Dizüstü Amputasyonu Olan Bireylerde İkili Görev Denge Eğitiminin Etkilerinin İncelenmesi

The aim of this study is to investigate the effects of dual task balance training on static and dynamic balance, functional mobility, gait parameters, cognitive level, balance confidence, depression, sleep quality, quality of life in individuals with transfemoral amputation. Twenty individuals who participated in the study were divided into two groups. One group performed single-task gait and balance exercises, the other group performed dual-task gait and balance exercises. Individuals were treated for 4 weeks, 3 days a week. individuals were evaluated before and after treatment. After the demographic and clinical characteristics of the subjects were recorded, single leg stance time, four square step test, timed up and go test, 10 meter walking test, gait analysis with footprint method were performed single task, with cognitive dual task and motor dual task. Additionally Montreal Cognitive Assessment Scale, Activity-specific balance confidence scale, Beck Depression Inventory, Pittsburg sleep quality index, World Health Organization Quality of Life Module were applied. Demographic and clinical characteristics of the two groups were similar (p> 0.05). Although balance and mobility improved in both groups, it was seen that dual task balance performance improved more in the dual task group after treatment. Dual task functional mobility and gait speed increased more in the dual task group. Walking speed on uneven ground improved more in the dual task group. The decrease in the step width and the increase in cadence with the dual task were more common in the dual task group with single task and cognitive dual task. It was seen that performing exercises as a dual task had a positive effect on cognitive status. (p 0,05). Her iki grupta da denge ve mobilite gelişmekle birlikte ikili görev denge performansının tedavi sonrası ikili görev eğitim grubunda daha çok geliştiği görüldü. İkili görev fonksiyonel mobilite ve yürüyüş hızının ikili görev grubunda daha fazla arttığı görüldü. Düz olmayan zeminde yürüyüş hızının ikili görev grubunda daha fazla geliştiği bulundu. Tek görev ve kognitif ikili görevle birlikte yürüyüşte adım genişliğindeki azalmanın ve ikili görevle birlikte kadanstaki artışın ikili görev eğitim grubunda daha fazla olduğu tespit edildi. Egzersizlerin ikili görev şeklinde yapılmasının kognitif düzeyi olumlu etkilediği görüldü (p <0,05). Bu çalışmanın sonucunda her iki egzersiz yaklaşımının olumlu etkisi bulunmakla birlikte, ikili görev eğitiminin ampute rehabilitasyon programı içerisinde yer almasının önemli olduğu görüldü. Rehabilitasyon programına ikili görev egzersizlerinin eklenmesinin görev otomatikliğinin artmasından dolayı alanda çalışan profesyonellere farklı bir bakış açısı sunacağı düşünülmektedir

INVESTIGATION OF THE RELATIONSHIP OF REINTEGRATION PROCESS TO NORMAL LIVING AFTER AMPUTATION WITH QUALITY OF LIFE AND FUNCTIONAL LEVEL

Amaç: Çalışma amputasyondan sonra normal yaşama yeniden katılımın yaşam kalitesi ve fonksiyonel düzey ile ilişkisinin incelenmesi ve normal yaşama yeniden katılım sürecini etkileyen faktörlerin belirlenmesi amacıyla yapıldı. Yöntemler: Çalışmaya yaşları 18-50 arasında değişen, unilateral ekstremite amputasyonu olan 120 birey dahil edildi. Katılımı değerlendirmek için Normal Yaşama Yeniden Katılım İndeksinin (Reintegration to Normal Living Index, RNLI) Türkçe versiyonu uygulandı. Amputelerde protez kullanımına ilişkin faktörleri ve proteze uyum düzeyini belirlemek, fonksiyonel düzeyi değerlendirmek amacıyla Trinity Amputasyon ve Protez Deneyim Ölçeği (Trinity Amputation and Prosthesis Experience Scale, TAPES) kullanıldı. Yaşam kalitesi, Kısa Form 36 (Short Form, SF 36) ile değerlendirildi. Demografik bilgileri, amputasyon ve proteze ait bilgileri, mesleki ve işe yönelik bilgileri sorgulayan tanımlayıcı genel ampute değerlendirme anketi tarafımızca oluşturulup olgulara uygulandı. Sonuçlar: RNLI alt bölümleri ve toplam skorları ile SF-36nın alt bölümleri ve özet skalaları arasında istatistiksel olarak anlamlı ilişki bulundu (p0.05). RNLI alt bölümleri ile TAPES 1. Kısım psikososyal uyum, aktivite kısıtlaması, protez ile memnuniyet bölümleri arasında istatistiksel olarak anlamlı ilişki olduğu saptandı (p0.05). Eğitim düzeyi, rehabilitasyon alma durumu, güdük ağrısı ve fantom ağrısı, genel sağlık durumu ve genel fiziksel kapasite algısı gibi değişkenlerin normal yaşama yeniden katılımı etkilediği gözlendi (p0.05). Tartışma: Bu çalışma, amputasyondan sonra normal yaşama katılımın yaşam kalitesi ve fonksiyonel düzey ile ilişkili olduğunu göstermektedir.Purpose: This study was carried out to investigate the relationship of reintegration to normal living process with quality of life and functional level and to determine the factors effecting reintegration to normal living process. Methods: 120 subjects aged between 18-50 years who had unilateral extremity amputation were included. Turkish version of Reintegration to Normal Living Index (RNLI) survey was used to evaluate reintegration. Trinity Amputation and Prosthesis Experience Scale (TAPES) was used to determine the factors regarding the use of prosthesis and the level of compliance with the prosthesis and to evaluate the functional level for amputees. Quality of life was assessed by Short Form-36 (SF-36). A general amputee assessment questionnaire including information about demographics, amputation and prosthetics and occupation which was developed by the researchers was used. Results: Statistically significant relationships were found between subdivisions and total scores of RNLI and subdivisions and summary scales of SF-36 (p&lt;0.05). Statistically sig- nificant relationships were found between subdivisions of RNLI and subdivisions of TAPES that includes psychosocial adjustment, activity limitation, satisfaction with the prosthesis (p&lt;0.05). Reintegration to normal living was impressed by education level, status of receiving rehabilitation, stump and phantom pain, perception of general health status and general physical capacity (p&lt;0.05). Discussion: This study was showed that reintegration to normal living process was associated with quality of life and functional level

An Investigation of the Effects of Dual Task on Gait in People with Trasfemoral Amputation

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Development Of The Physical Activity Barriers Scale For Elderly Individuals

Introduction: The aim of this study was to develop the Physical Activity Barriers Scale for the Elderly. Materials and Method: We developed the Physical Activity Barriers Scale for the Elderly. Fifteen elderly individuals participated in pilot testing to determine the intelligibility of the remaining 30 items after content validity assessment. After confirming the appropriateness of the scale, we administered it to 214 individuals aged >65 years (mean age: 73.9 +/- 7.7 years). We applied the scale again 3-7 days later to determine test-retest reliability using the correlation coefficient. Exploratory and confirmatory factor analysis was used to determine the factor structure. Internal consistency was determined with Cronbach's alpha. The correlation with the International Physical Activity Questionnaire and the Nottingham Health Profile was assessed for construct validity. Results: Exploratory factor analysis revealed three scale factors: personal, environmental factors and daily routines. Test-retest reliability and internal consistency of the scale was good (r=0.869, Cronbach's alpha=0.918). Negative correlation was found between the Scale and International Physical Activity Questionnaire (r=-0.340, p<0.001) and a positive correlation between the Scale and Nottingham Health Profile (r=0.693, p<0.001). Conclusion: The Physical Activity Barriers Scale for the Elderly is a valid and reliable measurement that can be used to determine the factors that prevent seniors from engaging in physical activity. With this scale, physical activity barriers can be identified, and arrangements can be made to help improve the level of physical activity among elderly individuals.WoSScopu

The Relationship Between Temperament and Characters with Physical Fitness and Pain Perception in Firefighters

Objective: Firefighting is a demanding profession which requires psychological and physical fitness. The purpose of this study was to examine the relationship between personality and other psychosocial properties, physical fitness, and pain perception in firefighters. Methods: The study participants consisted of 149 male firefighters. Participants were administered the Temperament and Character Inventory (TCI), Sensation Seeking Scale (SSS), The Impact of Events Scale-Revised (IES-R), State-Trait Anxiety Inventory (STAI), Beck Depression Inventory, and Nottingham Health Profile survey. For physical fitness measurements; participants were evaluated with physical fitness parameters such as balance, flexibility, shortening, strength and endurance, agility, speed, and strength. In order to measure balance, functional reaching and standing on one foot tests are used. Results: 90 firefighters were able to complete the study fully. Harm Avoidance, Reward Dependence, and Persistence subscales of temperament and Self-directedness, Cooperativeness, and Self-Transcendence subscales of character dimensions, Sensation Seeking Scale, Impact of the Event Scale, and STAI were found to be correlated with physical fitness measurements. No correlations were found between other psychosocial measures and physical fitness measurements (p>0.05). Psychosocial measures that were associated with pain perception were Novelty Seeking, Harm Avoidance, and Persistence subscales and Thrill and Adventure Seeking subscale of the Sensation Seeking Scale. Conclusions: Our results have shown that a significant relationship exists between different psychosocial characteristics of firefighters and their physical fitness and pain perception. This relationship supports the notion that higher psychological and physical needs would have an impact on occupational performance of firefighters

Reliability and Validity of the Turkish Reintegration to Normal Living Index in Amputees

In our country, outcome measures are needed to evaluate the results of occupational therapy in amputees. This study aimed to cross-culturally adapt the Reintegration to Normal Living Index (RNLI) and to evaluate the reliability and validity of a Turkish version of the RNLI. The Turkish version of the RNLI was applied to 120 amputees. Cronbach’s alpha coefficient and the intraclass correlation coefficient (ICC) were used to determine internal consistency and test–retest reliability, respectively. Criterion validity was assessed using Short Form 36 (SF-36). The Turkish version of the RNLI presented reliable results in repeated assessments (ICC =.88), and the internal consistency of the RNLI was high (Cronbach’s α coefficient =.89). A statistically significant relationship was found between RNLI and SF-36 (p <.05). The Turkish RNLI is a reliable and valid tool to evaluate the level of reintegration to normal living for amputees. © The Author(s) 2020

A content comparison of 4 commonly used adult upper limb amputee outcome measurements with application of the refinements of ınternational classification of functioning, disability, and health linking rules

Introduction: The application of the refinements of linking rules to the outcome measurement methods provides an opportunity to obtain information concerning what the available instruments actually measure and how the instrument measures certain outcomes. The purpose of the study was to analyze the content of 4 commonly used upper limb amputee scales using the refined International Classification of Functioning, Disability, and Health (ICF) linking rules. Methods: The Upper Extremity Functional Status module of the Orthotics and Prosthetics User Survey (OPUS-UEFS), Trinity Amputation and Prosthesis Experience Scales, Southampton Hand Assessment Procedure (SHAP), and Quick Disability of the Arm, Shoulder, and Hand were analyzed by 2 health professionals for a content comparison based on ICF categories. The Kappa statistic was used to calculate the degree of agreement between 2 professionals. Results: The scale questions were linked with 43 different ICF codes in this study. Trinity Amputation and Prosthesis Experience Scale addresses all ICF domains. All items of SHAP and most items of OPUS-UEFS were linked to the activity-participation domain. Quick Disability of the Arm, Shoulder, and Hand items were linked with activity-participation and body function domains. The perspectives of OPUS-UEFS and SHAP are descriptive. The perspectives of Quick Disability of the Arm, Shoulder, and Hand were descriptive and appraisal. The perspectives of Trinity Amputation and Prosthesis Experience Scale subscales were descriptive, appraisal, and needs or dependency. Estimated kappa values ranged from 0.44 to 0.91 for ICF codes. Conclusions: Most concepts in the scales were frequently linked to the activity-participation domain. We think that the results of this study will be a useful guide to clinicians and researchers in selecting relevant and appropriate outcome measurements for upper limb amputee rehabilitation