Amaç: Bu çalışmada diz osteoartritli (OA) hastalarda ağrı şiddeti, performans, kas kuvveti, fiziksel fonksiyon ve denge üzerine düz bacak kaldırma egzersizi (DBKE) ve mini çömelme egzersizinin (MÇE) etkinliği karşılaştırıldı. Hastalar ve yöntemler:Şubat 2009-Şubat 2010 tarihleri arasında iki taraflı diz OA yakınması ile Başkent Üniversitesi Hastanesi'ne başvuran, 40 kadın hasta (ort. yaş 59.93±10.61 yıl; dağılım 30-65 yıl) bu randomize kontrollü, çift-kör klinik çalışmaya dahil edildi. Hastalar DBKE ve MÇE olmak üzere iki gruba ayrıldı. Her iki egzersiz grubu haftada beş seanstan oluşan toplam üç haftalık bir programa dahil edildi. İki grup da her seansta elektroterapi programı aldı. Görsel analog ölçeği (GAÖ) ile diz ağrısı, Zamanlı Kalk-Yürü (ZKY) testi ile fiziksel performans, Cybex II ile izokinetik kuadriseps ve hamstring kas kuvveti, Spor KAT 3.0 ile statik denge, Diz İncinme ve Osteoartrit Sonuç Skoru-Fiziksel Fonksiyon Kısa Formu (KOOS-PS) ile fiziksel fonksiyon başlangıçta, tedavi sonrasında ve tedaviden bir ay sonra değerlendirildi. Bulgular: Statik denge parametreleri göz önünde bulundurulduğunda egzersiz programı (EP) sonrası (p=0.659) ve takip döneminde (p=0.327) gruplar arası anlamlı fark bulunmadı. Egzersiz programı sonrası (p=0.398) ve takip döneminde (p=0.201) DBKE ve MÇE grupları arasında KOOS-PS skorları açısından anlamlı fark bulunmadı. Ayrıca GAÖ skorları açısından EP sonrasında (p=0.149) DBKE ve MÇE grupları arası anlamlı fark bulunmamasına rağmen takip döneminde (p=0.030) anlamlı fark bulundu. Mini çömelme egzersiz grubu, DBKE grubuna kıyasla, EP sonunda anlamlı düzeyde yüksek ZKY testi skorları ve 60°/sn (p=0.024), 90°/ sn (p=0.003), 120°/sn (p=0.005) ve 180°/sn'de (p=0.017) daha yüksek sağ izokinetik diz ekstansör kas kuvvetine sahipti.Sonuç: Uzun dönemli takipleri içeren ve bu periyottan sonra DBKE ve MÇE'nin etkinliğini değerlendirebilecek kriterleri kapsayan başka çalışmalara gereksinim vardır.Anahtar sözcükler: Diz; mini çömelme egzersizi; osteoartrit; düz bacak kaldırma egzersizi. Objectives:In this study, we aimed to compare the effects of the straight leg raise exercise (SLRE) and mini squat exercise (MSE) on pain intensity, performance, muscle strength, physical function and balance in patients with knee osteoarthritis (OA). Patients and methods:Forty female patients (mean age 59.93±10.61 years; range 30-65 years) who were admitted to Başkent University Hospital between February 2009 and February 2010 with bilateral knee OA were included in this randomized controlled double-blind clinical trial. The patients were assigned into two groups, including SLRE and MSE. Both exercise groups were scheduled for a threeweek program of five sessions per week. Both groups also received an electrotherapy program in each session. Knee pain using the visual analog scale (VAS), physical performance using Timed Up and Go (TUG) Test, isokinetic quadriceps and hamstring muscle strengths using Cybex II, static balance using SportKAT 3000, physical function using Knee Injury and Osteoarhtritis Outcome...

The back school program, combined with an exercise program, decreased pain and disability and improved the spinal flexibility significantly in LLAs with MLBP.

Several approaches have been defined for applying THA (3). The most commonly used of these are the anterolateral (modified Watson-Jones) and the posterior (Southern, Moore, Gibson, or posterolateral) approaches (4, 5). The anterolateral approach was first defined by Sprengel and Bardenhauer, and then later modified by Watson-Jones (6). In this approach, entry is made from the gluteus medius cleavage and the tensor fascia lata stimulated by the superior gluteal nerve (7). Trochanteric osteotomy or separation of a section from the adhesion point of the gluteus medius or minimus to the trochanter is necessary for sufficient acetabulum exposure (7,8). In the posterior approach, the external rotator muscles of the hip are separated from the capsule after cutting from the adhesion point without touching the gluteus medius and minimus tissue by separating the split gluteus maximus muscle (9).As different approaches have advantages and disadvantages, the debate is still ongoing as to which approach is superior to the others. Despite insufficient information on the long-term results of different approaches, some studies have reported on short-term results such as blood loss (10), perioperative pain (11), duration of hospitalization (12), and cosmetic results (12). ABSTRACTThe aim of this study was to compare the short-term clinical and radiological results of anterolateral and posterolateral approaches in total hip arthroplasty.The study included patients who were operated on for hip osteoarthritis. The patients were allocated to one of two groups for applying uncemented total hip prosthesis with the anterolateral or posterolateral approach. They were operated on by one surgical team composed of two senior surgeons. They were clinically evaluated using the Harris Hip Score and radiologically using direct radiographs. Various parameters were recorded in both the groups, including amount of blood loss, surgical time, and duration of hospitalization.A total of 70 patients were followed up for a mean duration of 18 months (range 6-36 months), 34 in the anterolateral group and 36 in the posterolateral group. No statistically significant differences were observed between the anterolateral and posterolateral approaches for a total hip prosthesis in terms of the clinical and radiological results.The most successful results can be obtained using the technique that the surgeon performs better according to his experience of total hip arthroplasty.

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