{"title":"Pain, kinesiophobia, functional status, and physical activity among patients with knee osteoarthritis","authors":"Harun Durna, Özge Vergili, Seda Fidancı","doi":"10.51271/jorr-0008","DOIUrl":"https://doi.org/10.51271/jorr-0008","url":null,"abstract":"Aims: The present study attempted to investigate the relationship between pain, kinesiophobia, functionality, and physical\u0000activity among patients with knee osteoarthritis (OA).\u0000Methods: We recruited 88 patients aged 40-70 years with OA, 21 males and 67 females, who applied to Gebze Fatih State\u0000Hospital, Department of Physical Therapy and Orthopedic Clinic between February 2022 and January 2023. We evaluated\u0000the patients’ pain status with the Visual Pain Scale (VAS), their functional status with the WOMAC Osteoarthritis Index\u0000(WOMAC), their kinesiophobia with the TAMPA Scale for Kinesiophobia (TKS), and their physical activity levels with the\u0000International Physical Activity Questionnaire-Short Form (IPAQ-SF). We performed all statistical analyses using SPSS 25.0\u0000(SPSS Inc., Chicago, IL, ABD) and p-value < 0.05 was accepted as statistically significant.\u0000Results: The majority of the participants were females (76.1%, n=67), and the mean body mass index (BMI) was found to be\u000030.33. The findings revealed low positive correlations between the patients’ BMI and their VAS (p=0.029) and WOMAC scores (p=0.017). While we found a moderate positive relationship between the patients’ VAS and WOMAC scores (p=0.001), it was low between their TAMPA and WOMAC scores (p=0.001).\u0000Conclusion: As a result of the study, the relationship between pain, kinesiophobia, functional status and physical activity levels of individuals with knee OA was revealed; The necessity of planning applications to increase the physical activity level of these individuals and to reduce their body mass index has been underlined.","PeriodicalId":313405,"journal":{"name":"Journal of Orthopedics Research and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125093238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Non-small cell cancer of the lung metastasized to the central nervous system presenting with drop foot: a case report","authors":"M. Dogan","doi":"10.51271/jorr-0005","DOIUrl":"https://doi.org/10.51271/jorr-0005","url":null,"abstract":"Drop foot usually presents as lumbar discopathy or peripheral nerve lesion. There may be many causes in the etiology of foot drop, which is rarely reported in upper motor nerve lesions. In this case report, a 59-year-old patient with lung cancer whose only symptom was drop foot was presented. In the patient's anamnesis, physical examination and imaging methods, we were guided by a central cause. As a result, it was concluded that although the etiology of foot drop is mostly due to peripheral lesions, central causes should not be ignored.","PeriodicalId":313405,"journal":{"name":"Journal of Orthopedics Research and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134521178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring the relationship between scapular dyskinesia and the injury risk among overhead athletes","authors":"Muhammed Furkan Pesen, Özge Vergili","doi":"10.51271/jorr-0001","DOIUrl":"https://doi.org/10.51271/jorr-0001","url":null,"abstract":"\u0000 Aims: The present study attempted to investigate the relationship between scapular dyskinesia (SD) and injury risk in overhead athletes and to compare the injury risks between athletes with SD and those without.\u0000 Methods: We recruited a total of 96 athletes for this study on a voluntary basis, including 18 basketball players, 64 volleyball players, and 14 handball players. Initially, we noted down their demographic and physical characteristics. Then, we assessed their SD using the Scapular Assistance Test (SAT), the Scapular Retraction Test (SRT), and the Lateral Scapular Slide Test (LSST). Moreover, we assessed their injury risks using the Functional Movement Screen (FMS).\u0000 Results: Our findings revealed SD in 29 (30.2%) overhead athletes. Moreover, 26 of these 29 athletes showed poor FMS performance with a score below 14 points, the critical threshold in the FMS. On the other hand, 63 athletes without SD demonstrated good FMS performance with a score of 14 points or more. Accordingly, we concluded a significant relationship between SD and FMS total score among our participants (plt; 0.05).\u0000 Conclusion: Overall, we concluded that overhead athletes with SD may have significantly higher injury risk than their counterparts without SD.\u0000","PeriodicalId":313405,"journal":{"name":"Journal of Orthopedics Research and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127518580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of balneotherapy and physical therapy applied to patients with chronic lack pain on pain intensity, quality of life, disability and mental symptoms","authors":"Oguz Kulaoglu, H. Elden, A. Doğan","doi":"10.51271/jorr-0002","DOIUrl":"https://doi.org/10.51271/jorr-0002","url":null,"abstract":"\u0000 Aims: The aim of present study was to evaluate effects of balneotherapy and physical therapy combination against only physical therapy on pain, guality of life, disability and psychological symptoms in chronic low back pain.\u0000 Methods: Sixty patients with chronic low back pain were included in the study. Patients were divided into two groups: Balneotherapy and physical therapy group (n=30) and physical therapy group (n=30). Balneotherapy group hospitalized for 20 minutes a day every day for 3 weeks to balneotherapy sessions with 40°C thermomineral water and 5 days a week for 3 weeks to 15 sessions of physical therapy session. Physical therapy group recieved 5 days a week for 3 weeks to 15 sessions of physical therapy session in the treatment unit Both groups recieved ultrason treatment which has 1.5W/cm 2 dose and 1MHz frequency for 6 minutes, Transcutaneous Electrical Nerve Stimulation (TENS) (50-100 Hz) for 20 minutes and hot pack for 20 minutes as physical therapy. Patients in both groups were given a patient-based standardized lumbar exercise in addition to physical therapy. The following parameters were measured: Visual Analog Scale (VAS) for pain intensity, Short Form-36 (SF-36) to evaluate guality of life, Oswestry Disability lndex (ODI) to evaluate functional disability and Symptom Check List-90 to query psychological symptoms. First evaluations were done at the beginning of treatment and second evaluations were done at the end of treatment before and after treatment.\u0000 Results: We observed more significant decrease in VAS scores in the group administered balneotherapy (FT+BT) and physical therapy compared with the group treated only physical therapy (FT) (p0,05). At the end of treatment in FT+BT group subscale of guality of life; Physical role limitations, mental health, pain and general health were significantly higher than the FT group (p0,05). In FT+BT group except social functioning and in FT group except vitality and general health, ali other dimensions of guality of life showed significant improvement (p0,05). Although pretreatment disability rate of FT+BT is more, in this group decline of scores were more (30.4% to 14.2%). When compared to before and after treatment scores on the SCL-90 sub-parameters in FT+BT individuals were significantly different in ali the sub-parameters but in FT group except phobic anxiety and paranoid ideation, found significant differences in other parameters (p0,05). In addition the decline of statistically significant decrease in the parameters was observed lesser extent in FT group compares to FT+BT group.\u0000 Conclusions: In present study we observed that balneotherapy in addition to physical therapy against routin physical treatment program showed more decline in pain and functional disability, more increase in guality of life and more improvements in psychological symptoms in addition relationship between psychologic symptom scores and disability is stronger than the relationship between psychologic sy","PeriodicalId":313405,"journal":{"name":"Journal of Orthopedics Research and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130274855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Leech therapy for the treatment of venous congestion in digital re-plants and revascularizations","authors":"Levent Horoz, M. Çakmak","doi":"10.51271/jorr-0004","DOIUrl":"https://doi.org/10.51271/jorr-0004","url":null,"abstract":"\u0000 Aims: Leech therapy was first used in Egypt around 1500 BC to treat a range of ailments from nosebleeds to gout. Medicinal leeches have been part of the therapeutic armamenterium of hand surgeons for more than 60 years. Venous congestion after digital replantation or revascularization threatens digit survival in theimmediate postoperative period. External bloodletting, including leech therapy, provides a central role in salvage of the congested finger. Although there have been previous studies few published articles and no consensus guidelines have discussed the weaning of leeches in the postoperative period.describing the initiation of leech therapy for digits experiencing venous insufficiency\u0000 Methods: Analyzing articles on treatment and follow-up after finger replantation published between 2000 and 2022 on the treatment of venous congestion after finger replantation and revascularization. We conducted a systematic review, taking into account the studies that applied leech therapy. The collected data revealed the relevant indications, treatment procedures, efficacy, adjuvant treatments, side effects.\u0000 Results: For this indication, the success rate of leech therapy ranged from 65 to 85% (83.7% in our series) according to the situations encountered. Optimal frequency of application ranged from 2 to 8 hours, while average overall duration ranged from 4 to 10 days. Antibiotic prophylaxis against Aeromonas is highly advisable. A ciprofloxacin and trimethoprim-sulfametoxazole combination currently appears as the most relevant prophylactic antibiotherapy.\u0000 Conclusion: Hirudotherapy is a reliable treatment in cases of patent venous insufficiency of only artery only digit replantation. Even though the relevant literature is highly heterogeneous, we have attempted to put forward a specific protocol bringing together dosage, delivery route, frequency of administration and appropriate prophylactic antibiotherapy\u0000","PeriodicalId":313405,"journal":{"name":"Journal of Orthopedics Research and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126021736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mid-Term results in adult humeral fractures with titanium elastic nail fixation versus plate and screw fixation and locking intramedullary nailing","authors":"Oğuzhan Pekince, M. Koç, S. Toker","doi":"10.51271/jorr-0003","DOIUrl":"https://doi.org/10.51271/jorr-0003","url":null,"abstract":"\u0000 Aims: To compare plate-screw fixation, intramedullary nailing (IMN), and titanium elastic nailing (TEN) as a new fixation method with respect to nonunion, complication rates, and functional outcomes in the repair of adult humeral shaft fractures.\u0000 Methods: A total of 38 adult patients who were treated due to humeral shaft fracture at our clinic and were followed for minimum six months between January 2012 and January 2015 were retrospectively analyzed. Age, sex, fracture etiology an length of hospitalization were recorded. Fractures were classified according to the Association for Osteosynthesis(AO) classification. Nonunion rates as assessed by X-ray during visits, angulation, shoulder, elbow and hand disability scores were evaluated using the DASH, Mayo Elbow and UCLA Shoulder scoring, and Stewart Hundley criteria.\u0000 Results: There was no significant epidemiological difference between the groups. The length of hospitalization was lower in the TEN group. There was no significant difference in nonunion rates and functional scores according to the type of treatment. Angulation rate was slightly higher in the TEN group. The effect of angulation on functional score showed no influence on the functional status. The three treatment types mostly achieved excellent and good outcomes.\u0000 Conclusion: Our study results suggest that TEN seems to be a good alternative treatment in eligible patients with humeral shaft fractures considering complications of other treatments. However, we believe that further, large-scale, randomized-controlled, prospective studies with longer follow-up duration are required to confirm these findings and to establish a definite conclusion.\u0000 Level of Evidence: Therapeutic Level III.\u0000","PeriodicalId":313405,"journal":{"name":"Journal of Orthopedics Research and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133503967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}