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

Complex variation of the superficial palmar arch - Case report

This article describes a complex variation in the pattern of blood supply to the palm of the hand. In the present case; a) the superficial palmar branch of the radial a. coursed superficial to the thenar mm.; b) The princeps pollicis and radialis indicis aa. arose from the superficial palmar branch of the radial a.; c) The first and second common palmar digital aa. arose as a common trunk from the superficial palmar arch

Adaptation of the Lawton Instrumental Activities of Daily Living Scale to Turkish: Validity and Reliability Study

WOS: 000523301100005PubMed ID: 32743320Background: The Lawton Instrumental Activities of Daily Living (IADL) scale is the most widely used scale for the assessment of IADL in the elderly population. The aim of this study was to adapt the Lawton IADL Scale in Turkish and to investigate the validity and the reliability of the scale in older adults. Methods: A total of 80 participants with a mean age of 71.6 +/- 5.8 years were included in the study. The independent living skills of the older adults were measured using Lawton IADL, Hodkinson Mental Test, Functional Independence Scale, Barthel Index, Katz Index, and visual analog scale. Lawton IADL was translated into Turkish, validated by professional reviewers, translated back into English, and then tested. Cronbach's alpha was used to measure reliability in a group of 34 participants and test-retest was performed 1 week after the first test. Pearson correlation analysis was used to show the relationship between Lawton IADL and other scales and indexes. Results: Internal consistency (Cronbach's alpha) value was 0.843 for the whole scale. The intraclass correlation coefficient value of the scale was 0.915. Conclusion: These results confirm that the Turkish version of the Lawton IADL scale has excellent reliability and validity

Malpractice Leading to Secondary Lymphedema after Radical Mastectomy: Case Report

Background: With this case report we want to demonstrate the results of chemotherapy application to the mastectomized side in a patient who had undergone radical mastectomy. Case Report: A patient who was accidentally given chemotherapy on the mastectomized side (PCMS) and a control patient who received chemotherapy on the non-affected side (PCNS) were included in this study. Edema, pain, muscle strength, and shoulder mobility were evaluated. The results of the 2 patients were compared. After chemotherapy, PCMS experienced edema and pain in the affected arm compared to PCNS. Increased circumference measurement, and decreased shoulder mobility and muscle strength were observed in PCMS. Conclusion: It was suggested that chemotherapy application on the mastectomized side triggered lymphedema. Our findings on the subject revealed that education of health care professionals and patients alike is very important

Reliability and validity of the Turkish version of the patellofemoral pain and osteoarthritis subscale of the KOOS

Background: Patellofemoral pain and patellofemoral osteoarthritis are highly prevalent knee disorders associated with pain and functional limitations. The subscale of the Knee Injury and Osteoarthritis Outcome Score for patellofemoral pain and osteoarthritis (KOOS-PF) was developed to evaluate patients with patellofemoral pain and osteoarthritis.Purpose: This study aims to translate the KOOS-PF into Turkish and assess its measurement properties.Methods: The Turkish version of the KOOS-PF was tested for reliability and validity in a convenience sample of 55 patients with patellofemoral pain and/or osteoarthritis. Reliability analyses were conducted through a retest 7-14 days later with a subgroup of 35 patients. The KOOS-PF was compared with Kujala's Anterior Pain Scale (AKPS) and the Short Form-36 health survey (SF-36) to assess construct validity. Additionally, responsiveness analyses were performed on 29 patients who were followed up with a home-based exercise program three months later.Results: The Turkish version of KOOS-PF has high test-retest reliability (ICC2,1 = 0.96) and internal consistency (Cronbach's alpha = 0.91). It has a very good correlation with the AKPS (r = 0.77) and the SF-36 physical component summary (r = 0.64) with no floor or ceiling effects. Responsiveness is confirmed by a good correlation with the global rating of change score (r = 0.51). The minimal clinically important change is 16.5 points, and the minimal important difference is 10.2.Conclusion: The Turkish version of the KOOS-PF is valid, reliable, and responsive for evaluating patients with patellofemoral pain and/or osteoarthritis

Preventive effect of the neurodynamic mobilization technique on delayed onset of muscle soreness: a randomized, single-blinded, placebo-controlled study

Abstract Background The neurodynamic mobilization (NM) technique is an intervention designed to restore homeostasis by mobilizing the nervous system and its surrounding structures. NM, through its physiological and biomechanical mechanisms, may play a role in modulating delayed Onset Muscle Soreness (DOMS) symptoms and regulating the emerging inflammatory response. The aim of this study was to determine the preventive effects of the NM technique on DOMS. Methods Thirty-four untrained males were randomized into the NM (n = 17) or placebo NM (n = 17) group. Femoral nerve NM and placebo NM techniques were performed for three weeks in both groups. All the participants subsequently performed 300 maximal isokinetic eccentric contractions of the dominant knee extensors. Markers of muscle damage (creatine kinase, lactate dehydrogenase) and inflammation (IL-6, TNF-α), as well as muscle soreness, pressure pain threshold (PPT) and muscle function, were measured at baseline; immediately before (pre) and after (0 h) the completion of the exercise-induced muscle damage (EIMD) protocol; and at 24, 48, and 72 h. Results Following the EIMD protocol, muscle soreness peaked at 24 h, while PPT reached its lowest level. The NM group exhibited significantly lower muscle soreness scores (F3.160 = 5.436, p = 0.001) and higher PPT values (F3.160 = 12.580, p  0.05). Conclusions Three weeks of femoral nerve NM applied to healthy untrained participants had positive effects on the possible negative consequences of DOMS. NM may help alleviate inflammation and muscle damage symptoms and shorten the overall recovery time following DOMS. Trial registration (retrospectively registered): The trial was registered on [03/29/2022] with ClinicalTrials.gov (No: NCT05326893) and conducted according to Consolidated Standards of Reporting Trials (CONSORT) guidelines