Objective The aim of this study was to observe the change of the ankle joint range of motion, the muscle strength values measured with an isokinetic dynamometer, pain scores, quality of life scale, and venous return time in chronic venous insufficiency diagnosed patients by prospective follow-up after 12-week exercise program including isokinetic exercises. Methods The patient group of this study comprised 27 patients (23 female, 4 male) who were diagnosed with chronic venous insufficiency. An exercise program including isokinetic exercise for the calf muscle was given to patients three days per week for 12 weeks. At the end of 12 weeks, five of the patients left the study due to inadequate compliance with the exercise program. As a result, control data of 22 patients were included. Ankle joint range of active motion, isokinetic muscle strength, pain, quality of life, and photoplethysmography measurements were assessed before starting and after the exercise program. Results Evaluating changes of the starting and control data depending on time showed that all isokinetic muscle strength measurement parameters, range of motion, and overall quality of life values of patients improved. Venous return time values have also increased significantly ( p < 0.05). Conclusion In conclusion, increase in muscle strength has been provided with exercise therapy in patients with chronic venous insufficiency. It has been determined that the increase in muscle strength affected the venous pump and this ensured improvement in venous function and range of motion of the ankle. In addition, it has been detected that pain reduced and quality of life improved after the exercise program.

Purpose The present study aimed to compare the isokinetic muscle strength and range of motion (ROM) values of the ankle between patients diagnosed with C 3 chronic venous insufficiency (group 1, n=57) and healthy individuals (group 2, n=30). Materials and Methods After identifying the venous refilling time (VRT) of all participants, the active ROM of the ankle joint and plantar flexion (PF) and dorsi-flexion (DF) muscle strength in the concentric/concentric mode at angular velocities of 60°/sec and 120°/sec were measured. Results No statistically significant differences were found between the demographic data of groups 1 and 2 (P>0.05). In total, 102 lower extremities were included in group 1 and 60 lower extremities in group 2. The VRT of the patients in group 1 was 15.5±5.6 seconds, the PF ROM of the ankle joint was 39.3°±9.5°, and the DF ROM of the ankle joint was 27°±8°; in group 2, the VRT, PF ROM, and DF ROM were 36±8.1 seconds, 41°±6.2°, and 27.2°±7.5°, respectively. Statistically significant differences were found between the two groups in terms of VRT (P<0.05); however, no statistically significant difference was observed in terms of ankle ROM (P>0.05). Statistically significant difference was found in terms of all parameters of isokinetic muscle strength measurements, such as peak torque, peak torque/body weight, total work done, and ratio (DF/PF) in group 1 (P=0.001). Conclusion The lower extremity muscle strength of patients with chronic venous insufficiency was low, and this weakness was prominent particularly in the direction of PF.

Objective: Plantar fasciitis is a painfull condition limiting foot function common both in athlete and sedentary populations. Different modalities like orthosis, night splints, steroid injections, extracorporeal shock wave therapy and kinesiotape applications are used in the treatment of plantar fasciitis. In this study the effect of kinesiotape application in addition to extracorporeal shock wave therapy was evaluated. Materials and Methods: Seventy two patients who were diagnosed with plantar fasciitis enrol--led into the study. Age, height, body weight, body mass index, gender, side involved and length of calcaneal spur from direct X--ray graphs in weight bearing positon were measured and noted. Patients were divided into three groups as extracorporeal shock wave therapy group (Group 1), extracorporeal shock wave therapy and kinesiotape group (Group 2) and extracorporeal shock wa--ve therapy and sham kinesiotape group (Group 3). Extracorporeal shock wave therapy was app--lied once a day per week, at 15 Hz frequency, 20 Barr energy and 2000 impulses/session. Taping was done just after the extracorporeal shock wave therapy and kinesiotape was kept for five days/week. Patients were assessed by visual analog scale score, and Roles and Maudsley pain scale. Scores were taken at the beginning of treatment; 1 st , 2 nd and 3 rd weeks of treatment. Results: After the end of the three weeks treatment period, all groups had statistically signifi--cant visual analog scale score, and Roles and Maudsley pain score improvements (p<0.05). However, there was no statistically significant differences between groups (p>0.05). Conclusions: Extracorporeal shock wave therapy lowers pain scores of plantar fasciitis patients in three weeks. Kinesiotape application in addition to extracorporeal shock wave therapy treat--ment does not provide additional profit.

Objective: Therapeutic use of thermal agents such as hot-cold is common in clinical practice and rehabilitation applications. Changes in tissue temperature create a therapeutic effect by making alterations in metabolism, neurotransmission, hemodynamics and mechanical properties. In this study, the effects of hot-cold applications on patellar tendon to torque-time parameters were investigated. Materials and Methods: 30 healthy individuals (16 males, 14 females) at the age of 18-30 years were participated to the study. Participants' demographic characteristics were recorded, body weight and height measurements were performed, and Tegner activity scores were noted. Hot and cold applications have been applied to the participants with 48 hours of interval. Following 5 minutes of submaximal warming exercise in cycle ergometer, patellar tendon temperatures were measured with infrared thermometer and thermal camera. Isokinetic strength tests (concentric mode at 60°/second and 180°/second) were performed. Hot or cold applications were performed on patellar tendon for 30 minutes. The submaximal warmup exercise repeated following the application, temperature measurements and isokinetic tests were performed again. All tests were performed on dominant lower extremity of the participants. Results: Statistically significant results were obtained both at infrared thermometer (p<0.001) and also at thermal camera measurements (p<0.001) in the pre-post cooling and heating temperature evaluations. Time to peak torque and rate of peak torque development were similar in pre and post cold measurements (p >0.05), whereas time to peak torque was significantly lower (p<0.05) and significant increase in rate of peak torque development (p<0.01) has been determined following hot application. Conclusion: Heat application on patellar tendon may improve athletic performances that require explosive force. There is need for more comprehensive studies to validate the findings obtained by this study.

Bu çalışmanın amacı, sabit ekleme sistemi ile unikondiler diz artroplastisi yapılan hastaların vücut kütle indeksinin postoperatif fonksiyonel diz verilerine olan etkilerini araştırmaktır. Gereç ve yöntemler: Vücut kitle indeksi, Dünya Sağlık Örgütü tarafından önerilen yöntemle hesaplandı. Hastalar beden kitle indeksi, vücut kitle indeksi 30 kg / m2'nin altına ve üstüne çıkanlara göre iki gruba ayrıldı. Preoperatif ve postoperatif eklem hareket açıklığı, Görme Analog Skalası, Diz Cemiyeti Skoru, Oxford Diz Skoru, Western Ontario ve McMaster Üniversitesi osteoartrit indeksi skoru, hastaların memnuniyetlerini ve dizlerinin fonksiyonel durumlarını saptamak için kullanıldı. Bulgular: Vücut kitle indeksi 30 kg / m2'nin altında 44 hasta (Grup 1) ve vücut kütle indeksi 30 kg / m2'nin üzerinde 38 hasta (Grup 2) vardı. Grupların demografik verileri (vücut ağırlıkları ve vücut kütle indeksleri dışında) ve izlem uzunlukları açısından istatistiksel olarak anlamlı fark yoktu (p˃0.05). Fonksiyonel diz skorlarının grup içi değerlendirmesinde her iki grupta postoperatif dönemde istatistiksel olarak anlamlı bir iyileşme tespit edildi (p: 0.001). Ancak, bu parametreler arasında gruplar arasında istatistiksel olarak anlamlı bir fark bulunamadı (p˃0.05). Sonuç: Vücut kütle indeksi obezite seviyesine ulaşır sa postoperatif klinik sonuçları etkilemez.