The effect of an exercise program in conjunction with short-period patellar taping on pain, electromyogram activity, and muscle strength in patellofemoral pain syndrome

Background: McConnell recommended that patellar tape be kept on all day, until patients learn how to activate their vastus medialis obliquus (VMO) during an exercise program. This application may pose problems because prolonged taping may be inadvisable for some patients or even contraindicated owing to skin discomfort, irritation, or allergic reaction. Hypothesis: Wearing patellofemoral tape for a shorter duration during an exercise program would be just as beneficial as a prolonged taping application. Study Design: Prospective cohort. Methods: Twelve patients and 16 healthy people participated. Patients underwent short-period patellar taping plus an exercise program for 3 months. Numeric pain rating, muscle strength of the knee extensors, and electromyogram activity of the vastus lateralis and VMO were evaluated. Results: There were significant differences in electromyogram activity (P=.04) and knee extensor muscle strength (P=.03) between involved and uninvolved sides before treatment. After treatment, pain scores decreased, and there were no significant differences between involved and uninvolved sides in electromyogram activity (P=.68) and knee extensor strength (P=.62). Before treatment, mean VMO activation started significantly later than that of vastus lateralis, as compared with the matched healthy control group (P=.01). After treatment, these differences were nonsignificant (P=.08). Conclusion: Short-period patellar taping plus an exercise program improves VMO and vastus lateralis activation. Clinical Relevance: A shorter period of taping for the exercise program may be as beneficial as a prolonged taping application. © 2009 The Author(s)

The Effects of Additional Kinesio Taping Over Exercise in the Treatment of Patellofemoral Pain Syndrome

Objective: The purpose of this prospective, randomized, controlled study was to determine the effects of kinesio taping in the treatment of patients with patellofemoral pain syndrome (PFPS). Methods: Thirty-one women with PFPS (mean age: 44.88 years; range: 17 to 50 years) were randomly assigned to either a kinesio taping (KT) (n=15) or control (n=16) group. Both groups received the same muscle strengthening and soft tissue stretching exercises for six weeks and the KT group additionally received kinesio taping at four day intervals for six weeks. Visual analog scale was used to measure pain intensity. Tension of the iliotibial band/tensor fascia lata and hamstring muscles and the mediolateral location of the patella were measured before the treatment and at the end of the third and sixth week. The Anterior Knee Pain Scale / Kujala Scale was used for the analysis of functional performance. Results: Comparing pretreatment and 6th week values, significant improvements were found in pain, soft tissue flexibility and functional performance of both groups (p0.05). The KT group had significantly better hamstring flexibility than the control group at the end of three weeks (p<0.05). Conclusion: The addition of kinesio taping to the conventional exercise program does not improve the results in patients with PFPS, other than a faster improvement in hamstring muscle flexibility

A Retrospective Analysis of Mid-Term Paitent Follow-ups After Partial Atrioventricular Septal Defect Repair: A Unicenter Experience

###EgeUn###Objective: Partial atrioventricular septal defect is also known as ostium primum type atrial septal defect. Complications such as atrioventricular valve insufficiency, complete atrioventricular bundle blocks requiring pace-maker and left ventricle outflow obstruction may occur during postoperative period. This study presents the surgical correction results of partial atrioventircular septal defect, thus we aimed to determine the comorbidities and mid-term outcomes. In this study, we aimed to report the results of partial atrioventircular septal defect. correction operations, their comorbidities and mid-term data after discharge. Method: Overall 41 patients who underwent surgical correction with the diagnosis of partial atrioventircular septal defect between 2005-2017 in our institute were included in this study. Hospital records were retrospectively analyzed. The patients were evaluated via transthoracic echocardiography preoperatively and at postoperative 1., 3., 6., and 20. months, afterwards, the examinations countinued at yearly interval. Results: Only one patient exited due to congestive heart failure during hospital stay, and follow-up period. A permenant pace maker was implanted in one patient because of development of total atrioventricular block. After discharge, a significant improvement was observed in the left atrioventricular valve insufficiency. Conclusion: As a consequence of paying maxiumum effort to avoid development of bundle branch block and performing an adequate valve repair during surgical procedure, the requirement for reoperation in the long-term follow-up may be considerably reduced in patients with partial atrioventircular septal defect

Surgical Repair of Middle Aortic Syndrome in a Three-Year-Old Patient

WOS: 000298002800028PubMed ID: 22011330Middle aortic syndrome is a rare variation of aortic coarctation that is localized to the distal thoracic and abdominal aorta, and can involve the visceral and renal arteries. Irreversible organ damage and end-stage congestive heart failure may be the possible harmful complications of this disease in untreated patients. We report a three-year-old patient with diffuse thoracic and abdominal aorta hypoplasia treated with a thoracic to abdominal aortic bypass graft. (J Card Surg 2011;26:659-662

Evaluation of Supravalvular Changes in Aortic Gradient Following Inverted Y-Patch Repair

WOS: 000564634900005Objective: This study presents our single-institute experience regarding the patients who underwent surgical correction via inverted Y-patch repair with the diagnosis of supravalvular aortic stenosis. Method: A total of 16 patients who underwent inverted Y-patch (Doty) repair in our center between 2005 and 2019 were retrospectively analyzed. Complications, supravalvular residual gradient measurements, causes of re-operation were evaluated. Results: Patient population consisted of 9 males, 7 females with an overall mean age of 41.18 +/- 16.14 months (range: 4 months to 19 years). Eight (50%) patients were diagnosed with Williams-Beuren syndrome and 3 (18.7%) with bicuspid aortic valve. Three (18.7%) patients had undergone simultaneous subaortic membrane resection and pulmonary patch plasty was performed in 2 (12.5%) patients. There was one (6.7%) inhospital death and no mortality was observed during follow-up. the mean follow-up time was 5.25 +/- 3.37 years. During this period, 2 (12.5%) patients required pulmonary balloon dilatation and one patient repeated Doty repoir and aortic valve commissurotomy two years after the initial surgery. Thereafter the same patient needed aortic homograft valve replacement and Doty repair for the third time due to severe aortic insufficiency and suprvalvular aortic stenosis. Conclusion: Inverted Y-patch repair provides satisfactory results, acceptable reoperation risk, and good overall survival

An experience in the COVID-19 pandemic period: Turkish Cardiovascular Surgery Online Board Exam 2020

Background: The aim of this study was to provide information about the results of the Turkish Cardiovascular Surgery Board written exam, which was held online due to the pandemic. Methods: This cross-sectional study included a total of 41 cardiovascular surgeons and residents (39 males, 2 females) in November 21st, 2020 between 10:00 A.M. and 12:00 P.M. After the online exam was completed, data on participant information and answers to exam questions were obtained from the information system. Results: Of all participants, 39% were working in university hospitals. A total of 82.9% of the participants were specialists. The total mean score of the participants was 60.3 +/- 10.2 and 53.7% of them were declared successful-passed. Aortic surgery (63%), heart failure surgery (50%), and mitral valve surgery (50%) were the most incorrectly answered questions. Conclusion: With the online exam, the Board gained different experiences regarding exam planning and implementation. The Turkish Cardiovascular Surgery Board did not give up the Board exam during the pandemic period and conducted a reliable written exam with many participants