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Background: Many indirect clinical techniques have been developed to assess foot posture; however, there is relatively little research investigating the relationships among these techniques. We investigated the relationships among the most commonly used clinical measures of foot posture-Foot Posture Index-6 (FPI-6), navicular drop (NDP), navicular drift (NDT), and static and dynamic arch indices (SAI and DAI)-in individuals with normal foot posture and those with pronated foot.

Talusun osteokondral cerrahisi (TOC) sonrası rehabilitasyon programı, uygulanan cerrahi tekniğe göre farklılık gösterse de hedefler benzerdir. Cerrahi ile elde edilen stabil durumun korunması için farklı protokol ve yöntemler kullanılmaktadır. Hastanın iyileşme sürecinde ekstremite üzerine ağırlık aktarımı, eklem hareket açıklığı egzersizleri, kuvvetlendirme egzersizlerine ek olarak eklem mobilizasyonu gibi manuel teknikler, elektroterapi ve ısı ajanları, bantlama teknikleri, gibi yardımcı yaklaşımlar hastanın ihtiyacı doğrultusunda temel rehabilitasyon programına eklenebilir.

Objective The aim was to determine the interrater and intrarater reliability of navicular drop (NDP), navicular drift (NDT), and the Foot Posture Index-6 (FPI-6), and test–retest reliability of the static arch index (SAI) and dynamic arch index (DAI). Methods Sixty healthy individuals were assessed for intrarater and test–retest reliability. From 60 participants, 30 individuals were assessed for interrater reliability. A digital caliper was used to measure NDP and NDT. Electronic pedography was used to calculate SAI and DAI. The FPI-6 was also performed. All assessments were performed on the dominant foot. The NDP, NDT, SAI, and DAI were repeated 3 times. The NDP and NDT were analyzed separately using both first measurement and the average, but the SAI and DAI were analyzed using only the average. The NDP, NDT, and FPI-6 were conducted by 2 raters to determine interrater reliability and were repeated by a single rater after 5 days from initial assessment to determine intrarater reliability. The SAI and DAI were also repeated after 5 days to determine test–retest reliability. Results Intrarater intraclass correlation coefficients (ICCs) were 0.934 and 0.970 for NDP, 0.724 and 0.850 for NDT, and 0.945 for FPI. Interrater ICCs were 0.712 and 0.811 for NDP, 0.592 and 0.797 for NDT, and 0.575 for FPI. Test–retest ICCs of the SAI and DAI were 0.850 and 0.876, respectively. Conclusion Navicular drop is relatively more reliable than other traditional techniques. Also, the FPI-6 has excellent intrarater reliability, but only moderate interrater reliability. The results can provide clinicians and researchers with a reliable way to implement foot posture assessment.

Purpose: Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST-2.0) is a standardized scale which is widely used for assessment of satisfaction of individuals using different types of assistive devices. The aim of this study was to analyze validity and reliability properties of the QUEST in individuals using prosthetics and orthotics in Turkish population.Methods: One hundred fifty-one individuals, who uses lower extremity orthosis, spinal orthosis, lower extremity or upper extremity prosthesis were included in the study. QUEST was translated into Turkish language and administrated to the participants for two sessions with 7 days interval. Reliability of QUEST was tested with test-retest method (intraclass correlation coefficient-ICC), while internal consistency was analyzed with Cronbach alpha. The validity was assessed using the correlation between the QUEST and Visual analog scale, which measures assistive device and service satisfaction.Results: Test-retest reliability of the QUEST was found to be perfect (ICC= 0.96, 95% confidence interval: 0.944-0.976). Internal consistency of the QUEST was very good. The Cronbach alpha was found 0.851 for total score, 0.801 for assistive device subscale and 0.835 for service subscale. The high correlations between QUEST and Visual analog scale defined very good validity.Conclusion: Findings of this study revealed that Turkish QUEST is valid and reliable method and considered to be applicable for assessment of individual satisfaction with assistive device in people using prosthetics and orthotics in Turkish population., Amaç: Quebec Yardımcı Teknoloji Kullanıcı Memnuniyeti Değerlendirme (Q-YTKMD) anketi, çok çeşitli teknolojik yardımcı cihaz kullanan bireylerin memnuniyetlerinin değerlendirilmesinde yaygın olarak kullanılan, standardize bir ankettir. Bu çalışmanın amacı Türk popülasyonunda protez ve ortez kullanan bireylerde Q-YTKMD anketinin geçerlik ve güvenirlik özelliklerini araştırmak idi.Yöntem: Çalışmaya çeşitli alt ekstremite ortezi, gövde ortezi ve alt ekstremite veya üst ekstremite protezi kullanan 151 birey dahil edildi. Q-YTKMD anketinin Türkçe çevirisi yapılarak, bireylere 7 gün ara ile 2 kez uygulandı. Anketin güvenirliği test-tekrar test yöntemi (sınıf içi korelasyon katsayısı-ICC) ile değerlendirilirken, iç tutarlılık Cronbach alpha ile analiz edildi. Anketin geçerliği, cihaz ve servis memnuniyetini sorgulayan vizüel analog skalası ile ilişkisine (Pearson korelasyon katsayısı) bakılarak değerlendirildi.Bulgular: Q-YTKMD-TR anketinin test - tekrar test güvenilirliği mükemmel bulundu (ICC= 0,96, %95 güven aralığı: 0,944-0,976). Anketin iç tutarlık değeri çok iyi olarak tespit edildi. Cronbach alpha katsayısı, anketin toplam skoru için 0,851, yardımcı cihaz memnuniyeti alt başlığı için 0,801 ve hizmet memnuniyeti alt başlığı için 0,835 idi. Q-YTKMD-TR anketi toplam skorunun, vizüel analog skalası gösterdiği yüksek korelasyonlar, anketin çok iyi derecede geçerliliği olduğunu ifade etmekteydi.Sonuç: Bu çalışmanın sonuçlarına göre Q-YTKMD-TR anketi, protez ve ortez kullanıcılarında, bireylerin yardımcı cihaz memnuniyetini değerlendirmede geçerli ve güvenilir bir yöntem olması ile Türk popülasyonunda uygulanabileceği düşünülmektedir.

Purpose: Individuals with chronic neck pain (CNP) walk with a stiffer spine known to cause an increase in dynamic loading on the spine. They also exhibit altered spatiotemporal gait variables, however, it is still unclear whether flat cushioning insole, which reduces dynamic loading on the musculoskeletal system by absorbing the ground reaction force, affects gait parameters in individuals with CNP. The aim of this work was to investigate the effects of flat cushioning insole on neck pain during walking and gait parameters in individuals with CNP. Methods: Twenty-one individuals with CNP and 21 asymptomatic controls were included. Assessments of gait parameters and pain were conducted in two sessions, standard shoe only and standard shoe with flat cushioning. In both sessions, all participants performed the 10-meter walk test in two walking conditions: preferred walking, walking at maximum speed. The force sensitive insoles and the video analysis method were used to assess plantar pressure variables and spatiotemporal gait variables, respectively. Pain was assessed using the Visual Analogue Scale. Results: Our results indicated that flat cushioning reduced the maximum force and force-time integral in both groups (p < 0.05). Flat cushioning increased walking speed and step length in both walking conditions and reduced neck pain during walking at maximum speed in individuals with CNP (p < 0.05). In asymptomatic individuals, no difference was found in spatiotemporal gait variables between two sessions (p > 0.05). Conclusions: These results have suggested that the use of flat cushioning insole may improve neck pain during walking and spatiotemporal gait variables in individuals with CNP.

Purpose: The aim was to compare gait speed, step length, cadence and gait stability ratio (GSR) between individuals with chronic idiopathic neck pain (CINP) and no-pain controls and investigate the relationship of disability with spatiotemporal gait variables and GSR in individuals with CINP.Methods: Twenty-five individuals with CINP (17 females, 8 males) and 25 no-pain controls (17 females, 8 males) recruited into this study. All participants performed the 10-meter walking test in three walking conditions: Preferred walking (PW), walking with head rotation (HRW), walking at maximum speed (MAXW). Video analysis method involving slow-motion camera (120fps) was used to measure spatiotemporal gait parameters. GSR was calculated by dividing step counts per second to gait speed (m/s).Results: Individuals with CINP had slower gait speed and cadence in all walking conditions (p, Amaç: Çalışmanın amacı kronik idyopatik boyun ağrılı bireyler ile ağrısı olmayan kontrolleri yürüyüş hızı, tempo, adım uzunluğu ve yürüyüş stabilite oranı (YSO) bakımından karşılaştırmak ve kronik idyopatik boyun ağrılı bireylerde özür düzeyinin yürüyüşün zaman mesafe parametreleri ve YSO ile ilişkisini incelemektir.Yöntem: Çalışmaya 25 kronik idyopatik boyun ağrılı (17 kadın, 8 erkek) ve 25 ağrısı olmayan birey (17 kadın, 8 erkek) dahil edildi. Tüm katılımcılar 10 metre yürüme testini üç yürüme koşulunda gerçekleştirdi: Normal yürüme (NY), baş rotasyonlarıyla yürüme (BRY) ve maksimum hızda yürüme (MAKSY). Yürüyüşün zaman mesafe parametreleri 120 fps’de ağır çekim yapan kamera ile değerlendirildi. YSO, yürüyüş hızının (m/sn) saniyedeki adım sayısına bölünmesiyle hesaplandı.Bulgular: Kronik idyopatik boyun ağrılı bireylerin yürüyüş hızı ve tempolarının tüm yürüme koşullarında daha düşük olduğu görüldü (p