[Purpose] The purpose of this study was to compare patients with low back and neck pain with respect to kinesiophobia, pain, and quality of life. [Subjects and Methods] Three-hundred patients with low back (mean age 43.2±11 years) and 300 with neck pain (mean age 42.8±10.2 years) were included in this study. Pain severity was evaluated by using the Short-Form McGill Pain Questionnaire, which includes a Visual Analogue Scale, quality of life by the Nottingham Health Profile, and kinesiophobia by the Tampa Scale for Kinesiophobia. [Results] Pain severity was similar in both groups, with a Visual Analogue Scale score of 6.7±2 in the low back pain and 6.8±2 in the neck pain group. Nottingham Health Profile pain [z=−4.132] and physical activity scores [z=−5.640] in the low back pain group were significantly higher. Kinesiophobia was also more severe in the low back pain group, with a mean 42.05±5.91 versus 39.7±6.0 Tampa Scale for Kinesiophobia score [z=−4.732]. [Conclusion] Patients with low back pain developed more severe kinesiophobia, regardless of the pain severity, and had greater pain perception and lower physical activity levels. Kinesiophobia adversely affects the quality of life and requires effective management of low back pain.

All 3 types of exercise had favourable effects on pain and functional scores, but no differences were found among the groups, except for the Pilates group, in which the semispinalis capitis muscle increased in thickness.

Objectives:The Upper Quarter Y Balance Test (UQYBT) is a reliable upper extremity closed kinetic chain test that can be used to assess unilateral upper extremity performance in a closed chain manner. However, UQYBT was tested only in recreational athletes and there are no studies investigating UQYBT scores in patients with various upper extremity musculoskeletal injuries. The purpose of this study was to examine differences in performance on the Upper Quarter Y Balance Test between patient with shoulder impingement syndrome and healthy controls.Methods:A sample of fifteen patients with shoulder impingement syndrome (mean age 32.2±4.2 years) and fifteen healthy control (mean age 33.8±6.2 years) performed the UQYBT. UQYBT was collected bilaterally in three directions (medial, inferolateral, and superolateral). The maximum reach distance for each direction was normalized to upper extremity length (spinous process of C7 to tip of middle finger) and used for analysisResults:A significant difference in performance between patients with shoulder impingement syndrome and healthy controls existed in the medial direction (P<0.05) and the inferolateral direction (P<0.05) where the healthy controls performed better. There was no significant difference in superolateral performance.Conclusion:The results of this study suggest that patients with shoulder impingement syndrome will perform worse on the UQYBT in the medial and inferolateral directions than healthy controls. Thus, upper extremity closed kinetic chain exercises should be added in shoulder rehabilitation programs.

Objectives: This study aims to determine the effect of insoles with arch support on gait patterns in patients with multiple sclerosis (MS) and somatosensory impairment. Patients and methods: Ten patients (7 females, 3 males; mean age 34.9±6.8 years; range, 48 to 35 years) with clinically definite relapsing remitting MS and age-and sex-matched 10 healthy volunteers (7 females, 3 males; mean age 33.8±3.2; range, 40 to 31 years) were included in the study between January 2011 and January 2012. A medial longitudinal arch and transverse arch supporting polyurethane insole covered with foam shaped using plantar sensory feedback was used. Three-dimensional gait analysis was performed via a Vicon 612 system with six cameras. The participants initially walked barefoot and, then, wore the insoles in their short slipper socks. Results: All participants were evaluated in terms of kinetics, kinematics, and temporospatial parameters with a gait analysis system. The patients with MS showed improvements in cadence and walking speed when using the insoles. Sagittal plane angles of the hip and knee were increased while using insoles (p<0.05) and ankle plantar flexion was found to be decreased, compared to barefoot walking (p<0.05). Conclusion: Our study results suggest that insole with arch support affects gait cycle, but does not improve gait impairments in patients with MS. Insoles may ensure plantar sensory feedback in feet during walking, which increases pressure in the mid-forefoot area.

Objectives: To perform the Turkish translation, reliability, and validity study of the PedsQL TM-3.0 Multidimensional Fatigue Scale)PedsQL-MFS(in patients with Duchenne Muscular Dystrophy)DMD(. Methods: This prospective, cross-sectional, observational study was held in Hacettepe University, Faculty of Physical Therapy and Rehabilitation between January 2016-August 2018. Turkish translation of the PedsQL-MFS was conducted based on the steps addressed in the translation manual of the original research. The psychometric features of the Turkish version of PedsQL-MFS including feasibility, internal consistency, and test-retest reliability, construct, and criterion-related validity as well as parent/child agreement were investigated on a total of 71 children and their parents. Results: The mean age of boys with DMD included in the study was 102.94±23.23 months with a mean 17.15±2.98 BMI. Internal consistencies of Child Self Report General Fatigue, Sleep/rest Fatigue, and Cognitive Fatigue items were 0.74, 0.65, and 0.83 while, 0.89, 0.84, and 0.91 in Parent Proxy Report. The ICC values of Child Self Report and Parent Proxy Report were 0.87 and 0.91, respectively. Parent Proxy Report succeded more acceptable fit indices than Child Self Report. A statistically significant correlation was found between PedsQL-MFS and PedsQL-Neuromuscular Module)p<0.05(. Moderate agreement was detected between parent and child. Conclusion: The Turkish version of PedsQL-MFS was determined to be a reliable and valid tool to evaluate fatigue in 5-12 years old, ambulant children with DMD.