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1.
Eur Spine J ; 29(1): 186-193, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31673855

RESUMO

PURPOSE: The Core Outcome Measures Index (COMI) is a short and multidimensional scale covering all domains recommended to be included in outcome measures for patients with neck pain. The purpose of the present study was to translate and cross culturally adapt the COMI into Turkish and to test its reliability and validity in patients with neck pain. METHODS: One hundred and six patients with a complaint of chronic neck pain (> 3 months) were enrolled in the present study. Participants completed a questionnaire booklet containing the COMI-neck, Neck Disability Index (NDI), Neck Pain and Disability Scale (NPDS), Short Form-36 (SF-36), and pain Numeric Rating Scale (NRS). The validation of the COMI included the assessment of its construct validity and reliability. RESULTS: Cronbach's alpha value of the questionnaire was found to be 0.774 indicating a high internal consistency. Intraclass correlation coefficient values for test-retest reliability were found to be in the range of 0.817-0.986, which indicates a sufficient level of test-retest reliability. Pearson's correlation coefficient values of the COMI with SF-36, NDI, NPDS, and NRS ranged between 0.417 and 0.700, indicating a good correlation. CONCLUSION: Considering the analyses, it was concluded that the Turkish version of the COMI is a valid and reliable scale for chronic neck pain patients. These slides can be retrieved under Electronic Supplementary Material.

2.
Turk J Med Sci ; 49(6): 1707-1714, 2019 12 16.
Artigo em Inglês | MEDLINE | ID: mdl-31655517

RESUMO

Background/aim: This study aims to determine the validity and reliability of the Turkish version of the Neck OutcOme Score (NOOS). Materials and methods: Two hundred eight patients suffering from nonspecific neck pain participated in the study. Test­retest reliability and internal consistency were assessed using intraclass correlation coefficients (2, 1) and Cronbach's alpha, respectively. The dimensionality was investigated with the factor analysis. The construct validity was determined by testing whether the hypothesis of correlations between NOOS subscales, Short Form-36 subscales, and the Neck Disability Index were met using Spearman's rank correlation coefficient. Ceiling/floor effects and measurement error were tested as well. Results: The intraclass correlation coefficient results varied between 0.721 and 0.844. Cronbach's alpha values of the subscale were found to be between 0.847 and 0.916 in the internal consistency analysis. The factor analysis showed that the questionnaire has five factors. Floor/ceiling effects were considered not to be present. Conclusion: It was found that the Turkish version of the NOOS is valid and reliable.

3.
Clin Rheumatol ; 38(11): 3289-3295, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31280380

RESUMO

INTRODUCTION: The Patient-Rated Elbow Evaluation (PREE) is a joint-specific, self-administered outcome measure used to determine the level of pain and disability in patients with various elbow pathologies. The aim of this study was to cross-culturally adapt the PREE into Turkish (PREE-T) and to test its reliability and validity. METHODS: Fifty-nine patients with elbow disorders were included in the present study. The original version of the PREE was translated and culturally adapted into Turkish by following standard procedure. Test-retest reliability and internal consistency were determined using intraclass correlation coefficient and Cronbach's alpha, respectively. Construct validity of PREE-T was determined with Disabilities of the Arm, Shoulder, and Hand (DASH) and Short Form-36 (SF-36) questionnaires by using Pearson's correlation coefficient analysis. Floor and ceiling effects were also analyzed. RESULTS: A high internal consistency (Cronbach's alpha of 0.959) and an excellent test-retest reliability (the intraclass correlation coefficient of 0.970) indicated that the PREE-T was reliable. Neither floor nor ceiling effects were observed in sub-parameters (0-1.7%) and the total score (0%) of PREE-T. Correlation coefficients between the PREE-T total score and DASH disability/symptom and work sub-parameters were 0.636 and 0.461, respectively. PREE-T pain and function sub-parameters correlated with related sub-parameters of the SF-36 bodily pain (r = - 0.721) and physical functioning (r = - 0.263). CONCLUSION: The Turkish version of the PREE is a valid and reliable outcome measure for assessing patients with elbow disorders. It is recommended to be used in research and clinical settings. Key Points • The Turkish version of the Patient-Rated Elbow Evaluation was successfully translated into Turkish and validated in a population with various elbow pathologies according to established guidelines • The Turkish version of the Patient-Rated Elbow Evaluation has high internal consistency and test-retest values • The Turkish version of the Patient-Rated Elbow Evaluation is valid and reliable.

4.
Asian Spine J ; 13(4): 569-576, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-30866618

RESUMO

Study Design: Prospective study. Purpose: To investigate the cross-cultural adaptation, validity, and reliability of the Turkish version of the Back Pain Functional Scale (BPFS). Overview of Literature: Low back pain is a common disorder in the population that negatively affects the patient's daily, professional, and social life. Self-report questionnaires are important to precisely evaluate back pain and making better and appropriate treatment decisions. Currently, there are several questionnaires for investigating mobility in patients with low back pain. Methods: We recruited 360 patients with chronic low back pain. For assessing the reliability of the scale, we performed test-retest and internal consistency analyses. Test-retest analysis was performed using intraclass correlation coefficient (ICC). Internal consistency was analyzed by calculating Cronbach's alpha value. Construct validity of the questionnaire was evaluated by comparing total scores on the BPFS with those on Roland Morris Disability Questionnaire (RMDQ) and Oswestry Disability Index (ODI) using Pearson's correlation coefficient analysis. Results: Cronbach's alpha value was 0.910, indicating high internal consistency. The test-retest reliability was excellent (ICC, 0.958; 95% confidence interval, 0.710-0.908). No floor or ceiling effects were observed. Factor analysis indicated that the scale had a single-factor structure. Pearson correlation coefficient was -0.669 when BPFS was compared with RMDQ and -0.701 when compared with ODI. These values indicate a significant correlation of BPFS with RMDQ and ODI. Conclusions: These data indicate the validity and reliability of the Turkish version of the BPFS.

5.
Spine (Phila Pa 1976) ; 44(1): E39-E44, 2019 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-29979360

RESUMO

STUDY DESIGN: Validation of a performance scale. OBJECTIVE: The purpose of this study is to investigate adaptation, validity, and reliability of the Turkish version of the Back Performance Scale (BPS). SUMMARY OF BACKGROUND DATA: Low back pain affects people of all ages and causes pain, disability, and psychosocial problems. BPS is a condition-specific performance measure of activity limitation in patients with low back pain. The purpose of this study is to investigate the cross-cultural adaptation, validity, and reliability of the Turkish version of the BPS. METHODS: The study included 180 patients with low back pain. For the reliability assessment of the scale, test-retest, and internal consistency analyses were performed. The results of the test-retest analysis were analyzed by Intraclass Correlation Coefficient (ICC) method. For the internal consistency, Cronbach Alpha value was calculated and to construct validity, total points of the BPS were compared with the total points of Roland Morris Disability Questionnaire (RMDQ) and Oswestry Disability Index (ODI) using Pearson correlation coefficient analysis. RESULTS: BPS was found to have high internal consistency (Cronbach alpha value 0.827). Test-retest results were found highly correlated (range from 0.723 to 0.899). Factor analysis indicated that the scale had one factor. BPS is well correlated with RMDQ and ODI (Pearson correlation coefficient with RMDQ 0.576 and with ODI 0.603). CONCLUSION: The Turkish version of BPS is valid and reliable. LEVEL OF EVIDENCE: 3.


Assuntos
Comparação Transcultural , Avaliação da Deficiência , Dor Lombar/diagnóstico , Dor Lombar/etnologia , Inquéritos e Questionários/normas , Adulto , Correlação de Dados , Pessoas com Deficiência , Análise Fatorial , Feminino , Humanos , Dor Lombar/psicologia , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Turquia/etnologia
6.
J Sport Rehabil ; : 1-6, 2019 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-30040009

RESUMO

OBJECTIVE: The purpose of this study was to examine the effects of Kinesio taping (KT) on delayed onset muscle soreness. DESIGN: Randomized controlled study. SETTING: Clinical laboratory. PARTICIPANTS: Fifty-four nonathletic volunteers were assigned randomly to KT (n = 27) and placebo KT (n = 27) groups. INTERVENTIONS: The intense exercise protocol consisted of 100 consecutive drop jumps from a 0.60-m-high platform. Kinesio tape was applied with the fan technique on the quadriceps muscles in the KT group. The placebo KT group received the Kinesio tape with no technique and tension. MAIN OUTCOME MEASURE: Muscle soreness, maximal isometric quadriceps muscle strength, vertical jump height, and blood analyses (creatine kinase, lactate dehydrogenase, myoglobin, and C-reactive protein) were measured preexercise, immediately postexercise, 48 hours postexercise, and 72 hours postexercise. RESULTS: There was a significant effect of time in all outcome measures (P < .05) except serum C-reactive protein level (P > .05). The intensity of muscle soreness was significantly lower in the KT group relative to the placebo KT group at 72 hours postexercise (P = .01). The serum creatine kinase level was significantly higher in the KT group compared with the placebo KT group at 72 hours postexercise (P = .01). There were no statistically significant differences between groups for the other outcome measures (P > .05). CONCLUSIONS: These findings indicate that KT intervention following the intense exercise protocol reduced muscle soreness. However, it had no effect on maximal quadriceps isometric strength and vertical jump height or serum lactate dehydrogenase, myoglobin, and C-reactive protein levels. Furthermore, KT application after intense exercise also increased serum creatine kinase levels.

7.
Disabil Rehabil ; 40(10): 1214-1219, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-28637131

RESUMO

PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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.


Assuntos
Artropatias , Dor de Ombro/diagnóstico , Ombro/fisiopatologia , Adulto , Idoso , Feminino , Humanos , Artropatias/diagnóstico , Artropatias/fisiopatologia , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Projetos de Pesquisa , Manguito Rotador/fisiopatologia , Inquéritos e Questionários , Traduções , Turquia
8.
Rheumatol Int ; 37(9): 1559-1565, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28429046

RESUMO

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'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.


Assuntos
Avaliação da Deficiência , Instabilidade Articular/diagnóstico , Medidas de Resultados Relatados pelo Paciente , Lesões do Ombro/diagnóstico , Articulação do Ombro/fisiopatologia , Adulto , Fenômenos Biomecânicos , Efeitos Psicossociais da Doença , Características Culturais , Feminino , Humanos , Instabilidade Articular/fisiopatologia , Instabilidade Articular/psicologia , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Qualidade de Vida , Amplitude de Movimento Articular , Reprodutibilidade dos Testes , Lesões do Ombro/fisiopatologia , Lesões do Ombro/psicologia , Articulação do Ombro/lesões , Tradução , Turquia , Adulto Jovem
9.
J Back Musculoskelet Rehabil ; 30(4): 811-817, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28282793

RESUMO

BACKGROUND: Scapular muscle endurance and core endurance reportedly influence shoulder injury risk. The exact relationship between scapular muscle endurance and core endurance, and how they impact one another in the healthy subjects remain unclear. OBJECTIVE: To investigate the relationship between scapular muscle endurance and core endurance in healthy subjects. METHODS: 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's product moment correlations examined relationships between scapular muscle endurance and each of the core endurance tests scores. RESULTS: 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 > 0.05). CONCLUSIONS: 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.


Assuntos
Músculo Esquelético/fisiologia , Resistência Física , Eletromiografia , Feminino , Voluntários Saudáveis , Humanos , Masculino , Escápula/fisiologia , Ombro , Músculos Superficiais do Dorso , Tronco , Adulto Jovem
10.
Spine (Phila Pa 1976) ; 41(21): E1292-E1297, 2016 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-27046639

RESUMO

STUDY DESIGN: Validation of a self-report questionnaire. OBJECTIVE: The purpose of this study was to investigate adaptation, validity, and reliability of the Turkish version of the Bournemouth Questionnaire. SUMMARY OF BACKGROUND DATA: Low back pain is one of the most frequent disorders leading to activity limitation. This pain affects most of people in their lives. The most important point to evaluate patient's functional abilities and to decide a successful therapy procedure is to manage the assessment questionnaires precisely. METHODS: One hundred ten patients with chronic low back pain were included in present study. To assess reliability, test-retest and internal consistency analyses were applied. The results of test-retest analysis were assessed by using Intraclass Correlation Coefficient method (95% confidence interval). For internal consistency, Cronbach alpha value was calculated. Validity of the questionnaire was assessed in terms of construct validity. For construct validity, factor analysis and convergent validity were tested. For convergent validity, total points of the Bournemouth Questionnaire were assessed with the total points of Quebec Back Pain Disability Scale and Roland Morris Disability Questionnaire by using Pearson correlation coefficient analysis. RESULTS: Cronbach alpha value was found 0.914, showing that this questionnaire has high internal consistency. The results of test-retest analysis were varying between 0.851 and 0.927, which shows that test-retest results are highly correlated. Factor analysis test indicated that this questionnaire had one factor. Pearson correlation coefficient of the Bournemouth Questionnaire with Roland Morris Disability Questionnaire was calculated 0.703 and it was found with Quebec Back Pain Disability Scale is 0.659. These results showed that the Bournemouth Questionnaire is very good correlated with Roland Morris Disability Questionnaire and Quebec Back Pain Disability Scale. CONCLUSION: The Turkish version of the Bournemouth Questionnaire is valid and reliable. LEVEL OF EVIDENCE: 3.


Assuntos
Avaliação da Deficiência , Dor Lombar/diagnóstico , Inquéritos e Questionários , Adulto , Comparação Transcultural , Feminino , Humanos , Dor Lombar/fisiopatologia , Masculino , Pessoa de Meia-Idade , Psicometria , Reprodutibilidade dos Testes , Autorrelato , Turquia
11.
J Clin Diagn Res ; 10(2): YD03-4, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27042573

RESUMO

Hereditary multiple exostoses an autosomal dominant skeletal disorder characterized by multiple cartilage-capped benign exostoses that typically occur in the metaphysis of long bones. The prevalence of hereditary multiple exostoses is estimated to be 1 in 50,000. Although, there have been many studies concerning this rare disorder, no research has yet examined the rehabilitation of hereditary multiple exostoses. The case diagnosed with hereditary multiple exostoses referred to our department with several complaints, namely pain, joint limitations, muscle weakness, and functional insufficiency after arthroscopic distal left femur exostoses excision. The aim of this case report was to present effectiveness of eccentric training as an adjunct to rehabilitation program for hereditary multiple exostoses. According to the results, eccentric training after arthroscopic exostoses excision may help reduce pain, increase range of motion, muscle strength, and functional levels in patients with hereditary multiple exostoses.

12.
J Orthop Sci ; 21(3): 295-8, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26898339

RESUMO

BACKGROUND: Low back pain is among the most common musculoskeletal system disorders. Outcome measures are needed for the measurement of function, to establish a treatment program, and for monitoring the improvement in low back pain. There exist several questionnaires enquiring about function in low back pain. One of these is Japanese Orthopaedic Association Back Pain Evaluation Questionnaire, whose reliability and validity were previously established. Other than the original version of the questionnaire, only its Persian version exists. The present study aims to investigate the cross-cultural adaptation, reliability and validity of the Turkish version of the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire. METHODS: The study included 103 patients with low back pain. For reliability assessment of the questionnaire, test-retest and internal consistency analyses were performed. The results of test-retest analysis were assessed by Intraclass Correlation Coefficient method. For internal consistency, Cronbach Alpha value was used. Validity analyses of the questionnaire were performed by construct validity. For construct validity, convergent validity was tested. Convergent validity of the questionnaire was calculated via its correlation with suitable subscales of the Short Form-36 and the total score of the Oswestry Disability Index by using Pearson's correlation coefficient. RESULTS: Intraclass Correlation Coefficient values for test-retest reliability were found to be in the range of 0.765-0.924, which indicate a sufficient level of test-retest reliability. Cronbach's Alpha value was found to be 0.804 indicating a high internal consistency. Pearson's correlation coefficient between Japanese Orthopaedic Association Back Pain Evaluation Questionnaire to Short Form-36 and Oswestry Disability Index values were ranged between 0.424 and -0.810, indicating a good correlation. CONCLUSIONS: Considering all these data, it was concluded that the Turkish version of the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire is valid and reliable.


Assuntos
Dor nas Costas/diagnóstico , Comparação Transcultural , Diagnóstico por Imagem/normas , Exame Físico/normas , Inquéritos e Questionários/normas , Adaptação Psicológica , Adulto , Fatores Etários , Idoso , Dor nas Costas/epidemiologia , Avaliação da Deficiência , Feminino , Humanos , Japão , Dor Lombar/diagnóstico , Dor Lombar/epidemiologia , Masculino , Pessoa de Meia-Idade , Psicometria , Reprodutibilidade dos Testes , Fatores Sexuais , Sociedades Médicas/normas , Turquia
13.
Arch Orthop Trauma Surg ; 136(3): 389-95, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26728274

RESUMO

INTRODUCTION: The Lower Extremity Functional Scale is a widely used questionnaire to evaluate the functional impairment in lower extremities. To date, the Lower Extremity Functional Scale has not been translated into Turkish. The aim of this study is to translate and culturally adapt the Lower Extremity Functional Scale into a Turkish version, and evaluate the psychometric properties of this version in patients with knee injuries. MATERIALS AND METHODS: The translation of the English version of the Lower Extremity Functional Scale into a Turkish version was performed using standard guidelines. Validity and reliability of Turkish version were tested in 134 patients with knee injuries. Association level between other outcomes measures (Kujala Patellofemoral Score, the Western Ontario and McMaster Universities Osteoarthritis Index, Lysholm Knee Scoring Scale and a Visual Analog Scale) and Turkish version of the Lower Extremity Functional Scale was analyzed to assess validation. Participants completed the questionnaire at baseline and after 2 days to test reliability. RESULTS: The Turkish version of the Lower Extremity Functional Scale was showed a high degree of internal consistency (Cronbach α = 0.93). ICCs were 0.96 and no floor or ceiling effects. The Lower Extremity Functional Scale had a high level of association with the Kujala Patellofemoral Score (r = 0.82), Lysholm Knee Scoring Scale (r = 0.80) and the Western Ontario and McMaster Universities Osteoarthritis Index scores (r = 0.69) (all, p < 0.05). CONCLUSION: The Turkish version of the Lower Extremity Functional Scale is a valid and reliable questionnaire that can be used to evaluate functional status in Turkish speaking patients with different knee disorders. LEVEL OF EVIDENCE: III.


Assuntos
Traumatismos do Joelho/fisiopatologia , Extremidade Inferior/fisiopatologia , Osteoartrite do Joelho/fisiopatologia , Medição da Dor , Síndrome da Dor Patelofemoral/fisiopatologia , Inquéritos e Questionários , Adulto , Feminino , Humanos , Traumatismos do Joelho/diagnóstico , Masculino , Pessoa de Meia-Idade , Osteoartrite do Joelho/diagnóstico , Síndrome da Dor Patelofemoral/diagnóstico , Psicometria , Reprodutibilidade dos Testes , Traduções , Turquia , Adulto Jovem
14.
Physiother Theory Pract ; 31(8): 556-61, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26492435

RESUMO

PURPOSE: In sports medicine, the use of kinesiologic tape has recently gained popularity. Although widely used, there is no study examining the effects of kinesiologic tape on soft tissue after a contusion injury. The aim of this study was to examine the effects of kinesiologic taping on epidermal-dermal distance, edema, pain and inflammation after experimentally induced contusion injury. METHODS: Twelve adult female Wistar albino rats were divided into two groups: (1) 30 min group: n = 6, weight range: 182.0-199.4 g; and (2) 6 h group: n = 6, weight range: 186.9-200.8 g. After soft-tissue trauma, tape was applied to the right sides of each rat. In one group, tape was applied for 30 min while 6 h in the other. To assess the epidermal-dermal distance and edematous area, tissue sections were stained with hematoxylin and eosin and examined. Tissue sections were stained with nerve growth factor (NGF) and B-cell lymphoma 2 (Bcl-2) immunohistochemically to evaluate the effect of taping on pain and inflammation respectively. RESULTS: Epidermal-dermal distances were found to be significantly higher than controls' in both groups (p < 0.05). Notable decreases were seen in edematous areas in both groups (p < 0.05). NGF and Bcl-2 immune reactivity were decreased in all tape applied sides. CONCLUSIONS: After soft-tissue trauma, it was histologically shown that kinesiologic taping increases epidermal-dermal distance, and may reduce the sensation of pain, edema and inflammation. For better, faster and comfortable tissue healing with protection of soft-tissue integrity, kinesiologic taping may be a valuable treatment after contusion injury. However, these results should be supported by clinical studies.


Assuntos
Edema/terapia , Epiderme , Inflamação/terapia , Dor/prevenção & controle , Modalidades de Fisioterapia/instrumentação , Lesões dos Tecidos Moles/terapia , Fita Cirúrgica , Animais , Modelos Animais de Doenças , Edema/metabolismo , Edema/patologia , Edema/fisiopatologia , Epiderme/metabolismo , Epiderme/patologia , Epiderme/fisiopatologia , Feminino , Inflamação/metabolismo , Inflamação/patologia , Inflamação/fisiopatologia , Fator de Crescimento Neural/metabolismo , Dor/metabolismo , Dor/patologia , Dor/fisiopatologia , Proteínas Proto-Oncogênicas c-bcl-2/metabolismo , Ratos Wistar , Lesões dos Tecidos Moles/metabolismo , Lesões dos Tecidos Moles/patologia , Lesões dos Tecidos Moles/fisiopatologia , Fatores de Tempo , Cicatrização
15.
Int J Shoulder Surg ; 8(4): 107-13, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25538429

RESUMO

PURPOSE: 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. MATERIALS AND METHODS: 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. RESULTS: 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. CONCLUSIONS: In addition to the weak association between WORC and 9PEG, the difference between the parameters related to each method suggests that they should not be used interchangeably to determine the upper extremity function. We recommend the utilization of 9PEG instead of WORC in assessing the upper extremity function in the setting of loss of muscle strength. LEVEL OF EVIDENCE: Level IV, Therapeutic study.

16.
Eklem Hastalik Cerrahisi ; 25(3): 141-7, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25413458

RESUMO

OBJECTIVES: This study aims to compare rotator cuff muscle atrophy with fatty degeneration, tear size, range of motion, shoulder muscle strength, pain and upper extremity function in patients with chronic rotator cuff tear, and with or without anterior greater tuberosity cyst. PATIENTS AND METHODS: A total of 101 patients (32 males, 69 females; mean age 51 ± 12.9 years; range 17 to 76 years) were evaluated in this study. Fifty-eight patients were excluded due to traumatic or acute rotator cuff tears and neck pain. Forty-three patients of chronic rotator cuff tear were divided into two groups as patients with (n=15) and without (n=28) an anterior greater tuberosity cyst. Patients were evaluated for range of motion, shoulder muscle strength, pain and upper extremity function, and radiologically. Statistical differences were investigated between two groups. RESULTS: The number of patients with tears larger than 1 cm and the number of patients who had muscle atrophy were higher in the group of patients with a cyst. Also, upper extremity function was reduced in the group of patients with a cyst (Western Ontario Rotator Cuff Index, p=0.03, Nine-Hole Peg Test, p=0.02). CONCLUSION: Our findings demonstrated that decreased function, larger cuff tears and muscle atrophy can be observed patients with anterior greater tuberosity cysts. Anterior greater tuberosity cysts can be detected by plain X-rays. The presence of these cysts should warn the physician regarding the possibility of decreased shoulder function, muscle atrophy and larger cuff tear before ordering a magnetic resonance imaging.


Assuntos
Cistos Ósseos/fisiopatologia , Lesões do Manguito Rotador , Articulação do Ombro/fisiopatologia , Adolescente , Adulto , Idoso , Atrofia/complicações , Cistos Ósseos/complicações , Cistos Ósseos/diagnóstico por imagem , Doença Crônica , Feminino , Humanos , Úmero , Masculino , Pessoa de Meia-Idade , Força Muscular , Radiografia , Amplitude de Movimento Articular , Manguito Rotador/fisiopatologia , Ruptura/complicações , Ruptura/patologia , Ruptura/fisiopatologia , Dor de Ombro/etiologia , Extremidade Superior/fisiopatologia , Adulto Jovem
17.
NeuroRehabilitation ; 34(2): 337-42, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-23949064

RESUMO

BACKGROUND: Although there are evidences as to Pilates developing dynamic balance, muscle strength and flexibility in healthy people, evidences related to its effects on Multiple Sclerosis patients are insufficient. OBJECTIVES: The aims of this study were to investigate the effects of Pilates on balance, mobility, and strength in ambulatory patients with Multiple Sclerosis. METHODS: Twenty six patients were divided into two groups as experimental (n = 18) and control (n = 8) groups for an 8-week treatment program. The experimental group underwent Pilates and the control group did abdominal breathing and active extremity exercises at home. Balance and mobility were measured with Berg Balance Scale and Timed up and go test, upper and lower muscle strength with hand-held dynamometer. Confidence in balance skills while performing daily activities was evaluated with Activities Specific Balance Confidence Scale. RESULTS: Improvements were observed in balance, mobility, and upper and lower extremity muscle strength in the Pilates group (p < 0.05). No significant differences in any outcome measures were observed in the control group (p > 0.05). CONCLUSION: Due to its structure which is made up of balance and strengthening exercises, Pilates training may develop balance, mobility and muscle strength of MS patients. For this reason, we think that, Pilates exercises which are appropriate for the disability level of the patient may be suggested.


Assuntos
Técnicas de Exercício e de Movimento/métodos , Extremidade Inferior/fisiopatologia , Movimento/fisiologia , Esclerose Múltipla/reabilitação , Força Muscular/fisiologia , Equilíbrio Postural/fisiologia , Adulto , Feminino , Humanos , Locomoção/fisiologia , Masculino , Pessoa de Meia-Idade , Esclerose Múltipla/fisiopatologia , Método Simples-Cego , Resultado do Tratamento
18.
NeuroRehabilitation ; 33(2): 293-8, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23949051

RESUMO

BACKGROUND: Muscle strength and standing balance decrease in patients with Multiple Sclerosis (MS). OBJECTIVE: The aim of the present study was to investigate the relationship between the lower extremity isometric muscle strength and standing balance in patients with MS. METHODS: Forty-seven patients with MS and 10 healthy volunteers were included. Neurological disability level was assessed using Expanded Disability Status Scale (EDSS). Isometric strength of seven lower extremity muscles (hip flexor-extensor-abductor-adductor, knee flexor-extensor, and ankle dorsal flexor) was assessed using hand-held dynamometer. Duration of static one-leg standing balance was measured using digital chronometer. RESULTS: Hip flexor-extensor-abductor-adductor, knee flexor-extensor, and ankle dorsal flexor isometric muscle strength, and duration of one-leg standing balance were decreased in patients with MS when compared with controls (p < 0.05). All assessed lower extremity isometric muscle strength and EDSS level was related duration of one-leg standing balance in patients with MS. All assessed lower extremity isometric muscle strength (except ankle dorsal flexor) was related with EDSS. CONCLUSIONS: Hip flexor-extensor-abductor-adductor, knee flexor-extensor, and ankle dorsal flexor isometric muscle strength decreases in ambulatory MS patients. Lower extremity muscle weakness and neurological disability level are related with imbalance in MS population. Hip and knee region muscles weakness increases the neurological disability level. For the better balance and decrease neurological disability level whole lower extremity muscle strengthening should be included in rehabilitation programs.


Assuntos
Contração Isométrica/fisiologia , Extremidade Inferior/fisiopatologia , Esclerose Múltipla/fisiopatologia , Força Muscular/fisiologia , Equilíbrio Postural/fisiologia , Adulto , Feminino , Humanos , Masculino
19.
Knee Surg Sports Traumatol Arthrosc ; 21(6): 1238-44, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22527417

RESUMO

PURPOSE: To evaluate ankle function following endoscopically guided percutaneous Achilles tendon repair. The hypothesis of this study was that patients with percutaneous repair of the Achilles tendon would still display impaired involved side ankle proprioception. METHODS: Nineteen male patients with percutaneous Achilles tendon surgery were tested for bilateral ankle active angle reproduction at 10° dorsiflexion and 15° plantar flexion, peak concentric isokinetic ankle dorsiflexor and plantar flexor torque, one-leg hop for distance, and single-leg vertical jump height. Dominant sides of age- and sex-matched 19 healthy controls were evaluated for ankle active angle reproduction at 10° dorsiflexion and 15° plantar flexion, peak concentric isokinetic ankle dorsiflexor and plantar flexor torque. RESULTS: Peak isokinetic torque, one-leg hop for distance, single-leg vertical jump for height and ankle joint position sense at 10° dorsiflexion did not differ between the affected and unaffected side. Ankle joint position sense for active angle replication at 15° plantar flexion revealed a significant side-to-side difference. Joint position sense at 10° dorsiflexion and at 15° plantar flexion at affected side was poor in patients compared with the controls, while joint position sense at 10° dorsiflexion and at 15° plantar flexion at unaffected side was same in patients compared with the controls. CONCLUSIONS: It has revealed a significant difference in joint position sense at plantar flexion of the patients at least 1 year after percutaneous Achilles tendon surgery compared to their unaffected limb. Large prospective longitudinal studies are needed to evaluate therapeutic interventions designed to improve proprioception.


Assuntos
Tendão do Calcâneo/cirurgia , Tornozelo/fisiopatologia , Propriocepção , Tendão do Calcâneo/fisiopatologia , Adulto , Estudos de Casos e Controles , Endoscopia , Humanos , Masculino , Pessoa de Meia-Idade , Força Muscular , Amplitude de Movimento Articular , Recuperação de Função Fisiológica , Estudos Retrospectivos
20.
NeuroRehabilitation ; 30(4): 369-74, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22672953

RESUMO

The purpose of this study was to investigate the relationships between the upper extremity functions, upper extremity strength and hand sensation in patients with Multiple Sclerosis (MS). Twenty-two patients with MS (mean age: 38.5 ± 8.31 years, median Expanded Disability Status Scale (EDSS): 2) and 10 healthy subjects were included. Upper extremity function was measured with the Nine-hole peg test, upper extremity strength (shoulder flexion-abduction, elbow flexion, pinch and grip) with hand-held dynamometer, hand grip dynamometer and manual pinch meter, threshold of light touch-pressure with Semmes-Weinstein monofilament, duration of vibration with 128-Hz frequency tuning fork, and distance of two-point discrimination with an aesthesiometer. Strength and functional level of the upper extremity, light touch-pressure, two-point discrimination, vibration sensations of the hand were lower in patients with MS compared with healthy controls (p < 0.05). Light touch-pressure sensation of thumb and index fingers, two-point discrimination of index finger and elbow flexion strength were found to be related with upper extremity function in patients with MS (p< 0.05). These results indicate that the hand sensation, upper extremity strength and function were affected in MS patients. Additionally upper extremity functions seem to be related with light touch-pressure and two-point discrimination sensations of the hand and elbow flexion strength. Upper extremity strengthening and sensorial training of the hand may contribute to the upper extremity function in patients with MS.


Assuntos
Força da Mão/fisiologia , Mãos/inervação , Esclerose Múltipla/patologia , Esclerose Múltipla/fisiopatologia , Sensação/fisiologia , Extremidade Superior/fisiopatologia , Adolescente , Adulto , Estudos de Casos e Controles , Criança , Avaliação da Deficiência , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tato/fisiologia , Vibração , Adulto Jovem
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