1,721,009 research outputs found
Cross-cultural adaptation, reliability and validity of the Turkish version of the Chronic Venous Disease Quality of Life Questionnaire (CIVIQ-20)
No full textBackground: Chronic venous disease (CVD) is a well-defined and known disorder which impact on related-health quality of life (QoL). The Chronic Venous Insufficiency Quality of Life Questionnaire (CIVIQ) is a disease-specific instrument to measure the impact of chronic venous insufficiency on patients' lives. The purpose of this study is to cross-culturally adapted the Chronic Venous Disease Quality of Life Questionnaire (CIVIQ-20) for Turkish-speaking patients and determine the psychometric properties of reliability, validity and factor structure in a Turkish population with CVD. Methods: The CIVIQ-20 was translated into Turkish and culturally adapted using a double forward-backward protocol according to established guidelines. Individuals (n = 140) with venous diseases completed the CIVIQ-20, Venous Insufficiency Epidemiological and Economic Study (VEINES-QoL/Sym) and Nottingham Health Profile (NHP) questionnaires at baseline and 1 month later. Results: Cronbach's a value was 0.93. Test-retest reliability was determined as moderate (ICC2:1 = 0.80). There was a significant correlation between CIVIQ-Tk and Nottingham and VEINES-QoL total scores (Nottingham 1:r = 0.770; p < 0.00, Nottingham 2: r = 0.7000; p < 0) (VEINES-QoL: r = -0.574; p < 0.00, VEINES-QoL 2: -0.592, p: 0.00). The measurement error were calculated from SEM and MDC90. The SEM was 2.63 and the MDC90 was 5.79. Exploratory factor analysis demonstrated a three factor structure that explained 56.32 % of total variance. Conclusion: The CVIQ-20 Turkish is a reliable and valid instrument for Turkish speaking patients with chronic venous insufficiency
DEVELOPMENT AND DESIGN OF SMARTPHONE APPLICATION FOR POSTURAL ALIGNMENT OF CERVICAL AND THORACIC SPINE FOR YOUNG ADULTS
No full textDifferences in Physical Activity and Physical Fitness Level in Patients with Fibromyalgia Syndrome and Healthy Individuals
No full textObjective: The aim of this study was to investigate the physical activity and physical fitness levels in patients with fibromyalgia syndrome (FMS) and to compare the data with those in healthy individuals. Methods: The study included 82 patients with FMS and 110 healthy individuals. In order to compare physical activity levels, all the subjects responded to the International Physical Activity Questionnaire, Long Form (IPAQ). The health-related physical fitness of the subjects was evaluated by body composition, muscle endurance, cardiorespiratory endurance, flexibility, and balance. Body mass index (BMI), sit-up test, 6-min walk test, sit and reach test, body lateral flexion, and Kinesthetic Ability Trainer 3000 (KAT 3000) were used to determine body composition, muscle endurance, cardiorespiratory endurance, flexibility, and balance, respectively. Results: Of the patients with FMS, 36.6% were inactive, 45.1% were insufficiently active, and 18.3% were active. Of the healthy individuals, 40.9% were active, 36.4% were insufficiently active, and 22.7% were inactive. Significant differences were found (p<0.05) in IPAQ walking and total scores between the groups. The sit-up test scores (p<0.001) and right and left body lateral flexion scores (p<0.001) were significantly different between the FMS patient and control groups. Conclusion: Our results showed that the physical activity and physical fitness levels of patients with FMS were lower than those of healthy individuals
Translating the Strengthening and Stretching for Rheumatoid Arthritis of the Hand Programme from clinical trial to clinical practice: An effectiveness-implementation study
No full textIntroduction: The Strengthening and Stretching for Rheumatoid Arthritis of the Hand programme is a hand exercise programme for people with rheumatoid arthritis. It was clinically effective when delivered during a clinical trial but there was a need to evaluate translation into routine care. Methods: We conducted an effectiveness-implementation study. We adapted the trial training into an online format for National Health Service hand therapists. Educational outcomes included confidence and capability to deliver the programme. Implementation outcomes included training reach and adoption. Therapists were invited to collect clinical outcomes. Patients receiving the programme provided data on function (Michigan Hand Questionnaire function scale), pain and grip strength at baseline, treatment discharge and four-month follow-up. Results: A total of 790 therapists (188 National Health Service organizations) enrolled in the training; 584/790 (74%) therapists (162 National Health Service organizations) completed the training; 448/790 therapists (145 National Health Service organizations) (57%) evaluated the training and were confident (447/448, 99.8%) and capable (443/448, 99%) to deliver the programme with 85% intending to adopt it (379/448). Follow-up data were provided by 116/448 (26%) therapists. Two-thirds (77/116; 51 National Health Service organizations) reported adopting the programme. One hundred and eighteen patients (15 National Health Service trusts) participated. Patients reported improved function (mean change Michigan Hand Questionnaire scores: 10 (95% CI 6.5-13.6) treatment discharge; 7 (95% CI 3.8-10.2) 4-month follow-up). Grip strength increased 24.5% (left) and 31% (right). Pain was stable. Discussion: Online training was an effective way to train therapists with good reach. Clinical outcomes were similar to the clinical trial providing preliminary evidence of successful translation into routine care
DEVELOPMENT AND RELIABILITY OF TURKISH VERSION OF THE SHORT FORM-JOINT PROTECTION BEHAVIOR ASSESSMENT (JPBA-S)
No full textStudy design: Clinical measurement. Purpose: To adapt the original JPBA-S to a Turkish version (TUR-JPBA-S) and to investigate its reliability in assessing patients with rheumatoid arthritis (RA). Methods: Twenty-two participants with RA and 21 healthy people were videotaped while performing tasks listed in the TUR-JPBA-S. Two raters scored the video recordings for to evaluate inter-rater reliability. One rater re-analyzed the recordings at a different time point for intra-rater reliability. Participants with RA were asked to perform the same tasks after three to four weeks which was also recorded to evaluate test-retest reliability. Results: Internal consistency (Cronbach's alpha value) was found to be high (0.89) for participants with RA. Our results demonstrate excellent intra-rater (ICC: 0.99, SEM 1.2) inter-rater (ICC: 0.99, SEM 1.7) reliability, apart from excellent test-retest reliability (ICC: 0.96). Conclusion: The TUR-JPBA-S is a valid and reliable instrument for assessing JP behavior in patients with RA in Turkey. (C) 2016 Hanley & Belfus, an imprint of Elsevier Inc. All rights reserved
A hand exercise mobile app for people with rheumatoid arthritis in Turkey: design, development and usability study
No full textTo design and develop a smartphone application for a structured hand exercise programme for patients with rheumatoid arthritis (RA) in Turkey and to test its usability. We followed a two-stage process: (1) Design and Development and (2) Usability testing. In stage 1, we used a qualitative user-centered design approach. We conducted a focus group (8 therapists and people with RA) to discuss the content, features and design to produce a prototype of the application. In a second focus group session, the participants tested the prototype, provided feedback and further revisions were made. In stage 2, 17 participants with RA used the app for 4 to 6 weeks. The System Usability Scale and the adapted Usability, Satisfaction and Ease to Use Questionnaires were used to measure usability, ease of use. Semi-structured interviews were conducted to explore user experiences with the application with 17 participants. In stage 1, the following themes were identified from the focus groups (a) login techniques (b) self-monitoring (c) exercises, (d) exercise diary, (e) information, (f) behavioral change and encouragement (g) exercise adherence. In stage 2, 3 themes were determined from interviews: (a) learning and accuracy, (b) ease of use, (c) motivation and adherence. USE and SUS scores indicated that users reported a high level of usability, satisfaction and ease of use. A mobile app for hand exercise for people with RA was developed using a mixed-method and iterative design. Participants perceived the mobile app as easy to use with high levels of satisfaction
Cervical proprioception accuracy is impaired in patients with axial spondyloarthritis
No full textBackground: Proprioception is the awareness of body parts and includes joint position sense, kinesthesia, and sense of force. Cervical spine is one of the major affected areas in axial spondyloarthritis (axSpA), and is an essential region for proprioceptive receptors. Objective: To investigate the cervical joint proprioceptive accuracy by using cervical joint positioning error (JPE) method in patients with axSpA and healthy controls. Design: Cross-sectional study. Methods: JPE was calculated for cervical motions in the directions of flexion, extension, rotations, and lateral flexions. Time since diagnosis, symptom duration, spinal mobility, functional status, quality of life, disease activity, and pain were evaluated in axSpA patients. Cervical JPE of axSpA patients was also compared according to radiographic status, biologic use, and existence of cervical syndesmophytes. Results: Eighty-two axSpA patients (52 males) and 71 healthy subjects (53 males) were evaluated. Cervical JPE was higher in patients with axSpA compared to healthy subjects (p < 0.001), except left lateral flexion (p = 0.10). Cervical proprioceptive accuracy for extension and left rotation was better in biologics+ subgroup compared to biologic- subgroup (p < 0.05). No other differences were detected related to radiographic status nor existence of cervical syndesmophytes (p > 0.05). Conclusion: Cervical proprioception accuracy is impaired in patients with axSpA. It seems that controlling disease activity by using appropriate medication may have a positive effect on cervical proprioception accuracy
Translating the Strengthening and Stretching for Rheumatoid Arthritis of the Hand Programme from clinical trial to clinical practice: an effectiveness–implementation study
No full textIntroduction: The Strengthening and Stretching for Rheumatoid Arthritis of the Hand programme is a hand exercise programme for people with rheumatoid arthritis. It was clinically effective when delivered during a clinical trial but there was a need to evaluate translation into routine care. Methods: We conducted an effectiveness–implementation study. We adapted the trial training into an online format for National Health Service hand therapists. Educational outcomes included confidence and capability to deliver the programme. Implementation outcomes included training reach and adoption. Therapists were invited to collect clinical outcomes. Patients receiving the programme provided data on function (Michigan Hand Questionnaire function scale), pain and grip strength at baseline, treatment discharge and four-month follow-up. Results: A total of 790 therapists (188 National Health Service organizations) enrolled in the training; 584/790 (74%) therapists (162 National Health Service organizations) completed the training; 448/790 therapists (145 National Health Service organizations) (57%) evaluated the training and were confident (447/448, 99.8%) and capable (443/448, 99%) to deliver the programme with 85% intending to adopt it (379/448). Follow-up data were provided by 116/448 (26%) therapists. Two-thirds (77/116; 51 National Health Service organizations) reported adopting the programme. One hundred and eighteen patients (15 National Health Service trusts) participated. Patients reported improved function (mean change Michigan Hand Questionnaire scores: 10 (95% CI 6.5–13.6) treatment discharge; 7 (95% CI 3.8–10.2) 4-month follow-up). Grip strength increased 24.5% (left) and 31% (right). Pain was stable. Discussion: Online training was an effective way to train therapists with good reach. Clinical outcomes were similar to the clinical trial providing preliminary evidence of successful translation into routine care.</p
Assessment of Physical Fitness and Physical Activity Levels in Patients with Rheumatoid Arthritis, Osteoarthritis, Fibromyalgia
No full textFiziksel aktivite ve fiziksel uygunluk düzeyi romatoid artrit, osteoartrit, fibromiyalji
hastalarında ağrı, kas kuvvetsizliği, hareket kısıtlılığı, yorgunluk sonucunda
azalmaktadır. Yapılan çalışmalarda romatoid artrit, osteoartrit, fibromiyalji hastalarda
fiziksel aktivite ve fiziksel uygunluk düzeyinin belirlenmesi gerektiği vurgulanmaktadır.
Çalışmamızın amacı romatoid artrit, osteoartrit veya fibromiyalji tanısı ile izlenen
olgular ve sağlıklı bireylerin fiziksel uygunluk ve fiziksel aktivite düzeylerini
belirlemek ve karşılaştırmaktır. Çalışmamız, Başkent Üniversitesi Hastanesi, Fiziksel
Tıp ve Rehabilitasyon Anabilim Dalı polikliniğinde tanısı konan 50 romatoid artrit, 95
osteoartrit, 82 fibromyalji ve 110 sağlıklı olgu üzerinde gerçekleştirilmiştir. Olguların
ağrı değerlendirmesi için Mcgill Ağrı Anketi kullanılmıştır. Fiziksel aktivite düzeyinin
belirlenmesi amacıyla Uluslararası Fiziksel Aktivite Anketi (IPAQ) kullanılmıştır.
Sağlıkla ilgili fiziksel uygunluk düzeyinin belirlenmesi amacıyla vücut kompozisyonu
(VKİ), kas kuvveti ve enduransı (sit up testi), esneklik ( otur uzan- gövde lateral
fleksiyon testi), kardiyorespiratuar endurans ( 6 dakika yürüme testi ) ve denge (KAT
3000) ölçümleri yapılmıştır. Fibromyalji grubunun Mcgill Ağrı Anketi alt parametre
skorları istatistiksel olarak anlamlı düzeyde romatoid artrit, osteoartrit gruplarına göre
daha yüksek bulunmuştur (p ≤ 0,05). Romatoid artrit, osteoartrit, fibromiyalji hasta
gruplarının IPAQ anketi alt parametrelerinden yürüme ve toplam fiziksel aktivite
skorlarının, sağlıklı olgulara göre istatistiksel olarak anlamlı düzeyde düşük olduğuna
rastlanmıştır (p≤0,05). Fibromyalji grubundaki olguların % 36,6’sı, osteoartrit
grubundaki olguların % 28,4'ü, romatoid artrit grubundaki olguların % 38’inin ve
sağlıklı olguların % 22,7’sinin inaktif olduğu saptanmıştır. Sağlıkla ilgili fiziksel
uygunluk düzeyi açısından romatoid artrit grubundaki olguların kontrol grubuna göre sit
up testi sonuçları anlamlı düzeyde daha düşük, borg yorgunluk skala sonuçları daha
yüksek bulunmuştur (p≤ 0,05). Fibromyalji grubundaki olguların, osteoartrit ve sağlıklı
vi
olgulara göre sit up testi sonuçları anlamlı düzeyde daha düşük bulunmuştur (p<0.05).
Romatoid artrit grubundaki olguların osteoartrit grubundaki olgulara göre statik denge
düzeyleri istatistiksel olarak anlamlı düzeyde daha düşük olduğuna rastlanmıştır (p
<0.05). Osteoartrit grubundaki olguların sağlıklı olgulara göre dinamik denge düzeyleri
istatistiksel olarak anlamlı düzeyde daha düşük olduğu saptanmıştır (p<0.05). Sonuç
olarak sağlıklı bireylerle kıyaslandığında romatoid artrit, osteoartrit veya fibromiyalji
hastalarının fiziksel aktivite ve fiziksel uygunluk düzeylerinin düşük olduğu
saptanmıştır. Romatoid artritli olguların fiziksel aktivite ve fiziksel uygunluk
düzeylerindeki azalma, osteoartrit ve fibromiyalji olgulardan daha belirgindir.
Romatizmal hastalıklarda egzersiz ve günlük fiziksel aktivite programları fizyoterapi
rehabilitasyon tedavi yaklaşımları arasında yer almalıdır
Turkish validity and reliability of the tampa scale for kinesiophobia for temporomandibular disorders
No full textAmaç: Temporomandibular eklem bozukluklarında kinezyofobiyi değerlendirmek için kullanılan 'The Tampa Scala for Kinesiophobia for Temporomandibular Disorders (TSK-TMD)' anketinin Türkçe geçerliliğini ve güvenilirliğini yapmaktır. Yöntem: 12 sorudan oluşan 'Temporomandibular Bozukluklarda Tampa Kinezyofobi Ölçeği' (TMB-TKÖ) çeviri ve geri-çeviri yöntemi ile Türkçe'ye uyumlandırıldı. Çalışmamıza en az 6 aydır temporomandibular eklem şikayeti olan ve Temporomandibular Eklem Bozukluğu tanısı konulmuş 111 hasta (75 kadın, 36 erkek) dahil edildi. Olgulara temporomandibular eklem problemleri değerlendirme formu ile birlikte Türkçe TMB-TKÖ Ölçeği, Vizüel Analog Skalası (VAS) ve Ağrı Felaketleştirme Ölçeği (AFÖ) uygulandı. Anketin güvenilirliği için, iç tutarlılığı analiz etmede Cronbach Alfa katsayısı hesaplandı. Test-tekrar test güvenilirliği için anket 40 hastaya 3-5 gün sonra tekrar uygulandı. AFÖ ile aralarında parelel form güvenilirliğine bakıldı. Yapı geçerliliğini belirlemek amaçlı açıklayıcı faktör analizi yapıldı. Bulgular/Sonuç: Çalışmamızın iç tutarlılığı hesaplandığında Cronbach Alfa katsayısı yüksek bulundu (α=0,876). Madde toplam korelasyonu 0,410 ile 0,706 arasında bulundu. Test-tekrar test için bakılan interclass correlation coefficient (ICC) değeri 0,951; paralel form güvenilirliğinde AFÖ ile aralarındaki korelasyon katsayısı 0,520 olarak bulundu. Açıklayıcı faktör analizi sonucunda 12 maddelik ölçeğin screeplot (saçılım) grafiğine göre tek faktör yapısına sahip olduğu belirlendi. Çalışmamızın sonucunda Türkçe TMB-TKÖ anketinin geçerli ve güvenilir bir ölçek olduğu belirlenmiş olup, temporomandibular eklem bozukluğu olan hastalarda kinezyofobiyi değerlendirmek için kullanılabilir. Anahtar Kelimeler: Temporomandibular eklem, temporomandibular bozukluklar, kinezyofobi, geçerlilik ve güvenilirlik.Objective: The aim of this study is to evaluate the validity and reliability of the Turkish version of the 'The Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK-TMD)' questionnaire used to assess kinesiophobia in temporomandibular joint disorders. Method: The 12 items of 'The Tampa Scale for Kinesiophobia for Temporomandibular Disorders' form was translated into Turkish by 'back translation' method. Our study included 111 patient (75 females and 36 males) with a diagnosis of temporomandibular joint disorders at least 6 months. Temporomandibular joint disorders evaluation form, Turkish TSK-TMD, Visuel Analogue Scale (VAS) and Pain Catastrophizing Scale (PCS) were applied to the patients. For the reliability of the questionnaire, the Cronbach's alpha coefficient was calculated for internal consistency analsis. For the test-retest reliability, 3-5 days later for the second time Turkish TSK-TMD form were applied to 40 patients. Parallel form reliabilty was assessed with PCS. Explanatory factor analysis was conducted for construct validity. Finding/Conclusion: The Cronbach's alpha coefficient was found to be high in calculating the internal consistency of our study (α=0.876). Item total correlation was found between 0.410 and 0.706. The interclass correlation coefficent (ICC) value for test-retest was found to be 0.951. In parallel form reliability, the correlation cofficient with PSC was found to be 0.520. As a result of explanatory factor analysis, it was determined that the 12 item scale had a single factor structure according to the screeplot graphic. As a result of our study, it was determined that Turkish TSK-TMD questionnaire was a valid and reliable scale. Altghough it can be used to asses kinesiophobia for patients with temporomandibular disorders. Key words: Temporomandibular joint, temporomandibular disorders, kinesiophobia, validity and reliability
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