Form-36 were assessed. RESULTS: A significant difference was found between the participants' pretest and posttest median and interquartile range values of waist-hip ratio, body mass index, right/left knee flexor/extensor mean peak torque (60°/s,180°/s), right hamstring/quadriceps (H/Q) ratio (60°/s), flexibility, and SF-36 Mental Health Score (P˂0.050). There was no significant difference between the participants' pretest and posttest median and interquartile range values of total body fat, fat percentage, right H/Q ratio (180°/s), left H/Q ratio (60°/s,180°/s), pulmonary function, and Short Form-36 Physical Function Score (P˃0.050). CONCLUSIONS: CT decreased waist-hip ratio and body mass index, increased knee flexor/extensor strength and flexibility, and improved mental health. The 16-week CT may be an alternative approach to improve physical fitness parameters and mental health without any positive effects on body fat and pulmonary functions in healthy women.


Asunto(s)
Composición Corporal , Ejercicio en Circuitos , Fuerza Muscular , Aptitud Física , Calidad de Vida , Humanos , Femenino , Adulto , Aptitud Física/fisiología , Fuerza Muscular/fisiología , Índice de Masa Corporal , Relación Cintura-Cadera , Pulmón/fisiología
3.
Support Care Cancer ; 31(12): 667, 2023 Nov 03.
Artículo en Inglés | MEDLINE | ID: mdl-37921928

RESUMEN

PURPOSE: This study aimed to compare health-related physical fitness parameters of women with breast cancer-related lymphedema (BCRL) to a matched control group. METHODS: Thirty women with unilateral BCRL (lymphedema group, age = 55.00 (40.00-65.00) years) and 32 healthy women (control group, age = 49.00 (44.00-64.00) years) were included. Cardiorespiratory fitness with the UKK 2-km walk test, grip strength with a hand dynamometer, trunk muscle endurance with the McGill trunk muscle endurance tests, flexibility with the sit and reach test, body composition with a body composition analyzer, and waist-to-hip ratio were assessed. RESULTS: In the lymphedema group, 36.7% of women had mild lymphedema, 36.7% had moderate, and 26.7% had severe lymphedema. It was found that maximal oxygen consumption, physical fitness index, grip strength, trunk extensor and lateral flexor muscle endurance, and flexibility scores were higher in the control group than in the lymphedema group (p < 0.05). In addition, body mass index, body fat percentage, and waist-to-hip ratio were found to be lower in the control group compared to the lymphedema group (p < 0.05). There was no significant difference between the trunk flexor muscle endurance scores (p > 0.05). CONCLUSIONS: It was found that the health-related physical fitness parameters were adversely affected in women with BCRL compared to healthy women. The changes of physical fitness may be important for the assessment and the treatment of BCRL.


Asunto(s)
Linfedema del Cáncer de Mama , Neoplasias de la Mama , Linfedema , Humanos , Femenino , Persona de Mediana Edad , Estudios de Casos y Controles , Neoplasias de la Mama/complicaciones , Aptitud Física/fisiología , Linfedema del Cáncer de Mama/etiología , Linfedema/etiología
4.
Eur J Oncol Nurs ; 67: 102416, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37879191

RESUMEN

PURPOSE: To compare postural stability, spinal alignment, mobility, and postural competency in women with unilateral lower extremity lymphedema after radical hysterectomy following gynecologic cancer with a matched control group. METHODS: Twenty-seven women with unilateral lower extremity lymphedema (lymphedema group, age: 54.14 ± 5.80 years) and 30 healthy women (control group, age: 51.90 ± 6.54 years) were included. The lymphedema severity was evaluated with circumferential measurements. Postural stability with the Biodex Balance System SD and the spinal alignment, mobility, and postural competency with the Spinal Mouse device were assessed. RESULTS: In the lymphedema group, it was found that 3.7% of the women had mild lymphedema, 7.4% had moderate lymphedema, and 88.9% had severe lymphedema. Static eyes open (EO) (overall, medio-lateral and antero-posterior) and eyes closed (EC) (antero-posterior) stability scores and dynamic EO and EC stability scores (overall and antero-posterior) were detected to be higher in the lymphedema group than in the controls (p < 0.05). Spinal mobility and postural competency scores were lower in the lymphedema group than in the control group (p < 0.05). In other parameters, there were no significant differences between the groups (p > 0.05). CONCLUSION: Decreased postural stability, spinal mobility, and postural competency were detected in women with unilateral lower extremity lymphedema; however, no difference was seen in spinal alignment. These changes should be taken into account in the assessment and the treatment of unilateral lower extremity lymphedema.


Asunto(s)
Neoplasias de los Genitales Femeninos , Linfedema , Humanos , Femenino , Animales , Ratones , Persona de Mediana Edad , Estudios de Casos y Controles , Equilibrio Postural , Linfedema/etiología , Neoplasias de los Genitales Femeninos/complicaciones , Neoplasias de los Genitales Femeninos/cirugía , Histerectomía/efectos adversos , Extremidad Inferior
5.
Women Health ; 63(8): 577-586, 2023 09 14.
Artículo en Inglés | MEDLINE | ID: mdl-37599095

RESUMEN

This study aimed to investigate lower urinary tract symptoms (LUTS) in Turkish adult women and to compare toileting behaviors in women with and without LUTS. This cross-sectional study was conducted in 815 women. The International Consultation on Incontinence Modular Questionnaire - Female LUTS and a toileting behaviors form, created by the authors, were used in evaluations. Nearly 50 % of the women had at least one LUTS, 45.8 % had storage symptoms, 7.4 % had voiding symptoms, and 20.2 % had incontinence symptoms. The rates of premature urination, straining during urination, delayed urination, and sitting on the toilet while urinating were higher in women with LUTS than in women without LUTS (p < .05). The rate of squatting on the toilet while urinating was lower in women with LUTS than those without LUTS (p < .05). Various LUTS were common in adult women. Some toileting behaviors such as premature urination, straining during urination, delayed urination, and sitting on the toilet while urinating were higher in women with LUTS compared to women without LUTS. Since the rate of unhealthy toilet behaviors is higher in women with LUTS, it is important to know unhealthy toilet behaviors in the management of LUTS and to organize training programs to prevent these behaviors and LUTS.


Asunto(s)
Síntomas del Sistema Urinario Inferior , Femenino , Humanos , Adulto , Estudios Transversales , Derivación y Consulta
6.
J Bodyw Mov Ther ; 33: 112-119, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36775505

RESUMEN

INTRODUCTION: To investigate the effects of connective tissue massage (CTM) on pain characteristics, accompanying symptoms, medication usage, disability, sleep quality, psychological status, and quality of life in women with migraine. METHOD: The study was designed as a prospective controlled clinical trial. Women were allocated into the CTM (CTM + education (Ed) program, n = 8) and control groups (only Ed program, n = 8). One session of Ed and 12 sessions of CTM were performed for 4 weeks. They filled out a headache diary, including pain characteristics, accompanying symptoms, and medication usage, for the pre-, during-, and after-treatment periods. Disability, sleep quality, psychological status, quality of life, and disability were evaluated with the Migraine Disability Assessment Scale, the Pittsburgh Sleep Quality Index, the Hospital Anxiety and Depression Scale, and the Headache Impact Test-6, respectively. RESULTS: The CTM group showed a significant change in pain, accompanying symptoms (except vomiting), medication usage, Headache Impact Test-6, and Disability with Migraine Disability Assessment Scale scores compared to the control group (p < 0.05). Only the CTM group showed a significant change over time in all parameters of the headache diary except vomiting (p < 0.05). Only Headache Impact Test-6 and Migraine Disability Assessment Scale scores improved in the CTM group (p < 0.05). DISCUSSIONS: CTM was superior for reducing pain characteristics, accompanying symptoms, medication usage, disability, and improving quality of life. CONCLUSION: CTM may be considered as a non-pharmacological and complementary therapy for migraine.


Asunto(s)
Trastornos Migrañosos , Calidad de Vida , Humanos , Femenino , Estudios Prospectivos , Trastornos Migrañosos/terapia , Trastornos Migrañosos/complicaciones , Cefalea , Masaje , Tejido Conectivo , Vómitos/complicaciones
7.
Physiother Theory Pract ; : 1-12, 2022 Sep 28.
Artículo en Inglés | MEDLINE | ID: mdl-36168816

RESUMEN

OBJECTIVE: To determine individual characteristics (i.e. sociodemographic and medical, obstetric and gynecological, and musculoskeletal and anthropometric parameters) for greater pelvic floor distress (PFD). METHODS: A cross-sectional study was performed in 253 women with pelvic floor dysfunction. PFD was assessed using the Pelvic Floor Distress Inventory-20 (PFDI-20). The score of Urogenital Distress Inventory-6 (UDI-6) was used to perform secondary analyses. Sociodemographic, medical, and obstetric & gynecological parameters were recorded. Waist and hip circumferences and pelvic diameters were measured as anthropometric parameters. Pearson test, t-test, and linear regression analyses were conducted with a significance level of 0.05. RESULTS: Education level (r = -0.23, p < .001; r = -0.24, p < .001), number of vaginal births (r = 0.15, p = .012; r = 0.12, p = .048), total vaginal birth weight (r = 0.15, p = .021; r = 0.16, p = .019), and Body Mass Index (r = 0.12, p = .043; r = 0.16, p = .007) were significantly correlated with the higher PFDI-20 and UDI-6 scores. The maternal age at the first vaginal birth (r = -0.13, p = .049) and pelvic antero-posterior diameter (r = 0.17, p = .013) were also significantly correlated with higher UDI-6 score. Linear regression analyses revealed that younger age (Beta coefficient (ß) = -1.10, p = .005), greater symptom duration (ß = 2.28, p = .001), the presence of chronic cough/constipation (ß = 25.72, p = .001), and increased total vaginal birth weight (ß = 2.38, p = .030) were associated with the greater PFDI-20 score. Increased pelvic antero-posterior diameter (ß = 0.88, p = .049) was a contributory factor for the greater UDI-6 score. CONCLUSION: This study showed that younger age, chronic cough/constipation, higher total vaginal birth weight, greater symptom duration, and pelvic antero-posterior diameter can be contributors of greater PFD. We suggest further longitudinal studies that better reveal the causal relationship between individual characteristics and PFD.

8.
Women Health ; 62(4): 293-301, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-35414348

RESUMEN

This study compared the pelvic floor dysfunction (PFD) symptoms and knowledge levels in obese and non-obese women. The study included 40 obese and 41 non-obese women. The presence of PFD and the severity of its symptoms were questioned with the Pelvic Floor Distress Inventory-20 (PFDI-20) (its sub-scales: Pelvic Organ Prolapse Distress Inventory-6 (POPDI-6), Colorectal-Anal Distress Inventory-8 (CRADI-8), Urinary Distress Inventory-6 (UDI-6)). Participants' PFD knowledge levels were evaluated with the Prolapse and Incontinence Knowledge Questionnaire (PIKQ) and the Anal Incontinence Knowledge Questionnaire (AIKQ). The rates of urinary incontinence (UI) and pelvic organ prolapse (POP) symptoms were higher in the obese group compared to the control group (p = .001). The POPDI-6, CRADI-8, UDI-6, and PFDI-20 scores were higher in the obese group compared to the control group (p < .001). Moreover, the knowledge level related to treatment methods for PFD was lower in the obese women compared to the non-obese women (p < .05). PFD symptom incidence and severity were higher and knowledge levels related to PFD were lower in the obese women compared to the non-obese women. Informative teaching programs on this issue would be beneficial as part of preventive health services.


Asunto(s)
Trastornos del Suelo Pélvico , Prolapso de Órgano Pélvico , Femenino , Humanos , Obesidad/complicaciones , Diafragma Pélvico , Trastornos del Suelo Pélvico/complicaciones , Calidad de Vida , Encuestas y Cuestionarios
9.
Physiother Theory Pract ; 38(2): 266-275, 2022 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32282255

RESUMEN

Background: There is insufficient study using Kinesio taping (KT) in bladder problems. Objectives: To investigate the effects of pelvic floor muscle training (PFMT) combined with KT on bladder symptoms, pelvic floor muscle strength, and quality of life in women with overactive bladder (OAB) syndrome and compare this combination with PFMT plus sham tape (ST). Methods: Women with OAB were randomly allocated into PFMT+KT and PFMT+ST groups. All patients were given PFMT for 6 weeks and applied taping according to groups. Before and after treatment, the OAB symptoms with the Overactive Bladder Assessment Form (OAB-V8) and Patients' Perception of Intensity of Urgency Scale (PPIUS), bladder function with a 3-day voiding diary, pelvic floor muscle strength with the Modified Oxford Scale, and quality of life with the King's Health Questionnaire (KHQ) were assessed. Results: OAB-V8, PPIUS, and KHQ scores decreased and the MOS improved in both groups (P < .05) after treatment. The intergroup comparisons revealed a further decrease in voids/day, voids/night, incontinence episodes/day, and personal limitation scores of the KHQ in the PFMT+KT group compared to the PFMT+ST group (P < .05). Conclusion: PFMT+KT was more effective in reducing the OAB symptoms compared to PFMT+ST. KT could be a complementary application for reducing symptoms in OAB.


Asunto(s)
Calidad de Vida , Vejiga Urinaria Hiperactiva , Terapia por Ejercicio , Femenino , Humanos , Fuerza Muscular , Diafragma Pélvico , Resultado del Tratamiento , Vejiga Urinaria , Vejiga Urinaria Hiperactiva/diagnóstico , Vejiga Urinaria Hiperactiva/terapia
10.
Women Health ; 61(9): 854-866, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-34569451

RESUMEN

This study, conducted between October 2018 and May 2019, aimed to develop an Exercise Attitude Scale in Turkish (EAS-Turkish) for pregnant women and to determine its validity and reliability. The scale was prepared in Turkish to comprehensively measure pregnant women's exercise attitudes. Then, it administered in 253 pregnant women, who were native speakers of Turkish and older than 18 years, in the Obstetrics Polyclinic at Ataturk Training and Research Hospital, Ankara, Turkey. Validity with exploratory and confirmatory factor analysis and reliability with test-retest and internal consistency methods were tested. The 37-item scale was found to be 2-dimensional (knowledge and benefit; barrier). All indexes of the goodness of fit (χ2/df = 2.0, Comparative Fit Index = 0.90, Goodness-of-fit Index = 0.85, Root Mean Square Error of Approximation = 0.06) indicated that the fit between the model and the sample data was acceptable. The item-total score correlations varied between r = 0.22 and 0.60. The Cronbach alpha coefficients were found as 0.90 for the whole scale, 0.91 for the knowledge and benefit sub-dimension, and 0.87 for the barrier sub-dimension. In the test-retest analysis conducted with 41 pregnant women, the reliability coefficients were detected as 0.93 for the whole scale and 0.84 for each sub-dimension. The EAS-Turkish for pregnant women was found to be a valid and reliable tool.


Asunto(s)
Actitud , Mujeres Embarazadas , Femenino , Humanos , Embarazo , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios , Turquía
11.
Somatosens Mot Res ; 38(4): 259-266, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34384324

RESUMEN

AIMS: Overactive bladder (OAB) syndrome has been associated with core muscles weakness, which is important in aetiology of low back pain (LBP) and affects general well-being. This study aimed to compare the lumbopelvic stability, LBP and well-being of women with OAB to asymptomatic controls and to determine the cut-off points. METHODS: Women with (OAB group, n = 36) and without OAB syndrome (control group, n = 36) were included. The lumbopelvic stability with the Sahrmann and McGill trunk muscle endurance tests, LBP intensity with the Visual Analogue Scale were assessed. As for general well-being, sleep quality with the Pittsburgh Sleep Quality Index (PSQI), fatigue severity with the Fatigue Severity Index (FSI), anxiety and depression levels with the Hospital Anxiety Depression Scale (HADS-A, HADS-D) were evaluated. RESULTS: In the OAB group compared to the control group, the lumbopelvic stability scores were lower (p < 0.001) while LBP prevalence (p < 0.001), pain intensity (p = 0.020), and PSQI, FSI, HADS-A, and HADS-D scores (p < 0.001) were higher. The cut-off points for trunk extension, flexion, right and left lateral flexion endurance tests and Sahrmann test were ≤9.42 sec, ≤8.62 sec, ≤19.26 sec, ≤5.16 sec, and ≤2 level, respectively. The cut-off points for PSQI, FSI, HADS-D, HADS-A were >5, >5.22, >6 and >6 scores, respectively. CONCLUSIONS: Women with OAB syndrome had lower lumbopelvic stability, higher LBP prevalence and intensity, lower sleep quality, and more fatigue, anxiety, and depression levels compared to asymptomatic women. The cut-off values were detected between the occurrence of OAB and lumbopelvic stability and general well-being parameters.


Asunto(s)
Dolor de la Región Lumbar , Vejiga Urinaria Hiperactiva , Ansiedad/etiología , Femenino , Humanos , Dolor de la Región Lumbar/complicaciones , Rango del Movimiento Articular , Vejiga Urinaria Hiperactiva/complicaciones
12.
Sleep Med ; 84: 356-361, 2021 08.
Artículo en Inglés | MEDLINE | ID: mdl-34246043

RESUMEN

BACKGROUND: The study aimed to investigate potential coronaphobia-related factors in adults and to assess the relationship between coronaphobia and sleep quality. METHODS: This cross-sectional study was conducted in 1262 participants. The Covid-19 Phobia Scale (C19P-S) and Jenkins Sleep Scale (JSS) were used to measure outcomes. Univariate and multivariate logistic regression analyses were constructed to determine risk factors for coronaphobia. Pearson correlation coefficient was used to assess the correlation between C19P-S and JSS. RESULTS: The following risk factors were found to be associated with coronaphobia: gender, marital status, presence of chronic disease, staying home, and sleep disturbances. Female gender (OR = 2.23 and OR = 2.12), being married (OR = 1.31 and OR = 1.45), chronic disease status (OR = 1.39 and OR = 1.27), staying home (OR = 1.72 and OR = 1.35) and sleep disturbances (OR = 2.63 and OR = 2.49) were found to be associated with the likelihood of having a higher coronaphobia score (p < 0.05). Weak positive correlations were found between C19P-S and its subscales and JSS scores (p < 0.001). CONCLUSIONS: Female gender, being married, having chronic diseases, staying home, and having sleep disturbances were found to be risk factors for having high coronaphobia scores. Moreover, the severity of coronaphobia was associated with sleep disturbances. These results should be considered in the management of coronaphobia.


Asunto(s)
COVID-19 , Trastornos del Sueño-Vigilia , Adulto , Estudios Transversales , Femenino , Humanos , SARS-CoV-2 , Sueño , Trastornos del Sueño-Vigilia/epidemiología
13.
J Manipulative Physiol Ther ; 44(4): 295-306, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-34090550

RESUMEN

OBJECTIVE: The purpose of this study was to compare the effects of a 6-week program of pelvic floor muscle training (PFMT) plus connective tissue massage (CTM) to PFMT alone in women with overactive bladder (OAB) symptoms on those symptoms, pelvic floor muscle strength, and quality of life. METHODS: Thirty-four participants were randomly divided into PFMT+CTM (n = 17) and PFMT (n = 17) groups. PFMT was applied every day and CTM was applied 3 days a week for 6 weeks. Before treatment, at week 3, and after treatment (week 6), we assessed pelvic floor muscle strength (with a perineometer), bladder symptoms (with a urine diary), OAB symptom severity (with the 8-item Overactive Bladder Questionnaire [OAB-V8]), urgency (with the Patient Perception of Intensity of Urgency Scale [PPIUS]), and quality of life (with King's Health Questionnaire [KHQ]). The Mann-Whitney U test, χ2 test, Friedman test, and Dunn multiple comparison test were used for analysis. RESULTS: In both groups, pelvic floor muscle strength increased, whereas OAB symptoms and PPIUS and KHQ scores decreased after treatment (P < .05). Although the OAB-V8, PPIUS, and KHQ scores decreased at week 3, frequency, OAB-V8, and PPIUS scores, in addition to some parameters of the KHQ, decreased after treatment in the PFMT+CTM group compared to the PFMT group (P < .05). CONCLUSION: Compared to PFMT alone, PFMT+CTM achieved superior outcomes in reducing OAB symptoms in the early and late periods.


Asunto(s)
Tejido Conectivo , Terapia por Ejercicio/métodos , Masaje/métodos , Diafragma Pélvico , Vejiga Urinaria Hiperactiva/terapia , Adulto , Femenino , Humanos , Persona de Mediana Edad , Calidad de Vida/psicología , Encuestas y Cuestionarios , Resultado del Tratamiento
14.
Women Health ; 61(6): 609-616, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-34139962

RESUMEN

Our study aimed to assess the knowledge and awareness regarding pelvic floor disorders (PFDs) among pregnant women. We additionally evaluated whether the knowledge of PFDs was different in relation to gestational age, parity, the attendance to an antenatal education (ANE), and history of urinary incontinence (UI) and/or pelvic organ prolapse (POP). A cross-sectional descriptive study was conducted in pregnant women from all trimesters of pregnancy. The Prolapse and Incontinence Knowledge Questionnaire (PIKQ) and three questions were used for knowledge and awareness. Two hundred and forty-one women participated in the study. Of them, 18.6% (n = 46) and 3.6% (n = 9) had UI and POP, respectively. The median of the PIKQ-UI and the PIKQ-POP scores were 6 (min-max: 0-11) and 5 (min-max: 0-12), respectively. The median PIKQ-UI and PIKQ-POP scores were higher in women who had attended ANE. There was no significant difference in terms of gestational age, parity, the attendance to ANE, and the history of pelvic floor disorder (p > .05). Knowledge and awareness were low among the women in all trimesters. Education programs involving pelvic floor training should be organized for pregnant women.


Asunto(s)
Trastornos del Suelo Pélvico , Estudios Transversales , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Vida Independiente , Paridad , Trastornos del Suelo Pélvico/epidemiología , Embarazo , Mujeres Embarazadas , Encuestas y Cuestionarios
15.
Somatosens Mot Res ; 38(3): 157-163, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-33818284

RESUMEN

AIMS: Double crush syndrome is a clinical condition composed of neurological dysfunction due to compressive pathology at multiple sites along a single peripheral nerve. The aims were to investigate the characteristics and disabilities of women with double crush syndrome, to compare the spinal alignment to healthy women, and to determine the cut-offs for the spinal alignment characteristics. METHODS: Twenty women with double crush syndrome (age: 49.50 ± 8.64 years) and 21 asymptomatic healthy controls (age: 44.76 ± 7.82 years) were included in the study. The physical characteristics, pain intensity, and symptoms were questioned. Disability with Disability of Arm and Shoulder Questionnaire and Neck Disability Index and spinal alignment with Spinal Mouse® (Idiag, Fehraltorf, Switzerland) were assessed. RESULTS: The pain intensity at rest, night, and during activity was 3.70 ± 3.25, 6.01 ± 2.77, and 7.15 ± 2.68 cm, respectively. The most bothersome symptom was numbness (65%). The symptoms were seen in hands and/or fingers (55%), arms (15%), shoulder blade (15%), and neck (15%). The Disability of Arm and Shoulder Questionnaire and Neck Disability Index scores were 58.64 ± 15.41 and 19.55 ± 6.37, respectively. The sagittal thoracic curvature (p: .011) and lumbar curvature (p: .049) increased, and the overall spine mobility (p<.001) decreased in the double crush syndrome patients. The cut-off points were detected as 54.5° (area under the curve: 0.680, p: .049, 40% sensitivity, 99.9% specificity) for the thoracic spinal curvature, and 113.5° (area under the curve: 0.667, p<.000, 65% sensitivity, 99.9% specificity) for the overall spine mobility. CONCLUSIONS: The double crush syndrome patients had moderate to severe pain and disability, increased thoracic and lumbar curvature, and decreased spine mobility. The cut-off values were found as 54.5° for thoracic curvature and 113.5° for spine mobility.


Asunto(s)
Síndrome de Aplastamiento , Personas con Discapacidad , Animales , Estudios de Casos y Controles , Síndrome de Aplastamiento/complicaciones , Humanos , Región Lumbosacra , Ratones , Columna Vertebral
16.
Complement Ther Clin Pract ; 43: 101381, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33831805

RESUMEN

BACKGROUND AND PURPOSE: Studies comparing the effectiveness of kinesio taping (KT) and classical massage (CM) in chronic neck pain (CNP) are scarce. This study aimed to compare the effects of KT and CM in addition to cervical stabilization exercise (CSE) in patients with CNP. MATERIALS AND METHODS: Patients were randomly allocated to KT + CSE and CM + CSE groups. Disability with the Neck Disability Index (NDI), pain with the Visual Analog Scale, cervical range of motion with a goniometer, and quality of life (QoL) with the 36-Item Short-Form (SF-36) were assessed baseline and after a 4-week treatment. RESULTS: Improvement was observed in NDI and physical component scores of SF-36 in favor of the KT + CSE group and in rotation movements in favor of the CM + CSE group (p < 0.05). CONCLUSION: In CNP, KT + CSE was superior in improving disability and QoL compared to CM + CSE, whereas CM + CSE was superior in increasing rotation movements compared to KT + CSE.


Asunto(s)
Cinta Atlética , Calidad de Vida , Humanos , Masaje , Dolor de Cuello/terapia , Rango del Movimiento Articular
17.
Chronobiol Int ; 37(12): 1778-1785, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-32878506

RESUMEN

Studies related to the effects of the lockdown on musculoskeletal pain, coronaphobia, and sleep quality in individuals who stayed at home (SH) and in those who continued to work (CW) at a workplace other than home during the Covid-19 pandemic are scarce. We compare the effects of a 3-month nationwide lockdown in Turkey on musculoskeletal pain, coronaphobia, and sleep quality in individuals who SH and in those who CW during the Covid-19 pandemic. Individuals who SH (n: 375) and those who CW (n: 311) during the Covid-19 were included in this case-controlled study. Data on musculoskeletal pain (Nordic Musculoskeletal Questionnaire, NMQ), coronaphobia (Covid-19 Phobia Scale, C19P-S), and sleep quality (Jenkins Sleep Scale, JSS) were collected via an online form. During the 3-month Covid-19 lockdown, low back pain was higher in the SH group than CW group (p < .05). Rates of the neck, upper-back, shoulder, and hip/thigh pain were lower, and rate of low back pain was higher in the SH group (p < .05); while, rates of the neck, upper back, shoulder, and elbow pain were lower in the CW group (p < .05) during the Covid-19 pandemic lockdown than pre-lockdown values. The total scores of the C19P-S and psychological, psychosomatic, social, and economic subscales were higher in the SH group (p < .05). Sleep quality was similar in both groups (p > .05). Individuals who SH had more low back pain and higher coronaphobia than individuals who CW during the 3-month Covid-19 pandemic lockdown. Nonetheless, sleep quality was similar and the rate of some types of musculoskeletal pain was lower in both groups.


Asunto(s)
Ritmo Circadiano/fisiología , Dolor Musculoesquelético/fisiopatología , SARS-CoV-2/patogenicidad , Estrés Psicológico/fisiopatología , Ansiedad/psicología , Femenino , Humanos , Masculino , Sueño/fisiología , Encuestas y Cuestionarios , Turquía , Carga de Trabajo
18.
Complement Ther Clin Pract ; 39: 101148, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32379680

RESUMEN

AIM: To investigate the effects of kinesio tape (KT) application on pain, anxiety, and menstrual complaints in women with PD and compare this application with control and sham tape (ST). METHODS: Fifty-one women with PD were randomized into three groups: KT, ST, and control groups. No tape application was performed in the control group. KT was applied on the sacral and suprapubic regions with the ligament technique in the KT group, while it was applied on the trochanter major with no technique in the ST group. Pain, anxiety level, and menstrual complaints were assessed before and after the applications. RESULTS: The decreases in pain, anxiety levels, and some menstrual complaints after the application were higher in the KT group than those in the other two groups (p < 0.05). CONCLUSION: KT application seems to be an effective method in decreasing pain, anxiety level, and some menstrual complaints in women with PD.


Asunto(s)
Ansiedad/terapia , Cinta Atlética , Dismenorrea/terapia , Manejo del Dolor/métodos , Adolescente , Adulto , Ansiedad/etiología , Femenino , Humanos , Menstruación , Dimensión del Dolor , Rango del Movimiento Articular , Adulto Joven
19.
Complement Ther Clin Pract ; 38: 101076, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32056812

RESUMEN

PURPOSE: To compare the effects of spinal stabilization exercise (SSE) plus kinesio taping (KT) and SSE alone on pain and well-being in women with fibromyalgia (FM). MATERIAL AND METHODS: Patients with FM were randomly allocated into SSE (n:19) and SSE + KT (n:17) groups. Pain and fatigue with Visual Analog Scale, health status with Fibromyalgia Impact Questionnaire, quality of life (QoL) with Nottingham Health Profile, depression with Beck Depression Inventory, sleep quality with Jenkins Sleep Scale were assessed. SSE and KT with fascial correction technique were carried out 2 days a week for 6 weeks. RESULTS: SSE + KT was more effective in decreasing pain and fatigue, and improving some parameters related to health status and the QoL compared to SSE alone (p < 0.05). After treatment, pain, depression, health status, QoL, and sleep quality improved in both groups (p < 0.05). CONCLUSIONS: SSE with KT was superior for improving pain and general well-being compared to SSE alone.


Asunto(s)
Cinta Atlética , Terapia por Ejercicio/métodos , Fibromialgia/terapia , Calidad de Vida , Adolescente , Adulto , Femenino , Estado de Salud , Humanos , Persona de Mediana Edad , Dimensión del Dolor , Estudios Prospectivos , Encuestas y Cuestionarios , Escala Visual Analógica , Adulto Joven
20.
Rheumatol Int ; 39(12): 2087-2094, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31367796

RESUMEN

This study aimed to investigate trunk position sense, postural stability, and spine posture in women with fibromyalgia syndrome (FMS). Fifteen (15) women with FMS and age- and gender-matched fifteen (15) healthy controls were included. Trunk position sense as indicated by trunk reposition errors (TRE) and spine posture (thoracic and lumbar curvature) was measured with a digital inclinometer. Postural stability [eyes open (EO) and eyes closed (EC) on bipedal stance (BS), EO on monopedal stance (MS), and limits of stability (LOS)] was assessed with a computerized stabilometer (Prokin, TecnoBody S.R.L., Dalmine, 24044 Bergamo, Italy). TRE (p = 0.002) and the angle of thoracic curvature (p = 0.009) were found higher in women with FMS compared to healthy controls; however, the angle of lumbar curvature was similar (p = 0.467). It was seen that women with FMS had higher anterior-posterior sway in EO-BS (p = 0.009) and EC-BS (p = 0.001), ellipse area in EC-BS (p = 0.015), EO-MS of the dominant side (p = 0.021), and EO-MS of the non-dominant side (p = 0.007), and medial-lateral sway in EO-MS of the dominant (DM) side (p = 0.004) and the non-dominant (NDM) side (p = 0.002). Ellipse area in EO-BS (p = 0.054), medial-lateral sway in EO-BS (p = 0.983) and EC-BS (p = 0.290), anterior-posterior sway in EO-MS of the DM (p = 0.059) and the NDM side (p = 0.065), and LOS did not differ between groups (p = 0.274). Women with FMS had poor trunk position sense and postural instability, and alterations in spine posture. Therefore, the training of trunk position sense, postural stability, and posture might be beneficial and, thus, should be considered while planning an optimal treatment.


Asunto(s)
Fibromialgia/fisiopatología , Equilibrio Postural/fisiología , Propiocepción/fisiología , Columna Vertebral/fisiopatología , Adulto , Estudios de Casos y Controles , Femenino , Humanos , Persona de Mediana Edad , Torso/fisiopatología
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