ÖzetAmaç: Kronik bel ağrılı hastalarda Core stabilizasyon egzersizi (SE) etkinliğini araştırmak ve konvansiyonel ev egzersiz (EE) programı ile karşılaş-tırmaktır. Gereç ve Yöntemler: Çalışma, polikliniğimize başvuran kronik bel ağrılı hastalardan 48 kadın hasta ile yapıldı. Hastalar SE (n=24) ve EE (n=24) olmak üzere 2 gruba randomize edildiler. SE grubundaki hastalar, 6 hafta süreyle haftada 3 gün ve günde 60 dk olmak üzere süpervizör eşliğinde toplu egzersiz seanslarına katıldılar. EE grubuna ise, 6 hafta boyunca gün-lük konvansiyonel ev egzersizleri yapmaları söylendi ve telefon görüşme-leriyle yapıp yapmadıkları kontrol edildi. Hastalar egzersiz programından önce ve sonra olmak üzere 3. ay sonunda Vizüel Analog Skala (VAS), Roland -Morris Dizabilite Anketi (RM), SF36, Kraus-Weber testi (KW), Sorensen testi ve zamanlı oturup kalkma testi (TSS) ile değerlendirildiler. Bulgular: Tüm hastalar programı tamamladı. SE grubunda egzersiz sonrası tüm parametrelerde; VAS, RM, KW, Sorensen testi, TSS ve SF36 alt gruplarının tümünde iyileşme gözlendi. EE grubunda Sorensen testi ile SF-36 ağrı ve sosyal fonksiyon skorları dışındaki tüm parametrelerde düzelme saptandı. Gruplar fark skorlarıyla karşılaştırıldığında, SE grubu Sorensen testi ve SF-36 fiziksel rol kısıtlaması skorları bakımından EE grubuna göre üstün bulundu. Sonuç: Kronik bel ağrılı kadın hastalarda her iki egzersiz programı da endurans, fonksiyon ve günlük yaşam aktivitelerini iyileştirmede etkili bulunurken, iki grup kıyaslandığında; SE grubu dorsal ekstansör kas enduransı ve fiziksel rol kısıtlaması parametrelerindeki iyileşme bakımından EE grubuna göre üstün bulundu. Anahtar Kelimeler: Bel ağrısı, egzersiz, günlük yaşam aktiviteleri AbstractObjective: To investigate the efficacy of core-stabilization exercise (SE) and to compare it with home-based conventional exercise (HE) in patients with chronic low-back pain (LBP). Material and Methods:The study was performed with 48 female chronic LBP patients who attended to our outpatient unit. The patients were randomized into SE (n=24) and home-based HE (n=24) groups. The patients in the SE group participated in sessions of supervised group exercise for 6 weeks, 3 times a week and 60 minutes a day. The patients in the HE group were told to do daily conventional exercises for 6 weeks, and they were checked by telephone calls. The patients were assessed before and after the program at the third month with the visual analogue scale (VAS), Rolland-Morris Disability Questionnaire (RM), SF-36, Kraus-Weber test (KW), Sorensen test (ST), and timed sit to stand test (TSS). Results: Following the exercise program, there was improvement in all of the variables in the SE group. In the HE group, there was also improvement in all of the variables, except ST and SF-36 pain and social function. When the groups were compared with each other, the SE group was superior to the HE group in the improvement of ST and SF-36 physical function. Conclusion: Though both of the exercise programs were both found to be effective concerning the...

It is determined that the self-management class led to improvements in functional, balance, and life-quality outcomes and to reductions in pain perception.

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Acknowledgement I would like to off er my special thanks to Uludag University Scientifi c Research Project Department (BAP) for their fi nancial help in this Research Project KUAP(T)2012/3. Dieses Dokument wurde zum persönlichen Gebrauch heruntergeladen. Vervielfältigung nur mit Zustimmung des Verlages.

Objective: This study aimed to investigate the effects of moderate-intensity aerobic exercise on bone turnover by urinary cross-linked C-telopeptide of type I collagen (CTX) and serum bone-spesific alkaline phosphatase (BAP) in comparison with a control group. Materials and Methods: 100 premenopausal volunteers from our outpatient unit were randomized into 2 equal groups. The exercise group (n=50) performed the exercise sessions supervised by a physiotherapist for 40 min a day, 5 times a week for a duration of 2 months. The control group (n=50) maintained their sedentary lifestyle for the duration. Urinary CTX and BAP levels in the subjects were measured before and at the end of the intervention. Results: The changes in CTX and BAP from baseline were statistically significant in the exercise group for but not in the control group. When the groups were compared with each other, the exercise group was found to be superior to the control group for the change in CTX. Conclusion: Two months of regular submaximal aerobic exercise decreased bone resorption rate in premenopausal sedentary women. Key Words: Aerobic exercise, bone-spesific alkaline phosphatase, cross linked c telopeptide of type 1 collagen. Özet