Amaç Bu çalışmanın amacı, üniversite öğrencilerinde Temporomandibular eklem (TME) disfonksiyon gelişme riskini değerlendirmek; disfonksiyonu tetikleyen faktörler ile yaşam kalitesi, boyun disabilitesi ve psikolojik durum arasındaki ilişkiyi incelemektir. ( Sakarya Tıp Dergisi 2019, 9(2):258-265 ) Gereç ve Yöntemler Dâhil edilme ve dışlanma kriterlerine göre sağlık bilimleri fakültesindeki 197 gönüllü öğrenci değerlendirildi. Değerlendirmede disfonksiyon gelişme riski TME ile ilişkili tetikleyici faktörlerin varlığı, psikolojik durumu Beck Depresyon Ölçeği, yaşam kalitesi SF-36 ve ağrıya dayalı disabilite durumu Northwick Park Boyun Ağrısı anketi ile değerlendirildi. İstatistiksel analizlerde Kruskal Wallis ve Spearman Korelasyon analizinden yararlanıldı. Bulgular Çalışmaya 197 üniversite öğrencisi (yaş ort: 20.79±2.13 yıl) alındı. Öğrencilerin %81.7'sinde TME bozuklukları ile ilgili en az bir semptom taşıdığı saptandı. TME disfonksiyon risk düzeyine göre boyun ağrısına bağlı disabilite düzeyi, psikolojik durum ve yaşam kalitesi arasında anlamlı fark olduğu saptandı (bütün değerler için p<0.01). Çalışmamızda öğrencilerin semptom sayısı ile boyun ağrısına bağlı disabilite şiddeti (r=0.397, p<0.001) ve psikolojik durum arasında (r=0.279, p<0.001) pozitif yönde zayıf korelasyon, SF-36 fiziksel (r=-0.328, p<0.001) ve mental komponentleri arasında (r=-0.305, p<0.001) negatif yönde zayıf korelasyon saptandı. Sonuç Araştırmamıza göre Sağlık Bilimleri Fakültesi öğrencilerinin genel olarak % 80' den fazlası en az bir TME disfonksiyon belirtisi göstermektedir. TME ile ilgili problem riskindeki bu artış eklemin biyomekanik olarak komşu vücut segmentlerini etkiliyor oluşu, disfonksiyonun disabilite, yaşam kalitesi ve psikolojik durumundaki bozulma ile olan yakın ilişkisine bağlanabilir.
BackgroundThe virtual rehabilitation (Nintendo Wii) program works with a 3-dimensional, computer-assisted, virtual reality creation system.The system creates a mirror effect and provides the smoothness of the movement of the adult. It keeps visual and sensory feedback during exercise.The avatar that appears on the screen detects motion and displays the result thanks to the control commander. The use of virtual reality practice in the exercise program is a new way of improving participation and motivation of participants.ObjectivesThe aim our study is to investigate the effect of virtual rehabilitation on kinesophobia and clinical fragility in patients with shoulder periathritis.MethodsFifteen cases diagnosed with shoulder periarthritis were included in the study. In our study, we used Tampa Kinesophobia Scale for kinesophobia, VAS for pain severity, manual muscle test for muscle strength and goniometer for ROM. In addition to Clinical fragility Scale for fragility and 4-item Quality of Life Questionnaire were used to assess quality of life. Finally, Shoulder Pain and Disability Index (SPADI) was used for shoulder disability. Eight of 15 patients were included in the control group (CG) and 7 in the virtual rehabilitation group (VRG). Both groups were treated with Therapeutic US, TENS and Cold Pack. In addition to these, the control group consisted of 15 sessions of active stretching and strengthening exercises for 20 minutes each session; the VRG was given a total of 15 sessions of the virtual rehabilitation program for 45 minutes each session, with 3 sessions per week. Intra-group pretreatment and post-treatment differences were analyzed by Wilcoxon test, and inter-group comparisons were analyzed by Mann-Whitney U test.ResultsStatistically significant reductions in Frajilite, Kinesophobia, SPADI and VAS values were observed in the VRG analyzes; A statistically significant increase in the 4-item quality of life questionnaire, range of motion and muscle strength values was assessed (p<0.05). In the CG, there was a statistically significant decrease in kinesophobia, VAS and SPADI values; There was a statistically significant increase in joint range of motion and muscle strength evaluations (p<0,05). There was no statistically significant difference in the fragility evaluation of the CG (p>0,05).Fragility and kinesophobia decreased in both groups after treatment compared to before treatment, but this decrease was found to be higher in VRG (p<0.05).ConclusionsAs a result of our study, virtual rehabilitation in the treatment of kinesophobia and fragility in shoulder periarthritis patients was game-focused and it was found to be an effective method for increasing participation and biofeedback. Virtual rehabilitation was considered as an alternative to conventional physiotherapy and rehabilitation programs.References Cherniack EP, Florez HJ, Troen BR. Emerging therapies to treat frailty syndrome in the elderly. Altern Med Rev 2007;12:246–58.Topinková E. Aging, disability and frailty. Ann Nutr Metab 2008;52:6–11.Bal, A. Ek...
Purpose: The study aims to determine (1) risk factors related to stress due to pandemic, (2) the burnout levels of the physiotherapist, (3) the relationship between these parameters. Methods: One hundred two physiotherapists, whose sociodemographic information was obtained, were divided into 2 groups according to disease exposure (CoV and non-CoV group). Pandemic-Associated Stress Factors of the participants were analyzed and Maslach Burnout Inventory (MBI) was used to measure burnout. The Independent Sample T test was used to detect the difference between the groups. Pearson's correlation was used to find relations in parametres. Result: Ninety-six percent of respondents were concerned about getting infected and ninety-eight percent concerned about infecting their families. Most of the participants were physically and mentally tired (74.5%, 58.8%). The CoV group consisted of 45 (44.11%) physiotherapists who had a history of COVID-19, had patient contact, or worked with coronavirus patients. There was no significant difference in Maslach Burnout Inventory sub-parameters between the two groups (p<0.05). Physiotherapists with high exposure to Covid were found to have a 3.2 times higher level of stress about feeling compelled to go to work than those with low exposure to Covid (p=0.02). Conclusion: Anxiety about being sick and contagious can trigger psychological symptoms such as mental fatigue and sleep disturbance. Although the workload of the participants in our study did not increase, most of them stated that they felt physically exhausted. During the pandemic period, psychological diseases and burnout in healthcare workers increased tremendously.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.