The effects of preoperative short-term intense physical therapy in lung cancer patients: A randomized controlled trial

İstanbul Bilim Üniversitesi, Sağlık Yüksekokulu.Background: We planned to investigate the effect of preoperative short period intensive physical therapy on lung functions, gas-exchange, and capacity of diffusion, and ventilation-perfusion distribution of patients with non-small cell lung cancer. Methods: Sixty patients with lung cancer, who were deemed operable, were randomly allocated into two groups. Intensive physical therapy was performed in patients in the study group before operation. Both groups received routine physical therapy after operation. Results: There was no difference in pulmonary function tests between the two groups. Intensive physical therapy statistically significantly increased peripheral blood oxygen saturation. At least one complication was noted in 5 patients (16.7%) in the control group, and 2 (6.7%), in the study group. However, there was no statistically significant difference (p = 0,4). The hospital stay has been found to be statistically significantly shortened by intensive physical therapy (p < 0.001). Ventilation-perfusion distribution was found to be significantly effected by intensive physical therapy. The change was prominent in the the contralateral lung (p < 0.001). Conclusions: Intensive physical therapy appeared to increase oxygen saturation, reduce hospital stay, and change the ventilation/perfusion distribution. It had a significant, positive effect on the exercise capacity of patients

Genç Yetişkinlerde Cinsiyet ve Fiziksel Aktivite Seviyesinin Otur-kalk Test Performansı Üzerine Etkisi

Objective: Our study aimed to determine the sit-to-stand (STS)test performance and physical activity levels of young adults andinvestigate the relationship of STS tests with gender and physicalactivity levels.Methods: Sixty volunteers randomly performed the 5×STS,10sSTS, 30sSTS and 60sSTS tests. Fatigue was rated using theBorg category ratio scale. Physical activity level and weekly energyexpenditure of volunteers were calculated using the InternationalPhysical Activity Questionnaire.Results: The 5×STS, 10sSTS, 30sSTS and 60sSTS test scoreswere statistically different between genders (p=0.004; p=0.002;p=0.000; p=0.000, respectively). Fatigue levels after STS testsdid not show any difference between genders (p=0.636; p=0.295;p=0.888; p=0.150, respectively). Weekly energy expenditures werepositively correlated with STS tests except 5×STS test (r=?0.458,p=0.000; r=0.427, p=0.001; r=0.606, p=0.000; r=0.545, p=0.000,respectively). All STS tests had significant differences betweenparticipants with moderate or high physical activity level (p=0.016;p=0.007; p=0.000; p=0.000, respectively).Conclusion: Our study shows that STS tests scores correlate togender and physical activity levels in young adults.Amaç: Genç yetişkinlerde otur-kalk test (OKT) performansını ve fiziksel aktivite seviyesini belirleyerek OKT performansının cinsiyetle ve fiziksel aktivite seviyesi ile ilişkisini belirlemektir. Yöntemler: Altmış gönüllü rastgele sırayla 5 tekrarlı OKT, 10 sn OKT, 30 sn OKT ve 60 sn OKT’lerini gerçekleştirdi. Test sonu yorgunluk seviyeleri Borg Yorgunluk skalasıyla değerlendirildi. Katılımcıların fiziksel aktivite seviyeleri ve haftalık enerji tüketimi değerleri Uluslararası Fiziksel Aktivite Anketi kullanılarak belirlendi. Bulgular: Kadın ve erkek katılımcılar arasında 5 tekrarlı OKT, 10 sn OKT, 30 sn OKT ve 60 sn OKT skorlarında istatistiksel olarak anlamlı farklılık tespit edildi (sırasıyla, p=0,004; p=0,002; p=0,000; p=0,000). OKT sonundaki yorgunluk seviyelerinde ise anlamlı bir fark bulunmadı (sırasıyla, p=0,636; p=0,295; p=0,888; p=0,150). Tüm katılımcıların haftalık enerji tüketimi değerleri 5 tekrarlı OKT skoru dışında tüm testlerle pozitif olarak ilişkili bulundu (sırasıyla, r=-0,458, p=0,000; r=0,427, p=0,001; r=0,606, p=0,000; r=0,545, p=0,000). Orta ve yüksek fiziksel aktivite seviyesine sahip katılımcıların OKT skorları karşılaştırıldığında istatistiksel olarak anlamlı farklar saptandı (sırasıyla, p=0,016; p=0,007; p=0,000; p=0,000). Sonuç: Bizim çalışmamız genç yetişkinlerde OKT performansının cinsiyetle ve fiziksel aktivite seviye ile ilişkili olduğunu göstermektedir

Effect of inspiratory muscle training on dyspnea-related kinesiophobia in chronic obstructive pulmonary disease: A randomized controlled trial

Background: The major symptom of chronic obstructive pulmonary disease (COPD) is dyspnea, which causes dyspnea-related kinesiophobia resulting in avoidance of activities associated with dyspnea or compensation by reducing the rate of activity. The aim of this study was to assess dyspnea-related kinesiophobia and determine the effect of inspiratory muscle training (IMT) on dyspnea-related kinesiophobia in COPD. Methods: Forty COPD subjects were randomly allocated to either the IMT or sham group. Both groups' maximal inspiratory pressure (MIP) was assessed weekly. All patients were instructed to perform the training exercises for 15 min twice a day, 5 days a week for a total of 8 weeks. In the IMT group, intensity was set at 30% of MIP and adjusted according to weekly MIP value. In the sham group, intensity remained constant at 15% of initial MIP. Pulmonary function test (PFT), respiratory muscle strength, 6-min walk test (6 MWT), Breathlessness Beliefs Questionnaire (BBQ), Modified Medical Research Council scale (MMRC), modified Borg scale, Hospital Anxiety and Depression Scale (HADS), Saint George's Respiratory Questionnaire (SGRQ), and COPD Assessment Test (CAT) were assessed before and after the intervention. Results: BBQ scores ranged from 18 to 51, with mean values in the IMT and sham groups of 39.80 +/- 7.62 and 43.00 +/- 6.58, respectively. When between-group differences of all outcome scores were compared, there was a statistically significant improvement in the IMT group than in the sham group (p < 0.05). After IMT, statistically significant decreases in BBQ and modified Borg scores were observed in within groups (p < 0.001). These decreases were significantly greater in the IMT group (p < 0.001). MMRC decreased significantly only in the IMT group (p < 0.001). There was a statistically significant increase in PFT values in the IMT group (p = 0.007-0.045), but no difference in the sham group (p = 0.129-0.886). Both groups showed statistically significant improvement in respiratory muscle strength, 6 MWT distance, and CAT score after 8 weeks (p < 0.05). All HADS and SGRQ scores decreased significantly in the IMT group (p < 0.001), whereas only the SGRQ activity score decreased significantly in the sham group (p = 0.017). Conclusions: Our study provides data on the presence and level of dyspnea-related kinesiophobia in COPD patients. All patients had BBQ scores higher than 11, indicating dyspnea-related kinesiophobia. IMT reduced BBQ score and improved respiratory function, and exercise capacity. Our results also support the other known benefits of IMT such as reduced dyspnea and symptom perception, decreased anxiety and depression, and improved quality of life.Scientific Research Projects Unit of Bezmialem Vakif Universit

Validity and reliability of the Turkish version of breathlessness beliefs questionnaire

Background Dyspnea is often the main symptom that limits exercise; however, the vicious cycle of dyspnea limiting exercise participation is also an important contributor to the reduced exercise capacity. Objective The aim of our study was to investigate the reliability and validity of Turkish Breathlessness Beliefs Questionnaire (BBQ) in patients with Chronic Obstructive Pulmonary Diseases (COPD). Methods Seventy-seven COPD patients were included in the study. Sociodemographic and physical characteristics were recorded. Turkish version of BBQ, Saint George Respiratory Questionnaire (SGRQ) and Hospital Anxiety and Depression Scale (HADS) were applied. Second evaluation of BBQ was conducted via telephone calls with no drop-outs. Reliability of the questionnaire was explored by calculating the internal consistency and test-retest analysis. Construct validity was assessed calculating correlation coefficients of BBQ with HADS and SGRQ scores. Known group validity was also explored. Results Cronbach alpha coefficients for total score of BBQ were 0.78, indicating that the questionnaire has 'good' internal consistency. Initial and test-retest BBQ total scores were 41.42 +/- 6.47 and 41.18 +/- 6.24, respectively. Intra-class correlation coefficients (ICC2,1) values of BBQ and its sub-scales varied between 0.973 and 0.983, indicating strong test-retest reliability. Correlation coefficient between BBQ total and SGRQ-Activity (0.619) was highest among the variables of interest, followed by BBQ total and SGRQ total (0.611). There was a significant correlation between BBQ total and HADS (0.390). One-way analysis of variance revealed that BBQ total and BBQ-Activity Avoidance scores were significantly differ in disease stages. Conclusion Turkish version of BBQ was found to be a valid and reliable tool for measuring dysfunctional beliefs related to the dyspnea in patients with COPD

Assessment of wrist muscle strength, hand grip strength and pain in women with carpal tunnel syndrome: a pilot study

Purpose: Our aim was to assess wrist muscle strength and handgrip strength in women with CTS by means of hand heid dynamometer (HHD) and Jamar handgrip (JH) dynamometer and to compare these results with heathy individuals. Materials and methods: 12 female patients with bilateral CTS (mean age: 46.25 +/- 9.12 years) and 12 healthy female volunteers (mean age: 46.33 +/- 9.92 years) were evaluated. Wrist flexor strength and extensor muscle strength were assessed by HHD; handgdp strength was assessed by JH dynamometer; pain was assessed by Visual Analog Scale (VAS) and all tests were administered by the same investigator. Results: There were no significant differences between demographic data of the two groups. Right wrist flexor and extensor muscle and left wrist extensor muscle strength (p<0.05), and right and left handgrlp strength were decreased (p<0.05), VAS values were increased (p<0.05) in CTS patients. Conclusion: When females with CTS was compared with healthy ones, it was seen that handgrip and wrist muscle strength decreased. Consequently, strengthening of wrist muscles in addition to strengthening of palmar muscles may increase success of therapy in treatment of mild to moderate CTS. Because of the influence of pain on strength loss, the methods for pain assessment and pain relief also should be involved in the managemen

Effects of inspiratory muscle training on pulmonary function, respiratory muscle strength and functional capacity in patients with atrial fibrillation: a randomized controlled trial

Objective: To investigate the effects of inspiratory muscle training on pulmonary function, respiratory muscle strength and functional capacity in patients with atrial fibrillation

Comparison of the pulmonary functions in children with various types of muscular dystrophy

...American Thoracic Societ

Parkinson hastaları için ev egzersiz programı

Bu kitapçıkta gösterilen gösterilen egzersizler, Parkinsonlu hastalarla ilgili randomize bir çalışmada kullandığımız ev programını oluşturan egzersizlerdir. Çalışmamızda ev egzersizi programını uygulayan hastalarımızda olumlu değişiklikler gözlemledik ve hastalarımızın bu egzersizlerde çok yararlandığını gördük. Gerek bu alanda çalışan fizyoterapistlerden gerekse hastalardan gelen yoğun talep üzerine çalışmamızda kullandığımız ev egzersiz programını basılı bir kitapçık haline getirmeyi düşündük.İçindekiler 1. Yatağa yatma egzersizleri 2. Yataktan kalkma egzersizleri 3. Gevşeme egzersizleri 4. Solunum egzersizleri 5. Göğüs kafesini hareketlendirerek soluk almayı kolaylaştırıcı egzersizler 6. Germe egzersizleri 7. Vücudun hareket yeteğeni geliştirmeye yönelik hareketler 8. Bedenin eğilme, gerilme ve dönme hareketleri ile bacakların hareketlerini artırıcı egzersizler 9. Ayağa kalkmayı kolaylaştırıcı egzersizler 10. Sandalyeye oturma 11. Ayakta yapılacak egzersizler 12. Yürüme egzersizleri 13. El egzersizleri 14. Nefes almayı kolaylaştırıcı ve Yüz kasları egzersizler