The aim was to investigate the relationship between lower extremity lymphedema and pelvic floor functions, sleep quality, kinesiophobia, body image in patients with gynecological cancer the effect of lymphedema severity on pelvic floor dysfunction (PFD), sleep quality, fear of movement, and body image in patients with lower extremity lymphedema after gynecologic cancer. A total of 103 patients (52 patients with lymphedema and 51 patients without lymphedema) after gynecologic cancer surgery were included in March-June 2022. Bilateral circumferential measurements were taken with a tape measure at different levels to create groups. These measurements determined limb volumes by summing segment volumes derived from the truncated cone formula. For data collection, all patients were presented with the Gynecologic Cancer Lymphedema Questionnaire (GCLQ), the Global Pelvic Floor Bother Questionnaire (GPFBQ), the Pittsburgh Sleep Quality Index (PSQI), the Tampa Scale of Kinesiophobia (TSK) and the Body Image Scale (BIS) one time. The severity of lymphedema symptoms was quite high in patients with lymphedema (GCLQ Total: 13.6) (p < .05). Patients with lymphedema had higher GCLQ total scores, GPFBQ1 (stress urinary incontinence), GPFBQ4 (urge urinary incontinence), GPFBQ8 (fecal incontinence), kinesiophobia and, body image scores than patients without lymphedema (p < .05). The sleep quality levels of patients with lymphedema and patients without lymphedema were similar (p > .05). A significant negative correlation was found between GLCQ total score and body image (p < .05). There was a positive correlation between kinesiophobia and pelvic floor symptoms and a negative correlation between kinesiophobia and body image (p < .05). In this study, it was observed that in patients who developed lymphedema after gynecologic cancer surgery, pelvic floor symptoms and kinesiophobia increased and the severity of lymphedema negatively affected body image. Reducing lymphedema in these patients may improve pelvic floor health, mobility, and body image.

This study aimed to perform the psychometric evaluation of the Turkish version of the Lymphedema and Breast Cancer Questionnaire (LBCQ).Patients with BCRL (n = 50) received a Turkish version of the...

The aim of this study was to investigate the validity and reliability of the Turkish Tampa Kinesiophobia Scale-Short Form in individuals with low back pain. A total of 111 volunteer patients aged between 30 and 65 years (mean 48±12 years) and diagnosed with mechanical low back pain were included in the study. Explanatory factor analysis (EFA) and confirmatory factor analysis (CFA) were applied to the data to test the construct validity. Item-total correlations were calculated to test item discrimination and Cronbach-α values were calculated to test reliability. To determine the criterion validity, the Turkish versions of the Visual Analog Scale (VAS), the SF-36, the Fear-Avoiding Beliefs Questionnaire (FABQ), and the Roland-Morris Disability Questionnaire (RMDQ) as well as the TSK-11, which was translated into Turkish, were administered. There was no difference between the TSK-11 test and retest measurement results (P>0.05). Cronbach α levels for test and retest were calculated as 0.74 and 0.81. The variance of the first factor in the factor analysis was 35.372%, indicating that the Turkish version of the TSK-11 consisted of one dimension. As a result of DFA, the TSK-11 fit index criteria in other fit indices. In the test-retest analyses of the Turkish version of TSK-11, intraclass correlation coefficient (ICC) values ranged from 0.403 to 0.479, while TSK-11 Cronbach's alpha values were 0.727-0.748. There was a positive relationship between TSK-11 and FABQ, RMDQ, and VAS (r=436**, 589**, 589**, respectively), and a moderate negative relationship between TSK-11 and SF-36. In our study, the Turkish version of the TSK-11 was found to be valid and reliable. The TSK-11 can be used in clinical practice and research to evaluate fear of movement in individuals with low back pain in Turkish society.

ObjectiveTo investigate the acute effect of myofascial stretching exercises on spasticity, balance, ambulation status and mobility of posterior chain muscles in multiple sclerosis. MethodThe study was conducted as a randomised controlled experimental study. The study included a total of 80 individuals diagnosed with multiple sclerosis (MS) with a mean age of 43.5 +/- 9.62 years (experimental group) and 41.4 +/- 10.4 years (control group). All individuals were treated once and evaluated before and after the session. After recording the sociodemographic characteristics, spasticity assessment was performed with the Modified Ashword Scale (MAS), balance assessment with the Berg Balance Scale (BBS), ambulation status with the Timed Up and Go Test (TUG), and posterior chain muscle mobility (PCMM) with finger-to-ground distance measurement. ResultsThe TUG (time to complete the distance) measurements of the experimental group after treatment were lower than those of the control group (p < 0.05). The value of PCMM measurements of the experimental group before the treatment was lower than that of the control group (p < 0.001). The difference in positive increase in PCMM measurements in the experimental group was higher than that in the control group (p < 0.05). After the treatment, the MAS value in the left knee of the experimental group was lower than that of the control group (p < 0.05). DiscussionMyofascial stretching exercises applied to individuals with MS made an acute contribution to ambulation status and mobility of posterior chain muscles. There was no difference in the evaluation of spasticity and balance.

This study aimed to investigate the relationship between dysphagia severity and neck proprioception, pain, and mood in individuals with multiple sclerosis (MS). The individuals were divided into two groups according to the severity of dysphagia: dysphagia group (n = 13) with a score of 3 and above on the Dysphagia Assessment Scale in Multiple Sclerosis (DYMUS) scale and mild dysphagia group (n = 13) with a score of 2 and below. Clinical swallowing function was evaluated with the Turkish version of the Eating Assessment Tool‐10 (T‐EAT‐10) and DYMUS. Proprioception was assessed with a laser by noting the deviation from the center target in centimeters. Neck pain severity was assessed with the Visual Analogue Scale (VAS), and mood was assessed with the Beck Depression Inventory (BDI). Individuals with severe dysphagia demonstrated statistically significantly greater proprioceptive impairment in cervical extension and right rotation. A significant difference was also found between the two groups in terms of clinical swallowing evaluations, neck pain status, and mood measurements. The findings suggest that proprioceptive deficits, increased pain, and mood disturbances are closely associated with dysphagia severity in MS. A multidimensional approach addressing dysphagia, proprioception, and pain management may be beneficial in optimizing dysphagia rehabilitation in patients with MS.