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In Chiari malformation, some symptoms are known to recur after decompression surgery. To our knowledge, this is the first case for symptomatic outcome after suboccipital release and stabilization exercises the patient with type 1 Chiari malformation who has experienced surgery. The present study aims to investigate the efficacy of suboccipital release and stabilization exercise training in a patient with Type 1 Chiari Malformation undergoing surgical treatment. A 47- year-old female patient with Chiari malformation received suboccipital release and stabilization exercise training for 10 weeks. Her symptomatic parameters were evaluated, such as pain, grip and pinch strength, deep cervical flexor strength, balance and gait. After the treatment, there were improvements in pain perception, the score of performance index of deep cervical muscles, grip force, static balance and gait parameters. Suboccipital oscillation and stabilization exercises are thought to be safe and effective in patients with Chiari malformation undergoing decompression surgery

This study aimed to assess the effectiveness of yoga and stabilization exercises in patients with chronic low back pain. Thirty-five female patients were randomly assigned to the stabilization exercise group or the yoga group. Outcome measures were the visual analog scale (VAS), Oswestry Disability Index (ODI) and Back Performance Scale (BPS), 6-minute walk test (6MWT), Fear-Avoidance Beliefs Questionnaire (FABQ), and Pittsburgh Sleep Quality Index (PSQI). The scores of the VAS, ODI, BPS, 6MWT, and PSQI improved significantly after both interventions (P < .05). Improvements in the stabilization program were higher on the transversus abdominis activation (P < .05). Both interventions had no effect on kinesiophobia (P > .05). Both exercise approaches were found to be similarly effective on pain, function, metabolic capacity, and sleep quality.

BackgroundStudies show that patients’ biopsychosocial characteristics may be affected by various factors such as inpatient, outpatients, exercise intervention regularly. [1]. No studies have been found to examine this situation in the literature.ObjectivesThe aim of this study was to investigate the biopsychosocial characteristics of patients with rheumatic diseases who were inpatients, outpatients and participated in an exercise intervention regularly.MethodsA total of 105 patients were included in the study (inpatient, outpatient, exercise intervention) (Table 1). For exercise intervention group, BETY as a biopsychosocial exercise model was applied 3 days a week for 3 months [2]. Biopsychosocial characteristics of the patients included in the study were evaluated by BETY- Biopsychosocial Questionnaire (BETY-BQ) [3]. In addition to the total score of BETY-BQ, the same time pain, functionality and fatigue, sexuality, emotional status and socialization subcategory of this questionnaire were evaluated on item basis among each patients.ResultsThe demographics variables and BETY-BQ scores of the patients were shown in Table 1. There were a statistically significant differences among three groups. After post-hoc analysis, it was determined that there is no difference between the BETY-BQ scores of the outpatients and inpatients (p> 0.05), whereas the BETY-BQ scores of the patients who participated in the group exercise were lower (p<0.05). When the items were analyzed, it was found that pain (items 2, 3, 5, and 12), functionality and fatigue (items 6, 7, 11, 26, and 28), emotional status (items 16 and 17), and sleep (item 30) subcategory scores were also lower in patients who participated in BETY programme (p<0.05).Abstract Table 1 Demographic statistics and BETY-BQ scores Inpatient (n= 30) Outpatıent (n= 44) Exercıse ınterventıon (BETY) (n= 31) Female Male Female Male Female Male Gender (%) 61.337.887.212.853.77.4 XSD XSD XSD Age (year) 46.3514.5646.0613.2648.67 11.89 BMI (kg/m2) 24.19 5.1728.98 18.8526.94 3.84 BETY-BQ (0- 120) p XSD XSD XSD 0.027 49.1017.9445.6427.9333.8121.73ConclusionIt is surprising that the biopsychosocial characteristics of the inpatients and outpatients were similar. According to this result, inpatients shouldnt be thought as worse than outpatients. On the other hand, the patients who participated in exercise intervention were improved in terms of biopsychosocial aspects. The positive effects of the BETY program on the biopsychosocial status of individuals have been demonstrated formerly [4]. It was concluded that inpatients should be supported to exercise in terms of their biopsychosocial needs during hospitalization period as well as rheumatic outpatients need.References[1] Saketkoo, L.A. and J.D. Pauling, Qualitative methods to advance care, diagnosis, and therapy in rheumatic diseases. Rheumatic Disease Clinics of North America, 2018.[2] Kisacik, P., et al., Investigating the effects of a multidimensional exercise program on symptoms and antiinflammatory status in female pa...

Background: Functional capacity evaluation is a standardized tool that assesses work-related skills. Although there are different test batteries, the most frequently used one is Work Well Systems. This study aims to determine the validity and inter- and intra-rater reliability of remote implementation of functional capacity tests (repetitive reaching, lifting object overhead, and working overhead) in asymptomatic individuals. Methods: A total of 51 asymptomatic individuals were included in the study. Participants completed all tests both face-to-face and remotely. Remote assessment videos were rewatched by the same researcher and different researchers for intra- and inter-rater reliability. All processes were scored by two independent researchers. Results: Remotely performing repetitive reaching (intraclass correlation coefficient [ICC]: 0.85–0.92, p < .001), lifting object overhead (ICC: 0.98, p < .001), and working overhead (ICC: 0.88 p < .001) tests are valid and reliable. Discussion: Repetitive reaching, lifting an object overhead, and sustained overhead work tests in the Work Well Systems–Functional Capacity Evaluation test battery can be performed remotely through videoconferencing. Remotely evaluating these tests, which are especially important in work-related situations, may be important in pandemic conditions and hybrid working conitions.