Background
Kinesiophobia can be a barrier for physical activity in patients with multiple sclerosis (PwMS) and it can develop as a result of fear and avoidance reactions due to fatigue. However, ...there is no valid and reliable scale available to assess kinesiophobia due to fatigue in PwMS.
Aims
To investigate the test–retest reliability and construct validity of the Tampa Scale of Kinesiophobia-Fatigue (TSK-F) in PwMS.
Methods
Eighty-seven PwMS were included in the study. In addition to TSK-F, the following measurements were used for construct validity: Expanded Disability Status Scale (EDSS), Fatigue Severity Scale (FSS), Fatigue Impact Scale (FIS), 6-Minute Walking Test (6MWT), International Physical Activity Questionnaire (IPAQ), Beck Depression Inventory (BDI), Multiple Sclerosis Quality of Life Scale-54 (MSQoL-54). TSK-F was administered twice (3–7 days apart) to measure test–retest reliability.
Results
The intraclass correlation coefficient of the TSK-F was 0.867. It had a weak correlation with the IPAQ and EDSS, moderate correlation with the MSQoL-54 and 6MWT, and strong correlation with the BDI, FSS, and FIS (respectively, rho − 0.345, rho 0.365, rho 0.544, rho − 0.449, rho 0.690, rho 0.602, rho 0.650). The scale had good performance to discriminate the disease severity with the area under the curve (AUC) value 0.730.
Conclusions
TSK-F has excellent reliability and moderate-to-good validity in evaluating kinesiophobia and the scale may be a useful outcome measurement for assessment of kinesiophobia due to fatigue in PwMS.
Uluslararası İlişkiler (Uİ) disiplinine uzun bir süre hakim olan anaakım teorilerin aksine Marksizm
Uİ’de kendine ancak 1980’li yılların sonunda, pozitivizm sonrası dönemde bir yer bulabilmiştir. Bu
...sebeple, Marksizm ve Uİ üzerine yapılan ve Marksizm’in Uİ’ye olan potansiyel katkılarının neler
olabileceği yönündeki tartışmaları içeren çalışmalar Türkiye’de diğer teoriler kadar çeşitlenmemiş ve
sınırlı kalmıştır. Marksizm, Soğuk Savaş ideolojik yapısı çerçevesinde sosyalist ülkelerin rejimleriyle
özdeşleştirilmiş ve bir sosyal teori olarak Marksizm, Uİ’nin gündemine gelmemiştir. Soğuk Savaş’ın
sona ermesi ve küreselleşme ya da Marksist bir bakış açısından kapitalizmin evrenselleşmesi
Marksizm’in tezlerinin yeniden gündeme gelmesine ve bu tezlerin etrafında yoğun tartışmaların
ortaya çıkmasına yol açmıştır. Gerçekten de Marksizm’in devlet anlayışı, kapitalizm ve devletler
sistemi arasındaki ilişkiye olan vurgusu ve uluslararası ilişkilere olan sınıfsal bakış açısı, Uİ teorilerine
çok önemli katkılar sağlamaktadır. Özellikle devlet-merkezci uluslararası ilişkiler okumasına yönelik
eleştiri sunan Marksist teori geleneği, uluslararası ilişkilerde de esas olarak sınıf temelli bir analiz
önermektedir. Ayrıca Marksizm, üretken bir şekilde, yeni bakış açıları ve yaklaşımları da ortaya
çıkarmaktadır. Bu sebeple, Marksizm’in Uİ anlayışı ve uluslararası ilişkilere getirdiği yeni kavramlar,
bu alanda yapılacak kapsamlı ve detaylı çalışmalara olan ihtiyacı da beraberinde getirmiştir.
The purpose of this study was to investigate the presence of median nerve mechanosensitivity by comparing median nerve neurodynamic test results of patients with nonspecific neck pain (NNP) and ...asymptomatic individuals.
A total of 40 patients (30 women, 10 men) with NNP between the ages of 21 and 62 years (39.53 ± 10.18 years) and 38 asymptomatic individuals (23 women, 15 men) between the ages of 18 and 60 years (37.13 ± 9.64 years) participated in the study. Pressure pain threshold was assessed with digital pressure algometer, cervical joint range of motion was assessed with a universal goniometer, and median nerve mechanosensitivity was assessed with Upper Limb Neurodynamic Test 1 (ULNT1). The test step where the first sensory response was given, the location and character of the sensory response, and the final elbow extension angle were recorded during ULNT1.
Patients with NNP had significantly decreased pressure pain threshold (P < .001), decreased range of motion of cervical flexion (P < .001), and decreased cervical lateral flexion (P = .001) compared with asymptomatic individuals, whereas no change was identified in range of motion of rotation (P = .100). In ULNT1, 45% of patients with NNP reported pain and 40% of them reported stretch. A total of 65% of asymptomatic individuals reported stretch, and 13% of them reported pain. It was identified in ULNT1 that final elbow extension angle was lower in the NNP group compared with asymptomatic individuals (P = .008).
Median nerve mechanosensitivity increased, pressure pain threshold decreased, and active neck motion was limited in individuals with NNP compared with asymptomatic individuals.
Aim: This descriptive and correlational study aims to determine whether nurses have organizational revenge intentions and evaluate the effect of organizational justice perceptions. Method: The study ...was conducted on 526 nurses who accepted to participate in the research. The participants work in three hospitals: one university and two Ministry of Health hospitals. The data were collected using a personal information form, the Organizational Revenge Intention Scale (ORIS), and the Organizational Justice Perception Scale (OJPS). Institutional permissions and ethics committee permissions were obtained for the research. Data were collected from June 2015 to March 2016. Data were analyzed using the Cronbach Alpha Coefficient, frequency and percentage distribution, descriptive statistics, Pearson Product-Moment correlation analysis, Simple Linear Regression analysis, and t-test. Results: As a result of the evaluation of the research data, it was determined that nurses perceived injustice in 'distribution justice,' but their organizational revenge intentions were low. In addition, it was determined that there was a negative relationship between all dimensions of nurses' perception of organizational justice and organizational revenge intention, especially 'interactional justice' and general organizational justice perception and organizational revenge intention. It was revealed that the interactional justice perceived by the nurses was effective on their organizational revenge intention by 2% and the general organizational justice perception by 1%. Conclusions: As a result of the research, it was revealed that the perception of organizational justice has a very low effect on the organizational revenge intention of nurses.
Abstract Introduction This study was planned to compare the static and dynamic balance in children with DMD at different functional levels with each other and with healthy peers. Material and Methods ...Sixty nine children between the ages of 6 and 11 were included in this study where 52 of them were diagnosed with Duchenne Musclar Dysthropy (DMD) in Level I (18 patients), Level II (17 patients), and Level III (17 patients) according to Brooke Functional Classification Scale and 17 of them healthy peers were included. In order to assess static and dynamic balance pediatric functional reach test (PFRT) and timed up and go test (TUGT) were used. Results When compared in terms of the TUGT, differences were found between all groups, i.e. Level 1 and 2, Level 2 and 3, Level 1 and 3, Healthy peers and Level 1, Healthy peers and Level 2, and Healthy peers and Level 3 (p<0.0083). When compared in terms of the PFRT in the standing positions, there was difference between level 3 and healthy peers(p<0.0083), but not between the other groups. Conclusions We found poor functional level in DMD to affect the dynamic and static balance parameters in this study. The dynamic balance of a child with DMD at Level 3 is decreased to a third of a healthy peer.
ABSTRACT
Introduction
We investigated and compared the effects of 2 different types of upper extremity exercise training on upper extremity function, strength, endurance, and ambulation in patients ...with early‐stage Duchenne muscular dystrophy (DMD).
Methods
The study group (n = 12) exercised with an arm ergometer under the supervision of a physiotherapist, whereas the control group (n = 12) underwent a strengthening range‐of‐motion (ROM) exercise program under the supervision of their families at home for 8 weeks. Upper extremity functional performance, strength, endurance, and ambulatory status were assessed before and after the training.
Results
Ambulation scores, endurance, and arm functions, as well as proximal muscle strength, were improved after the training in the study group (P < 0.05).
Conclusions
These results demonstrate that upper extremity training with an arm ergometer is more effective in preserving and improving the functional level of early‐stage DMD patients compared to ROM exercises alone. Muscle Nerve 51:697–705, 2015
Abstract. Purpose The purpose of this study was to compare patients with low back and neck pain with respect to kinesiophobia, pain, and quality of life. Subjects and Methods Three-hundred patients ...with low back (mean age 43.2+-11 years) and 300 with neck pain (mean age 42.8+-10.2 years) were included in this study. Pain severity was evaluated by using the Short-Form McGill Pain Questionnaire, which includes a Visual Analogue Scale, quality of life by the Nottingham Health Profile, and kinesiophobia by the Tampa Scale for Kinesiophobia. Results Pain severity was similar in both groups, with a Visual Analogue Scale score of 6.7+-2 in the low back pain and 6.8+-2 in the neck pain group. Nottingham Health Profile pain z=-4.132 and physical activity scores z=-5.640 in the low back pain group were significantly higher. Kinesiophobia was also more severe in the low back pain group, with a mean 42.05+-5.91 versus 39.7+-6.0 Tampa Scale for Kinesiophobia score z=-4.732. Conclusion Patients with low back pain developed more severe kinesiophobia, regardless of the pain severity, and had greater pain perception and lower physical activity levels. Kinesiophobia adversely affects the quality of life and requires effective management of low back pain.
A sedentary lifestyle has negative effects on many aspects of life.
The aim of this study was to determine the effects of physical activity on sleep quality, job satisfaction, and quality of life in ...office workers.
A convenience sample of office workers from administrative staff of a university was included. There were two groups; Group I did regular physical activity for at least eight weeks, and Group II did no regular physical activity. Sleep quality, job satisfaction, and quality of life were assessed using the Pittsburgh Sleep Quality Index, the Minnesota Job Satisfaction Scale, and the World Health Organization Quality-of-Life-Scale (WHOQOL-BREF), respectively.
Group I included 59 individuals and Group II 50 individuals. No significant differences were found between groups in terms of age, height, weight, and the period of time worked (p > 0.05). Although no significant difference was found in terms of sleep quality (p = 0.52), the overall job satisfaction of Group I was higher than Group II (p = 0.03). All subscales of the WHOQOL-BREF for Group I was higher than Group II (p < 0.05).
Regular physical activity could increase job satisfaction and quality of life for office workers. Further studies investigating the effect of physical activity in terms of its type, duration should be performed.
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