808 research outputs found

    Definition, Epidemiology, and Etiological Factors of Cerebral Palsy

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    CP is not a diagnosis but an “umbrella term for many clinical descriptions. It refers to a group of permanent disorders of the development of movement and posture, causing activity limitation, that are attributed to nonprogressive disturbances that occurred in the developing fetal or infant brain. The motor disorerders of cerebral palsy are often accompanied by disturbances of sensation, perception, cognition. First description was made in 19th century by William Little. CP prevalence is generally reported around 2-3 per 1000 live births in both developed and developing countries (even if for very different reasons). Additionally for term children CP prevalence is 1 per 1000 live births. This rates are 6-10 times higher in preterm birth. The etiology of CP has been reported very diverse and multifactorial as prenatal, perinatal and postnatal. The causes and risk factors are congenital, genetic, inflammatory, infectious, anoxic, traumatic and metabolic. Knowledge of the epidemiology and etiology of cerebral palsy is important. Thus, at least in some cases, early diagnosis and prevention can be achieved

    Nonpharmacologic Treatment for Fibromyalgia

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    Fibromyalgia is a common musculoskeletal pain condition associated with chronic widespread pain, tenderness at various points on the body, fatigue, and sleep abnormalities. Individuals with fibromyalgia often have comorbid anxiety, depression, and/or other pain syndromes. Research into pharmacologic remedies for fibromyalgia has demonstrated efficacy for a variety of agents, but pharmacology is only one piece of the puzzle when it comes to successful management of fibromyalgia. Nonpharmacological treatments, complementary and alternative medicines, and therapies can support alleviating fibromyalgia symptoms.There are many studies with regard to these treatment options

    Determination of Enalapril in Pharmaceuticals using Electrochemical Sensing with Amperometric Detection

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    In this work a new electrochemical method will be presented for the determination of enalapril in pharmaceutical tablets using unmodified screen printed electrode (SPE). The studies were done using amperommetric detection. Enalapril provides well defined, ovalshape oxidation peak at +1.05 V (vs. Ag/AgCl, 3.0 M KCl) in Britton-Robinson buffer solution (BRBS) at pH 5.0. After optimization of the experimental conditions, the influence of most common interferent compounds was tested. Under optimized experimental conditions, the signals were linearly proportional to the concentration of enalapril in the range from 2.5 to 90 mu M with a detection limit of 0.9 mu M. Repeatability of ten replicate measurements of 5 mu M enalapril was estimated to be 1.5%. Proposed method was successfully applied for the determination of the total amount of enalapril content in pharmaceutical preparations. Nevertheless, proposed method could be beneficial for the quick quantifications of enalapril in drugs using unmodified SPE electrode without any further treatment

    Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain [Alt çapraz sendroma bağlı superior kluneal sinir tuzaklanma nöropatisi: Bel ağrılı bir olgu sunumu]

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    The superior cluneal nerve (SCN) is a sensory nerve known to be originated from the dorsal rami of the lower thoracic and lumbar nerve roots. One of the overlooked causes of low back pain (LBP) is the SCN Entrapment Neuropathy (SCNEN). SCNEN may also be associated with SCN stretching due to lumbar movement and the poor body posture through an increase in the paravertebral muscle tonus. A 59-year-old female patient presented with chronic LBP localized on the right iliac crest and radiating to the right buttock, groin, and leg. She had increased lumbar lordosis and anterior pelvic tilt. She had a tender point over the right iliac crest, and the pain was radiating to the buttock and posterolateral thigh (Tinel sign +). She was diagnosed with lower crossed syndrome and SCNEN, and a therapeutic nerve block was performed. Clinicians should consider SCNEN as a possible diagnosis of LBP

    Relationship between shoulder joint position sense and swimming performance in disabled swimmers

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    Amaç: Yüzme, kişisel veya takım hâlinde mücadele içeren vücut bölümlerinin birbirleriyle olan koordineli hareketleri ile karakterize kompleks bir spor dalıdır. Bu çalışmanın amacı, bedensel engelli yüzücülerin glenohumeral eklem pozisyon hissi ile yüzme performansının ilişkisini incelemektir. Gereç ve Yöntemler: Çalışmaya, 29 bedensel engelli yüzücü dâhil edildi ve paralimpik sınıflandırma sistemine göre S/SB 6-S/SB 10 sınıflandırıldı. Sınıflandırma süreci; fiziksel değerlendirme, teknik değerlendirme ve gözlemsel değerlendirme olmak üzere 3 aşamayı içerdi. Sporcuların glenohumeral eklem pozisyon hissi, akıllı telefon inklinometre uygulaması kullanılarak aktif açı tekrarlama testiyle ve yüzme performansları 50 m serbest stil yüzme performansıyla değerlendirildi. Bulgular: Çalışmaya dâhil edilen 29 sporcunun %13,8’i (n=4) S6, %6,9’u (n=2) S7, %20,7’si (n=6) S8, %34,5’i (n=10) S9 ve %24,1’i (n=7) S10 sınıfında idi. Sporcuların, baskın üst ekstremite glenohumeral ekleme ait iç ve dış rotasyon aktif eklem pozisyon hissi (mutlak yeniden pozisyonlama hata) sonuçları ile 50 m serbest yüzme performansı arasında bir ilişki bulunmadı (p>0,05). Sonuç: Çalışma sonucunda, bedensel engelli yüzücülerde glenohumeral eklem pozisyon hissi ile yüzme performansı arasında bir ilişki bulunmasa da meydana gelebilecek herhangi bir yaralanmaya karşı önlem almak açısından, antrenman ve rehabilitasyon programlarına proprioseptif duyu değerlendirmesi ve eğitiminin önemini vurgular özelliktedir.Objective: Swimming is a complex sport that is characterized by the coordinated movements of body parts. The aim of this study was to examine the relationship between glenohumeral joint position sense and physical performance of upper extremities in swimmers with physical disabilities. Material and Methods: 29 physically disabled swimmers were included in the study and classified as S/SB 6- S/SB 10 according to the paralympic classification system. Classification process has included tree stages: physical evaluation, technical evaluation and obsevational evaluation. Evaluation of the glenohumeral joint position sense of the athletes was evaluated by using the active angle repetition test with the assistance of smart phone inclinometer application, swimming performance of athletes was evaluated with 50 m free style swimming performance. Results: The 29 athletes included in the study, 13.8% (n=4) S6, 6.9% (n=2) S7, 20.7% (n=6) S8, 34.5% (n=10) S9 and 24.1% (n=7) are in S10 class. There wasn’t relationship between athletes' (absolute repositioning error) results of internal and external rotation active joint position sensation of the dominant upper extremity glenohumeral joint and 50 m free swimming performance (p>0.05). Conclusion: As a result, there wasn’t relationship between glenohumeral joint position sense and swimming performance in physically disabled swimmers but it emphasizes the importance of proprioceptive sensory assessment and training in training and rehabilitation programs in order to prevent any possible injury.No sponso
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