Effect of Soccer Foot Pressure on Pressure Distributions

The aim of this research is to investigate the effect of playing soccer for a long time in for professional soccer players regarding sole pressure. Despite the increasing prevalence of new methods developed in the footpad pressure measurement in recent years, our knowledge about pressure distribution of the footplate is still insufficient, especially for sportsmen (Ford et al., 2006). Plantar pressure analysis system (EMED-SF) was used in the study. Statistically significant differences between the study groups were examined using the non-parametric Mann-Whitney U test. According to the results of the research, there was no statistical difference between the experimental and control groups in terms of physical characteristics. However, significant results were found at (0.01-0.05) level in the beginning and grand total of heel medial, heel lateral, 1,2,3,4,5 metatars in the maximal force comparisons applied to the right and left foot contact area and the floor

Proprioception following the Anterior Cruciate Ligament Reconstruction with Tibialis Anterior Tendon Allograft

After the anterior cruciate ligament (ACL) reconstruction, a loss of proprioception is observed and it can continue years after the operation. The aim of this study is to evaluate proprioception in standing position at different knee flexion angles in patients who underwent ACL reconstruction with tibialis anterior tendon allograft. The study included 34 patients who underwent ACL reconstruction with tibialis anterior tendon allograft and 34 healthy individuals. Proprioception was evaluated in standing position at 15 degrees, 30 degrees, 60 degrees flexion angles with the active joint position sense (AJPS) method using digital inclinometer. Proprioception deviation angle was found to be higher in the operated leg at 30 degrees and 60 degrees flexion angles in the patient group compared with the other leg (p < 0.05), the biggest proprioception difference was between the 15 degrees and 60 degrees flexion angles in both the patient and the control group (p < 0.05) that the difference between 15 degrees and 30 degrees flexion angles is lowest (p < 0.05), and that these differences are higher in the operated leg of the patient group compared with the other leg of the patient group and to the dominant leg of the control group (p < 0.05). As approximately 4 years after ACL reconstruction with tibialis anterior tendon allograft, loss of proprioception at 60 degrees knee flexion continued, ACL injury related to loss of proprioception may occur at angles higher than 30 degrees flexion. Thus, patients may be provided with proprioception-enhancing rehabilitation in the long term, particularly, at flexion angles above medium levels

Center-of-pressure displacement during postural changes in relation to pressure ulcers in spinal cord-injured patients

Kanatli, Ulunay/0000-0002-9807-9305WOS: 000253342200002PubMed: 18287815Objective: To evaluate the center-of-pressure displacement in spinal cord-injured patients, to investigate dynamic sitting stability and its relationship with pressure ulcers. Design: Sixteen spinal cord-injured patients and 18 healthy volunteers were included in the study. For the assessment of dynamic sitting stability, center-of-pressure displacement during maximum unsupported forward, backward, and right- and left-sided trunk leaning were measured with a seat sensor system, which was placed between the subject's buttocks and chair. Results: Center-of-pressure displacements in all directions in spinal-injured patients were smaller than healthy volunteers (P < 0.05). Center-of-pressure displacements for high- and low-thoracic spinal cord-injured patients were not significantly different. History of previous pressure ulcer was not different between high- and low-thoracic spinal cord-injured patients (chi(2) = 0.90, P = 0.62). Mean center-of-pressure displacement during forward and backward leaning were smaller in patients with pressure ulcer history (P = 0.04 and 0.03, respectively). Conclusions: The results of this study suggest that impaired dynamic sitting stability is associated with pressure ulcer development

Solitary osteochondroma of pubic ramus

[Cukurova Med J 2016; 41(0.100): 108-110

RESEARCHING THE EFFECT OF FOOTBALL IN DISTRIBUTION OF SOLE PRESSURE IN FEMALE FOOTBALL PLAYERS

Purpose: The purpose of this research is to research the effect of football on sole comparing the peak pressure, average maximal pressure and pressure–time integral pedobarographic parameters of 11 contact areas of soles of professional female football players and healthy individuals. Working Plan: 22 female football players (18,80 ± 2,2 age) and 28 female volunteers (27,5 ±6,6 age) (as the control group) having no foot complaints were included in the study. In the research EMED-SF (Novel GmbH, Munich, Germany) plantar pressure analysis system was used. It was examined whether there was any statistically significant difference between the experiment and control group means using non-parametric Mann Whitney U test, the size of the linear relation between physical structure and variables of sole was examined by calculating Pearson’s (r) coefficient. In the measurements 95% reliability range and P < 0.01 – 0.05 were accepted as meaningfulness level. Findings: At the end of the measurements, it was found that there were meaningful differences between the female football players and control group in right foot 2 left feet 1st, 2nd, 3rd, 4th metatarsal heads sole 11 contact areas peak pressure and in the 3rd, 4th and 5th toes, at average maximal pressure in right and left foot in 2nd metatarsal heads and time pressure integral in right foot 2nd and 3rd metatarsal heads and left foot heel medial, heel lateral, 2nd, 3rd and 4th metatarsal heads. Arguments: In our findings, it was found that the pressure in football players’ sole front interior regions was higher than both the control group and the other regions in their own feet. It was determined that the particularly the crampons used by the football players were insufficient to protect the sole and failed to prevent permanent sole pressure parameters. As a result, Football players’ excessive pressing against their soles in forcing movements in long term exercises and matches are indicated to cause change in the sportsmen’s sole pressure regions and values

Spontaneous and bilateral avascular necrosis of the navicula: Muller-Weiss disease

Although, trauma, foot deformity (pes planovalgus), systemic diseases such as diabetes mellitus and lupus, drugs (steroids, antineoplastic) and excessive alcohol consumption have all been accused in the etiology of avascular necrosis of the tarsal bones, spontaneous avascular necrosis of the navicular bone, especially in adults, is a rare entity. In this article, we report a 50-year-old female patient with bilateral, spontaneous avascular necrosis of the navicular bone and related severe talonavicular arthrosis. Clinical and radiological findings were concordant with Muller-Weiss disease, which is a rare disease with complex idiopathic foot condition of the adult tarsal navicular bone characterized by progressive navicular fragmentation and talonavicular joint destruction. The patient was successfully treated with two-staged bilateral talonavicular arthrodesis

The evaluation of two different surgical approaches in total hip arthroplasty according to the patient satisfaction, plantar pressure distribution and trendelenburg sign

The aim of this prospective study was to analyze the results of two different surgical aproaches for total hip arthroplasty as Trendelenburg sign, plantar pressure distribution with the help of dynamic pedobarography and clinical results by Harris Hip Score. A total of 28 patients who underwent unilateral total hip arthroplasty using two different types of lateral approach as conventional lateral Hardinge approach and intermuscular Hardinge approach described by Pai were included in this study. Plantar pressures have maesured by EMED-SF pedobarography device and analysed by the help of a commercial software; that seperates the foot to the four different parts which are called masks. Trendelenburgs sign has been estimated as grade 1 and grade 2 by the method which was described by Hardcastle and Nade. Clinical outcome was measured by comparing Harris Hip Scores pre-operatively and postoperatively at last clinic visit. In both groups after the two years from the surgery; total contact time has increased at the operation side when the results were compared before the surgery at the same side and at the other side after the surgery. Also when we looked at the first and second masks which show the significant part of the stance phase; contact areas have similarly increased and the changes at the peak pressures were similar as contact areas. In both groups Harris Hip score was increased significantly after the operation. This is the first study to compare two different lateral approaches by pedobarographic analysis, clinical evaluation and functional scoring. The fuctional and clinical early results are similar in both lateral hip approaches for total hip arthroplasty when superior gluteal nerve protection, conjuant tendon repair and postoperative rehabilitation have done well. [Med-Science 2019; 8(1.000): 1-6

Evaluation of the effect of internal rotation of the shoulder on the coracohumeral and acromial range with three-dimensional tomography

Amaç: Bu çalışmanın amacı korakohumeral aralık ve akromiyohumeral aralık miktarının omzun pasif iç rotasyonu ile gerçekten azalıp azalmadığını değerlendirmektiGereç ve Yöntem: Çalışmada Mayıs 2016 ile Ekim 2016 arasında poliklinikte rotator kılıf hasarı ön tanısı ile bilgisayarlı tomografi artrografi çekilen hastalar kullanıldı. Bilgisayarlı tomografi artrografi tetkiki omuz nötral ve iç rotasyonda olmak üzere iki kez yapıldı ve görüntülerin 3 boyutlu rekonstrüksiyonları oluşturuldu. Bu iki bilgisayarlı tomografi tetkikinin 3 boyutlu bilgisayarlı tomografi görüntülerinde korakohumeral aralık ve akromiyohumeral aralık ölçümleri yapıldı.Bulgular: Çalışmaya yaş ortalamaları 64.069.06 olan 17 hasta dahil edildi. Tam kat supraspinatus yırtığı olanlarla olmayanlar değerlendirildiğinde, korakohumeral aralık ve akromiyohumeral aralığın omzun nötral ve iç rotasyonundaki ölçümlerinin ortalamaları arasında istatistiksel olarak anlamlı fark görülmedi. Kadın ve erkekler arasında ölçüm ortalaması arasında istatistiksel fark yoktu.Sonuç: Omzun pasif iç rotasyonu ile korakohumeral aralık anlamlı derecede daralmaktadır. Üç boyutlu bilgisayarlı tomografi ile yapılan ölçümler korakoid anatomisi ve korakoidin çeşitli parametreleri ile ilgili bize daha güvenilir bilgi verebilirler.Purpose: The aim of this study was to assess whether the coracohumeral and acromiohumeral distances were really decreasing with the passive internal rotation of the shoulder.Materials and Methods: The patients who underwent computerized tomography arthrography with the prediagnosis of rotator cuff tear between May 2016 and October 2016 were enrolled in the study. The computerized tomography arthrography imagings were performed in two positions of the shoulder, the neutral position and the internal rotation of the arm, and then the 3 dimensional reconstructions of the images were constituted. The coracohumeral and acromiohumeral distance measurements were made on 3 dimensional reconstructions of these two computerized tomography examinations.Results: Seventeen patients with the mean age of 64.069.06 were involved in the study. The coracohumeral and acromiohumeral distance measurements in neutral and internally rotated arms were also statistically similar between patients with full-thickness rotator cuff tears and those without. Between the male and female patients, there was no statistically significant difference in any of measurements. Conclusion: The coraohumeral distance narrows significantly with the internal rotation of the arm. The measurements made on three dimensional computerized tomography may provide us more reliable data about the several parameters of the coracoid process