Medicina-Lithuania最新文献

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Bridging Lifestyle and Screening for Cancer Prevention: A Comprehensive Analysis of Cancer-Related Lifestyle and Screening Attitudes in Adults.
IF 2.4 4区 医学
Medicina-Lithuania Pub Date : 2025-03-16 DOI: 10.3390/medicina61030510
Arda Borlu, Halime Şentürk, Hasan Durmuş, Neslihan Öner, Ebru Tan, Umut Köleniş, Müncübe Duman Erbakırcı, Fevziye Çetinkaya
{"title":"Bridging Lifestyle and Screening for Cancer Prevention: A Comprehensive Analysis of Cancer-Related Lifestyle and Screening Attitudes in Adults.","authors":"Arda Borlu, Halime Şentürk, Hasan Durmuş, Neslihan Öner, Ebru Tan, Umut Köleniş, Müncübe Duman Erbakırcı, Fevziye Çetinkaya","doi":"10.3390/medicina61030510","DOIUrl":"10.3390/medicina61030510","url":null,"abstract":"<p><p><i>Background and Objectives:</i> Healthy lifestyle behaviors and cancer screening are crucial for cancer prevention; however, their relationship remains inadequately explored. This study examines cancer-related lifestyle behaviors, attitudes toward cancer screening, and their interrelationship in adults. <i>Materials and Methods:</i> A descriptive cross-sectional study was conducted among 1129 adults (aged 18-70) visiting family health centers in Kayseri, Türkiye. Data was collected via face-to-face surveys assessing sociodemographic characteristics, lifestyle behaviors (Lifestyle Questionnaire Related to Cancer), and screening attitudes (Attitude Scale Toward Cancer Screenings). Statistical analyses included Mann-Whitney U, Kruskal-Wallis, and Spearman correlation tests. <i>Results:</i> Women, married participants, urban residents, and those with higher education and income exhibited healthier lifestyle behaviors and more positive attitudes toward cancer screening (<i>p</i> < 0.05). A weak but significant correlation (r = 0.247, <i>p</i> < 0.05) was found between healthy lifestyle behaviors and positive screening attitudes. Despite national screening programs, adherence to breast and cervical cancer screenings remained low (51.5% and 44.6%, respectively). Having a first-degree relative with cancer did not significantly influence screening behaviors. <i>Conclusions:</i> Gender, education, income, and marital status significantly influence cancer prevention behaviors. However, screening participation remains suboptimal, highlighting the need for targeted public health strategies. Improving health literacy and accessibility to screening programs could enhance cancer prevention efforts.</p>","PeriodicalId":49830,"journal":{"name":"Medicina-Lithuania","volume":"61 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gender Differences in Predictors of Physical Functioning Limitations Among the Elderly Population in Serbia: A Population-Based Modeling Study.
IF 2.4 4区 医学
Medicina-Lithuania Pub Date : 2025-03-16 DOI: 10.3390/medicina61030508
Dejan Nikolic, Natasa Mujovic, Milena Santric-Milicevic, Sindi Mitrovic, Nevena Krstic, Ana Radic, Diana Radovic, Ardak Nurbakyt, Dinara Sukenova, Milena Kostadinovic
{"title":"Gender Differences in Predictors of Physical Functioning Limitations Among the Elderly Population in Serbia: A Population-Based Modeling Study.","authors":"Dejan Nikolic, Natasa Mujovic, Milena Santric-Milicevic, Sindi Mitrovic, Nevena Krstic, Ana Radic, Diana Radovic, Ardak Nurbakyt, Dinara Sukenova, Milena Kostadinovic","doi":"10.3390/medicina61030508","DOIUrl":"10.3390/medicina61030508","url":null,"abstract":"<p><p><i>Background and Objective:</i> Active aging is influenced by various factors, including chronic diseases, multimorbidity, functional limitations, and disabilities. The presence of these factors might lead to greater dependence on caregivers and could present potential barriers to community engagement. Physical functioning might be considered as one of the vital components for healthier aging experience promotion and support in elderly people. This study aimed to assess self-perceived general health and related health characteristics among the elderly population in Serbia, with a focus on varying degrees of functional limitations, as well as to analyze the predictors of physical functioning limitations in relation to gender. <i>Materials and Methods:</i> This population-based modeling study included a representative sample of 3540 elderly individuals aged above 65 years from Serbia. We employed a dual approach to model the four distinct difficulty levels related to the two groups of limitations of physical functioning (PF1 and PF2) for both genders. The PF1 focused on walking half a kilometer on level ground without the assistance of any mobility aids, and the PF2 navigated a set of 12 steps of ascent and descent: Model 1: inability to execute PF1, Model 2: some/a lot of difficulty in PF1, Model 3: inability to execute PF2, and Model 4: some/a lot of difficulty in PF2. Further variables were evaluated: self-perceived general health, long-lasting health problems, and chronic diseases/chronic conditions. Logistic regression analysis was performed to assess predictors of physical functioning. The models' performance was presented. <i>Results:</i> Significant predictors were as follows: self-perceived general health (Model 1 (male OR: 8.639; female OR: 3.569); Model 2 (male OR: 2.759; female OR: 2.277); Model 3 (male OR: 24.290; female OR: 5.090); Model 4 (male OR: 3.256; female OR: 2.152)); long-lasting general health (Model 1 (female OR: 2.867); Model 3 (female OR: 3.602)); pulmonary diseases (Model 2 (male OR: 2.036); Model 4 (male OR: 1.976; female OR: 1.756)); musculoskeletal diseases (Model 1 (female OR: 1.537); Model 2 (male OR: 1.397; female OR: 1.410); Model 3 (male OR: 1.954; female OR: 1.739); Model 4 (male OR: 1.531; female OR: 1.483)); and other chronic diseases (Model 3 (male OR: 2.215)). <i>Conclusions:</i> Bad self-perceived general health and pulmonary and musculoskeletal diseases were predictors of functional disability in both genders of elderly individuals, while long-lasting health problems were predictors of functional disability in females and other chronic diseases were predictors in elderly males.</p>","PeriodicalId":49830,"journal":{"name":"Medicina-Lithuania","volume":"61 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11943745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bacterial Biofilms-A Threat to Biliary Stents, Understanding Their Formation, Clinical Consequences and Management.
IF 2.4 4区 医学
Medicina-Lithuania Pub Date : 2025-03-16 DOI: 10.3390/medicina61030512
Jolanta Gruszecka, Rafał Filip
{"title":"Bacterial Biofilms-A Threat to Biliary Stents, Understanding Their Formation, Clinical Consequences and Management.","authors":"Jolanta Gruszecka, Rafał Filip","doi":"10.3390/medicina61030512","DOIUrl":"10.3390/medicina61030512","url":null,"abstract":"<p><p>A biofilm is a community of microbial cells which are enclosed in an external matrix and separated by a network of water channels attached to natural or artificial surfaces. Biofilms formed inside biliary stents consist of a mixed spectrum of bacterial communities, most of which usually originate from the intestines. The patency of biliary stents is the most important problem. Stent occlusion can threaten the health and even life of patients. The main cause of this phenomenon is bile sludge, which is an excellent environment for the multiplication and existence of microorganisms. Due to the great clinical importance of maintaining the patency of biliary stents, several methods have been developed to prevent the accumulation of sludge and the subsequent formation of biofilm; these include, among others, the use of anti-adhesive materials, coating the inner surface of stents with metal cations (silver, copper) or other antimicrobial substances, the implementation of biodegradable drug-eluting biliary stents and the development of a new stent design with an anti-reflux effect. This article presents the latest information on the formation of biofilms in biliary stents, as well as historical and future methods of prevention.</p>","PeriodicalId":49830,"journal":{"name":"Medicina-Lithuania","volume":"61 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11943510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gastroepiploic Vascularized Lymph Node Transfer for Extremity Lymphedema: Tips and Insights from Extensive Clinical Experience.
IF 2.4 4区 医学
Medicina-Lithuania Pub Date : 2025-03-15 DOI: 10.3390/medicina61030503
Mirco Pozzi, Davide Di Seclì, Alberto Bolletta, Emanuele Cigna, Chiara Camilloni, Beniamino Brunetti, Paolo Persichetti, Michela Schettino, Luigi Losco, Hung-Chi Chen
{"title":"Gastroepiploic Vascularized Lymph Node Transfer for Extremity Lymphedema: Tips and Insights from Extensive Clinical Experience.","authors":"Mirco Pozzi, Davide Di Seclì, Alberto Bolletta, Emanuele Cigna, Chiara Camilloni, Beniamino Brunetti, Paolo Persichetti, Michela Schettino, Luigi Losco, Hung-Chi Chen","doi":"10.3390/medicina61030503","DOIUrl":"10.3390/medicina61030503","url":null,"abstract":"<p><p><i>Background and Objectives</i>: Lymphedema is a chronic and progressive condition that leads to significant morbidity, including recurrent infections, fibrosis, and functional limitations. Conservative treatments often offer limited relief, particularly in severe cases. Vascularized lymph node transfer (VLNT), especially using the gastroepiploic lymph node flap, has emerged as a promising intervention. This study evaluates the long-term outcomes of gastroepiploic VLNT combined with suction-assisted lipectomy (SAL) for extremity lymphedema. <i>Materials and Methods</i>: A retrospective review was conducted on 53 patients treated for lymphedema at our clinic in Taiwan from January 2016 to August 2023. The inclusion criteria required patients to have persistent lymphedema for at least six months despite conservative treatment. VLNT was performed using a laparoscopic approach, and postoperative assessments included limb circumference measurements, lymphoscintigraphy, and tonicity evaluations. <i>Results</i>: Follow-up data were collected for a minimum of 12 months. At a mean follow-up of 14.2 months, significant reductions in limb circumference were observed-35.5% ± 24.9% for upper limbs and 32.2% ± 4.5% for lower limbs. Tonicity improved by 6.2%, and no cellulitis episodes were reported post-surgery. Minor complications included hematoma and sensory changes, with no major donor-site morbidity. Lymphoscintigraphy confirmed improved lymphatic drainage. <i>Conclusions</i>: Gastroepiploic VLNT combined with SAL is an effective and safe treatment for severe extremity lymphedema, providing significant improvements in limb size and tissue tonicity. This technique offers a promising solution for refractory cases.</p>","PeriodicalId":49830,"journal":{"name":"Medicina-Lithuania","volume":"61 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of DPP-4 and NPY Family Peptides in Gastrointestinal Symptoms Associated with Obesity and Type 2 Diabetes Mellitus.
IF 2.4 4区 医学
Medicina-Lithuania Pub Date : 2025-03-15 DOI: 10.3390/medicina61030504
Mantas Malinauskas, Deimante Paskeviciene, Rūta Steponaitienė, Rita Gudaityte, Limas Kupčinskas, Anna Casselbrant, Almantas Maleckas
{"title":"Role of DPP-4 and NPY Family Peptides in Gastrointestinal Symptoms Associated with Obesity and Type 2 Diabetes Mellitus.","authors":"Mantas Malinauskas, Deimante Paskeviciene, Rūta Steponaitienė, Rita Gudaityte, Limas Kupčinskas, Anna Casselbrant, Almantas Maleckas","doi":"10.3390/medicina61030504","DOIUrl":"10.3390/medicina61030504","url":null,"abstract":"<p><p><i>Background and Objectives</i>: Neuropeptide Y (NPY) family peptides and dipeptidyl peptidase-4 (DPP-4) are involved in gastrointestinal regulation and may contribute to obesity and type 2 diabetes mellitus (T2DM) pathophysiology. This study investigates their expression in jejunal muscular tissue and associations with gastrointestinal symptoms in patients with obesity, with (OB+/DM+) and without T2DM (OB+/DM-). <i>Materials and Methods</i>: This cross-sectional study includes forty-four patients undergoing laparoscopic Roux-en-Y gastric bypass divided based on T2DM status. Gastrointestinal symptoms were assessed using the Gastrointestinal Symptom Rating Scale (GSRS) questionnaire, and jejunal tissue samples were analyzed for DPP-4, NPY, peptide YY (PYY), and pancreatic polypeptide (PP) mRNA and protein levels. <i>Results</i>: DPP-4, NPY, PYY, and PP gene expression in jejunal muscular tissue was similar between groups. In the OB+/DM+ group, PP protein was higher, while DPP-4 and PYY were lower compared to the OB+/DM- group. Significant positive correlations between DPP-4 and NPY, PYY, and PP were found in the OB+/DM- group, while only DPP-4 and PYY correlated in the OB+/DM+ group. Gastrointestinal symptoms in the OB+/DM- group showed positive correlations with PP (abdominal pain), DPP-4 (indigestion), and NPY (constipation). <i>Conclusions</i>: The study demonstrates significant differences in DPP-4, PYY, and PP protein expression between patients with obesity, with or without T2DM. Peptide correlations with gastrointestinal symptoms in non-diabetic patients suggest distinct regulatory mechanisms, warranting further research.</p>","PeriodicalId":49830,"journal":{"name":"Medicina-Lithuania","volume":"61 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Standard Physiotherapy with the Addition of Mechanical Traction on Pain, Physical Activity and Quality of Life in Patients with Knee Osteoarthritis.
IF 2.4 4区 医学
Medicina-Lithuania Pub Date : 2025-03-15 DOI: 10.3390/medicina61030507
Kati Florjančič, Renata Vauhnik
{"title":"Effects of Standard Physiotherapy with the Addition of Mechanical Traction on Pain, Physical Activity and Quality of Life in Patients with Knee Osteoarthritis.","authors":"Kati Florjančič, Renata Vauhnik","doi":"10.3390/medicina61030507","DOIUrl":"10.3390/medicina61030507","url":null,"abstract":"<p><p><i>Background and Objectives:</i> There is evidence of decreasing knee pain in patients with knee osteoarthritis when knee mechanical traction is performed surgically. Our aim was to measure the effects of standard physiotherapy with the addition of knee mechanical traction on pain, physical activity and quality of life in patients with knee osteoarthritis. <i>Materials and Methods:</i> A clinical observational study with intervention and without a control group was conducted at three outpatient health clinics on a primary level of the health care system. Twenty-three patients with knee osteoarthritis voluntarily participated in the study. Standard physiotherapy included education, therapeutic and aerobic exercise, conventional TENS, low-intensity laser and manual soft tissue techniques. Mechanical traction of 150 N continuous force for 15 min with the knee joint at 25° flexion was added to standard physiotherapy. The following outcome measures were used: VAS, Knee Injury and Osteoarthritis Outcome Score and a 30 s sit-to-stand test. <i>Results:</i> The pain measured for the VAS at rest (<i>p</i> < 0.001) and during movement (<i>p</i> < 0.001) as well as for the Knee Injury and Osteoarthritis Outcome Score pain part decreased (<i>p</i> < 0.05). The quality of life did not improve (<i>p</i> > 0.05), but the physical activity of the patients did (<i>p</i> < 0.05). A decrease in pain correlated with body mass (<i>p</i> < 0.05). <i>Conclusions:</i> Standard physiotherapy with the addition of mechanical traction had an effect on reducing pain and improving physical activity.</p>","PeriodicalId":49830,"journal":{"name":"Medicina-Lithuania","volume":"61 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11943517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Empathy in ADHD Children: Neuropsychological Assessment and Possible Rehabilitation Suggestions-A Narrative Review.
IF 2.4 4区 医学
Medicina-Lithuania Pub Date : 2025-03-15 DOI: 10.3390/medicina61030505
Antony Casula, Giulia Belluardo, Carmine Antenucci, Federica Bianca, Francesco Corallo, Francesca Ferraioli, Domenica Gargano, Salvatore Giuffrè, Alice Lia Carmen Giunta, Antonella La Torre, Simona Massimino, Alessio Mirabile, Giuliana Parisi, Cono Daniele Pizzuto, Maria Cristina Spartà, Alessia Tartaglia, Francesco Tomaiuolo, Laura Culicetto
{"title":"The Role of Empathy in ADHD Children: Neuropsychological Assessment and Possible Rehabilitation Suggestions-A Narrative Review.","authors":"Antony Casula, Giulia Belluardo, Carmine Antenucci, Federica Bianca, Francesco Corallo, Francesca Ferraioli, Domenica Gargano, Salvatore Giuffrè, Alice Lia Carmen Giunta, Antonella La Torre, Simona Massimino, Alessio Mirabile, Giuliana Parisi, Cono Daniele Pizzuto, Maria Cristina Spartà, Alessia Tartaglia, Francesco Tomaiuolo, Laura Culicetto","doi":"10.3390/medicina61030505","DOIUrl":"10.3390/medicina61030505","url":null,"abstract":"<p><p><i>Background and Objectives:</i> Theory of mind (ToM) deficits in children with ADHD are closely related to social difficulties and problems in interpersonal interactions. Evidence suggests that these cognitive deficits negatively affect the ability to understand and respond to others' emotions and intentions, thus contributing to social isolation and a lower quality of life. However, the findings across studies vary, indicating that ADHD subtype and comorbidities, such as anxiety and mood disorders, can significantly influence sociocognitive deficits, modulating the extent of social problems. <i>Materials and Methods:</i> This review examines the relationship among ADHD, ToM, and empathy, analyzing studies comparing children with ADHD with peers with typical development or other neurodevelopmental conditions. A search in PubMed, Scopus, and the Cochrane Library prior to January 10, without time restrictions, using \"ADHD\", \"Cognitive Empathy\", and \"Theory of Mind\" identified relevant studies assessing these abilities through neuropsychological tests or questionnaires. <i>Results:</i> Of the initial 243 studies, 23 studies met the inclusion criteria. Children with ADHD exhibited significant impairments in ToM and empathy, affecting social cognition and interpersonal understanding. Various assessment tools revealed difficulties in understanding beliefs, emotions, and intentions, with executive function deficits playing a crucial role in shaping these social challenges. <i>Conclusions:</i> This review highlights the need for targeted therapeutic interventions that not only address cognitive deficits but consider emotional and metacognitive aspects, such as emotion regulation and self-awareness. Future research should focus on integrating executive function training with approaches that develop metacognitive and emotional skills, thus providing more comprehensive support.</p>","PeriodicalId":49830,"journal":{"name":"Medicina-Lithuania","volume":"61 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11943671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Arabic Version of Injury-Psychological Readiness to Return to Sport Scale: Translation and Psychometric Validation.
IF 2.4 4区 医学
Medicina-Lithuania Pub Date : 2025-03-15 DOI: 10.3390/medicina61030506
Osama R Abdelraouf, Amr A Abdel-Aziem, Nouf H Alkhamees, Zizi M Ibrahim, Mohamed A Elhosiny, Shaza E Ibrahim, Amal A Elborady
{"title":"The Arabic Version of Injury-Psychological Readiness to Return to Sport Scale: Translation and Psychometric Validation.","authors":"Osama R Abdelraouf, Amr A Abdel-Aziem, Nouf H Alkhamees, Zizi M Ibrahim, Mohamed A Elhosiny, Shaza E Ibrahim, Amal A Elborady","doi":"10.3390/medicina61030506","DOIUrl":"10.3390/medicina61030506","url":null,"abstract":"<p><p><i>Background and Objectives</i>: It is crucial to consider not only the physical variables but also the athlete's psychological condition prior to making the decision to return to sport (RTS). It is unfortunate that there is currently no universal questionnaire available in Arabic to determine whether an athlete is ready to return to sports. So, this cross-cultural validation study was carried out to translate and validate the Injury-Psychological Readiness to Return to Sport Scale (I-PRRS) into the Arabic language. <i>Materials and Methods</i>: One hundred twenty athletes with lower extremity injuries (95 males and 25 females) completed the Arabic I-PRRS twice with a one-week time interval. An additional 50 athletes, comprising 40 males and 10 females, also participated in the study by completing the questionnaire during their initial visit to a physical therapist. Floor and ceiling effects, internal consistency, reliability, discriminate validity, convergent validity, and factor construct were analyzed. <i>Results</i>: The I-PRRS was translated into Arabic with no floor or ceiling effects. It had good internal consistency (0.84) and excellent test-retest reliability (ICC 0.88, 95% CI 0.73-0.95) where the lower bound of 95% CI indicated at least good reliability. The SEM was 1.14, and the MDC was 3.27 points. Athletes who were cleared to RTS demonstrated significant differences in their responses compared with those who were visiting their physical therapist for the first time. These differences were significant across all individual items, as well as in the total scores of the assessment (<i>p</i> < 0.001). There was a significant moderate correlation between overall scores on the I-PRRS and the Tampa Scale of Kinesiophobia (TSK) (rs = 0.69, <i>p</i> < 0.05). <i>Conclusions</i>: The Arabic version of the I-PRRS demonstrated good reliability and validity, making it a suitable tool for evaluating psychological readiness to RTS among injured athletes in Arabic-speaking populations.</p>","PeriodicalId":49830,"journal":{"name":"Medicina-Lithuania","volume":"61 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11943973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of a Postural Hammock in People with Chronic Neck Pain and Chronic Low Back Pain: A Randomized Controlled Trial.
IF 2.4 4区 医学
Medicina-Lithuania Pub Date : 2025-03-14 DOI: 10.3390/medicina61030502
José Manuel Delfa-De-La-Morena, Juan-José Mijarra-Murillo, Víctor Navarro-López, Diego Fernández-Vázquez
{"title":"Effects of a Postural Hammock in People with Chronic Neck Pain and Chronic Low Back Pain: A Randomized Controlled Trial.","authors":"José Manuel Delfa-De-La-Morena, Juan-José Mijarra-Murillo, Víctor Navarro-López, Diego Fernández-Vázquez","doi":"10.3390/medicina61030502","DOIUrl":"10.3390/medicina61030502","url":null,"abstract":"<p><p><i>Background and Objectives</i>: Musculoskeletal disorders (MD) affect over 1.7 billion people worldwide, with neck and low back pain being prevalent and debilitating conditions. Current treatments include various interventions, but novel approaches are needed to improve functionality and reduce disability. To evaluate the effects of a postural hammock on pain and functionality in people with chronic neck and low back pain. <i>Materials and Methods</i>: A randomized controlled trial was conducted with participants experiencing chronic neck and/or low back pain. They were assigned to either an experimental group using a postural hammock or a control group lying on a mat. Participants underwent five sessions of 10 min each over five consecutive days. <i>Results</i>: Forty-three subjects completed the study. While both groups showed improvements, the experimental group exhibited significant increases in hamstring flexibility and pain tolerance, measured through the Visual Analog Scale (VAS) and pressure pain thresholds (PPT). Postural hammock use demonstrated potential benefits in pain management and flexibility compared to conventional methods. <i>Conclusions</i>: Using a postural hammock may offer benefits for individuals with chronic back pain. Future research should explore combining hammock therapy with other interventions to enhance outcomes and improve the quality of life for patients with back pain.</p>","PeriodicalId":49830,"journal":{"name":"Medicina-Lithuania","volume":"61 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Relationship Between Metabolic Syndrome Awareness and Perception of Health in Exercise Participants: A Cross-Sectional Study.
IF 2.4 4区 医学
Medicina-Lithuania Pub Date : 2025-03-14 DOI: 10.3390/medicina61030501
Gökçe Avcu, Taner Akbulut, Emsal Çağla Avcu, Gian Mario Migliaccio
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