Aim of this study is to investigate how physiotherapists evaluate the anatomy education they receive on clinical courses and practices in their professional lives.The mean age of the 50 (27F, 23M) physiotherapists was 33, 78±8, 89 and they work in public (n=26) and private sectors (n=24). Face-to-face interviews with physiotherapists were questioned about the duration of the anatomy education and methods. Anatomy educations’ effect on vocational courses, assessment-treatment programs and different physiotherapy disciplines has been investigated.Anatomy education in theoretical courses overhead and PowerPoint were used more often and 44% of them reported that they never saw cadaver. Besides for their educational competence reports 30% were theoretically and 46% were practically inadequate. The effect of the anatomy education on the clinical course was largely considered to be very important. When the effect of anatomy on different physiotherapy disciplines was evaluated, the most important effect on orthopedic rehabilitation (92%) 94% of physiotherapists think anatomic education must continue after graduation.It is concluded that anatomy education is insufficient especially practically, therefore its quality must be increased at graduate level and continuity must be ensured throughout the whole career. Keywords: Anatomy education, physiotherapy, vocational courses.
C hronic lower back pain is a critical health-related problem, with over 70% lifetime prevalence reported in industrialised counties [1].While 80% of patients with acute lower back pain recover within six weeks, the pain lasts for more than three months in approximately 7%-10% of patients, thereby adversely affecting work performance and the economy [2].Besides the loss in muscle power associated with long-term inactivation and inadequacies in voluntary neural activation, atrophy of type two muscle fibres and changes in connective tis-ABSTRACT OBJECTIVE: This study aims to assess the change in the dimensions of the lumbar muscles in patients with chronic lower back pain using Magnetic Resonance Imaging (MRI) and to determine pre/post effects of surgery. METHODS:We enrolled 28 individuals (13F/15M; age: 45.39±11.56years) whose L2-S1 muscle measurements were obtained using MRI, before and at follow-up 6-12 months after surgery.The control group comprising 37 individuals (18F/19M; age: 34.41±10.72years) who had no lumbar pathology but for whom retrospective archive images were available.In the axial MRI analysis, the cross-sections of m.multifidus, mm.erector spinae and m.psoas major on both sides were measured with the 'closed polygon' technique. RESULTS:The L2-3 and L4-5 levels of the m.multifidus on the right side, the L2-3, L4-5 and L5-S1 levels of the m.multifidus and the L5-S1 levels of the mm.erector spinae on the left side cross-sectional areas were significantly lower than the control group (p<0.05).The right-side m.multifidus and the left-side mm.erector spinae sectional areas were significantly lower than the pre-surgery values at the L5-S1 levels (p<0.05). CONCLUSION:This study demonstrated that chronic lower back pain causes atrophy in the lumbar muscles and established the existence and continuity of atrophy after surgery.
Amaç: Bu çalışmada sağlık alanında eğitim gören genç nüfusun 65 yaş ve üzeri bireylere karşı tutumlarını belirlemek amacıyla planlanmıştır. Gereç ve Yöntem: Çalışmada veri toplama formunun ilk bölümünde sosyodemografik özellikleri belirlemeye yönelik sorulardan ve Yaşlı Ayrımcılığı Tutum Ölçeği’nden oluşmaktadır. Araştırmanın evrenini 745 öğrenci oluşturmaktadır. Verilerin değerlendirilmesinde sayı ve yüzde değerleri, Independent Sample t Test, One-Way Anova Testi ve Bonferroni Testi kullanılmıştırBulgular: Katılımcıların %55,3’ü hemşirelik bölümü öğrencisi; %62,3’ü kadındır. Yaş ortalaması 20,46±1,90’dır. Toplam ölçek puan ortalaması 85,09±9,53 bulunmuştur. Katılımcının okuduğu bölüm, cinsiyeti, ebeveyn eğitim düzeyi, kardeş sayısı, aile yapısı, aile kurduğunda anne baba ile yaşamayı isteme durumu ile ölçek puan ortalamaları arasında anlamlı fark bulunmuştur (p<0,005). Sonuç: Çalışmada öğrencilerin yaşlı ayrımcılığına ilişkin olumlu tutumları olduğu; yaşlı bireylere karşı tutumlarını etkileyen kimi sosyo-demografik değişkenlerin olduğu saptanmıştır.
Objective: Aim of this study was to determine the incidence of obesity in health professionals and to investigate the effects of obesity on depression and physical health.
Materials and Methods: Research has been applied to the medical staff and auxiliary staff of Mustafa Kemal University Research Hospital. 131 individuals were included in the study. Socio-demographic information form, New York Posture Analysis and Beck Depression Scale were applied. Body Mass Index (BMI), daily working hours, daily number of meals, perception of body image, eating habits and sleep state were examined.
Results: Individuals with age between 19-60 were included in the study. 52 individuals were male, 72 of them were female. Of these individuals, 85 were married, 46 were single. A statiscally significant relationship has not been found between spending time at the dining table and obesity. Statistically significant difference has been found between BMI and perception. Also, statistically significant relationship has been found between exessive consumption of food in a meal and obesity. There has been no significant relationship between drinking water while eating meal and less chewing meals. Acidic drink consumption frequency has been found to be more in obese individuals than others. A significant difference has been found between fruit-vegetable consumption frequency and BMI. It has been observed that obese and overweight individuals consume fruits more frequently than normal and slim individuals. Frequency of consumption of sugary and fatty foods has been seen more in obese and overweight individuals than normal and weak individuals. Statistically significant difference has been found between number of meals and BMI.
Conclusion: Identification of the prevalence of obesity which is a society problem with increasing importance and factors affecting obesity in healthcare workers who are the main persons fighting against the obesity are extremely important. It has been thought that obesity brings significant orthopedic problems due to postural issues. Additionally, body image perception in overweight and obese individuals result in a bio-psycho-socio-cultural aspects and treatment program must be created comprehensively. Obesity causes systemic diseases, especially cardiac, diabetes and orthopedic problems, so appropriate and specific exercises should be given individually.
Objectives: Temporomandibular joint dysfunction (TMD) results in changes in anatomical structures. The aim of this study was to examine the morphological changes using magnetic resonance imaging (MRI) and evaluate the effectiveness of different treatment methods in patients with TMD. Methods: 34 TMD patients (18–62 years of age) were randomly divided into two treatment groups. Group A (n=18) was subjected to dry needling (DN) and mobilization for 10 sessions, Group B (n=16) was instructed to use occlusal splint with home exercises for one month. The control group included MRIs of 17 healthy adults that were randomly selected from the archives of Radiology Department of Mustafa Kemal University. The length and width of the masseter, lateral and medial pterygoid muscles and the depth of the mandibular fossa were measured and mandibular condyle types were recorded. Range of motion of each temporomandibular joint was evaluated in pre- and post-treatment periods to test the effectiveness of the treatment methods. Results: The size of the masticatory muscles in TMD group was significantly smaller than the control group (p<0.05). The depth of the mandibular fossa was significantly shallower in the TMD group (p<0.05). The most commonly encountered condylar shape was convex in the TMD group (63.6%), but flat (58.8%) in the control group. No statistically significant relationship was observed between condyle type and fossa depth (p>0.05). However, the fossa depth showed a significant correlation with muscle size (p<0.05) and this correlation decreased with dysfunction. Dry needling and mobilization significantly decreased pain and increased mandibular movements (p<0.05); however, there was no significant change for Group B. Conclusion: The anatomical structures associated with the temporomandibular joint seems to be affected in patients with TMD. We suggest that the limited movement of the temporomandibular joint may cause atrophy of the masticatory muscles, affecting the range of motion of the joint. Dry needling and mobilization techniques might be a more effective alternative than occlusal splint in the treatment of TMD.
The aim of this study was to determine the effects of active video games and music-accompanied aerobic and callisthenic exercises on body mass index (BMI), body fat ratio, physical performance tests, psychosocial status, and self-respect in overweight and obese adolescents.Fifty (21 males and 29 females) slightly overweight and obese participants with no chronic disorder and of an average age of 12.16±0.99 years were included in the study. The percentile values for BMI, triceps skinfold thickness, waist circumference measurements, and physical performance tests were evaluated. The effects of obesity on psychological wellness were evaluated using the depression scale for children (DSC) and the Piers-Harris Children's Self-Concept Scale for self-esteem. Following these evaluations, the participants were subjected to an exercise program in five groups of 10 people, 3 days a week for a duration of 8 weeks. Each exercise session lasted 45 minutes. Participants were re-evaluated at the end of the exercise program. The data collected both before and after the exercise program were analyzed using the SPSS 18.0 program.According to BMI reference values, 28% of the 50 participants (n=14; 6 males and 8 females) were assessed to be overweight and 72% to be obese (n=36; 15 males and 21 females). Following the exercise program, 14% of the participants (n=7; 3 males and 4 females) were assessed as normal, 46% (n=23; 14 males and 9 female) as slightly overweight, and 40% (n=20; 4 male and 16 female) as obese. It was determined that the decrease in BMI values (p<0.05) was higher in male participants than in female participants and that the frequency of obesity was higher in the females. A statistically significant decrease in BMI values was found after the exercise program (p<0.01). Following the exercise program, statistically significant differences have also been observed in the self-esteem (p<0.01), psychological wellness (p=0.025), triceps skinfold thickness, as well as in waist circumference and BMI values of the participants compared to the pre-exercise phase (p<0.01).An exercise program applied with active video games was found to have positive effects on the obese state as well as on the psychosocial status and self-esteem of obese individuals, indicating that exercise and physical activity have an important role in improvement of the obese state in childhood as well as having positive contributions to self-esteem and psychological wellness state.
Balance problems in individuals with cerebral palsy (CP) restrict their motor skills for fulfilling daily life activities and acting independently in society. This study investigates the effect of kinesiology taping (KT) on the feet and ankles for static and dynamic balance. Forty individuals with CP with an average age of 10.85 ± 3.893 were included. Records of demographic information and anamnesis of individuals were made. Gross motor function classification system, gross motor function measure and Berg balance scale (BBS) were used for evaluation. Static and dynamic balances of the individuals were measured with Techno Body Postural Line device at pre-treatment and post-treatment of KT. Following KT, falling risks of the individuals were observed to decrease significantly based on the BBS scores. We consider that usage of KT in treatment programmes along with other physical therapy methods will play an important role in improvement of balance and functional capacity. Keywords: Cerebral palsy, kinesio tape, dynamic balance, static balance.
The determination of the normal values of the cross-sectional surface areas and ratios of the vertebral canal and the spinal cord on the healthy individuals is of great importance with regards to the fact that it provides convenience for the doctors to make correct pathological diagnosis because of the most suitable treatment.In this study, it has been aimed to determine the respective ratios between the vertebral canal and the spinal cord via measuring their cross-sectional surface areas at the C3-C6 vertebra levels.The study has been implemented on the Magnetic Resonance Images (MRI) of the cervical vertebral column from healthy individuals at the Department of Radiology, Meram Faculty of Medicine, Necmettin Erbakan University.The study has been applied to 67 (50 female-17 male) individuals whose ages varied between 14 and 59 and these individuals have been divided into two groups as below and over 40 years of age.During the cervical MRI examination, axial and sagittal images have been evaluated and measurements have been made on the non-pathological axial images.The vertebral canal and the spinal cord surface areas have been calculated in square millimeters at the C3-C6 levels.Also, we calculated the ratio between the spinal cord surface area and the vertebral canal surface area.The obtained data has been transferred on the computer and statistical analysis has been implemented via SPSS package program (for Windows, 15.0).The summary of the data has been stated as Mean±SD.It has also been compared with regard to sex and age groups (below and over 40 years of age) using the Student t-test.The relationship between parameters has been evaluated by means of Pearson correlation test.No significant discrepancy (P>0.05) has been determined between the male and the female subjects in terms of the vertebral canal and spinal cord surface area values.On the other hand, at the C4, C5 and C6 levels, a significant discrepancy (P<0.05) has been observed between male and female subjects in terms of the ratio of spinal cord surface to the vertebral canal surface, stating that the male have it larger than the female.A positive correlation (P<0.01) between the surface area and ratio data of both sexes has been determined.We believe that the results of this study will be useful for the fields of neurology, neurosurgery and physical therapy and rehabilitation, particularly in evaluating spinal atrophy.
Aim: Psychiatric disorders have been known for centuries as a serious individual and public health problem in terms of suicide, job loss and relapse. The aim of this study was to investigate the effects of relaxation and breathing exercises on anxiety and depression in psychiatric patients.Method: This study was conducted with 40 (18 females, 22 males) inpatients in Psychiatry Clinic of Hatay Mustafa Kemal University According to the power analysis results, Type1 error = 0.05 alpha Type2 error beta 80% was calculated to make a significant difference in the 1st and 2nd evaluations. Health Application and Research Hospital. Individuals have been enrolled in a relaxation exercise program combined with breathing exercises every day for 3 weeks accompanied by a physiotherapist. Individual’s levels of psychological symptoms have been assessed with Symptom Check List-90-R Psychological Symptoms Screening Test.Results: The mean age of the participants was 30.45, standard deviation value 8.63 years. A significant recovery has been observed in the psychological symptoms of individuals in all sub-parameters of SCL-90-R screening test after the exercise program (p<0.05).Conclusion: In this study, it was found that breathing and relaxation exercises applied to psychiatric patients contributed to the reduction of psychiatric symptoms. In addition, it was found that breathing and relaxation exercises performed with physiotherapists positively affect the treatment process of psychiatric patients and may contribute to the early discharge of these patients.
