Lymphedema and complex decongestive physiotherapy

Lenfatik sistemin yükünün artması ya da lenfatik transport kapasitesinin azalmasına bağlı olarak proteinden zengin sıvının hücre dışındaki boşluklara dolması sonucunda yumuşak dokularda ortaya çıkan şişme lenf ödem olarak adlandırılmaktadır. Lenf ödemin primer ve sekonder formları bulunmakta olup, hastanın yaşam kalitesini olumsuz yönde etkilemektedir. Bu derlemede lenf ödem ve tedavisinde kullanılan etkin bir tedavi yaklaşımı olan kompleks boşaltıcı fizyoterapi hakkında bilgi verilecektirSwelling of soft tissues due to collection of protein rich fluid into extracellular space caused by increased load of lymphatic system or decrease of lymphatic transport capacity is called lympedema. Both primary and secondary lymph edema effects the quality of patient lives. In this review we aimed to give information about lymph edema and its effective treatment approach; complex decongestive physiotherap

Reliability and Validity Study of the Turkish Version of Child and Adolescent Social Support Scale for Healthy Behaviors

Purpose: The purpose of this study is to investigate adaptation, validity, and reliability of the Turkish version of the Child and Adolescent Social Support Scale for Healthy Behaviors (CASSS-HB). Methods: The CASSS-HB was translated using translation and back-translation. This was a methodological study conducted with 860 students (11–14 years old). Content and construct validity were assessed to test the validity of the CASSS-HB. Exploratory and confirmatory factor analysis of the scale was performed and the reliability of the scale over time (the test-retest method) was examined. Results: Psychometric analyses of the Turkish version of the CASSS-HB indicate high reliability and good content and construct validity. Conclusions: It can be seen that the items comprising the scale appear to be acceptably capable of measuring the variable of social support in terms of healthy behavior in children and adolescents. Healthcare professionals can thus use the scale for determining the degree of social support students of the ages 11–14 receive in terms of developing healthy behavior. Keywords: adolescent health, behavior, psychosocial support systems, reproducibility of result

Return to Work in Miners Following Anterior Cruciate Ligament Reconstruction

Introduction The aim of the study is retrospectively investigated durations for returning to work following anatomic ACL reconstruction by hamstring autograft in miners and the reasons in patients who were delayed to return to work. Methods Miners with symptomatic anterior cruciate ligament rupture underwent arthroscopic reconstruction. Patients were evaluated in terms of range of motion (ROM) values; Lysholm, Cincinati and Tegner activity scales; laxity testing and complications. By modifying the method used by Fitzgerald et al. we decided for the criteria returning to work. Results Thirty three patients were evaluated with mean followup of 22.7 ± 8.3 months (range 13-46 months). Mean age at the surgery was 27.8 (18-38) years. Lysholm, Cincinati and Tegner activity scales were signifi cantly higher from preoperative scores (Lysholm scores: preoperative: 60.7 ± 12.5, postoperative: 90.3 ± 4.8 (P < 0.001); Tegner activity scores: Preoperative 3.5 ± 1.4, postoperative: 6.2 ± 1.5 (P < 0.001); Cincinati scores: Preoperative: 14.8 ± 5.3, postoperative: 26.9 ± 1.6 (P < 0.001). The average time for returning to work was determined as 15,3 ± 4 weeks. There was no significant difference for knee scores and time for returning to work between patients with meniscal injuries and don't have meniscus lesions. Conclusion The reasons for delays in returning to work was work accident. Hematoma or effusion and pain inside the knee were the most significant reason which affected returning to work.PubMedScopu

The relationship between balance, trunk muscular endurance, and functional level in individuals with chronic low back pain

Aim: This study was planned to investigate the relationship between trunk muscular endurance, balance, and functional level in individuals with chronic low back pain. Material and Methods: Sixty-three individuals, aged 18-65 years and having chronic low back pain for the last six months, were included in the study. Sociodemographic data of the individuals were recorded. The static and dynamic endurance of trunk muscles was evaluated by the curl-up test and modified Sorenson test. In order to evaluate the dynamic balance, the Timed Up and Go test was performed. The functionality level related to the low back pain of individuals was evaluated by the Oswestry Low Back Pain Disability Questionnaire. Results: Forty-one female (65%) and twenty-two male (35%) individuals were included in the study. The mean age of the individuals was 40.50 ± 16.75 years, and the mean body mass index was 26.51 ± 5.34 kg/m2 . A moderate negative correlation was found between trunk flexor and extensor muscle endurance with both dynamic balance and functional level (p<0.05). Conclusion: It was determined that there is a significant relationship between balance, trunk muscular endurance, and functional level. The presence of this relationship may guide the planning of exercise therapy in individuals with chronic low back pain