Objectives This study aims to investigate the effectiveness of scapular stabilization exercises in patients with chronic neck pain and scapular dyskinesis. Patients and methods This single-center, prospective study included a total of 36 patients (17 males, 19 females; mean age: 41±12.8 years; range, 25 to 57 years) with chronic neck pain and scapular dyskinesis between April 2018 and September 2018. The patients were randomly assigned to three treatment groups. Group 1 (n=13) consisted of those receiving scapular stabilization exercises by a physiotherapy specialist control in addition to the routine physiotherapy and rehabilitation program; Group 2 (n=12) consisted of those receiving the routine physiotherapy and rehabilitation program in addition to scapular stabilization exercises in-home training program; and Group 3 (n=11) consisted of those receiving the routine physiotherapy and rehabilitation program alone. The assessments were made using the Visual Analog Scale (VAS) and Northwick Park Neck Pain Questionnaire (NPQ). Results Significant differences were found in the pre- and post-treatment VAS scores, and Group 1 and Group 2 created this significant difference (p<0.05). A significant difference was also observed in the pre- and post-treatment NPQ scores among the groups (p<0.05). Group 1 showed the most significant improvement of the NPQ scores (p<0.05). Conclusion Our study results suggest that addition of scapular stabilization exercises to the routine physiotherapy components may be an effective method for improving pain and functional results.
Objective: Aerobic exercises are the basic activity on fight against obesity. And obesity is related with metabolic rate. So our study is aimed to investigate the effects of 8 weeks aerobic exercise on basal metabolic rate and physical parameters. Methods: Sedentary women between the ages of 35-45 (n = 40) were randomized into control group (CG) (n = 20) and exercise group (EG) (n = 20). EG underwent 8 weeks of aerobic-run-walk exercise training: 3 days a week, 1 hour sessions. The CG was not trained. Basal metabolic rate (BMR), body mass index (BMI), waist-hip ratio (WHR), body fat percentage (BFP), body fat mass (FM) and lean body mass (LBM) were measured for all of the subjects before and after the training program. Results: Mean BMR decreased from 1386 ± 213.6 kcal to 1327 ± 253.7 in CG, and raised from 1308 ± 201.8 to 1409 ± 218.3 kcal in EG. While BMI raised from 31.39 ± 6.15 kg/m 2 to 31.51 ± 6.09 kg/m 2 in CG, it decreased from 29.62 ± 3.78 kg/m 2 to 28.47 ± 3.74 kg/m 2 in EG. There was also statistically significant difference in parameters of WHR, BFP, FM and LBM in favour of EG (p < 0.05). Conclusion: After 8 weeks aerobic exercise training program, there was a statistically significant difference in favour of EG in BMR, BMI, BFP, FM, LBM, WHR and weight parameters.
RELATIONSHIP BETWEEN BODY MASS INDEX AND POSTURAL DYNAMIC BALANCE AMONG 35-45 AGED WOMEN ABSTRACTThe aim of this study was to evaluate the relationship between body mass index (BMI) and postural dynamic balance among 35-45 aged women (n=40). It was measured BMI using Tanita BC-418 and stability indices were obtained using Biodex Stability System (eyes open and eyes closed). Subjects were tested 60 seconds, starting level 8 and finished level 3. It was found that 20% of subjects were normal (n=8), 45% were overweight (n=18), 35% were obese (n=14). There were found that statistically significantly difference between groups (normally, overweight and obese) in the open-eyed balance test (F(2,37)= 7.845, p<0.05) and there was a significant positive correlation between BMI and open-eyed balance ability (r=0.533, n=40, p<0.001). There weren't found statistically difference between groups in the closed-eyed balance test (p>0.05). In conclusion, it can be state that a decrease in balance stability is strongly correlated to an increase in body weight among 35-45 aged healthy women. This suggests that women should be healthy weight before menopausal stage and keep it because of body weight may be an important risk factor for falling.
Background: We aimed to compare the physical activity, kinesiophobia, and fatigue levels of obstructive sleep apnea syndrome (OSAS) patients and healthy individuals in terms their somatotypes. Methods: A total of 165 individuals were enrolled referred to the Department of Chest Diseases Sleep Disorders Center Outpatient Clinic of Inonu University, Malatya, Turkey in 2018. The somatotype analysis was conducted using the Heath-Carter method, the fatigue level was assessed using the Functional Assessment of Chronic Illness Therapy (FACIT) fatigue scale, the kinesiophobia level was assessed using the Tampa Scale for Kinesiophobia (TSK), and the physical activity level was assessed using the International Physical Activity Questionnaire (IPAQ). Results: The results of the somatotype analysis revealed 3 different somatotypes in the healthy individuals and the OSAS patients’ mesomorph endomorph, endomorphic mesomorph, and mesomorphic endomorph. When comparing the somatotypes of the healthy individuals and the OSAS patients, statistically significant differences were found in the FACIT scores of the mesomorph endomorphs, the IPAQ and FACIT scores of the endomorphic mesomorphs, and the TSK and FACIT scores of the mesomorphic endomorphs (P<0.05). Conclusion: In all three somatotypes of the OSAS patients, the fatigue index scores were higher when compared to those of the healthy individuals. Moreover, when compared with the healthy individuals, the physical activity levels of the endomorphic mesomorphs with OSAS were low, while the kinesiophobia scores of the mesomorphic endomorphs with OSAS were high. Based on the results of this study, in OSAS patients, the endomorphic mesomorph somatotype could be a risk factor for reduced physical activity, while the mesomorphic endomorph somatotype could be a risk factor for increased kinesiophobia.
Tendinopathy may not be noticed in the differential diagnosis due to the complaint of pain spreading to the leg in the presence of nerve radiculopathy in the lumbar discopathy which is seen more frequently in the clinic shows similarity to the leg pain of musculus rectus femoris tendinopathy which is rarely seen. This situation leads to time, labor force and economic loss for both the patient and the health professionals. The case referred to the hospital with severe lower extremity pain and the complaint of incapability to walk. Despite the absence of findings in the imaging reports supporting a discopathy; conventional physiotherapy, intramuscular injection, and nerve blockage treatments were administered for the discopathy due to the clinical presentation. However, the complaints of the patient did not recover. The patient who had pain with a maneuver during exercise training was evaluated regarding tendinopathy and m.rectus femoris tendinitis was diagnosed with ultrasonography. The pain, quality of life and lower extremity functions of the patient were evaluated before and after treatment. The isolated deep transverse friction massage was applied on the tendon for the treatment. A positive change in pain, quality of life and lower extremity function scores was obtained after the five sessions of treatment.
Aim: Work-related musculoskeletal disorders (WMSDs) have been observed commonly in office workers with the development of technology. These problems affect the quality of life for individuals and also productivity in the workplace. The aim of this study is to design an application in which the anthropometric compatibility of office furniture is evaluated and individualized planned posture exercise training is included. Material and Method: The designed application consists of 4 modules. An application has been designed to classify the compatibility and incompatibilities in the first and second modules. The third and fourth modules are designed for personalized exercise definition and follow-up. Results: Within the scope of the application, 4 modules were combined in a single application. The modules that evaluate the anthropometric suitability of office furniture and calculate the compatibility of office furniture; it is the first and second module. The third module contains the definition of the exercise. The fourth module includes the follow-up of the exercise program. Conclusion:It is obvious that the current designed application will provide innovation to work health. Based on our hypothesis, we think that the designed application will also be effective for health protection and promotion in office workers.
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