Joint Exercise Research Articles

Effects of Ankle Joint Exercise Programs with Hip Joint and Lumbopelvic Exercises on the Muscle Activity of Adults with Functional Ankle Instability

In subjects with functional ankle instability, lumbopelvic instability causes instability of the hip and lower extremities. The purpose of this study is to determine whether an ankle exercise program with hip strengthening exercise and lumbopelvic stabilization exercise affects spine and ankle stability through muscle activity in adults with functional ankle instability. Thirty adults with functional ankle instability were randomly assigned to a hip joint strengthening exercise group and a lumbopelvic stabilization exercise group. The subjects participated in the designated program three times a week for 40 minutes a day. In the hip joint strengthening exercise group, a general hip joint strengthening exercise was used, and in the lumbopelvic stabilization exercise group, a lumbopelvic stabilization exercise using a sling was added. The intervention lasted 4 weeks, and both groups were instructed to refrain from other exercise during the 4-week intervention period. The muscle activity of the tibialis anterior, gluteus maximus, external oblique and contralateral latissimus dorsi was measured. Data were collected from the 30 patients. The results showed that the muscle activity of the tibialis anterior, gluteus maximus, lateral oblique muscle, and contralateral latissimus dorsi was significantly increased in both groups. This suggests that the existing hip joint strengthening exercise and lumbopelvic stabilization exercise are effective approaches which not only help reduce hip joint pain and improve function, but also reduce functional ankle instability. Therefore, if an appropriate exercise program is provided for subjects with functional ankle instability, it is expected that it will help improve pain and function by reducing ankle instability and the frequency of re- injury.

La technique du hauban pour les fractures déplacées de l’olécrane par broches à œillet chez le sujet âgé : série de 17 cas

BackgroundTension-band wiring (TBW) and plate fixation are commonly used to fix displaced olecranon fractures. However, the high incidence of complications in the elderly, such as wound breakdown, infection, and loss of reduction, remain a concern for orthopaedic surgeons. Furthermore, patients frequently suffer from removal of the hardware. Even so, the operation seems to be indicated for independent elderly patients to return to their former activities of daily living. HypothesisTBW of displaced stable olecranon fractures with Eyelet-pins in the independent elderly reduce the incidence of complications and allow early elbow joint exercise to keep their former activities. Patients and methodsWe operated on the displaced stable olecranon fractures of 17 independent patients aged ≥70 using TBW with two Eyelet-pins. Eyelet-pins have an eyelet at the trailing end to prevent pin migration by passing a soft wire through it. The patients were reviewed clinically and radiologically at 2, 6, 12, and 24 weeks, and clinically at 1 year after the surgery. ResultsAll fractures were united within 12 weeks, and the anatomic reduction was maintained. Mean radiographic proximal migration of the Eyelet-pins was 0.4mm (0.1∼1.2mm). Mean active elbow flexion was 136° (115°∼145°) and extension 6.2° (0°∼30°). Two patients had mild local pain and pain on motion at the tip of the eyelet. No patient required removal of the hardware. Other complications, such as superficial or deep wound infections, and neurological symptoms or signs, were not seen. All patients were able to maintain their former activities of daily living. ConclusionTBW with Eyelet-pins for displaced stable olecranon fractures is useful for independent elderly patients to reduce the incidence of complications and to maintain their former activities of daily living without removal of the hardware. Level of evidenceIV; single-centre retrospective study.

Indonesian Defense Strategy to Encounter Challenges in the Indo-Pacific (Case Study: Hegemonic War of China and the United States of America in the South China Sea)

As an arena of hegemonic war between China and the United States of America (USA), Indo-Pacific has economic value that can increase conflict in the region. This hegemonic war then cultivated rapidly, as evidenced by the expanded issue through the involvement of other countries such as France, Germany, and England. This research basically examined the actions of Indonesia as a non-claimant country in conducting defense strategy to prevent threats that can disrupt its territory, especially in the North Natuna Sea which is adjacent to the South China Sea as the main theater of this hegemonic war in Indo-Pacific. This study was analysed using qualitative method, descriptive analysis and neorealism perspective. As an effort to maintain territorial sovereignty, especially in the North Natuna Sea which is close to South China Sea, Indonesia had done several defense strategies which can be categorized as internal and external balancing. Internal balancing consists of relocation process of fishermen from North Coast of Java to Natuna, increasing trend of defense budget and particular allocation for the security of North Natuna Sea, and execution of combat exercise. External balancing includes cooperation of joint exercises and national defense industry quality improvement through transfer of technology and knowledge, joint development, as well as acquisitions.

A randomised, controlled trial of meditation and yoga in permanent atrial fibrillation: the MAYA study

Abstract Background The role of yoga in paroxysmal atrial fibrillation (AF) is known. But its role in permanent AF has not been studied. Purpose The objectives of our study are to evaluate the effects of yoga on symptoms, heart rate, quality of life, hospitalisations, medication adherence and echocardiographic parameters in permanent AF. Methods We conducted a single centre, randomised, participant blinded, parallel group, sham-controlled study between October 2019 and September 2020. We included patients aged 18–65 years with permanent AF due to any cause. Patients in New York Heart Association (NYHA) class≥3, modified European Heart Rhythm Association (mEHRA) class ≥3 and left ventricular ejection fraction (LVEF)<30% were excluded. Total of 84 patients underwent randomisation into two groups of 42 each. None of the participants had prior knowledge or contraindications to yoga. Subjects in yoga arm underwent supervised and self-performed yoga sessions consisting of various asanas, pranayamas and dhyana, while those in the sham arm underwent supervised and self-performed joint exercises, each session lasting for 60 minutes/day for 6 days a week along with guideline directed medical therapy in both arms. The primary endpoints were improvement in NYHA class, mEHRA class, heart rate at rest and after 6 minute walk test, 6 minute walk distance, quality of life, medication adherence, hospitalisations, LVEF and left atrial volume index at 3 months. The secondary endpoints included the same parameters assessed at 1month. Quality of life was assessed by the short form (SF)-36 questionnaire which has eight domains. Scores for each domain range from 0 to 100, with a higher score defining a more favourable health state. All analyses were based on intention to treat principle. Results The groups were well-matched at baseline. The mean age of study participants was 50.62±12.97 years, 56% were women and the most common risk factor was rheumatic heart disease found in 47.6% of the cases. Four patients in the yoga group and 3 in the sham group were lost to follow up. There was significant improvement in various parameters in the yoga arm at 1 and 3 months. (Figures 1 and 2). Hospitalisation at 3 months was lower in the yoga arm (0.73±0.81) versus sham arm (1.13±0.93); p=0.044. Out of 38 patients in the yoga arm, 6 patients had improvement in the medication adherence compared to 9 patients (out of 39) in the sham arm at 3 months, p=0.419, OR (95% CI) = 0.62 (0.19–1.96). Higher the compliance to yoga, defined by the number of sessions per week, more was the improvement in various parameters. No harms were noted. Conclusion Among patients of permanent AF already on medical therapy, yoga significantly improves symptoms, heart rate, functional capacity, quality of life and hospitalisations when compared to a sham procedure. Larger, multicentre, double blinded studies are required to generalise the results, though participant blinding cannot be 100% assured. Funding Acknowledgement Type of funding sources: None.

GAYA HIDUP DAN KEKAMBUHAN PADA PASIEN HIPERTENSI DI UPT PUSKESMAS JATINANGOR

Hypertension is one of the cardiovascular diseases that need to be watched out for because this disease often occurs without clear symptoms until complications occur (the silent disease). Hypertensive disease that is not handled optimally will result in a return of symptoms, or is called a recurrence of hypertension. An unfavorable lifestyle is a factor in the recurrence of hypertension in addition to regular treatment and control. This study aims to determine the relationship between lifestyle and recurrence of hypertension in patients at UPT Puskesmas Jatinangor, Sumedang Regency. This research is a descriptive correlative research type with a cross sectional approach. The study population was all patients who went to UPT Puskesmas Jatinangor Sumedang. A sample of 63 patients with hypertension using purposive sampling technique. Collecting data using a lifestyle questionnaire totaling 24 items, and using a checklist for recurrence of hypertension in the last 1 month. The analysis used is univariate and bivariate with Chi-Square correlation test. The results of the Chi-Square correlation test show that there is a relationship between lifestyle and recurrence of hypertension in patients at UPT Puskesmas Jatinangor Sumedang with a significance value (p-value) = 0.000. Based on the results of this study, it is hoped that the Jatinangor Health Center can make a program to reduce the recurrence of hypertension caused by an unhealthy lifestyle, including counseling and joint exercise for hypertensive patients.

Acute effects of pre-activation method with single and multiple joint exercises on muscular activity and training volume during the bench press exercise

article: Acute effects of pre-activation method with single and multiple joint exercises on muscular activity and training volume during the bench press exercise - Medicina dello Sport 2021 September;74(3):396-405 - Minerva Medica - Journals

Tension-band wiring of displaced stable olecranon fractures with Eyelet-pins in the elderly: A series of 17 cases

BackgroundTension-band wiring (TBW) and plate fixation are commonly used to fix displaced olecranon fractures. However, the high incidence of complications in the elderly, such as wound breakdown, infection, and loss of reduction, remain a concern for orthopaedic surgeons. Furthermore, patients frequently suffer from removal of the hardware. Even so, the operation seems to be indicated for independent elderly patients to return to their former activities of daily living. HypothesisTBW of displaced stable olecranon fractures with Eyelet-pins in the independent elderly reduce the incidence of complications and allow early elbow joint exercise to keep their former activities. Patients and methodsWe operated on the displaced stable olecranon fractures of 17 independent patients aged ≥ 70 using TBW with two Eyelet-pins. Eyelet-pins have an eyelet at the trailing end to prevent pin migration by passing a soft wire through it. The patients were reviewed clinically and radiologically at 2, 6, 12, and 24 weeks, and clinically at 1 year after the surgery. ResultsAll fractures were united within 12 weeks, and the anatomic reduction was maintained. Mean radiographic proximal migration of the Eyelet-pins was 0.4mm (0.1 ∼ 1.2mm). Mean active elbow flexion was 136° (115° ∼ 145°) and extension 6.2° (0° ∼ 30°). Two patients had mild local pain and pain on motion at the tip of the eyelet. No patient required removal of the hardware. Other complications, such as superficial or deep wound infections, and neurological symptoms or signs, were not seen. All patients were able to maintain their former activities of daily living. ConclusionTBW with Eyelet-pins for displaced stable olecranon fractures is useful for independent elderly patients to reduce the incidence of complications and to maintain their former activities of daily living without removal of the hardware. Level of evidenceIV; single-centre retrospective study.

Humerus Fracture Healing Using Traditional Chinese Medicine

Cases of mid-shaft humerus fracture are often managed conservatively. However, poor fracture healing is not uncommon and often require surgical intervention with equivocal prognosis and may result in complications such as radial nerve injury and nonunion. We report a case of successful healing of mid-shaft humerus fracture using traditional Chinese medicine (TCM). The principles of fracture management in TCM is very different from conventional orthopaedics utilizing light immobilization, active joint exercise and herbal agents that promote bone healing. This case report illustrates the potential role of traditional Chinese medicine in humerus fracture management.

REHABILITATION OF NEUROMUSCULAR FUNCTION BY PHYSICAL EXERCISE

ABSTRACT Introduction In long-term sports, especially in explosive sports such as accelerated starting, athletes are prone to rupture the anterior cruciate ligament (ACL). It is the ultimate goal of ACL reconstruction for athletes to restore the stability (static and dynamic) and mechanical structure of the knee joint through reconstruction surgery. Object This article uses ACL reconstruction to repair patients’ ACL and explores the effect of athletes’ nerve recovery after sports. Methods We collected 35 ACL reconstruction athletes and randomly divided them into two groups (experimental group, 18; control group, 17). After reconstruction, the athletes in the experimental group were treated with sports rehabilitation. Results The experimental and control groups had great differences in knee joint exercise indexes and nerve function recovery. Conclusion Sports rehabilitation training can effectively improve the nerve function of the knee joint after ACL reconstruction. Level of evidence II; Therapeutic studies - investigation of treatment results.

THE DEFENSIVE–OFFENSIVE POLITICAL BEHAVIOR OF NORTH KOREA IN THE KOREAN PENINSULA

<div><p class="Els-history-head">The study seeks to explain North Korea's political behavior that tends to act defensively and offensively which has often been represented as a dangerous country. Moreover, historically, the events of the Korean War that led to the breakup of Korea into two parts, the northern part that is associated with the Soviet Union and the southern part that is joined by the United States, makes the relationship between the two countries increasingly conflictual. Coupled with the formation of two axes of power since the collapse of the Soviet Union, North Korea is allied with its ideological one brother China, and South Korea is allied with the United States. The political escalation between the two countries continues to rise, resulting in the relationship of two becoming very conflictual, and because of that, the rivalry that is formed between the two countries raises various potential conflicts that couldn't be avoided. This research used the congruent method by used the balance of threat theory from Stephen Walt who argued that the state reacts to the perceived threat rather than power, and aims to balance it. The results found that North Korea's defensive - offensive actions were motivated by distrust of America-allied South Korea through several joint exercise programs on the peninsula that is considered a form of threat. Overall, the main argument of this research is the North Korea’s defensive - offensive actions are determined by the attitudes of South Korea and its ally the United States.</p></div>

중학교 태권도 선수의 성별에 따른 등속성 근기능, 유·무산소성 운동능력 및 기초체력 비교 분석

The purpose of this study was to provide physiological data and training programs according to gender by comparing and analyzing the difference between the isokinetic muscular function of the knee joint, aerobic and anaerobic exercise ability, and basic physical fitness in middle school male and female taekwondo athletes. Independent t-test was applied to two groups. This study was that male athletes showed significantly higher right(p.01), left(p.01) extensors and flexors than female athletes at the knee joint in 60°/sec. Also, male athletes showed significantly higher right(p.001), left(p.001) extensors and right(p.01), left(p.01) flexors than female athletes at the knee joint in 180°/sec. This study was that male athletes showed significantly higher VO₂max(p.01) than female athletes. And male athletes showed significantly higher peak power(p.001), peak power of per body weight(p.001), average power(p.001), total energy(p.001) than female athletes. This study was that male athletes showed significantly higher back strength,(p.001) sit-up(p.01), sargent jump(p.001), standing long jump(p.001), sound reaction of the whole body(p.001), light reaction of the whole body(p.05) than female athletes. In conclusion, this study was suggested that middle school taekwondo athletes were showed differences in isokinetic muscle function of the knee joint, aerobic exercise ability, anaerobic exercise ability, and basic physical fitness according to the gender.

Pengaruh Latihan Gerak Sendi untuk Menurunkan Nyeri Sendi pada Lansia dengan Osteoartritis

One of degenerative diseases experienced on the elderly is osteoarthritis, indicated by the existence of pain on under-extremities and its prevalence is increasese alongwith age-rised. Non- pharmacological management is an important component in resolveing a pain, which is Range of Motion Exercise. The Research purpose is to know the effect of lower extremity joint exercise on the level of knee joint pain on the elderly with osteoarthritis at Gubuk Tengak Kelayu Utara. The Research is a quantitative reseach with intervention- study by using Quasi Experiment Design; Pretest-Posttest Control Group. The Research was conducted in Gubuk Tengak Kelayu Utara, East Lombok. The samples of study were 30 elderly, devided to 15 elderly as intervention group and 15 elderly as control group. The Sampling technique was purposive sampling.the variabels of the reaseach were Range of Motion and Pain Scale on elderly. The data Analysis were Wilcoxon Test and Mann Whitney Test. After doing Range of Motion for 2 weeks , it was obtained that there is influence Range of Motion to joints pain scale on elderly with osteoarthritis with p value 0,003 (α <0,05). In conclusion, there is significant effect of Range of motion in decreasing joints’ pain on elderly with osteoarthritis.

Edukasi Masyarakat Mencegah Penularan Covid-19 di Cianjur

The thematic KKN 2020 Mekarjaya Village, Cikalongkulon District, Cianjur Regency, which has been held since November 16, 2020, has carried out this activity which consists of: socializing education on preventing Covid-19 transmission, counseling on healthy living, tutoring supported by fun learning media, watching educational videos as efforts to prevent transmission of Covid-19, implementing health protocols, making and distributing masks, making and spraying disinfectants, carrying out joint exercises, community service, and data collection and population grouping All programs, both individual and group, have been carried out well with the participation of the government and the community despite the many challenges faced in terms of resources and funds. Constraints in the form of challenges during KKN can be anticipated properly, for the success of various activities that have been planned in the work program and those that are not planned.

Changes and Associations between Cervical Range of Motion, Pain, Temporomandibular Joint Range of Motion and Quality of Life in Individuals with Migraine Applying Physiotherapy: A Pilot Study.

Background and Objectives: The aim of this study was to assess the effects of physiotherapy with aerobic exercise together with temporomandibular joint range of motion exercises (supervised) and physiotherapy with aerobic exercise only (unsupervised), also to review the correlations between neck movements, pain, temporomandibular joint range of motion movements and quality of life in individuals with migraine. Methods: The flexion, extension and lateral flexion of the cervical spine were measured in degrees with a mechanical goniometer and pressure pain thresholds with algometer. Quality of life was assessed with the SF-36 questionnaire and temporomandibular joint range of motion with a centimeter. Results: The study showed statistically significant cervical flexion results in both groups (p < 0.05), masticatory muscle results and temporomandibular joint range of motion between the groups (p < 0.05). A correlation between left upper trapezius muscle pain and cervical lateral flexion was observed in the intervention group. Physical activity correlated with cervical extension, activity limitation due to physical ailments and general health. A correlation between temporomandibular joint and right-side masticatory muscles pain was found. A correlation between upper trapezius muscle pain and left- as well as right-side temporalis muscles were found in the control group. Strong correlations were found between pain and activity limitation due to physical ailments and emotional state. The temporomandibular joint range of motion strongly correlated with activity limitation due to physical ailments. Conclusions: Physiotherapy based on aerobic exercises together with temporomandibular joint exercises was more effective than physiotherapy based on aerobic exercise for decreasing pain, increasing pressure pain thresholds and cervical range of motion.

Configuration of forces in the Black Sea after Russian annexation of Crimea

The article analyzes the new configuration in the Black Sea after Russian annexation of Crimea. The Black Sea has an important role for Russia to promote its interests in the southern direction. Crimea in this strategy has the role of an important bridgehead. The peninsula has modern coastal and air defense systems that cover the skies over the Crimea and control the airspace of Eastern European countries. The deployment of nuclear weapons in Crimea threatens almost all of Europe. Russia uses factories of the occupied peninsula to build new ships for the Black Sea Fleet. Russia is using the energy factor in the region to attract NATO members to Bulgaria and Turkey. Bulgaria is taking a cautious ambivalent stance, while Turkey is playing its own game with Russia, raising its status in the region. Western analysts’ skepticism about the strategic importance of the Black Sea and the fragmentation of the region make it difficult to formulate a joint NATO strategy to counter Russia. Therefore, the main actions of the Alliance in the region remain the visits of warships, joint exercises and reconnaissance flights, the number of which in 2020 increased by 40%. But this is not enough to curb Russia’s aggressive policy. Therefore, NATO needs to increase its presence in the Black Sea by expanding the format of joint action and intensifying cooperation with partners Ukraine and Georgia. The normalization of US-Turkish relations should play a significant role in the security of the region. Tightening sanctions against the Kremlin and restricting energy cooperation should be an important tool to deter Russia from the collective West.

Существующие механизмы Шанхайской организации сотрудничества и проблемы борьбы с нетрадиционными вызовами безопасности

Central Asia is extremely important for the security of Russia, China and the Eurasian region, both historically and at present. Unconventional security challenges, led by terrorism, extremism and separatism, which in the official Chinese rhetoric and official documents of the Shanghai Cooperation Organization (SCO) are designated as the ‘three forces of evil,’ pose a serious challenge to the security of China, Russia, the countries of Central Asia and Eurasia in general. Over the 20 years of the SCO’s history, proceeding from their ‘Shanghai spirit,’ the participating countries have created unique legislative and organizational mechanisms for a joint strike against the ‘three forces of evil,’ as well as mechanisms for bilateral and multilateral antiterrorist exercises. The most important of these is the Peace Mission joint exercise, which has been regularly held since 2005. These mechanisms of cooperation within the SCO embody the spirit of solidarity, mutual trust and cooperation, reflect the ability of the members of the organization to jointly counter the ‘three forces of evil’ and respond to related problems, and also symbolize the SCO’s determination to protect stability in the region and peace in the world. The organization has made a significant contribution to ensuring security in the region. Nevertheless, in the face of existing problems and new challenges such as potential competition and disagreements within the organization, problems with new members after the expansion of the membership, and also the ineffective functioning of some of the SCO’s security instruments, all SCO members need to strengthen their cooperation and open new ways for organizing the SCO to fulfil well its unique role to ensure security in the territory of SCO states and in Eurasia as a whole. The new model of relations—‘Russian-Chinese relations of comprehensive partnership and strategic interaction entering a new era’—that underlies the SCO gives the organization greater stability. The SCO is a unique organization on the territory of Eurasia and has both implemented an important innovation in the theory and practice of international relations and opened a new model of regional cooperation. Therefore, it can be stated with a high degree of confidence that multilateral cooperation in the field of security will gradually deepen.

Multilateral Naval Exercise Komodo: Enhancing Indonesia’s Multilateral Defence Diplomacy?

Defence diplomacy has gained attention in the past decades. Hence, Indonesia has also developed its defence diplomacy for achieving its strategic interests. In Indonesia’s defence diplomacy, bilateral forms have dominated the practice of joint exercises with its defence partners. However, under the Yudhoyono administration in 2014, Indonesia hosted its first multilateral joint exercise, the Multilateral Naval Exercise Komodo (MNEK), which aimed at facilitating multilateral engagement with greater international partners. This exercise was continued by the Widodo administration as a biannual event in the following years. Since this multilateral exercise has rarely been studied, this article attempts to qualitatively examine how this exercise has developed and contributed to Indonesia’s multilateral defence diplomacy. To support the analysis, this article relies on a combination of documentary analysis and semi-structured interviews, including with numerous participants of past MNEK exercises in 2014, 2016, and 2018.

BONN Agreement – More Than 50 Years of Spill Response Cooperation

Abstract In 2019, the BONN Agreement celebrated 50 years of continuous cooperation in dealing with marine pollution in Europe. This makes the Bonn Agreement the oldest regional agreement in the world established by governments for jointly dealing with and responding to pollution incidents. The first “Agreement for Cooperation in Dealing with Pollution of the North Sea by Oil” was signed in 1969 by the eight states bordering the North Sea: Belgium, Denmark, Germany, France, the Netherlands, Norway, Sweden and the United Kingdom. This was shortly after the oil tanker “Torrey Canyon” broke up off Cornwall in 1967 spilling 117 000 tonnes of oil in the first major pollution disaster affecting Western Europe. In 1983 the agreement was expanded to include “other harmful substances” as well as oil and the European Union became a Contracting Party. In 1989 the agreement was amended to include aerial surveillance. In 2010, Ireland was included and in 2019, at the 50'th anniversary, a new enlargement of the geographical scope was approved by including the Bay of Biscay through Spain's accession and a new task related to the monitoring of air pollution from ships was incorporated. The area of the Bonn Agreement now covers the Greater North Sea and its approaches, comprising most of the heavy density traffic area and oil fields in Western Europe. During these 50 years, the cooperation has resulted in a number of achievements on different topics. Some of these are: - aerial surveillance and detection of marine pollution,- harmonized pollution reporting format,- common quantification of oil spills through the Bonn Agreement Oil Appearance Code,- systems for reimbursement of costs when rendering assistance as the Bonn Agreement provides for mutual assistance between Contracting Parties,- joint exercises,- information sharing on experiences and on research &amp; development findings,- Bonn Agreement region-wide risk assessment through the BE-AWARE project. In October 2019, the agreement's 50th anniversary was celebrated and a ministerial meeting was held. This paper will give an overview of the history, the achievements and the future for the Bonn Agreement.

The Efficiency of Manual Therapy and Sacroiliac and Lumbar Exercises in Patients with Sacroiliac Joint Dysfunction Syndrome

Manual therapy, exercise therapy, and the combination of these 2 are common treatments for sacroiliac joint dysfunction syndrome. The effects of these treatments have been discussed in several studies; the superiority of one over the other for patients with sacroiliac joint dysfunction syndrome is still the subject of discussion. This study aims to assess the effects of manual therapy for sacroiliac joints, sacroiliac joints home-based exercises, and home-based lumbar exercises. A comparative, prospective, single-blind, randomized, controlled trial. This trial was conducted at a single center at the Istanbul University, Istanbul Medical Faculty, Department of Physical Medicine and Rehabilitation. Within the scope of this study, 69 women diagnosed with sacroiliac joint dysfunction syndrome through specific sacroiliac joints clinical diagnostic tests were randomized into 3 groups. The first group was assigned manual therapy and a sacroiliac joints home-based exercise program (n = 23), the second group was assigned sacroiliac joints manual therapy and a home-based lumbar exercise program (n = 23), and the third group was assigned a home-based lumbar exercise program (n = 23). All patients who participated in the study were evaluated at the beginning of the study and on the twenty-eighth and ninetieth day. All 3 groups showed a significant decrease in the sacroiliac joints -related pain parameter, which is checked with the visual analogue scale (P < 0.05) after the treatment. The Gillet test, Vorlauf test, Posterior Shear test, Compression test, and irritation Point tests after the treatment yielded a significant (P < 0.05) negative trend in all groups. Short Form-36 health survey for screening form, Modified Oswestry Pain Questionnaire, and Douleur Neuropathique 4 questions patient interview questionnaire for the assessment of neuropathic pain forms revealed a significant (P < 0.05) improvement in patients' complaints after the treatment in all 3 groups. Significant improvement in patients with sacroiliac joint dysfunction syndrome in all 3 groups was identified after the treatment. The absence of a healthy control group is one of the important limitations of the study. Manual therapy is effective in the long term in sacroiliac joint dysfunction syndrome. Adding specific exercises for sacroiliac joints to the sacroiliac joints manipulation treatment further increases this effectiveness.

Better together: The impact of exercising with a romantic partner

Many people have goals to increase their physical activity levels through engaging in exercise, but have difficulty establishing and maintaining an exercise routine. Research shows that people are more successful at exercising if they do so together with their romantic partner. In this study, we examined how exercising with a romantic partner may influence the experience of exercise itself, as well as people’s daily experiences. Specifically, we examined how joint exercise influences daily and exercise affect, daily relationship satisfaction, and amount of daily exercise. Young adults who were currently involved in a romantic relationship (N = 95) completed intake questionnaires and 14 daily reports of their exercise behavior, exercise and daily affect, and daily relationship satisfaction. Multilevel models showed that on days when people exercised with their romantic partner, they experienced higher positive affect during exercise, higher daily positive affect, and were more satisfied with their relationship compared to days when they exercised without their partner. No effects were found on daily and exercise negative affect, or amount of exercise. This study illustrates how exercising with a romantic partner may improve people’s experience of both exercising and their daily experiences, and may help provide a reason why people might be more successful at maintaining their exercise routine when they exercise together with their romantic partner.