Fibromiyaljili bireylerde ‘'core'' stabilizasyonun ekstremitelerin fonksiyonel durumu üzerine etkisinin incelenmesi

Bu çalışmanın amacı, fibromiyaljili (FM) bireylerde “core”” stabilizasyonun ekstremitelerin fonksiyonel durumu üzerine olan etkisini incelemekti. Çalışmaya yaş ortalaması 43,91±10,50 yıl olan 57 FM’li kadın dahil edildi. Bireylerin demografik verileri kaydedildikten sonra, ağrı Yaygın Ağrı İndeksi (YAİ), Semptom Şiddeti Ölçeği (SŞÖ) ve Görsel Analog Skalası (GAS) ile, basınç ağrı eşiği ölçümü basınç algometresi ile, hastalık aktivitesi ve fonksiyonel durum Fibromiyalji Etki Anketi (FEA) ile, “core” stabilizasyon değerlendirmesi McGill Statik Endurans testleri olan Gövde Fleksörleri Endurans Testi, Gövde Ekstansörleri Endurans Testi (Biering-Sorensen Testi) ve Lateral Köprü Testi ile, üst ekstremite fonksiyonları Kol, Omuz ve El Sorunları Anketi (KOESA) ve kaba kavrama kuvveti ölçümü ile, alt ekstremite fonksiyonları Alt Ekstremite Fonksiyonel Skalası (AEFS) ve Otur Kalk Testi ile, aerobik kapasiteleri 6 Dakika Yürüme Testi ile değerlendirildi. İstatistiksel analiz sonucunda FM’li bireylerde Gövde Ekstansörleri Endurans Testi ve Lateral Köprü Testleri ile kaba kavrama kuvveti arasında; tüm “core” endurans testleri ile KOESA arasında anlamlı bir ilişki olduğu bulundu (p≤0,05). Gövde Ekstansörleri Endurans Testi ve sol Lateral Köprü Testi ile Otur Kalk Testi arasında; tüm “core” endurans testleri ile 6 Dakika Yürüme Testi arasında; Gövde Fleksörleri Endurans Testi, Gövde Ekstansörleri Endurans Testi ve sağ Lateral Köprü Testi ile Alt Ekstremite Fonksiyonel Skalası (AEFS) arasında anlamlı bir ilişki olduğu görüldü (p≤0,05). Çalışmamızın sonuçlarına göre, FM’li bireylerde “core” stabilizasyonun üst ve alt ekstremite fonksiyonel durumu üzerinde etkisinin olduğu ve performansla ilişkili olduğu görülmüştür. Bu sonuçların ışığında FM’li bireylerin ekstremite fonksiyonel performansını artırmak için gövde kas enduransının artırılması ve “core” stabilizasyonun geliştirilmesinin önemli rolünün olduğu görülmektedirThe aim of this study was to examine the effect of “core” stabilization on the functional status of the extremities in individuals with fibromyalgia (FM). 57 women with FM with a mean age of 43.91±10.50 years were included in the study. After recording the demographic data of the individuals, pain was evaluated with the Widespread Pain Index (WPI), Symptom Severity Scale (SSS) and Visual Analogue Scale (VAS), pressure pain threshold with a pressure algometer, disease activity and functional status with Fibromyalgia Impact Questionnaire (FIQ), “core” stabilization assessment with McGill Static Endurance tests Trunk Flexors Endurance Test, Trunk Extensors Endurance Test (Biering-Sorensen Test) and Lateral Bridge Test, upper extremity functions with Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) and gross grip strength measurement, lower extremity functions with Lower Extremity Functional Scale (LEFS) and Chair Stand Test, aerobic capacity with 6 Minute Walk Test. As a result of statistical analysis, between Trunk Extensors Endurance Test and Lateral Bridge Tests and gross grip strength in individuals with FM; a significant correlation was found between all “core” endurance tests and DASH (p≤0.05). Between Trunk Extensors Endurance Test and left Lateral Bridge Test and Chair Stand Test; between all “core” endurance tests and the 6 Minute Walk Test; There was a significant correlation between Trunk Flexors Endurance Test, Trunk Extensors Endurance Test, right Lateral Bridge Test and Lower Extremity Functional Scale (LEFS) (p≤0.05). According to the results of our study, it was observed that “core” stabilization had an effect on the functional status of the upper and lower extremities and was associated with performance in individuals with FM. In the light of these results, it is seen that increasing trunk muscle endurance and improving “core” stabilization play an important role in increasing the extremity functional performance of individuals with FM

Investigation of Functional Status of Foot/Ankle in Individuals with Rheumatoid Arthritis

Objective=The aim of this study was to examine the functional limitations of foot/ankle in terms of age in individuals with Rheumatoid Arthritis (RA). Material-Method=Forty individuals diagnosed with RA were included in the study. Individuals with RA were divided into two groups (under 65 years old (n:24) and 65 years old and over (n:16)).Functional status of foot/ankle were evaluated with Foot and Ankle Outcome Score (FAOS), general health status with Visual Analogue Scale (VAS), and disability level with Health Assessment Questionnaire (HAQ). FAOS consists of five subtests: pain, other symptoms, activities of daily living, sport and recreational function, and foot/ankle related quality of life. Relationships between continuous variables were evaluated with Pearson Correlation Analysis. Results=HAQ had low to moderate correlation with FAOS_pain (r:-0.435), FAOS_activities of daily living (r:-0.647), FAOS_sport and recreational function (r:-0.495) and FAOS_total (r:-0.582) in RA with under 65 years old while HAQ had moderate to high correlation with FAOS_other symptoms (r:-0.579), FAOS_pain (r:-0.702), FAOS_activities of daily living (r:-0.868), FAOS_sport and recreational function (r:-0.683) and FAOS_total (r:-0.806) (p0.05) in RA with 65 years old and over. In addition, VAS had moderate correlation with FAOS_pain (r:-0.517), FAOS_activities of daily living (r:-0.590), FAOS_sport and recreational function (r:-0.550) and FAOS_total (r:-0.587) in RA with 65 years old and over (p0.05). Conclusion=Although functional limitations related to foot/ankle affect disability levels of RA of all ages, this effect is greater for RA aged 65 and over.In addition, functional limitations related to foot/ankle cause a worse perception of general health status of RA patients aged 65 and over

Turkish validity and reliability of the smartphone overuse screening questionnaire

This study aims to examine Turkish validity and reliability of the Smartphone Overuse Screening Questionnaire. The study group consisted of 400 students enrolled in different departments of a public university. The Smartphone Addiction Scale-Short Version and the Young’s Internet Addiction Test-Short Form were used for criterion validity. For the internal consistency of the scale, the Cronbach’s alpha was calculated. Five items were removed from the questionnaire due to high covariance error in the items loaded into different factors. The new 23-item scale consisted of 6 factors with acceptable goodness-of-fit values. (χ2/df = 2.83, root mean square error of approximation = 0.06, Comparative Fit Index = 0.90, Goodness of Fit Index = 0.87, Incremental Fit Index = 0.90). For the total score of the scale, the Cronbach’s alpha was 0.93 and test– retest reliability coefficient was.79. (p <.001). The total item correlation was found to be between.386 and.768. The Turkish Smartphone Overuse Screening Questionnaire showed a positive correlation with both the Young’s Internet Addiction Test-Short Form and the Smartphone Addiction Scale-Short Version. The results indicate that the Smartphone Overuse Screening Questionnaire can be used as a valid and reliable scale by both researchers and practitioners while examining problematic smartphone use

Evaluation of Final-Year Turkish Dental Students' Knowledge, Attitude, and Self-Perceived Competency towards Preventive Dentistry

Background. Dental education plays an important role in providing students with the opportunity to develop their evidence-based knowledge and clinical skills regarding patient-specific preventive care and caries management strategies. The aims of this study were to examine the knowledge, attitude, and self-perceived competency towards preventive dentistry among final-year dental students and to investigate their preventive practice for high-caries-risk children. Methods. Data were collected from a convenience sample of 126 dental students using a questionnaire. The IBM SPSS Statistics version 21 was used for data analysis. Results. A total of 126 students completed the questionnaire, and 63% of the respondents were female. Significant gender differences were found in the total Professional Preventive Knowledge Scale (PPKS) (p=0.016) and its subscales of the noncariogenic nutrition (p=0.015), dental hygiene/clinical examination (p<0.001), caries-preventive practice (p=0.02), and the Hiroshima University-Dental Behavioral Inventory (HU-DBI) (p=0.028). Significant differences were observed in the total PPKS (p=0.003) and its subscales of the noncariogenic nutrition (p=0.043) and caries risk management (p=0.006) in terms of self-perceived need to receive education and training. Caries-preventive practice was correlated with the self-perceived competency (r = 0.279; p=0.002), the attitudes (r = 0.394; p<0.001), the total PPKS (r = 0.457; p<0.001) and its all subscales of dental hygiene and clinical examination (r = 0.425; p<0.001), noncariogenic nutrition (r = 0.410; p<0.001), and caries risk management (r = 0.184; p=0.039). The self-perceived competency was positively correlated with the total PPKS (r = 0.192; p=0.031) and its subscale of noncariogenic nutrition (r = 0.259; p=0.003). Greater self-perceived competence, more positive attitudes, and good knowledge regarding preventive dentistry were found to be important predictors of the caries-preventive practice of dental students, explaining 31% of the variance (adjusted R-2 = 0.312, p<0.001). Conclusion. 40% of dental students reported educational and training needs regarding the diagnosis, caries-preventive agents, and risk-based treatment plan. These results should be taken into account by the stakeholders in developing the national core curriculum for undergraduate Turkish dental education

Ankilozan spondilitli bireylerde spinal mobiliteyi etkileyen faktörler

Amaç: Bu çalışmanın amacı Ankilozan Spondilit (AS)’li bireylerde spinal mobiliteyi etkileyen faktörleri incelemekti. Yöntem: Çalışmaya AS tanısı konmuş 18-65 yaş aralığında, yaş ortalaması 43,37±11,56 yıl olan 154 kişi dahil edildi. Katılımcıların demografik (cinsiyet, yaş, boy, kilo, tanı alma süresi, eğitim süresi, çalışma durumu, soygeçmiş, egzersiz alışkanlığı, sigara kullanımı) ve klinik verileri (sabah tutukluğu, kronik solunum hastalık öyküsü) kaydedildikten sonra, mobiliteleri Bath Ankilozan Spondilit Metroloji İndeksi (BASMİ) ile değerlendirildi. Bağımsız grup farklılıkların karşılaştırılmasında Mann Whitney U testi kullanıldı. Sürekli değişkenlerin arasındaki ilişkiler Pearson Korelasyon Analizi ile değerlendirildi. Bulgular: BASMİ skorları gruplar arasında karşılaştırıldığında; cinsiyet açısından kadınlara göre erkeklerin tragus duvar mesafesi (p=0,013), gövde lateral fleksiyon (p=0,001), lumbar fleksiyon (modifiye Schober) (p=0,001) skorları; çalışma durumu açısından çalışmayanların çalışanlara göre maksimum intermalleoler mesafe (p=0,001) ve toplam BASMI (p=0,019) skorları; kronik solunum hastalığı öyküsü bulunanların bulunmayanlara göre servikal rotasyon (p=0,013) skorları daha yüksekti. BASMİ skorları ile sürekli değişkenler arasındaki ilişki incelendiğinde; yaş ile tragus duvar mesafesi hariç tüm BASMİ skorları arasında orta düzeyde; tanı alma süresi ile maksimum intermalleoler mesafe hariç tüm BASMİ skorları arasında düşük ve orta düzeyde; eğitim süresi ile tüm BASMİ skorları arasında düşük ve orta düzeyde ilişki vardı (p0,05). Sonuç: AS’li erkek bireylerin kifozları daha fazla, gövde lateral fleksiyon hareketleri ve lumbar omurga fleksiyon hareketlilikleri daha azdır. Herhangi bir işte çalışmak kalça abduksiyonunu ve genel mobiliteyi arttırabilir. Kronik solunum hastalık öyküsü, servikal rotasyonda azalmaya neden olabilir. Ayrıca, yaşın ilerlemesi ve hastalık yılının artması ile mobilite azalabilirken, eğitim yılı arttıkça mobilite daha az etkilenebilmektedir