Background: Evaluation of prosthesis and orthosis (P&O) devices and service satisfaction in patients using P&O are important to understand the patient perspective and improve the quality of devices and the services.Objective: The aim of this study was to translate the original Orthotics and Prosthetics Users' Survey (OPUS) satisfaction module into Turkish and examine its psychometric properties in lower limb P&O users. Study Design: Cross-sectional study. Methods: The Turkish versions of the OPUS-Client Satisfaction with Device (CSD) and Service (CSS) modules were applied to 157 individuals using a lower limb prosthesis or orthosis. The retest of the survey was applied 5-7 days later. Intraclass correlation coefficient was used to determine test-retest reliability, and Cronbach alpha was used to determine internal consistency. Criterion validity was evaluated using the Nottingham Health Profile. Exploratory factor analysis was used to examine the factor structure of the Turkish version of the OPUS satisfaction module. Results: The test-retest correlation (intraclass correlation coefficient 5 0.92 for CSD and 0.91 for CSS) and internal consistency (Cronbach's alpha 5 0.84 for CSD and 0.95 for CSS) were high. A statistically significant correlation was found between the OPUS CSD and CSS modules and the Nottingham Health Profile (r 5 20.325 for CSD module, r 5 20.381 for CSS module, P , 0.001). The factor analysis revealed one-factor structure for both modules.Conclusions: This study demonstrated the reliability and validity of the Turkish version of the OPUS satisfaction module, and it provides a useful starting point for future studies on this survey.
Introduction:
In individuals with transtibial amputation, the distal part of the lower extremity is lost. Therefore, the knee joint is of greater importance to be able to provide physical performance. The aim of this study was to evaluate the correlation between knee joint position sense and physical functional performance in individuals with transtibial amputation.
Methods:
The study included 21 subjects with transtibial amputation. A digital inclinometer was used to evaluate the joint position sense of the amputated side knee joint. The timed up and go test, the 4-square step test, and 10-m walk test were used to evaluate physical functional performance. Linear regression analysis was used to investigate the associations between independent variables and functional performance tests.
Results:
The mean age of the participants was 52.52 ± 15.68 years. The mean of the error in knee joint position sense was 5.33 degree (standard deviation = 3.08 degree). The error in knee joint position sense of the amputated limb predicted 45% of the variance in the 4-square step test and 22% of the variance in the 10-m walk test (P < 0.05).
Conclusions:
The knee joint position sense on the amputated side was found to be associated with physical functional performance in individuals with transtibial amputation. Residual limb knee joint position sense should be considered when prescribing prostheses and planning rehabilitation programs.
The relationship between temperament and characters with physical fitness and pain perception in firefighters Objective: Firefighting is a demanding profession which requires psychological and physical fitness. The purpose of this study was to examine the relationship between personality and other psychosocial properties, physical fitness, and pain perception in firefighters. Methods: The study participants consisted of 149 male firefighters. Participants were administered the Temperament and Character Inventory (TCI), Sensation Seeking Scale (SSS), The Impact of Events Scale-Revised (IES-R), State-Trait Anxiety Inventory (STAI), Beck Depression Inventory, and Nottingham Health Profile survey. For physical fitness measurements; participants were evaluated with physical fitness parameters such as balance, flexibility, shortening, strength and endurance, agility, speed, and strength. In order to measure balance, functional reaching and standing on one foot tests are used. Results: 90 firefighters were able to complete the study fully. Harm Avoidance, Reward Dependence, and Persistence subscales of temperament and Self-directedness, Cooperativeness, and Self-Transcendence subscales of character dimensions, Sensation Seeking Scale, Impact of the Event Scale, and STAI were found to be correlated with physical fitness measurements. No correlations were found between other psychosocial measures and physical fitness measurements (p>0.05). Psychosocial measures that were associated with pain perception were Novelty Seeking, Harm Avoidance, and Persistence subscales and Thrill and Adventure Seeking subscale of the Sensation Seeking Scale. Conclusions: Our results have shown that a significant relationship exists between different psychosocial characteristics of firefighters and their physical fitness and pain perception. This relationship supports the notion that higher psychological and physical needs would have an impact on occupational performance of firefighters.
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