Factors affecting pain and fatigue in females with chronic widespread pain

Purpose: This study was conducted to investigate factors related to pain intensity and global fatigue in females with Chronic Widespread Pain (CWP). Material and methods: One hundred four patients with CWP were included. The mean age was 40.28±10.82 years. Both Pain intensity and global fatigue were assessed using a Visual Analogue Scale (VAS). The Hospital Anxiety and Depression Scale was used to describe anxiety and depression symptoms. Three different questionnaires (leisure time activity, and physical activity at home, at work) were used to determine physical activity levels. Dorsal regression was used to analyze the data. Results: The anxiety score was the most common factor affecting pain intensity (p=0.003). On the other hand, a moderate level of physical activity at home (p=0.027), physical activity level at work (p=0.008), and the anxiety score (p=0.027) were significant factors affecting global fatigue. Conclusion: Our results show that anxiety is the most important factor affecting both pain and global fatigue in women with CWP. These results also support the idea that the characteristics of pain, fatigue and anxiety should be evaluated separately

DIFFERENCES IN SATISFACTION LEVEL OF FINAL YEAR STUDENTS AND LECTURERS

Aim and Scope: The aim of this study was to determine how previous (year 2014) and present (year 2017) conditions influence the satisfaction level of the final year students and lecturers in School of Physical Therapy and Rehabilitation at Pamukkale University (SPTRPAU).Materials and Methods: The study was conducted interviewing face to face with final year physical therapy students (N: 143; mean age=23.1 +/- 1.4 yrs) and lecturers (N: 28; mean age=38.3 +/- 7.4 yrs.). The study completed in 2017. Demographics including gender, age, academic grade average, year of work experience belonging to students and lecturers were recorded. Previous results obtained in 2014 compared with present results obtained in 2017. The same questionnaires created by Erden and Cavlak just used in 2014 were also used in this study of 2017. Questionnaire I (18 suggestions; Cronbach alpha=0,90) consists of statements reflecting the feedback on the content of the education program, canteen-rest areas, training program content, etc. was used by both students and lecturers. Questionnaire II (20 suggestions; Cronbach alpha=0,91) is used by students to rated their lecturers.Results: Mean academic grade of the students was 3.1 +/- 0.37 / 4. Mean work experience of lecturers was 13.4 +/- 6.60 yrs. Questionnaire I showed that the level of satisfaction of students about education program content, grading system, counseling services, internship activities, occupational skills and overall satisfaction increased significantly compared to research 2014 aresults. On the other hand, no differences were found in terms of the other categories in Questionnaire I rated by the students. The lecturers reported improvements in canteens and resting areas only. According to the results of the research 2014, there were significant improvements in terms of satisfaction level of the students and the instructors in all fields except the contents of the training program and the equipment (p<=0.05). In 2017, there were significant differences in all areas except in the content of the training program, the equipment and work qualification after graduation (p<0.05). These results showed that the changes in the feedback of students and instructors were similar. The changes in the satisfaction level of students about their lecturers were in general satisfaction, information sharing, timing, vocational information / motivation, questioning and grading categories in Questionnaire II (p<0.05).Conclusion: The findings of this study conducted in 2017 showed that improvements in physical conditions in SPTRPAU have had positive effects on physical therapy education

Relationship between thigh skinfold measurement, hand grip strength, and trunk muscle endurance: differences between the sexes.

This study was conducted to examine the relationship between thigh skinfold measurement, hand grip strength, and trunk muscle endurance and compare this relationship in men and women. The current study included 200 healthy subjects (111 women and 89 men), with a mean age of 31.58+/-13.78 y. Trunk muscle endurance was evaluated with the use of curl-up, horizontal side bridge, and static back endurance tests. Significant differences were found between women and men in performance of the curl-up and horizontal side bridge tests (Por=.05). The investigators discerned a significant negative correlation between thigh skinfold measurements and all trunk muscle endurance tests in female patients (curl-up, r=-.501; horizontal side bridge, r=-.454; static back, r=-.479; Por=.05), although a significant positive correlation was found in male patients in curl-up and side bridge test results (curl-up, r=.319; horizontal side bridge, r=.307; static back, r=.123; P<.05). The results of this study suggest that women have lower endurance test scores compared with men. The investigators detected the presence of a significant negative correlation between thigh skinfold measurement and trunk muscle endurance tests in both men and women and concluded that there is a positive significant relationship between hand grip strength, curl-up, and horizontal side bridge tests. Additional studies are needed to evaluate the relationship between muscle endurance and physical characteristics as they relate to the sex of the individual

in patients with Type II diabetes mellitus

Objective: The aim of the study was to assess pain threshold and tolerance in diabetics with/without neuropathy and to compare that in with healthy controls. Methods: In this cross-sectional and comparative study, 79 diabetics (57 without neuropathy and 22 with neuropathy) and 32 healthy controls (63 women and 48 men) with a mean age of 48.11 +/- 7.52 years were studied. Seventy-nine diabetics, aged 33 to 74, who met inclusion criteria were evaluated using electrical stimulation (faradic current) to assess pain threshold and tolerance on upper and lower extremities and were compared with healthy controls. They also were evaluated using Michigan Neuropathy Screening Index (MNSI), 5.07 mmg Semmes Weinstein Monofilament, and visual analog scale (VAS). Pain threshold and tolerance were measured experimentally. Results: Of all participants, 32.4% had pain complain. Eighteen diabetics without neuropathy (31.6%) and 9 diabetics with neuropathy (40.9%) reported pain. The result of upper and lower extremities' pain threshold and tolerance showed that there was a significant difference between diabetics and healthy participants (P <.05). Diabetics with neuropathy had the highest pain threshold and tolerance. The impairments in light touch sense were highest in diabetics with neuropathy (P <.05). Conclusion: Measuring pain threshold and tolerance of diabetic patients using electrical stimulation is an easy, noninvasive, cheap and repeatable method and can be used for defining the onset of diabetic neuropathy and controlling prognosis at early stage. (c) 2006 Elsevier Inc. All rights reserved.C1 Pamukkale Univ, Sch Phys Therapy & Rehabil, Denizli, Turkey

Measuring the pain threshold and tolerance using electrical stimulation in patients with Type II diabetes mellitus.

OBJECTIVE: The aim of the study was to assess pain threshold and tolerance in diabetics with/without neuropathy and to compare that in with healthy controls. METHODS: In this cross-sectional and comparative study, 79 diabetics (57 without neuropathy and 22 with neuropathy) and 32 healthy controls (63 women and 48 men) with a mean age of 48.11+/-7.52 years were studied. Seventy-nine diabetics, aged 33 to 74, who met inclusion criteria were evaluated using electrical stimulation (faradic current) to assess pain threshold and tolerance on upper and lower extremities and were compared with healthy controls. They also were evaluated using Michigan Neuropathy Screening Index (MNSI), 5.07 mmg Semmes Weinstein Monofilament, and visual analog scale (VAS). Pain threshold and tolerance were measured experimentally. RESULTS: Of all participants, 32.4% had pain complain. Eighteen diabetics without neuropathy (31.6%) and 9 diabetics with neuropathy (40.9%) reported pain. The result of upper and lower extremities' pain threshold and tolerance showed that there was a significant difference between diabetics and healthy participants (P<.05). Diabetics with neuropathy had the highest pain threshold and tolerance. The impairments in light touch sense were highest in diabetics with neuropathy (P<.05). CONCLUSION: Measuring pain threshold and tolerance of diabetic patients using electrical stimulation is an easy, noninvasive, cheap and repeatable method and can be used for defining the onset of diabetic neuropathy and controlling prognosis at early stage

To Investigated Of Activities Daily Living Related Visual Perception And Balance Functions In Children With Low Vision

Amaç: Bu çalışmanın amacı az gören çocuklarda günlük yaşam aktiviteleri (GYA) ile görsel algı ve denge fonksiyonları arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Denizli ili Görme Engelliler İlköğretim Okulunda yatılı kalan, yaş ortalaması 11,0±2.3 yıl (13 kız, 12 erkek) olan 25 az gören çocuk çalışmaya dahil edilmiştir. Çocukların GYA’i, Northwick Park Bağımsızlık Skalası (NPS), görsel algılamaları Ayres Güney Kaliforniya Duyu Algı Motor bütünlüğü Görsel Algı alt testlerinden Uzayda Pozisyon (UP) ve Şekil Zemin Ayrımı ( ŞZA) ile denge fonksiyonu ise tek ayak üzerinde durma (TUD) ve fonksiyonel uzanma testi (FU) kullanılarak değerlendirilmiştir. Sonuçlar: Yapılan değerlendirmeler sonucunda NPS toplam puanının görsel algılama testlerinden UP (p=0.003) ve ŞZA (p=0.037), denge testlerinde ise TUD (p=0.019) ve FU (p=0.026) değerleri arasında pozitif anlamda bir ilişki bulunmuştur. Tartışma: Bu çalışmanın sonucunda az gören çocuklarda GYA’deki bağımsızlık düzeyinde görsel algılama ve denge fonksiyonlarının önemli bir etken olduğu aralarında çıkan ilişki ile gösterilmiştir

Indirect effect of electrical stimulation of tibialis anterior on gastro-soleus muscles in children with spastic hemiplegic cerebral palsy.

OBJECTIVE: To investigate the effects of tetanic faradic stimulation in an antagonist muscle (tibialis anterior) on agonist muscles (gastro-soleus). In addition, to show the effects of maintaining agonist muscle strength on antagonist spastic muscle group to improve gait parameters in children with spastic hemiplegia. METHODS: We carried out the study at Pamukkale University, School of Physical Therapy, Denizli, Turkey between June 2001 and December 2002. We included 16 ambulant cerebral palsied children with a mean of age 6.25 +/- 2.89 years in the study. Each subject practiced a 20-minute electrical stimulation session plus neurodevelopmental approach (Bobath Technique) once a day, 4 days a week for 5 weeks. We performed faradic tetanic stimulation to stimulate and strengthen the tibialis anterior (antagonist muscle). We performed all tests, including goniometric measurement, the Modified Ashworth Scale, and gait analysis at the start of the treatment program, after the program, and one month after first follow up. RESULTS: After treatment, we found significant improvements in goniometric measurements and Modified Ashworth Scale in comparison with the baseline measurements (p0.05). The results of the gait analysis showed only a significant difference concerning step width (p>0.05). CONCLUSION: The results suggest that tetanic faradic stimulation was effective in improving aspects of ankle function, decreasing muscle tone and increasing range of motion in children with hemiplegic cerebral palsy during a physical therapy program

school teachers

Age, sex and working with improper position, physically and psychologically strenuous work increase risk of musculoskeletal pain (MSP) in some professions. The aim of this study was to determine prevalence of MSP and its characteristics among school teachers. Nine hundred teachers were evaluated. Pain characteristics, pain intensity, related factors, and activity limitation of the teachers with MSP were questioned. Coping strategies were also investigated. Comparison of the relevant data was done using Chi-Square Test. 463 (51.4%) teachers (269 female; 194 male; mean age= 38.08 +/- 9.2 yr.) reported MSP. Pain in neck, upper-back and shoulder region were common in female teachers (p < 0.05). Meanwhile, female teachers expressed that the pain severity increases with the overhead reaching and more activity limitations. While male teachers preferred thermal spring therapy, females preferred to take pain killers. Females also took sick-leave report from health providers more frequently. Both female and male teachers with MSP showed moderate depression according to the Beck Depression Inventory a significant difference between gender was found (p=0.05). The female teachers reported more depressive symptoms. Gender, age, emotional status, and improper posture are significant risk factors in terms of developing MSP. Teachers were found to be at risk

Home safety of individuals with neurological disorders: A Turkish sample

Purpose: The aim of this study is to determine the home safety status and associated risks of individuals with neurological disorders. Material and Methods: Eighty-three individuals with neurological disorders living in Denizli constitute the sample group of the study. The Home Safety Checklist was employed in order to evaluate the home safety status of the participants. Results: While 93% of the participants (n=77) were considered to be living in ‘dangerous’ homes, 7% (n=6) had ‘good’ homes according to the Home Safety Checklist scores. In this study’s sample, no participant was considered to be living in a ‘perfect’ home. Conclusion: The results are indicative of the fact that the home safety scores of participants with neurological disorders are very low. In light of this, the environment and living area of the affected individuals should be adapted according to their limitations in such a way so as to enable them to live a barrier-free and easier life