Factors affecting pain and fatigue in females with chronic widespread pain

Purpose: This study was conducted to investigate factors related to pain intensity and global fatigue in females with Chronic Widespread Pain (CWP). Material and methods: One hundred four patients with CWP were included. The mean age was 40.28±10.82 years. Both Pain intensity and global fatigue were assessed using a Visual Analogue Scale (VAS). The Hospital Anxiety and Depression Scale was used to describe anxiety and depression symptoms. Three different questionnaires (leisure time activity, and physical activity at home, at work) were used to determine physical activity levels. Dorsal regression was used to analyze the data. Results: The anxiety score was the most common factor affecting pain intensity (p=0.003). On the other hand, a moderate level of physical activity at home (p=0.027), physical activity level at work (p=0.008), and the anxiety score (p=0.027) were significant factors affecting global fatigue. Conclusion: Our results show that anxiety is the most important factor affecting both pain and global fatigue in women with CWP. These results also support the idea that the characteristics of pain, fatigue and anxiety should be evaluated separately

A Novel Alternating Cell Directions Implicit Method for the Solution of Incompressible Navier Stokes Equations on Unstructured Grids

In this paper, A Novel Alternating Cell Direction Implicit Method (ACDI) is researched which allows implementation of fast line implicit methods on quadrilateral unstructured meshes. In ACDI method, designated alternating cell directions are taken along a series of contiguous cells within the unstructured grid domain and used as implicit lines similar to Line Gauss Seidel Method (LGS). ACDI method applied earlier for the solution of potential flows is extended for the solution of the incompressible Navier-Stokes equations on unstructured grids. The system of equations is solved by using the Symmetric Line Gauss-Seidel (SGS) method along the alternating cell directions. Laminar flow fields over a single element NACA-0008 airfoil are computed by using structured and unstructured quadrilateral grids, and inviscid Euler flow solutions are given for the NACA-23012b multielement airfoil. The predictive capability of the method is validated against the data taken from the experimental or the other numerical studies and the efficiency of the ACDI method is compared with the implicit Point Gauss Seidel (PGS) method. In the selected validation cases, the results show that a reduction in total computation between 18% and 23% is achieved by the ACDI method over the PGS. In general, the results show that the ACDI method is a fast, efficient, robust and versatile method that can handle complicated unstructured grid cases with equal ease as with the structured grids

Kronik muskulo-skeletal ağrının fizyoterapi-rehabilitasyon ile yönetimi

Pek çok insan altı aydan fazla süren ağrı olarak tanımlanan kronik ağrıdan (KA) yakınır. KA hafif şiddette olabildiği gibi ızdırap verici, devamlı veya ara sıra olabilir. Bireyi sadece rahatsız edebilir veya tamamen çaresiz duruma getirebilir. KA Muskuloskeletal Ağrı (KMSA) dünya genelinde oldukça sık karşılan bir sağlık problemidir. KMSA ile sinir sitemi aylar hatta yıllar bounca aktive edilir. Bu durum bireyin fiziksel ve emosyonel yapılarını olumsuz etkiler. KMSA sıklıkla fiziksel fonksiyon bozukluğuna, dizabiliteye ve azalmış yaşam kalitesine yol açar. Fizyoterapi ve Rehabilitasyon (F&R) KMSA'lı bireylerin yaşam kalitelerini artırmada hayati önem taşır. Fizyoterapistler elekrofiziksel ajanlar, maual teknikler ve davranış terapi odaklı egzersiz yaklaşımlarını kullanarak holistic bir bakış açısıyla (biyo-psiko-sosyal model) KMSA'lı hastalarıyla çalışırlar. F&R hastalara KMSA ile başa çıkma yöntemlerini öğretir ve yardımcı olur

Fizyoterapistlerin ön çapraz bağ yaralanmasında akut ağrıya yönelik tedavi tercihleri

Amaç: Ön çapraz bağ yaralanması, sportif aktivitelere katılan genç kişilerde sıklıkla görülen ortopedik bir problemdir. Ön çapraz bağ yırtıklarında ilk altı hafta akut dönem olarak kabul edilir. Bu dönemdeki temel amaç; öncelikle dizdeki akut ağrı ve inflamasyonun kontrol altına alınmasıdır. Bu çalışmanın amacı, ön çapraz bağ yaralanmasında fizyoterapistlerin akut ağrıya yönelik tercih ettikleri tedavi yöntemlerini belirlemektir. Gereç ve Yöntemler: Çalışmada 1 yıl ve daha uzun süredir çalışan ve araştırmaya katılmayı kabul eden toplam doksan üç fizyoterapist çalışma kapsamına alındı. Çalışmaya katılan fizyoterapistlerin yaş ortalamaları 28,52±6,53 yıl ve çalışma yıl ortalamaları 8,03±6,33 yıl idi. Fizyoterapistlere, ön çapraz bağ yaralanmasına ilişkin hayali bir senaryo (futbol oynarken parsiyel ön çapraz bağ rüptürü oluşan 21 yaşındaki erkek) verildi. Bu senaryo göz önüne alınarak; ağrıyı tedavi etmede hangi yöntemleri tercih ettiklerine dair açık uçlu sorular soruldu. Bulgular: Senaryoya göre fizyoterapistler tarafından tercih edilen tedavi yöntemlerinin dağılımı; ağrı ve şişlik için elektro-fiziksel ajanlar %97,8; soğuk uygulama %89,2; manuel tedavi teknikleri %78,5; dizin korunması ve stabilizasyon %53,8; kas performansı ve eklem hareket açıklığının korunması için egzersiz %49,5 ve alternatif metotlar %12,9 şeklinde idi. Sonuç: Parsiyel ön çapraz bağ yaralanmasında akut ağrının tedavisinde fizyoterapistler tarafından en çok tercih edilen yöntemler sırasıyla elektrofiziksel ajanlar, soğuk uygulama, manuel tedavi teknikleri, eklem koruma ve eklem stabilizasyon yöntemleridir

Treatment preferences of physiotherapists' for acute pain in anterior cruciate ligament injury

Background and aims: Anterior Cruciate Ligament injury is a common orthopedic problem in young people who participated sport activities. In Anterior Cruciate Ligament injury, the first six weeks are accepted as an acute period. The primary goal in this period is to control acute pain and inflammation in the knee. The aim of this study was to determine of treatment preferences of physiotherapists’ for acute pain in Anterior Cruciate Ligament injury. Methods: In this study, total of ninety-three physiotherapists were participated who worked for one year or more and agreed to participate in the study were included in the study.The mean age was 28.52 ± 6.53 and mean working time 5.5±6.13 year. The scenario (21 years old male had a partial Anterior Cruciate Ligament rupture during play football) was given to physical therapist. Considering this scenario; they were asked which methods they preferred to treatment to acute pain more frequently. Results: The distribution treatment method preferences by physical therapists were electro physical agents 97.8%, cryotherapy 89.2%, manual therapy 78.5%, methods for pain and swelling stabilization and protection of knee 53.8%, exercise for keeping muscle performance and range of motion 49.5% and 12,9% alternative methods. Conclusion: The study results suggested that most chosen methods by physical therapists for treatment of acute pain in partial Anterior Cruciate Ligament injury was electro physical agents, cryotherapy, manual therapy and joint stabilization and protection

Factors affecting pain and fatigue in females with chronic widespread pain

Purpose: This study was conducted to investigate factors related to pain intensity and global fatigue in females with Chronic Widespread Pain (CWP). Material and methods: One hundred four patients with CWP were included. The mean age was 40.28±10.82 years. Both Pain intensity and global fatigue were assessed using a Visual Analogue Scale (VAS). The Hospital Anxiety and Depression Scale was used to describe anxiety and depression symptoms. Three different questionnaires (leisure time activity, and physical activity at home, at work) were used to determine physical activity levels. Dorsal regression was used to analyze the data. Results: The anxiety score was the most common factor affecting pain intensity (p=0.003). On the other hand, a moderate level of physical activity at home (p=0.027), physical activity level at work (p=0.008), and the anxiety score (p=0.027) were significant factors affecting global fatigue. Conclusion: Our results show that anxiety is the most important factor affecting both pain and global fatigue in women with CWP. These results also support the idea that the characteristics of pain, fatigue and anxiety should be evaluated separately

Empowering teacher students for diversity in schools: Mentorship model as a mediator in sweden

WOS: 00043016790001