Amaç: Sağlıklı bireylerde alt ekstremite kas kuvveti, kalça eklemi hareket açıklığı, M. Quadriceps femoris, Hamstring kas kuvveti ve subtalar açının dinamik denge ile olan ilişkisini belirlemektir. Yöntem: Çalışmamıza 69 sağlıklı ve gönüllü birey (yaş=22,171,25 yıl, 47 kadın, 22 erkek) dahil edildi. Bireylerin dinamik dengeleri Y denge testi, alt ekstremite kas kuvvetleri Lafayette el dinamometresi, kalça eklem hareket açıklığı ve subtalar açı ise universal gonyometre ile değerlendirildi. Sonuçlar: Y denge testi ile alt ekstremite kas kuvvetleri ve kalça eksternal rotasyonu arasında pozitif anlamlı bir ilişki vardı (p
Purpose:The aim of this study was to investigate the indicators of adapting to an artificial joint in terms of age, period after surgery, fear of falling, quality of life and physical function following Total Hip Arthroplasty (THA). Material and Methods: This cross-sectional design included 52 patients with OA who underwent THA, aged between 46-74 years, and with a mean period of 1.96±0.76 years after surgery (1-3). Fear of falling, joint-specific functional outcome measurements and health-related quality of life questionnaires were assessed with the supervision of physiotherapists. Fear of falling was assessed with 0-10 cm Visual Analogue Scale (VAS). Health related quality of life and joint-specific function were assessed with EuroQol 5-Dimension 3-Level (EQ-5D-3L) VAS scale and Hip disability and Osteoarthritis Outcome Score (HOOS) -Physical Function Short form (HOOS-PS), respectively. The Forgotten Joint Score (FJS-12) was used to assess patient's adaptation in daily life to their artificial joint. Results: The FJS-12 scores were inversely related with fear of falling in patients with THA (r=-0.418; p=0.002). FJS-12 scores were strongly correlated with EQ-5D-3L VAS (r=0.536); and HOOS-PS scores (r=-0.519) (p<0.001). In linear regression analysis, strongest significant indicators of the dependent variable (FJS-12) were fear of falling, EQ-5D-3L VAS and HOOS-PS (R2=0.48; p<0.05). Conclusion: Detailed assessment about fear of falling, physical function and quality of life can explain adaptability to artificial joint in patients with THA. Therefore, rehabilitation programmes that are individualised according to patients' fear of falling, physical function and health-related quality of life should also be considered to decrease fear leading to activity limitation and participation in daily life following THA. ÖZAmaç: Çalışmanın amacı, Total Kalça Artroplastisi (TKA) sonrası yapay ekleme uyum sağlayabilmenin yaş, cerrahiden sonra geçen süre, düşme korkusu, yaşam kalitesi ve fiziksel fonksiyon açısından belirleyicilerini incelemekti. Gereç ve Yöntem: Bu kesitsel çalışma, 46-74 yaşları arasında TKA yapılan, cerrahiden ortalama süre 1,96±0,76 yıl (1-3) geçmiş, OA'li 52 hastayı içermektedir. Düşme korkusu, ekleme özel fonksiyonel sonuç ölçütleri ve sağlıkla ilişkili yaşam kalitesi anketleri fizyoterapist tarafından değerlendirildi. Düşme korkusu 0-10 cm Görsel Analog Skalası (GAS) ile değerlendirildi. Sağlıkla ilişkili yaşam kalitesi EuroQol 5 boyutlu 3 seviyeli GAS skalası (EQ-5D-3L VAS) ile ekleme özel fonksiyonel durumu ölçen Kalça Osteoartrit Sonuç Ölçeği Kısa Form (HOOS-PS) ile değerlendirildi. Hastaların yapay eklemlerine günlük yaşantılarından uyum sağlayabilmesini değerlendirmek için Unutulan Eklem Skoru (UES-12) kullanıldı. Sonuçlar: TKA'lı hastalarda UES-12 skorları ile düşme korkuları arasında zıt yönde ilişki vardı (r=-0.418; p=0.002). UES-12 skorları ile EQ-5D-3L VAS skorları (r=0.536) ve HOOS-PS skorları (r=-0.519) (p<0.001) arasında güçlü bir ilişki vardı. Doğrusal regresyon analizinde bağımlı değişkenin...
Importance: Preterm infants are at higher risk of motor development abnormalities and sensory processing difficulties. Few studies have examined both movement development and sensory processing in the early months of life, and the results are controversial. Objective: In this cross-sectional study, we investigated (1) differences in early spontaneous movements and sensory processing between preterm infants born at <32 wk gestation and those born at 32 to 36 wk gestation when they reached corrected (postterm) age 3 to 5 mo and (2) the relationship between early spontaneous movements and sensory processing. Participants: We included 50 preterm infants born at <32 wk gestation and 61 preterm infants born at 32 to 36 wk gestation. Outcomes and Measures: We assessed early spontaneous movements, including fidgety movements, using the General Movements Assessment (GMA), which provides the Motor Optimality Score (MOS), and sensory processing using the Infant Sensory Profile–2. Results: The preterm infants born at <32 wk gestation had lower MOS results (p = .035) and more sensory processing difficulties (p = .006) than those born at 32 to 36 wk gestation. We found no significant relationship between early spontaneous movements and sensory processing (p > .05). Conclusions and Relevance: Preterm infants born at <32 wk gestation are at increased risk for motor development abnormalities and sensory processing difficulties. What This Article Adds: Assessment of both motor development and sensory processing can play a crucial role in identifying infants who need early intervention.
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