Cultural adaptation to Henry Ford Hospital Headache Disability Inventory (HDI) and investigating the validity and reliability of this inventory.International standards were followed in conducting t...

Purpose: Scapular dyskinesis is defined as alteration in scapular movements due to the loss of strength in scapular muscles; tightness of the soft tissues around shoulder and postural problems. Proprioceptive neuromuscular facilitation (PNF) is one of the therapeutic exercises to improve muscles weakness and pain levels. The aim of this study was to investigate the effects of a six-week PNF application on scapular muscle strength, scapular asymmetry, and pectoralis minor (PM) muscle tightness in participants with asymptomatic scapular dyskinesis. Methods: Twenty-five asymptomatic participants were evaluated using the video analysis method to determine the scapular dyskinesis. Eleven of them diagnosed with scapular dyskinesis and recruited for the PNF application. Lateral scapular slide test (LSST); tightness of PM; the muscle strength of serratus anterior (SA); lower trapezius (LT) and upper trapezius (UT) were evaluated. Anterior elevation-posterior depression; posterior elevation-anterior depression of PNF patterns were applied as repeated contractions technique by 2 times a week during 6 weeks. Results: The LT (p=0.012) and SA (p=0.035) muscle strength increased following PNF training, while UT muscle strength was similar (p>0,05). The UT/SA (p=0.035) and UT/LT (p=0.012) strength ratios decreased following PNF application. The mean differences of PM tightness and LSST did not exceed the established MDC%95. Conclusion: Scapular muscle balance improved following scapular PNF training. Therefore, scapular PNF patterns would be considered as an alternative treatment option to provide scapular stabilization and increase muscle strength.

AimsTo investigate the effects of a telerehabilitation program on walking performance, lower and upper extremity function, fall frequency, respiratory function, and satisfaction in individuals with Duchenne muscular dystrophy (DMD).MethodsThirty children (mean age 8.8 +/- 4.2 years) were ambulant (Group 1), and 12 youth (18.5 +/- 4.7 years) were non-ambulant (Group 2). The telerehabilitation program was applied by physiotherapists for 24 sessions (3 days/week). The 10-meter walking test, stand up from the supine position test, the modified upper extremity performance test, repetition of Lower and upper extremity movements, and the single breath count (SBC) test were administered. Fall frequency and satisfaction level were also recorded.ResultsSignificant improvement was found after telerehabilitation in upper extremity performance, repetition of lower and upper extremity movements, fall frequency, and SBC scores in Group 1. Changes in the 10-minute Walk and Stand Up from the Supine Position tests were not significant. There was a significant improvement in SBC scores in Group 2. Satisfaction with the service was 88%.ConclusionsThe 8-week telerehabilitation program was effective in improving aspects of upper and lower extremity function, fall frequency, pulmonary function, and satisfaction levels in individuals with DMD.