No abstract

Purpose: This study is performed to investigate the effectiveness of upper extremity and scapula Proprioceptive Neuromuscular Facilitation (PNF) techniques in adhesive capsulitis (AC).Methods: Thirty-six subjects were randomized into two groups. Control group (n=18) was treated with conventional physiotherapy applications consisting of hot-pack and ultrasound, and wall and wand exercises instructed as a home program; study group (n=18) was treated with upper extremity and scapula PNF patterns besides conventional physiotherapy. Patients were treated five times a week, for a total of 15 sessions. Pain intensity was assessed on a visual analogue scale; postural deformities were evaluated by inspection. Range of shoulder movements (ROM) were measured by a universal goniometer. "Lateral Scapular Slide Test" and assessment of scapular position were used for evaluation of the scapula. Functional performance was assessed by Shoulder Pain and Disability Index (SPADI). Results:Intensity of pain during activity significantly decreased and ROM increased in both groups (p<0.05). While increase amounts of shoulder flexion and abduction ROMs were higher in the PNF group (p<0.05), there was no difference between groups in internal and external rotation movements. Although, night pain significantly decreased in the study group (p<0.05), it remained unchanged in the control group (p>0.05). Scapula position didn't change after therapy in both groups (p>0.05). SPADI scores decreased in both groups (p<0.05).Discussion: This study showed that PNF patterns provide significant contribution to night pain and range of flexion and abduction movements in patients with AC. Including PNF applications in AC treatment program may provide better outcomes. Yöntemler: Çalışmaya katılan 36 olgu, rastgele iki gruba ayrılmıştır. Kontrol grubundaki hastalar (n=18) geleneksel fizik tedavi uygulamalarından sıcak yastık, ultrason ve ev programı olarak gösterilen duvar ve baston egzersizleri ile, çalışma grubundaki hastalar (n=18) ise bunların yanı sıra fizyoterapist tarafından uygulanan üst ekstremite ve skapula PNF paternleri ile tedavi edildi. Hastalar haftada 5 kez olmak üzere toplam 15 seans tedavi aldı. Ağrı değerlendirmesi için Vizüel Analog Skalası kullanıldı. Gözlemsel postür analiz yöntemi ile postüral bozukluklar değerlendirildi. Üniversal gonyometre ile eklem hareket açıklığı ölçümü yapıldı. Skapulanın değerlendirmesinde, "Lateral Skapula Kayma Testi" ve skapula pozisyonu değerlendirmesi kullanıldı. "Omuz Ağrı ve Özürlülük İndeksi" ile hastaların fonksiyonel performansı değerlendirildi. Sonuçlar: Çalışmanın sonucunda, her iki grupta da aktivite sırasındaki ağrının anlamlı olarak azaldığı ve eklem hareket açıklığının arttığı görüldü (p<0.05). Fleksiyon ve abduksiyon hareket açıklığındaki artış, PNF grubunda fazla olurken (p<0.05), internal ve eksternal rotasyon hareket açıklığında gruplar arasında fark görülmedi. PNF grubunda gece ağrısında azalma tespit edilirken (p<0.05), kontrol grubunda anlamlı bir değişiklik olmadı (p>0.05). Teda...

Changes in temporospatial parameters of patients with Phase 3 knee OA may be correlated with loss of gait stabilization and increase in risk of falling. In subjects with knee OA, gait stabilization and balance loss must be examined and evaluated in terms of risk of falling and necessary precautions must be taken.

Purpose: This study is performed to investigate the effectiveness of upper extremity and scapula Proprioceptive Neuromuscular Facilitation (PNF) techniques in adhesive capsulitis (AC). Methods: Thirty-six subjects were randomized into two groups. Control group (n=18) was treated with conventional physiotherapy applications consisting of hot-pack and ultrasound, and wall and wand exercises instructed as a home program; study group (n=18) was treated with upper extremity and scapula PNF patterns besides conventional physiotherapy. Patients were treated five times a week, for a total of 15 sessions. Pain intensity was assessed on a visual analogue scale; postural deformities were evaluated by inspection. Range of shoulder movements (ROM) were measured by a universal goniometer. "Lateral Scapular Slide Test" and assessment of scapular position were used for evaluation of the scapula. Functional performance was assessed by Shoulder Pain and Disability Index (SPADI). Results: Intensity of pain during activity significantly decreased and ROM increased in both groups (p<0.05). While increase amounts of shoulder flexion and abduction ROMs were higher in the PNF group (p<0.05), there was no difference between groups in internal and external rotation movements. Although, night pain significantly decreased in the study group (p<0.05), it remained unchanged in the control group (p>0.05). Scapula position didn't change after therapy in both groups (p>0.05). SPADI scores decreased in both groups (p<0.05). Discussion: This study showed that PNF patterns provide significant contribution to night pain and range of flexion and abduction movements in patients with AC. Including PNF applications in AC treatment program may provide better outcomes. ÖZ Amaç: Bu çalışma adeziv kapsülitli hastalarda, üst ekstremite ve skapula Proprioseptif Nöro-musküler Fasilitasyon (PNF) tekniklerinin tedavi etkinliğinin incelenmesi amacıyla gerçekleştirilm-iştir. Yöntemler: Çalışmaya katılan 36 olgu, rastgele iki gruba ayrılmıştır. Kontrol grubundaki hasta-lar (n=18) geleneksel fizik tedavi uygulamalarından sıcak yastık, ultrason ve ev programı olarak gösterilen duvar ve baston egzersizleri ile, çalışma grubundaki hastalar (n=18) ise bunların yanı sıra fizyoterapist tarafından uygulanan üst ekstremite ve skapula PNF paternleri ile tedavi edildi. Hasta-lar haftada 5 kez olmak üzere toplam 15 seans tedavi aldı. Ağrı değerlendirmesi için Vizüel Analog Skalası kullanıldı. Gözlemsel postür analiz yöntemi ile postüral bozukluklar değerlendirildi. Üniversal gonyometre ile eklem hareket açıklığı ölçümü yapıldı. Skapulanın değerlendirmesinde, "Lateral Ska-pula Kayma Testi" ve skapula pozisyonu değerlendirmesi kullanıldı. "Omuz Ağrı ve Özürlülük İndeksi" ile hastaların fonksiyonel performansı değerlendirildi. Sonuçlar: Çalışmanın sonucunda, her iki grupta da aktivite sırasındaki ağrının anlamlı olarak azaldığı ve eklem hareket açıklığının arttığı görüldü (p<0.05). Fleksiyon ve abduksiyon hareket açıklığındaki artış, PNF grubunda fazla olurken (p<0.05), internal...

The activity concentrations of (226)Ra, (232)Th and (40)K in twelve different domestic and imported tiling rocks (granites) used as building materials in Turkey were determined by employing high-resolution γ-ray spectrometry. The samples were evaluated to assess the radiation hazard for people by comparing the results with the control values recommended by the European Commission. The measured activity concentrations ranged from 7 to 136 Bq kg(-1), 9 to 138 Bq kg(-1) and 541 to 1277 Bq kg(-1) for (226)Ra, (232)Th and (40)K, respectively. Applying dose criteria recommended by the European Commission([15]), two of the samples showed higher Ra(eq) values than the limit dose of 370 Bq kg(-1), equivalent to a γ-dose of 1.5 mSv y(-1). The calculated gamma-index (I(γ)) values for all the 12 samples were lower than the recommended dose criterion. In some of the samples; however, the H(ex) and H(in) values were more than unity. The absorbed dose rates (D) for all the samples, except for four samples, were located within the range values recommended by the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR)([3]). Annual effective dose (AED) values, except for one sample, were greater than the world average value of UNSCEAR([3]).