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BACKGROUND: Patellofemoral pain (PFP) is a common knee problem. The foot posture in a relaxed stance is reported as a distal factor of PFP. However, the effects of short foot exercise (SFE) on the knee and functional factors have not yet been investigated in patients with PFP. OBJECTIVE: This study aimed to investigate the additional effects of SFE on knee pain, foot biomechanics, and lower extremity muscle strength in patients with PFP following a standard exercise program. METHODS: Thirty patients with a ‘weak and pronated’ foot subgroup of PFP were randomized into a control group (ConG, n= 15) and a short foot exercise group (SFEG, n= 15) with concealed allocation and blinded to the group assignment. The program of ConG consisted of hip and knee strengthening and stretching exercises. SFEG program consisted of additional SFE. Both groups performed the supervised training protocol two times per week for 6 weeks. Assessment measures were pain visual analog scale (pVAS), Kujala Patellofemoral Score (KPS), navicular drop test (NDT), rearfoot angle (RA), foot posture index (FPI), and strength tests of the lower extremity muscles. RESULTS: Both groups displayed decreases in pVAS scores, but it was only significant in favor of SFEG. NDT, RA, and FPI scores decreased in SFEG whereas they increased in ConG. There was a significant group-by-time interaction effect in hip extensor strength and between-group difference was found to be significantly in favor of SFEG. CONCLUSIONS: An intervention program consisting of additional SFE had positive effects on knee pain, navicular position, and rearfoot posture. An increase in the strength of the hip extensors may also be associated with improved stabilization by SFE.

Background Juvenile Idiopathic Arthritis (JIA) is the most frequent chronic rheumatic disease during childhood. It can result in disabilities, loss of quality of life and mood changes.1 Furthermore, literature reviewing the effects of arthritis on children and family is inonsistent, with studies showing significant difference or not, compared to healthy children.2 Objectives The purpose of this study is to present results regarding the functional status, psychosocial status and disease activity of children with JIA and their effects on the child’s family. The second aim is to present the correlations between these parameters. Methods The study included children diagnosed with JIA who applied to Hacettepe University Ihsan Dogramaci Children’s Hospital Rheumatology Department. After demographic data was collected, all children were assessed with Child Health Assessment Questionnaire (CHAQ) for daily living activities, with the Juvenile Arthritis Disease Activity Score (JADAS) for disease activity and with a newly developed scale from Hacettepe University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation for children with rheumatism by Edibe Unal(3 for functional and psychosocial status. Cut-off point was accepted as ≤2.7 for disease activity.4 The Family Impact Scale (FIS) was used to assess perspective of parents. Results A hundred and ninety-six children were included in the study. The mean age of children was 12,44±3,97 and female/male ratio was 55,6/44,4. Although the mean JADAS score was 3,33±4,21, it only detected active disease in 81 children. There was a moderate correlation between CHAQ (Pain) and functional scores of Unal’s scale and JADAS score. CHAQ total score was well correlated with function and psychosocial scores. The correlation between FIS and other scales was very low. Conclusions Our results show that pain and function alter disease activity in children with JIA. It is seen that psychosocial states of children and their functional states expressed by their own knowledges also affect their daily life. These changes did not affect the wievpoint of the family. References [1] Spiegel L, Kristensen KD, et al. Juvenile idiopathic arthritis characteristics: Etiology and pathophysiology. Seminars in Orhodontics2015, 21(2); 77–83 [2] Susan T. Reisine. Arthritis and the Family. Arthritis Rheum1995, 8(4);265–271. [3]. Kisacik Pinar,Unal Edibe, et al. Juvenil Idiyopatik Artritli Hastalarda Cok Yonlu Bir Degerlendirme SistemiOlusturulmasi Delphi Calismasi. 2016, Annals Of Paediatric Rheumatology. [4] Bulasovic Calasan M, De Vries LD, et al. Interpretation of the Juvenile Arthritis Disease Activity Socre: responsiveness, clinically important differences and levels of disease activity in prospective cohorts of patients wiht juvenile idiopathic arhritis. Rheumatology(Oxford)2014, 53(2); 307–312. Disclosure of Interest None declared

Background It was well known that patellofemoral pain (PFP) has multifactorial aetiology. Increased navicular drop measures and especially more pronated foot posture in stance phase have been reported as distal factors.1,2 Foot orthosis are recommended as distal interventions but remained passive.3 For this reason, short foot exercise (SFE),4 as an active approach, may be of significant benefit in patients with PFP. Objectives The aim of this study was to investigate the effects of SFE on pain, knee and foot biomechanics in patients with PFP. Methods Twenty-two patients with PFP, mean age was 40.91±10.73, included in this study. They were randomly divided into two groups. The first group (KHE) was followed under the exercise program including knee and hip exercises, and the second group (SFE) was followed under SFE in addition to the same exercise program 2 days per a week for 6 weeks. At the beginning and the end of the study, for pain at walking, sitting, squatting, climbing stairs Visual Analogue Scale (VAS) and Kujala Patellofemoral Symptom Scale (KPSS); for knee and foot biomechanics measurement of Q angle, Navicular Drop Test (NDT), Calcaneo-tibial angle (CTA) and Foot Posture Index (FPI) were performed. Results As a result of this study, it was found that all parameters were improved in both groups, whereas the improvements in the pain intensity (VAS) of sitting and stair activities, values of Q angles, NDT, CTA and FPI were statistically significant in SFE group compared to KHE group (p Conclusions In conclusion, it was shown that SFE has positive effects on pain, knee and foot biomechanics in patients with PFP. At this point, SFE is an exercise approach in order to increase the success of the rehabilitation program in patients with PFP. References [1] Lankhorst NE, Bierma-Zeinstra SM, van Middelkoop M. Risk factors for patellofemoral pain syndrome: a systematic review. J Orthop Sports Phys Ther. 2012;42(2):81–94. [2] Lankhorst NE, Bierma-Zeinstra SM, van Middelkoop M. Factors associated with patellofemoral pain syndrome: a systematic review. Br J Sports Med. 2013;47(4):193–206. [3] Crossley KM, Stefanik JJ, Selfe J, Collins NJ, Davis IS, Powers CM, et al. 2016Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. Br J Sports Med. 2016;50(14):839–43. [4] McKeon PO, Hertel J, Bramble D, Davis I. The foot core system: a new paradigm for understanding intrinsic foot muscle function. Br J Sports Med. 2015;49(5):290. Disclosure of Interest None declared

Objective The purpose of this study is to investigate the effects of a multidimensional exercise program on symptoms and antiinflammatory status in female patients with ankylosing spondylitis (AS). Methods The BATH Indexes, Dougados Functional Index (DFI), Health Assessment Questionnaire in Spondyloarthopathies (HAQ-S), Ankylosing Spondylitis Quality of Life (ASQoL) and Beck Depression Inventory (BDI) were used to evaluate twenty-four female AS patients. ESR, CRP, TNF-α and IL-6 were also analyzed. All patients were assessed at baseline and with 3 weeks intervals till 12 week. A multidimensional exercise program was applied for three times a week. Results There were significant differences in Bath Ankylosing Spondylitis Global Index (BAS-G) and Disease Activity Index (BASDAI), HAQ-S, ASQoL and BDI scores (p . The level of the ESR, CRP and IL-6 fluctuated slightly. There was only significant difference at 3 and 12 weeks as compared to baseline levels in TNF-α values (p = 0.048, p . Conclusion We concluded that multidimensional exercise program should be taken into consideration for AS patients due to its positive effects on symptoms and antiinflammatory effects.

Background Exercise programs have been being provided in Hacettepe University for 12 years. The group exercises were transformed into a book named as “Bilissel Egzersiz Terapi Yaklasimi (BETY) (1)” in 2014 and were registered as a trademark by the Turkish Patent Institute in 2015. This approach includes cognitive processes in pain management, clinical pilates exercises and awareness of mood state via dance therapy (2).When rheumatic patients participating in BETY sessions, they are evaluated with appropriate scales for their diseases and it is stated that these scales do not express enough the healing properties they feel with BETY. Objectives The aim was to develop a new scale assessing the biopsychosocial aspects of healing properties in rheumatic patients. Methods After 12 years of treatment, cognitive beliefs about health perceptions were gathered from the patients who participates in the BETY group for at least 5 years, with the open-ended question “What kind of changes did you make in this group?”. After elimination of similar sentences, 30 cognitive beliefs about different health perceptions were obtained. The newly developed scale was applied to 89 patients aged 18–69 years (42,94±12.85), who had different rheumatic diseases and were not included in the BETY group. Working questions were determined. Results The internal consistency was found to be 0.89. In this process, 5 items that didn9t work and had the same meaning were removed from the scale. After this, “What kind of improvements did you make in Daily life by participating in the BETY group?” question was asked to the patients participated in BETY group to narrow the expressions and 5 new sentences are determined. The scale was sent to 24 rheumatologists and 2 physiatrists for expert opinion. 15 rheumatologists and 1 physiatrist were returned. When the survey items were examined on a question-based basis, the acceptance rate of all questions was 70.83%. According to this result, the scale was finalized. Structural validity of the created draft will be investigated in the subheadings of functional activity, pain, sexual life, fear of movement, mood. Conclusions As a result, an original scale which will assess the biopsychosocial aspects of healing properties in rheumatic patients is developed. Our future purpose is to investigate the validation of this scale in different rheumatic diseases. References E.Unal (Ed.) Romatizmal Hastaliklarda Biyopsikososyal Model: Bilissel Egzersiz Terapi Yaklasimi (BETY), 2014, Pelikan Yayincilik, Ankara. ISBN: 9786056474101. Kisacik,P. Unal,E. Akman,U. Yapali,G. Karabulut,E. Akdogan,A. Investigatition the effects of a multidimensional exercise program on sypmtoms and antiinflammatory status in female patients with ankylosing spondylitis. Complementary Ther. Clin. Pract. 22(2016):38–43. Acknowledgements The authors declare that they have no conflict of interest. Disclosure of Interest None declared

Background Studies suggest that the perception of the child and family differ in juvenile idiopathic arthritis. This may pose a problem for the clinician9s assessment (1,2). Objectives The aim of this study was to evaluate the differences in perception of the disease constraints between child and parent in JIA. Methods 129 children with JIA were included in the study.The main complaint about the illness was requested to be expressed in writing by both the child and the family. Individuals9 expressions and demographic data were recorded. The main complaints were considered nominal. The correlation between the parent9s and child9s expressions were examined. The types of complaints were classified as none, functional, symptomatic, and both functional and symptomatic. Results The age range of children ranged from 6 to 21 (mean±SD; 12,86±3,68). When the complaints of the 129 children and the parents were compared, 45,7% were different, 20,2% were partially similar and 34,1% were perfectly similar complaints.When the answers of the 59 children and parents who differ in their complaints were examined; 67.8% of the children expressed a milder disease than their parents (Table1). While the family mostly concentrated on the symptoms, the children were worried on functional complaints (Table1). Conclusions As a result of this study, there was a difference between parent9s and child9s perception of the disease. While children report functional complaints, parents focus on symptomatic complaints. Exercise approaches should focus on the child9s functional complaints and identify common goals with the family. Families should be educated about the importance of the complaints that the child expresses. References Manczak, M. Rutkowska-Sak, L. Raciborski, F. Health-related quality of life in children with juvenile idiopathic arthritis – child9s and parent9s point of view. Reumatologia 2016; 54(5):243–250. Consolaro, A. Negro, G. Lanni, S. et al. Toward a treat-to-target approach in the management of juvenile idiopathic arthritis. Clin Exp Rheumatol 2012; 30(4 Suppl 73): 157–162. Acknowledgements The author declare that they have no conflict of interest. Disclosure of Interest None declared