جستجوی مقالات مرتبط با کلیدواژه « functional test » در نشریات گروه « پزشکی »

Pregnancy and childbirth often threaten the life and health of the fetus. The greatest threat to the fetus during these periods is intrauterine hypoxia. The threat of intrauterine fetal hypoxia increases during natural childbirth and decreases during caesarean section. Therefore, it is no coincidence that the rate of C-section births is increasing worldwide. However, the generally accepted recommendations on the choice of caesarean delivery need to be clarified. A new test is needed to simulate intrauterine hypoxia and predict fetal survival during natural childbirth. Such a test would improve current C-section recommendations and newborn health outcomes. The most appropriate basis for such a functional test is the generally accepted Stange test. The fact is that the Stange test is a very easy to use and accurate functional test based on the duration of the longest breath hold. For more than 100 years, the Stange test has been successfully used to assess the adaptation reserves of adults to hypoxia in real time. The purpose of this letter is to present a new easy-to-use functional test designed to assess the resistance to hypoxia not only of the pregnant woman, but also of her fetus in real time. This new test could be a new vector in obstetric practice aimed at improving neonatal health and reducing infant mortality during delivery.

Anterior cruciate ligament (ACL) rupture is one of the most common sport injuries. Despite present progresses in conservative and surgical treatment methods for ACL, the rate of return to pre-injury level (RTP) is low. Fear of movement/reinjury (kinesiophobia) is a major hindrance to RTP in these patients. The aim of the following research was to investigate functional tests’ effect on ACL deficient (ACLD) patients’ kinesiophobia, who do not have significant differences in quadriceps strength, with healthy people. For this purpose, kinesiophobia was measured in these patients before and after functional tests and compared to healthy controls.
Material and A cross-sectional study was done on 16 ACLD patients who have been injured for at least 3 months to 2 years at the very most and have been under physical therapy treatment and 16 healthy controls. Quadriceps isometric strength, crossover hop, 6 m timed hop score indexes, and kinesiophobia scores were compiled. Patients (n = 16) were divided into two random groups, where Group “A” (n = 8) took the Tampa Scale of Kinesiophobia (TSK-17) questionnaire before functional tests, and Group “B” (n = 8) took the TSK-17 after functional tests. TSK-17 was used to measure kinesiophobia. An analysis of variance was used to compare TSK-17 and other clinical measures between groups.
Comparison of kinesiophobia level between Groups A and B showed a significant difference (P = 0.004). However, between the control group and Group B, no statistical difference existed. Functional tests and muscle strength score indexes between the three groups did not have significant differences. Moreover, activity level and time from injury to evaluation between the two groups of patients had no significant differences.
Based on the results, it could be said that ACLD patients carrying out functional tests may possibly be effective in decreasing kinesiophobia as an important hindrance to RTP level. It appears that the reduction is a result of the patients’ increased awareness about their abilities and functional status since their muscle strength was similar to that of healthy controls.