Background The Upper Limb Functional Index (ULFI) is a patient reported outcome measure with sound clinimetric properties and clinical viability for determination of upper limb status and impairment. To date, no validated Turkish version is available. Objectives The purpose of this study is to cross-culturally adapted the ULFI for Turkish-speaking patients (ULFI-Tk) and determine the psychometric properties of reliability, validity, factor structure in a Turkish population with upper limb problems. Methods The ULFI English version was culturally adapted and translated into Turkish and back-translated according to established guidelines. Patients (n=l02, 70% female, age 49.1±16.6) with upper limb disorders completed the ULFI-Tk at baseline and day-three for test-retest reliability. The Disability of Arm, Shoulder and Hand (DASH) Turkish version was concurrently completed as a criterion. Additional psychometric properties were determined for internal consistency (Chronbach's α), criterion validity and factor structure. Results ULFI-Tk demonstrated good internal consistency (α=0,87) and reliability (ICC=0.72,CI=0.58-0.80). Factor analysis demonstrated two factor structures, explaining 31,23% of total variance. Pearson's correlation coefficient (r=0,679;p<0,05) revealed modarete criterion validity between the ULFI and DASH. Conclusions The ULFI-TK demonstrated a 2 factor 25 item structure and is reliable and valid instrument. The ULFI-Tk consists of simple and easily understood words therefore it may be used to assess upper limb musculoskeletal disorders in Turkish speaking patients. References Badalamente M, Coffelt L, Elfar J, Gaston G, Hammert W, Huang J, Lattanza L, Macdermid J, Merrell G, Netscher D, Panthaki Z, Rafijah G, Trczinski D, Graham B & American Society for Surgery of the Hand Clinical Trials and Outcomes Committee (2013b): Measurement scales in clinical research of the upper extremity, part 2: outcome measures in studies of the hand/wrist and shoulder/elbow. J Hand Surg Am 38, 407-412. Gabel CP, Michener LA, Melloh M & Burkett B (2010a): Modification of the Upper Limb Functional Index to a Three-point Response Improves Clinimetric Properties. J Hand Ther 23, 41-52 Gabel CP, Burkett B. The Upper Limb Functional Index: Development and Determination of Reliability, Validity, and Responsiveness. J Hand Ther. 2006;19:328–49. Gabel CP, Yelland M, Melloh M & Burkett B (2010b): A modified QuickDASH-9 provides a valid outcome instrument for upper limb function. BMC Musculoskelet Disord 10, 161. Disclosure of Interest None declared DOI 10.1136/annrheumdis-2014-eular.4506

Ö ÖZ ZE ET T AAm ma aç ç: : Başın anterior tilti sadece servikal bölge ile ilgili değil, aynı zamanda omuz protraksiyonunda ve torakal kifozda da artışın yaşandığı bir kas-iskelet sistemi problemidir. Bu çalışmanın amacı; kinezyo ve rijit bant ile skapular retraksiyon uygulaması ve torakal kifozun azaltılması ile servikal anterior tiltte değişimin olup olmadığına bakmaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışmaya servikal anterior tilti ve omuz protraksiyonu bulunan 28 gönüllü birey (yaş ortalaması: 23,5±2,4 yıl) alındı. Bireylerin bantlamadan önce, göz hizalarına çizilen sabit noktaya bakarken, mandibul-a-sternum ve occiput-C7 mesafeleri mezura ile ölçüldü ve yan profilden servikal bölgenin fotoğrafları çekildi. Sonrasında, sırasıyla rijit ve kinezyo bant uygulamaları ile bireylerin omuzları retraksiyona alındı. Baştaki ölçümler her iki bant varken ayrı ayrı tekrarlandı ve fotoğrafları çekildi. Bireylerin çekilen fotoğraflarından, her üç ölçüm için ayrı ayrı, AutoCAD programı ile C7-traqus açıları ölçüldü ve kaydedildi. Rijit ve kinezyo bantlı, mandibulamanubriums terni mesafeleri; occiput-C7 mesafeleri ve C7-tragus açıları kendi içlerinde Friedman testi kullanılarak karşılaştırıldı. B Bu ul lg gu ul la ar r: : Rijit bantlama ve kinezyo bantlama sonrası ölçülen, mandibulamanubrium sterni ölçüm mesafeleri, bantlama öncesi yapılan mandibula-manubriumsterni mesafesi öl-çümlerinden anlamlı olarak daha kısa idi (p=0,0001). Ancak, yapılan "post-hoc" testler sonucunda rijit ve kinezyo sonrası yapılan ölçümler arasında fark bulunmadı (p=0,539). Bireylerin rijit bantlama ve kinezyo bantlama sonrası ve bantlama öncesi yapılan occiput-C7 mesafeleri arasında fark yoktu (p=0,839). Katı-lımcıların C7-traqus açıları karşılaştırıldığında, her iki bant ile yapılan bantlamalar sonrasında ve bantlamalar öncesinde yapılan ölçümler arasında fark bulunamadı (p=0,275). S So on nu uç ç: : Çalışmamızın sonucunda, rijit bant veya kinezyo bant ile skapulanın retraksiyon pozisyonuna alınarak yapılan postü-ral düzeltme ile servikal anterior tiltin azaldığı görüldü. Bu bantlama uygulamaları fırlatma sporu yapan sporcularda skapular protraksiyonun ve buna bağlı gelişen servikal postüral bozukluk ve ağrının önlen-mesi gereken durumlarda kullanılabilir. A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Rijit; elastik bantlama; anterior tilt; servikal bölge A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Cervical anterior tilt is a musculoskeletal problem which is not only include cervical region but also scapular protraction and torachal kyphosis. The aim of this study was to study whether the cervical anterior tilt changes with scapular retraction and torachal kyphosis which is done by kinesio or athletic tape or not. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Twenty-eight subjects (mean age: 23.5±2.4 year) who have cervical anterior tilt have been included to the study. Before taping, they instructed to look to the point at the wall which was drown to their eye level as they feel comfo...

Objectives:To investigate the impact of having previous history of inversion ankle sprain on balance tests in adolescent volleyball players.Methods:Fourty-five adolescent volleyball players with mean age of 15.26±1.03 participated in our study. Twenty-nine were uninjured (control group) and sixteen had previously experienced inversion injuries on right ankle. 9 players had the injury more than than one year ago and 7 players had it before six to twelf months. Balancing abilities were evaluated by Star Excursion Balance Test (SEBT) and Single Limb Hurdle Test (SLHT). The fact that players with history of injury had the ankle sprain at right foot led us to perform the measurements in the control group also for the right foot. We compared the results of injured and uninjured players on both tests.Results:Uninjured players' reaching distance on right foot was found out to be significantly more than in players with ankle sprain at medial and posteromedial directions of SEBT(p<.05), whereas there were no differences detected for the other directions (p>.05). For comparing athletes' performances with SLHT, finishing time was found significantly better in uninjured players (p<.05).Conclusion:Adolescent volleyball players with history of injury show lower performance on balance tests compared to uninjured players. This demonstrates that they should be given a training including balance and stabilization programs.

Results: Of the 820 respondents (84% response rate), 124 (15%) had high intensity low back pain and/or disability. Participants with high intensity pain and/or disability were older, more likely to have a mood disorder, less likely to have completed secondary school and more likely to have poor mobility than those with no or low back pain and disability (p < 0.002 for all). Low back pain was associated with higher BMI (28.7 ± 0.4 vs. 27.3 ± 0.2 kg/m2, p ¼ 0.02) and waist-hip ratio (0.97 ± 0.006 vs. 0.96 ± 0.006, p ¼ 0.04), with increased tendency towards having a higher fat mass index (8.0 vs. 7.6 kg/m2, p ¼ 0.08), but not fat-free mass index (p ¼ 0.68). The relationships between back pain and measures of obesity were stronger in those with a mood disorder, particularly for waist-hip ratio (p ¼ 0.05 for interaction) and fat mass index (p ¼ 0.06 for interaction). Conclusions: In a population-based sample of men, high intensity low back pain and/or disability were associated with increased levels of obesity, particularly in those with mood disorders. This provides evidence to support a biopsychosocial interaction between mood disorders and obesity with low back pain.

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