The Effect of Hypermobility on Pain and Quality of Life in Young Adults

Objective:Hypermobility is the excessive range of motion of joints, and related to various musculoskeletal and extra-articular problems that may significantly impair quality of life (QoL) by causing pain. The aim of the study is to examine the prevalence of hypermobility in young adults, and its relationship with pain in various regions of body and QoL.Methods:Two hundred and twenty five volunteers, aged between 17 and 23, were classified as subjects-with-hypermobility or subjects-without-hypermobility according to the Beighton Criteria. Chronic pain was identified by using Nordic Pain Questionnaire, QoL was identified by Short Form-36 (SF-36) Questionnaire. Pain presence in 9 body regions and SF-36 scores were compared between groups using chi-square test and Independent Samples T-test, respectively.Results:Of the participants, 164 (64%) were female, 91 (36%) were male, 119 (46.7%) had hypermobility. Upper back was the body region with the highest pain prevalence where 79% of hypermobile and 74% of non-hypermobile subjects reported pain at least once in past 12 months. Pain prevalence in body regions did not differ between groups (p>0.05). In terms of QoL, physical and mental component scores of SF-36, as well as all subgroup scores except social function were significantly lower in hypermobile subjects (p<0.05).Conclusion:Pain prevalence in different body regions did not differ between subjects with and without hypermobility whereas the QoL was significantly impaired in hypermobile subjects. Hypermobility is a substantial anatomical finding in young adults that should not be disregarded. Education, emotional support and encouraging about strengthening and proprioception exercises may contribute to their quality of life

AGE-RELATED DIFFERENCES IN FUNCTIONAL CAPACITY, PHYSICAL ACTIVITY, LIFE SATISFACTION, WELL-BEING AND QUALITY OF LIFE IN TURKISH ADULT POPULATION DURING COVID-19

Purpose: During the COVID-19 pandemic, the physical and mental health of general population has been adversely affected. This study aims to investigate if there are age-related differences in functional capacity, physical activity, life satisfaction, well-being and quality of life among adults of different age groups during this era. Methods: One-hundred fifty participants aged between 18-65 years were included. Participants were divided into 5 age groups, with 30 people in each age group i.e., 18-25, 25-35, 35-45, 45-55, and 55-65 years, using a block randomization. Functional capacity was evaluated with 1-minute sit-to-stand test (1-min STST); level of physical activity with International Physical Activity Questionnaire-Short Form (IPAQ-SF); life satisfaction with The Satisfaction with Life Scale (SWLS); well-being with WHO-5 Well-Being Index (WHO-5); and the quality of life with Short Form-12 (SF-12). All assessments were applied via an online form. Results: Age negatively correlated to 1-min STST (p<0.01, r=-0.214) and IPAQ total score (p<0.01, r=-0.173), whereas positively correlated to SWLS score (p<0.05, r=0.168) and MCS-12 score (p<0.01, r=0.339). There were statistically significant age-related differences in IPAQ total scores (p=0.001; F=5.169), MCS-12 scores (p<0.001; F=8.624) and SWLS scores (p=0.046; F=2.485). Individuals aged 18-25 years had the best IPAQ-SF score, and the worst SWLS and MCS-12 scores among other age groups. Conclusion: Younger individuals seem to have worse impairment in mental aspects of their lives compared to older counterparts, despite having relatively higher functional capacity and physical activity participation during COVID-19. These age-related differences should be taken into account when tailoring rehabilitation and/or counselling programs during this era

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

Breathing and Relaxation Exercises Help Improving Fear of COVID-19, Anxiety, and Sleep Quality: A Randomized Controlled Trial

Objective: To investigate the effects of breathing and relaxation exercises performed via telerehabilitation on fear, anxiety, sleep quality, and quality of life of individuals without coronavirus disease 2019 (COVID-19) during the ongoing pandemic.Design: A prospective, randomized, controlled single-blind study.Methods: Fifty participants who had not been exposed to the COVID-19 virus earlier were randomly divided into experimental (n = 25) and control groups (n = 25). Both groups received an information session about COVID-19 once at the start of the study via a mobile phone video application. The experimental group also performed a breathing and relaxation exercise program twice daily (morning and evening), 7 days per week, for 4 weeks; one session of the program was conducted under the remote supervision of a physiotherapist as telerehabilitation, and the remaining sessions were performed as a home program. The Fear of COVID-19 Scale (FCV-19S), which was the primary outcome measure, The Hamilton Anxiety Rating Scale (HAMA), Pittsburgh Sleep Quality Index (PSQI), and EQ-5D-3L were administered to both groups.Results: The FCV-19S, HAMA, and PSQI were statistically significantly improved to compare the controls, with a large effect size (eta(2)(p) = 0.135, 0.313, and 0.200, respectively). The EQ-5D-3L index and EQ-5D-3L visual analog scale were not statistically significantly different compared with the controls; however, a small effect size was detected for the differences between the two groups (eta(2)(p) = 0.056 and 0.013, respectively).Conclusion: Breathing and relaxation exercises appear to be an effective and feasible approach to support mental health and sleep quality during the COVID-19 pandemic. Especially in highly contagious diseases such as COVID-19, telerehabilitation approaches may be useful for safely reaching individuals by eliminating human-to-human contact.Clinical Trial Registration number: NCT04910932

The Effect of Hypermobility on Pain and Quality of Life in Young Adults Genc Yeti?kinlerde Hipermobilitenin A?r? ve Ya?am Kalitesi Uzerine Etkisi

Objective: Hypermobility is the excessive range of motion of joints, and related to various musculoskeletal and extra-articular problems that may significantly impair quality of life (QoL) by causing pain. The aim of the study is to examine the prevalence of hypermobility in young adults, and its relationship with pain in various regions of body and QoL. Methods: Two hundred and twenty five volunteers, aged between 17 and 23, were classified as subjects-with-hypermobility or subjects-without-hypermobility according to the Beighton Criteria. Chronic pain was identified by using Nordic Pain Questionnaire, QoL was identified by Short Form-36 (SF-36) Questionnaire. Pain presence in 9 body regions and SF-36 scores were compared between groups using chi-square test and Independent Samples T-test, respectively. Results: Of the participants, 164 (64%) were female, 91 (36%) were male, 119 (46.7%) had hypermobility. Upper back was the body region with the highest pain prevalence where 79% of hypermobile and 74% of non-hypermobile subjects reported pain at least once in past 12 months. Pain prevalence in body regions did not differ between groups (p>0.05). In terms of QoL, physical and mental component scores of SF-36, as well as all subgroup scores except social function were significantly lower in hypermobile subjects (p<0.05). Conclusion: Pain prevalence in different body regions did not differ between subjects with and without hypermobility whereas the QoL was significantly impaired in hypermobile subjects. Hypermobility is a substantial anatomical finding in young adults that should not be disregarded. Education, emotional support and encouraging about strengthening and proprioception exercises may contribute to their quality of life

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

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

Translation, cross-cultural adaptation, reliability, and validity of the Turkish version of the Duke Activity Status Index in patients with pulmonary hypertension

[No abstract available]The authors would like to thank David F. Chapman for his editing support

Obstacle of physical activity and activities of daily living in patients with COPD: Dyspnea related kinesiophobia

---European Respiratory Societ