Aim: Epidemiological data on the frequency, quantity, and consequences of symptomatic diabetic neuropathy remain poor. We conducted this study to examine the characteristic of neuropathic pain in patients with diabetes mellitus (DM).Materials and Methods: Average daily pain intensity was measured using a 100 mm visual analog scale (VAS). Localization of the pain, position that aggravated pain, frequency of the pain, duration of the pain, pain’s influence on daily living activities were examined.Results: The average patient age was 62.56 years and the number of males was 21 (42%). 29 Patients had only DM and 13 patients had hypertension (HT) plus DM, 4 patients had DM+HT+heart disease. The mean of pain according to VAS was 6.86±2.79. Thirty-two patients defined that the pain affected their daily living activities negatively; 30 patients’ pain localization was lower extremity,12 patients’ was upper and lower extremity; mostly pain was aggravated by standing and 40 patients’ pain frequency was as every day; 24 patients’ pain duration was less than 1 year and 18 patients’ was between 1-5 years.Conclusion: Studies on diabetic neuropathy are important drivers to improve the treatment of these patients. Neuropathic pain is considered to be more serious than other types of pain. So patients diagnosed with DM should be examined for neuropathic pain and the treatment plan should include pain decreasing medication and/or neurosurgical interventions.
BACKGROUND: Balance and mobility impairments, declined musculoskeletal strength and performance, limited range of motion, and poor flexibility are fairly common among older adults. OBJECTIVES: To determine the lower extremity muscle force and to verify the correlation with the gait characteristics and balance in community dwelling older adults. METHODS: Seventy-five adults with a mean age of 75.07 ± 6.28 years were included in the study. All participants were evaluated with the following tests: half squat (HS), decline squat (DS), foot print analysis (step length, step wide, stride length, walking velocity and cadence) and Tinetti Performance Oriented Mobility Assessment (POMA). RESULTS: HS and DS test scores were significantly correlated with Tinetti Balance and Gait Assessment scores and gait characteristics, except step wide (p< 0.01). The results of this study showed that the participants who have higher scores in the squat tests, showed higher scores in terms of POMA (p< 0.01). CONCLUSION: Appropriate and direct assessment of lower limb power and performance in balance and gait tests should be done to identify functioning of the older adults. Half and eccentric decline squat tests used in this study were useful, cheap and easy. The squat tests can be used to determine the relationship between balance and gait characteristics, in addition to predicting the musculoskeletal performance in older adults.
Aim: The aim of this study was to investigate the relationship between plantar pain, balance and foot function in Diabetes Mellitus (DM) patients with obese and non-obese. Material and Methods: Fifty-four patients were diagnosed as DM were included. Participants were seperated as non-obese (n=27) and obese (n=27). The balance abilities (dynamic and static balance) of participants were examined with the Portable Computerized Kinesthetic Ability Trainer (SportKAT-550). Pain, disability and function status of foot were assessed according to Foot Function Index (FFI) and Manchester Foot Pain and Disability Index (MFPDI). Results: FFI-Disability and MFPDI scores of the Non-Obese.Group were significantly better than Obese Group. While there were no significant correlation between BMI and MFPDI, FFI-Activity.Limitation and FFI-Disability scores in both groups (p>0.05), there was medium and positive significant correlation just between BMI and FFI-Pain.in.Non-Obese Group (p
To investigate the effects of sensory deficits on balance, functional status and trunk control in patients diagnosed with Guillain–Barré syndrome (GBS).
Methods:
Twenty patients who were diagnosed with GBS and who were in the neurology department of Mustafa Kemal University in 2017, participated in this descriptive study. There were 11 males and 9 females, and the average age was 41.55 ± 18.49 years. The trunk control of the GBS patients was assessed using the trunk impairment scale (TIS), reaching function was assessed using the functional reaching test (FRT) in the sitting position and body balance assessed using the Berg balance scale (BBS).Light touch was assessed using Semmes–Weinstein monofilament test, proprioception was assessed using the distal proprioception test and disability status was assessed using the Guillain–Barré syndrome disability scale (GBSDS).
Results:
We found a moderate, positive and significant correlation between proprioception scores and the BBS and between proprioception scores and the TIS. The correlation between proprioception and FRT in the sitting position and between proprioception and the GBSDS was not significant. We found a moderate and negative correlation between light touch and the FRT in the sitting position, TIS, BBS, but a moderate and positive correlation between light touch and the GBSDS.
Conclusion:
Neurologists and physiotherapists should both take sensory and motor function into consideration in the assessment and rehabilitation program of patients diagnosed with GBS.
Background: Understanding the brain function and how it coordinate the motor activity, means to have a map of brain using a lot of modern technologies which can give us information about the role and functions of different brain areas. Objective: The aim of our study is to explore the brain activity using electroencephalography (EEG) and make the evaluation of differences in brain functions depend on specific sport activity. Methods: We make the study on two lots of athletes from judo (12subjects) and volleyball (11subjects), yrs. 22. All of them have a great sport activity experience and the anthropometric characteristics are similar. For recording the brain activity we use Nihon EEG product. The protocol of the research includes recording of brain activity during muscle contraction and relax of hand flexors. The parameters that we follow up are alpha1, alpha2 and theta waves. The information have been analysed using statistic methods and Pearson coefficient. Judo players present a little bit increase values of theta waves and we observe also a correlation between alpha waves for dominant hemisphere. For the second lot the the values of theta waves are highest. Conclusions: Analyse the behaviour of EEG waves could help the trainer and staff for approach the training results in term of build the brain and motor pattern. This is the result of professional approach of training based on neurophysiologic assessment using the brain mapping.
Cognitive impairment, changes in mood, and decrease in fine motor skills are some of the most common symptoms experienced by individuals with Alzheimer's Disease (AD). This study aimed to investigate the effects of the Turkish intelligence and strategy game Mangala on cognitive functions, anxiety, depression, and fine motor skills in individuals with AD. In this randomized controlled study, 37 participants were divided into Mangala Group (MG) and Control Group (CG). Both the MG (n = 18) and the CG (n = 19) attended daily physiotherapy and rehabilitation sessions. Additionally, the MG played Mangala 2 sessions/week for six weeks. The mood state was evaluated using the Hospital Anxiety and Depression Scale (HAD), cognitive functions were examined using the Montreal Cognitive Assessment Scale (MoCA), and fine motor skills were measured using the Nine Hole Peg Test (NHPT). There was no significant difference between the groups pretreatment in terms of MoCA, depression and NHPT values (p > .05), except anxiety levels (p= .009) The MG showed significant improvement post-treatment in terms of MoCA and HAD anxiety (
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