Our study demonstrated an improvement in LBP levels (VAS and ODI) and postural balance in patients with HSS following THR surgery. No significant changes have been noted in radiographic spinal sagittal alignment postoperatively. The improvement in LBP levels does not correlate with post-operative changes in spinopelvic alignment or postural balance.

Functional capacity is a complex concept that includes basic activities of daily living (BADL), instrumental activities of daily living (IADL), 1) and advanced activities. 2) Since inadequacies in BADL affect daily activities, work performance, and leisure activities, BADL is one of the most important indicators of success to define the skill level, demonstrate the effectiveness of rehabilitation, and determine a person's ability to perform activities of daily living. 3,4) The BADL may decline due to age, a specific disease, or a variety of factors such as decreased muscle strength, muscle atrophy, degenerative changes in joints, impaired neuromuscular coordination, loss of vision, and postural changes. 5) BADL represent the activities necessary for self-care (e.g., bathing, dressing, feeding, etc.) while IADL represent the activities that allow independence in social life. 6,7) In addition to some BADL, Background: The Lawton Instrumental Activities of Daily Living (IADL) scale is the most widely used scale for the assessment of IADL in the elderly population. The aim of this study was to adapt the Lawton IADL Scale in Turkish and to investigate the validity and the reliability of the scale in older adults. Methods: A total of 80 participants with a mean age of 71.6±5.8 years were included in the study. The independent living skills of the older adults were measured using Lawton IADL, Hodkinson Mental Test, Functional Independence Scale, Barthel Index, Katz Index, and visual analog scale. Lawton IADL was translated into Turkish, validated by professional reviewers, translated back into English, and then tested. Cronbach's alpha was used to measure reliability in a group of 34 participants and test-retest was performed 1 week after the first test. Pearson correlation analysis was used to show the relationship between Lawton IADL and other scales and indexes. Results: Internal consistency (Cronbach's alpha) value was 0.843 for the whole scale. The intraclass correlation coefficient value of the scale was 0.915. Conclusion: These results confirm that the Turkish version of the Lawton IADL scale has excellent reliability and validity.

A mild hallux valgus angle has negative effects on postural stability as a forefoot deformity. This deformity should be taken into account for injury prevention strategies in pain-free younger adults.

One way to measure the effectiveness of a specific treatment is to utilize measurements designed specifically for the disorder. Western Ontario Shoulder Instability Index (WOSI) is a subjective self-report scale indicating the latest condition of the patients with shoulder instability. The objective is to study the cultural adaptation, validity, and reliability of WOSI in Turkish population with shoulder disability. First, WOSI was translated and culturally adapted from English into Turkish. Afterward, in order to determine the level of reliability, internal consistency and test-retest analyses were conducted. Reliability (test-retest) analyses were conducted by means of retest 72 h later with a sub-group of 30 patients. Construct validity of the WOSI was checked through convergent validity with Disabilities of Arm, Shoulder and Hand Scale, Rowe Score Questionnaire, Oxford Shoulder Instability Questionnaire, and Western Ontario Rotator Cuff Index by 60 patients with shoulder instability. The Turkish version of the questionnaire displayed high internal consistency (0.77-0.91) with a Cronbach's Alpha value of 0.91. As for the test-retest reliability, the ICC value was found to be high (95% CI 0.97). Floor and ceiling effects (15%) were observed neither in sub-parameters (0-4.9%) nor in total score (0%). WOSI total score was found to have a negative good correlation with the Rowe Score (r = -0.57) and a very good-excellent correlation with other questionnaires (r = 0.67-0.89). The Turkish version of WOSI is a valid and reliable scale for use in studies to evaluate the final condition of the patients with shoulder disabilities.

Comparative study, level lV (case series).

After the anterior cruciate ligament (ACL) reconstruction, a loss of proprioception is observed and it can continue years after the operation. The aim of this study is to evaluate proprioception in standing position at different knee flexion angles in patients who underwent ACL reconstruction with tibialis anterior tendon allograft. The study included 34 patients who underwent ACL reconstruction with tibialis anterior tendon allograft and 34 healthy individuals. Proprioception was evaluated in standing position at 15°, 30°, 60° flexion angles with the active joint position sense (AJPS) method using digital inclinometer. Proprioception deviation angle was found to be higher in the operated leg at 30° and 60° flexion angles in the patient group compared with the other leg (p < 0.05), the biggest proprioception difference was between the 15° and 60° flexion angles in both the patient and the control group (p < 0.05) that the difference between 15° and 30° flexion angles is lowest (p < 0.05), and that these differences are higher in the operated leg of the patient group compared with the other leg of the patient group and to the dominant leg of the control group (p < 0.05). As approximately 4 years after ACL reconstruction with tibialis anterior tendon allograft, loss of proprioception at 60° knee flexion continued, ACL injury related to loss of proprioception may occur at angles higher than 30° flexion. Thus, patients may be provided with proprioception-enhancing rehabilitation in the long term, particularly, at flexion angles above medium levels.

Amaç: Bu çalışmada anterior büyük tüberkül kisti bulunan ve bulunmayan, kronik rotator manşet yırtığı olan hastalarda yağlı dejenerasyonlu rotator manşet kas atrofisi, yırtık boyutu, eklem hareket açıklığı, omuz kas kuvveti, ağrı ve üst ekstremite fonksiyonu karşılaştırıldı. Hastalar ve yöntemler: Bu çalışmada toplam 101 hasta (32 erkek, 69 kadın; ort. yaş 51±12.9 yıl; dağılım 17-76 yıl) değerlendirildi. Elli sekiz hasta travmatik veya akut rotator manşet yırtığı ve boyun ağrısı nedeniyle çalışma dışında bırakıldı. Kronik rotator manşet yırtığı olan 43 hasta, anterior büyük tüberkül kisti bulunan (n=15) ve bulunmayan (n=28) hastalar olmak üzere iki gruba ayrıldı. Hastalar eklem hareket açıklığı, omuz kas kuvveti, ağrı, üst ekstremite fonksiyonu açısından ve radyolojik açıdan değerlendirildi. İki grup arasında istatistiksel farklılıklar araştırıldı. Bulgular: Kisti olan hastaların bulunduğu grupta 1 cm'den büyük yırtığı olan hasta sayısı ile kas atrofisi bulunan hasta sayısı daha fazlaydı. Kisti olan hasta grubunda üst ekstremite fonksiyonu da azalmıştı (Western Ontario Rotator Manşet İndeksi, p= 0.03, Dokuz Delikli Peg testi, p= 0.02). Sonuç: Bulgularımız anterior büyük tüberkül kisti bulunan hastalarda fonksiyonda azalma, daha büyük manşet yırtığı ve kas atrofisi görülebileceğini gösterdi. Anterior büyük tüberkül kistleri direkt grafide tespit edilebilir. Bu kistlerin varlığı, manyetik rezonans görüntüleme istemeden önce azalmış omuz fonksiyonu, kas atrofisi ve daha büyük manşet yırtığı olabileceği hakkında hekimi uyarmalıdır.Anahtar sözcükler: Kist; fonksiyonel sonuç; kas atrofisi; rotator manşet yırtığı; omuz. Objectives:This study aims to compare rotator cuff muscle atrophy with fatty degeneration, tear size, range of motion, shoulder muscle strength, pain and upper extremity function in patients with chronic rotator cuff tear, and with or without anterior greater tuberosity cyst. Patients and methods: A total of 101 patients (32 males, 69 females; mean age 51±12.9 years; range 17 to 76 years) were evaluated in this study. Fifty-eight patients were excluded due to traumatic or acute rotator cuff tears and neck pain. Forty-three patients of chronic rotator cuff tear were divided into two groups as patients with (n=15) and without (n=28) an anterior greater tuberosity cyst. Patients were evaluated for range of motion, shoulder muscle strength, pain and upper extremity function, and radiologically. Statistical differences were investigated between two groups. Results: The number of patients with tears larger than 1 cm and the number of patients who had muscle atrophy were higher in the group of patients with a cyst. Also, upper extremity function was reduced in the group of patients with a cyst (Western Ontario Rotator Cuff Index, p= 0.03, Nine-Hole Peg Test, p= 0.02). Conclusion: Our findings demonstrated that decreased function, larger cuff tears and muscle atrophy can be observed patients with anterior greater tuberosity cysts. Anterior greater tuberosity cysts can be detected by plain X-rays. The presence o...

Aim:The aim of this study was to evaluate the static postural stability and fall risk of preelderly women with unilateral secondary lymphedema after breast cancer. Methods: This study was conducted on 46 preelderly women (24 with unilateral secondary lymphedema and 22 healthy) aged from 52 to 69 years. The Biodex Balance System was used to measure the parameters of postural stability and fall risk. The data acquisition involved 3 trials of 20 seconds to test the postural stability test. It was made in 3 directions (overall, anterior-posterior [AP], and mediolateral [ML]) and 2 conditions (once with open eyes, once with eyes closed). The fall-risk test was performed under the following conditions: (1) eyes open, fi rm surface; (2) eyes closed, fi rm surface; (3) eyes open, foam surface; and (4) eyes closed, foam surface.Results: For the postural stability, signifi cant differences ( P Յ .000) were observed in overall, AP, and ML displacement parameters in eyes closed condition between the lymphedema and healthy groups. There were no statistically signifi cant differences in the fall-risk test results among the lymphedema and healthy group ( P Ͼ 0.05). Conclusion:Preelderly women with unilateral lymphedema exhibited a lower postural stability compared with health women. These results lead to think us that asymmetric fl uid distribution in the upper body parts increases postural sway and leaving them more vulnerable to falls. breast cancer, with an estimated 6% to 35% developing it sometime after breast cancer treatment. 4 -6 It can range from mild to severe and can be a chronic condition that affects patients' quality of life for years after cancer surgery. 7 , 8 Breast cancer-related lymphedema is associated with chronic or recurring swelling of the affected area. While the arm is the most common site, the chest and the upper back are also often involved. 9 , 10 Women commonly report symptoms such as pain, loss of sensation, stiffness, and impairment in the range of motion due to the swelling and limb changes of their affected arm. 11 -13 These symptoms affected the upper body functions. In addition, biomechanics of the thoracic-shoulder area can be compromised, 14 , 15 which can induce further upper body impairment. 16 The impairment of upper body function can lead to postural instability and imbalance. 17 The decline in postural control systems has been shown related to age. Elderly subjects often experience deterioration in the integrity of many of the physiological systems, which participate in the control of postural stability. 18 -20 Postural balance requires the integrity of the central nervous system (CNS) for the recognition of the position and movement of the head relative to the body and the environment. In addition, to maintain body stability, the CNS depends on the afferent information of the vestibular, visual, proprioceptive, and interoceptive systems, which promote the interaction of the body in space. 21 , 22 It is known that aging promotes a decrease in the sensory systems responsible for postur...