Fizyoterapi ve Rehabilitasyon Bölümü / Department of Physiotherapy and Rehabilitation

Permanent URI for this collectionhttps://hdl.handle.net/11413/6828

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Azaltılmış Plantar Ön-Ayak Duyusunun Taban Basıncı Üzerine Etkisinin İncelenmesi
(2018) Akalan, Ekin; Sert, Rukiye; Kuchimov, Shavkat Nadir; Leblebici, Gökçe; Ertürk, Gamze; Bilgili, Fuat; ÖNERGE, KÜBRA; 283338; 176320; 229941; 268636; 237820
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Does clinically measured ankle plantar flexor muscle strength or weakness correlate with walking performance in healthy individuals?
(2018) Akalan, N.Ekin; Kuchimov, Shavkat Nadir; Temelli, Yener; Ören, Merve; Nene, Anand; APTİ, ADNAN
OBJECTIVE: Muscle strength is usually measured using isometric hand-held dynamometers (HHDs) in the clinic. However, during functional activities, the muscle acts more dynamically. The aim of this study was to investigate the relation between clinically measured plantar flexor (PF) muscle strength (PFMS) and laboratory measurements of peak ankle plantar flexion power generation (APFPG), peak ankle moment (PAM), peak plantar flexion velocity (PFV) and mean gait velocity in healthy participants. METHODS: The maximum PFMS on non-dominant sides in 18 able-bodied persons 23.88 (SD 3.55 years) was measured before (Pre-S) and after a stretching (Post-S) procedure (135 sec. x 13 rep. with 5 sec. rest) by using a HHD. The stretching procedure was used to generate temporary PF muscle weakness. Gait analysis was carried out for Pre-S and Post-S conditions. Normalized (by weight and height) and non-normalized HHD scores and differences for both conditions were correlated by Pearson correlation coefficient calculations (p < 0.05). RESULTS: Reduced PFMS (%23, p < 0.001) in Post-S, according to the HHD scores, has only a weak correlation with APFPG (r > 0.3, p < 0.5). Gait velocity was found to be strongly correlated with APFPG only in the Post-S condition (r = 0.68, p < 0.002). HHD scores and PAM were moderately correlated with the non-normalized Post-S condition (r = 0.44, p = 0.70) and strongly correlated with the non-normalized Pre-S condition (r = 0.62, p < 0.01). DISCUSSION: HHD scores of plantar flexor muscles give very limited information about the PF performance during walking in healthy individuals. Simple normalization did not improve the relations. Clinically measured isometric muscle strength and muscle weakness have only moderate strengths for establishing a treatment protocol and for predicting performance during walking in neurologically intact individuals.
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Osteopathic manipulative treatment improves function and relieves pain in knee osteoarthritis: A single-blind, randomized-controlled trial
(Bayçınar Medical Publ-Bayçınar Tıbbı Yayıncılık, Örnek Mh Dr Suphi Ezgi Sk Saray Apt No 11 D 6, Ataşehir, İstanbul 34704, Turkey, 2018) Murat, Sadiye; Yumaşakhuylu, Yasemin; İçağasıoğlu, Afitap; ALTINBİLEK, TURGAY; 182368; 269544
Objectives: In this study, we aimed to compare the efficacy of osteopathic manipulative treatment (OMT) to exercise treatment in the knee osteoarthritis (OA). Patients and methods: A total of 100 patients (9 males, 76 females; mean age 54.8 +/- 8.5 years; range, 40 to 70 years) with Stage II-III bilateral knee OA enrolled to the study and randomized into two groups between January 2015 and June 2015. Group 1 performed exercise and received OMT and Group 2 performed exercise alone. We assessed the clinical parameters with Western Ontario MacMaster Questionnaire (WOMAC) pain score, WOMAC joint stiffness score, WOMAC physical function score, Visual Analog Scale (VAS) and 50-m walking time. All patients were assessed at the beginning of the study, just after the treatment, and four weeks after the treatment. Results: There was no significant difference between groups in terms of physical examination and clinical assessment parameters before treatment. Functional improvement (p<0.05) and pain relief (p<0.05) were significantly higher in the exercise + OMT group. Conclusion: Based on our study results, OMT is a particular treatment used by osteopathic physicians to complement conventional treatment of OA of the knee. In addition to the conservative treatment, OMT can be used.
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A novel dorsal trimline approach for passive-dynamic ankle-foot orthoses
(Assoc Mechanical Engineers Technicians Slovenia, Po Box 197-Iv, Ljubljana 61001, Slovenia, 2018) Sürmen, Hasan Kemal; Fetvacı, Mahmut Cüneyt; Arslan, Yunus Ziya; AKALAN, NAZİF EKİN; 123435; 176320; 19199; 110120
An ankle-foot orthosis (AFO) is an externally applied assistive device that encompasses the lower leg, ankle, and foot of the human body. In the current one-piece passive-dynamic AFO design, the trimming process is performed from lateral and medial parts of the ankle to ensure desired rotational displacement (hereafter referred to as Design I). In most cases, stress concentrations occurring over the trimmed regions during walking can cause permanent damage to the AFO. In this study, to reduce the stress concentration and ensure a homogeneous stress distribution, a new trimming approach is presented, in which the trim zones were transferred from lateral and medial to dorsal (hereafter referred to as Design II). Finite element analyses of the Designs I and II models were carried out. Displacement and von Mises stress values for both models under the same loading and boundary conditions were obtained. Maximum displacement values were 8.51 mm and 9.05 mm for Design I and Design II, respectively. Maximum stress values were 15.19 MPa and 6.70 MPa for Design I and Design II, respectively. For the similar range of motion of ankle joint, the novel design produced less stress and more homogeneous stress distribution than the currently used design, thus indicating that Design II would be more resistant to plastic deformation than Design I.
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Hemiplejik Tip Serebral Palsili ÇocuklardaTek Ayak Üzerinde Durma Süresi İle KMFDÖ Skoru ve Stance Faz Stabilitesi Arasındaki İlişki
(2018) Ertürk, Gamze; Skalan, Ekin; Evrendirek, Halenur; Karaca, Gülşah; Bilgili, Fuat; 268636; 176320; 268497; 268498; 237820
Amaç: Hemiplejik-tip serebral palsili (HSP) çocukların basma fazındaki stabilite problemleri ve kaba motor gelişimindeki anormallikler çeşitli yürüyüş patolojilerine neden olmaktadır. Kaba Motor Fonksiyon Değerlendirme Ölçeği (KMFDÖ) SP'li çocuklarda fonksiyon değerlendirmesi için en sık kullanılan yöntemdir \ Yürüme stabilitesinin objektif değerlendirilmesi için pedobarografi ve 3 boyutlu yürüme analizi gibi yüksek maliyetli ve klinikte geniş alan gerektiren donanımlara ihtiyaç duyulmaktadır. Bu tür yöntemlerin uygulanması çok uzun zaman almakta, klinisyen için yorucu olmakta ve tecrübe gerektirmektedir. Tek Ayak Üzerinde Durma Testi (TADT) ise klinikte sıklıkla kullanılan, pratik ve kolay uygulanabilen ayrıca SP'li çocuklarda geçerliliği kanıtlanmış bir testtir 2. Literatürde TADT'nin KMFDÖ ve basma fazının stabilitesi arasındaki ilişkiyi değerlendiren bir çalışma yoktur. Yöntem: İstanbul Üniversitesi Çapa Tıp Fakültesi Yürüme Analizi Laboratuvarında halen takip altında olan, 7- 15 yaş arasında, Kaba Motor Fonksiyon Sınıflama Sistemine göre I ve II. seviyede, cerrahi geçmişi olmayan, 6 ay içinde Botulinium Toxin-A enjeksiyonu yapılmamış ve tek ayak üzerinde 30 saniye duramayan 18 HSP'li çocuk (yaş: 11.0812.84 yıl) çalışmaya dahil edildi. Her katılımcı TADT, KMFDÖ D / E bölümleri ile değerlendirildi ve pedobarografik ölçümleri kaydedildi. TADT sırasında katılımcılardan karşıya bakmaları ve testlenmeyen ekstremiteyi fleksiyona getirmeleri istendi (Figür 1). Test iki bacak için de 3 kere tekrarlandı ve en iyi skorlar alındı. KMFDÖ'nün D ve E bölümlerinin her bir maddesi en fazla 3 deneme yapılmasına izin verilerek değerlendirildi. En başarılı deneme 0-3 puan (0- başlatamaz, 3-tamamlar) arasında puanlandı. Pedobarografik ölçümler sırasında katılımcılar 90 BPM kadansta yürütüldü ve tepe plantar kuvvetler; T l: erken basma fazının tepe kuvveti, T2: geç basma fazının tepe kuvveti, T2-T1: tek destek fazı ( basma fazının stabilite parametresi3) olarak tanımlandı. Karşılaştırmalarda Mann Whitney - U testi, korelasyonlarda Spearman's korelasyon testi kullanıldı. Korelasyon kuvvetini belirlemek için Cohen korelasyon sınıflaması kullanıldı. Bulgular: TADT ve basma fazının stabilitesi (T2-T1) hemiplejik tarafta etkilenmemiş tarafa göre azaldı (p<0.001) (Grafik 1). Hemiplejik tarafta TADT ile basma fazı stabilitesi (T2-T1) arasında yüksek korelasyon bulundu (p=0.02, r= 0.52). Ayrıca TADT ve KMFDÖ-D arasında orta şiddetli korelasyon (p=0.05, r= 0.44); TADT ve KMFDÖ-E arasında çok yüksek korelasyon (pcO.OOl, r=0.86) bulundu. Çıkarımlar: Klinik olarak ölçülen TADT, HSP'li çocuklar için KMFDÖ D-E bölümleri ve basma fazı stabilitesi hakkında oldukça değerli bilgiler verebilir. Tek ayak üzerinde durma süresinin ölçülmesi, yürümenin basma fazı stabilitesinin anlaşılabilmesi için bilgisayarlı yürüyüş analizi, pedobarografi veya KMFDÖ 'den daha kolay ve hızlı bir yöntemdir.
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Femoral Anteversiyon Artışı ve PesPlanovalgusu Olan Çocuklarda Tabanlığın Yürüme Kinematiğine Etkisi
(2018) Evrendirek, Halenur; Akalan, Ekin; Sert, Rukiye; Kuchimov, Shavkat Nadir; Karaca, Gülşah; Ertürk, Gamze; Bilgili, Fuat; 268497; 176320; 268498; 268636; 237820
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Determination of Biomechanical İnfluences of İncreased Femoral Anteversion (twisted leg) on Running for Developing İndividua
(2018-08) APTİ, ADNAN; ARAT, REFİK; 259584
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Raman and IR Spectroscopy Comlemented by Multivariate Alaysis as a Prospective tool to Investigate Biologically Relevant Materials
(2018-08) ILDIZ, GÜLCE ÖĞRÜÇ; 107326
This talk will illustrate the use of Raman and infrared (IR) spectroscopies, complemented by other techniques (in particular chemometrics, but also thermodynamics methods. X-ray analysis and quantum chemical calculations) to address different problems related with biologically relevant materials. First, a methodology based on IR spectroscopy and principal component analysis (PCA) will be introduced for the analysis of blood plasma samples, in order to identify spectral changes correlated with biomarkers of schizophrenia and bipolarity. Then. Raman spectroscopy, complemented by several chemometrics approaches (e.g., PCA. cluster analysis) will be shown to be a powerful, practical and elegant tool to investigate composition (in particular the lipid/protcin ratio contents) of soybean strains. Specifically, the lipid/protcin ratio contents of salt-tolerant soybean mutants will be compared with those of control groups, and the changes induced by the mutations evaluated. Finally, results of a multidisciplinary investigation on the structural, spectroscopic, photochemical and thermal properties of a series of hydantoins will be presented. Hydantoins are a family of molecules that derive from imadazolidine and that are used commonly as pharmaceuticals (as anticonvulsive. anti-inflammatory, antiepileptic and anticanccr drugs, among other uses). The study addresses the properties of the isolated molecules of the investigated compounds and also those of their neat condensed phases, with emphasis to polymorphism.
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Does One Leg Standing Duration Have Relation With GMFM Scores and Stability in Stance Phase for Hemiplegic Children ?
(2018-09) N. Ekin Akalan; Halenur, Evrendilek; Karaca, Gülşah; Bilgili, Fuat; Ertürk, Gamze; 268636; 176320; 268497; 268498; 237820
This paper reports the results of a study to validate a measure of gross motor function in detecting change in the motor function of disabled children. Physiotherapists used this instrument to assess 111 patients with cerebral palsy, 25 with head injury and 34 non-disabled preschool children on two occasions, the second after an interval of four to six months. Parents and therapists independently rated the children's function within two weeks of each assessment, and a sample of paired assessments was videotaped for 'blind' evaluation by therapists. Correlations between scores for change on this measure and the judgments of change by parents, therapists and 'blind' evaluators supported the hypothesis that the instrument would be responsive to both negative and positive changes.
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Distinguishing the Influences of Increased Femoral Anteversion From Hypermobility During Walking For Neurologically Intact Individuals
(2018-09) Akalan, Ekin; Karaca, Gülşah; Kuchimov, Shavkat Nadir; Bilgili, Fuat; Temelli, Yener; Leblebici, Gökçe; Ertürk, Gamze; Evrendirek, Halenur; ÖNERGE, KÜBRA; APTİ, ADNAN; 176320; 268498; 259584; 237820; 190878; 229941; 283338; 268636; 268497
Increased femoral anteversion (IFA) is a transverse plane problem that may lead to alterations on lower body kinematics during walking (1,2). IFA and hypermobility syndrome are commonly seen together in healthy individuals (3). Therefore, describing the pure effects of IFA related gait parameters is very difficult for children with hypermobility and IFA together.
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The Effects of the Intoeing Gait Pattern onPlantar Pressure Behavior and Foot Postur
(2018-09) Akalan, Ekin; Sert, Rukiye; Kuchimov, Shurubu; Bilgili, Fuat; APTİ, ADNAN; 176320; 259584; 237820
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Sağlıklı Çocuklarda Femoral Anteversiyon Artışının Hipermobilite Sendromundan Bağımsız Olarak Yürüme Parametrelerine Etkileri
(2018-09) Karaca, Gülşah; 268498
Introduction Increased femoral anteversion (İFA) is a transverse plane problem that may lead to alterations on lower body kinematics during walking (1,2). IFA and hypermobility syndrome are commonly seen together in healthy individuals (3). Therefore, describing the pure effects of IFA related gait parameters is very difficult for children with hypermobility and IFA together. Methods Sixty-seven participants were divided into four groups; 1)Twenty-eight hypo-mobile IFA children (Thoracantheric-Promience-Test(TPAT):45±4.2°) whose Beighton-score were <4 (IFA<4) (Age: 10.3±3.7y.o,Beighton:2.6±1.1), 2) Twenty-eight hyper-mobile IFA children (TPAT:45.5±6.5°) with Beighton Score >6 (IFA>6) (Age:7.7±3.7y.o, Beighton:7.8±0.9), 3)Seven hypo-mobile TDC (Hip-internal-rotation:<50°, TPAT: 19.1 ±8.3°) with Beighton-score <4 (N<4)(Age:12.1±1.4y.o, Beighton: 1.1 ±1.6) and 4)Five hyper-mobile TDC (TPAT:28.0±5.0°) with Beighton-score >6 (N>6) (Age:9.0±1.2y.o, Beighton:6.8±0.8), The pelvic, hip, knee and ankle kinematics and temoporal-spatial parameters were analyzed by 3D Motion Analysis in self-selected speed with Davis protocol (4). All participants with IFA had hip-internal-rotation:>65°, and external hip rotation angle >20°. Mann Whitney U and paired t test were used for comparison (p<0.05). The same parameters in which significantly changed between IFA<4 and N<4 and comparison of IFA<6 and N>6 were considered as pure IFA related gait parameters. Results Pure IFA affects were found as increasing peak dorsiflexion angle in swing, hip internal rotation in stance and peak pelvic external rotation and pelvic rotation range (Table 1). The hyper mobility related gait parameters were increased knee flexion at initial contact and peak knee extension, decreased peak and mean hip rotation and time of toe-off in stance. Discussion This study, the first in the literature, distinguished the IFA related gait parameters from hyper-mobility affects. Whether the hyper-mobility involves the IFA or not, IFA augments hip internal rotation, pelvic external rotation and increase the peak dorsiflexion in swing. Even though velocities are similar in all groups, IFA also may cause to set earlier toe-off time. In TDCs, only temporal-spatial parameters were found as changed, which may due to limited participation in TDC groups. Hypermobility may be a compensatory factor that decreases the enhanced hip internal rotation during walking for neurologically intact children with increased femoral anteversion.
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"How Does Hypermobility Affect Lower Extremity Function for Children with Increased Femoral Anteversion? Describing Effects ofReduced Forefoot Sensation on Foot Pressure Distribution: Plot Study
(2018-09) Leblebici, Gökçe; Akalan, Ekin; Kuchimov, Shavkat Nadir; Kurt, Rengin Aslıhan; ÖNERGE, KÜBRA; APTİ, ADNAN; 283338; 229941; 259584; 272694; 283338
Increased femoral anteversion (IFA) and joint hypermobility are commonly seen together in pediatric clinics. Femoral anteversion and joint hypermobility may contribute falling and fatigue in activities, as well as causing abnormal gait patterns.
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O 043 – Mechanics of spastic semitendinosus altered by intermuscular interactions elevate its contribution to pathological resistance against knee extension during gait
(2018-09) Kaya, C.S.; Bilgili, Fuat; Temelli, Yener; Ateş, Filiz; Yücesoy, Can A.; AKALAN, NAZİF EKİN
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The Infulence on Hypermobility on Children with Increased Femoral Anteversion: Static and Dynamic Foot Pressure Behavior
(2018-09) Akalan, Ekin; Kurt, Rengin Aslıhan; Sert, Rukiye; Leblebici, Gökçe; Kuchimov, Shavkat Nadir; Bilgili, Fuat; Temelli, Yener; Miller, Freeman; ÖNERGE, KÜBRA; APTİ, ADNAN; 176320; 259584; 283338; 229941; 237820; 190878
Increased femoral anteversion (IFA) is the forwardly rotated femoral head relative to transcondilar axis of the knee(1). IFA and hypermobility syndrome are seen together in pediatric clinic(2). For IFA children, effects of hypermobility on plantar pressure behavior during walking are absent in the literature.
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İstanbul’daki Protez-Ortez Yapım Ve Uygulama Merkez Sorumlularının, Protez-Ortez Eğitiminin Ve Stajyerlerinin Niteliği Hakkındaki Görüşleri
(2018-10) Evrendirek, Halenur; Evrendirek, Erkan; Telci, Eyyub; 268497
Çalışmanın amacı, İstanbul’daki Protez-Ortez Yapım ve Uygulama Merkez Sorumlularının (POMS), Protez ve Ortez eğitiminin ve stajyerlerinin niteliği ile ilgili görüşlerini değerlendirmektir. Bu amaçla çoktan seçmeli ve açık uçlu 28 sorudan oluşturulan anket, “Google Forms” ile yapılandırılarak mail yoluyla Protez-Ortez Yapım ve Uygulama Merkezlerine iletilmiştir. Anket yanıtları 25.08.2018 ile 11.09.2018 tarihleri arasında toplanmıştır. Elde edilen verilerin istatistiksel sıklık ve yüzdeleri Microsoft Office Excel-2010 kullanılarak hesaplanmıştır. Anket, 38 POMS (33 erkek (%87), 5 kadın (%13)) tarafından yanıtlandı. POMS stajyerlerle en sık yüz yüz görüşme (%87) yapmakta ve öğrencilerin mesleğe olan ilgisini (%71) önemsemekteydi. Öğrencide en çok aranan nitelikler “teorik bilgi, el becerisi, diksiyon ve iletişim yeteneği” idi (%39). Stajyerlerin teorik bilgi eğitimi “orta” (%50), el beceri ve uygulama eğitimi “zayıf” (%47) bulundu. Ülke genelindeki mevcut program sayısı “yeterli” (%44) ancak 2 yıllık eğitim süresi (%71) “yetersiz” bulundu.Bölüm eğitmenlerinin bilgi ve becerileri “iyi” (%47) ancak okulların teknik atölye/laboratuvarlar yeterlilikleri “zayıf” (%45) görülmekteydi. Merkez Sorumluları iş yerlerinde donanımlı Protez-Ortez Teknikeri ihtiyacı olduğunu (%52), ancak personel bulmakta zorlanıldığını (%68) bildirdi. İstanbul’daki Merkez Sorumlularının mesleğe ilgisi olan,uygulama ve el becerisine sahip stajyer arayışında olduğu ancak öğrencilerin aranan özellikleri karşılayamadığı tespit edilmiştir. Protez-Ortez alanında aranan niteliklere sahip mezunlar verebilmek ve istihdamı arttırabilmek için eğitim veren kurumlar ile sektör mensuplarının iş birliği içerisinde çalışması önem arz etmektedir.
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Gait analysis of patients subjected to the atrophic mandible augmentation with Iliac bone graft
(HINDAWI LTD, ADAM HOUSE, 3RD FLR, 1 FITZROY SQ, LONDON, W1T 5HF, ENGLAND, 2019) Temelli, Yener; Arslan, Yunus Ziya; Cansız, Erol; Karabulut, Derya; Doğru, Suzan Cansel; AKALAN, NAZİF EKİN; 190878; 110120; 42880; 249199; 181247; 176320
In this study, we aimed to quantitatively monitor and describe the gait functions of patients, who underwent iliac crest bone grafting in atrophic jaw augmentation operation, by taking into account the alterations of gait parameters and muscle forces in the early recovery course. To do so, temporospatial and kinematic gait parameters of ten patients during pre- and postoperative periods were recorded, and forces of the gluteus medius, gluteus maximus, and iliacus muscles were calculated. Three postoperative periods were specified as one week (post-op1), two weeks (post-op2), and three weeks (post-op3) after the surgery. Restoring process of the gait patterns was comparatively evaluated by analyzing the gait parameters and muscle forces for pre- and postoperative periods. Temporospatial and kinematic parameters of post-op3 were closer to those obtained in pre-op than those in post-op1 and post-op2 (p<0.05). Muscle forces calculated in post-op3 showed the best agreement with those in pre-op among the postoperative periods in terms of both magnitude and correlation (p<0.05). In conclusion, the patients began to regain their preoperative gait characteristics from the second week after surgery, but complete recovery in gait was observed three weeks after the surgery.
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Evaluation of the effects of neural therapy in patients diagnosed with fibromyalgia
(2019) Terzi, Rabia; Başaran, Aynur; Tolu, Sena; Küçüksaraç, Seher; ALTINBİLEK, TURGAY
Objectives: This study aims to compare the effects of neural therapy and exercise on pain, quality of life, depression, anxiety, and functioning status in patients diagnosed with fibromyalgia syndrome (FMS). Patients and methods: This multi-center study included a total of 72 patients (60 females, 12 males; mean age: 39.2 +/- 9.5 years; range, 22 to 53 years) who were diagnosed with FMS according to the 1990 American College of Rheumatology (ACR) criteria between January 2015 and June 2015. The patients were randomly divided into two groups: the first group (n=30) received an exercise program (strengthening, stretching, relaxation, and aerobic exercises, three days a week), and the second group (n=42) received a total of six sessions of neural therapy as one session a week in addition to the same exercise program. Pain severity was assessed with the Visual Analog Scale (VAS), emotional state with the Beck Depression Scale (BDS) and Beck Anxiety Inventory (BAI), quality of life with Short Form-36 (SF-36), and functioning status with the Fibromyalgia Impact Questionnaire (FIQ). The patients were evaluated at the end of treatment (week 6) and one month after the end of treatment. Results: The mean disease duration was 34.3 +/- 9.3 months, the mean VAS score was 7.3 +/- 2.2, and the mean FIQ score was 58.4 +/- 13.2. There were significant improvements in the VAS, FIQ, SF-36, BDS, and BAI scores after the treatment in both groups (p<0.05). Post-treatment BDS and VAS scores were significantly lower in the neural therapy group (p=0.038; p=0.049; p<0.05). There was no significant difference in any parameter one month after the treatment between the groups (p>0.05). Conclusion: When neural therapy is combined with exercise in FMS patients, it may be advantageous in terms of pain and depression, compared to exercise alone.
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Increased femoral anteversion-related biomechanical abnormalities: lower extremity function, falling frequencies, and fatigue
(2019-05) Leblebici, Gökçe; akalan, ekin; Kuchimov, Shavkat Nadir; Kurt, Aslıhan; Temelli, Yener; Miller, Freeman; ÖNERGE, KÜBRA; APTİ, ADNAN
Background: Increased femoral anteversion (IFA) is defined as forwardly rotated femoral head relative to the transcondylar knee axis which may have a potential to reduce the functional quality of adolescents. Therefore, the aim of our study was to investigate the effects of IFA on lower-extremity function, falling frequency, and fatigue onset in neurologically intact children. Research question: Does increased femoral anteversion influence lower extremity function, falling frequency and fatigue on set in healthy children? Methods: Sixty-five participants with increased femoral anteversion (IFA) and thirty-two healthy peers as control were included into the study. For the function, the lower extremity function form (LEFF) which is adapted from Lower Extremity Function Test used. Falling frequency and fatigue onset time were assessed by a Likert-type scale. In addition, the activities which cause frequently fall for the participants were questioned.Results: Lower extremity function was found deteriorated (p = 0.02) and falling frequency was higher (p = 0.00) in IFA than in controls. Fatigue onset time was not different between groups, although lower extremity function was strongly correlated with fatigue onset (rho = -0.537, p < 0.001). IFA children fall four times more during running (60%), three times more during fast walking (21.42%) than their healthy peers (14.28%, 7.14% respectively). Significance: IFA leads functional problems, especially in the form of high falling frequencies. According to the LEFF score, the most difficult functional parameters for these children were walking long distances, becoming tired, walking more than a mile, and standing on one spot. Also, shorter fatigue onset time may worsen the lower-extremity function secondarily. Because of the higher frequency of falling and functional problems, children with IFA may be more defenseless to injuries, especially in high-motor-skill activities such as running and soccer.
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Determination of Playing Related Postural Problems in Guitar Students
(2019-06) AKEL, BURCU SEMİN; 114564
Objective: A significant percentage (%37) of musicians suffer musculoskeletal disorders that are sufficiently serious to affect performance. A common risk factor for musculoskeletal disorders is a poor posture.ln this study, we aimed to determine of playing-related postural problems in guitar students. Materials and Methods: Nineteen guitar bachelor students participated. Demographic data were recorded and static and dynamic posture analysis were performed via observation and video recordings; which were analyzed by a physiotherapist, an occupationaltherapist and a guitarist. Awkward postures were recorded. Posture was evaluated both globally and for individual body regions. Overall posture was divided into 3 categories: rigid, slumped, physiological. Pain was assessed with The Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians. Results: Most of the individuals (55%) experienced pain or problems that might hinder their playing skills in the last year.The most common locations of pain or problems were: shoulder, wrist, scapula and neck.The overall static posture was poor in 38% of participants when standing(33%rigid, 5% slumped). During playing, the posture was more often slumped than rigid(66%). The location of the gravity axis in the sagittal plane were forward-shifted(%55), however the physiological posture was maintained at the frontal plane.The most common problems encountered were shoulder imbalance (%61), rotation of the head(%77), rotation of body(%72), right wrist excessive ulnar deviation(%33) and thumb positioning(%72). Conclusions: According to the posture analysis, rotation and slumpy positioning was the main problem. This situation puts greater problems on the muscles of the back and abdomen and may effect proper breathing. The regions that have poor posture was neck, shou Ider, wrist and thumb. Considering this, we believe that educating music students in proper playing posture and postural awareness can be beneficial in decreasing performance-related postural problems.

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