Turkish Journal of Physical Medicine and Rehabilitation最新文献

{"title":"Feasibility and exploratory outcomes of a multimodal pulmonary rehabilitation program in radiographic axial spondyloarthritis: A prospective single-arm pilot study.","authors":"Nilay Şahin, Nurhan Sarıoğlu, Ender Salbaş, Büşra Görcan","doi":"10.4274/tftrd.2026.18051","DOIUrl":"10.4274/tftrd.2026.18051","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the feasibility and safety of an 8-week multimodal pulmonary rehabilitation (PR) program in adults with radiographic axial spondyloarthritis (r-axSpA) and to describe exploratory pre- to post-intervention changes in clinical outcomes.</p><p><strong>Patients and methods: </strong>This prospective, single-center, single-arm pilot feasibility study enrolled 20 adults with stable r-axSpA. The program included two supervised hospital sessions and one structured home session per week for 8 weeks, combining aerobic conditioning, resistance and mobility exercises, and respiratory exercises. Primary outcomes were assessment retention, supervised-session attendance, and adverse events. Clinical measures were exploratory and included 6-minute walk distance (6MWD), dyspnea, spirometry, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index, Hospital Anxiety and Depression Scale, and Turkish 36-Item Short Form Health Survey.</p><p><strong>Results: </strong>Seventeen of 20 participants completed the full week 8 assessment (assessment retention 85%). Median supervised attendance was 14 of 16 planned sessions (87.5%), and no serious adverse events were recorded. The mean 6MWD change was +25.7 m [95% confidence interval (CI): 20.0 to 32.5]. The Borg dyspnea score changed by -0.7 (95% CI: -0.9 to -0.5), and BASDAI changed by -0.41 (95% CI: -0.76 to -0.14). Nominal improvements were also observed in selected spirometric and psychosocial measures.</p><p><strong>Conclusion: </strong>The multimodal PR program was feasible and safely deliverable in this small cohort. Because the study utilized a single-arm design, included participants with low baseline dyspnea, and was not powered to test effectiveness, the observed clinical changes are strictly hypothesis-generating. These findings do not establish clinically meaningful benefit but provide a strong rationale and foundational metrics for designing adequately powered, randomized controlled trials with objective adherence monitoring.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":" ","pages":"369-374"},"PeriodicalIF":1.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921941","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":"Piriformis syndrome and lumbosacral radiculopathy: An overlooked coexistence.","authors":"Yaşar Burak Topçu, Deniz Palamar, Rana Terlemez, Kenan Akgün, Tuğçe Özekli Mısırlıoğlu","doi":"10.5606/tftrd.2026.17346","DOIUrl":"10.5606/tftrd.2026.17346","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to investigate the presence of piriformis syndrome (PS) in patients with clinically diagnosed lumbosacral radiculopathy (LR).</p><p><strong>Patients and methods: </strong>In this prospective, cross-sectional study, 39 patients (14 males, 25 females; mean age: 48.2±12.2 years; range, 26 to 69 years) with evidence of L4, L5, or S1 radiculopathy and localized tenderness at the ipsilateral piriformis muscle (PM) were enrolled between February 2022 and August 2022. All patients received a 5-mL ultrasound-guided injection of 2% lidocaine into the PM. The patients whose pain resolved at least 50% from the baseline after the injection were diagnosed as having PS. Thirty-nine patients completed the one-month follow-up period.</p><p><strong>Results: </strong>Piriformis syndrome was diagnosed in 33 (84.6%) patients with LR. The mean percentage reduction in symptoms at 1 h, one week, and one month after the injection were 66%, 57%, and 71%, respectively. Compared to baseline, all pain parameters showed statistically significant improvement at the one-month evaluation (p<0.05).</p><p><strong>Conclusion: </strong>Piriformis syndrome should be regarded as a potential coexisting condition rather than an exclusion criterion in patients with LR. In patients with LR and PS, ultrasound-guided PM injections provide short-term benefits, facilitating early return to daily activities.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"72 3","pages":"290-299"},"PeriodicalIF":1.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032127","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 hand grip strength on quality of life, fatigue, physical performance, and functional capacity in patients with post-mastectomy lymphedema.","authors":"Emine Esra Ergül, Bilge Ekinci, Serhat Hayme","doi":"10.4274/tftrd.2026.16766","DOIUrl":"10.4274/tftrd.2026.16766","url":null,"abstract":"<p><strong>Objectives: </strong>Lymphedema, which may develop following mastectomy due to breast cancer, can negatively affect hand grip strength in women. This study aims to determine the effects of lymphedema on hand grip strength and quality of life (QoL) and to identify the factors influencing QoL.</p><p><strong>Patients and methods: </strong>This study was designed as a cross-sectional observational study involving 100 patients with post-mastectomy lymphedema. The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC-QLQ-C30) was used to assess QoL, and the Checklist Individual Strength (CIS-20) was utilized to evaluate fatigue. Hand grip strength was measured using a hand dynamometer.</p><p><strong>Results: </strong>A significant difference was found between the hand grip strength measurements of the affected and non-affected upper extremities (p<0.001). Hand grip strength on the affected side was significantly correlated with both the functional subscales of the EORTC-QLQ-C30 and the CIS-20 (p<0.001).</p><p><strong>Conclusion: </strong>This study objectively evaluated the impact of lymphedema on hand grip strength based on evidence. Assessing QoL, fatigue, and functional status also provided a comprehensive and objective understanding of the multifaceted effects of lymphedema. This study was not registered as a clinical trial.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":" ","pages":"320-328"},"PeriodicalIF":1.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681199","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 relationship between diaphragmatic dysfunction and sleep, emotional state, quality of life, and functional status in patients with chronic ischemic stroke.","authors":"İlknur Aykurt Karlıbel, Mertcan Ay, Hüseyin Engin, İsmail Hakkı Aydoğdu, Hande Özgen","doi":"10.4274/tftrd.2026.17460","DOIUrl":"10.4274/tftrd.2026.17460","url":null,"abstract":"<p><strong>Objectives: </strong>To examine whether hemiplegic diaphragm thickening fraction (DTF, %) is associated with functional status, walking capacity, sleep quality, mood, and stroke-specific quality of life (SS-QoL) in chronic ischemic stroke, and to determine a clinically useful DTF threshold.</p><p><strong>Materials and methods: </strong>This single-center cross-sectional study included 68 patients with chronic ischemic stroke (≥6 months). Hemiplegic DTF was quantified by ultrasonography. Outcome measures were the Barthel index (BI), Functional Ambulation Category, 6-minute walk test (6-MWT), SS-QoL, Pittsburgh sleep quality index (PSQI), Hospital Anxiety and Depression Scale-Anxiety (HADS-A) and Hospital Anxiety and Depression Scale-Depression (HADS-D) scales, and Fugl-Meyer upper extremity (FMA-UE). Statistical analyses included non-parametric comparisons (DTF ≤20% vs. >20%), Spearman correlations, and multivariable regression adjusted for age, sex, body mass index, and stroke duration. Receiver operating characteristic and logistic regression analyses examined PSQI >5.</p><p><strong>Results: </strong>Hemiplegic diaphragm dysfunction (DTF ≤20%) was present in 36.8% of participants. Higher DTF was independently associated with better BI, 6-MWT, and SS-QoL scores, and with lower PSQI, HADS-A, and HADS-D scores (all p<0.05), but not with FMA-UE. DTF showed good discrimination for poor sleep [area under the curve: 0.779, 95% confidence interval (CI): 0.649-0.892], with an optimal threshold around 21% (sensitivity 0.77, specificity 0.83). Each 1% increase in DTF reduced the odds of poor sleep by approximately 7% (odds ratio ≈ 0.93; 95% CI: 0.89-0.98).</p><p><strong>Conclusion: </strong>In chronic ischemic stroke, greater hemiplegic DTF is independently associated with better function, mobility, and quality of life, and fewer sleep and mood problems. A DTF around 21% may serve as a practical threshold for risk stratification and rehabilitation targeting.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"72 3","pages":"359-368"},"PeriodicalIF":1.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032103","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":"Corrigendum.","authors":"","doi":"10.4274/tftrd.2026.c001","DOIUrl":"10.4274/tftrd.2026.c001","url":null,"abstract":"","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"72 3","pages":"401"},"PeriodicalIF":1.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032131","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":"Investigation of the efficacy of dry needling added to physical therapy in supraspinatus tendinopathy.","authors":"Ayşe Güliz Kırıköz, Cevriye Mülkoğlu","doi":"10.4274/tftrd.2026.16776","DOIUrl":"10.4274/tftrd.2026.16776","url":null,"abstract":"<p><strong>Objectives: </strong>In this study, we aimed to investigate the effectiveness of dry needling (DN) in addition to conventional physical therapy and rehabilitation (PTR) program in patients with supraspinatus tendinopathy presenting with shoulder pain.</p><p><strong>Patients and methods: </strong>Our study was designed as a single-center, prospective, observational study. Between November 2023 and January 2024, 64 patients diagnosed with supraspinatus tendinopathy were included in our study. The patients were divided into two groups: group 1, in which DN and conventional PTR program were applied together, and group 2, in which only conventional PTR program was applied. Primary endpoint of our study was shoulder pain [visual analog scale (VAS)] and secondary outcome measurements were shoulder pain and disability index (SPADI), passive shoulder range of motion (ROM), handgrip (HG) strength, Tampa kinesiophobia scale (TKS), supraspinatus tendon and muscle thickness. These parameters were evaluated at the beginning, 1^st and 3^rd months. Independent sample t-test, and Mann-Whitney U test, Kruskal-Wallis H test were used to compare quantitative data. Two-way ANOVA test was used for repeated measurements of the participants.</p><p><strong>Results: </strong>Significant improvements were observed over time in both treatment groups in pain level, ROM, functional capacity, and other parameters. Patients in group 1 had a statistically significant increase in passive shoulder ROM, muscle thickness and tendon thickness in patients with partial tear at 3 months compared to pre-treatment (all p<0.05). There was a significant decrease in VAS scores, SPADI scores, and TKS scores in favor of group 1 (all p<0.05). There was a statistically significant increase in HG strength scores at 3^rd month in favor of group 1 compared to 1^st month (p=0.029). There was also a statistically significant increase in supraspinatus tendon thickness in partial tear patients in group 1 (p<0.001).</p><p><strong>Conclusion: </strong>We think that the addition of DN to the conventional PTR program in treatment of patients with supraspinatus tendinopathy is beneficial in terms of both pain and functionality until the 3^rd month after treatment.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":" ","pages":"348-358"},"PeriodicalIF":1.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889497","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":"Cannabinoids in rehabilitation medicine: From controversy to clinical potential.","authors":"Özlem Balbaloğlu, Evrim Coşkun","doi":"10.4274/tftrd.2026.18777","DOIUrl":"10.4274/tftrd.2026.18777","url":null,"abstract":"","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"72 3","pages":"272-274"},"PeriodicalIF":1.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13617967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032129","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 effects of genicular nerves radiofrequency ablation treatment on postural stability in patients with knee osteoarthritis.","authors":"Serhad Bilim, Merve Demirci, Özge Keniş Coşkun, İpek Saadet Edipoğlu, Savaş Şencan, Osman Hakan Gündüz","doi":"10.4274/tftrd.2025.16094","DOIUrl":"10.4274/tftrd.2025.16094","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the effects of genicular nerves radiofrequency ablation (GNRFA) treatment on postural stability in patients with knee osteoarthritis.</p><p><strong>Patients and methods: </strong>Twenty-two patients were included in the study. Postural stability was assessed using the walk across test, sit-to-stand test, step-up and over test and modified clinical test of balance in sensory interaction tests with the NeuroCom Balance Master device. A numeric rating scale and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) criterion was used to determine changes pain levels and the functionality. Three evaluations were performed before treatment, 3 weeks and 3 months after treatment.</p><p><strong>Results: </strong>After GNRFA, changes in patients' postural stability parameters showed that the lift-up index and the movement time improved significantly in both lower extremities 3 weeks and 3 months. There was a significant reduction in pain levels [8.09±1.01 to 2.41±1.73 in the 3^rd week and to 4.18±1.79 in the 3^rd month (p<0.0001 for both)]. A significant improvement in WOMAC functionality scores was seen; they started with a mean of 58.69±11.25 at baseline and changed to 23.05±12.08 at the 3^rd week and 36.15±16.45 at the 3^rd month (p<0.001 for both).</p><p><strong>Conclusion: </strong>After GNRFA treatment, the lift-up index and the movement time, which are the dynamic postural stability parameters has improved significantly. These results show that GNRFA treatment contributes positively to postural stability.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":" ","pages":"283-289"},"PeriodicalIF":1.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13617964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868105","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 effects of Pilates training combined with whole-body vibration on balance and mobility in people with multiple sclerosis: A single-blind randomized controlled clinical trial.","authors":"Tansu Kuş, Arzu Güçlü Gündüz, Mustafacan Salamci, Çağla Özkul, Canan Yücesan","doi":"10.5606/tftrd.2026.17191","DOIUrl":"10.5606/tftrd.2026.17191","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to investigate the effects of Pilates training combined with whole-body vibration (WBV) on balance, functional mobility, core muscle endurance and power, lower extremity strength, upper extremity performance, and fatigue in people with multiple sclerosis.</p><p><strong>Patients and methods: </strong>This randomized controlled trial was conducted between December 2023 and September 2024. Thirty-four participants (9 males, 25 females; mean age: 36.7±12.2 years; range, 20 to 65 years) were included in the study and randomized into two groups: Pilates-WBV (n=17) and Pilates (n=17). The Pilates-WBV group received both Pilates and WBV training, while the Pilates group received only Pilates training. Both groups received training twice a week for six weeks. The primary outcomes included posturography, the Activities-Specific Balance Confidence Scale, core muscle endurance and power tests, the five times sit-to-stand test, the timed up-and-go test, and the 6-min walk test. The secondary outcomes included the nine-hole peg test, the Fatigue Severity Scale, and the Fatigue Impact Scale. Assessments were conducted at baseline and after intervention.</p><p><strong>Results: </strong>Both groups showed significant improvements in single-leg stance stability, limits of stability, balance confidence, core muscle endurance and power, functional mobility, upper extremity performance, and fatigue (p<0.05). Double-leg stance stability and walking distance improved only in the Pilates-WBV group (p<0.05). The Pilates-WBV group also showed greater improvements in trunk flexor endurance and core power (modified push-up test) compared to the Pilates group.</p><p><strong>Conclusion: </strong>Pilates training combined with WBV improved core stability, walking endurance, and physical performance more than Pilates training alone in people with multiple sclerosis.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"72 3","pages":"300-311"},"PeriodicalIF":1.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032090","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":"Idiopathic axillary web syndrome as a rare cause of shoulder pain: A case report.","authors":"Suheyla Dal Erdoğan, Elif Begüm Kılıç, Sevgi Esra Özdemir Tekeş, Bilgen Mehpare Özer","doi":"10.5606/tftrd.2026.16540","DOIUrl":"10.5606/tftrd.2026.16540","url":null,"abstract":"<p><p>Idiopathic axillary web syndrome (IAWS) is a rare clinical condition which presents as a fibrotic cord leading to pain and limitation of movement. A 39-year-old female patient with shoulder pain, axillary swelling and mild limitation of motion was diagnosed with IAWS. She participated in physical therapy and was started acemetacin 60 mg b.i.d. After two months of follow-up, the patient's symptoms completely resolved. In conclusion, this case emphasizes the importance of early diagnosis and treatment of IAWS and contributes to the limited knowledge in the literature.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"72 3","pages":"393-396"},"PeriodicalIF":1.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032124","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}