scholarly journals Functional Outcomes After Arthroscopic Cell-Free Osteochondral Scaffold Surgery

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0016
Author(s):  
Selda Başar ◽  
Zeynep Hazar ◽  
Mehmet Gem ◽  
Ulunay Kanatlı

Objectives: Treatment of osteochondral lesions of the talus is still controversial. Arthroscopic cell-free osteochondral scaffold technique used in knee surgery although experience with the use in the treatment of ankle is not enough. The purpose of this study was to investigate the functional outcomes after arthroscopic cell-free osteochondral scaffold technique in talus osteochondral lesion at the end of 1.year. Methods: Total of 15 patients (7 women, 8 men) undergone arthroscopic cell-free osteokondral scaffold surgery due to osteochondral lesion of the talus were included in this study (mean age; 41.6±15.7 years; range 17-67). At the end of the first year range of motion, muscle strength, ankle function and quality of life were assessed. Ankle range of motions were evaluated with universal goniometer and ankle muscle strength were measured with digital dynamometer (Baseline ®). Ankle functions were determined with the American Orthopedic Foot-Ankle society score (AOFAS). Quality of life was assessed with the Nottingham Health Profile. Results: There was no statistical difference between the operated side and the other side in the ankle joint range of motion (p>0.05). Ankle muscle strength was not different between the operated side and the other side except ankle dorsiflexion muscle strength (p>0.05). The American Orthopedic Foot-Ankle society score (AOFAS) revealed a significant improvement from 54±6.4 2 to 81±9.8 at the 12 months' evaluation. Total score of Nottingham Health Profile improved from 47.6 ± 20.3 to 29.9 ± 26.7. Conclusion: Arthroscopic cell-free osteokondral scaffold procedure appears to be a effective treatment with increasing the functional and quality of life, particularly in localized disease of the ankle joint such as talus osteochondral lesion.

2001 ◽  
Vol 89 (3) ◽  
pp. 707-717 ◽  
Author(s):  
E. M. TenVergert ◽  
K. M. Vermeulen ◽  
A. Geertsma ◽  
P. J. van Enckevort ◽  
W. J. de Boer ◽  
...  

Whether lung transplantation improves Health-related Quality of Life in patients with emphysema and other end-stage lung diseases before and after lung transplantation was examined. Berween 1992 and 1999, 23 patients with emphysema and 19 patients with other indications completed self-administered questionnaires before lung transplantation, and at 4, 7, 13, and 25 mo. after transplantation. The questionnaire included the Nottingham Health Profile, the State-Trait Anxiety Inventory, the Self-rating Depression Scale, the Index of Well-being, the self-report Karnofsky Index, and four respiratory-specific questions. Neither before nor after transplantation were significant differences found on most dimensions of Health-related Quality of Life between patients with emphysema and other indications. Before transplantation, both groups report major restrictions on the dimensions Energy and Mobility of the Nottingham Health Profile, low experienced well-being, depressive symptoms, and high dyspnea. About 4 mo. after transplantation, most Health-related Quality of Life measures improved significantly in both groups. These improvements were maintained in the following 21 mo.


2012 ◽  
Vol 16 (4) ◽  
pp. 301-308 ◽  
Author(s):  
Dinalva L. Cabral ◽  
Glória E. C. Laurentino ◽  
Caroline G. Damascena ◽  
Christina D. C. M. Faria ◽  
Priscilla G. Melo ◽  
...  

Lupus ◽  
2017 ◽  
Vol 26 (14) ◽  
pp. 1528-1533 ◽  
Author(s):  
M T Duruöz ◽  
C Unal ◽  
C Sanal Toprak ◽  
İ Sezer ◽  
F Yilmaz ◽  
...  

Background Systemic lupus erythematosus (SLE) may have a profound impact on quality of life. There is increasing interest in measuring quality of life in lupus patients. The purpose of this study was to investigate the validity and reliability of SLE Quality of Life Questionnaire (L-QoL) in Turkish SLE patients. Methods SLE according to 2012 Systemic Lupus International Collaborating Clinics Classification Criteria were recruited into the study. Demographic data, clinical parameters and disease activity measured with the Systemic Lupus Erythematosus Disease Activity Index-2000 (SLEDAI-2K); were noted. Nottingham Health Profile and Health Assessment Questionnaire were filled out in addition to the Turkish L-QoL (LQoL-TR). Internal consistency, test–retest reliability, and convergent and discriminant validity were evaluated. Results The mean age of participants was 43.55 ± 14.33 years and the mean disease duration was 89.8 ± 92.1 months. The patients filled out LQoL-TR in 2.5 min. Strong correlation of LQoL-TR with all subgroups of the Nottingham Health Profile and the Health Assessment Questionnaire were established showing the convergent validity. The highest correlation was demonstrated with emotional reactions (rho = 0.72) and sleep component (rho = 0.65) of the Nottingham Health Profile scale ( p < 0.0001). Its poor and not significant correlation with nonfunctional parameters (age, disease duration, perceived general health, SLEDAI-2K) showed its discriminative properties. LQoL-TR demonstrated good internal reliability with a Cronbach’s α of 0.93 and test–retest reliability with intraclass correlation coefficient of 0.87. Conclusion The LQoL-TR is a practical and useful tool which demonstrates good validity and reliability.


2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0018
Author(s):  
Asude Arık ◽  
Zafer Erden ◽  
Filiz Can ◽  
Çiğdem Öksüz

Objectives: Disabled athletes need proper trunk control and balance, enough flexibility and better muscle endurance to carry on activity of daily life and sports activity. In the literature, the studies which compare these parameters in disabled shooters are quite few. The purpose of this study was to compare trunk stabilization, flexibility, endurance and quality of life between disabled and healthy shooter athletes. Methods: 15 disabled and 15 healthy athletes (aged between 18-55 years) who perform shooting at least one year were included in the study. Disabled athletes suffered from unilateral and bilateral poliomyelitis, bilateral congenital hip dislocation or paraplegia. The athletes’ demographic charecteristics, muscular endurance, flexibility, sitting balance and quality of life were evaluated. Sit-ups and Modified Push-ups Test have been used for evaluation of trunk flexion and extansion endurance, Sit and Reach Test has been used for evaluation of flexibility. Upper extremity flexibility has been measured by shoulder internal rotation. Sitting balance has been evaluated by Modified Functional Reach, Bilateral and Lateral Reach Tests. Quality of life has been evaluated by Nottingham Health Profile. Mann-Whitney-U Test was used for the statistical analysis. Results: Results of Sit-Ups and Modified Push-Ups Tests were lower in the disabled group (z1= -3.84, z2= -3.76; p<0.05). It has been found that the disabled athletes were more flexible according to Sit and Reach Test(z= -2.22; p<0.05). No difference in right and left shoulder internal rotation was found between the healthy and the disabled group(z1= -0.56, z2= -0.91; p>0.05). Differences were found in favour of the healthy group at Modified Functional Reach, Bilateral Reach, Right and Left Lateral Reach Tests to evaluate sitting balance (eyes-open and eyes-closed) (z1=-3.38, z2=-3.86, z3=-3.42, z4=-3.51, z5=-3.40, z6=-3.55, z7=-3.13, z8=-3.65; p<0.05). Differences were found in favour of the healthy group at Nottingham Health Profile total point, energy level, pain and physical activity parameters(z1= -3.17, z2=-3.09, z3= -3.48, z4=-4.63; p<0.05). Emotional reactions, social isolation and sleep parameters were similar(z1=-0.24, z2=-0.89, z3=-0.83;p>0.05). Conclusion: It has been concluded that disabled shooters have weak trunk flexion and extansion endurance level and sitting balance according to healthy athletes; but their flexibility is better. While their energy level, pain and physical activity level related to quality of life were less than healthy athletes, their emotional reactions, social isolation and sleep level were similar. Quality of life as total score was less in disabled shooters. All these results are quite important to determine both sport performance level and planning of rehabilitation program for increasing performance level in disabled shooters.


2017 ◽  
Author(s):  
Ειρήνη Πατσάκη

Εισαγωγή: Οι ασθενείς που εξέρχονται από τη Μονάδα Εντατικής Θεραπείας (ΜΕΘ) παρουσιάζουν σημαντικά ελλείμματα που επηρεάζουν τη λειτουργικότητα και την ποιότητα ζωής τους. Σκοπός: Σκοπός αυτής της τυχαιοποιημένης τυφλής μελέτης ήταν η αξιολόγηση της επίδρασης του Ηλεκτρονευρομυϊκού Ερεθισμού (ΗΝΜΕ) και ενός προγράμματος άσκησης στη μυϊκή ισχύ των βαρέως πασχόντων κατά την έξοδο από το Νοσοκομείο. Μεθοδολογία: 128 ασθενείς (83♂/45♀) που εξήλθαν από τη ΜΕΘ οι οποίοι είχαν παραμείνει υπό μηχανικό αερισμό για > 72 ώρες και μπορούσαν να εκτελέσουν απλές εντολές, τυχαιοποιήθηκαν κατά επίπεδα (ηλικία & MRC) στην ομάδα ΗΝΜΕ ή στην ομάδα ελέγχου. Στην ομάδα ΗΝΜΕ έγινε καθημερινή εφαρμογή ΗΝΜΕ και προγράμματος ασκήσεων ενώ στην ομάδα ελέγχου έγινε εφαρμογή εικονικού ΗΝΜΕ και δέχτηκαν τη συνήθη θεραπευτική παρέμβαση. Η κλίμακα μυϊκής ισχύος Medical Research Council (MRC) και η δυναμομέτρηση χειρός χρησιμοποιήθηκαν για την αξιολόγηση της μυϊκής ισχύος. Η λειτουργικότητα αξιολογήθηκε με την κλίμακα Functional Independence Measure (FIM) και η ποιότητα ζωής με τα ερωτηματολόγια Euro-Qol 5D (Euro- Quality of Life) και Nottingham Health Profile. Αποτελέσματα: Η MRC μυϊκής ισχύος κατά την έξοδο από τη ΜΕΘ και το νοσοκομείο δεν διέφερε μεταξύ των δυο ομάδων. Η ΔMRC% έτεινε να είναι υψηλότερη στην ομάδα ΗΝΜΕ κατά την 1η και 2η εβδομάδα παραμονής στο Νοσοκομείο. Στους ασθενείς με MRC<48/60 κατά την έξοδο από τη ΜΕΘ, η ΔMRC% ήταν σημαντικά υψηλότερη στην ομάδα ΗΝΜΕ σε σχέση με την ομάδα ελέγχου κατά την 1η και 2η εβδομάδα παραμονής στο Νοσοκομείο (33%±31% vs 18%±15%, p=0.07, 59%±54% vs 30%±20%, p=0.05, αντίστοιχα). Η δυναμομέτρηση χειρός και η κλίμακα λειτουργικότητα δεν έδειξαν διαφοροποίηση μεταξύ των δύο ομάδων. Επίσης δεν υπήρξε διαφορά και στην ποιότητα ζωής. Συμπέρασμα: Η εφαρμογή του ΗΝΜΕ συμπληρωματικά με ένα πρόγραμμα αποκατάστασης μπορεί να συμβάλλει στη βελτίωση της μυϊκής ισχύς κυρίως ασθενών με σοβαρή μυϊκή αδυναμία .Ο ΗΝΜΕ φαίνεται να είναι ιδιαίτερα αποτελεσματικός στη βραχεία περίοδο εξόδου από τη ΜΕΘ επιτυγχάνοντας τη φυσική διαδικασία ίασης.


2007 ◽  
Vol 148 (13) ◽  
pp. 603-608 ◽  
Author(s):  
Réka Viola ◽  
Kornélia Lovas ◽  
Zoltán Szabó ◽  
Zsuzsanna Czenner ◽  
David Meads ◽  
...  

Bevezetés: A QLDS (Quality of Life in Depression Scale) egy, a depressziós betegek életminőségének meghatározására alkalmas kérdőív, melyet az elmúlt években számos nyelvre adaptáltak. Jelen munka célja a kérdőív magyar nyelvű adaptációja, ezáltal az első magyar nyelvű, valid depresszióspecifikus életminőség-mérce létrehozása. A kérdőív adaptálása három fázisból állt; fordítás, próbainterjúk készítése (face validity, content validity) és a kérdőív pszichometriai tesztelése. Célkitűzés: A QLDS magyar nyelvű adaptálása, továbbá pszichometriai tesztelése. Módszer: A kérdőív fordítása az ún. „kettős (dual) módszer” alkalmazásával történt. A depressziós betegek bevonásával készített próbainterjúk (field-test interview) azt vizsgálták, hogy a kérdőív alakilag és nyelvileg megfelelő-e. A pszichometriai teszt (postal survey) során a kérdőív megbízhatóságát (test-retest reliability), homogenitását (internal consistency) és szakmai validitását (construct validity) határoztuk meg. Eredmények: A próbainterjúba bevont 25 beteg a kérdőív egyes állításait érthetőnek, betegségükre vonatkozóan relevánsnak ítélte. A pszichometriai tulajdonságok tesztelésénél (postal survey, n = 50) a belső konzisztencia mérésére szolgáló Cronbach α-koefficiens megfelelően magas értéket mutatott a vizsgálat mindkét időpontjában (0,95). A megbízhatóság mértékét jelző Spearman korrelációs együtthatóra (0,89) kapott magas érték alapján a QLDS esetében kis random hibával számolhatunk. A QLDS eredménye a vártnak megfelelően korrelált a Nottingham Health Profile (NHP) egyes dimenzióval, igazolva ezzel a mérce konvergencia és divergenciavaliditását. Következtetések: A fenti eredmények alapján a kérdőív adaptálása sikeresnek bizonyult. A mérce alkalmas depressziós betegek állapotának követésére, valamint klinikai vizsgálatokban történő felhasználásra.


Sign in / Sign up

Export Citation Format

Share Document