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  1. Article ; Online: The Turkish version of the Brace Questionnaire in brace-treated adolescents with idiopathic scoliosis.

    Gür, Gözde / Yakut, Yavuz / Grivas, Theo

    Prosthetics and orthotics international

    2017  Volume 42, Issue 2, Page(s) 129–135

    Abstract: Background: Evaluation of the effects of brace treatment on quality of life in adolescent idiopathic scoliosis is important.: Objectives: To analyze the validity and reliability of the Turkish version of the Brace Questionnaire.: Study design: ... ...

    Abstract Background: Evaluation of the effects of brace treatment on quality of life in adolescent idiopathic scoliosis is important.
    Objectives: To analyze the validity and reliability of the Turkish version of the Brace Questionnaire.
    Study design: Cohort study, evaluation of reliability and validity of the Turkish version of the Brace Questionnaire.
    Methods: Twenty-eight patients undergoing brace treatment for adolescent idiopathic scoliosis (median age: 14.6 years) were included in the study. The Brace Questionnaire was translated into Turkish and administered to the patients twice at an interval of 5 days. Reliability was assessed using the test-retest method (Pearson's correlation coefficient); internal consistency was analyzed using Cronbach's alpha. Validity was assessed by correlating the Brace Questionnaire with the Bad Sobernheim Stress Questionnaire-Brace and Scoliosis Research Society-22 questionnaire.
    Results: The mean Cobb angles were 31.1° ± 8.3° and 29.7° ± 9° for thoracic and lumbar regions, respectively. Cronbach's alpha was 0.94. Intraclass correlation coefficient was 0.95 in test-retest reliability analysis. The correlations between Brace Questionnaire and Bad Sobernheim Stress Questionnaire-Brace and Scoliosis Research Society-22 were r = 0.67 and r = 0.64, respectively.
    Conclusion: The Turkish version of the Brace Questionnaire to measure the effects of brace treatment on quality of life in adolescent idiopathic scoliosis was found to have good validity, excellent reliability, and high internal consistency. Clinical relevance We recommend routine use of the Brace Questionnaire in scoliosis patients to evaluate brace-related quality of life and relevant factors and to support the individual when necessary during such treatment.
    MeSH term(s) Adolescent ; Braces/utilization ; Cohort Studies ; Female ; Humans ; Male ; Quality of Life ; Reproducibility of Results ; Scoliosis/diagnosis ; Scoliosis/therapy ; Severity of Illness Index ; Surveys and Questionnaires ; Treatment Outcome ; Turkey
    Language English
    Publishing date 2017-02-13
    Publishing country England
    Document type Evaluation Studies ; Journal Article
    ZDB-ID 753382-2
    ISSN 1746-1553 ; 0309-3646
    ISSN (online) 1746-1553
    ISSN 0309-3646
    DOI 10.1177/0309364617690393
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  2. Article ; Online: The effectiveness of core stabilization exercise in adolescent idiopathic scoliosis: A randomized controlled trial.

    Gür, Gözde / Ayhan, Cigdem / Yakut, Yavuz

    Prosthetics and orthotics international

    2017  Volume 41, Issue 3, Page(s) 303–310

    Abstract: Background: Core stabilization training is used to improve postural balance in musculoskeletal problems.: Objectives: The purpose of this study was to investigate the effectiveness of stabilization training in adolescent idiopathic scoliosis.: ... ...

    Abstract Background: Core stabilization training is used to improve postural balance in musculoskeletal problems.
    Objectives: The purpose of this study was to investigate the effectiveness of stabilization training in adolescent idiopathic scoliosis.
    Study design: A randomized controlled trial, pretest-posttest design.
    Methods: In total, 25 subjects with adolescent idiopathic scoliosis were randomly divided into two groups: stabilization group ( n = 12) and control group ( n = 13). The stabilization group received core stabilization in addition to traditional rehabilitation, and the control group received traditional rehabilitation for 10 weeks. Assessment included Cobb's angle on radiograph, apical vertebral rotation in Adam's test, trunk asymmetry (Posterior Trunk Symmetry Index), cosmetic trunk deformity (Trunk Appearance Perception Scale), and quality of life (Scoliosis Research Society-22 questionnaire).
    Results: Inter-group comparisons showed significantly greater improvements in the mean change in lumbar apical vertebral rotation degree and the pain domain of Scoliosis Research Society-22 in the stabilization group than those in the control group ( p < 0.05). No significant differences were observed for other measurements between the groups; however, trends toward greater improvement were observed in the stabilization group.
    Conclusion: Core stabilization training in addition to traditional exercises was more effective than traditional exercises alone in the correction of vertebral rotation and reduction of pain in adolescent idiopathic scoliosis. Clinical relevance Stabilization exercises are more effective in reducing rotation deformity and pain than traditional exercises in the conservative rehabilitation of adolescent idiopathic scoliosis. These improvements suggest that stabilization training should be added to rehabilitation programs in adolescent idiopathic scoliosis.
    Language English
    Publishing date 2017-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 753382-2
    ISSN 1746-1553 ; 0309-3646
    ISSN (online) 1746-1553
    ISSN 0309-3646
    DOI 10.1177/0309364616664151
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  3. Article ; Online: A comparison of the effects of Mulligan's mobilization and Kinesio taping on pain, range of motion, muscle strength, and neck disability in patients with cervical spondylosis: A randomized controlled study.

    Copurgensli, Canan / Gur, Gozde / Tunay, Volga Bayrakcı

    Journal of back and musculoskeletal rehabilitation

    2016  

    Abstract: Background: Cervical Spondylosis (CS) is a degenerative and painful pathology, which needs conservative treatment to relieve symptoms.: Objective: The aim was to investigate the effects of Mulligan's mobilization (MM) and Kinesio taping (KT) on pain, ...

    Abstract Background: Cervical Spondylosis (CS) is a degenerative and painful pathology, which needs conservative treatment to relieve symptoms.
    Objective: The aim was to investigate the effects of Mulligan's mobilization (MM) and Kinesio taping (KT) on pain, range of motion (ROM), muscle strength, and function in CS.
    Methods: Forty-five subjects were randomly placed into three groups: Group 1: control group (conventional rehabilitation-CR); Group 2: MM and CR; Group 3: KT and CR. Assessments including neck pain, cervical ROM, muscle strength and Neck Disability index (NDI) were conducted at baseline, after three-week treatment, and at one-month follow up. Results were analyzed using ANCOVA.
    Results: In all groups, pain and NDI scores reduced, cervical ROM and muscle strength increased with time (p< 0.001). Greater improvements in neck extension, left and right rotation were obtained in the KT and MM groups when compared to the control group (p< 0.05). In the KT group, improvement in right lateral flexion ROM was greater than the control and deep cervical flexor muscle strength was greater than the MM and the control groups (p< 0.05).
    Conclusion: KT and MM contributed to CR for increasing cervical ROM and deep cervical flexor muscle strength in patients with CS.
    Language English
    Publishing date 2016-05-27
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1184721-9
    ISSN 1878-6324 ; 1053-8127
    ISSN (online) 1878-6324
    ISSN 1053-8127
    DOI 10.3233/BMR-160713
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  4. Article ; Online: Scapular kinematics in adolescent idiopathic scoliosis: A three-dimensional motion analysis during multiplanar humeral elevation.

    Turgut, Elif / Gur, Gozde / Ayhan, Cigdem / Yakut, Yavuz / Baltaci, Gul

    Journal of biomechanics

    2017  Volume 61, Page(s) 224–231

    Abstract: The scapula plays a critical role in supporting shoulder function. Considering the closed anatomical relationship between the scapula and the thoracic cage, the presence of postural disturbances could be linked to alterations in the scapular position and ...

    Abstract The scapula plays a critical role in supporting shoulder function. Considering the closed anatomical relationship between the scapula and the thoracic cage, the presence of postural disturbances could be linked to alterations in the scapular position and orientation in adolescent idiopathic scoliosis (AIS). However, currently there is a lack of descriptive research and detailed assessment of scapular kinematics in AIS. The aim of this study was to investigate the three-dimensional scapular kinematics in AIS. Nineteen AIS patients and fourteen healthy controls participated in this study. Bilateral shoulder kinematics were measured with an electromagnetic tracking device during shoulder elevation in the sagittal, scapular, and frontal planes. Data for the scapular orientation were analyzed in the resting position and at 30°, 60°, 90°, and 120° of humerothoracic elevation. Scapular behavior was different in participants with AIS, compared to healthy controls, with different patterns observed on convex and concave sides. While examining all three planes of elevation, the scapula was more internally and anteriorly tilted on the convex side, while the scapula was more externally, downwardly rotated, and posteriorly tilted on the concave side in participants with AIS. Furthermore, there was a decreased peak humerothoracic elevation and altered scapular posterior tilt in participants with AIS in the resting position. These findings increase our knowledge and understanding of scapular alterations and the reported scapular alterations can be considered as adaptive compensation strategies in AIS.
    Language English
    Publishing date 2017-08-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 218076-5
    ISSN 1873-2380 ; 0021-9290
    ISSN (online) 1873-2380
    ISSN 0021-9290
    DOI 10.1016/j.jbiomech.2017.07.029
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  5. Article ; Online: Acute effects of spinal bracing on scapular kinematics in adolescent idiopathic scoliosis.

    Gur, Gozde / Turgut, Elif / Ayhan, Cigdem / Baltaci, Gul / Yakut, Yavuz

    Clinical biomechanics (Bristol, Avon)

    2017  Volume 47, Page(s) 14–19

    Abstract: Background: Bracing is the most common nonsurgical treatment for adolescent idiopathic scoliosis. Spinal braces affect glenohumeral and scapulothoracic motion because they restrict trunk movements. However, the potential spinal-bracing effects on ... ...

    Abstract Background: Bracing is the most common nonsurgical treatment for adolescent idiopathic scoliosis. Spinal braces affect glenohumeral and scapulothoracic motion because they restrict trunk movements. However, the potential spinal-bracing effects on scapular kinematics are unknown. The present study aimed to investigate the acute effects of spinal bracing on scapular kinematics in adolescent idiopathic scoliosis.
    Methods: Scapular kinematics, including scapular internal/external rotation, posterior/anterior tilting, and downward/upward rotation during scapular plane elevation, were evaluated in 27 in-brace and out-of-brace adolescent idiopathic scoliosis patients with a three-dimensional electromagnetic tracking system. Data on the position and orientation of the scapula at 30°, 60°, 90°, and 120° humerothoracic elevation were used for statistical comparisons. The paired t-test was used to assess the differences between the mean values of in-brace and out-of-brace conditions.
    Findings: The in-brace condition showed significantly increased (P<0.05) scapular anterior tilting and decreased internal rotation in the resting position on the convex and concave sides; increased scapular downward rotation at 120° humerothoracic elevation on the convex side and at 30°, 60°, 90°, and 120° humerothoracic elevation on the concave side; increased scapular anterior tilt at 30°, 60°, 90°, and 120° humerothoracic elevation on the convex and concave sides; and decreased (P<0.05) maximal humerothoracic elevation of the arm.
    Interpretation: Spinal bracing affects scapular kinematics. Observed changes in scapular kinematics with brace may also affect upper extremity function for adolescents with idiopathic scoliosis. Therefore, clinicians should include assessments of the glenohumeral and scapulothoracic joints when designing rehabilitation protocols for patients with adolescent idiopathic scoliosis.
    Language English
    Publishing date 2017-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 632747-3
    ISSN 1879-1271 ; 0268-0033
    ISSN (online) 1879-1271
    ISSN 0268-0033
    DOI 10.1016/j.clinbiomech.2017.05.010
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  6. Article ; Online: One-year follow-up study of serial orthotic treatment in two cases with arthrogrypotic syndromes who have bilateral knee flexion contractures.

    Gür, Gozde / Erel, Suat / Yakut, Yavuz / Aksoy, Cemalettin / Uygur, Fatma

    Prosthetics and orthotics international

    2016  Volume 40, Issue 3, Page(s) 388–393

    Abstract: Background: The aim of this pilot study was to investigate the effectiveness of serial splinting in two children with bilateral knee flexion contractures due to arthrogrypotic syndrome.: Case description and methods: We evaluated the infants' passive ...

    Abstract Background: The aim of this pilot study was to investigate the effectiveness of serial splinting in two children with bilateral knee flexion contractures due to arthrogrypotic syndrome.
    Case description and methods: We evaluated the infants' passive knee extension limitation and motor development levels. Serial orthotic treatment was applied to decrease bilateral knee flexion contractures in the knees of the subjects. The follow-up period was up to 1 year.
    Findings and outcomes: At the end of serial orthotic treatment, improvement in bilateral passive extension limitation (for the first case, the increase in passive range of extension was approximately 75°, for the second case it was 45°) was achieved in both cases.
    Conclusion: We believe that serial orthotic intervention is effective in patients with arthrogrypotic syndrome at the preoperative period or in patients who cannot be operated on. Further studies are needed for evaluation of effectiveness of this method.
    Clinical relevance: Our pilot study aimed to investigate the effectiveness of serial orthotic treatment in knee contractures due to arthrogrypotic syndrome in two infants which showed an improvement in range of extension.
    MeSH term(s) Arthrogryposis/diagnostic imaging ; Arthrogryposis/rehabilitation ; Contracture/diagnostic imaging ; Contracture/rehabilitation ; Female ; Follow-Up Studies ; Humans ; Infant ; Knee Joint/physiopathology ; Physical Therapy Modalities ; Risk Assessment ; Sampling Studies ; Severity of Illness Index ; Splints ; Time Factors ; Treatment Outcome
    Language English
    Publishing date 2016-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 753382-2
    ISSN 1746-1553 ; 0309-3646
    ISSN (online) 1746-1553
    ISSN 0309-3646
    DOI 10.1177/0309364614541458
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  7. Article ; Online: Effects of Corrective Taping on Balance and Gait in Patients With Hallux Valgus.

    Gur, Gozde / Ozkal, Ozden / Dilek, Burcu / Aksoy, Songul / Bek, Nilgun / Yakut, Yavuz

    Foot & ankle international

    2017  Volume 38, Issue 5, Page(s) 532–540

    Abstract: Background: Taping is an effective temporary therapy for improving hallux valgus (HV) in adults. Although HV has been demonstrated to impair postural balance, there is a lack of information about how corrective taping affects balance and gait patterns ... ...

    Abstract Background: Taping is an effective temporary therapy for improving hallux valgus (HV) in adults. Although HV has been demonstrated to impair postural balance, there is a lack of information about how corrective taping affects balance and gait patterns in adults with HV deformity.
    Methods: Eighteen middle-aged female patients (average age, 53.5 years) with HV were included. Corrective tape was applied to correct HV angulation. A series of balance and gait stability tests were performed before applying tape and 1 hour after the tape was applied with a Balance Master computerized posturography device. The study involved the following tests: modified clinical test of sensory interaction and balance (mCTSIB), unilateral stance (US), limit of stability (LoS), step up/over (SUO), and walk across (WA) tests.
    Results: No significant difference was found between the no-tape and taped condition in the static balance mCTSIB and US tests ( P > .05). The taping intervention resulted in significant improvement in the dynamic balance measures for the LoS test's backward reaction time and left maximum excursion ( P < .05), a significantly higher impact index bilaterally in the SUO assessment ( P < .05), and an increase in step width mean and variability in the WA test ( P < .05).
    Conclusions: Taping for correcting HV angulation had negative acute effects on dynamic balance in the SUO and WA tests and positive effects in the LoS test.
    Clinical relevance: Corrective taping, although a form of conservative treatment for hallux valgus, has been insufficiently studied in terms of effects on balance. Our results show that taping, as an acute effect, may impair balance in middle-aged adults when walking or ascending and descending stairs.
    MeSH term(s) Gait/physiology ; Hallux Valgus/physiopathology ; Hallux Valgus/surgery ; Humans ; Orthopedic Procedures/methods ; Postural Balance/physiology ; Walking/physiology
    Language English
    Publishing date 2017-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1183283-6
    ISSN 1944-7876 ; 1071-1007
    ISSN (online) 1944-7876
    ISSN 1071-1007
    DOI 10.1177/1071100716683347
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  8. Article ; Online: Validity and Reliability of Visual Analog Scale Foot and Ankle: The Turkish Version.

    Gur, Gozde / Turgut, Elif / Dilek, Burcu / Baltaci, Gul / Bek, Nilgun / Yakut, Yavuz

    The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons

    2017  Volume 56, Issue 6, Page(s) 1213–1217

    Abstract: The present study tested the reliability and validity of the Turkish version of the visual analog scale foot and ankle (VAS-FA) among healthy subjects and patients with foot problems. A total of 128 participants, 65 healthy subjects and 63 patients with ... ...

    Abstract The present study tested the reliability and validity of the Turkish version of the visual analog scale foot and ankle (VAS-FA) among healthy subjects and patients with foot problems. A total of 128 participants, 65 healthy subjects and 63 patients with foot problems, were evaluated. The VAS-FA was translated into Turkish and administered to the 128 subjects on 2 separate occasions with a 5-day interval. The test-retest reliability and internal consistency were assessed with the intraclass correlation coefficient and Cronbach's α. The validity was assessed using the correlations with Turkish versions of the Foot Function Index, the Foot and Ankle Outcome Score, and the Short-Form 36-item Health Survey. A statistically significant difference was found between the healthy group and the patient group in the overall score and subscale scores of the VAS-FA (p < .001). The internal consistency of the VAS-FA was very good, and the test-retest reliability was excellent. Adequate to good correlations were found between the overall VAS-FA score and the Foot Function Index, Foot and Ankle Outcome Score, and Short-Form 36-item Health Survey scores in the healthy and patient groups both. The Turkish version of the VAS-FA is sensitive enough to distinguish foot and ankle-specific pathologic conditions from asymptomatic conditions. The Turkish version of the VAS-FA is a reliable and valid method and can be used for foot-related problems.
    MeSH term(s) Adolescent ; Adult ; Case-Control Studies ; Female ; Foot Diseases/classification ; Foot Diseases/diagnosis ; Humans ; Male ; Middle Aged ; Reproducibility of Results ; Translations ; Turkey ; Visual Analog Scale ; Young Adult
    Language English
    Publishing date 2017-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1146972-9
    ISSN 1542-2224 ; 1067-2516
    ISSN (online) 1542-2224
    ISSN 1067-2516
    DOI 10.1053/j.jfas.2017.06.001
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  9. Article ; Online: Effect of a spinal brace on postural control in different sensory conditions in adolescent idiopathic scoliosis: a preliminary analysis.

    Gur, Gozde / Dilek, Burcu / Ayhan, Cigdem / Simsek, Engin / Aras, Ozgen / Aksoy, Songul / Yakut, Yavuz

    Gait & posture

    2015  Volume 41, Issue 1, Page(s) 93–99

    Abstract: Background: Despite the positive effects of spinal braces on postural stability, they may constrain movement, resulting in poor balance control in patients with adolescent idiopathic scoliosis (AIS). Therefore, assessment of postural dynamics may aid in ...

    Abstract Background: Despite the positive effects of spinal braces on postural stability, they may constrain movement, resulting in poor balance control in patients with adolescent idiopathic scoliosis (AIS). Therefore, assessment of postural dynamics may aid in designing new less-constraining braces.
    Objectives: The effects of a spinal brace on postural stability and Cobb angle were investigated in this study.
    Methods: Thirteen pediatric patients (10 females, three males) with AIS were recruited to participate in the study. Cobb angle was assessed by X-ray analyses, and postural stability was tested by computerized dynamic posturography in braced and unbraced conditions. A polyethylene underarm corrective spinal brace was fabricated for the subjects.
    Results: Thoracic and lumbar curvature decreased to 18.88 ± 11.73° and 17.70 ± 10.58°, respectively, after bracing (p < 0.05). Lower equilibrium scores were observed in the "eyes closed" condition and higher scores in the "eyes closed with a swaying support" condition; higher composite equilibrium scores were also observed for the sensory organization test (p < 0.05) in the braced condition. Lower scores were observed for the "toes-up adaptation test" in the braced condition (p < 0.05). In the braced condition, the reaction time was slower in the right-backward direction and movement velocity was higher in the right-front direction on the limits of stability test (p < 0.05). Furthermore, lower on-axis velocity during forward/backward dynamic balance control was observed in the braced condition (p < 0.05).
    Conclusions: Wearing a spinal brace improved postural stability in terms of increased proprioception, equilibrium performance, and rhythmic movement ability in patients with AIS.
    MeSH term(s) Adolescent ; Braces ; Child ; Female ; Humans ; Male ; Movement/physiology ; Postural Balance/physiology ; Proprioception ; Reaction Time ; Scoliosis/physiopathology ; Scoliosis/therapy ; Treatment Outcome
    Language English
    Publishing date 2015-01
    Publishing country England
    Document type Clinical Trial ; Journal Article
    ZDB-ID 1162323-8
    ISSN 1879-2219 ; 0966-6362
    ISSN (online) 1879-2219
    ISSN 0966-6362
    DOI 10.1016/j.gaitpost.2014.09.001
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  10. Article ; Online: Is there any relationship between orthotic usage and functional activities in children with neuromuscular disorders?

    Alemdaroğlu, İpek / Gür, Gozde / Bek, Nilgün / Yilmaz, Öznur T / Yakut, Yavuz / Uygur, Fatma / Karaduman, Ayşe

    Prosthetics and orthotics international

    2014  Volume 38, Issue 1, Page(s) 27–33

    Abstract: Background: Contractures of Achilles tendons and gastrocnemius muscle deteriorate the performance in daily living activities of patients with neuromuscular diseases. Ankle-foot orthoses help to prevent the progression of deformities and to obtain ... ...

    Abstract Background: Contractures of Achilles tendons and gastrocnemius muscle deteriorate the performance in daily living activities of patients with neuromuscular diseases. Ankle-foot orthoses help to prevent the progression of deformities and to obtain optimal position of the joints to support standing and walking.
    Objective: To investigate the relationship between orthotic usage and functional activities in pediatric patients with different neuromuscular diseases.
    Study design: Retrospective study.
    Methods: A total of 127 subjects' physical assessment forms were analyzed. Functional level, type of orthoses, falling frequencies, ankle joint range of motion, and timed performance tests were examined in two consecutive dates with an interval of 3 months.
    Results: A total of 91 patients were using orthoses while 36 patients were not within assessment dates. A total of 64 of 91 (70.3%) patients were diagnosed with Duchenne muscular dystrophy. A total of 81 (89.0%) subjects were using plastic ankle-foot orthoses for positioning at nights and 10 (11%) were using different types of the orthoses (knee-ankle-foot orthoses, dynamic ankle-foot orthoses, and so on) for gait in the study group.
    Conclusions: Night ankle-foot orthoses were not found to be effective directly on functional performance in children with neuromuscular diseases, although they protect ankle from contractures and may help to correct gait and balance.
    Clinical relevance: This retrospective study shows that the positive effects of using an ankle-foot orthosis at night are not reflected in the functional performance of children with neuromuscular diseases. This may be due to the progressive deteriorating nature of the disease.
    MeSH term(s) Achilles Tendon/physiopathology ; Adolescent ; Ankle Joint/physiopathology ; Child ; Child, Preschool ; Contracture/physiopathology ; Contracture/prevention & control ; Disease Progression ; Female ; Foot Joints/physiopathology ; Foot Orthoses/utilization ; Gait/physiology ; Humans ; Male ; Neuromuscular Diseases/physiopathology ; Neuromuscular Diseases/therapy ; Postural Balance/physiology ; Range of Motion, Articular/physiology ; Retrospective Studies ; Treatment Outcome ; Walking/physiology
    Language English
    Publishing date 2014-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 753382-2
    ISSN 1746-1553 ; 0309-3646
    ISSN (online) 1746-1553
    ISSN 0309-3646
    DOI 10.1177/0309364613486915
    Database MEDical Literature Analysis and Retrieval System OnLINE

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