Aims:The aim of this study was to evaluate the effect of combined resistance and home-based walking exercise on glycemic and metabolic control, depression and quality of life in type-2 diabetes patients.Methods:This prospective study was conducted at a private hospital in Turkey. Thirty-six type-2 diabetic patients participated in the study. Subjects were randomly distributed in one 8 week exercise intervention or in one control group. Exercise program consisted of resistance training and home-based walking. Before and after the training program, muscular strength, fasting blood glucose, hemoglobin A1C, (HbA1C) and plasma lipid values, quality of life and symptoms of depression of the patients were assessed.Results:Exercise group's baseline HbA1C was significantly higher than the control groups (p< 0.05); other blood parameters were similar between the two groups (p>0.05). At the baseline no significant differences were observed in the depression and four subscales (physical function, physical role, bodily pain, and general health perceptions) of the SF-36 between the exercise and control groups (p>0.05). The exercise group had higher scores of emotional role, vitality and mental health subscales than the control groups after the training programs (p<0.05).Conclusion:Exercise training which included resistance training and home- based walking could be safe, effective and beneficial in diabetic patients.
Objective. This study was designed to determine the effects of different short-term exercise programs on menopausal symptoms, psychological health, and quality of life in postmenopausal women.
Material and Methods. Forty-two women were chosen from volunteering postmenopausal women presenting to the Department of Obstetrics and Gynecology of Bayındır Hospital between March and December 2009. The women aged 45–60 years and experiencing menopause naturally were included in the study. They were randomly divided into aerobic (n = 18) and resistance (n = 18) exercise groups. The women exercised 3 days per week for 8 weeks under the supervision of a physiotherapist. Aerobic exercise training was performed through a bicycle ergometer. Before and after the training, lipid profiles were measured and menopausal symptoms, psychological health, depression, and the quality of life were assessed through questionnaires. Results. In both exercise groups, no significant changes in lipid profiles were observed. In the resistance exercise group, excluding the urogenital complaints, there were significant improvements in all subscales of Menopausal Rating Scale (MRS). In the resistance exercise group, excluding the phobic anxiety, there were significant improvements in all subscales of The Symptom Checklist. Depression levels significantly decreased in both groups. Improvements were observed in all subscales of menopause-specific quality of life questionnaire in both groups except for sexual symptoms. Conclusion. Resistance exercise and aerobic exercise were found to have a positive impact on menopausal symptoms, psychological health, depression, and quality of life.
The quality of life profile of fibromyalgia patients is quite different from those in the myosfascial pain syndrome group. Myofascial pain syndrome impacted mostly on physical health whereas fibromyalgia impacted on both physical and mental health.
Amaç: Bu çalışmada diz osteoartritli (OA) hastalarda ağrı şiddeti, performans, kas kuvveti, fiziksel fonksiyon ve denge üzerine düz bacak kaldırma egzersizi (DBKE) ve mini çömelme egzersizinin (MÇE) etkinliği karşılaştırıldı.
Hastalar ve yöntemler:Şubat 2009-Şubat 2010 tarihleri arasında iki taraflı diz OA yakınması ile Başkent Üniversitesi Hastanesi'ne başvuran, 40 kadın hasta (ort. yaş 59.93±10.61 yıl; dağılım 30-65 yıl) bu randomize kontrollü, çift-kör klinik çalışmaya dahil edildi. Hastalar DBKE ve MÇE olmak üzere iki gruba ayrıldı. Her iki egzersiz grubu haftada beş seanstan oluşan toplam üç haftalık bir programa dahil edildi. İki grup da her seansta elektroterapi programı aldı. Görsel analog ölçeği (GAÖ) ile diz ağrısı, Zamanlı Kalk-Yürü (ZKY) testi ile fiziksel performans, Cybex II ile izokinetik kuadriseps ve hamstring kas kuvveti, Spor KAT 3.0 ile statik denge, Diz İncinme ve Osteoartrit Sonuç Skoru-Fiziksel Fonksiyon Kısa Formu (KOOS-PS) ile fiziksel fonksiyon başlangıçta, tedavi sonrasında ve tedaviden bir ay sonra değerlendirildi. Bulgular: Statik denge parametreleri göz önünde bulundurulduğunda egzersiz programı (EP) sonrası (p=0.659) ve takip döneminde (p=0.327) gruplar arası anlamlı fark bulunmadı. Egzersiz programı sonrası (p=0.398) ve takip döneminde (p=0.201) DBKE ve MÇE grupları arasında KOOS-PS skorları açısından anlamlı fark bulunmadı. Ayrıca GAÖ skorları açısından EP sonrasında (p=0.149) DBKE ve MÇE grupları arası anlamlı fark bulunmamasına rağmen takip döneminde (p=0.030) anlamlı fark bulundu. Mini çömelme egzersiz grubu, DBKE grubuna kıyasla, EP sonunda anlamlı düzeyde yüksek ZKY testi skorları ve 60°/sn (p=0.024), 90°/ sn (p=0.003), 120°/sn (p=0.005) ve 180°/sn'de (p=0.017) daha yüksek sağ izokinetik diz ekstansör kas kuvvetine sahipti.Sonuç: Uzun dönemli takipleri içeren ve bu periyottan sonra DBKE ve MÇE'nin etkinliğini değerlendirebilecek kriterleri kapsayan başka çalışmalara gereksinim vardır.Anahtar sözcükler: Diz; mini çömelme egzersizi; osteoartrit; düz bacak kaldırma egzersizi.
Objectives:In this study, we aimed to compare the effects of the straight leg raise exercise (SLRE) and mini squat exercise (MSE) on pain intensity, performance, muscle strength, physical function and balance in patients with knee osteoarthritis (OA).
Patients and methods:Forty female patients (mean age 59.93±10.61 years; range 30-65 years) who were admitted to Başkent University Hospital between February 2009 and February 2010 with bilateral knee OA were included in this randomized controlled double-blind clinical trial. The patients were assigned into two groups, including SLRE and MSE. Both exercise groups were scheduled for a threeweek program of five sessions per week. Both groups also received an electrotherapy program in each session. Knee pain using the visual analog scale (VAS), physical performance using Timed Up and Go (TUG) Test, isokinetic quadriceps and hamstring muscle strengths using Cybex II, static balance using SportKAT 3000, physical function using Knee Injury and Osteoarhtritis Outcome...
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