Objectives: This study aimed to quantify test-retest reliability and minimal detectable change (MDC) of the four commonly used functional tests in older adults with a high risk of falling.
Patients and methods: The cross-sectional study was conducted with 30 community-dwelling older adults (26 females, 4 males; mean age: 73.7±6.0 years; range, 65 to 88 years) with a high fall risk identified by the Thai falls risk assessment test between November 2018 and May 2019. Data from the 10-m walk test at a comfortable gait speed (CGS) and fast gait speed (FGS), timed up and go (TUG) test, five times sit to stand test (FTSST), and 6-min walk test (6MWT) were collected twice for each participant. The interval between test sessions was one week. Test-retest reliability was analyzed by the intraclass correlation coefficient (ICC). Standard error of measurement (SEM) and MDC at the 95% confidence interval (MDC95) were also calculated.
Results: The four functional tests had ICC in the range of 0.92 to 0.97. The SEM values of the CGS, FGS, TUG, FTSST, and 6MWT were 0.06 m/sec, 0.04 m/sec, 1.10 sec, 1.30 sec, and 20.60 m, respectively. The MDC95 values of the CGS, FGS, TUG, FTSST, and 6MWT were 0.16 m/sec, 0.12 m/sec, 3.00 sec, 3.50 sec, and 57.20 m, respectively.
Conclusion: All functional tests demonstrated excellent test-retest reliability. The SEM and MDC95 of all functional tests were established. These findings can help clinicians interpret the effectiveness of interventions and determine changes in functional ability over time in older adults at high risk of falls.
{"title":"Test-retest reliability and minimal detectable change of four functional tests in community-dwelling older adults with high risk of falls.","authors":"Roongnapa Intaruk, Supaporn Phadungkit, Anongnat Kanpai, Ketmanee Pawanta, Nuttanicha Srihapol, Jittima Saengsuwan, Sugalya Amatachaya, Thiwabhorn Thaweewannakij","doi":"10.5606/tftrd.2024.12725","DOIUrl":"10.5606/tftrd.2024.12725","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to quantify test-retest reliability and minimal detectable change (MDC) of the four commonly used functional tests in older adults with a high risk of falling.</p><p><strong>Patients and methods: </strong>The cross-sectional study was conducted with 30 community-dwelling older adults (26 females, 4 males; mean age: 73.7±6.0 years; range, 65 to 88 years) with a high fall risk identified by the Thai falls risk assessment test between November 2018 and May 2019. Data from the 10-m walk test at a comfortable gait speed (CGS) and fast gait speed (FGS), timed up and go (TUG) test, five times sit to stand test (FTSST), and 6-min walk test (6MWT) were collected twice for each participant. The interval between test sessions was one week. Test-retest reliability was analyzed by the intraclass correlation coefficient (ICC). Standard error of measurement (SEM) and MDC at the 95% confidence interval (MDC<sub>95</sub>) were also calculated.</p><p><strong>Results: </strong>The four functional tests had ICC in the range of 0.92 to 0.97. The SEM values of the CGS, FGS, TUG, FTSST, and 6MWT were 0.06 m/sec, 0.04 m/sec, 1.10 sec, 1.30 sec, and 20.60 m, respectively. The MDC<sub>95</sub> values of the CGS, FGS, TUG, FTSST, and 6MWT were 0.16 m/sec, 0.12 m/sec, 3.00 sec, 3.50 sec, and 57.20 m, respectively.</p><p><strong>Conclusion: </strong>All functional tests demonstrated excellent test-retest reliability. The SEM and MDC<sub>95</sub> of all functional tests were established. These findings can help clinicians interpret the effectiveness of interventions and determine changes in functional ability over time in older adults at high risk of falls.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 2","pages":"164-170"},"PeriodicalIF":1.1,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11209335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-15eCollection Date: 2024-06-01DOI: 10.5606/tftrd.2024.13359
Göktuğ Karataş, Ebru Şahin, Nihan Erdinç Gündüz, Özlem El, Ali Karakaş, Özlen Peker
Objectives: The aim of this study was to investigate the validity and reliability of the Turkish version of the Functional Mobility Scale (FMS) in patients with cerebral palsy. Patients and methods: The validity and reliability study was conducted with 100 cerebral palsy patients (66 males, 34 females; mean age: 6.4±2.7 years; range, 2 to 18 years) between July 2015 and July 2018. The translation of the FMS was performed according to international standards. For test-retest reliability, 54 patients were reevaluated one week after the initial test with the Turkish version of the FMS, and Cohen's weighted kappa values were analyzed. The validity of the scale was assessed by correlating the FMS with the Gross Motor Function Classification System and the Gillette Functional Assessment Questionnaire Walking Scale. Twenty patients were evaluated by two researchers for interobserver reliability. Results: The kappa coefficients for test-retest reliability were 0.90 for FMS 5 m, 0.92 for FMS 50 m, and 0.91 for FMS 500 m. An evaluation of the validity revealed a significant correlation between FMS and the Gross Motor Function Classification System for all distances (r=-0.95, r=-0.96, and r=-0.92 for 5, 50, and 500 m, respectively; p <0.001), as well as the Gillette Functional Assessment Questionnaire Walking Scale (r=-0.95, r=-0.94, and r=-0.91 for 5, 50, and 500 meters, respectively; p <0.001). The kappa coefficients related to interobserver reliability were 0.73 for 5 m, 0.69 for FMS 50 m, and 0.81 for FMS 500 m. Conclusion: The Turkish version of the FMS can be considered a valid and reliable instrument for the assessment of cerebral palsy patients.
{"title":"The validity and reliability of the Turkish version of the functional mobility scale in patients with cerebral palsy.","authors":"Göktuğ Karataş, Ebru Şahin, Nihan Erdinç Gündüz, Özlem El, Ali Karakaş, Özlen Peker","doi":"10.5606/tftrd.2024.13359","DOIUrl":"10.5606/tftrd.2024.13359","url":null,"abstract":"<p><p><b>Objectives:</b> The aim of this study was to investigate the validity and reliability of the Turkish version of the Functional Mobility Scale (FMS) in patients with cerebral palsy. <b>Patients and methods:</b> The validity and reliability study was conducted with 100 cerebral palsy patients (66 males, 34 females; mean age: 6.4±2.7 years; range, 2 to 18 years) between July 2015 and July 2018. The translation of the FMS was performed according to international standards. For test-retest reliability, 54 patients were reevaluated one week after the initial test with the Turkish version of the FMS, and Cohen's weighted kappa values were analyzed. The validity of the scale was assessed by correlating the FMS with the Gross Motor Function Classification System and the Gillette Functional Assessment Questionnaire Walking Scale. Twenty patients were evaluated by two researchers for interobserver reliability. <b>Results:</b> The kappa coefficients for test-retest reliability were 0.90 for FMS 5 m, 0.92 for FMS 50 m, and 0.91 for FMS 500 m. An evaluation of the validity revealed a significant correlation between FMS and the Gross Motor Function Classification System for all distances (r=-0.95, r=-0.96, and r=-0.92 for 5, 50, and 500 m, respectively; p <0.001), as well as the Gillette Functional Assessment Questionnaire Walking Scale (r=-0.95, r=-0.94, and r=-0.91 for 5, 50, and 500 meters, respectively; p <0.001). The kappa coefficients related to interobserver reliability were 0.73 for 5 m, 0.69 for FMS 50 m, and 0.81 for FMS 500 m. <b>Conclusion:</b> The Turkish version of the FMS can be considered a valid and reliable instrument for the assessment of cerebral palsy patients.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 2","pages":"188-196"},"PeriodicalIF":1.1,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11209331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: This study aimed to evaluate the effects of the combined hydrolyzed type 2 collagen, methylsulfonylmethane (MSM), glucosamine sulfate (GS), and chondroitin sulfate (CS) supplement on knee pain intensity in patients with knee osteoarthritis (OA).
Patients and methods: This multicenter, observational, noninterventional study included 98 patients (78 females, 20 males; mean age: 52.8±6.5 years; range, 40 to 64 years) who had Grade 1-3 knee OA between May 2022 and November 2022. The patients were prescribed the combination of hydrolyzed type 2 collagen, MSM, GS, and CS as a supplement for knee OA. The sachet form of the combined supplement containing 1250 mg hydrolyzed type 2 collagen, 750 mg MSM, 750 mg GS, and 400 mg CS was used once daily for two consecutive months. Patients were evaluated according to the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Visual Analog Scale (VAS)-pain, and Health Assessment Questionnaire (HAQ). Patients were scheduled to visit for follow-up four weeks (Visit 2) and eight weeks (Visit 3) after Visit 1 (baseline; day 0 of the study).
Results: For the VAS-pain, WOMAC, WOMAC-subscale, and HAQ scores, the differences in improvement between the three visits were significant (p<0.001 for all). The patient compliance with the supplement was a median of 96.77%, both for Visit 2 and Visit 3.
Conclusion: The combination of hydrolyzed type 2 collagen, MSM, GS, and CS for eight weeks in knee OA was considered an effective and safe nutritional supplement.
研究目的本研究旨在评估水解 2 型胶原蛋白、甲磺酰甲烷(MSM)、硫酸氨基葡萄糖(GS)和硫酸软骨素(CS)联合补充剂对膝关节骨关节炎(OA)患者膝关节疼痛强度的影响:这项多中心、观察性、非干预性研究共纳入了 98 名患者(78 名女性,20 名男性;平均年龄为(52.8±6.5)岁;年龄范围为 40 至 64 岁),他们都是在 2022 年 5 月至 2022 年 11 月期间患有 1-3 级膝关节 OA 的患者。患者处方中将水解 2 型胶原蛋白、MSM、GS 和 CS 组合作为膝关节 OA 的补充剂。小袋装的组合保健品含有1250毫克水解2型胶原蛋白、750毫克MSM、750毫克GS和400毫克CS,每天服用一次,连续服用两个月。根据西安大略和麦克马斯特大学骨关节炎指数(WOMAC)、疼痛视觉模拟量表(VAS)和健康评估问卷(HAQ)对患者进行评估。患者在第1次就诊(基线,即研究的第0天)后的4周(第2次就诊)和8周(第3次就诊)进行随访:结果:对于 VAS 疼痛、WOMAC、WOMAC-subscale 和 HAQ 分数,三次随访之间的改善差异显著(p 结论:将水解 2 型胶原蛋白、MSM、GS 和 CS 组合在一起对膝关节 OA 进行为期八周的治疗被认为是一种有效且安全的营养补充剂。
{"title":"The effect of combined hydrolyzed type 2 collagen, methylsulfonylmethane, glucosamine sulfate and chondroitin sulfate supplementation on knee osteoarthritis symptoms.","authors":"Fikriye Figen Ayhan, Ayşegül Demirci Çoban, Ayça Utkan Karasu, Belgin Karaoğlan, Ece Çınar, Sibel Eyigör, Öznur Uzun, Pınar Borman, Seçil Vural, Ayşegül Yaman, Songül Keskin Kavak, Lale Aktekin, Burcu Duyur Çakıt, Habibe Kandaşoğlu, Başak Mansız Kaplan, Hüma Bölük Şenlikçi, Meltem Dalyan","doi":"10.5606/tftrd.2024.13735","DOIUrl":"10.5606/tftrd.2024.13735","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the effects of the combined hydrolyzed type 2 collagen, methylsulfonylmethane (MSM), glucosamine sulfate (GS), and chondroitin sulfate (CS) supplement on knee pain intensity in patients with knee osteoarthritis (OA).</p><p><strong>Patients and methods: </strong>This multicenter, observational, noninterventional study included 98 patients (78 females, 20 males; mean age: 52.8±6.5 years; range, 40 to 64 years) who had Grade 1-3 knee OA between May 2022 and November 2022. The patients were prescribed the combination of hydrolyzed type 2 collagen, MSM, GS, and CS as a supplement for knee OA. The sachet form of the combined supplement containing 1250 mg hydrolyzed type 2 collagen, 750 mg MSM, 750 mg GS, and 400 mg CS was used once daily for two consecutive months. Patients were evaluated according to the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Visual Analog Scale (VAS)-pain, and Health Assessment Questionnaire (HAQ). Patients were scheduled to visit for follow-up four weeks (Visit 2) and eight weeks (Visit 3) after Visit 1 (baseline; day 0 of the study).</p><p><strong>Results: </strong>For the VAS-pain, WOMAC, WOMAC-subscale, and HAQ scores, the differences in improvement between the three visits were significant (p<0.001 for all). The patient compliance with the supplement was a median of 96.77%, both for Visit 2 and Visit 3.</p><p><strong>Conclusion: </strong>The combination of hydrolyzed type 2 collagen, MSM, GS, and CS for eight weeks in knee OA was considered an effective and safe nutritional supplement.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 2","pages":"259-268"},"PeriodicalIF":1.1,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11209321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-15eCollection Date: 2024-09-01DOI: 10.5606/tftrd.2024.12821
Sefa Tan, Banu Gokcen Tan, Zafer Gunendi
Takayasu arteritis (TA) is an uncommon chronic inflammation of blood vessels. It can occur with a range of clinical manifestations. However, low back pain is uncommonly defined as the initial symptom of TA. In this article, we report a 53-year-old woman who presented with low back pain and was diagnosed with TA after a detailed clinical examination and further evaluations. A thorough history and detailed physical examination can help to recognize the underlying cause of low back pain. Takayasu arteritis should be kept in mind as an alternative diagnosis while evaluating low back pain with high inflammation parameters, particularly in women.
{"title":"From low back pain to Takayasu arteritis: A rare case report.","authors":"Sefa Tan, Banu Gokcen Tan, Zafer Gunendi","doi":"10.5606/tftrd.2024.12821","DOIUrl":"10.5606/tftrd.2024.12821","url":null,"abstract":"<p><p>Takayasu arteritis (TA) is an uncommon chronic inflammation of blood vessels. It can occur with a range of clinical manifestations. However, low back pain is uncommonly defined as the initial symptom of TA. In this article, we report a 53-year-old woman who presented with low back pain and was diagnosed with TA after a detailed clinical examination and further evaluations. A thorough history and detailed physical examination can help to recognize the underlying cause of low back pain. Takayasu arteritis should be kept in mind as an alternative diagnosis while evaluating low back pain with high inflammation parameters, particularly in women.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 3","pages":"410-413"},"PeriodicalIF":1.1,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-14eCollection Date: 2024-06-01DOI: 10.5606/tftrd.2024.12006
Kubra Isik, Zeki Odabaşı
Hereditary neuropathy with liability pressure palsies (HNPP) is usually caused by compression and is an episodic, painless, recurrent hereditary neuropathy with focal motor and sensory involvement. It begins in adolescence and young adulthood. The most commonly affected nerves in HNPP are the ulnar, peroneal, radial, and median nerves. In this article, we present a 31-year-old female patient with a previously undescribed case of HNPP, which presented with wrist drop due to the trapping of the radial nerve in the spiral groove after the crow position in yoga.
{"title":"An interesting cause of wrist drop: The crow position in yoga and hereditary neuropathy with liability to pressure palsies.","authors":"Kubra Isik, Zeki Odabaşı","doi":"10.5606/tftrd.2024.12006","DOIUrl":"10.5606/tftrd.2024.12006","url":null,"abstract":"<p><p>Hereditary neuropathy with liability pressure palsies (HNPP) is usually caused by compression and is an episodic, painless, recurrent hereditary neuropathy with focal motor and sensory involvement. It begins in adolescence and young adulthood. The most commonly affected nerves in HNPP are the ulnar, peroneal, radial, and median nerves. In this article, we present a 31-year-old female patient with a previously undescribed case of HNPP, which presented with wrist drop due to the trapping of the radial nerve in the spiral groove after the crow position in yoga.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 2","pages":"282-284"},"PeriodicalIF":1.1,"publicationDate":"2024-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11209340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-04eCollection Date: 2024-06-01DOI: 10.5606/tftrd.2024.12219
Gönen Mengi, Hüseyin Aydoğmuş, Özden Özyemişçi Taşkıran, Feride Göğüş, Mehmet Beyazova
Objectives: This study aimed to objectively and quantitatively exhibit morning stiffness by using electrophysiological methods.
Patients and methods: The prospective, controlled study was conducted with 52 participants between February 2013 and February 2014. Of the participants, 26 were recruited among RA patients (3 males, 23 females; mean age: 55.9±11.2 years; range, 24 to 74 years) followed at the rheumatology clinic, and 26 were healthy subjects (4 males, 22 females; mean age: 54.9±8.3 years; range, 41 to 70 years) for the control group. Duration and severity of morning stiffness were recorded for all participants. Activity of disease and functional status were evaluated by the Disease Activity Score 28 and Health Assessment Questionnaire (HAQ), respectively. Electrophysiological reaction times, severity of pain (Visual Analog Scale), HAQ, and grip strength were measured for each participant twice in 24 h in the morning (08:00-09:00 am) and afternoon (03:00-05:00 pm).
Results: In the RA group, motor reaction and response times and severity of pain values were significantly lower in the afternoon compared to the morning (p=0.030, p=0.031, and p=0.002, respectively), and hand grip strengths were significantly higher in the afternoon (p=0.007). In the control group, no change was observed between morning and afternoon measurements in the strength and reaction time variables.
Conclusion: Our hypothesis that stiffness would slow down the movements in the morning in RA was supported by the prolonged motor and response times in the morning compared to the afternoon. However, in the control group (no morning stiffness), there was no difference in reaction time variables between the morning and afternoon, objectively demonstrating the concept of morning stiffness in this study.
{"title":"Is it possible to objectively determine morning stiffness in rheumatoid arthritis?","authors":"Gönen Mengi, Hüseyin Aydoğmuş, Özden Özyemişçi Taşkıran, Feride Göğüş, Mehmet Beyazova","doi":"10.5606/tftrd.2024.12219","DOIUrl":"10.5606/tftrd.2024.12219","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to objectively and quantitatively exhibit morning stiffness by using electrophysiological methods.</p><p><strong>Patients and methods: </strong>The prospective, controlled study was conducted with 52 participants between February 2013 and February 2014. Of the participants, 26 were recruited among RA patients (3 males, 23 females; mean age: 55.9±11.2 years; range, 24 to 74 years) followed at the rheumatology clinic, and 26 were healthy subjects (4 males, 22 females; mean age: 54.9±8.3 years; range, 41 to 70 years) for the control group. Duration and severity of morning stiffness were recorded for all participants. Activity of disease and functional status were evaluated by the Disease Activity Score 28 and Health Assessment Questionnaire (HAQ), respectively. Electrophysiological reaction times, severity of pain (Visual Analog Scale), HAQ, and grip strength were measured for each participant twice in 24 h in the morning (08:00-09:00 am) and afternoon (03:00-05:00 pm).</p><p><strong>Results: </strong>In the RA group, motor reaction and response times and severity of pain values were significantly lower in the afternoon compared to the morning (p=0.030, p=0.031, and p=0.002, respectively), and hand grip strengths were significantly higher in the afternoon (p=0.007). In the control group, no change was observed between morning and afternoon measurements in the strength and reaction time variables.</p><p><strong>Conclusion: </strong>Our hypothesis that stiffness would slow down the movements in the morning in RA was supported by the prolonged motor and response times in the morning compared to the afternoon. However, in the control group (no morning stiffness), there was no difference in reaction time variables between the morning and afternoon, objectively demonstrating the concept of morning stiffness in this study.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 2","pages":"180-187"},"PeriodicalIF":1.1,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11209333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-22eCollection Date: 2024-03-01DOI: 10.5606/tftrd.2024.67056
Walter R Frontera, Wouter DeGroote, Abdul Ghaffar
{"title":"Importance of health policy and systems research for strengthening rehabilitation in health systems a call to action to accelerate progress.","authors":"Walter R Frontera, Wouter DeGroote, Abdul Ghaffar","doi":"10.5606/tftrd.2024.67056","DOIUrl":"10.5606/tftrd.2024.67056","url":null,"abstract":"","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 1","pages":"1-3"},"PeriodicalIF":1.3,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10966757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: The study aimed to analyze the relationship between serum adiponectin concentration, Mediterranean diet (MD) adherence, and Dietary Approaches to Stop Hypertension (DASH) diet adherence in patients with spinal cord injury (SCI). Patients and methods: Thirty-three SCI patients (21 males, 12 females; median age: 33 years; range, 18 to 65 years) and 33 age-, sex-, and body mass index-matched healthy controls (21 males, 12 females; median age: 33 years; range, 18 to 64 years) were included in this cross-sectional study between March 2021 and March 2022. Serum adiponectin concentrations of all participants were measured. Body weight, height, and neck, hip, waist, and mid-upper arm circumferences were measured. Twenty-four-hour dietary records were obtained by the researchers for evaluation of the nutritional status. The DASH diet score and MD score were measured for each participant. Results: Most of the cases of SCI were due to motor vehicle collisions (n=12, 36.4%) and complete paraplegic. Mid-upper arm circumference, waist circumference, hip circumference, and neck circumference of the patient group were significantly higher than the control group (p=0.020, p=0.002, p=0.042, and p<0.001, respectively). Mediterranean diet scores and DASH diet scores of the patient group were significantly higher than the control group (p<0.001 and p=0.031, respectively). Serum adiponectin concentration of patients was significantly higher than the control group (p=0.049). No correlation was detected between adiponectin concentration, MD score, and DASH diet score in both groups. Conclusion: Although correlation analysis in the current research did not show significant relation between nutrition and adiponectin concentrations, nutrition of patients with SCI, as demonstrated by higher adherence to MD and DASH, may have provided positive effects on adiponectin concentrations. Future studies focused on the effect of a healthy diet intervention on serum adiponectin concentration is warranted.
{"title":"Adiponectin in spinal cord injury: What is the role of nutrition in serum adiponectin concentration?","authors":"Emre Adıgüzel, Kübra Tel Adıgüzel, Zuhal Özişler, Gülşah Kaner, Müfit Akyüz","doi":"10.5606/tftrd.2024.13946","DOIUrl":"10.5606/tftrd.2024.13946","url":null,"abstract":"<p><p><b>Objectives:</b> The study aimed to analyze the relationship between serum adiponectin concentration, Mediterranean diet (MD) adherence, and Dietary Approaches to Stop Hypertension (DASH) diet adherence in patients with spinal cord injury (SCI). <b>Patients and methods:</b> Thirty-three SCI patients (21 males, 12 females; median age: 33 years; range, 18 to 65 years) and 33 age-, sex-, and body mass index-matched healthy controls (21 males, 12 females; median age: 33 years; range, 18 to 64 years) were included in this cross-sectional study between March 2021 and March 2022. Serum adiponectin concentrations of all participants were measured. Body weight, height, and neck, hip, waist, and mid-upper arm circumferences were measured. Twenty-four-hour dietary records were obtained by the researchers for evaluation of the nutritional status. The DASH diet score and MD score were measured for each participant. <b>Results:</b> Most of the cases of SCI were due to motor vehicle collisions (n=12, 36.4%) and complete paraplegic. Mid-upper arm circumference, waist circumference, hip circumference, and neck circumference of the patient group were significantly higher than the control group (p=0.020, p=0.002, p=0.042, and p<0.001, respectively). Mediterranean diet scores and DASH diet scores of the patient group were significantly higher than the control group (p<0.001 and p=0.031, respectively). Serum adiponectin concentration of patients was significantly higher than the control group (p=0.049). No correlation was detected between adiponectin concentration, MD score, and DASH diet score in both groups. <b>Conclusion:</b> Although correlation analysis in the current research did not show significant relation between nutrition and adiponectin concentrations, nutrition of patients with SCI, as demonstrated by higher adherence to MD and DASH, may have provided positive effects on adiponectin concentrations. Future studies focused on the effect of a healthy diet intervention on serum adiponectin concentration is warranted.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 2","pages":"171-179"},"PeriodicalIF":1.1,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11209322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-14eCollection Date: 2024-03-01DOI: 10.5606/tftrd.2024.12573
Paolo Capodaglio, Lorenzo Lippi, Arianna Folli, Giulia Trotti, Valentina Aspesi, Alessio Turco, Alessandro de Sire, Marco Invernizzi
Objectives: This study aimed to assess the impact of add-on pelvic floor exercises on a weight management rehabilitation program.
Patients and methods: This proof of principle study was conducted between July 2019 and December 2019. Ninety-three adult female inpatients with obesity and diagnosis of urinary incontinence (UI) were assessed for inclusion, and the suitable patients were randomly assigned to the experimental group and the control group. Both groups underwent a weight management rehabilitation program, while the experimental group also performed pelvic floor exercises. The primary outcome was UI severity, assessed by the 1-h pad test. Secondary outcomes were urinary symptoms, assessed by the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), Patient Global Impression of Improvement (PGI-I), and Incontinence Quality of Life Questionnaire (I-QOL).
Results: Sixty female inpatients were randomly assigned to the experimental group [n=30; median age: 64.50 (51.25 to 70.50) years] or the control group [n=30; median age: 67.50 (58.50 to 74.75) years]. The experimental group showed a statistically significant reduction in UI severity [pad test: 2.08 (1.21 to 8.85) g vs. 0.54 (0.24 to 1.13) g, p<0.01; ICIQ-SF: 14.00 (10.25 to 17.00) vs. 8.00 (6.25 to 11.75), p<0.01; I-QOL: 56.37 (42.28 to 73.64) vs. 78.64 (64.32 to 90.68), p<0.01]. Statistically significant differences were found in the between-groups analysis [pad test: 0.54 (0.24 to 1.13) g vs. 1.08 (0.83 to 3.86) g, p<0.01; ICIQ-SF: 8.00 (6.25 to 11.75) vs. 12.00 (10.00 to 16.00), p<0.01; I-QOL: 78.64 (64.32 to 90.68) vs. 68.18 (60.00 to 84.32), p<0.01].
Conclusion: Including pelvic floor exercises might provide additional benefits compared to standard rehabilitation in reducing UI symptoms in obese women.
研究目的本研究旨在评估附加盆底肌锻炼对体重管理康复计划的影响:这项原理验证研究于 2019 年 7 月至 2019 年 12 月期间进行。研究评估了 93 名患有肥胖症并被诊断为尿失禁(UI)的成年女性住院患者,并将合适的患者随机分配到实验组和对照组。两组患者都接受了体重管理康复计划,实验组还进行了盆底肌锻炼。主要结果是尿失禁的严重程度,通过 1 小时尿垫测试进行评估。次要结果是尿失禁症状,通过国际尿失禁咨询问卷简表(ICIQ-SF)、患者全球改善印象(PGI-I)和尿失禁生活质量问卷(I-QOL)进行评估:60 名女性住院患者被随机分配到实验组[n=30;中位年龄:64.50(51.25-70.50)岁]或对照组[n=30;中位年龄:67.50(58.50-74.75)岁]。实验组的尿失禁严重程度在统计学上有显著降低[PAD 测试:2.08 (1.21 to 8.85) g vs. 0.54 (0.24 to 1.13) g, pvs.8.00 (6.25 to 11.75), pvs.78.64(64.32 至 90.68),pvs.1.08(0.83 至 3.86)克,PVS.12.00(10.00 至 16.00),PVS.68.18(60.00 至 84.32),p 结论:与标准康复训练相比,盆底肌锻炼可为肥胖女性减轻尿频症状带来额外的益处。
{"title":"Rehabilitation combined with dietary intervention improve urinary incontinence in women with obesity: A proof-of-principle study.","authors":"Paolo Capodaglio, Lorenzo Lippi, Arianna Folli, Giulia Trotti, Valentina Aspesi, Alessio Turco, Alessandro de Sire, Marco Invernizzi","doi":"10.5606/tftrd.2024.12573","DOIUrl":"10.5606/tftrd.2024.12573","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to assess the impact of add-on pelvic floor exercises on a weight management rehabilitation program.</p><p><strong>Patients and methods: </strong>This proof of principle study was conducted between July 2019 and December 2019. Ninety-three adult female inpatients with obesity and diagnosis of urinary incontinence (UI) were assessed for inclusion, and the suitable patients were randomly assigned to the experimental group and the control group. Both groups underwent a weight management rehabilitation program, while the experimental group also performed pelvic floor exercises. The primary outcome was UI severity, assessed by the 1-h pad test. Secondary outcomes were urinary symptoms, assessed by the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), Patient Global Impression of Improvement (PGI-I), and Incontinence Quality of Life Questionnaire (I-QOL).</p><p><strong>Results: </strong>Sixty female inpatients were randomly assigned to the experimental group [n=30; median age: 64.50 (51.25 to 70.50) years] or the control group [n=30; median age: 67.50 (58.50 to 74.75) years]. The experimental group showed a statistically significant reduction in UI severity [pad test: 2.08 (1.21 to 8.85) g <i>vs.</i> 0.54 (0.24 to 1.13) g, p<0.01; ICIQ-SF: 14.00 (10.25 to 17.00) <i>vs.</i> 8.00 (6.25 to 11.75), p<0.01; I-QOL: 56.37 (42.28 to 73.64) <i>vs.</i> 78.64 (64.32 to 90.68), p<0.01]. Statistically significant differences were found in the between-groups analysis [pad test: 0.54 (0.24 to 1.13) g <i>vs.</i> 1.08 (0.83 to 3.86) g, p<0.01; ICIQ-SF: 8.00 (6.25 to 11.75) <i>vs.</i> 12.00 (10.00 to 16.00), p<0.01; I-QOL: 78.64 (64.32 to 90.68) <i>vs.</i> 68.18 (60.00 to 84.32), p<0.01].</p><p><strong>Conclusion: </strong>Including pelvic floor exercises might provide additional benefits compared to standard rehabilitation in reducing UI symptoms in obese women.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 1","pages":"39-46"},"PeriodicalIF":1.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10966754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-31eCollection Date: 2024-03-01DOI: 10.5606/tftrd.2024.11715
Shenxing Du, Lihong Wei, Qingliang Wang, Yelin Yao, Ke Xu, Shunchao Ying, Kang Chen
Objectives: This study aims to compare results of rigid tape (RT) dynamic fixation and static fixation in conservative treatment of acute anterior talofibular ligament (ATFL) tear.
Patients and methods: Between September 2021 and December 2021, a total of 91 patients (41 males, 50 females, mean age: 28.5±6.5 years, range, 18 to 40 years) who were diagnosed with ATFL tear and underwent rigid tape (RT) or cast/brace rehabilitation protocol were retrospectively analyzed. The patients were divided into two groups as the RT group (n=36) and the control group (n=55). Follow-up (FU) was performed at six months. Outcomes included pain (Numerical Rating Scale [NRS]), ankle function (American Orthopaedic Foot & Ankle Society [AOFAS] hindfoot score), deviation of center of gravity (DCG), and symptoms after returning to sports.
Results: The difference at each time point of pain, AOFAS, DCG and SRS between the two groups was statistically significant (p<0.05 for all). Only one patient at Week 12 in the RT group had pain in the lateral side of the ankle, while 36 patients at Week 12 and 21 patients (18 in the medial side) at FU had pain in the control group.
Conclusion: Our study results suggest that RT dynamic fixation can accurately lock the ATFL function and may prevent pseudo-stability, so as to quickly repair injury, restore function, and return to sports earlier.
{"title":"Rigid tape dynamic fixation in conservative treatment of acute anterior talofibular ligament tear: A retrospective cohort study.","authors":"Shenxing Du, Lihong Wei, Qingliang Wang, Yelin Yao, Ke Xu, Shunchao Ying, Kang Chen","doi":"10.5606/tftrd.2024.11715","DOIUrl":"10.5606/tftrd.2024.11715","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to compare results of rigid tape (RT) dynamic fixation and static fixation in conservative treatment of acute anterior talofibular ligament (ATFL) tear.</p><p><strong>Patients and methods: </strong>Between September 2021 and December 2021, a total of 91 patients (41 males, 50 females, mean age: 28.5±6.5 years, range, 18 to 40 years) who were diagnosed with ATFL tear and underwent rigid tape (RT) or cast/brace rehabilitation protocol were retrospectively analyzed. The patients were divided into two groups as the RT group (n=36) and the control group (n=55). Follow-up (FU) was performed at six months. Outcomes included pain (Numerical Rating Scale [NRS]), ankle function (American Orthopaedic Foot & Ankle Society [AOFAS] hindfoot score), deviation of center of gravity (DCG), and symptoms after returning to sports.</p><p><strong>Results: </strong>The difference at each time point of pain, AOFAS, DCG and SRS between the two groups was statistically significant (p<0.05 for all). Only one patient at Week 12 in the RT group had pain in the lateral side of the ankle, while 36 patients at Week 12 and 21 patients (18 in the medial side) at FU had pain in the control group.</p><p><strong>Conclusion: </strong>Our study results suggest that RT dynamic fixation can accurately lock the ATFL function and may prevent pseudo-stability, so as to quickly repair injury, restore function, and return to sports earlier.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 1","pages":"53-60"},"PeriodicalIF":1.3,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10966750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}