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The aim of this study is to determine a cutoff value of the calf-raise senior test and dual-calf-raise senior test according to fall history.150 elderly individuals participated in descriptive stud...

Aim of the study was to examine the effects of inspiratory muscle training (IMT) on respiratory function, respiratory muscle strength, trunk control, balance, and functional capacity in stroke patients.21 stroke individuals were randomly divided into two groups as control group and treatment group. Respiratory function test, Maximal Inspiratory Pressure (MIP) and Maximal Expiratory Pressure (MEP) were evaluated. Also, Trunk Impairment Scale (TIS), Timed Up and Go Test (TUG) Berg Balance Scale (BBS), and Six-Minute Walk Test (6MWT) were performed. Neurodevelopmental treatment program was performed in both groups for 5 days a week for 6 weeks, and IMT was given to the treatment group. IMT was started from 40% of MIP.After treatment, respiratory functions, respiratory muscle strength, and trunk control and balance improved in the treatment group. In the control group; however, only the balance level was improved. When the changes in the evaluation parameters between the groups were compared, there were only statistically significant differences in the TIS, Peak Expiratory Flow (PEF) and MIP in the treatment group (p˂0.05), the change amounts in other evaluation parameters were similar (p˃0.05). When the effect size of the groups was compared, the effect size of the variables in the treatment group was found to be higher.As a conclusion, IMT, which was given in addition to the neurological physiotherapy and rehabilitation program to our patients, improved inspiratory muscle strength and trunk control. We believe that this result will raise awareness for physiotherapists working in the field of neurological rehabilitation about including respiratory muscle training in the rehabilitation program of stroke patients.

Demirci, Cevher Savcun (Balikesir Author), BACKGROUND/AIMS This study aimed to determine exercise barriers in older individuals and to examine their relationship with physical activity, sleep, and fatigue. MATERIAL and METHODS A total of 100 older individuals aged more than 65 years who were staying in a private nursing home and elderly care center were involved in this study. The sociodemographic information of the individuals and the used scales were recorded through face-to-face interviews held by a physiotherapist. Their exercise barriers, physical activity levels, sleep conditions, and fatigue were evaluated by the Exercise Benefits/Barriers Scale, Physical Activity Scale for the Elderly (PASE), Pittsburgh Sleep Quality Index (PSQI), and Fatigue Severity Scale. RESULTS The mean age of older individuals was 71.32 +/- 6.33 years. There were significant positive and low relationships between exercise barriers in older individuals and the PSQI's sleep quality and day dysfunction owing to sleepiness (DAYDYS) subparameters, the PSQI total score and fatigue. Furthermore, significant negative and low relationships were found between the PASE(Leisure activity) and sleep duration, sleep quality, PSQI(MEDS), PSQI(Total), and fatigue severity, between the PASE(Home activity) and PSQI(Total) score, and between the PASE(Work activity) and sleep duration, sleep latency, and fatigue. CONCLUSION The study results suggest that conditions such as sleep quality and fatigue can be considered an exercise barrier. Regular exercise training planned for older individuals individually or as a group will improve sleep quality and provide improvement in their fatigue level. It is crucial to plan and implement in particular personal exercise and physical activity programs and lifestyle modifications, physiotherapy rehabilitation, and energy conservation techniques for sleep quality to maintain and improve the health of older individuals.

aydogan arslan, saniye/0000-0001-5470-9849; abit kocaman, ayse/0000-0002-6694-3015 WOS:000601309800040 PubMed: 33197801 Objectives: The 3-m backward walk test (3MBWT) is used to evaluate neuromuscular control, proprioception, protective reflexes, fall risk and balance. The aim of our study was to reveal the test-retest reliability and validity of the 3MBWT in stroke patients. Materials and Methods: This study included a total of 41 stroke patients [age 59 (35-78) years]. 3MBWT, Berg Balance Scale (BBS), Timed Up and Go test (TUG) were applied to the patients. The second evaluation (retest) was carried out by the same physiotherapist two days following the first evaluation (test) in order to measure test-retest reliability. Results: Cronbach's alpha coefficient was found to be 0.974 (excellent). For intra-rater agreement, the ICC values in the individual test were 0.985. The SEM value was 1.11 sec, the MDC value was found to be 1.57 sec. A moderate correlation was revealed between the 3 m-backward walking speed and BBS (r: -0.691, p: 0.001) and TUG (r: 0.849, p: 0.001). Conclusions: The 3MBWT was observed to be valid and reliable in stroke individuals. It is an effecive and reliable tool for measuring dynamic balance and falls in stroke.

Objective: 2D:4D (the ratio of the second finger to thefourth finger) ratio has been used as a morphological marker in evaluating the relationship between androgen exposure in the prenatal period and developmental/neuropsychiatric disorders. Material andMethods: Ninety-one children between the ages of 5 and 10 yearsfrom whom teeth were to be extracted under local anesthesia were included in the study. Measurements were made of the second andfourth fingers of the children’s right and left hands. At the end of theprocedure, the physician was asked to evaluate the patient’s dentalanxiety levels using the Frankl Behavior Scale (FBS). Results: Basedon the FBS, the right-hand 2D:4D ratio was 0.979±0.074 in patientswho refused treatment, 1.000±0.044 in unwilling patients who couldnot cooperate, 1.017±0.043 in cooperative patients, and 0.980±0.020in patients with interest (p=0.092). The left-hand 2D:4D ratio was1.024±0.045 in patients refusing treatment, 1.006±0.046 in unwillingpatients who could not cooperate, 1.018±0.054 in cooperative patients, and 0.983±0.025 in patients with interest (p=0.526). No relationship was found between successful extractions and 2D:4D ratiosin children. Conclusion: As a result, no significant correlation wasfound between dental anxiety and 2D:4D of pediatric patients whoare planned tooth extraction. It was determined that 2D:4D is not amorphological marker that we can use to predict dental anxiety in thepreoperative period. Amaç: Prenatal dönemde meydana gelen androjen maruziyeti ile gelişimsel/nöropsikiatrik bozukluklar arasındaki ilişkinin değerlendirilmesinde, morfolojik bir belirteç olarak 2D:4D (2’nci parmağın 4’üncü parmağa oranı) oranı kullanılmıştır. Gereç ve Yöntemler: Çalışmaya, lokal anestezi altında diş çekimi planlanan 5-10 yaş arası 91 çocuk dâhil edildi. Ölçümler, çocukların sağ ve sol ellerinin 2’nci ve 4’üncü parmaklarından yapıldı. İşlem sonunda sorumlu doktordan, Frankl Davranış Ölçeği'ni [Frankl Behavior Scale (FBS)] kullanarak, hastaların dental anksiyete düzeylerini değerlendirmesi istendi. Bulgular: FBS'ye göre sağ el 2D:4D oranı, tedaviyi reddeden hastalarda 0,979±0,074, iş birliği yapamayan isteksiz hastalarda 1,000±0,044, koopere olan hastalarda 1,017±0,043 ve ilgili olan hastalarda 0,980±0,020 idi (p=0,092). Sol el 2D:4D oranı, tedaviyi reddeden hastalarda 1,024±0,045, iş birliği yapamayan isteksiz hastalarda 1,006±0,046, kooperatif hastalarda 1,018±0,054 ve ilgili olan hastalarda 0,983±0,025 idi (p=0,526). Başarılı diş çekimi uygulaması ile sağ ve sol el 2D:4D oranları arasında anlamlı ilişki bulunmamıştır (p=0,691, p=0,086, sırasıyla). Sonuç: Sonuç olarak, diş çekimi planlanan pediatrik hastalarda dental anksiyete ile 2D:4D arasında anlamlı bir ilişki bulunamamıştır. 2D:4D'nin preoperatif dönemde dental anksiyeteyi öngörmek için kullanabileceğimiz morfolojik bir belirteç olmadığı belirlenmiştir.

Aim: The purpose of our study was to examine the relation between upper extremity function and trunk control, balance and functional mobility in Individuals with Stroke. Material and Method: This study included a total of 39 stroke patients (age 63.87± 9.03 years, post stroke 19.18±16.38 month). Upper extremity functions were evaluated with the upper extremity sub-scale of the STREAM Scale, balance level, functional mobility and trunk control were evaluated with Trunk Impairment Scale (TIS), Berg Balance Scale (BBS), and Timed Up and Go Test (TUG). Result: A moderate relation was detected between the trunk control, balance and functional mobility and upper extremity functions (p˂0.05). When the upper extremity functions and trunk control performances of the individuals were compared according to balance levels, it was seen that those with worse balance level had poor upper extremity functions and trunk control (p˂0.05). Conclusion: As a result of our study, a relation was detected between upper extremity function and postural control and balance. For this reason, it is important to focus on upper extremities to improve trunk control, postural control, and balance in physiotherapy and rehabilitation practices.

aydogan arslan, saniye/0000-0001-5470-9849 WOS:000585402300001 PubMed: 33148123 Background The Brief-BESTest is the short version of the BESTest used to evaluate balance and fall risk in a multiple disease populations. The clinicians need practical, short application scales to evaluate the risk of falling, balance and rehabilitation results. Objective This study aims to investigate the validity and reliability of the Turkish version of the Brief-BESTest (Brief-BESTest-T) in stroke patients. Methods This study included a total of 40 subacute and chronic stroke patients (mean age of 60.28 +/- 9.96 years). The Brief-BESTest, Berg Balance Scale (BBS), Timed Up and Go Test (TUG), Functional Reach Test (FRT), Falls Efficacy Scale (FES) and 10 m walking test were applied to the patients. Results A strong correlation was observed between the1st and 2nd evaluation Brief-BESTest-T total scores (r = 0.933). Cronbach's alpha coefficient was excellent. According to the correlation analysis performed to test the inter-rater reliability, a very high correlation (r = 0.906) was observed between the Brief-BESTest-T total scores. A high correlation was found between the Brief-BESTest-T and BBS and TUG, while a moderate correlation was found between the FRT, FES, and 10 m walking test. The clinical cutoff point for the Brief-BESTest - T was determined to be 9 points with an AUC of 0.872. There were no floor and ceiling effects found. Conclusions This study showed that the Brief-BESTest-T had excellent internal consistency, intra-rater, and inter-rater reliability. Its concurrent, discriminant, and known-groups validity were also good and had no substantial floor and ceiling effects.

Demirci, Cevher Savcun, Aim: This study was planned to investigate the relationship between trunk muscular endurance, balance, and functional level in individuals with chronic low back pain. Material and Methods: Sixty-three individuals, aged 18-65 years and having chronic low back pain for the last six months, were included in the study. Sociodemographic data of the individuals were recorded. The static and dynamic endurance of trunk muscles was evaluated by the curl-up test and modified Sorenson test. In order to evaluate the dynamic balance, the Timed Up and Go test was performed. The functionality level related to the low back pain of individuals was evaluated by the Oswestry Low Back Pain Disability Questionnaire. Results: Forty-one female (65%) and twenty-two male (35%) individuals were included in the study. The mean age of the individuals was 40.50 ± 16.75 years, and the mean body mass index was 26.51 ± 5.34 kg/m2 . A moderate negative correlation was found between trunk flexor and extensor muscle endurance with both dynamic balance and functional level (p