Short foot exercises have additional effects on knee pain, foot biomechanics, and lower extremity muscle strength in patients with patellofemoral pain.

BACKGROUND: Patellofemoral pain (PFP) is a common knee problem. The foot posture in a relaxed stance is reported as a distal factor of PFP. However, the effects of short foot exercise (SFE) on the knee and functional factors have not yet been investigated in patients with PFP. OBJECTIVE: This study aimed to investigate the additional effects of SFE on knee pain, foot biomechanics, and lower extremity muscle strength in patients with PFP following a standard exercise program. METHODS: Thirty patients with a ‘weak and pronated’ foot subgroup of PFP were randomized into a control group (ConG, n= 15) and a short foot exercise group (SFEG, n= 15) with concealed allocation and blinded to the group assignment. The program of ConG consisted of hip and knee strengthening and stretching exercises. SFEG program consisted of additional SFE. Both groups performed the supervised training protocol two times per week for 6 weeks. Assessment measures were pain visual analog scale (pVAS), Kujala Patellofemoral Score (KPS), navicular drop test (NDT), rearfoot angle (RA), foot posture index (FPI), and strength tests of the lower extremity muscles. RESULTS: Both groups displayed decreases in pVAS scores, but it was only significant in favor of SFEG. NDT, RA, and FPI scores decreased in SFEG whereas they increased in ConG. There was a significant group-by-time interaction effect in hip extensor strength and between-group difference was found to be significantly in favor of SFEG. CONCLUSIONS: An intervention program consisting of additional SFE had positive effects on knee pain, navicular position, and rearfoot posture. An increase in the strength of the hip extensors may also be associated with improved stabilization by SFE

Eklem Hastalıkları ve Cerrahisi Joint Diseases and Related Surgery Original Article / Çalışma -Araştırma Eklem Hastalık Cerrahisi Manual therapy is an effective treatment for frozen shoulder in diabetics: An observational study Manuel terapi diyabetli has

Amaç: Bu çalışmada diabetes mellitusu olan ve olmayan donuk omuz hastalarında manuel terapinin etkinliği karşı-laştırıldı. Hastalar ve yöntemler: Mayıs 2006 -Ocak 2008 tarihleri arasında ortopedik cerrahlar tarafından Sporcu Sağlığı Ünitesi'ne sevk edilen 50 hasta (10 erkek, 40 kadın; ort. yaş 52±10 yıl; aralık 40-65 yıl) çalışmaya dahil edildi. Hastalar iki gruba ayrıldı: tip II diabetes mellitusu olan (n=12) ve olmayan (n=38) primer donuk omuzlu hastalar. Tüm hastalar haftada iki kez soğuk uygulama, manuel terapi ve egzersiz içeren rehabilitasyon programına alındı. Hastalara ortalama 16 tedavi seansı uygulandı. Manuel terapinin en önemli kısmını skapular mobilizasyon ve posteriyor kapsül germe egzersizi oluşturmaktaydı. Eklem hareket açıklığı, gonyometre ile ölçüldü. Fonksiyonel aktivite düzeyi Constant skoruna göre değerlendirildi. Ağrı düzeyi görsel analog ölçeği ile ve kas kuvveti el dinamometresi kullanılarak değerlendirildi. Grupların parametrelerinin karşılaştırılmasında Student t-testi; hastaların tedavi öncesi ve sonrası değerlerinin karşılaştırılmasında ise, iki grup t-testi kullanıldı. Bulgular: İki gruptaki hastaların tümünde eklem hareketi açıklığı, fonksiyonel aktivite düzeyi ve kas kuvveti rehabilitasyon sonrasında gelişti ve ağrı düzeyi azaldı (p<0.05). Grupların tedavi süresi arasında bir farklılık bulunmadı (p>0.05). Rehabilitasyon öncesi ve sonrasında grupların eklem hareketi açıklığı, fonksiyonel aktivite seviyesi, ağrı düzeyi ve kas kuvveti arasında farklılık bulunmadı (p>0.05). Sonuç: Manuel terapi yaklaşımları, donuk omzu olan diyabetli hastalarda güvenle uygulanabilir. Anahtar sözcükler: Diabetes mellitus; donuk omuz; muskuloskeletal manipülasyonlar. Objectives: This study aims to compare the efficacy of manual therapy in the frozen shoulder patients with or without diabetes mellitus. Patients and methods: Between May 2006 and January 2008, 50 patients (10 males, 40 females; mean age 52±10 years; range 40 to 65 years) orthopedic surgeons referred to the Sports Physiotherapy Unit were included in the study. The patients were divided into two groups, including patients with primary frozen shoulder with type II diabetes mellitus (n=12) and non diabetics (n=38). All patients underwent a rehabilitation program including cold application, manual therapy and exercises twice a week. A total of 16 treatment sessions were performed. The most important part of the manual therapy included scapular mobilization and posterior capsule stretching. The range of motion was measured by goniometry. Functional activity status was assessed by Constant's score. The pain level was evaluated by visual analog scale, while muscle strength was evaluated by hand-held dynamometer. Student t-test was used to compare between the parameters of groups, while Paired sample t-test was used to compare preand post-treatment parameters of the patients. Results: The range of motion, functional activity status and muscular strength were improved and the pain level was reduced after rehabilitation in all of the patients in both groups (p<0.05). There was no difference in duration of the treatment between the groups (p>0.05). There were no differences in range of motion, functional activity status, pain level, and muscle strength before and after rehabilitation between the groups (p>0.05). Conclusion: Manual therapy approaches may be safely applied in diabetic patients with frozen shoulder

Turkish version of the Anterior Cruciate Ligament Quality of Life questionnaire

To test the measurement properties of Turkish version of the Anterior Cruciate Ligament Quality of Life (ACL-QOL) questionnaire

Fetal Thoracic Malformation at 13 weeks of Gestation Associated With Turner Syndrome: A Case Report

In the present case report, we stated the intercourse between thoracic vascular malformations observed in the first trimester of pregnancy and Turner syndrome. Prenatal doppler findings of the vascular tumor and its relation with Turner syndrome is also evaluated. Since the introduction of antenatal screening programs for Turner syndrome based on nuchal translucency thickness in the first trimester of pregnancy, increasing number of fetal structural abnormalities are being detected at the 11-14 week ultrasound scan. Furthermore, cardiovascular complications are the main cause of increased mortality in Turner syndrome

Anterior Cruciate Ligament Reconstruction Using An Achilles Tendon Allograft Graft: A Retrospective Comparison Of Tunnel Widening Upon Use Of Two Different Femoral Fixation Methods

PubMe

Achilles Tendon Rupture: Physiotherapy And Endoscopy-Assisted Surgical Treatment Of A Common Sports Injury

Although the Achilles tendon (AT) is the strongest tendon in the human body, rupture of this tendon is one of the most common sports injuries in the athletic population. Despite numerous nonoperative and operative methods that have been described, there is no universal agreement about the optimal management strategy of acute total AT ruptures. The management of AT ruptures should aim to minimize the morbidity of the injury, optimize rapid return to full function, and prevent complications. Since endoscopy-assisted percutaneous AT repair allows direct visualization of the synovia and protects the paratenon that is important in biological healing of the AT, this technique becomes a reasonable treatment option in AT ruptures. Furthermore, Achilles tendoscopy technique may decrease the complications about the sural nerve. Also, early functional postoperative physiotherapy following surgery may improve the surgical outcomes.PubMe

Linear measurements of nanomechanical phenomena using small-amplitude AFM

Dynamic Atomic Force Microscopy (AFM) is typically performed at amplitudes that are quite large compared to the measured interaction range. This complicates the data interpretation as measurements become highly non-linear. A new dynamic AFM technique in which ultra-small amplitudes are used (as low as 0.15 Angstrom) is able to linearize measurements of nanomechanical phenomena in ultra-high vacuum (UHV) and in liquids. Using this new technique we have measured single atom bonding, atomic-scale dissipation and molecular ordering in liquid layers, including water. © 2005 Materials Research Society

Antifungal Prophylaxis and Treatment of Breakthrough Invasive Fungal Diseases in High-Risk Hematology Patients: A Prospective Observational Multicenter Study

We aimed to investigate the approaches for antifungal prophylaxis (AFP) and antifungal treatment in breakthrough invasive fungal diseases (IFDs) under AFP in high-risk hematology patients. Patients ≥ 18-years who received chemotherapy for acute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL) or a conditioning regimen for allogeneic hematopoietic stem cell transplantation (AHSCT) with a duration of neutropenia (< 500 cells/mm3) ≥ 10 days were included in a prospective multicenter observational study. Patients were followed until one week after recovery from neutropenia, discharge from the hospital, or death, which comes first to define the success of AFP. A total of 230 patients were recruited from 18 centers in seven months. Posaconazole prophylaxis was used in 134 (44 of whom failed) and 96 patients received fluconazole (28 of whom failed). The survival rate at 12 weeks after the initiation of AFP was higher in patients with successful prophylaxis (96.2% vs 56.9%, p < 0.001). IFDs were diagnosed in 27 patients. Duration of neutropenia was the only risk factor (OR: 1.03; 95% CI: 1.004–1.053) for development of IFDs. The types of breakthrough IFDs were; possible IFD in 15 patients, probable invasive aspergillosis (IA) in 9 patients, proven IA in 2 patients; and proven mucormycosis in 1 patient. Voriconazole was the drug of choice in 16 patients (5 of whom failed). Liposomal amphotericin B was used in the treatment of 8 patients (4 of whom failed). Posaconazole was the most frequently prescribed AFP in AML patients with high compliance to international guidelines. Approximately, one-third of ALL patients and AHSCT recipients received off-label posaconazole prophylaxis

Antifungal prophylaxis and treatment of breakthrough invasive fungal diseases in high-risk hematology patients: A prospective observational multicenter study

We aimed to investigate the approaches for antifungal prophylaxis (AFP) and antifungal treatment in breakthrough invasive fungal diseases (IFDs) under AFP in high-risk hematology patients. Patients >= 18-years who received chemotherapy for acute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL) or a conditioning regimen for allogeneic hematopoietic stem cell transplantation (AHSCT) with a duration of neutropenia ( 500 cells/mm(3)) >= 10 days were included in a prospective multicenter observational study. Patients were followed until one week after recovery from neutropenia, discharge from the hospital, or death, which comes first to define the success of AFP. A total of 230 patients were recruited from 18 centers in seven months. Posaconazole prophylaxis was used in 134 (44 of whom failed) and 96 patients received fluconazole (28 of whom failed). The survival rate at 12 weeks after the initiation of AFP was higher in patients with successful prophylaxis (96.2% vs 56.9%, p 0.001). IFDs were diagnosed in 27 patients. Duration of neutropenia was the only risk factor (OR: 1.03; 95% CI: 1.004-1.053) for development of IFDs. The types of breakthrough IFDs were; possible IFD in 15 patients, probable invasive aspergillosis (IA) in 9 patients, proven IA in 2 patients; and proven mucormycosis in 1 patient. Voriconazole was the drug of choice in 16 patients (5 of whom failed). Liposomal amphotericin B was used in the treatment of 8 patients (4 of whom failed). Posaconazole was the most frequently prescribed AFP in AML patients with high compliance to international guidelines. Approximately, one-third of ALL patients and AHSCT recipients received off-label posaconazole prophylaxis.Gilead Sciences Turkiye; Gilead Hayat Bulan Fikirler, 2015, TurkiyeThis study was supported by Gilead Sciences Turkiye by an unrestricted educational grant as Gilead Hayat Bulan Fikirler, 2015, Turkiye. Gilead Sciences did not have any role either design of the study or interpretation of the results