Turkish Journal of Physical Medicine and Rehabilitation最新文献

{"title":"Response to Letter to the Editor: Ultrasound-guided injections for plantar fasciitis.","authors":"Özlem Orhan, Hatice Ağır, Baran Sarıkaya, Mehmet Ali Dolap, Mehmet Akif Altay","doi":"10.5606/tftrd.2025.16886","DOIUrl":"10.5606/tftrd.2025.16886","url":null,"abstract":"","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"71 2","pages":"262"},"PeriodicalIF":1.3,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755225","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}

{"title":"Comparison of the complementary therapeutic effects of Neurodevelopmental Treatment Approach-Bobath and Nintendo Wii Fit Balance-based video games on static balance, functional activities, and game scores in children with cerebral palsy: A case-control study.","authors":"Zeynep Selimoğlu Ayneli, Filiz Tuna, Yasemin Karal, Hakan Tuna","doi":"10.5606/tftrd.2025.12897","DOIUrl":"10.5606/tftrd.2025.12897","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to compare the effects of Neurodevelopmental Treatment Approach-Bobath (NDT-B) and Nintendo Wii Fit balance-based video games on balance, motor skills, and functionality in individuals with ambulatory cerebral palsy (CP) and to examine the long-term the effects of Wii Fit balance-based video games and NDT-B.</p><p><strong>Patients and methods: </strong>A total of 20 individuals with ambulatory CP were included in the randomized-controlled study between June 2018 and September 2019. The participants were randomized into two groups: the Nintendo Wii Fit balance-based video games group (Wii group; 8 males, 2 females; mean age: 13.0±3.3 years; range: 5 to 18 years) and the NDT-B group (control group; 8 males, 2 females; mean age: 9.3±3.9 years; range: 5 to 18 years). Personalized NDT-B was applied to both groups for a total of 12 sessions. Personalized posture and balance activities were applied to the control group, while Nintendo Wii Fit balance-based video games were applied to the Wii group. Motor and functional tests were used for the assessment of functional status and abilities. Balance tests and Nintendo Wii Fit balance assessment were used for balance assessment. The outcomes were recorded before treatment, after treatment, and three months after treatment.</p><p><strong>Results: </strong>Static balance improved in both groups, with the effect sustained after three months in the control group (p<0.05). At the end of the treatment, the decrease in Timed Up and Go test and the increase in Sit-to-Stand test scores were significant in the Wii group, and these improvements were sustained at three months following the treatment (p<0.05). There was a significant increase in the game scores for balance, weight shift, and walking speed at the end of the treatment (p<0.05).</p><p><strong>Conclusion: </strong>The current study results suggest that Wii Fit balance-based video games can be used as an additional and complementary therapy to the NDT-B treatment program in the rehabilitation of individuals with CP with sustainable clinical effects in the long-term.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"71 2","pages":"237-249"},"PeriodicalIF":1.3,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755219","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}

{"title":"Assessment of the external construct validity of the Brief International Classification of Functioning, Disability, and Health Core Set for chronic ischemic heart disease in a Turkish population.","authors":"Didem Sezgin Ozcan, Belma Fusun Koseoglu, Sinem Kocer Akselim, Ozgur Ulas Ozcan","doi":"10.5606/tftrd.2025.16125","DOIUrl":"10.5606/tftrd.2025.16125","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to validate the Brief International Classification of Functioning, Disability, and Health (ICF) Core Set for chronic ischemic heart disease (CIHD) in a Turkish patient population, identifying the most common problems in ICF categories and testing its construct validity.</p><p><strong>Patients and methods: </strong>A total of 85 patients (28 males, 57 females; mean age: 64.4±12.2 years; range, 37 to 88 years) diagnosed with CIHD who were referred to our cardiac rehabilitation outpatient clinic were included in the cross-sectional study between February 2014 and August 2015. Brief ICF Core Set for CIHD, which includes 36 second-level categories, was used to assess the most common impairments. Correlations between these impairments and various clinical assessment scales were analyzed to test construct validity.</p><p><strong>Results: </strong>The most impaired categories in body functions were heart functions, blood pressure functions, exercise tolerance functions, blood vessel functions, sensations associated with cardiovascular and respiratory functions, and energy and drive functions. In the body structure component, the structure of the cardiovascular system was identified as a problem in 97.6% of patients. The activities and participation component revealed that moving around, remunerative employment, and carrying out daily routines were frequently problematic. All of the environmental factors were identified as both barriers and facilitators. Significant correlations were found between these categories and various clinical assessment scales.</p><p><strong>Conclusion: </strong>The Brief ICF Core Set for CIHD is a valid tool for assessing the multifaceted impact of CIHD in a Turkish patient population. This validation supports its use for comprehensive, patient-centered evaluations in clinical settings, emphasizing the need for a holistic approach to managing CIHD.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"71 2","pages":"226-236"},"PeriodicalIF":1.3,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755217","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}

{"title":"An overview of pectus deformities and rehabilitation approaches.","authors":"Birkan Sonel Tur, Aysun Genç","doi":"10.5606/tftrd.2025.16840","DOIUrl":"10.5606/tftrd.2025.16840","url":null,"abstract":"<p><p>Pectus deformities, particularly pectus excavatum and pectus carinatum, are among the most common congenital chest wall abnormalities in children. These deformities may have varying degrees of physical, psychological, and functional effects. This review provides a concise overview of the current state of knowledge regarding the history, epidemiology, etiopathogenesis, clinical presentation, classification, and rehabilitation of these deformities, focusing on the pediatric population.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"71 2","pages":"131-138"},"PeriodicalIF":1.3,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755216","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}

{"title":"Comparison of open and closed kinetic chain exercises on vastus medialis and vastus medialis oblique in patellofemoral pain syndrome: A randomized, single-blinded, prospective study.","authors":"Burcu Ayık, Onur Armağan, Fulya Bakılan","doi":"10.5606/tftrd.2025.15971","DOIUrl":"10.5606/tftrd.2025.15971","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to compare the effect of open and closed kinetic chain exercises on pain, thickness of vastus medialis (VM) and vastus medialis oblique (VMO) muscle, and VMO architecture.</p><p><strong>Patients and methods: </strong>The randomized single-blind prospective was conducted between January 2022 and September 2023. Thirty patients (11 males, 19 females; mean age: 37.5±8.8 years; range, 18 to 50 years) with patellofemoral pain syndrome (PFPS) were randomized into two groups. Fifteen patients in the first group (23 knees) received open kinetic chain exercises, and 15 patients in the second group (22 knees) received closed kinetic chain exercises (CKCE) as a six-week home exercise program. The following variables were measured before and after the exercise program: Visual Analog Scale , Q angle, and ultrasonographic measurements. In ultrasonographic measurements, the thickness of the VM and VMO muscles and the VMO fiber angle was evaluated.</p><p><strong>Results: </strong>Both groups showed statistically highly significant improvement in all evaluation parameters in inter- and intragroup comparisons (p<0.001). Before treatment, there was no statistical difference in Visual Analog Scale scores between the two groups. However, a significant decrease was observed in favor of the CKCE group after treatment (p=0.037). There was no statistically significant difference between the groups in terms of VMO, VM muscle thickness, and fiber angle changes (p=0.26, p=0.28, and p=0.28, respectively).</p><p><strong>Conclusion: </strong>The thickness of the VM and VMO muscles, the angle of the VMO fibers, and the pain scores improved both exercise groups in patients with PFPS. However, CKCE proved to be superior for pain reduction. Both open and closed kinetic chain exercises can be beneficial for PFPS management, with CKCE potentially being more appropriate for patients with prominent pain.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"71 2","pages":"216-225"},"PeriodicalIF":1.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755218","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}

{"title":"Adult disability assessment in Türkiye with real-life experiences of physiatrists: A cross-sectional analytic study.","authors":"Hande Özdemir, Derya Demirbağ Kabayel, Meliha Kasapoğlu Aksoy, Erhan Arif Öztürk, Filiz Tuna, Sadiye Murat, İbrahim Gündoğdu, Sevil Okan, Nilgün Mesci, İlknur Aykurt Karlıbel, Filiz Acar Sivas, Hanife Çağlar Yağcı, Ali Sahillioğlu","doi":"10.5606/tftrd.2025.14903","DOIUrl":"10.5606/tftrd.2025.14903","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to determine the workload and problems of physiatrists in disability assessment in Türkiye. <b>Materials and methods:</b> A 39-question electronic survey was administered between May 2023 and October 2023 to 217 physiatrists from all geographical regions of Türkiye. The survey was comprehensive in scope, encompassing a range of inquiries pertaining to demographic characteristics, time allocation for assessment, additional payment status, comprehensive training received, knowledge and skill levels, consistency of the national guideline used for disability assessment, attitudes toward decision-making, communication with other specialists, and medico-legal issues.</p><p><strong>Results: </strong>A total of 217 physiatrists (86 males, 131 females; mean age: 41.5±8.0 years; range, 28 to 68 years), 155 (71.4%) specialists and 62 (28.6%) academics, with a mean residency experience of 11.99±8.31 years, participated in the study. The survey results showed that disability assessment was a heavy burden and a difficult task that may involve disadvantages for physiatrists, and a significant majority reported not having received comprehensive training in disability assessment during or after residency. Additionally, only 65% felt that their knowledge and skills in disability assessment were adequate. In addition, only 13.8% of physiatrists felt that the national guideline accurately reflected an individual's level of disability, with the results highlighting inadequacies and inconsistencies in the guideline. Another striking finding was that there was disagreement among clinicians regarding the rate of impairment and the determination of full dependency.</p><p><strong>Conclusion: </strong>Physiatrists, who play an important role in disability assessment, face several challenges in this process in Türkiye. The results of this study are expected to guide the implementation of effective and accurate disability assessment methods and provide sustainable solutions.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"71 2","pages":"146-156"},"PeriodicalIF":1.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755215","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}

{"title":"The impact of motion capture camera-supported telerehabilitation gamification on upper extremity functions and quality of life in stroke and cerebral palsy patients.","authors":"Başak Bilir Kaya, Pınar Güngör Ketenci, Özlem Öztekin, Kemal Memişoğlu","doi":"10.5606/tftrd.2025.16461","DOIUrl":"10.5606/tftrd.2025.16461","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to investigate the impact of a newly developed motion capture camera-supported telerehabilitation gamification software on upper extremity functions and quality of life (QoL) in patients with stroke and cerebral palsy (CP).</p><p><strong>Patients and methods: </strong>Between November 14^th 2022 and November 14^th 2023, a total of 122 patients were included in the study, 90 with stroke (52 males, 38 females; mean age: 59.8±14.7 years; range, 23 to 80 years) and 32 with CP (17 males, 15 females; mean age: 11.7±2.8 years; range, 8 to 18 years). All patients received a telerehabilitation program, supported by motion capture technology, incorporated gamification elements to engage patients were conducted for 30 sessions. The patients were assessed by hemiplegic upper extremity functionality tests and QoL scales.</p><p><strong>Results: </strong>Both groups showed statistically significant improvements in the upper extremity functions and QoL, as measured by Fugl-Meyer Assessment of Upper Extremity (FMA-UE) Scale (p<0.001), Action Research Arm Test (ARAT) (p<0.001), Nine-Hole Peg Test (9HPT) (CP: p<0.05, Stroke: [p<0.001]), Motor Activity Log-28 (MAL-28) (p<0.001), Stroke-Specific Quality of Life Scale (SS-QOL) (p<0.001) and Pediatric Quality of Life Inventory (PedsQL) (p<0.001).</p><p><strong>Conclusion: </strong>Our study findings highlight the potential of motion capture camera-supported telerehabilitation gamification software in enhancing upper extremity functional outcomes and significant improvement in QoL for patients with stroke and CP.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"71 2","pages":"157-166"},"PeriodicalIF":1.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755228","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}

{"title":"Spinal segmental myoclonus following ultrasound-guided suprascapular nerve block: A case report.","authors":"Gunay Er, Onur Akan, Fatmanur Koman, Esma Demirhan, Ömer Kuru","doi":"10.5606/tftrd.2024.14629","DOIUrl":"https://doi.org/10.5606/tftrd.2024.14629","url":null,"abstract":"<p><p>Herein, we reported a case of spinal myoclonus following an ultrasound-guided suprascapular nerve block. A 58-year-old male patient who had a diagnosis of calcific tendinitis inside the right supraspinatus tendon received a right suprascapular nerve block (3 mL of 2% prilocaine mixed with 2 mL of 1% lidocaine) under the guidance of ultrasound. Sudden, painless, and involuntary movements began in the upper extremity 10 min after the intervention. Three months after the injection, the involuntary movements were entirely stopped. Involuntary, painless, and brief muscle jerks may be suggestive of myoclonus after interventions with local anesthetics.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"71 1","pages":"122-126"},"PeriodicalIF":1.1,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12012922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043331","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}

{"title":"A case report of acute idiopathic longitudinal extensive transverse myelitis.","authors":"Yasin Paltacı, Fatih Baygutalp, Mestan Şahin","doi":"10.5606/tftrd.2025.15334","DOIUrl":"10.5606/tftrd.2025.15334","url":null,"abstract":"<p><p>Transverse myelitis is a rare disease characterized by inflammation of the spinal cord. These findings may present with findings related to primary motor neuron damage or with nonspecific findings, such as loss of muscle strength and sensation in the extremities. Herein, we presented a 21-year-old female patient with transverse myelitis with complaints of muscle weakness and urinary incontinence who was diagnosed with lumbar disc herniation after lumbar imaging and whose complaints did not improve after surgery.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"71 2","pages":"255-259"},"PeriodicalIF":1.3,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755214","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}

{"title":"Winged scapula after carrying weight under the armpit: Ultrasonographic examination of the distal long thoracic nerve and serratus anterior muscle.","authors":"Aslinur Keles, Esra Giray, Melike Nur Balatlioglu, Feyza Unlu Ozkan, Ilknur Aktas","doi":"10.5606/tftrd.2025.15331","DOIUrl":"https://doi.org/10.5606/tftrd.2025.15331","url":null,"abstract":"<p><p>The most common etiologic cause of winged scapula (WS) is paralysis of the serratus anterior muscle (SAM), typically due to an injury of the long thoracic nerve (LTN), often associated with overhead activities, including heavy weightlifting. Herein, we reported a 30-year-old male patient with WS secondary to an LTN lesion caused by carrying weight under the armpit, rather than overhead, which differs from previous reports regarding the anatomical site and cause of the LTN lesion. The ultrasonographic technique used to evaluate distal lesions of the LTN was described in detail, with the SAM thickness significantly reduced and the cross-sectional area of the LTN increased on the symptomatic side. Electroneuromyography revealed an acute/subacute, mild partial axonal lesion of the LTN, with ultrasonographic evaluation pinpointing the exact anatomical location of the lesion. Ultrasonography should be the first imaging modality used to support electrophysiological studies and evaluate the affected nerves and muscles to reveal precise anatomical localization.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"71 1","pages":"117-121"},"PeriodicalIF":1.1,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12012925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041622","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}