Assessment of energy expenditure, physical activity and sleep pattern in patients with frequent symptomatic ventricular ectopic beats

Background. Ventricular ectopic beats (VEBs) are considered as benign ventricular arrhythmias in patients without structural heart disease. However, symptomatic frequent VEBs can adversely affect energy metabolism. The present study aimed to determine the effect of symptomatic frequent VEBs on energy expenditure, physical activity and sleep pattern. Methods. Thirty-seven patients with symptomatic frequent VEBs and no structural heart diseases were enrolled. Patients underwent simultaneous 24-hour-ambulatory Holter electrocardiogram monitoring and the BodyMedia armband device monitoring which measures energy expenditure. Data acquired from both devices were compared with the data acquired from healthy volunteers in the control group. Results. Total energy expenditure (TEE) was higher in the patient group than the control group (1470 353 kcal vs 1125 275 kcal, P < 0.001). Average metabolic equivalence (aMETs) (1.1 +/- 0.2 vs. 1.3 +/- 0.2, P = 0.028), physical activity duration (PAD) (0.35 vs. 0.48, P = 0.007) and sleep duration (SDN) (3.15 vs. 4.31, P = 0.004) were significantly lower in the patient group than control group. VEBs frequency was inversely correlated with only SDN (r = 0.374, P = 0.027). Conclusion. Total energy expenditure (TEE) is increased in patients with symptomatic frequent VEBs in comparison with healthy subjects while PAD, average metabolic equivalence (aMETs) and SDN are decreased. VEBs frequency was inversely correlated with SDN. (C) 2016 Association pour le developpement de la recherche en nutrition (ADREN). Published by Elsevier Masson SAS. All rights reserved

A pilot study of reliability and validity of Turkish version of West Haven-Yale Multidimensional Pain Inventory in patients with low back pain

Background: West Haven-Yale Multidimensional Pain Inventory (WHYMPI), used in the evaluation of patients with chronic pain including behavioral and cognitive assessment, is a multidimensional pain scale consisting of three main sections and 12 subscales. The validity of this inventory has been supported by various study results of confirmatory and exploratory factor analytic procedures. The aim of our present study was to investigate the validity and reliability of the Turkish form of the West Haven-Yale Multidimensional Pain Inventory (WHYMPI-T). Methodology: 41 patients, with a minimum 3 mon history for chronic non-specific low back pain, without previous surgical history, neurological and rheumatic diseases, and without communication problem; completed Brief Pain Inventory (BPI), McGill Pain Questionnaire (MPQ), Beck Depression Inventory (BDI) and the Short Form-36 (SF-36) scales. The measurements were repeated in fifth days. Results: Significant difference between WHYMPI-T lower and upper group averages was found. Internal consistency analysis of the scale, Cronbach's α coefficient ranged from 0.93 to 0.99 for B and C sections. All the items of A, B and C sections were found compatible with each other in the item analyses and scale test-retest results were congruent with each other. Between WHYMPI-T subscales and BPI, MPQ, BDI, SF-36 scales, a positive correlation was observed. Conclusion: The results of our study confirm that WHYMPI-T is a valid and reliable instrument which can be used for the evaluation of chronic non-specific low back pain. Key words: West Haven-Yale Multidimensional Pain Inventory; WHYMPI; WHYMPI-T; Low back pain; Validity; Reliability Citation: Gulcelik GE, Malkoc M, Aysel Yildiz Ozer AY. A pilot study of reliability and validity of Turkish version of West Haven-Yale Multidimensional Pain Inventory in patients with low back pain. Anaesth. pain intensive care 2020;24(5): Received: 13 September 2020, Reviewed: 17 September 2020, Accepted: 23 September 202

Serebral palsili çocuklarda gövde stabilizasyonu ve rehabilitatif etkileri

The trunk has a major role in providing dynamic stabilization in postural reactions. It also plays a critical role in supporting upper and lower extremity movements, loading, and protecting the spine. Trunk stabilization is the maintenance of trunk postural control and movement despite the disturbing effects of gravity, internal and external perturbations. Cerebral palsy (CP) is a non-progressive neurodevelopmental disease. Weak trunk control is common among children with CP. Trunk stability is important in rehabilitation because of its contribution to the child’s activity and participation. However, the results of trunk stabilization training in CP rehabilitation are limited, and few studies have emphasized the importance of trunk stabilization in CP. Considering the growing interest in supportive and novel rehabilitation methods in children with CP, this paper aimed to (i) describe the main features of neck and trunk stabilization (ii) summarize the possible therapeutic effects of neck and trunk stabilization methods based on different approaches in patients with CP. As a result, the literature demonstrates that these exercises benefit the rehabilitation process in reducing the negative effects of trunk instability. Increasing trunk stabilization with different techniques can improve the child’s upper-lower extremity skills, visual-perceptual functions and balance abilitiesPostüral reaksiyonlarda dinamik stabilizasyonun sağlanmasında gövdenin rolü büyüktür. Ayrıca üst ve alt ekstremite hareketlerini destekleme, yüklenme ve omurganın korunmasında kritik önemi vardır. Gövde stabilizasyonu, yerçekimi, iç ve dış pertürbasyonların olumsuz etkilerine rağmen gövde postüral kontrol ve hareketin sürdürülmesidir. Serebral palsi (SP), ilerleyici olmayan nörogelişimsel bir hastalıktır. Zayıf gövde kontrolü, SP'li çocuklar arasında yaygındır. Çocuğun aktivitesi ve katılımına olan katkısı nedeniyle gövde stabilitesi rehabilitasyonda önemlidir. Bununla birlikte, SP rehabilitasyonunda gövde stabilizasyon eğitiminin sonuçları sınırlı olup SP'de gövde stabilizasyonunun önemine vurgu yapan çok az sayıda araştırma yapılmıştır. SP'li çocuklarda destekleyici ve yeni rehabilitasyon yöntemlerine artan ilgiyi göz önünde bulundurarak, bu makale (i) boyun ve gövde stabilizasyonunun temel özelliklerini tanımlamayı (ii) SP'li hastalarda farklı yaklaşımlara dayalı boyun ve gövde stabilizasyon yöntemlerinin olası terapötik etkilerinin özetini vermeyi amaçlamıştır. Sonuç olarak literatür, gövde instabilitesinin olumsuz etkilerini azaltmada bu egzersizlerin rehabilitasyon sürecine yarar sağladığını göstermektedir. Farklı tekniklerle gövde stabilizasyonunun arttırılması çocuğun üst-alt ekstremite becerilerini, görsel-algısal fonksiyonlarını ve denge yeteneklerini geliştirebili

The effect of kinesiological taping on pain, function, and disability in subacromial impingement syndrome- a randomized controlled study

Objective: Subacromial Impingement Syndrome (SIS) is one of the most common shoulder pathologies that cause pain and lose of function. This study aimed to compare the effects of kinesiological taping and conventional physiotherapy (CP) on pain, functionality, and disability in SIS patients. Materials and Methods: The study was completed with 54 patients aged 18-60 years. By randomization, the participants were divided into two groups: The Intervention Group (IG) and the Control Group (CG). While the CP was performed for ten sessions, kinesiological taping was repeated every three days for the IG. The CG was taken to only ten sessions of CP. The CP was applied for 60x5x2 minutes/day/week. Pain severity, function, and disability were assessed before and after the treatment. Results: There was no difference between the groups in pain severity (p=0.074), function (p=0.565), and disability (p=0.315) scores. On the other hand, there were significant improvements in pain (p=0.001), function (p=0.001), and disability (p=0.005) scores of IG according to intra-group analysis. Similar results were obtained in the CG. However, when the effect sizes of these treatment methods were examined, they did not create a clinically significant superiority compared to each other. Conclusion: Kinesiological taping has been widely used in patients with orthopedic problems. According to our results, kinesiological taping did not have a clinical effect in reducing pain, improving function and disability when applied with CP compared to CP alone. We think that only kinesiological taping may not be sufficient be an alternative to traditional methods in the early term

Koah'lı hastalarda vücut farkındalığı tedavisinin denge ve düşme korkusuna etkisi: Pilot çalışma

GİRİŞ-AMAÇ: Kronik akciğer hastalıkları ile ilgili tedavi kılavuzlarında akciğer dışı sistemlerin ve semptomların da değerlendirilmesi önerilmektedir. Bu kapsamda özellikle son dönemde Kronik Obstrüktif Akciğer Hastalığı(KOAH)’lı hastalarda denge ve düşmenin etkilenimine dair yapılan çalışmaların sayısı artmış olup; bu araştırmalar KOAH’lı hastaların hastalığın şiddeti ile orantılı şekilde; fonksiyonel denge kısıtlılığı ve düşme korkusuna sahip olduklarını göstermiştir. KOAH’da pulmoner rehabilitasyonun (PR) etkinliği iyi tanımlanmış olsa da, postüral kontrol, denge ve düşme korkusu düzeyinde minimal kazanım sağlamaktadır. KOAH’ lılarda denge ve düşmeyi iyileştirecek alternatif tedavilere ihtiyaç duyulmaktadır. Literatüre bakıldığında Vücut Farkındalığı Tedavisi (VFT)’ nin çeşitli hasta gruplarında yapılan egzersizin kalitesini, koordinasyonu, dengeyi, postüral kontrolü, yaşam kalitesini, zihin-vücut bütünleşmesini arttırdığı görülmektedir. Bu pilot çalışma ile KOAH’lı hastalarda PR programına ek olarak verilen VFT’nin denge ve düşme korkusu üzerindeki etkisini araştırmak amaçlanmıştır. YÖNTEM: Deneysel bir çalışma olarak katılımcılar deney(n=11) ve kontrol(n=11) grubuna ayrıldı. Deney ve kontrol grubundaki tüm hastalara 8 hafta boyunca, haftanın her günü 30 dakikalık PR programı verildi. Deney grubundaki hastalara PR programına ek olarak 8 hafta boyunca, VFT haftada 1 gün, günde 1 saat uygulandı. Katılımcıların statik ve dinamik dengesi Balance Master System denge ve performans test cihazı ile düşme korkusu ise Düşme Etkinlik Ölçeği (DEÖ) ile değerlendirildi. Sekiz haftanın sonunda başlangıçta yapılan tüm değerlendirmeler tekrarlandı. BULGULAR: İki grupta da başlangıca göre dengede gelişme ve düşme korkusunda azalma saptandı. Her iki tedavi etkili bulundu; gruplar arası karşılaştırmada dinamik denge ve düşme korkusu seviyesi VFT grubu lehine belirgin düzeyde farklı iken (p0,05). SONUÇ: KOAH’lı hastalarda VFT’nin denge ve düşme korkusunun iyileştirilmesinde PR’ye göre daha etkili olduğu saptanmıştır. Fiziksel bilinci geliştirerek doğru vücut uyumunu ve mekaniğini kurmayı hedefleyen VFT, KOAH’lı hastalarda dengeyi geliştirmek ve düşme korkusunu azaltmak için etkili bir alternatif yöntemdir; KOAH hastaları arasında başa çıkma becerilerini ve bilişsel davranışları geliştirmenin yanı sıra daha iyi hareket etmelerine yardımcı olabileceği ve böylece günlük yaşam aktivitelerini gerçekleştirme yeteneklerini geliştirebileceği için pulmon

A pilot study of reliability and validity of Turkish version of West Haven-Yale Multidimensional Pain Inventory in patients with low back pain

Background: West Haven-Yale Multidimensional Pain Inventory (WHYMPI), used in the evaluation of patients with chronic pain including behavioral and cognitive assessment, is a multidimensional pain scale consisting of three main sections and 12 subscales. The validity of this inventory has been supported by various study results of confirmatory and exploratory factor analytic procedures. The aim of our present study was to investigate the validity and reliability of the Turkish form of the West Haven-Yale Multidimensional Pain Inventory (WHYMPI-T).Methodology: 41 patients, with a minimum 3 mon history for chronic non-specific low back pain, without previous surgical history, neurological and rheumatic diseases, and without communication problem; completed Brief Pain Inventory (BPI), McGill Pain Questionnaire (MPQ), Beck Depression Inventory (BDI) and the Short Form-36 (SF-36) scales. The measurements were repeated in fifth days.Results: Significant difference between WHYMPI-T lower and upper group averages was found. Internal consistency analysis of the scale, Cronbach's a coefficient ranged from 0.93 to 0.99 for B and C sections. All the items of A, B and C sections were found compatible with each other in the item analyses and scale test-retest results were congruent with each other. Between WHYMPI-T subscales and BPI, MPQ, BDI, SF-36 scales, a positive correlation was observed.Conclusion: The results of our study confirm that WHYMPI-T is a valid and reliable instrument which can be used for the evaluation of chronic non-specific low back pain

Lumbal di̇sk herni̇li̇ bi̇reylerde hi̇bri̇t telerehabi̇li̇tasyon programinin etki̇si̇

Giriş: Lumbal disk hernisi (LDH) ağrı ve duyusal kayıplara neden olan, kas kuvvetinde kayıplar ve buna bağlı olarak gelişen fonksiyon kaybı ile yaşam kalitesinin azalması ile karakterize muskuloskeletal bir problemdir. Bu çalışmanın amacı LDH tanılı bireylerde hibrit telerehabilitasyon programının etkinliğinin araştırılmasıdır. Gereç-Yöntem: Bu çalışma Ocak-Haziran 2022 tarihleri arasında Marmara Üniversitesi Fizyoterapi ve Rehabilitasyon Bölümü’nde yapıldı. Çalışmaya dahil edilme kriterlerine uyan ve çalışmaya gönüllü olarak katılan 51 LDH tanılı birey alındı. Bireylerin ağrı durumu Vizüel Analog Skala (VAS); kinezyofobi durumu Tampa Kinezyofobi Ölçeği (TKÖ), yaşam kaliteleri SF-12 Yaşam Kalitesi Ölçeği (SF-12); alt ekstremite kuvveti 30 Saniye Otur Kalk Testi (30 STS) ve fonksiyonelliği Zamanlı Kalk Yürü Testi (TUG) ve Oswestry Bel Ağrısı Engellilik Anketi (OBAEA) ile değerlendirildi. Bireyler 8 haftalık hibrit telerehabilitasyon programına dahil edildi. Değerlendirmeler dört defa (D0: program öncesi, D1: 4. haftanın sonu, D2: 8. haftanın sonu, D3: 16. haftanın sonu) yapıldı ve değişimler karşılaştırıldı. Bulgular: Programa alınan 51 hastanın 44’ü kadın 7’si erkekti (yaş ortalaması: 47,13±11,73 yıl). 22 hasta aktif olarak çalışıyordu. 25 hasta daha önce LDH nedeni ile fizik tedavi ve rehabilitasyon programına katılmıştı ve 16 hasta düzenli olarak fiziksel aktivite yaptığını bildirdi. Program öncesi sonrası değerlendirmeler karşılaştırıldığında VAS, SF-12 Fiziksel ve Mental skorları, 30 STS, TUG ve OBAEA için istatistiksel olarak anlamlı fark bulundu (p<0,01). Sonuç: Çalışmanın sonunda hibrit telerehabilitasyon programının LDH tanılı bireylerde ağrı, kas kuvveti, fonksiyonellik ve yaşam kalitesi üzerinde etkili olduğunu bulundu.Introduction: Lumbar disc herniation (LDH) is a musculoskeletal problem that causes pain and sensory loss, and is characterized by loss of muscle strength, loss of function and decreased quality of life. The aim of this study is to investigate the effectiveness of the hybrid telerehabilitation program in individuals diagnosed with LDH. Material-Method: This study was carried out between January and June 2022 at Marmara University, Department of Physiotherapy and Rehabilitation. 51 individuals diagnosed with LDH who met the inclusion criteria and voluntarily participated in the study were included. Pain status of individuals was assessed with the Visual Analogue Scale (VAS); kinesiophobia status was evaluated with Tampa Scale for Kinesiophobia (TSK), quality of life was assessed with the 12-Item Short Form Health Survey (SF-12); lower extremity strength was evaluated with the 30 Second Sit to Stand Test (30 STS) and functionality was assessed with the Timed Up and Go Test (TUG) and the Oswestry Low Back Pain Disability Questionnaire (OLBPDQ). Individuals were included in an 8-week hybrid telerehabilitation program. Evaluations were made four times (D0: pre-program, D1: end of week 4, D2: end of week 8, D3: end of week 16) and changes were compared. Results: Of the 51 patients included in the program, 44 were female and 7 were male (mean age: 47.13±11.73 years). 22 patients were actively working. 5 patients had previously participated in a physical therapy and 134 rehabilitation program due to LDH, and 16 reported regularly engaging in physical activity. When the evaluations before and after the program were compared, a statistically significant difference was found for VAS, SF-12 Physical and Mental scores, 30 STS, TUG and OLBPDQ (p<0.01). Conclusion: At the end of the study, it was found that the hybrid telerehabilitation program was effective on pain, muscle strength, functionality and quality of life in individuals with LDH

The effects of therapeutic intermittent hypoxia implementation on complete blood count parameters: an experimental animal model

Objective: Intermittent hypoxia (IH) implementation is a method performed by intermittently decreasing oxygen concentration in inhaled air at specific rate. This method varies between studies in terms of its application. This study aims to examine the changes in Complete Blood Count (CBC) parameters caused by IH implementation at therapeutic dose ranges with a single model. Methods: Ten Sprague Dawley type adult male rats were divided into two groups. In the study group, FiO2 level of inhaled air, was reduced to 10% in hypoxic cycle. 5 minutes normoxia-hypoxia cycle was used in each 30 minutes experiment period for study group. Control group remained in normoxic air for 30 minutes. 1 cc of blood was taken from mandibular vein from all rats at the end of 6th day. CBC analyzes were performed and differences between two groups were investigated. Results: Significant differences were detected in some CBC parameters between the two groups. It was determined that significant increase in MONO (p<0.001), MONO% (p<0.001), MCH (p=0.03), PLT (p=0.013) and PCT (p=0.007) parameters and significant decrease in MPV (p=0.02) parameters, in favor of study group. Conclusion: IH implementation was caused significant changes in MONO, MONO%, MCH, PCT, PLT and MPV parameters in the CBC analysis of rats. Considering the study results, therapeutic IH implementation may thought to have important effects in terms of lung protection and regeneration. Further research may focus on this point for precising and supporting of this study’ results