The aim of the newborn hearing screening programme is early detection of hearing loss. Transient evoked otoacoustic emissions (TEOAE) and automised auditory brainstem response (A-ABR) are effective, objective and valuable test batteries for newborn hearing screening, and they should be used together. The purpose of this study is to determine which test battery is more accurate and can be used as the gold standard. A total of 933 newborn children were included in this study, of which 602 were girls and 331 boys. 622 of them were screened with TEOAE, while 311 with A-ABR. 31 of the newborn screened with A-ABR and 27 of those screened with TEOAE were referred in the hearing screening programme. The results showed that out of 933, 17 subjects had hearing loss. The hearing loss rate was 1.8%; 12 of the newborn screened with AABR and 5 of those screened with TEOAE had hearing loss. Keywords: Hearing loss, TEOAE, ABR, newborn hearing screening.
Astım, çocukluk çağında en sık görülen kronik bir hastalıktır. Astım hastalığında havayolu obstrüksiyonu ve ekspiratuar hava akımı kısıtlılığı mevcuttur. Çalışmamızda, astımlı olgunun üflemeli enstrüman icrasında tıbbi tedavi desteği ile inspiratuar kas eğitiminin (İKE) etkinliği incelendi. Bu amaçla, astım tanısı almış ve 6 hafta süre ile İKE uygulanan 12 yaşındaki erkek olgunun solunumsal değerleri ve yaşam kalitesi değerlendirildi. Müzik eğitiminin çocuklarda sosyalleşme üzerinde ve zekâ gelişiminde (konsantrasyon düzeyi ve hafıza gelişimi vs) olumlu etkisi vardır. Astımlı çocukların bazı derslerden muaf tutulmaları, sosyalleşme sorunlarına ve okul başarılarında düşüşlere neden olmaktadır. Aktivite sırasında görülen dispne algısı, atak geçirme korkusu ve hastane yatışları nedeniyle okula olan devamsızlık, çocukların akademik başarılarını, konsantrasyon düzeylerini olumsuz etkilemektedir. Bu çalışmada, solunumsal değerlerinde iyileşme yanında müzik parçasının flüt ile çalınma süresinde artış olan bir olgu anlatılmıştır.
The similarities or differences of the threesome (physiotherapists, patients, and caregivers) thought about the process of stroke rehabilitation can play a key role in the success of rehabilitation.
Purpose: We planned this study to bring attention to the somatosensory impairments in patients with multiple sclerosis (PwMS) and to investigate relationship of somatosensory impairments with dynamic postural stability and upper extremity motor function.Methods: Seven males and 23 females, 30 patients with mean EDSS 2.9 (SD = 1.4), aged between 18 and 65 years (mean = 41.43 ± 14.90 years) were included in this clinical study. Light touch sensorial assessment was made with Semmes Weinstein monofilament test and proprioception by distal proprioception test. Hand strength was measured by the Jamar dynamometer, fine motor skill was examined with nine-hole peg test, functional reach test in sitting and standing position was applied. Nottingham Extended Activities of Daily Living Scale (NEADLS) was used to measure everyday activities.Results: We found a negative and moderate correlation between FRT in standing and light touch of the middle of the heel (right: –0.515), metatarsal bone (right r: 0.453, left r: –0.426), and medial of the foot (right r: –0.462). There was a negative and moderate correlation between NEADLS and light touch of the metatarsal bone (right r: –0.564, left r: –0.472), medial of the foot (right r: –0.531, left r: –0.479), and lateral of the foot (right r: –0.526). We found a positive and moderate correlation between proprioception of the ankle (right r: 0.421 left r: 0.588) and NEADLS.Conclusions: We found impairment in light touch and proprioception and, associations between sensorial functions and dynamic postural stability in PwMS. Also impaired sensorial functions cause dependent patients in daily living activities. In the assessment of balance and falling risk, independency in daily living activities; foot light touch and proprioception sense should be taken into account, hence it may provide guidance in planning rehabilitation programmes.Abbreviations: MS: multiple sclerosis; PwMS: patients with multiple sclerosis; VAS: visual analogue scale; FRT: functional reach test; 9-HPT: Nine-hole peg test; EDSS: The Expanded Disability Status Scale; NEADLS: Nottingham Extended Activities of Daily Living Scale
The trunk is the part of the human body that provides basic mechanical stabilization. It provides strength transmission between the upper and lower body regions. Body control is the ability of the body muscles to maintain the upright posture, to adapt to weight transfers, and to maintain selective trunk and limb movements by maintaining the support surface in static and dynamic postural adjustments. Good proximal trunk control provides better distal limb movements, balance, and functional motion. There are many evaluation methods, devices, and scales for trunk function and performance. 3D kinematic, electromyography, hand-held dynamometer, isokinetic dynamometer, trunk accelerometer are some devices that measure trunk function. The motor assessment scale-trunk subscale, the stroke impairment assessment set- trunk control subscale, trunk control test, trunk impairment scale are the most used scales. This chapter explores the effect of strokes on the trunk.
Amaç: COVID-19 pandemisinden sonra yaygın olarak halk tarafından kullanılmaya başlanılan maskenin istirahat esnasında kullanımının bireyleri çok rahatsız etmediği ancak fiziksel efor harcanan iş esnasında maske tolerasyonunun düşük olduğu gözlemlenmiştir. Çalışmamızda fiziksel olarak aktif bir şekilde mesleğini icra eden fizyoterapistlerin rehabilitasyon seansı esnasında maske kullanımına bağlı ağrı, vital bulgular, yorgunluk gibi faktörler üzerine etkisini araştırmayı amaçladık. Yöntem: Çalışmada bireylerin ilk değerlendirmelerinden sonra ara vermeden gerçekleştirdikleri 45 dakikalık rehabilitasyon seansı sonunda ikinci değerlendirmeye alınmıştır. Bireylerin kalp hızı, oksijen satürasyonu, kan basıncı, ağrı düzeyleri (Visuel Analog Skala ile (VAS)), dispne durumları (Modifiye Borg Ölçeği ile) değerlendirildi. Bulgular: Çalışmaya 65’i kadın (%55,6), 52’si erkek (%44,4) olmak üzere 117 fizyoterapist katılmıştır. Solunum frekansı, VAS-Dispne, VAS-Baş ağrısı ve VAS-Kulak ağrısı sonuçlarında seans öncesine göre seans sonrasında anlamlı farklılık bulunmuştur (p0,05). Sonuç: Maske kullanımının fizyoterapistlerde kulak ve baş ağrısı ile dispne şikayetlerini arttırdığı, konuşma anlaşılırlığını olumsuz etkilediğinden dolayı iletişim sorunlarına sebep olduğu ortaya koyulmuştur. Bu sonuçların rehabilitasyon seansının başarısını olumsuz etkileyeceği düşünüldüğünden fizyoterapistlerin gerekli haller dışında maske kullanımını çok tercih etmemeleri gerektiğini düşünmekteyiz.
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