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Objectives This study aims to investigate the impact of change in limb volume on the levels of functional mobility, health-related quality of life, social appearance anxiety, and depression before and after complex decongestive physiotherapy in patients with lower extremity lymphedema. Method Twenty-seven patients with unilateral lower extremity lymphedema were included. The treatment period was 20 sessions. The outcome measures were the limb volume, the Timed Up and Go test, the Short Form-36, the Social Appearance Anxiety Scale, and the Beck Depression Inventory. Results A statistically significant decrease in the limb volume ( p < 0.001) and statistically significant improvements in the Timed Up and Go test performance ( p < 0.001), the Short Form-36 Physical Component Summary score ( p < 0.01), the Social Appearance Anxiety Scale score ( p < 0.001), and the Beck Depression Inventory score ( p < 0.001) were found. No statistically significant difference was found on the Short Form-36 Mental Component Summary score ( p > 0.05). Conclusion The decrease in the limb volume improves the functional mobility, physical health-related quality of life, social appearance anxiety, and depression in patients with lower extremity lymphedema, but not the mental health-related quality of life.

Purpose To evaluate the psychometric properties of self-administered patient-reported outcome (PRO) questionnaires which were used in non-surgical homogeneous populations with musculoskeletal shoulder disorders. Methods The included studies were identiied using eligibility criteria. The methodological quality of each article was assessed using the COSMIN checklist. The psychometric properties of original versions and translated versions of PROs were also assessed. Results Twenty articles were included. Two musculoskeletal shoulder disorders were identiied that met the selection criteria: rotator cuf disease and glenohumeral instability. A total of 11 PROs were identiied. In general, the methodological quality of the included studies is fair or poor. The Western Ontario Rotator Cuf Index (WORC) and the Shoulder Pain and Disability Index (SPADI) are the most frequently evaluated PROs for patients with rotator cuf disease, and their psychometric properties seem to vary according to what language that they are in. For glenohumeral instability, the Western Ontario Shoulder Instability Index (WOSI) and the Oxford Instability Shoulder Score (OISS) are the most frequently evaluated PROs, and their psychometric properties seem to be adequate. Conclusion Using for rotator cuf disease is advised, for Norwegian users, the SPADI, WORC, Oxford Shoulder Score, and disabilities of the arm, shoulder and hand. Dutch and Persian users could use the WORC. For Greek speakers, the SPADI is recommended. Turkish users could use the rotator cuf quality-of-life measure. For glenohumeral instability, Dutch and Norwegian speakers could use the WOSI and the OISS. Italian, Japanese, and Turkish users could use the WOSI. For English users, the OISS and the Shoulder Rating Questionnaire are recommended. Level of evidence III.

It has been theorized that posterior shoulder tightness may contribute to scapular dyskinesis; however, it is not yet clear. The aim of the study was to investigate the association between posterior shoulder tightness and scapular dyskinesis in asymptomatic individuals.Methods: This was a cross-sectional study including 121 male participants (242 shoulders). Scapular dyskinesis was identified by the Scapular Dyskinesis Test, and the participants were grouped as 'dyskinesis' and 'no dyskinesis' on the dominant and non-dominant sides. Posterior shoulder tightness was assessed by measuring glenohumeral horizontal adduction.Results: Dyskinesis was detected in 67.8% of participants. The mean angles of posterior shoulder tightness in individuals with and without dyskinesis on the dominant side were 35.23 (SD 7.50) and 35.43 (SD 8.17) degrees, respectively. On the non-dominant side, the mean angles of posterior shoulder tightness were 39.26 (SD 8.70) and 38.41 (SD 8.50) degrees in individuals with and without dyskinesis, respectively. There was no statistically significant difference in posterior shoulder tightness between the groups (p>0.05). Conclusion:The findings of the study showed that there was no association between posterior shoulder tightness and scapular dyskinesis in asymptomatic individuals.