Evaluation of the effect of different height heel wedges on postural stability and plantar pressure in women with genu recurvatum

Objective: In mild cases of genu recurvatum, normal alignment can be achieved by using orthotic heel wedges, as a conservative treatment. The aim of this study is to analyze the instant effects of heel wedges of different heights on postural stability and plantar pressure by changing the angle of hyperextension in healthy women with genu recurvatum. Methods: Twenty-eight healthy women between the ages of 20 and 35 were included into the study. Recurvatum angles were measured by using standard goniometer and College des Jeunes Orthopedistes application. Individuals with a hyperextension angle between 10° and 15° were included in the study. Static and stabilometric data were recorded by the Sensor Medica baropedography device. Analyses were carried out on barefoot and wedges of 1 cm, 2.5 cm, and 5 cm. Results: In the static analysis, a positive significant difference was found between barefoot and 2.5 cm wedge in the parameters of left and right forefoot and rearfoot load, forefoot weight ratio, rearfoot surface, total surface, average pressure, maximum pressure, left forefoot surface (P < .05). In the stabilometric analysis, a positive significant difference was found between the barefoot and 2.5 cm wedge, and swing length was decreased in both eyes open and closed conditions (P < .05). Conclusion: In our study, the 2.5 cm wedge brings the knee angle closer to the anatomical angle than the 1 cm and 5 cm wedges and has positive effects on plantar pressure and stability. According to the findings, we recommend that individuals with 10°-15° recurvatum use a 2.5 cm wedge in their shoes

Comparison of the efficacy of pharmacological and nonpharmacological treatments in women with primary dysmenorrhea: Randomized controlled parallel-group study

Objectives: To compare the effectiveness of pharmacological (PT) and nonpharmacological treatments (NPT) in women with primary dysmenorrhea (PD) and determine the most effective treatment method. Material and methods: We enrolled 85 PD participants with PD who were randomly classified into five groups: pharmacological groups; naproxen sodium (NS) and micronized purified flavanoid fraction (MPFF), nonpharmacological groups; motor imagery focused pelvic floor exercise (MOPEXE) and acupressure, and no treatment group; control. Initial assessment was conducted in all groups on the first day of the menstrual cycle. After the end of the third menstrual cycle, the specialist physiotherapist and the obstetrician conducted a final evaluation. Intensity and nature of pain were evaluated with the Short-Form McGill Pain Questionnaire (SF-MPQ), and menstrual attitudes and behaviors were evaluated using the Menstruation Attitude Questionnaire (MAQ). Results: In the total pain dimension scores, which are the sum of the affective dimension of pain and sensory dimension scores, the pre–post treatment difference was the highest in the mean of the total pain dimension. The highest was for MOPEXE (15.12 ± 4.44), followed by MPFF (7.53 ± 6.8); acupressure (7.47 ± 5.28) and NS (4.47 ± 4.91) showed more significant change than the control group (p = 0.001). The mean difference in visual analog scale (VAS) scores was highest in MOPEXE (4.53 ± 1.5), followed by acupressure (2.35 ± 1.66); MPFF (1.88 ± 1.73) and NS (1.65 ± 1.84) scores were more significant than the control group (p = 0.001). Regarding total pain intensity, the highest was MOPEXE (2.59 ± 0.94), followed by MPFF (1.18 ± 0.88); acupressure (1.06 ± 0.83) and NS (0.82 ± 1.01) scores were more significant compared to the control group (p = 0.001). There was no significant change in the pre–post difference values in the MAQ subparameters: menstruation as deliberate event, menstruating as bothersome event, menstruation as natural event, anticipation and prediction of the onset of menstruation, and denial of any effects of menstruation; menstruation as a natural event resulted in insignificant changes in parameters (p = 0.579, p = 0.074, p = 0.892, p = 0.056, p = 0. 377). Conclusions: PT and NPT methods in the study were effective in coping with PD-associated pain. MPFF was more effective than the NS group in terms of relieving pain. In terms of pain, MOPEXE and acupressure groups were as effective as PT. The most effective of these treatment methods was the MOPEXE group created by the researcher

Investigation of the relationship of ergonomic and individual risk elements in metal industry employees' working environments and occupational musculoskeletal complaints

Amaç: Çalışmamızda metal sanayi çalışanlarının ergonomik risk unsurları ve mesleki kas iskelet sistemi hastalıklarına (MKİH) neden olabilecek faktörlerin saptanması amaçlandı. Gereç ve Yöntem: Çalışmamız Karadeniz Ereğli İttifak Metal Çelik Servis Merkezi’nde 30 erkek katılımcı ile yapıldı. Çalışmamızda katılımcıların sosyodemografik bilgileri Kişisel Bilgi Formu ile belirlendi. Mesleki ortamlarda kas iskelet sistemi yakınmalarının sıklığını araştırmak için yaygın olarak kullanılan “Genişletilmiş̧ Nordic Kas İskelet Sistemi Anketi” kullanıldı. Çalışanların ergonomik risk düzeyleri “REBA (Hızlı Tüm Vücut Değerlendirmesi) Çalışan Değerlendirme Formu” ile değerlendirildi. İş doyum ve tükenmişlik düzeylerini belirlemek için “Minnesota İş Doyum Anketi” ve “Maslach Tükenmişlik Ölçeği” kullanıldı. Veriler IBM SPSS V22 ile analiz edildi. Sonuçlar: Genişletilmiş Nordic Kas İskelet Sistemi Anketi’nde en fazla sorun görülen %70 ile sırt, %66,7 ile boyun, %43,3 ile bel bölgeleridir. Çalışmamızdaki katılımcıların REBA analizine göre ergonomik olarak orta derecede riskli olduğu ve önlem alınması gerektiği sonucuna vardık. Ayrıca Minnesota İş Doyum Anketi ve Maclach Tükenmişlik Ölçeği sonuçlarına göre katılımcıların iş doyum düzeyleri yüksek ve mesleki tükenmişlikleri orta düzeyde elde edildi. Tartışma: Çalışmamız doğrultusunda metal sanayi çalışanlarının MKİH riski taşıdıklarını düşünmekteyiz. Metal sanayi çalışanlarında çalışma ortamındaki ergonomik risk analizinin düzenli yapılması sayesinde risklerin önlenebileceği kanısındayız.Purpose: In our study, it is aimed to determine the ergonomic risk factors of metal industry workers and the factors that may cause occupational musculoskeletal diseases (MSD). Material and Methods: Our study was conducted with 30 male participants at ‘Karadeniz Eregli Ittifak Metal Çelik Servisi’. The sociodemographic information of the employees was determined by using the Personal Information Form. In order to investigate the prevalence of musculoskeletal complaints in occupational settings, The Extended Nordic Musculoskeletal questionnaire was used. The ergonomic risk levels of the employees were determined by using the ‘’REBA (Rapid Entire Body Assessment) employee assessment form. The Minnesota Job Satisfaction Questionnaire and The Maslach Burnout Inventory were used to determine job satisfaction and burnout levels. Data were analyzed by using IBM SPSS V22. Results: According to the expanded Nordic Musculoskeletal Questionnaire, the most common problem areas were upper back with a percentage of 70%, neck with a percentage of 66.7%, and lower back with 43.3%. According to the REBA analysis of the participants in our study, we concluded that there was ergonomically moderate risk and precautions should be taken. In addition, according to the Minnesota Job Satisfaction Questionnaire and Maclach Burnout Scale results, the participants’ job satisfaction levels were high and their occupational burnout was moderate. Discussion: In line with our study, we conclude that various elements in the business environment prepare an environment for MSD. We believe that risks can be prevented by regular analysis of ergonomic risks in the working environment of metal industry employees

Effect of custom design insole applications with 3D modelling on baropodometric parameters in individuals with pes planus

It was aimed to investigate the effect of custom made insoles on baropodometric analysis parameters in individuals with pes planus, using objective measurement and production methods. 100 individuals with pes planus, aged between 4-18 years in the study. Individuals who met the inclusion criteria and the medial longitudinal arch index were included in the study. Valgus angles of individuals, plantar measurements of the feet before the use of insoles and after 6 months of the use of insoles were evaluated with the Sensor Medica® device. When the measurement results of the ankle valgus angles of the individuals before and after the insoles were examined, it was observed that there was a statistical decrease in the mean results in both feet (p[removed]

Investigatigation of expectation, stress and satisfaction level of families have children with cerebral palsy who take physiotherapy services at hospital and special education institutions

Amaç: Hastane ve özel eğitim ortamında fizyoterapi hizmeti alan Serebral Palsili (SP) çocukların ailelerinin beklentileri, stres ve memnuniyet düzeylerinin araştırılmasıdır. Gereç Yöntemler: Çalışmaya, 40 SP’li çocuk ve aileleri katıldı. Hastanede rehabilitasyon alan Grup I; haftada 5 gün, özel eğitim merkezinde rehabilitasyon alan Grup II; haftada 2 gün, 3 ay süresince Nöro-Gelişimsel Tedavi (NGT) yöntemiyle tedaviye alındı. Olguların, sosyodemografik verileri ve tedaviden beklentileri kaydedildi. Çocuklar için Kaba Motor Fonksiyon Sınıflama Sistemi (KMFSS), Kaba Motor Fonksiyon Ölçümü (KMFÖ-88) ve Pediatrik Fonksiyonel Bağımsızlık Ölçümü (PFBÖ) ile aileleri için Beck Depresyon Ölçeği (BDÖ) ve memnuniyet durumu ve aile beklenti değerlendirme anketi kullanıldı. Değerlendirmeler tedavi öncesinde ve sonrasında tekrarlandı. Bulgular: Tedavi sonrası her iki gruptaki çocukların fonksiyonellik ve motor seviyelerinde istatistiksel olarak anlamlı artma gözlendi(p<0,05). Ailelerin depresyon düzeyinde Grup II’de anlamlı artma gözlendi(p=0,00). Ailelerin tedavi beklentisinde Grup II’de anlamlı düşme(p=0,00) ve tedaviden memnuniyetinde ise Grup I’de anlamlı artma(p=0,03) gözlendi. Sonuç: Hastanede rehabilitasyon hizmeti alan çocukların, özel eğitim merkezinde rehabilitasyon alan çocuklara göre; fonksiyonel durumu ve kaba motor düzeyinde daha fazla iyileşme olduğu gözlendi. Bu durum hastanede rehabilitasyon alanların ailenin stresini ve etkilenmişlik düzeyini azaltırken, beklentisini yükseltmiştir. Çalışma sonunda elde edilen bulgulara göre, SP’li çocuklarda haftalık seans sıklığının artması çocuğun motor fonksiyonları ve günlük yaşamda bağımsızlık seviyelerindeki artışa olumlu katkı sağlamıştır. SP’li çocukların rehabilitasyonunda tedavi sıklığının arttırılması ve ailelerin beklentilerini karşılayan programlar ile daha başarılı sonuçların elde edilebileceğini düşünmekteyiz.Purpose: This study is aimed to investigate expectations, stress and satisfaction levels of families who have children with Cerebral Palsy (CP) who take physiotherapy services at hospital and special education institutes. Methods: Total 40 children with CP and their families participated to the study. NeuroDevelopmental Treatment (NDT) was applied as 5 days for Group I (in hospital), as 2 days for group II (in special education instute) in a week, over 3 months. Socio-demographic features and treatment expectations were recorded. Gross Motor Function Classification System( GMFCS), Gross Motor Function Measure (GMFM-88), Pediatric Functional Independence Measure (WeeFIM) for the children and Beck Depression Scale (BDS), satisfaction and expectations queationnaire for families were used. Assesments were applied before and after treatment. Results: There was significant increase in functional and motor levels of children(p<0,05) and in depression levels of Group II (p=0,00). There was a significant decrease in expectation for treatment of Group II(p=0,00), increase in satisfaction of Group I(p=0,03). Conclusions: Functional status and gross motor levels of children who took rehabilitation in hospital improved comparing to children in special education institutions, Therefore, family stress and affection levels decreased and expectations increased in these families. According to results, increasing in teratment frequency in a week made a positive contribution to increase levels of motor functions and independence of children with CP. It is thought that more successful results can be obtained with increased treatment frequency in rehabilitation programs and treatments which could meet family expectations

Evaluation of the i-STAT Blood Gas Analysis System in Cardiovascular Surgery

The aim of this study was toinvestigate the compatibility of the parameters measured with the i-STAT blood gas analyser and the conventional blood gas analyser Rapid Point 500 (Siemens Healthcare Diagnostics, USA) in patients who underwent cardiovascular surgery. This clinical study included fifty patients undergoing coronary artery bypass surgery. Fifty whole blood samples were portioned and measured on the i-STAT and RP500 laboratory analyzers. The compatibility between pH, pCO2, pO2, Hb, Na+, K+, iCa2+ and glucose values was investigated.There was a good correlation of the i-STAT analyser with the RP500 analyser, with the exception Hb and Na+. Also all parameters except for Hb and ionized calcium were found to be within acceptable range in terms of clinical decision limits. It is very important that the point-of-care devices give accurate results as well as quick results. For this reason, we absolutely think that the point of care devices should be subjected to external and internal quality control programs, users should be trained regularly and feedback studies should be done

Kronik Bel Ağrılı Olgularda Yoganın ve Fizyoterapi Programının Yaşam Kalitesi, Denge, Ağrı Düzeyi ve Uyku Kalitesi Üzerine Etkilerinin Karşılaştırılması

This study was aimed to investigate the effectiveness of yoga and physiotherapy programme on quality of life, balance, pain level and quality of sleep in patients with Chronic Low Back Pain (CLBP). 40 patients diagnosed with CLBP from Natal Physical Therapy Center were participated in the study. Subjects were randomly divided into two groups. First group was treated with yoga programme while second group was treated with physiotherapy programme. First group followed yoga programme 5 days in week for 4 weeks. Second group was treated with hotpack, ultrasound and exercise therapy 5 days a week for first 2 weeks, and only exercise programme was performed for the next 2 weeks. Main outcome measurements such as muscle strength, lumbal mobility measurement, posture analysis, muscle shortness tests, anthropometric measurements and balance parameters were evaluated accompanying with Visual Analog Scale (VAS), quality of life with Short Form 36 (SF36), functional capacity with 6-minute walking test, sleep assessment with Pittsburgh Sleep Quality Index (PUKİ), disability with Oswestry Disability Index (ODI) and psychological status by Beck Depression Inventory (BDI) before and after treatment. Range of motion, flexibility, pain level, functional capacity, balance scores, muscle strength, functional disability, depression, quality of life parameters improved significantly in both groups (p0.05). The results of this study showed that both treatments increased range of motion, flexibility, functional capacity, muscle strength and balance while relieving pain level, depression and disability with improved functional disability and quality of life in patients with CLBP. It is suggested that yoga excersises can be considered as a part of physiotherapy sessions as well as being a single programme. This approach needs further studies.Bu çalışma Kronik Bel Ağrısı (KBA) olan hastalarda yoga ve fizyoterapi programlarının yaşam kalitesi, denge, ağrı düzeyi ve uyku kalitesi üzerine olan etkilerini araştırmak amacıyla gerçekleştirilmiştir. Çalışmaya Natal Fizik Tedavi ve Rehabilitasyon Merkezi?nde, uzman doktor tarafından Kronik Bel Ağrısı (KBA) tanısı konulan 40 hasta alınmıştır. Hastalar rastgele yöntemle ikiye ayrılmıştır. İlk gruba yoga yaptırılmıştır. Ikinci grup ise fizyoterapi programına alınmıştır. İlk gruba 4 hafta, haftada 5 gün olmak üzere yoga yaptırılmıştır. İkinci gruba ise haftada 5 gün iki hafta hotpack, ultrason ve egzersizden oluşan fizyoterapi programı uygulanmış ve iki haftalık tedaviyi takiben iki hafta boyunca haftada 5 gün egzersiz tedavisine devam edilmiştir. Çalışmaya katılan tüm bireylere kas kuvveti, lumbal mobilite ölçümü, postür analizi, kısalık testleri, antropometrik ölçümler ve denge parametrelerine bakılmış; ayrıca ağrı Vizüel Analog Skalası, foksiyonel kapasite 6 dk yürüme testi ile, Uyku kalitesi Pittsburg Uyku kalitesi ölçeği, Fonksiyonel Yetersizlik Oswestry Fonksiyonel Yetersizlik Skalası, yaşam kalitesi Kısa Form 36 (SF-36) ve psikolojik durum Beck Depresyon Ölçeği ile değerlendirilmiştir. Ölçümler tedavi öncesi ve sonrası tekrarlanmıştır. Tedavi sonrasında iki grupta da normal eklem hareketinde, esneklikte, ağrıda, fonksiyonel kapasitede, denge skorlarında, kas kuvvetinde, fonksiyonel yetersizlikde, depresyonda, yaşam kalitesi parametrelerinde düzelme olduğu tespit edilmiştir (p0.05). Bu çalışmanın sonuçları her iki tedavi programının KBA'lı olgularda normal eklem hareketini, esnekliği, fonksiyonel kapasiteyi, kas kuvvetini ve denge skorlarını artırdığı, ağrıyı azalttığı, depresyonu azalttığı, fonksiyonel yetersizliği olumlu etkilediği ve yaşam kalitesinde iyileşme sağlandığını göstermiştir. Her iki tedavi programının da KBA?lı hastalarda kullanılabileceği görülmüştür. Yoga egzersizlerinin ileride yapılacak çalışmalarda sadece yoga egzersizlerini kapsayan bir program olarak verileceği gibi fizyoterapi programları içerisinde yer alacak yaklaşımlar şeklinde de uygulanabileceği düşünülmektedir

Relationship between physical activity level and plantar sensitivity, balance in postmenopausal women

This research was planned to investigate the relationship between physical activity level and plantar sensitivity, static and dynamic balance in postmenopausal women. Forty women between the ages of 50 and 65, who had not had a menstrual period for at least 12 months, and who had undergone menopause due to hormonal, surgical or natural means were involved in the research. International Physical Activity Questionnaires Short Form (IPAQ-SF) was used to assess the level of physical activity. Light touch pressure threshold on soles of the individuals and two-point discrimination sense were evaluated bilaterally from 6 different regions of the sole of the foot. Single leg and tandem stance tests were used for static balance assessment. Dynamic balance was evaluated with Berg Balance Scale (BBS) and Timed Up and Go Test (TUG). As a result of the statistical analysis, a negative correlation was found between the total physical activity level of the participants and the light touch pressure of the right big toe. There was a significant negative correlation between total physical activity level and left big toe, and the 1st and 5th metatarsal heads of the left foot. A significant negative correlation between total physical activity level and TUG test was detected. However, no significant difference between total physical activity and BBS, static balance tests was found. As a result of this research, it was concluded that the level of physical activity affects the light touch sense of big toes of both feet, and the 1st and 5th metatarsal heads of left foot. During this study, it was seen that if total physical activity level decreases, then the score of TUG can increase. Physical activity level and related factors should be examined with a larger number of samples

Comparison of the effects of yoga and physiotherapy program on quality of life, balance, pain level, and sleep quality in individuals with chronic low back pain

Amaç: Bu çalışmada, Kronik Bel Ağrısı (KBA) olan bireylerde yoga ve fizyoterapi programlarının yaşam kalitesi, denge, ağrı düzeyi ve uyku kalitesi üzerine olan etkilerini araştırmak amaçlandı. Yöntem: Çalışmaya KBA tanısı konulan 40 birey alındı. Bireyler rastgele yöntemle iki gruba ayrıldı. İlk gruba 4 hafta, haftada 5 gün olmak üzere yoga programı yaptırıldı. İkinci gruba ise haftada 5 gün iki hafta hotpack, ultrason ve egzersizden oluşan fizyoterapi programı uygulandı ve iki haftalık tedaviyi takiben, iki hafta boyunca haftada 5 gün egzersiz tedavisine devam edildi. Çalışmaya katılan tüm bireylere dengenin değerlendirilmesi için tek ayak üstünde durma testi, ağrı şiddetinin değerlendirilmesi için Vizüel Analog Skalası, uyku kalitesinin değerlendirilmesi için Pittsburg Uyku Kalitesi Ölçeği, fonksiyonun değerlendirilmesi için Oswestry Fonksiyonel Yetersizlik Skalası, ve yaşam kalitesinin değerlendirilmesi için Kısa Form - 36 kullanıldı. Ölçümler tedavi öncesi ve sonrası tekrarlandı. Bulgular: Tedavi sonrasında her iki grupta da ağrı şiddetinde, denge skorlarında, fonksiyonel yetersizlik ve yaşam kalitesi parametrelerinde düzelme olduğu tespit edildi (p0.05). Sonuç: Çalışmanın sonuçları, her iki tedavi programının KBA’lı bireylerde denge, ağrı şiddeti, fonksiyon ve yaşam kalitesi üzerine olumlu etkileri olduğunu göstermiştir. Çalışmanın sonuçları ışığında, KBA’lı bireylerin tedavi sürecine fizyoterapi programlarına benzer olumlu etkilerinin görülmesinden ötürü yoga da önerilebilir.Purpose: In this study, it was aimed to investigate the effects of yoga and physiotherapy programs on quality of life, balance, pain level and sleep quality in individuals with chronic low back pain (CLBP). Methods: Forty individuals who were diagnosed with CLBP were included in the study. Individuals were divided into two groups randomly. Yoga program was practiced in first group for 5 days a week over 4 weeks. Physiotherapy program, which is consisting of hotpack, ultrasound and exercise, was practiced in second group for 5 days a week over 2 weeks, following 2 weeks treatment; exercise therapy was continued for 5 days a week over 2 weeks. One Leg Stance test for examination of balance, Visual Analog Scale for assessment of pain severity, Pittsburg Sleep Quality Scale for evaluation of sleep quality, Oswestry Functional Disability Scale for assessment of function and Short Form - 36 for evaluation of quality of life were used in the present study. Measurements were repeated before and after treatment. Results: It was determined that pain severity, balance scores, functional disability and quality of life parameters improved in both groups after treatment (p0.05). Conclusion: The results of the study showed that both treatment programs had positive effects on balance, pain severity, function and quality of life in individuals with CLBP. In light of the results of the study, yoga can also be recommended to the management of treatment on individuals with CLBP due to the similar positive effects as physiotherapy programs

Efficiency of electromyography biofeedback with relaxation training on muscle activation, disability, and posture in chronic neck pain

Purpose: The aim of this study was to compare the effect of classical physiotherapy program in patients with chronic neck pain, in addition to relaxation training with electromyography biofeedback (EMG-BF) on muscle activation level, posture, and disability levels. Methods: In addition to classical physiotherapy program (Transcutaneous Electrical Nerve Stimulation, ultrasound, hotpack, and home exercise), Group 1 (n = 20, 17 females, 3 males, mean age= 44.85 ± 12.51) was treated with relaxation training with EMG-BF and only classical physiotherapy program was applied to Group 2 (n = 20, 15 female, 5 male, mean age = 43.84 ± 12.33). The treatment applied five days a week for four weeks. Visual Analogue Scale (VAS), goniometric measurements, superficial EMG-BF, Neck Pain and Disability Index (NPDI), and New York Posture Scale (NPS) were used to measure the activation levels of upper trapezius muscle before and after treatment. Results: In the muscle activation level, there was a significant improvement on the left trapezius in both groups (p=0.005), but in the first group only the right trapezius muscle showed improvement (p=0.003). There was a significant decrease in the scores of NPDI (p=0.012) and NPS (p=0.001). Conclusion: After treatment, improvement was seen in both groups, but EMG-BF group was found to be more effective in muscle activation, disability, and posture level. It has been concluded that the relaxation training with EMG-BF will provide more effective treatment results by adding classical physiotherapy programs in clinics