BACKGROUND AND PURPOSE:Women with obesity often experience low physical activity alongside functional limitations, musculoskeletal symptoms, and perceived barriers. The concurrent associations of these domains with physical activity remain insufficiently clarified. This study examined the adjusted associations of functional capacity, musculoskeletal symptoms, and perceived barriers with total physical activity level and compared low and moderate physical activity groups. METHODS:This cross-sectional study included 85 women with obesity. Physical activity was assessed using the International Physical Activity Questionnaire-Short Form. Functional capacity was evaluated using the Timed Up and Go Test, 30-Second Chair Stand Test, and Duke Activity Status Index. Perceived barriers and musculoskeletal symptoms were assessed using the Self-Perceived Barriers for Physical Activity Scale and Extended Nordic Musculoskeletal Questionnaire, respectively. Univariate and multivariate regression analyses were performed. RESULTS:TUG performance, DASI-derived METs, fatigue-related barriers, and knee symptoms in the past 12 months were associated with total physical activity score in univariate analyses. In the multivariate model, fatigue-related barriers (B = -71.69, β = -0.298, p = 0.005) and knee symptoms (B = -261.62, β = -0.225, p = 0.026) remained negatively associated with total physical activity. The final model explained 26.2% of the variance (adjusted R2 = 0.226). TUG performance and DASI-derived METs were not independently associated with physical activity after adjustment. Compared with the low activity group, women with moderate activity had higher DASI-derived METs, lower fatigue-related barrier scores, and lower lifetime knee symptom prevalence. DISCUSSION:Physical activity participation in women with obesity may not be fully captured by measured functional capacity alone and appears to be related to perceived fatigue and knee symptom burden. Physiotherapy practice may benefit from integrating fatigue management, knee symptom screening, progressive load management, and individualised pacing strategies alongside functional capacity training.

Objective To investigate additive effect of Therapeutic Neuroscience Education (TNE) to pilates exercises in female patients with fibromyalgia (FM). Method 25 female patients FM included in the study. They randomly separated into two groups. There were 11 patients in the intervention group and 14 patients in the control group. Pilates exercises and TNE were applied in the intervention group, and only pilates exercises were applied in the control group. Dynamic Loewenstein Occupational Therapy Cognitive Assessment (DLOTCA), Visual Analogue Scale (VAS), Brief Pain Inventory (BPI), Widespread Pain Index (WPI), Fibromyalgia Impact Questionnare (FIQ), Symptom Severity Scale (SSS), Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia (TSK), Biopsychosocial Questionnaire (BETY-BQ) and pressure algometer was used for evaluation. Results After the treatment, control group improved in the "visuomotor construction" and "thinking operations"cognitive areas andtotal score of DLOTCA, BPI-pain severity score, VAS, FIQ, SSS, PCS-magnification, and only left medial knee mean score of pressure pain thresholds (p<0.05). Intervention group improved in the "thinking operations" cognitive area and total score of DLOTCA, BPI-pain severity score, BPI-pain interference score, VAS, WPI, FIQ, SSS, TSK, BETY-BQ and all pressure pain thresholds (excluding left trapezius) (p<0.05). In the comparison of delta values, the intervention group improved more in WPI, FIQ, right trapezius mean score and left trapezius, right quadriceps femoris, right-left medial knee maximum and mean scores of pressure pain thresholds (p<0.05). Conclusion TNE increased the effectiveness of pilates exercises on pain, functional status and pressure pain thresholds in patients with FM.

RATIONALE:Aggressive osteoblastoma (AO) is an extremely rare cancer that mainly affects the spine and long bones and is less frequent in craniofacial bones. Cases involving the skull are even rarer, and the low incidence rates limit our understanding of the distribution and treatment strategies of AO. The aim of this study was to explore the clinical features, imaging findings, pathological characteristics, diagnoses, treatment, and prognosis of AO involving the skull. PATIENT CONCERNS:A 13-year-old male was admitted to the hospital with a painless mass on the forehead that had gradually enlarged over the past year. DIAGNOSES:Magnetic resonance imaging of the head revealed an abnormal signal corresponding to a region with an unclear boundary measuring 2.32 cm × 2.23 cm × 2.64 cm on the left side of the frontal bone. INTERVENTIONS:The entire mass was removed, and postoperative pathological examination led to a diagnosis of epithelioid osteoblastoma. OUTCOMES:The patient was periodically followed up for a year, and no tumor recurrence or metastasis was observed. LESSONS:AO can be diagnosed on the basis of histological examination, immunohistochemical analysis, and imaging. Gross tumor resection and regular re-examination are suitable treatment options. LEVEL OF EVIDENCE:Level I - randomized-controlled study.

Context: Although cranial distant effects occur in self-myofascial release interventions for lower-extremity muscles and fascia, the results of caudal distant effects are still unclear. The aim of this study was to examine the distant effects of myofascial release applied to the thoracolumbar fascia together with exercise training on balance, lower-extremity flexibility, and muscular endurance in healthy young adults. Design: Single-blinded randomized control trial design. Methods: Thirty-six healthy participants aged 18–35 years were randomly divided into 3 groups: myofascial release and exercise group (group 1, n = 12), exercise group (group 2, n = 12), and control group (group 3, n = 12). Three days a week for 4 weeks, group 1 applied the thoracolumbar fascia foam roller massage together with the warm-up, muscular endurance, balance, and stretching exercise program, and group 2 applied the same exercise program except for the foam roller massage. No intervention was made in group 3. Flexibility was assessed with sit and reach test, muscular endurance with the 1-minute sit to stand test, and balance with star excursion balance test before the intervention and at the end of the fourth week. Results: Flexibility, muscular endurance, and dynamic balance values increased significantly in groups 1 and 2 after the intervention (P < .05). When the difference values (Δ) of groups 1 and 2 were compared, there was a difference in favor of group 1 for flexibility, muscular endurance, and dynamic balance (P < .05). Conclusions: The results of the study showed that the effect of the distant myofascial release technique added to the exercise training on flexibility, muscular endurance, and dynamic balance was greater than the exercise training alone.

Correction to: Therapeutic Neuroscience Education In Fibromyalgia: A Randomized Controlled TrialPhysikalische Medizin, Rehabilitationsmedizin, Kurortmedizin eFirstDOI: 10.1055/a-2503-6229

Purpose: To investigate the short-term effects of hot pack, intermittent traction and low-level laser combined with stretching exercises and stretching exercises alone on neck mobility in individuals with no past pain history but flexibility loss. Material and Methods: Sixty (60) participants were randomly divided into 4 groups. All participants performed cervical stretching exercises. Cervical intermittent traction wad added to Group I, low level laser therapy was added to group II, hot pack was added to group III. Cervical range of motion (ROM), occiput-wall distance (OWD) and, coronoid process- tragus distance (TCD) was assessed at the beginning and end of the study. Results: The results of this study showed that all physical therapy modalities were effective in increasing lateral flexion ROM and OWD score (p.05) to stretching exercises alone in increasing neck mobility. Conclusion: In conclusion, both stretching exercises alone and combined with hot pack, intermittent traction, and low-level laser increased neck mobility in healthy individuals. Even if not combined with any modality, stretching exercises alone may increase neck mobility.

Objectives. - Suspension training has become popular in sports and functional performance in recent years. Suspension training may promote higher improvement in physical performance compared to traditional training because of its greater instability. Therefore, this study aimed to compare the effects of 10 -week suspension and traditional push-up training on physical performance in young men. Methods. - Thirty-two young men were divided randomly into two groups: suspension pushup ( n = 17) and traditional push-up ( n = 15). Physical performance tests included 90 0 push-up test for strength -endurance, Closed Kinetic Chain Upper Extremity Stability test (CKCUES) for shoulder stability, Y Balance Test (YBT) for dynamic balance, and Seated Medicine Ball Throw Test (SMBT) for power. Assessments were completed in two sessions in both groups before and after the 10 -week push-up training. Results. - In baseline values, a significant difference was found for only the CKCUES test in favor of the suspension push-up group ( P < 0.05). Both groups showed significant improvements in physical performance tests ( P < 0.05); however, when compared groups, there was a significant difference in the 90 0 push-up test in favor of the suspension push-up group ( P < 0.05). After 10 weeks of push-up training, Cohen's d effect size of both groups was high except for SMBT in the traditional push-up group. Conclusion. - Both suspension and traditional push-up training effectively improved physical performance in healthy untrained young men. However, suspension push-up is more efficacious than traditional push-up in strength -endurance. Our results suggest that healthy untrained young men who desire to increase muscular strength and endurance may prefer suspension push-up training. (c) 2023 Elsevier Masson SAS. All rights reserved.

This paper explores the historical evolution of balance sheet layout and the reasons behind the positioning of assets on the left or right side. It delves into two main questions: why the discrepancy in asset placement on balance sheets across countries, and why the shift from right to left in the UK during the 19th century. Using historical evidence spanning from the 15th century to the mid-20th century, the study investigates the development and changes in listing assets, liabilities, and stockholders' equity. It aims to uncover the factors influencing the classification and presentation of items on balance sheets, driven by the needs of information users over time. By examining secondary sources in English literature, the paper provides insights into the evolution of balance sheet layouts globally. Researchers may find this exploration of historical balance sheet variations intriguing, shedding light on how layout decisions have been shaped by user needs and expectations.

Aim: Self-esteem is an important psychological concept for mental health. The aim of our study was to compare the levels of self-esteem between visually impaired adults who participate in sports and those who do not.Method: A total of 85 visually impaired adults were included in the study, including 42 who participate in sports and 43 who do not. A personal information form and the Rosenberg Self-Esteem Scale were used for data collection.Results: The mean age of the visually impaired adults who participate in sports was 20.86±3.0 years, while it was 20.88±2.92 years for those who do not participate in sports. Among the visually impaired adults who participate in sports, 22 were female and 20 were male, while among those who do not participate in sports, 26 were female and 17 were male. The analysis revealed that the self-esteem of visually impaired adults who participate in sports was statistically significantly higher than that of those who do not participate in sports (p=0.001). It was also observed that the self-esteem of both female and male visually impaired adults who participate in sports was statistically significantly higher than their counterparts who do not participate in sports (female p=0.001, male p=0.020).Conclusion: It was concluded that participation in sports increases self-esteem in visually impaired adults regardless of gender. In this context, it should be emphasized that participation in sports should be expanded among visually impaired individuals.

The aim of this study was to compare the effects of Neuromuscular Integrative Action (NIA) and Pilates exercises on physical fitness and psychological effects in sedentary women. The groups were randomly divided into Pilates (n = 22) and NIA (n = 21) groups using the closed envelope method. 43 sedentary women aged 20-45 years were included in the study. The 6 Minute Walking Test (6MWT), the Sit and Reach Test, and the Static Plank Test durations were used for the physical fitness level assessment at baseline and at the end of trainings. In addition, the Rosenberg Self-Esteem Scale, the Beck Anxiety Inventory, and the SF-36 were used to evaluate the psycho-somatic symptoms and health-related quality of life of the participants. Both groups received 60-min exercise sessions 2 days a week for 8 weeks. After treatment, within comparisons revealed that there was a significant improvement in BMI (P = 0.008), 6MWT (P = 0.0001), Sit and Reach Test (P = 0.016), Static Plank Test (p = 0.000), and SF-36 (p = 0.017) values in the NIA group. Additionally, BMI (P = 0.038), 6-min Walk Test (p = 0.0001), Sit and Reach test (p = 0.001), Static Plank test (0.000), Functional Reach distance (p = 0.06), Beck Depression Scale, and SF-36 (p = 0.006) scores improved in comparisons made within the Pilates group after treatment. Between group comparisons showed similar result for all variables in both Pilates and NIA groups. Based on the results of this study, NIA may be an alternative to Pilates for improving the physical fitness level and psychological effects in healthy women.

Objective: Stretching and warm-up exercises are commonly used to increase hamstring flexibility in sports rehabilitation.The aim of the study was to compare immediate and short-term effects of hot packs, infrared, and ultrasound on hamstring flexibility when applied before stretching exercises in healthy individuals.Materials and Methods: A total of 60 participants were randomly divided into four groups.All participants performed hamstring stretching exercise three times a week for six weeks.Each stretching session consisted of three repetitions of 15 seconds duration.Before the stretching exercises, hot packs were applied to Group I, infrared to Group II, and ultrasound to Group III.Group IV (control group) performed self-stretching exercises alone.Hamstring flexibility was assessed with the Active Knee Extension (AKE) test in all sessions before and after the interventions.Results: AKE significantly increased after all sessions (p<0.05) and in the short term (p<0.05) in all groups.The short-term effect did not differ between the groups (p>0.05).Among the different agents, infrared has the highest effect size. Conclusion:The results of the study showed that both superficial and deep heat agents had an increasing effect on hamstring flexibility.However, the application of superficial or deep heat agents before stretching exercises did not provide an additional increase in hamstring flexibility.

This study aimed to investigate whether the Covid-19 lockdown affect pain, exam anxiety and general anxiety in students preparing for university exam. A total of 364 students were divided into groups as high school seniors (HS, n = 241) and high school graduates (HG, n = 123). Visual Analog Scale (VAS) for neck and low-back pain, Beck Anxiety Inventory for general anxiety, Exam Anxiety Scale (EAS) for exam anxiety were used. Both groups showed high level of exam anxiety and generalized anxiety (p < .05). After Covid-19, neck and low-back pain rates, and VAS pain scores of both groups increased (p < .05). Neck pain before Covid-19 and neck and low-back pain after Covid-19 were higher in female students than males (p < .05). The Covid-19 lockdown negatively affected the neck and low-back pain level, exam anxiety and general anxiety of both HS and high school graduate students. We suggest that community healthcare services should regard physiotherapy and rehabilitation interventions to treat students with neck and low-back pain via exercise strategies. Psychological and emotional support also could be provided to reduce students' general anxiety and exam anxiety. Future studies should establish the consider menstrual cycle status in female students, and the computer-using time of students.

BACKGROUND:The COVID-19 pandemic has brought many restrictions that affected Turkey as well as other countries around the world. Restrictions on education, sports activities and social activities affected students physically and psychologically.OBJECTIVE:The aim of this study is to investigate the impact of the COVID-19 pandemic on weight gain, physical activity, and mental health among university students.METHODS:The study included students of Pamukkale University aged between 18-25 years. Participants answered the online survey about changes in body composition and physical activity habits during the pandemic. International Physical Activity Questionnaire (IPAQ) was used to assess physical activity levels. Beck Depression Scale (BDS) was used to assess the mental health.RESULTS:848 (546 females, 302 males) students average aged 20,72±1,63 years were included in the study. When the physical activity times before and during the pandemic were compared, a statistically significant difference was found (p < 0.05). Multivariate analyses showed that higher BDS scores (p = 0.000) were significantly associated with increased weight gain. But there was no significant association with age and changes in physical activity time.CONCLUSIONS:The results of the study showed that the COVID-19 pandemic has a negative effect on the physical activity level, weight gain and mental health of university students. Students reported an increase in weight during the pandemic. Also, the increase in depressive symptoms is related to higher levels of weight gain. Therefore, physical activity and mental health programmes should be offered to university students as an educational and health policy.

BACKGROUND Early rehabilitation after total knee arthroplasty (TKA) is crucial in functional outcomes. However, considering improvements in the first six months, there may be benefits to continuing rehabilitation beyond three months postoperatively to achieve maximum functionality and strength. OBJECTIVE The aim was to compare: (a) effectiveness of late-phase clinic-based and home-based progressive resistance training (PRT) in female patients with TKA; and (b) crude cost of both interventions and explore feasibility. METHODS Thirty-two patients were assigned to clinic-based PRT (n = 16) and home-based PRT (n = 16) groups. A training program was performed at the clinic or at home for eight weeks. Pain, quadriceps and hip abductor strength, patient-reported and performance-based outcomes, knee range of motion (ROM), joint awareness, quality of life (QoL) were assessed at baseline (three months postoperatively) and after 8-week intervention (five months postoperatively). Feasibility and crude cost were examined. RESULTS Exercise adherence was 100% in clinic-based PRT and 90.6% in the home-based PRT group. Both interventions improved quadriceps and hip abductor muscle strength, performance-based and patient-reported outcomes, knee ROM, and joint awareness without side effects (p < .05). Clinic-based PRT showed better results in: activity pain (p = .004, ES = -0.888); knee flexion (p = .002, ES = 0.875) and extension ROM (p = .004, ES = -1.081); chair sit-to-stand test (p = .013, ES = 0.935); joint awareness (p = .008, ES = 0.927); and QoL than home-based PRT (p < .05). CONCLUSION Late-phase clinical-based and home-based PRT interventions may be beneficial in improving muscle strength and functionality in patients with TKA. Late-phase PRT is feasible, cost-effective, and recommended for rehabilitation after TKA.

Research Questions: As an output of double-entry bookkeeping practices, when were the balance sheets first seen in Ottoman Empire? What factors (people, legislation, internationalization, etc.) impacted the layout or format of the balance sheets until the Capital Markets Law was enacted in 1982 in Turkey? When were the classified balance sheets first seen in Turkey before 1982? Motivation: The study is inspired by country-specific financial reporting history studies. Idea: This study investigates the history of the classified balance sheets in Turkey before 1982 regarding changes, developments, and evolutions and aims to explore the development of classified balance sheets in the Ottoman and Turkey. Data: For the study, secondary sources such as accessible textbooks adopted by higher education institutions by 1982 in Turkey are scanned and examined. Findings: The study argues that classified balance sheets in Turkey before 1982 evolved by translating from French, German, and American sources. This could be observed in the accounting textbooks published by different authors with different educational backgrounds. Contribution: The findings may help interested researchers pursue comparative studies or explore such developments and evolutions in their jurisdictions.

OBJECTIVE:"Fear-avoidance behavior" means that the individual avoids a specific activity or movement due to the perception that it may cause injury. Fear of movement associated with pain can reduce individuals' adaptation to exercise programs. This situation may cause individuals to refrain from taking action and increase the existing limitation. Our aim is investigating of Fear-Avoidance Beliefs Questionnaire (FABQ) in patients with neck pain and creating a questionnaire option for clinicians and researchers to evaluate the fear-avoidance behavior in neck pain in Turkish.METHODS:The sample of the research was comprised 175 patients between the ages of 18-65, who have a complaint of neck pain that lasted for at least 3 months. The test was applied on patients with neck pain and no treatment, with an interval of 2-7 days. The Visual Analog Scale (VAS), Neck Disability Index (NDI), and Nottingham Health Profile (NHP) were applied on the participants to evaluate the validity of the FABQ.RESULTS:Accordingly, between FABQ and NHP (r=0.227), pain (NHPP) (r=0.214), emotional reactions (r=0.220), and physical activity (NHPPA) (r=0.243), a weak relationship was observed. A weak correlation was observed between physical activity (FABQ-PA) which are subscales of the FABQ questionnaire and NDI (r=0.210), NHPP (r=0.205), and NHPPA (r=0.267).CONCLUSION:FABQ is a valid and reliable tool for patients with neck pain. In our study, a weak relationship was detected between FABQ, NDI, and NHP, as like VAS.

Objective: To investigate the effect of short-term (3 weeks) whole body vibration training (WBVT) in healthy young people. Materials and Methods: Seventy six healthy individuals (mean age=22.55±1.22 years, 41 females and 35 males) were included in the study. Participants were randomly divided into two groups as WBVT group (n=41) and control group (n=35). WBVT, consisting of 14 exercises for the trunk and lower extremities, was applied to the WBVT group 3 times a week for 3 weeks. The control group did not receive any training. Flexibility, lower extremity endurance, trunk endurance and dynamic balance respectively; measured with sit and reach test, sit and stand test, Biering Sorensen tests, lateral bridge and shuttle, Y balance test. All measurements were made at baseline and at the end of the 3rd week. Results: After 3 weeks, in WBVT group, curl up test (p=0.023), chair stand test (p=0.015) and Y balance test were perfomed on right anterior (p=0.003), right posteromedial (p=0.001), right posterolateral (p=0.001), left anterior (p=0.001), left posterolateral (p=0.000), and left posteromedial (p=0.000) aspects were significant. In the control group, the results in the right anterior (p=0.019) and left anterior (p=0.025) aspects of the Y balance test were significant. When the delta values were compared, the difference in the right (p=0.018) and left (p=0.006) posterolateral directions of the Y balance test; it was significant in favor of the WBVT group. Conclusion: It was observed that short-term whole body vibration training had positive effects on trunk flexor endurance and dynamic balance in healthy young people. New insights into the use of musculoskeletal rehabilitation and sports training programs can be provided by WBVT. Further studies are needed to examine the effectiveness of whole-body vibration training by comparing different loads, volumes and types.

Eğitim ve Araştırma Hastanesi / Forbes Tıp Dergisi, Galenos Yayınevi tarafından yayınlanmıştır.Bu dergide yayınlanan bütün makaleler Creative Commons 4.0 Uluslararası Lisansı (CC-BY) ile lisanslanmıştır.116 ÖZ Amaç: Bu çalışmanın amacı Nintendo Wii ® (NW) denge eğitiminin kronik ortopedik diz problemi olan hastalarda denge ve kuvvete olan etkisinin incelenmesidir