MAS has adequate reliability for determining lower-extremity spasticity in patients with SCI. The demonstration of excellent inter-rater reliability and test-retest reliability of the MTS R2-R1 suggests its utility as a complementary tool for informing treatment decisions in patients with SCI.
Object Sexuality is an important aspect of human life. Sexual activity may be affected in lumbar disc herniation through different mechanisms. The aim of this study is to evaluate patients' sexual problems and sexual behavior patterns before and after surgical treatment of lumbar disc herniation. Methods Forty-three patients were included in the study (mean age 41.4 years). A visual analog scale, the Oswestry Disability Index, the Hospital Anxiety and Depression Scale, and a sexuality assessment questionnaire developed for this study were administered to the patients to evaluate pain and sexual dysfunction. Results Fifty-five percent of the men and 84% of the women reported experiencing sexual problems after the onset of low-back pain. The most common sexual problems were decreased sexual desire (18%) and premature ejaculation together with erectile dysfunction (18%) for the male patients, and decreased sexual desire (47%) for the female patients. The frequency of sexual intercourse before the operation was reduced in 78% of cases compared with the pain-free period. Postoperatively, the patients first attempted sexual intercourse a mean of 26.5 days after surgery. The frequency of intercourse was found to have increased (p = 0.01), while description of any type of sexual problem had decreased (p = 0.005) significantly. Conclusions Lumbar disc herniation has negative effects on sexual life, and not enough attention is given to the patients' sexual problems by the physicians. Decreased sexual desire and decreased sexual intercourse are the most commonly reported problems. Taking time during examination and giving simple recommendations may improve sexuality and life quality of the patients.
[Purpose] The purpose of this study was to determine the short- and mid-term effects of
Kinesio taping on the trapezius muscle in individuals with myofascial pain syndrome.
[Subjects and Methods] Thirty-seven patients with active upper trapezius myofascial
trigger points were randomly divided to 2 groups: group 1 received Kinesio taping for the
upper trapezius muscle, and group 2 received a sham Kinesio taping application. Neck pain
(Visual Analog Scale and pressure algometry) and trapezius muscle strength data were
collected at baseline, immediately after Kinesio taping application, and at one month
follow-up. [Results] The mean changes in Visual Analog Scale scores were significantly
different between groups at T2 and T1, with less pain in group 1. The mean changes in
algometry scores were significantly different between groups at T3 compared with T2 in
favor of group 1. The mean changes in trapezius muscle strength were significantly
different between the groups at T2 compared with T1 in favor of group 1. [Conclusion]
Patients with myofascial pain syndrome receiving an application of Kinesio taping
exhibited statistically significant improvements in pain and upper trapezius muscle
strength.
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