Translation, reliability, and validity of the Turkish version of the Neck Bournemouth Questionnaire.

OBJECTIVES: The aim of this study was to translate the Neck Bournemouth Questionnaire into Turkish and to test the reliability and validity of the Turkish version of the Neck Bournemouth Questionnaire (BQc-t). PATIENTS AND METHODS: Between June 2014 and July 2015, a total of 97 patients with neck pain (27 males, 70 females; mean age 46.6±10.6 years; range, 18 to 65 years) were included in the study. The patients underwent a physical therapy and rehabilitation program. For translation, the American Association of Orthopedic Surgeons guideline was used. The reliability was measured with internal consistency and test-retest by calculation of the Cronbach alpha and intraclass correlation coefficient (ICC) respectively. Internal construct validity of the BQc-t was analyzed with confirmatory factor analysis. For external construct validity, the correlations between the BQc-t results and the Neck Pain and Disability Scale (NPAD), Modified Neck Disability Index (MNDI), and Short Form-36 (SF-36) were analyzed before and after treatment. Responsiveness was calculated as the effect size (ES) and standardized response mean (SRM). Minimal detectable change (MDC) score was calculated to evaluate interpretability. RESULTS: The ICC value for test-retest of total score was 0.945. Pre- and post-treatment Cronbach alpha coefficients were 0.877 and 0.907, respectively, showing that the reliability of the BQc-t was considerably high. Confirmatory factor analysis showed that questions were found to cluster in a single dimension. In terms of the external construct validity, there was a positive statistically significant correlation between the BQc-t questions, except for Question 7, and relevant subscales of the NPAD and MNDI. There was also a negative statistically significant correlation between the BQc-t questions and SF-36 subgroups. The ES and SRM were 1.23 and 1.48, respectively. The MDC was 20.31. CONCLUSION: Our study results show that the BQc-t is reliable, valid, and sensitive to clinical changes.

Establishing the Turkish version of the SIGAM mobility scale, and determining its validity and reliability in lower extremity amputees.

PURPOSE: The aim of this study is to adapt the Special Interest Group in Amputee Medicine (SIGAM) mobility scale to Turkish, and to test its validity and reliability in lower extremity amputees. MATERIAL AND METHODS: Adaptation of the scale into Turkish was performed by following the steps in American Association of Orthopedic Surgeons (AAOS) guideline. Turkish version of the scale was tested twice on 109 patients who had lower extremity amputations, at hours 0 and 72. The reliability of the Turkish version was tested for internal consistency and test-retest reliability. Structural validity was tested using the "scale validity" method. For this purpose, the scores of the Short Form-36 (SF-36), Functional Ambulation Scale (FAS), Get Up and Go Test, and Satisfaction with the Prosthesis Questionnaire (SATPRO) were calculated, and analyzed using Spearman's correlation test. RESULTS: Cronbach's alpha coefficient was 0.67 for the Turkish version of the SIGAM mobility scale. Cohen's kappa coefficients were between 0.224 and 0.999. Repeatability according to the results of the SIGAM mobility scale (grades A-F) was 0.822. We found significant and strong positive correlations of the SIGAM mobility scale results with the FAS, Get Up and Go Test, SATPRO, and all of the SF-36 subscales. CONCLUSION: In our study, the Turkish version of the SIGAM mobility scale was found as a reliable, valid, and easy to use scale in everyday practice for measuring mobility in lower extremity amputees. Implications for Rehabilitation Amputation is the surgical removal of a severely injured and nonfunctional extremity, at a level of one or more bones proximal to the body. Loss of a lower extremity is one of the most important conditions that cause functional disability. The Special Interest Group in Amputee Medicine (SIGAM) mobility scale contains 21 questions that evaluate the mobility of lower extremity amputees. Lack of a specific Turkish scale that evaluates rehabilitation results and mobility of lower extremity amputees, and determines their needs, directed us to perform a study on this topic when we took the number of amputations performed in our country into consideration. SIGAM mobility scale is directed at rehabilitation specialists who are working in amputee medicine. Turkish version of this scale was found both reliable and valid in our study and hence it can be used in clinical practice and studies.

Relationship between core stability and dynamic balance in women with postmenopausal osteoporosis.

OBJECTIVES: The aim of this study was to investigate the relationship between core stability and dynamic balance in women with postmenopausal osteoporosis. PATIENTS AND METHODS: A total of 100 females (mean age 59.9±7.5 years; range, 42 to 73 years) with postmenopausal osteoporosis between January 2016 and June 2016 were included in this study. All patients were evaluated for dynamic balance with the Star Excursion Balance Test (SEBT) and for core stability with trunk flexion, extension, and Side Bridge Test (SBT). RESULTS: There was a significant correlation between age and the reach directions of anterior (A), posteromedial (PM), and posterolateral (PL) of the right limb (p<0.001, p=0.009, p=0.012) and the reach directions of A and PM of the left limb (p<0.001, p=0.004). There was no correlation between the lumbar spine, femoral neck, and total hip Bone Mineral Density (BMD) and the reach directions of SEBT (p>0.05). There was a significant correlation between the trunk flexion test results and the reach directions of A, PM, and PL of the right limb (p=0.005, p=0.001, p=0.002), (r=0.277, r=0.333, r=0.308) and the reach directions of A, PM, and PL of the left limb (p=0.008, p=0.016, p=0.005), (r=0.265, r=0.239, r=0.276). There was a significant correlation between the SBT results and the reach directions of A, PM, and PL of the right limb (p<0.001, p<0.001, p=0.005), (r=0.423, r=0.366, r=0.281) and the reach directions of A, PM, and PL of the left limb (p<0.001, p<0.001, p=0.001), (r=0.418, r=0.356, r=0.316). There was a significant correlation between the trunk extension test results and the reach directions of A, PM, and PL of the right limb (p<0.001, p<0.001, p=0.006), (r=0.383, r=0.471, r=0.276) and the reach directions of A, PM, and PL of the left limb (p<0.001, p<0.001, p=0.003) (r=0.407, r=0.401, r=0.297). CONCLUSION: Our study results showed that age and core stability were associated with dynamic balance in women with postmenopausal osteoporosis.