Ufuk Yurdalan

Beliefs towards mental illness in Turkish physiotherapy students

Abstract Mental health is a new area of specialization for physiotherapists. However, they usually meet patients with psychiatric co-morbidities secondary to other chronic diseases. It is important to explore the beliefs of future physiotherapists regarding mental illness in order to implement effective strategies to avoid possible stigmatizing attitudes that may interfere with the rehabilitation process. Moreover, the psychiatric field should be introduced to physiotherapists as a clinical and research area. Therefore, we aimed to question the beliefs of physiotherapy students regarding mental illness using the Beliefs towards Mental Illness Scale in two different universities in Turkey. The total score of 524 students was 46.5 ± 14.5 out of 105 while the Dangerousness Subscale score was 21.2 ± 5.8/40; Incurability and Poor Social and Interpersonal Skills Subscale score was 24.2 ± 9.3/55 and Shame Subscale score was 1.1 ± 1.9/10. Students who had a relationship with an individual having a mental problem and students who had consulted a psychiatrist/psychologist for any mental problem showed more positive beliefs. Future physiotherapists should be informed and trained regarding people with mental illness both to avoid stigma and to be aware of this area in physiotherapy settings. Therefore, it is important to implement new curricula for schools providing physiotherapy education including courses, lectures and clinical practices in the psychiatry field.

SAT0743-HPR Risk factors for fear of falling in patients with knee osteoarthritis

Background Severe knee osteoarthritis (OA) is characterized by stiffness, pain, and disability of the knee joint. Severe pain negatively affects muscle strength, coordination, postural stability, proprioception, mobility, and increases fall risk and possibly fear of falling. Individuals with severe knee OA experience loss of self-efficacy, activity avoidance, loss of self-confidence, and finally fear of falling without actually experiencing a fall (1). Despite the high prevalence of falls in patients with OA, few studies have investigated fear of falling in patients with knee OA (2). Objectives The present study was conducted to determine the risk factors affecting fear of falling and to investigate the relationship between fear of falling and age, gender, body mass index, pain level, range of motion, muscle strength, knee swelling, postural stability, and functional status in patients with knee OA. The purpose of our study was to evaluate the regression of fear of falling and identify its risk factors in patients with severe knee OA. Methods A total of 71 patients who were diagnosed with knee OA according to the American College of Rheumatology (ACR) and who were accepted as stage 2 and 3 based on the Kellgren-Lawrence criteria, were included in the study. Outcome measures included fear of falling, pain intensity, and range of motion, quadriceps and hamstring muscle strength, knee swelling, postural stability, and functional status. Pearson correlation and multiple logistic regression test was used to determine the risk factors of fear of falling and relationships between fear of falling and age, body mass index, pain intensity, range of motion, muscle strength, knee swelling, postural stability, and functional status. Results Multiple logistic regression analysis showed that age (odds ratio=12.5, p=0.011), body mass index (odds ratio=14.5, p=0.030), pain intensity (odds ratio=3.5, p=0.045), range of motion (odds ratio=9.8, p=0.012), and knee swelling (odds ratio=8.4, p=0.019) were independent risk factors for fear of falling among patients with knee OA. Conclusions We conclude that age, body mass index, pain intensity, range of motion and knee swelling influence the fear of falling. They are viewed as an important predictor of fear of falling in knee OA. Our results could be used to help select knee OA patients who should be enrolled in fall prevention programmes. References Tsonga T, Michalopoulou M, Kapetanakis S, et al. Risk factors for fear of falling in elderly patients with severe knee osteoarthritis before and one year after total knee arthroplasty. J Orthop Surg (Hong Kong). 2016 Dec;24(3):302–306. Levinger P, Menz HB, Wee E, Feller JA, Bartlett JR, Bergman NR. Physiological risk factors for falls in people with knee osteoarthritis before and early after knee replacement surgery. Knee Surg Sports Traumatol Arthrosc. 2011 Jul;19(7):1082–9. Disclosure of Interest None declared

FRI0771-HPR Work – related lumbar pain in physiotherapists who work in different fields – a pilot study

Background Having a job exposing the load on the lumbar region increases lumbar pain risk. Lumbar pain takes first place in musculoskeletal disorders among health care workers. A survey which investigated musculoskeletal disorders in physiotherapists indicated that the most common musculoskeletal disorders have seen in the lumbar region. Objectives The aim of this study was to determine the work – related lumbar pain in physiotherapists who work in different fields and differences in terms of occupational and personal variables. Methods This was a prospective, comparative and multi – central study. Physiotherapists who accepted to participate in this study voluntarily and work at any of paediatric, orthopaedic and neurological fields were received. Eighty – eight physiotherapists were taken first assessment. Their demographic information were taken and they filled out the Oswestry Low Back Disability Questionnaire. Twenty – nine cases who had any orthopaedic disease, surgical history and did not fill the entire of the Oswestry Low Back Disability Questionnaire excluded from the study. Twenty – eight women and 31 men met the criteria for inclusion. Physiotherapists were divided into three groups as paediatric (n=21), orthopaedic (n=24) and neurological (n=14). Lumbar pain level, the number of daily patient transfer, daily working hours and daily standing working hours in three groups were compared. One – way ANOVA was used to compare the groups. SPSS v11.5 was used for the statistical analysis. Results There were no significant differences in lumbar pain levels between groups (p=0.342). Daily standing working hours of paediatric group were significantly less than orthopaedic group (p=0.021) and the number of daily patient transfer were significantly higher in paediatric group according to orthopaedic group (p=0.028). Daily standing working hours and the number of daily patient transfer of neurological group had no differences between other groups (p=0.173). Conclusions We think that the reason why no differences between the pain level of paediatric and orthopaedic group may be due to more daily transfers in paediatric group and more daily standing working hours in orthopaedic group. The cause why no differences between neurological field and others, might be because of another working factors which we did not assessed. There is a need for research examining in detail on working conditions and trials including more cases. Disclosure of Interest None declared

AB1239-HPR The Effects of Kinesiologic Taping and Extracorporeal Shock Wave Therapy (ESWT) on Functional Outcomes in Patients with Plantar Fasciitis – a Randomized Trial

Background Plantar Fasciitis is a common cause of heel pain that affects up to 10% of the population and accounts for approximately 600,000 outpatient visits annually (1,2). Multiple treatment options range from conservative to surgical interventions, although studies of the effectiveness of each modality have had conflicting results (1). The preferred treatment is physiotherapy, which has the aims of suppressing the pain, restoring the mechanical function of plantar fascia and improving the gait (2). In addition, treatments for plantar fasciitis using shockwaves have shown good results with regard to pain relief and functional improvement (3). However, although alleviating symptoms, nonsurgical interventions, such as rest, exercise, and modalities do not address the underlying pathology of poor foot biomechanics, and therefore may only provide temporary relief (4). On the other hand, kinesiologic taping, applying to address the underlying the problem of poor foot biomechanics can be used as an adjunct to ESWT for the treatment of plantar fasciitis. Objectives It is hypothesized that kinesiologic taping applied as an adjunct to ESWT will show a greater decrease in pain, and an increase in functional activity, and mobility compared to ESWT in patients with plantar fasciitis. To our knowledge, this is the first study to compare kinesiologic taping with ESWT and ESWT for plantar fasciitis. Methods This was a randomized, prospective, comparative clinical study. Forty five patients with a diagnosis of plantar fasciitis were divided randomly into two treatment groups. Twenty five subjects in intervention group received kinesiologic taping and ESWT for one week, while twenty subjects in control group only received ESWT. Outcomes were Visual Analog Scale (VAS) for pain intensity, Foot and Ankle Outcome Score (FAOS) for functionality and Time Up&Go Test for mobility. Evaluations were assessed at baseline before treatment and one week after treatment. Results It was found that there were significant improvements in all measurements for post-treatment compared to pre-treatment in both groups (p<0.05). There was no statistically significant difference between post-treatment values of two groups (p>0.05). Conclusions Treatment of plantar fasciitis with kinesiologic taping plus ESWT resulted in improved functional outcomes. Kinesiologic taping plus ESWT had no superiority in terms of functional outcomes compared to ESWT. References Covey CJ, Mulder MD. Plantar fasciitis: How best to treat? J Fam Pract. 2013 Sep;62(9):466-71. Grecco MV, Brech GC, Greve JM. One-year treatment follow-up of plantar fasciitis: radial shockwaves vs. conventional physiotherapy. Clinics (Sao Paulo). 2013;68(8):1089-95. doi: 10.6061/clinics/2013(08)05. Höfling I, Joukainen A, Venesmaa P, Kröger H. Preliminary experience of a single session of low-energy extracorporeal shock wave treatment for chronic plantar fasciitis. Foot Ankle Int. 2008 Feb;29(2):150-4. doi: 10.3113/FAI.2008.0150. Hyland MR, Webber-Gaffney A, Cohen L, Lichtman PT. Randomized controlled trial of calcaneal taping, sham taping, and plantar fascia stretching for the short-term management of plantar heel pain. J Orthop Sports Phys Ther. 2006 Jun;36(6):364-71. Disclosure of Interest None declared