Explore the vast range of titles available.

BackgroundFibromyalgia syndrome (FMS) is a chronic condition characterised by the presence of complex multiple symptoms, often accompanied by psychiatric comorbidities and sleep problems. The wide spectrum of symptoms and comorbid problems complicates treatment and management of the ensuing disability and symptoms. Physiotherapy approaches and mind-body practices including yoga and mindfulness are among the non-pharmacological treatment methods commonly used in FMS treatment. While there is initial evidence for these interventions, definitive conclusions about their effectiveness are still lacking and research on their combined effectiveness is limited. Therefore, this study aims to evaluate the effectiveness of a multimodal integrative protocol, the PhYoMind (PYM) intervention, which combines specific physical therapy modalities with yoga and mindfulness practices on the overall impact of fibromyalgia and functional impairment.Methods and analysisThis monocentric study uses a parallel-group (1:1) randomised controlled design, in which the outcome assessor and statistician are blinded to group allocation. Individuals with a clinical diagnosis of FMS (n=40) will be included in the study (Cohen’s f=0.675; α=0.05; power=0.80). Participants will be randomised to receive either PYM intervention in addition to Home Exercise (HE) programme or HE programme alone. The intervention period for both groups will last 8 weeks; PYM sessions will be held twice a week for 75 min each. The primary outcome is the broad disease impact and functional impairments measured by the total score of the Fibromyalgia Impact Questionnaire. Secondary outcomes include central sensitivity, as assessed by the Central Sensitisation Index; autonomic nervous system function, as measured objectively by heart rate variability; pain perception (current, average, worst), as assessed by the Visual Analogue Scale; fatigue, as assessed by the Multidimensional Fatigue Inventory; stress, as assessed by the Perceived Stress Scale; and sleep quality as assessed by the Pittsburgh Sleep Quality Index. Adherence and adverse events will be assessed for both interventions. Repeated measures ANOVA will be used to analyse the effect of time, intervention group and their interaction on primary and secondary outcomes under an intention-to-treat principle.Ethics and disseminationEthics approval was granted from the Ethics Committee at the Medical Faculty of Eberhard Karls Tuebingen University and at the University Hospital of Tuebingen (260/2025BO2) on 30 April 2025. The trial will be conducted in accordance with the updated principles of the Declaration of Helsinki. The study’s findings will be disseminated and documented in a peer-reviewed publication, adhering to the Consolidated Standards of Reporting Trials guidelines. After completion of the study and publication of the results, participants who are interested will be offered a brief summary of the aggregated study findings.Trial registration numberNCT07145788.

This descriptive study aims to determine the digital competence level of faculty members who teach in the health sciences, empirically considering possible contextual aspects. Two data collection instruments were used: a self-reflection questionnaire to assess digital competence, and a survey querying demographics and aspects of teaching and learning context. In total, 306 health sciences faculty members from six universities voluntarily participated the study. The results revealed that a majority of the faculty members have intermediate (integrator or expert) level of digital competence, which is described as being aware of the potential use of digital technology in teaching and having a personal repertoire for its use under various circumstances. Age, digital teaching experience, perception of work environment, and previous teaching experience in fully- or partially-online courses were identified as influencing factors for digital competence. Faculty members in health sciences were able to integrate digital technologies in their teaching practices. Health education institutions may facilitate the use of digital technologies in teaching and learning environments. Moreover, institutions or stakeholders should consider that digital competence requires practice and experience in meaningfully-designed digital environments and tools.

Background To evaluate the validity and reliability of the Turkish version of the General Rehabilitation Adherence Scale (GRAS) in individuals with osteoarthritis receiving physiotherapy. Methods Eighty-eight individuals diagnosed with osteoarthritis and undergoing physiotherapy participated in the study. The scale was translated using a forward-backward translation procedure and assessed for content validity. Construct validity was examined using exploratory factor analysis and confirmatory factor analysis to evaluate model fit. Internal consistency was evaluated using Cronbach’s alpha coefficients. Test-retest reliability was assessed using intraclass correlation coefficients (ICC). Results Content validity indices indicated adequate item relevance. Factor analyses supported a two-factor structure with acceptable model fit indices. Internal consistency was acceptable for the overall scale and subscales. Test-retest reliability demonstrated good to excellent stability over time (ICC > 0.80). The findings indicate that the Turkish GRAS is a psychometrically sound instrument for assessing rehabilitation adherence in individuals with osteoarthritis. Conclusion The Turkish version of the GRAS is a valid and reliable tool for evaluating adherence behaviors in individuals with osteoarthritis receiving physiotherapy. Its use may assist clinicians in identifying patients at risk of poor rehabilitation engagement and may support individualized intervention planning to optimize functional outcomes. Clinical Trials Registry Clin i calTrials.gov Identifier: NCT07107412. Registry date: 30/07/2025. Registry link: https://clinicaltrials.gov/study/NCT07107412 .

Purpose To investigate the fear of falling, physical activity, and functionality in patients with lymphedema in the lower extremities. Methods Sixty-two patients who developed stage 2–3 lymphedema in the lower extremities due to primary or secondary causes (age: 56.03 ± 7.83 years) and 59 healthy controls (age: 54.61 ± 5.43 years) were included in the study. The sociodemographic and clinical characteristics of all individuals included in the study were recorded. In both groups, fear of falling was evaluated with the Tinetti Falls Efficacy Scale (TFES), lower extremity functionality with the Lower Extremity Functional Scale (LEFS), and physical activity with the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Results There was no statistically significant difference between the demographic characteristics of the groups ( p > 0.05). The primary and secondary lymphedema groups had similar LEFS ( p = 0.207, d = 0.16), IPAQ ( p = 0.782, d = 0.04), and TFES ( p = 0.318, d = 0.92) scores. However, the TFES score of the lymphedema group was significantly higher than that of the control group ( p < 0.01, d = 0.52), while the LEFS ( p < 0.01, d = 0.77) and IPAQ scores ( p = 0.001, d = 0.30) were significantly higher in the latter. There was a negative correlation between LEFS and TFES ( r = −0.714, p < 0.001) and between TFES and IPAQ ( r = −0.492, p < 0.001). LEFS and IPAQ were positively correlated ( r = 0.619, p < 0.001). Conclusion It was determined that individuals with lymphedema developed a fear of falling, and their functionality was negatively affected. This negative effect on functionality can be attributed to reduced physical activity and an increased fear of falling.

ObjectivesTo determine the distribution of prostate cancer (PCa) patients between physical activity and kinesiophobia, fatigue and quality of life, and to what extent PCa persists compared to healthy males.MethodsTotal of 118 males participated in the study. These participants were allocated into two groups: PCa group (n:59) and control group (n:59). The International Physical Activity Questionnaire Short Form was used to assess physical activity levels, Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire (FACIT-F) was used for measuring fatigue, kinesiophobia was evaluated with the Kinesiophobia Causes Scale, and Functional Assessment of Cancer Treatment-Prostate Version questionnaire (FACT-P) was used to assess quality of life.ResultsPCa had significantly lower scores in moderate activity (p=0.005) and total physical activity (p=0.010) compared with the control. Scores for kinesiophobia in both biological (p=0.045) and psychological subparameters (p=0.001), as well as the total kinesiophobia score (p=0.003), were higher in PCa. The FACIT-F (p<0.001) and total FACT-P (p<0.001) score were significantly lower in PCa than the control.ConclusionKinesiophobia in PCa is significantly influenced by both biological and psychological factors. Kinesiophobia negatively affects patients’ functional status and overall quality of life. Their well-being is shaped not only by their physical and emotional conditions but also by the quality of their family relationships. This multifaceted impact highlights the complex interaction between physical activity, functional abilities, emotional health and social dynamics in PCa. In addition to routine treatments for PCa patients, the development and implementation of a comprehensive rehabilitation programme may lead to significant improvements in their quality of life.