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Adölesan İdiyopatik Skolyozlu Bireylerde Posteriyor Enstrümantasyon Füzyon Cerrahisi Sonrası Gövde Kas Enduransı, Esneklik ve Yaşam Kalitesinin İncelenmesi

Yıl 2019, Cilt: 6 Sayı: 3, 491 - 500, 01.10.2019

Öz

DOI: 10.5152/hsp.2019.493167


Amaç: Bu çalışmanın amacı, Adölesan İdiyopatik
Skolyozlu (AİS) bireylerde Posteriyor Enstrümantasyon Füzyon (PEF) cerrahisi
sonrası gövde kas enduransı, esneklik ve yaşam kalitesini sağlıklı bireylerle
karşılaştırmaktı.

Gereç ve Yöntem: Çalışmaya 10-18 yaşları
arasında cerrahiden sonra 1-3 yıl süre geçmiş 20 AİS
li ve 20 sağlıklı
birey dahil edildi. Bireylerin lumbal bölge, eklem hareket açıklığı, esneklik ölçümleri,
gövde ekstansör kas enduransı, gövde fleksör kas enduransı ve yaşam kalitesi değerlendirildi.
Ayrıca kas enduranslarının eklem hareket açıklığı ve yaşam kalitesi ile ilişkisi
incelendi.

Bulgular: Lumbal bölge fleksiyon (AİS:73°, Kontrol: 84°), ekstansiyon
(AİS: 24
°,
Kontrol: 37
°) sağ
lateral fleksiyon (AİS: 24
°, Kontrol:
46
°), sol lateral
fleksiyon (AİS: 25
°,
Kontrol: 45
°),
sağ rotasyon (AİS: 29
°,
Kontrol: 45
°),
sol rotasyon (AİS: 31
°,
Kontrol: 52
°),
otur uzan testi (AİS: -18
±9,82
cm, Kontrol: -3
±8,52
cm), yana eğilme (AİS: 12
±3,65
cm, Kontrol: 21
±3,64
cm), ekstansör kas enduransı (AİS: 30 sn, Kontrol: 61 sn), fleksör kas enduransı
(AİS: 19 sn, Kontrol: 66 sn) ve KF-12 fiziksel bileşen skoru (AİS: 49.15
±5.77, Kontrol:
54.49
±3.55) sonuçları
istatistiksel olarak kontrol grubu lehineydi (p<0,001). Ek olarak gövde kas
enduransı ile ekstansiyon hareket açıklığı (r=0,721) ve sağ rotasyon arasında
(r=0,718) güçlü; gövde fleksiyon (r=0,414) ve sol lateral fleksiyon arasında
(r=0,581) orta derecede ilişki varken; gövde ekstansör kas enduransı ile yaşam
kalitesi arasında da anlamlı ilişki vardı (p<0,001).







Sonuç: Sonuçlar, cerrahi sonrasında AİSli bireylerin yaşam
kalitesini, hareket açıklıklarını, esnekliklerinin ve kas enduranslarının sağlıklı
bireylere göre düşük olduğunu, ayrıca bireylerin kas enduranslarının yaşam kalitesi
ve mobilite ile ilişkisi olduğunu gösterdi. 

Cite this article as: Öztürk F, Güney Deniz
H, Ayvaz M, Demirkıran G, Kılınç H, Kınıklı Gİ. Examination of Trunk Muscle
Endurance, Flexibility, and Quality of Life After Posterior Instrumentation
Fusion Surgery in Adolescent Idiopathic Scoliosis Patients. Journal of Health
Science and Profession 2019; 6(2): XXXX

Kaynakça

  • 1. Ghandehari H, Mahabadi MA, Mahdavi SM, Shahsavaripour A, Tari HVS, Safdari F. Evaluation of patient outcome and satisfaction after surgical treatment of adolescent idiopathic scoliosis using scoliosis research society-30. Archives of bone and joint surgery. 2015;3(2):109.
  • 2. Weinstein SL, Dolan LA, Cheng JC, Danielsson A, Morcuende JA. Adolescent idiopathic scoliosis. The Lancet. 2008;371(9623):1527-1537.
  • 3. Fusco C, Donzelli S, Lusini M, Salvatore M, Zaina F, Negrini S. Low rate of surgery in juvenile idiopathic scoliosis treated with a complete and tailored conservative approach: end-growth results from a retrospective cohort. Scoliosis. 2014;9(1):12.
  • 4. Danielsson AJ, Romberg K, Nachemson AL. Spinal range of motion, muscle endurance, and back pain and function at least 20 years after fusion or brace treatment for adolescent idiopathic scoliosis: a case-control study. Spine. 2006;31(3):275-283.
  • 5. Danielsson AJ, Wiklund I, Pehrsson K, Nachemson AL. Health-related quality of life in patients with adolescent idiopathic scoliosis: a matched follow-up at least 20 years after treatment with brace or surgery. European Spine Journal. 2001;10(4):278-288.
  • 6. McIntire KL, Asher MA, Burton DC, Liu W. Trunk rotational strength asymmetry in adolescents with idiopathic scoliosis: an observational study. Scoliosis. 2007;2(1):9.
  • 7. Mooney V, Gulick J, Pozos R. A preliminary report on the effect of measured strength training in adolescent idiopathic scoliosis. Clinical Spine Surgery. 2000;13(2):102-107.
  • 8. Schreiber S, Parent EC, Moez EK, Hedden DM, Hill D, Moreau MJ, et al. The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis—an assessor and statistician blinded randomized controlled trial:“SOSORT 2015 Award Winner”. Scoliosis. 2015;10(1):24.
  • 9. Shin S-S, Woo Y-K. Characteristics of Sitting Balance and Trunk Muscle Endurance in Patients With Adolescent Idiopathic Scoliosis. Physical Therapy Korea. 2007;14(4):35-43.
  • 10. Smith AJ, O'sullivan PB, Campbell AC, Straker LM. The relationship between back muscle endurance and physical, lifestyle, and psychological factors in adolescents. journal of Orthopaedic & Sports Physical Therapy. 2010;40(8):517-523.
  • 11. Carr AJ, Gibson B, Robinson PG. Is quality of life determined by expectations or experience? Bmj. 2001;322(7296):1240-1243.
  • 12. Asher MA, Lai SM, Glattes RC, Burton DC, Alanay A, Bago J. Refinement of the SRS-22 health-related quality of life questionnaire function domain. Spine. 2006;31(5):593-597.
  • 13. Bunge EM, Juttmann RE, de Kleuver M, van Biezen FC, de Koning HJ. Health-related quality of life in patients with adolescent idiopathic scoliosis after treatment: short-term effects after brace or surgical treatment. European Spine Journal. 2007;16(1):83-89.
  • 14. Carreon LY, Sanders JO, Diab M, Sturm PF, Sucato DJ, Group SDS. Patient satisfaction after surgical correction of adolescent idiopathic scoliosis. Spine. 2011;36(12):965-968.
  • 15. Gum JL, Bridwell KH, Lenke LG, Bumpass DB, Sugrue PA, Karikari IO, et al. SRS22R appearance domain correlates most with patient satisfaction after adult deformity surgery to the sacrum at 5-year follow-up. Spine. 2015;40(16):1297-1302.
  • 16. Sanders JO, Browne RH, McConnell SJ, Margraf SA, Cooney TE, Finegold DN. Maturity assessment and curve progression in girls with idiopathic scoliosis. Jornal of Bone and Joint Surgery. 2007;89(1):64-73.
  • 17. Zhang J, He D, Gao J, Yu X, Sun H, Chen Z, et al. Changes in life satisfaction and self-esteem in patients with adolescent idiopathic scoliosis with and without surgical intervention. Spine. 2011;36(9):741-745.
  • 18. O’Sullivan PB, Mitchell T, Bulich P, Waller R, Holte J. The relationship beween posture and back muscle endurance in industrial workers with flexion-related low back pain. Manual therapy. 2006;11(4):264-271.
  • 19. Biering-Sørensen F. Physical measurements as risk indicators for low-back trouble over a one-year period. Spine. 1984;9(2):106-119.
  • 20. Ito T, Shirado O, Suzuki H, Takahashi M, Kaneda K, Strax TE. Lumbar trunk muscle endurance testing: an inexpensive alternative to a machine for evaluation. Archives of Physical Medicine and Rehabilitation. 1996;77(1):75-79.
  • 21. Alanay A, Cil A, Berk H, Acaroglu RE, Yazici M, Akcali O, et al. Reliability and validity of adapted Turkish Version of Scoliosis Research Society-22 (SRS-22) questionnaire. Spine. 2005;30(21):2464-2468.
  • 22. Ware Jr JE, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medical care. 1996;34(3):220-233.
  • 23. Kocyigit H. Reliability and validity of the Turkish version of short form-36 (SF-36): a study in a group of patients will rheumatic diseases. Turk J Drugs Ther. 1999;12:102-106.
  • 24. Engsberg JR, Lenke LG, Uhrich ML, Ross SA, Bridwell KH. Prospective comparison of gait and trunk range of motion in adolescents with idiopathic thoracic scoliosis undergoing anterior or posterior spinal fusion. Spine. 2003;28(17):1993-2000.
  • 25. Weinstein S, Zavala D, Ponseti I. Idiopathic scoliosis: long-term follow-up and prognosis in untreated. Journal of Bone and Joint Surgery . 1981;63:702-712.
  • 26. Wilk B, Karol LA, Johnston CE, Colby S, Haideri N. The effect of scoliosis fusion on spinal motion: a comparison of fused and nonfused patients with idiopathic scoliosis. Spine. 2006;31(3):309-314.
  • 27. Maruyama T. Bracing adolescent idiopathic scoliosis: a systematic review of the literature of effective conservative treatment looking for end results 5 years after weaning. Disability and rehabilitation. 2008;30(10):786-791.
  • 28. Brody L. Endurance impairment. Therapeutic Exercise: Moving toward function Philadelphia, Lippincott Williams & Wilkins. 1999:70-73.
  • 29. Kisner C, Colby LA. Therapeutic exercise. Foundations and techniques. 2002;4.
  • 30. Salminen JJ, Maki P, Oksanen A, Pentti J. Spinal mobility and trunk muscle strength in 15-year-old schoolchildren with and without low-back pain. Spine. 1992;17(4):405-411.
  • 31. Shin S-s, Woo Y-k. Characteristics of static balance in patients with adolescent idiopathic scoliosis. Physical Therapy Korea. 2006;13(4):47-55.
  • 32. Jung J, Yoo C, Park I, Won Y, Kim B, Bok S, et al. Effects of adolescent idiopathic scoliosis on postural balance and muscle activity. Energy, Envıronment, Biology and Biomedıcıne. 2014:60.
  • 33. Helenius I, Remes V, Yrjönen T, Ylikoski M, Schlenzka D, Helenius M, et al. Does gender affect outcome of surgery in adolescent idiopathic scoliosis? Spine. 2005;30(4):462-467.
  • 34. Freidel K, Petermann F, Reichel D, Steiner A, Warschburger P, Weiss HR. Quality of life in women with idiopathic scoliosis. Spine. 2002;27(4):E87-E91.
  • 35. Weinstein SL, Dolan LA, Spratt KF, Peterson KK, Spoonamore MJ, Ponseti IV. Health and function of patients with untreated idiopathic scoliosis: a 50-year natural history study. Jama. 2003;289(5):559-567.
  • 36. Verma K, Lonner B, Hoashi JS, Lafage V, Dean L, Engel I, et al. Demographic factors affect Scoliosis Research Society-22 performance in healthy adolescents: a comparative baseline for adolescents with idiopathic scoliosis. Spine. 2010;35(24):2134-2139.
  • 37. Lanzetta D, Cattaneo D, Pellegatta D, Cardini R. Trunk control in unstable sitting posture during functional activities in healthy subjects and patients with multiple sclerosis1. Archives of Physical Medicine and Rehabilitation. 2004;85(2):279-283.

Examination of Trunk Muscle Endurance, Flexibility, and Quality of Life After Posterior Instrumentation Fusion Surgery in Adolescent Idiopathic Scoliosis Patients

Yıl 2019, Cilt: 6 Sayı: 3, 491 - 500, 01.10.2019

Öz

DOI: 10.5152/hsp.2019.493167


Objective: The aim of this study was to
compare trunk muscle endurance, flexibility, and quality of life in adolescent
idiopathic scoliosis (AIS) patients with healthy peers following fusion (PIF)
surgery with posterior instrumentation.

Materials and Methods: Twenty patients aged
between 10-18 years who underwent PIF surgery in last 1-3 years and 20 healthy
peers were included. The lumbar range of motion (ROM), flexibility, trunk
extensor, flexor muscle endurance, and the quality of life (QoL) were assessed
in both groups.

Results: Lumbar flexion (AIS: 73°, Control: 84°), extension
(AIS: 24
°,
Control: 37
°),
right lateral flexion (AIS: 24
°,
Control: 46
°),
left lateral flexion (AIS: 25
°,
Control: 45
°),
right rotation (AIS: 29
°,
Control: 45
°)
left rotation ROM (AIS: 31
°,
Control: 52
°),
flexibility in sit and reach (AIS: -18
±9.82 cm, Control: -3±8.52
cm), in lateral bending (AIS: 12
±3.65 cm, Control: 21±3.64
cm), trunk extension (AIS: 30s, Control: 61s), flexion muscle endurance (AIS:
19s, Control: 66s) comprised the physical component score on the SF-12 scale,
which showed significantly better results in the healthy group (p<0.001). In
addition, there was a strong correlation between trunk muscle endurance and
extension ROM (r=0.721), right rotation ROM (r=0.718), moderate correlation
with trunk flexion ROM (r=0.414), left lateral flexion ROM (r=0.581), and there
was a strong correlation between trunk extensor muscle endurance and QoL in AIS
patients (p<0.001).







Conclusion: The results showed that there
was lower quality of life, range of motion, flexibility, and muscle endurance
in AIS patients as compared to healthy individuals. Additionally, muscle
endurance was related to the quality of life and mobility in AIS patients after
surgery.

Cite this article as: Öztürk F, Güney Deniz
H, Ayvaz M, Demirkıran G, Kılınç H, Kınıklı Gİ. Examination of Trunk Muscle
Endurance, Flexibility, and Quality of Life After Posterior Instrumentation
Fusion Surgery in Adolescent Idiopathic Scoliosis Patients. Journal of Health
Science and Profession 2019; 6(2): XXXX

Kaynakça

  • 1. Ghandehari H, Mahabadi MA, Mahdavi SM, Shahsavaripour A, Tari HVS, Safdari F. Evaluation of patient outcome and satisfaction after surgical treatment of adolescent idiopathic scoliosis using scoliosis research society-30. Archives of bone and joint surgery. 2015;3(2):109.
  • 2. Weinstein SL, Dolan LA, Cheng JC, Danielsson A, Morcuende JA. Adolescent idiopathic scoliosis. The Lancet. 2008;371(9623):1527-1537.
  • 3. Fusco C, Donzelli S, Lusini M, Salvatore M, Zaina F, Negrini S. Low rate of surgery in juvenile idiopathic scoliosis treated with a complete and tailored conservative approach: end-growth results from a retrospective cohort. Scoliosis. 2014;9(1):12.
  • 4. Danielsson AJ, Romberg K, Nachemson AL. Spinal range of motion, muscle endurance, and back pain and function at least 20 years after fusion or brace treatment for adolescent idiopathic scoliosis: a case-control study. Spine. 2006;31(3):275-283.
  • 5. Danielsson AJ, Wiklund I, Pehrsson K, Nachemson AL. Health-related quality of life in patients with adolescent idiopathic scoliosis: a matched follow-up at least 20 years after treatment with brace or surgery. European Spine Journal. 2001;10(4):278-288.
  • 6. McIntire KL, Asher MA, Burton DC, Liu W. Trunk rotational strength asymmetry in adolescents with idiopathic scoliosis: an observational study. Scoliosis. 2007;2(1):9.
  • 7. Mooney V, Gulick J, Pozos R. A preliminary report on the effect of measured strength training in adolescent idiopathic scoliosis. Clinical Spine Surgery. 2000;13(2):102-107.
  • 8. Schreiber S, Parent EC, Moez EK, Hedden DM, Hill D, Moreau MJ, et al. The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis—an assessor and statistician blinded randomized controlled trial:“SOSORT 2015 Award Winner”. Scoliosis. 2015;10(1):24.
  • 9. Shin S-S, Woo Y-K. Characteristics of Sitting Balance and Trunk Muscle Endurance in Patients With Adolescent Idiopathic Scoliosis. Physical Therapy Korea. 2007;14(4):35-43.
  • 10. Smith AJ, O'sullivan PB, Campbell AC, Straker LM. The relationship between back muscle endurance and physical, lifestyle, and psychological factors in adolescents. journal of Orthopaedic & Sports Physical Therapy. 2010;40(8):517-523.
  • 11. Carr AJ, Gibson B, Robinson PG. Is quality of life determined by expectations or experience? Bmj. 2001;322(7296):1240-1243.
  • 12. Asher MA, Lai SM, Glattes RC, Burton DC, Alanay A, Bago J. Refinement of the SRS-22 health-related quality of life questionnaire function domain. Spine. 2006;31(5):593-597.
  • 13. Bunge EM, Juttmann RE, de Kleuver M, van Biezen FC, de Koning HJ. Health-related quality of life in patients with adolescent idiopathic scoliosis after treatment: short-term effects after brace or surgical treatment. European Spine Journal. 2007;16(1):83-89.
  • 14. Carreon LY, Sanders JO, Diab M, Sturm PF, Sucato DJ, Group SDS. Patient satisfaction after surgical correction of adolescent idiopathic scoliosis. Spine. 2011;36(12):965-968.
  • 15. Gum JL, Bridwell KH, Lenke LG, Bumpass DB, Sugrue PA, Karikari IO, et al. SRS22R appearance domain correlates most with patient satisfaction after adult deformity surgery to the sacrum at 5-year follow-up. Spine. 2015;40(16):1297-1302.
  • 16. Sanders JO, Browne RH, McConnell SJ, Margraf SA, Cooney TE, Finegold DN. Maturity assessment and curve progression in girls with idiopathic scoliosis. Jornal of Bone and Joint Surgery. 2007;89(1):64-73.
  • 17. Zhang J, He D, Gao J, Yu X, Sun H, Chen Z, et al. Changes in life satisfaction and self-esteem in patients with adolescent idiopathic scoliosis with and without surgical intervention. Spine. 2011;36(9):741-745.
  • 18. O’Sullivan PB, Mitchell T, Bulich P, Waller R, Holte J. The relationship beween posture and back muscle endurance in industrial workers with flexion-related low back pain. Manual therapy. 2006;11(4):264-271.
  • 19. Biering-Sørensen F. Physical measurements as risk indicators for low-back trouble over a one-year period. Spine. 1984;9(2):106-119.
  • 20. Ito T, Shirado O, Suzuki H, Takahashi M, Kaneda K, Strax TE. Lumbar trunk muscle endurance testing: an inexpensive alternative to a machine for evaluation. Archives of Physical Medicine and Rehabilitation. 1996;77(1):75-79.
  • 21. Alanay A, Cil A, Berk H, Acaroglu RE, Yazici M, Akcali O, et al. Reliability and validity of adapted Turkish Version of Scoliosis Research Society-22 (SRS-22) questionnaire. Spine. 2005;30(21):2464-2468.
  • 22. Ware Jr JE, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medical care. 1996;34(3):220-233.
  • 23. Kocyigit H. Reliability and validity of the Turkish version of short form-36 (SF-36): a study in a group of patients will rheumatic diseases. Turk J Drugs Ther. 1999;12:102-106.
  • 24. Engsberg JR, Lenke LG, Uhrich ML, Ross SA, Bridwell KH. Prospective comparison of gait and trunk range of motion in adolescents with idiopathic thoracic scoliosis undergoing anterior or posterior spinal fusion. Spine. 2003;28(17):1993-2000.
  • 25. Weinstein S, Zavala D, Ponseti I. Idiopathic scoliosis: long-term follow-up and prognosis in untreated. Journal of Bone and Joint Surgery . 1981;63:702-712.
  • 26. Wilk B, Karol LA, Johnston CE, Colby S, Haideri N. The effect of scoliosis fusion on spinal motion: a comparison of fused and nonfused patients with idiopathic scoliosis. Spine. 2006;31(3):309-314.
  • 27. Maruyama T. Bracing adolescent idiopathic scoliosis: a systematic review of the literature of effective conservative treatment looking for end results 5 years after weaning. Disability and rehabilitation. 2008;30(10):786-791.
  • 28. Brody L. Endurance impairment. Therapeutic Exercise: Moving toward function Philadelphia, Lippincott Williams & Wilkins. 1999:70-73.
  • 29. Kisner C, Colby LA. Therapeutic exercise. Foundations and techniques. 2002;4.
  • 30. Salminen JJ, Maki P, Oksanen A, Pentti J. Spinal mobility and trunk muscle strength in 15-year-old schoolchildren with and without low-back pain. Spine. 1992;17(4):405-411.
  • 31. Shin S-s, Woo Y-k. Characteristics of static balance in patients with adolescent idiopathic scoliosis. Physical Therapy Korea. 2006;13(4):47-55.
  • 32. Jung J, Yoo C, Park I, Won Y, Kim B, Bok S, et al. Effects of adolescent idiopathic scoliosis on postural balance and muscle activity. Energy, Envıronment, Biology and Biomedıcıne. 2014:60.
  • 33. Helenius I, Remes V, Yrjönen T, Ylikoski M, Schlenzka D, Helenius M, et al. Does gender affect outcome of surgery in adolescent idiopathic scoliosis? Spine. 2005;30(4):462-467.
  • 34. Freidel K, Petermann F, Reichel D, Steiner A, Warschburger P, Weiss HR. Quality of life in women with idiopathic scoliosis. Spine. 2002;27(4):E87-E91.
  • 35. Weinstein SL, Dolan LA, Spratt KF, Peterson KK, Spoonamore MJ, Ponseti IV. Health and function of patients with untreated idiopathic scoliosis: a 50-year natural history study. Jama. 2003;289(5):559-567.
  • 36. Verma K, Lonner B, Hoashi JS, Lafage V, Dean L, Engel I, et al. Demographic factors affect Scoliosis Research Society-22 performance in healthy adolescents: a comparative baseline for adolescents with idiopathic scoliosis. Spine. 2010;35(24):2134-2139.
  • 37. Lanzetta D, Cattaneo D, Pellegatta D, Cardini R. Trunk control in unstable sitting posture during functional activities in healthy subjects and patients with multiple sclerosis1. Archives of Physical Medicine and Rehabilitation. 2004;85(2):279-283.
Toplam 37 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm ARAŞTIRMA YAZILARI
Yazarlar

Ferhat Öztürk 0000-0003-4070-8831

Hande Güney-deniz Bu kişi benim

Mehmet Ayvaz Bu kişi benim

Gökhan Demirkıran Bu kişi benim

Hasan Kılınç Bu kişi benim

Gizem İrem Kınıklı Bu kişi benim

Yayımlanma Tarihi 1 Ekim 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 6 Sayı: 3

Kaynak Göster

APA Öztürk, F., Güney-deniz, H., Ayvaz, M., Demirkıran, G., vd. (t.y.). Adölesan İdiyopatik Skolyozlu Bireylerde Posteriyor Enstrümantasyon Füzyon Cerrahisi Sonrası Gövde Kas Enduransı, Esneklik ve Yaşam Kalitesinin İncelenmesi. Sağlık Bilimleri Ve Meslekleri Dergisi, 6(3), 491-500.
AMA Öztürk F, Güney-deniz H, Ayvaz M, Demirkıran G, Kılınç H, Kınıklı Gİ. Adölesan İdiyopatik Skolyozlu Bireylerde Posteriyor Enstrümantasyon Füzyon Cerrahisi Sonrası Gövde Kas Enduransı, Esneklik ve Yaşam Kalitesinin İncelenmesi. HSP. 6(3):491-500.
Chicago Öztürk, Ferhat, Hande Güney-deniz, Mehmet Ayvaz, Gökhan Demirkıran, Hasan Kılınç, ve Gizem İrem Kınıklı. “Adölesan İdiyopatik Skolyozlu Bireylerde Posteriyor Enstrümantasyon Füzyon Cerrahisi Sonrası Gövde Kas Enduransı, Esneklik Ve Yaşam Kalitesinin İncelenmesi”. Sağlık Bilimleri Ve Meslekleri Dergisi 6, sy. 3 t.y.: 491-500.
EndNote Öztürk F, Güney-deniz H, Ayvaz M, Demirkıran G, Kılınç H, Kınıklı Gİ Adölesan İdiyopatik Skolyozlu Bireylerde Posteriyor Enstrümantasyon Füzyon Cerrahisi Sonrası Gövde Kas Enduransı, Esneklik ve Yaşam Kalitesinin İncelenmesi. Sağlık Bilimleri ve Meslekleri Dergisi 6 3 491–500.
IEEE F. Öztürk, H. Güney-deniz, M. Ayvaz, G. Demirkıran, H. Kılınç, ve G. İ. Kınıklı, “Adölesan İdiyopatik Skolyozlu Bireylerde Posteriyor Enstrümantasyon Füzyon Cerrahisi Sonrası Gövde Kas Enduransı, Esneklik ve Yaşam Kalitesinin İncelenmesi”, HSP, c. 6, sy. 3, ss. 491–500.
ISNAD Öztürk, Ferhat vd. “Adölesan İdiyopatik Skolyozlu Bireylerde Posteriyor Enstrümantasyon Füzyon Cerrahisi Sonrası Gövde Kas Enduransı, Esneklik Ve Yaşam Kalitesinin İncelenmesi”. Sağlık Bilimleri ve Meslekleri Dergisi 6/3 (t.y.), 491-500.
JAMA Öztürk F, Güney-deniz H, Ayvaz M, Demirkıran G, Kılınç H, Kınıklı Gİ. Adölesan İdiyopatik Skolyozlu Bireylerde Posteriyor Enstrümantasyon Füzyon Cerrahisi Sonrası Gövde Kas Enduransı, Esneklik ve Yaşam Kalitesinin İncelenmesi. HSP.;6:491–500.
MLA Öztürk, Ferhat vd. “Adölesan İdiyopatik Skolyozlu Bireylerde Posteriyor Enstrümantasyon Füzyon Cerrahisi Sonrası Gövde Kas Enduransı, Esneklik Ve Yaşam Kalitesinin İncelenmesi”. Sağlık Bilimleri Ve Meslekleri Dergisi, c. 6, sy. 3, ss. 491-00.
Vancouver Öztürk F, Güney-deniz H, Ayvaz M, Demirkıran G, Kılınç H, Kınıklı Gİ. Adölesan İdiyopatik Skolyozlu Bireylerde Posteriyor Enstrümantasyon Füzyon Cerrahisi Sonrası Gövde Kas Enduransı, Esneklik ve Yaşam Kalitesinin İncelenmesi. HSP. 6(3):491-500.