Medical archives (Sarajevo, Bosnia and Herzegovina)最新文献

{"title":"Correlation Between Clicking Sound Symptoms and Magnetic Resonance Imaging Findings in Patients with Temporomandibular Joint Internal Derangement.","authors":"Hoang Kim Loan, Nguyen Thanh Van Anh, Trinh Van Duy, Nguyen Thi Hoa, Dinh Quang Chien, Hoang Dinh Au","doi":"10.5455/medarh.2025.79.155-158","DOIUrl":"10.5455/medarh.2025.79.155-158","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular joint disorder (TMD) encompasses structural and functional disturbances within the temporomandibular joint (TMJ), the masticatory muscles, and adjacent craniofacial soft tissues. Internal derangement (ID) of the TMJ, which represents approximately 80% of TMD cases, refers to abnormalities in the spatial relationship between the articular disc, condyle, mandibular fossa, and articular eminence.</p><p><strong>Objective: </strong>This study aims to evaluate the correlation between magnetic resonance imaging (MRI) findings and clicking sound symptoms in patients with temporomandibular joint internal derangement (TMJID).</p><p><strong>Methods: </strong>This was a prospective descriptive study conducted at Hanoi Medical University Hospital from August 2023 to August 2024, including 178 patients with a total of 267 TMJs clinically diagnosed with TMJID. All patients were assessed for clicking sounds, followed by MRI examination of the temporomandibular joint. MRI features, including disc position, condylar morphology, disc morphology, and joint effusion, were analyzed for correlations with the presence of clicking sounds.</p><p><strong>Results: </strong>The study demonstrated a statistically significant correlation between clicking sounds and both disc displacement and disc deformities on MRI (p<0.05). In contrast, no significant correlation was found between clicking sounds and condylar damage or joint effusion (p>0.05).</p><p><strong>Conclusion: </strong>Disc displacement and morphological abnormalities on MRI are closely associated with clicking sound symptoms in patients with TMJID.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"79 2","pages":"155-158"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12269763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144677107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Plastic Bronchitis Associated with Group C Streptococcus: a Case Report.","authors":"Zakaria Sharadgah, Mousa Ahmad Qatawneh, Roaa Khasawneh, Nisreen Alhamiedeen, Nuseibah Alramadinah, Alaa Zghreen, Moath Tarawneh, Osama Bataineh","doi":"10.5455/medarh.2025.79.61-63","DOIUrl":"https://doi.org/10.5455/medarh.2025.79.61-63","url":null,"abstract":"<p><strong>Background: </strong>Plastic bronchitis (PB) is a rare airway-obstructive disease characterized by the formation of tenacious casts resembling bronchial airway architecture which can progress to extensive bronchial blockage, leading to pulmonary ventilation dysfunction and life-threatening respiratory failure.</p><p><strong>Objective: </strong>The aim of this article was to desribe a very rare case of plastic bronchitis caused by group C streptococcus (GCS) as a pathogen causing PB.</p><p><strong>Case presentation: </strong>A 5-year-old girl with no known underlying chronic diseases presented in October 2022 with a moderate-grade fever, dyspnea, and a productive cough of 3-months' duration On physical examination, she was slightly tachypneic with an oxygen saturation of 98%, but there were no other significant findings. Initial imaging studies, including a chest X-ray (CXR) and a two-dimensional echocardiogram, were normal. Most cases of PB result from procedures to repair congenital heart diseases, although other etiologies have been identified, including infections, inflammatory processes, and acute chest syndrome of sickle cell disease. The incidence of pulmonary infection associated with PB has increased over the years, primarily due to adenovirus, influenza viruses, Mycoplasma pneumoniae, and Haemophilus influen zae. To the authors' knowledge, this is the first case report describing group C streptococ cus (GCS) as a pathogen causing PB.</p><p><strong>Conclusion: </strong>To the authors' knowledge, this is the irst case report describing group C streptococcus (GCS) as a pathogen causing PB.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"79 1","pages":"61-63"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In-hospital Mortality Predictors in Patients with Infective Endocarditis: a Retrospective Analysis at a Tertiary Hospital in Vietnam.","authors":"Bui The Dung, Pham Ngoc Dan, Nguyen Minh Nhut","doi":"10.5455/medarh.2025.79.190-193","DOIUrl":"10.5455/medarh.2025.79.190-193","url":null,"abstract":"<p><strong>Background: </strong>Infective endocarditis (IE) is a severe disease associated with high in-hospital mortality. Prognostic factors and the independent role of cardiac surgery remain unclear in clinical practice in Vietnam.</p><p><strong>Objective: </strong>To identify factors associated with in-hospital mortality in IE patients and evaluate the independent role of cardiac surgery.</p><p><strong>Methods: </strong>This retrospective descriptive-analytical study included 129 patients diagnosed with IE at the University Medical Center Ho Chi Minh City from January 2019 to April 2024. Clinical, laboratory, treatment, and outcome data were collected. Logistic regression analyses were performed to identify mortality predictors.</p><p><strong>Results: </strong>The in-hospital mortality rate was 16.3%. Univariate analysis identified hepatic failure, septic shock, ventilator-associated pneumonia, disseminated intravascular coagulation (DIC), and absence of surgery as associated factors. In multivariate analysis, septic shock (OR = 22.0; 95% CI: 7.1-68.5) and not undergoing cardiac surgery (OR = 0.07; 95% CI: 0.01-0.43) were independent predictors.</p><p><strong>Conclusion: </strong>In-hospital mortality in IE remains high. Early identification of high-risk patients and improved access to indicated cardiac surgery may enhance prognosi<b>s</b>.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"79 3","pages":"190-193"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12253607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Contralateral Recurrence in Patients With Primary Spontaneous Pneumothorax.","authors":"Hatem Elbawab, Ali Alghareeb, Mohammed Alkhalifa, Layth Almasbah, Battal Albeshi, Farouk Alreshaid, Zeead Alghamdi, Yasser Aljehani","doi":"10.5455/medarh.2025.79.199-204","DOIUrl":"10.5455/medarh.2025.79.199-204","url":null,"abstract":"<p><strong>Background: </strong>The recurrence of primary spontaneous pneumothorax (PSP) requires readmission to the hospital and additional medical costs. Therefore, the identification of predictors for recurrence may help reduce additional burdens.</p><p><strong>Objective: </strong>To investigate the outcome of asymptomatic contralateral bullae in individuals diagnosed with ipsilateral primary spontaneous pneumothorax (PSP) and examine the risk factors contributing to the incidence of contralateral pneumothorax.</p><p><strong>Methods: </strong>A retrospective analysis from January 2014 to May 2023, of 18-50 years old patients who underwent thoracoscopic bullectomy for PSP management at a university hospital. However, we excluded patients older than 50 years of age, patients with traumatic pneumothorax, and bilateral PSP.</p><p><strong>Results: </strong>A total number of 184 episodes of PSP cases were reviewed and contralateral recurrence was observed in 14.3% of patients. Significant associations were identified between contralateral recurrence and the presence of contralateral bullae on high-resolution CT (HRCT) (p = 0.002), as well as the number (p = 0.003) and side of the affected hemithorax (p = 0.036). Patients lacking contralateral bullae, those with a single bulla, or right-sided PSP had lower contralateral recurrence likelihood. Initial PSP side was a significant predictor, with a 2.8 times higher likelihood (p = 0.046). Additionally, increasing bullae number in chest CT scans was correlated with a 44% decrease in the odds of contralateral pneumothorax (p = 0.038).</p><p><strong>Conclusion: </strong>Patients presenting with PSP and evident contralateral bullae on imaging, should be closely followed up and informed about the significant risk to avoid recurrences and complications.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"79 3","pages":"199-204"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12253581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Bacterial Vaginosis of Pregnant Women in the General Hospital Tesanj.","authors":"Larisa Mesic Djogic, Ermin Cehic, Harun Hodzic, Armina Babic, Belma Sljivo","doi":"10.5455/medarh.2025.79.194-198","DOIUrl":"10.5455/medarh.2025.79.194-198","url":null,"abstract":"<p><strong>Background: </strong>In women of reproductive age, bacterial vaginosis (BV) is a common infection of the reproductive system. The existence of BV among pregnant women has momentously attracted the attention of both clinicians and the scientific community due to its potential link with adverse clinical outcomes during pregnancy.</p><p><strong>Objective: </strong>The aim of this study was to examine the incidence of bacterial infections in pregnancy and their impact on the outcome of childbirth.</p><p><strong>Methods: </strong>We conducted this study in one year in pregnant women at the Department of Gynecology and Obstetrics at the General Hospital Tešanj. In the study included N = 295 pregnant women. Of the total number, pregnant women are divided into two groups, working group N = 55 (pregnant women diagnosed with bacterial vaginosis), control group N = 240 (pregnant women without bacterial vaginosis).</p><p><strong>Results: </strong>In the observed one-year period, there were a total of N=295 pregnant women, of which N=55 (19%) who had bacterial vaginosis and N=240 (81%) without bacterial vaginosis. Pregnant women reported that the majority had two sexual partners, with a statistical difference between the groups (p=0.001), and the majority were in the second trimester of pregnancy during the study, with a statistically significant difference between pregnant women with and without bacterial vaginosis (p=0.0001). Of the symptoms reported by pregnant women, vulvar pruritus was the most dominant, with a statistically significant difference between groups (p=0.001). Dysuria, dyspareunia, and lower abdominal pain were the less common symptoms reported by pregnant women in both groups, but without a statistically significant difference (p>0.05). In the group of pregnant women with bacterial vaginosis, as many as 29 babies were premature, and in the group without bacterial vaginosis only 6, with a statistically significant difference between pregnant women (p=0.0001).</p><p><strong>Conclusion: </strong>In our one-year study, the prevalence of bacterial infections was found in 19% of pregnant women, and had an impact on the occurrence of preterm birth with a statistically significant difference compared to pregnant women without bacterial vaginosis, and lower birth weight.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"79 3","pages":"194-198"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12253578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Frequency of Complications Associated with Breastfeeding in Breastfeeding Mothers.","authors":"Rajko Fures, Zlatko Hrgovic, Vesna Cosic, Damir Rosic, Martin Gredicak, Sanja Malinac Malojcic, Mladen Krajcar, Lucije Radic, Katarina Svazic","doi":"10.5455/medarh.2025.79.96-99","DOIUrl":"10.5455/medarh.2025.79.96-99","url":null,"abstract":"<p><strong>Background: </strong>Complications of breastfeeding occured mostly due to improper breastfeeding tecniques and poor education of mothers. These are reversible and can be prevented with proper education of mothers and medical personnel.</p><p><strong>Objective: </strong>This research aimed to examine, through anonymous questionnaires, breastfeeding complications in the maternity unit, but also later during breastfeeding in the area covered by the district nurses of the Zagreb-West Health Center.</p><p><strong>Methods: </strong>Out of 200 mothers participated and the research was conducted from January 2020 until May 2021.</p><p><strong>Results: </strong>Most of the pregnant women were beetwen 31-40 years old. 67.2% of them had vaginal birth. Most common complications during breastfeeding were engorged breasts (33.6%) while the rarest were mental disorders (3.1%) and nipple vasospasm (1.6%). Mothers used different kinds of solutions for these complications: silicone nipple shields, correction of position and proper breast grip, warm and cold compresses, breast pumping, massage and stimulation of breasts. As many as 46.9% of respondents had difficulties breastfeeding in the maternity unit, and the majority were primiparas (62.0%).</p><p><strong>Conclusion: </strong>Complications of breastfeeding are more common with first-time mothers then with mothers who gave birth to multiple children. Primary solution for prevention, recognition of complications on time and managing complications is a continuous education of mothers and sensitization of overall public about advantages of breastfeeding.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"79 2","pages":"96-99"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12269771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144677071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Amiodarone in the Prevention of Postoperative Atrial Fibrillation After Surgical Myocardial Revascularization.","authors":"Azra Avdic Salihovic, Emir Mujanovic, Enes Osmanovic, Suad Keranovic, Elmir Jahic, Samed Djedovic, Denis Mrsic, Merima Ibisevic, Nela Rajkovic","doi":"10.5455/medarh.2025.79.105-110","DOIUrl":"10.5455/medarh.2025.79.105-110","url":null,"abstract":"<p><strong>Background: </strong>Postoperative atrial fibrillation (POAF) is the most common complication after cardiac surgery, increasing morbidity, ICU stay, dialysis need, hospitalization length, and costs. Despite prophylactic strategies, POAF incidence remains high, especially in moderate and high risk patients.</p><p><strong>Objective: </strong>To assess the effect of amiodarone on POAF incidence and onset timing in moderate and high risk patients.</p><p><strong>Methods: </strong>This prospective observational study included 454 patients undergoing elective coronary artery bypass grafting (CABG). Risk stratification of patients was based on the McSPI AFRisk Index, compared with the POAF Score and CHA2DS2-VASc Score. Moderate and high risk patients received amiodarone in combination with beta blockers (Amiodarone group), while low risk patients received beta blockers only. The primary outcome was POAF incidence, analyzed via Kaplan-Meier and Cox regression. Secondary analysis compared POAF rates between groups using the χ2 test.</p><p><strong>Results: </strong>POAF occurred in 5.95% of the Amiodarone group versus 9.25% in the beta blocker group (overall incidence: 15.2%). The relative risk reduction was 27% (RR = 0.27, 95% CI = 0.105-0.689, p = 0.006). POAF incidence was significantly lower in the Amiodarone group (p = 0.008, χ2 test). Kaplan-Meier analysis showed delayed POAF onset in the Amiodarone group (median: 48h vs. 33h, p = 0.0007). Cox regression confirmed a 73% lower risk of early POAF (HR = 0.27, 95% CI = 0.105-0.689, p = 0.006).</p><p><strong>Conclusion: </strong>Amiodarone combined with beta blockers reduces POAF incidence and delays its onset after CABG. Keywords: POAF, CABG, amiodarone, risk stratification. Keywords: Body Dysmorphia, PCOS patients, prevalence.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"79 2","pages":"105-110"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12269756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144677072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complications Following Wrist Arthroscopy for Triangular Fibrocartilage Complex Injuries: a Prospective Analysis.","authors":"Tran Nguyen Phuong, Le Trong Tan, Nguyen Phu Chan, Le Viet Son, Quach Khang Hy, Dinh Thanh Long, Bui Hong Thien Khanh","doi":"10.5455/medarh.2025.79.92-95","DOIUrl":"10.5455/medarh.2025.79.92-95","url":null,"abstract":"<p><strong>Background: </strong>Wrist arthroscopy has emerged as the standard for diagnosing and treating triangular fibrocartilage complex (TFCC) injuries. While generally considered safe, complications do occur.</p><p><strong>Objective: </strong>This study aims to analyze complications in a series of 68 consecutive patients who underwent wrist arthroscopy for TFCC pathology. This study evaluates the incidence and nature of complications following wrist arthroscopy for TFCC injuries.</p><p><strong>Methods: </strong>A prospective study of 68 patients who underwent wrist arthroscopy for TFCC injuries between January 2021 and July 2024 was conducted. Patient demographics, injury characteristics, surgical details, and complications were recorded. Patients were followed at 1 week, 1 month, 3 months and 6 months postoperatively. Statistical analysis identified potential risk factors for complications.</p><p><strong>Results: </strong>In our cohort (41 females, 27 males; mean age 32.7 ± 9.2 years), complications occurred in 8.8% of cases (n=6). All complications were neurological, involving the sensory branch of the ulnar nerve, with 7.4% (n=5) experiencing numbness in the 4th and 5th digits and 1.4% (n=1) experiencing isolated 5th digit numbness. All symptoms resolved within 3 months without specific treatment. No significant associations were found between complications and injury type, surgical technique, or operative parameters (p>0.05). A learning curve was observed, with all complications occurring within the first 25 cases.</p><p><strong>Conclusion: </strong>Wrist arthroscopy for TFCC injuries demonstrates a relatively low complication rate (8.8%), with temporary ulnar nerve-related sensory symptoms being the predominant issue. Surgical experience appears to be an important factor in reducing complications. This study supports the safety of wrist arthroscopy in managing TFCC injuries when performed by experienced surgeons.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"79 2","pages":"92-95"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12269757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144677106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hydroxychloroquine-Induced Skin Hyperpigmentation in Systemic Lupus Erythematosus Patient: A Case Report.","authors":"Anhar Zahrani, Shaimaa Salaam, Sahar Alsifri, Amjad Alghamdi, Mohammed Zamil","doi":"10.5455/medarh.2025.79.67-70","DOIUrl":"https://doi.org/10.5455/medarh.2025.79.67-70","url":null,"abstract":"<p><strong>Background: </strong>Hydroxychloroquine (HCQ) is an anti-malarial, antirheumatic disease-modifying medication. Besides the familiar adverse effects, HCQ has been associated with cutaneous manifestations like hyperpigmentation, vitiligo, and pruritus.</p><p><strong>Objective: </strong>This case report aims to describe the clinical features and outcome of hydroxychloroquine-induced skin hyperpigmentation in a patient with SLE.</p><p><strong>Case presentation: </strong>In this case report, we present a 32-year-old man with a history of Systemic lupus erythematosus who was treated with hydroxychloroquine. One year after treatment, the patient complained of diffused discoloration and melanonychia. Furthermore, punch biopsy from the involved sites showed pigment incontinence. To our knowledge, this is the only case reported with biopsy and photographic evidence from our geographical area.</p><p><strong>Conclusion: </strong>Hydroxychloroquine-induced pigmentation is not a rare adverse effect of HCQ. Biopsy revealed pigment incontinence. Additionally, our patient had no history of ecchymoses or anticoagulant therapy.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"79 1","pages":"67-70"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison and Relationship of Isometric Strength, Range of Motion, Ankle Mobility in Participants with Normal Medial Longitudinal Arch and Flat Foot.","authors":"Mohammad Ahsan, Turki Abualait","doi":"10.5455/medarh.2025.79.20-26","DOIUrl":"https://doi.org/10.5455/medarh.2025.79.20-26","url":null,"abstract":"<p><strong>Background: </strong>The foot arch is an important structural characteristic that plays a key role in supporting weight and facilitating movement. Flat foot might result in difficulties due to changes in biomechanics and muscular imbalances.</p><p><strong>Objective: </strong>The aim of this study was to determine the differences of isometric strength, range of motion, ankle mobility in participants with normal medial longitudinal arch and flat foot.</p><p><strong>Methods: </strong>A Comparison cum correlation cross-sectional study was conducted with twenty-eight normal medial longitudinal arch and twenty-eight with flat foot participants were randomly selected for this study. The navicular drop test was employed to identify foot arch. Handheld dynamometer, ankle joint range of motion, and Dorsiflexion Lunge Test were used to assess isometric strength, goniometer, and ankle mobility, respectively. An independent t-test was used to compare between the two independent groups. Pearson correlation coefficient was used to find the relationship between variables.</p><p><strong>Results: </strong>The findings of this study indicated that there were statistically significant differences between participants' arch height, ankle mobility, muscular strength, and range of motion at dorsiflexion and plantar flexion. There were statistically significant relationships among all variables except calf muscle circumference with foot arch (r=.100,p=.463), and isometric muscular strength at dorsiflexion (r=.190,p=1.61). Arch height with range of motion at dorsiflexion (r=.190,p=.160), range of motion at dorsiflexion with range of motion at plantar flexion (r=.095,p=.486) for participants with normal medial longitudinal arch and participants with flat foot.</p><p><strong>Conclusion: </strong>Findings indicate that normal medial longitudinal arch group had greater scores for all variables than flat foot group. Positive significant correlations between all variables except ankle mobility were found. The relationship between range of motion and isometric strength was less pronounced, indicating that these variables may be influenced by other biomechanical factors.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"79 1","pages":"20-26"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}