The proposed method offers a reasonable treatment option for acute total Achilles tendon rupture with a low number of complications. The rerupture rate and return to preinjury activities are comparable to open and percutaneous without endoscopic control procedures.

In a cadaver model of C5-C6 instability, the greatest amount of motion was caused by the most commonly used intubation device, the Macintosh blade. Intubation with the Lightwand resulted in significantly less motion in all tested parameters (other than ML translation) as compared with the Macintosh blade. It should also be noted that the Airtraq caused less motion than the Macintoshblade in 3 of the 6 tested planes. There were no significant differences in failure rate or the amount of time it took to successfully intubate in comparing these techniques. We therefore recommend the use of the Lightwand, followed by the Airtraq, in the setting of a presumed unstable cervical spine injury over the Macintosh laryngoscope.

ÖzetKinezyolojik bantlama tekniği 1970'li yıllarda Dr.Kenzo Kase tarafından standart bant ve teyp uygulamalarında istenmeyen bir etki olarak karşılaşılan eklem hareketlerinde ve fonksiyonel aktivitelerde oluşan kısıtlanmaların önüne geçilmesi amacı ile geliştirilmiştir. Uygulamanın amacı derinin kaldırılması ile cilt ve cilt altı interstisyel alanı arttırarak dolaşım ve hareketi arttırmak, bunun sonucu olarak enflamasyonu ve ağrıyı azaltmak, performansı geliştirmek, nöromusküler reedükasyonu sağlamak, zedelenmeyi önlemek ve iyileşmeyi hızlandırmaktır. Kinezyolojik bantlama başta kas iskelet sisteminde olmak üzere çok geniş bir endikasyon alanına sahiptir. Günümüzde de bandın temel uygulama tekniklerine sadık kalınarak her geçen gün farklı uygulama şekilleri ve endikasyonları geliştirilmekte ve konudaki çalışma sayısı artmaktadır. Mevcut derlemede kinezyolojik bantlamanın kas iskelet sistemi ile sportif rehabilitasyon, pediatrik hastalarda, nörolojik hastalıklarda, vasküler sorunlarda, lenfödemde ve kas iskelet sistemi dışındaki kullanımının ve bu konulardaki literatür bilgilerinin gözden geçirilmesi amaçlanmıştır. Türk Fiz T›p Re hab Derg 2011;57:225-35. Anah tar Ke li me ler: Kinezyolojik bantlama, lenfödem, pediatri, spor, nörolojik rehabilitasyon Sum maryKinesiotaping technique was designed by Dr.Kenzo Kase in 1970's to counteract the unwanted effects of standard taping techniques such as limitation of joint motions and functional activities. This technique facilitates circulation and motion due to elevation of skin and subcutaneous interstitial tissues, decreases inflammation and pain, increases performance, enhances neuromuscular reeducation, prevents injury and stimulates recovery. Kinesiotaping technigue has a wide range of indications. Today, in accordance with the original application techniques, different applications and indications are being innovated and research is accumulating. The aim of the present review is to summarize the current literature about kinesiotaping applications in musculoskeletal conditions and various fields such as sports rehabilitation, pediatric patients, neurologic disorders, vascular problems, lymphedema and its uses other than musculoskeletal problems. Turk J Phys Med Re hab 2011;57:225-35.

ÖzetTopuk ağrısı ayak ağrılarının %15'ini oluşturur. Ağrı, plantar fasiit, kalkaneal kırık, kalkaneal apofizit, topuk yastığının atrofisi, enflamatuar hastalıklar gibi nedenlere bağlı olabildiği gibi sinir kökenli de olabilir. Tibial, plantar ve/veya medial kalkaneal sinir sıkışması ağrının nöral nedenlerindendir. Medial kalkaneal sinir topuktaki yumuşak dokuların çoğunun duysal innervasyonunu sağlar. Topuk ağrısının nöral kaynaklı olduğunu teşhis etmek için öykü ve dikkatli bir fizik muayene gerekir. Topuk ağrısının diğer nedenleri dışlanmadan önce cerrahi girişim için acele edilmemeli, konservatif tedavi sonrasında tanı yeniden gözden geçirilmelidir.Anahtar sözcükler: Topuk ağrısı; medial kalkaneal sinir.

Fibromyalgia is a chronic musculoskeletal disorder characterized by widespread pain and tenderness at specific anatomic sites, commonly accompanied by fatigue [1]. The etiopathogenesis of fibromyalgia is probably multifactorial and peripheral, and central factors are thought to interact with the development of this syndrome. The true incidence and prevalence of fibromyalgia is unknown. However, studies from North America and Europe have revealed overall prevalence rates ranging from 1 to 5% in the general population [2]. It is well known that many individuals with fibromyalgia are typically inactive and deconditioned [3,4]. Thus, various forms of exercises are increasingly recommended to these patients as an integral part of nonpharmacological treatment. Aerobic and muscle strengthening exercises are shown to be effective at improving symptoms, tender point counts, pain threshold, physical fitness and quality in fibromyalgia [5]. Professional athletes regularly perform exercise programs designed to improve and maintain their physical fitness. Therefore, it can be expected that the prevalence of fibromyalgia in adults participating in competitive sports is to be lower than that in general population. The aim of this study was to determine the frequency of fibromyalgia in a population of sport professionals.One hundred and eighty-five sport professionals (74 women, 111 men) were enrolled in the study. Each of the participants was asked whether he or she had widespread pain over the last 3 months. If the answer was yes, then the duration and severity of pain were recorded. In the physical examination, 18 tender points identified by the 1990 American College of Rheumatology (ACR) criteria for the diagnosis of fibromyalgia were palpated, and the subjects' responses were noted. Statistical analyses were performed by using the SPSS version 11.5 for Windows package program. Results were expressed as mean ± standard deviation. Mann-Whitney U test was used for comparison of the duration and severity of pain. Statistical significance was determined at P value \ 0.05.Fifty-nine participants (64.4% of them were men) with a mean age of 23.9 ± 4.9 years had declared that they have widespread pain. The mean duration of pain was 37.8 ± 39.3 (median 24) months. The mean value of pain severity marked on a 10-cm visual analog scale was 42.5 ± 21.2 mm. There were no significant differences between genders in the duration and severity of widespread pain. Six of the individuals with widespread pain had no tender points, whereas the average number in the ones who had at least one tender point was 5.5 ± 3.7 (1-18). Eleven or more of the 18 tender points were detected in 12 subjects. However, only 4 of them suffered from widespread pain and diagnosed with fibromyalgia.To the best of our knowledge, only one study has been previously conducted to determine the prevalence of fibromyalgia in young healthy athletes. Andary et al. evaluated 641 college student athletes and found that only