Coronavirus (COVID-19) is one of the pathogens that primarily targets the respiratory. This disease is considered to have emerged in China in late December 2019. The most common initial symptoms of COVID-19'un are fever, cough and tiredness. The absence of spesific preventive or therapeutic medical interventions for COVID-19 infection and recommendations such as avoiding social interactions and staying at home have emerged to prevent the rate of transmission. To prevent the spread of the COVID-19, governments are taking measures to tighten quarantine and require all citizens to stay at home as much as possible. These measures have harmful consequences for everyone's life. One of them is physical inactivity. It is likely that quarantine at home will cause a decrease in moderate physical activity level and cause sedentary behavior. Fitbit, an American company that develops a wearable device that tracks people's physical activity levels worldwide; reported that the average number of steps in almost all countries decreased from %7 to %38 compared to the same time of last year. This shows that quarantine causes a significant decrease in people's physical activity levels. Given the effects of physical activity on overall and cardiovascular health, it is recommend that people exercise at home. Staying active during quarantine and maintaning a physical exercise routine will be crucial for mental and physical health. During this period, exercise can be done using treadmills, bicycles, fitness balls, elastic bands and weights. Exercises conducted with video and online guided protocols can also be helpful.
Objective: This study was conducted to compare the normal range of motion of the shoulder and elbow in the upper extremity, hip and knee in the lower extremity of patients with a diagnosis of adolescent idiopathic scoliosis (AIS) with their healthy peers.Method: Socio-demographic and physical characteristics of all individuals participating in the study were recorded. Only subjects with Lenke type 1 curve were included in the study and all included subjects had right thoracic curves. The hip, knee, shoulder and elbow flexion and extension normal range of motion of the participants were evaluated using a universal goniometer.Results: A total of 56 adolescents, 20 girls and 8 boys in the AIS group, and 20 girls and 8 boys in the control group, participated in the study. The thoracic curve of the group with scoliosis was calculated as 19.61±4.16. Among the cases included in the study, the mean age of the AIS group was calculated as 14.2±1.26 years, and the mean age of the control group as 13.84±0.62 years. When we look at the findings, it was seen that the shoulder, hip and knee flexion normal range of motion values of children with right thoracic adolescent idiopathic scoliosis were statistically lower than the flexion normal range of motion values of healthy children. (p<0.05) Conclusion: According to the findings of the study, the decrease in flexion and normal joint range of motion in the extremities should also be considered in the treatment of adolescent idiopathic scoliosis.
BACKGROUND: It is essential to understand well the prognosis and clinical fi ndings for the early diagnosis and treatment of COVID-19 patients. We aimed to evaluate the laboratory parameters, risk factors, and success in predicting mortality in COVID-19 patients admitted to our hospital's intensive care units (ICUs). METHODS: Levels of procalcitonin, ferritin, D-dimer, CRP and albumin measured on days 1 and 7 were recorded. Patients were divided into two groups as non-survivors and patients, who were discharged from ICUs. The predictive values of laboratory parameters in predicting COVID-19 mortality were investigated. RESULTS: A statistically signifi cant difference was detected between the two groups in the mean values of all laboratory parameters tested on days 1 and 7, including D-dimer, procalcitonin, CRP, WBC, ferritin (excluding only D-dimer levels and WBC counts on day 1; p = 0.061 and p = 0.243, respectively) (p < 0.001, p < 0.001, p<0.001, p=0.013, p < 0.001, p < 0.001, p < 0.001, p < 0.001, p < 0.001, p < 0.001; respectively). CONCLUSION:. It can be argued that procalcitonin, ferritin, and D-dimer can be guiding parameters in predicting mortality in COVID-19 because their levels were found to be signifi cantly higher in non-survivors. D-dimer, procalcitonin, and ferritin showed an almost high level of sensitivity and specifi city in predicting mortality (Tab.
Objective: This study was conducted to evaluate gait disturbances after lower extremity fractures.Method: Socio-demographic and physical characteristics of all individuals participating in the study were recorded. Fracture histories of the cases were examined and recorded. Balance and walking of individuals were evaluated with tinetti balance and gait analysis, gait analysis with "Biodex Gait Trainer" system, and fear of movement with Tampa kinesiophobia scale. Results:The mean age of 21 participants (8 women and 13 men) included in the study was 44.53±8.12 years, and body mass index was calculated as 27.40±3.89 kg/m2. The results of the measurements were analyzed by comparing the three fracture groups. According to the findings, the kinesiophobia of the femur fracture group, the stance phase score and the tinetti balance walking test score of the tarsal fracture group were significantly worse than the other groups. (p<0.05) Conclusion:According to the results of the study, functional scores may vary as a result of fractures in different regions and different bones of the lower extremity.
Adolescent idiopathic scoliosis (AIS) is a common spinal deformity characterized by a Cobb angle greater than 10 degrees and lateral curvature of the spine in addition to vertebral rotation. Women are 10 times more likely to have a Cobb angle of 30 degrees or more. Scoliosis treatment guidelines state that skeletally immature patients with a curvature of 25-40° should be treated with a brace to prevent progression of the curvature. Although there are many corset designs, the most common ones are Milwaukee, Boston, Rigo-Cheneau, Providence, Lyon, Wilmington, Charleston and SpineCor orthoses. When the literature is examined, we see that the Milwaukee orthosis has not been preferred by adolescents due to cosmetic incompatibility in recent years, and Charleston and Providence orthoses, which are worn at night, are used instead. In addition, it can be said that Boston, Rigo-Cheneau, Lyon, Wilmington and SpineCor orthoses have become much more useful and efficient with the latest updates. In this context, the aim of our study will be to introduce the orthotic approaches that are frequently used in the treatment of AIS in the literature.
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