Regardless of the age, race, gender and cultural identity, all skill levels, every one share the idea of benefiting from active participation in sport and recreation activities. All sports for all agencies have common principles in their objectives. They aim to promote active participation in sport for all activities and the idea of volunteering in the administration, maintenance and support projects, programs and events that promote a unique network of sport enthusiasts and sports create for all participants. Sport for All helps to put the Olympic Movement’s values into practice in terms of promoting health, education and well-being through sports activities practiced by all categories of the population without distinction. Likewise, Turkish Sport for All Federation has been promoting an active life through sport in Turkey since June, 1980. Under the umbrella of Turkish Sport for All Federation (TSFAF), considerable level of awareness has been recorded as an important development for the past 30 years. Upon several successful events and achievements, the federation changed its status and established very strong relations with international sport for all movements, including TAFISA in which the federation received full membership in the same year. Just after a very short period, the federation was involved in a series of important international projects like hosting some important events such as 22nd World Congress of TAFISA in Antalya (2011); the foundation assembly of Balkan Sport for All Association in 2010 in Istanbul, and 2 international Balkan SFA festivals respectively in Edirne (2010) and in Bodrum (2011). Such events provided the TSFAF members a broader perspective in the idea of disseminating culture of sport in Turkey. In this poster presentation some sample activities and their effectiveness in Turkey will be introduced. [email protected]
Deborah Walker has been a practicing physical therapist for twenty four years. She is a faculty member with the Department of Physical Therapy and hold two clinical specialty certifications, one in orthopedics and one in geriatrics. One of her clinical areas of expertise is the upper quadrant and shoulder. Cheryl Hickey, PT, MS. EdD. The principal investigator has her masters in physical therapy and has been a licensed physical therapist for over seventeen years. She is an Assistant Faculty member in the Department of Physical Therapy. She has also taught clinical electrophysiology at the graduate and doctoral level for approximately 13 years and has guided a previous study using the application of electrical stimulation.
Altered scapular motion and position, termed scapular dyskinesis, is commonly treated in physical therapy clinics and is often a component of shoulder pain. Conventional therapeutic exercise programs to treat dyskinesis address impaired muscle recruitment in an effort to normalize scapular-humoral rhythm. Treatment durations can range up to 12 visits with varying success. There are no studies that examine traditional therapeutic exercise programs with the addition of triggered electrical stimulation (ES) as a motor cue to relearn appropriate patterns of scapular movement. The purpose of this pilot study was to compare therapeutic exercise with an ES cue, to therapeutic exercise with a sham cue, to examine a motor learning effect in subjects with scapular dyskinesis. The hypothesis was that the ES group would be different in manual measures and in video inspection compared to the sham (non-stimulation) group. Subjects: 12 subjects (representing 15 scapulae) from a university campus sample of convenience, who met the inclusion criteria, were randomized into the ES or sham groups. Materials/Methods: Pre-data collection, intra-rater reliability for the manual measures was established (r=.60). An expert clinician assessed for visual winging of the scapula at rest and during active flexion and abduction following an intake questionnaire. Subjects were video-taped and distance measurements were taken at (0°, 45°, 90° and 120° abduction) prior to treatment, referencing the ipsilateral-side of the thoracic spinous process and the medial aspect of the scapular inferior angle. Both ES and sham groups were given three exercises cited as having low upper trapezius/lower trapezius (UT/LT) ratios. Exercises were performed four times a week, two times independently and two times with the researchers using ES cueing or sham cueing. Electrical cueing was provided via a handheld switch. A biphasic-pulsatile current was used. The frequency and pulse-width were 25pps and 250usec, respectively. The intensity was comfortable and produced scapular retraction. Results: Results indicated manual measurements of the scapular distance were consistent and not significantly different across the ES and sham groups at 0° and 45° degrees. No significant change was found across the control group for 90° or 120°. However, at 120° the intervention group showed a significant difference in measurements (p=.003). Mean results also showed that although the sham group started in better scapular positioning with 1.73cm less excursion than the ES group (sham 8.44cm and ES 10.17cm), the ES group’s post treatment end with a 2.76cm change, and surpassed the control by a large margin. On-going preliminary video reviewing visually confirms this analysis. Conclusions: This quick, simple intervention (ES cue with three exercises) on subjects who started with poorer scapular positioning (at 120°), yielded significant mean changes compared to subjects who were not electrically cued. In addition, consistency was noted on pre and post-test measures at 0° and 45° between treatment groups with the manual spinous process to inferior angle measurements.