Purpose: The aim of this investigate the effectiveness of the conventional physical therapy and Mulligan mobilization technique in the treatment of Cervicogenic Headache (CH) and to compare the effectiveness of these two methods. Methods: A total of 40 patients with CH were randomized into conventional physical therapy group (Group 1, n=20) and Mulligan mobilization group (Group 2, n=20). Neck lordosis, range of motion (ROM), Cervical Performance Tests, Visual Analogue Scale (VAS), Neck Disability Index, Beck Depression Scale measurements were recorded at baseline and at two weeks after the treatment. Results: VAS, Neck Disability Index and Beck Depression Scale decreased and ROM, cervical performance and lordosis angle increased significantly in both groups (p=0.010). Conclusions: Both treatments were found to have positive effects on radiological and clinical findings of CH, but Mulligan mobilization technique was found to be more effective in all evaluations except neck extension and right lateral flexion ROM measurements

Bu araştırmada, yürüyüş bandı egzersizinin sigarayı bırakma üzerindeki etkinliği, uyku kalitesi ve yaşam kalitesi üzerindeki etkisi ile birlikte incelenmiştir. Sigarayı bırakmak isteyen 40 kişi rasgele iki gruba ayrılmıştır. Deney grubu 15 seanslık bir yürüyüş bandı egzersiz programına katılırken, kontrol grubu sigarayı bırakmaya yönelik herhangi bir müdahale almadı. Katılımcıların; demografik bilgileri kaydedildi. Uyku kaliteleri Pittsburgh Uyku Kalitesi Ölçeği ile yaşam kaliteleri Yaşam Kalitesi Ölçeği-Kısa Formu ile ve dispne şiddetleri Modifiye Borg Skalası ile değerlendirildi. Tedavi sonrasında deney grubunda dispnenin şiddeti önemli ölçüde azaldı. Her iki grup da tedaviden sonra uyku kalitesinde iyileşme gösterdi. Deney grubunda tedavi sonrasında yaşam kalitesi ölçeğinin alt boyutlarında artış tespit edildi. Ayrıca, deney grubunda kaşeksi ve obezite olan katılımcıların sayısında azalma tespit edildi. Öte yandan, kontrol grubunun yaşam kalitesinde ve vücut kütle indeksi sınıflandırılmasında önemli bir değişiklik tespit edilmedi. Araştırmada, yürüyüş bandı egzersizi eşliğinde sigarayı bırakmanın sadece dispnenin şiddetini azaltmakla kalmayıp aynı zamanda yaşam kalitesini, uyku kalitesini ve genel sağlık algısını da iyileştirdiği sonucuna varıldı. Bu durum, sigarayı bırakmaya çalışan bireyler için faydalı olabilir.

Background: Low back pain is an important disability problem frequently encountered in the clinic. In the literature, it has been shown that neuropathic pain in chronic low back pain is quite common in patients. Although superior cluneal nerve entrapment syndrome is an underdiagnosed cause of low back and leg pain, differential diagnosis is very important anatomically and clinically. The superior cluneal nerves are pure sensory nerves that innervate the skin of the upper part of the buttocks. In the literature, methods such as surgery, nerve blockade, prolotherapy, and acupuncture have been used in the treatment of cluneal nerve entrapment syndrome, but there are no studies on exercise. In this case report, our aim is to explain the importance of differential diagnosis in cluneal nerve entrapment syndrome, which is one of the common causes of low back pain in the clinic, and the effects of exercise in this disease. Case presentation: A 22-year-old, Turkish-ethnicity, male patient with complaints of low back pain, neck–back pain, and weakness did not use alcohol or cigarettes. In his family history, there was a history of diabetes in the mother and diabetes and heart failure in the father. He had a history of osteoporosis, epilepsy, asthma, sarcoidosis, and cardiac arrhythmia. The patient reported that he suffered from constipation three to four times a month. As a result of the detailed evaluation, the planned exercise prescription was taught to the patient, and after it was confirmed that the patient did the exercises correctly for 3 days, the exercise brochure was given and followed as a home exercise program for 8 weeks. Conclusions: Lumbar stabilization exercises, gluteal muscle strengthening exercises, thoracolumbar fascia mobilization, and stretching exercises, which will be given in accordance with the clinical anatomy of the disease after the correct diagnosis in cluneal nerve entrapment syndrome, have been beneficial for the patient. However, we think that randomized controlled studies with a large sample will contribute to the literature.

The study aimed to investigate the short-term effects of radial nerve self-mobilization [RNSM], manual therapy [MT], and extracorporeal shock wave therapy [ESWT] on pain, pain-free grip strength, functional status, and patient satisfaction in patients with Lateral Epicondylitis [LE] and to determine the superiority of these methods to each other. 48 patients diagnosed with LE were included in the study and were randomly divided into three groups. RNSM was applied to all patients as a home program. The first group [n=16] received only the RNSM as a home program, the MT group [n=16] received MT combined with RNSM, and the ESWT group [n=16] received ESWT combined with RNSM. The RNSM was applied five days per week, and the MT and ESWT for two sessions per week for three weeks. Pain severity, pain-free handgrip strength, functionality levels, and patient satisfaction were evaluated before and after three weeks of treatment. The pain level significantly decreased, and handgrip strength and functionality increased in all groups after three weeks [p<0.001]. In comparison between the groups, the decrease in pain level, the increase in maximum grip strength, and patients' overall satisfaction scores were found to be higher in the MT group than in the ESWT, and only the RNSM groups [p<0.05]. MT application combined with radial nerve self-mobilization exercises in the treatment of LE appears to be more effective.

OBJECTIVE: The study aims to determine the success of physiotherapy intern students in treating patients with shoulder disabilities and to investigate the relationship between this competence and their knowledge of upper extremity anatomy. MATERIAL AND METHODS: 48 intern students were taken to the upper extremity anatomy exam. 20 students scored below 45 points formed Group 1, 28 students scored above 45 points formed Group 2. Standard finger ladder and wand exercises were applied to 48 patients 5 weekly sessions for 4 weeks. Patients were also taught home exercises to continue until the follow-up sessions. VAS (rest, activity, sleep), shoulder range of motion (ROM), SF-36 (health survey questionnaire), the disability of the arm, shoulder, and hand (DASH), and patient satisfaction questionnaire (PSQ-18) were performed pre-treatment, post-treatment (PostT), and 4 weeks after the treatment (C). RESULTS: In the short term, statistically significant improvement has been determined in VAS, ROM, and DASH in patients in group 2. In the long term, there was a statistically significant improvement in patients in both groups and no intergroup superiority. There was a statistically significant increase in SF-36 in the short and long periods in patients in Group 2, while no such increase was observed in Group 1. In PSQ-18, patients in both groups showed statistically significant satisfaction, with no significant differences between the groups. CONCLUSIONS: Adequate knowledge of upper extremity anatomy of physiotherapy intern students is effective in achieving short-term treatment success. In the long term, patients' regular continuation of home exercises reduces the lack of treatment quality due to lack of anatomy knowledge.

It is known that COVID-19, which affects large masses worldwide, causes prolonged symptoms in some individuals. The present study aims to determine the factors affecting quality of life, physical activity level, cognitive impairment, and dyspnea level in individuals with long COVID. The study included COVID-19 patients diagnosed at the Chest Diseases Clinic at least 12 weeks ago. Phone calls were conducted to all participants to collect demographic and clinical data. Participants were verbally administered the modified Medical Research Council (mMRC) dyspnea scale, International Physical Activity Questionnaire (Short Form), EQ-5D-5L Scale, and Short Blessed Orientation-Memory-Concentration test (BOMC). Multiple linear regression was used to determine independent variable effects on dependent variables. The study included 176 individuals, with a mean age of 54.57±1.49 years and 41.5% (73) being female. Female gender (0.112 times), severe disease (0.282 times), and aging (0.006 units per year) were found to impact quality of life negatively (p<0.05). Females (330.068 times) and older individuals (14.711 times) had lower physical activity levels (p<0.05). A one-year increase in age increased the cognitive impairment level by 0.181 units. Moderate and severe disease increased cognitive impairment by 3.509 and 5.764 times, respectively, compared to mild disease. Dyspnea increased with age (0.031 units) and severity (0.446 times intermediate disease; 0.981 times severe disease). The physical and cognitive evaluation of individuals with long COVID, especially those of female gender and advanced age and with severe disease, is important for their activities of daily living and quality of life.