ÖzetAmaç: Tıbbi alanda çalışan profesyonellerin stres ve yaşam kalitesi alanındaki ilgileri artmaktadır. Adolesan Idiyopatik Skolyoz (AIS) nedeniyle gövde ortezi kullanan hastaların stres düzeyini değerlendirebilecek Türkçe bir sorgulama formu mevcut değildir. Bu çalışmada alandaki eksiklikler göz önüne alınarak Bad Sobernheim Stres Sorgulama (BSSS) Formu Türkçe'ye çevrildi ve gövde ortezi kullanan AIS hastalarında ölçüm güvenilirliği araştırıldı. Gereç ve Yöntem: Çalışmaya 8-17 yaşları arasında AIS tanısı almış ve en az iki aydır günde 20-23 saat aynı tip "CAD-technique" (Regnier sistemChêneau brace) gövde ortezi kullanan 38 adolesan (31 kız, 7 erkek) dahil edildi. Sum maryOb jec ti ve: Interest of health professionals has been increased on stress and quality of life. Currently, there is no questionnaire in Turkish language to evaluate the stress level of adolescents with idiopathic scoliosis. Considering this deficiency in the field, the Bad Sobernheim Stress Questionnaire (BSSQ) was translated into Turkish and reliability of the questionnaire was evaluated on adolescents with idiopathic scoliosis using spinal orthoses. Metarials and Methods: Thirty-eight adolescents (31 girls, 7 boys, aged 8-17 years) with idiopathic scoliosis and using same type of spinal orthoses, "CADtechnique" (Regnier system-Chêneau brace) for 20-23 hours per day for at least two months were included in the study. Test-retest reliability (Pearson Correlation Coefficient) and internal consistency of the scores were evaluated using the Turkish BSSQ scores collected from the participants twice, one week apart. Results: The mean age of the adolescents was 13.47±2.93 years and the mean Cobb angle was 39.05±11.17 degrees. In terms of internal consistency of Turkish BSSQ, Cronbach alfa was calculated as 0.88. Test-retest analysis of the scores, collected twice one week apart, revealed correlation coefficients changing from 0.647 (p=0.003) to 0.978 (p=0.001). Conclusion: In this study, we reported high test-retest reliability and internal consistency of the Turkish BSSQ on adolescents with idiopathic scoliosis using spinal ortheses. The Turkish BSSQ created in this study is a practical and reliable scale to evaluate stress levels in Turkish adolescents with idiopathic scoliosis. Turk J Phys Med Re hab 2012;58:225-8. Key Words: Scoliosis; stress; psychological; braces; reliability
Objective Kinesiophobia is a common problem in patients with rheumatic diseases and can cause physical inactivity, social isolation, disability, and poor quality of life. This study aimed to evaluate kinesiophobia and associated factors in patients with familial Mediterranean fever (FMF). Methods A total of 38 patients diagnosed with FMF volunteered to participate in the study. All patients were assessed using the Tampa Kinesiophobia Scale (TKS), the International Physical Activity Questionnaire (IPAQ), the Fatigue Severity Scale (FSS), and the Hospital Anxiety and Depression Scale (HADS). Results Thirty-three (86.8%) of the patients had TKS scores over 37, indicating high levels of kinesiophobia. The TKS score was positively correlated with the HADS depression score (r=0.530; p=0.001) and the FSS score (r=0.340; p=0.035) but was not significantly associated with age (r=0.102; p=0.543), disease duration (r=–0.110; p=0.511), body mass index (r=0.283; p=0.085), the HADS anxiety score (r=0.306; p=0.061), or the IPAQ score (r=–0.097; p=0.563). Conclusions Our sample of adult FMF patients showed high levels of kinesiophobia associated with fatigue and depression. Treatments focusing on kinesiophobia in FMF patients could help to increase the effectiveness of rehabilitation.
Amaç: Lateral epikondilit (LE)'li hastalarda ağrı, eklem hareket açıklığı ve kas kuvvetinin günlük yaşam aktiviteleri üzerine olan etkisini değerlendirmek. Yöntem ve Gereçler: Çalışmaya Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi Fizik Tedavi ve Rehabilitasyon Kliniğinde Ocak-Nisan 2014 tarihleri arasında, LE tanısı almış 60 olgu dahil edildi. Olguların gece, istirahat, aktivite ve zorlu kullanımdaki ağrı şiddeti Vizüel Anolog Skala (VAS) ile, eklem hareket açıklığı gonyometre ile, kas kuvveti el kavrama kuvvetinin dinamometrik ölçümü ile aktivite ve katılım Kol Omuz ve El Yaralanması Anketi Kısa Form (Quick-DASH) ve Hasta Bazlı Önkol Değerlendirme Anketi (HBÖKDA) ile ve yaşam kalitesi ise Kısa Form-36 (SF-36) ile değerlendirildi. Bulgular: Olguların yaşları 19-64 yıl arasında değişmekte olup yaş ortalaması 47,95±8,6 yıldı. Ağrı şiddeti ile Quick-DASH, DASH-W, HBÖKDA ve SF-36 arasında anlamlı ilişki bulundu (p˂0,05). Eklem hareket açıklığı ile Quick-DASH, DASH-W, HBÖKDA ve SF-36 arasında anlamlı ilişki görülmedi (p˃0,05). Sağ dirsek etkilenen olgularda; el kavrama kuvveti ile HBÖKDA'nın ağrı bölümü, sol dirsek etkilenen olgularda; el kavrama kuvveti ile Quick-DASH, DASH-W ve HBÖKDA'nın işlev bölümü arasında anlamlı ilişki bulundu (p<0,05). Sağ dirsek etkilenen olgularda; el kavrama kuvveti ile SF-36 skorları arasında anlamlı ilişki görülmezken (p>0,05), sol dirsek etkilenen katılımcılarda; el kavrama kuvveti ile SF-36'nın canlılık bölümü hariç tüm bölümleri arasında anlamlı ilişki bulundu (p<0,05). Sonuç: LE'de ağrı ve zayıflamış el kavrama kuvveti günlük yaşam aktivitelerinde kısıtlılığa neden olmakta ve yaşam kalitesini azaltmaktadır. Anahtar Kelimeler: ağrı; eklem hareket açıklığı; el kavrama kuvveti; günlük yaşam aktiviteleri; lateral epikondilit ABSTRACT Aim: To evaluate the effect of pain, range of motion and muscle strength in the patients with lateral epicondylitis on activities of daily living. Materials and Methods: Sixty people who were admitted to outpatient clinic of Physical Medicine and Rehabilitation within the Fatih Sultan Mehmet Education and Research Hospital on dates between January -April 2014, anddiagnosed as LE were included in the study. The severity of pain during night, rest, activity, and forced activity was assessed with Visual Analog Scale (VAS), the range of motion was measured by a goniometer, muscle strength was assessed by measuring hand grip strenght using a dynamometer, activity and participation were assessed with Short Results: The age of subjects were between 19 and 64 years and mean age was 47,95±8,6 years. There was a significant relationship between the severity of pain and the Quick-DASH, HBÖKDA,05). There was no significant relationship between the range of motion and the Quick-DASH, 05). There was a significant relationship between the hand grip strength and the pain section of HBÖKDA in subjects whom right elbow was affected and there was a significant relationship between the hand grip strength and the Quick-DASH, DASH-W, and function section of HBÖKDA in subje...
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