Medicine and Health Sciences Commons^™

Anesthetic And Sedative Efficacy Of Peppermint (Mentha Piperita) And Lavender (Lavandula Angustifolia) Essential Oils In Blue Dolphin Cichlid (Cyrtocara Moorii), Erkan Can, Esma Sümer

Turkish Journal of Veterinary & Animal Sciences

The use of different essential oils (Eo$_{s}$), which are considered as a good alternative to synthetic materials, is increasing day by day in fish species. Nevertheless, studies on the anesthetic effect of peppermint Eo (Mentha piperita; MPEo) and lavender Eo (Lavandula angustifolia; LAEo) are scarce. In the present study, the effective concentrations of three anesthetic materials (MPEo, LAEo, and MS-222) were previously determined in the concentrations range of 100-400 ppm in Cyrtocara moorii juveniles (4.92 ± 1.03 g and 7.13 ± 1.22 cm) with the criteria of appropriate induction time (AI$_{t}$) and ready recovery time (RRt) (Trial 1). Afterwards, four …

Effects Of Various Toxeat$^{®}$ Concentrations On Growth Performance, Immune Response, Cecal Microflora, And Gut Morphology In Broilers Fed With Aflatoxin Contaminated Diets, Soheila Sarrami, Parvaneh Jafari, Maryam Tajabadi Ebrahimi, Seyed Naser Mousavi, Seyed Abdollah Hosseini

Turkish Journal of Veterinary & Animal Sciences

This study was conducted to investigate the effects of Toxeat$^{®}$, a mycotoxin binder, on functional indices, immune response, intestinal microflora, and gut morphology in broiler chickens fed aflatoxin-contaminated diets. Three hundred Cobb 500 broilers were randomly divided into 6 treatments with 5 replicates, each with 10 birds. The treatments included T1: negative control (NC), T$_{2:}$ T1 + 1 g/ton aflatoxin (positive control: PC), T$_{3:}$ PC + 1 kg/ton Toxeat$^{®}$, T$_{4:}$ PC + 2 kg/ton Toxeat$^{®}$, T$_{5:}$ PC + 3 kg/ton Toxeat$^{®}$, T$_{6:}$ PC + 1 kg/ton Toxeat$^{®}$ without hydrated sodium calcium aluminosilicate. Growth performance, immune system response, and lactic acid …

Morphological And Carcass Traits Of Three Chicken Genotypes Under Free-Range, Semiintensive, And Intensive Housing Systems, Sohail Ahmad, Athar Mahmud, Jibran Hussain, Khalid Javed

Turkish Journal of Veterinary & Animal Sciences

The present study evaluated the effect of housing system on morphometric and carcass traits of 3 chicken genotypes. In total, 180 cockerels and 180 pullets of 6 weeks old were studied. A randomized complete block design in factorial arrangement, with 18 experimental units of 20 birds each, was applied. Treatments consisted of 3 genotypes consisting of purebred Naked Neck (NN) birds and two crossbreeds (Rhode Island Red × Naked Neck = RNN, Black Australorp × Naked Neck = BNN) and 3 housing systems (free-range, semiintensive, and intensive). Regarding males, RNN chickens had the highest weight at slaughter (1491.12 ± 64.10 …

Genetic Analysis Of Iranian Mycoplasma Gallisepticum Isolates Using Gene-Targeted Sequencing Of Complete Pvpa Gene, Naghmeh Kabiri, Mohsen Bashashati, Mehdi Vasfi Marandi, Mansour Banani, Fereshteh Sabouri

Turkish Journal of Veterinary & Animal Sciences

This study aims to evaluate Mycoplasma gallisepticum (MG) genetic diversity through the complete sequencing of the pvpA gene among six MG isolates present in industrial poultry from 2015 to 2016. The genetic comparison of these six isolates showed similarities of over 94% and 92% in terms of nucleotide and amino acid sequences, respectively. The size of the PvpA protein in the studied isolates included three different sizes with 361, 364, and 366 amino acids. The carboxy-terminus of the studied PvpA proteins contained 11 tetrapeptides of P-R-P-M/Q/N motifs with truncation in the proline-rich region. Based on the BLAST analysis, the pvpA …

Deviations Of Feedstuffs Loading In Tmr Preparation, Seli̇m Sirakaya, Osman Küçük

Turkish Journal of Veterinary & Animal Sciences

Loading of feedstuffs in planned amounts in total mixed ration (TMR) recipes are very important in terms of profitability, productivity, animal health, and performance. In the scope of this study, the planned and loaded feedstuffs amounts were determined in the mixer wagons. The study was conducted on a dairy cattle farm with ~1500 milking cow capacity. In this study, 13,276 feedstuffs loading data were examined and the mean and standard deviation of the deviation from the planned amount was 8.95 ± 18.38%. Deviation values of feedstuffs loading were found to be different; according to 1- TMR preparing operators, 2- type …

Leptin Supplementation In Embryo Culture Medium Increases In Vivo Implantation Rates In Mice, Ali̇ Ci̇han Taşkin, Ahmet Kocabay

Turkish Journal of Veterinary & Animal Sciences

Leptin is a hormone-like protein consisting of 167 amino acids. The aim of this study is to compare the effects of different leptin concentrations on in vitro and in vivo embryo development rates. In vitro development rates were investigated by embryo culture studies, and in vivo implantation rates and the quality of embryos were assessed by embryo transfers to the recipient mice. The results showed that addition of leptin into the embryo culture medium at 10 and 100 ng/mL doses supported the in vitro development of mouse embryo. Moreover, leptin increased the total cell number of blastocyst, particularly the trophectoderm …

Genetic Appraisal Of Growth Traits In Iranian Native Ghezel Sheep Using Random Regression Models, Bashir Ghahri, Sadegh Alijani, Seyed Abbas Rafat, Reza Nabavi, Hossein Daghigh Kia

Turkish Journal of Veterinary & Animal Sciences

This research was carried out to estimate the genetic parameters of the body weight traits of the Ghezel sheep using three different random regression models. The used data were 39,288 test-day records collected from 13,378 animals at Ghezel Sheep Breeding Station in Miandoab, West Azerbaijan Province, Iran from 1994 to 2012. Fixed effects in models included type of birth (single, twin) and year of birth (1994-2012). The weight as a function of age in the days of weighting was considered as the fixed regression of orthogonal polynomial. The random effects of the basic model were direct genetic and direct permanent …

Quality Characteristics And Fatty Acid Profiles Of Bafra, Akkaraman, Andbafra × Akkaraman F$_{1}$ Lamb Meat, Büşra Yaranoğlu, Ceyhan Özbeyaz

Turkish Journal of Veterinary & Animal Sciences

The meat quality of Akkaraman, Bafra, and Bafra × Akkaraman F$_{1}$ (BAF$_{1}$) lamb genotypes was determined and then compared at slaughter weights of 34 and 42 kg. At the beginning of the study, 36 male lambs were fed intensively after weaning at approximately 3 months of age. Six animals of each genotype were slaughtered at each slaughter weight and certain meat quality characteristics, namely meat color, pH, cooking loss, tenderness, water holding capacity, and fatty acid profile, were investigated. The pH values of the M. longissimus dorsi (MLD) for the Bafra, Akkaraman, and BAF$_{1}$ genotypes at 24 h after slaughter …

Evaluation Of The Attitudes Of Veterinary Students Towards Cancer In Animals Using A Cancer Attitude Scale For Animals, İbrahi̇m Kiliç, İbrahi̇m Demi̇rkan, Aysun Çevi̇k Demi̇rkan, Si̇nan Saraçli

Turkish Journal of Veterinary & Animal Sciences

The aim of this descriptive study was to examine the attitudes of veterinary undergraduate students towards cancer in animals with cognitive, affective, and behavioral dimensions by a new cancer attitude scale for animals approach. Questionnaires, as data collection tools, were applied to 205 students training to be veterinary surgeons at Afyon Kocatepe University, Faculty of Veterinary Medicine, who were selected by systematic random sampling method. Validity-reliability analysis and t-test as well as ANOVA were used in addition to descriptive statistics for the data analysis. The students? general attitudes to cancer were (X = 3.65) greater than the midscore, 3, according …

Determination Of The Causal Relationship Between Beef Prices And The Consumer Price Index In Turkey, Ahmet Cumhur Akin, Mustafa Bahadir Çevri̇mli̇, Mehmet Saltuk Arikan, Mustafa Agah Teki̇ndal

Turkish Journal of Veterinary & Animal Sciences

The rising prices of beef meat have recently restricted its accessibility for consumers who need to consume it for a balanced and healthy diet. Speculations have been made about the increase in beef meat prices being one of the major factors underlying the increase in the consumer price index (CPI). In this scope, the causal relationship between the monthly average prices of beef and the rate of year-on-year change in the CPI for the period between January 2005 and February 2018 was analyzed in the study. Since time series data were used, the augmented Dickey?Fuller and Phillips-Perron tests were conducted …

Isolation And Molecular Characterization Of Salmonella Enterica And Escherichia Coli From Poultry Samples, Ayli̇n Cesur, Saci̇de Özlem Ulutaş, Yeşi̇m Soyer

Turkish Journal of Veterinary & Animal Sciences

Innumerable foodborne pathogens including Salmonella and Escherichia coli pose a serious threat to human health and food safety. As perishable foods, poultry products are considered one of the most common sources of foodborne pathogens including Salmonella and E. coli due to transmission of drug resistance, dissemination of organisms, and cross-contamination. In our study, phenotypic and genotypic characterizations of Salmonella enterica and E. coli isolated from packaged raw chicken products were carried out. Samples belonging to different commercial brands were collected in Ankara in 2015. Among 15 out of 19 Salmonella enterica subsp. enterica strains isolated from different and/or same poultry …

Analysis Of Spermatogenesis In Young Male Hybrids Bred From Domestic Cattle(Bos Taurus) And European Bison (Bison Bonasus), Andrzej Zyczynski, Marta Kloch, Wanda Olech

Turkish Journal of Veterinary & Animal Sciences

A new attempt was undertaken to check the reproductive capabilities of male hybrids bred from European bison (Bison bonasus) and domestic cattle (Bos taurus). The analysis concerned two hybrids aged 1.5?2.5 years (the latter being sampled twice at 6-month intervals), and additionally one 1.5-year-old backcross hybrid. Examination of testicular tissue revealed halting of spermatogenesis, which was hardly ever able to proceed further than meiosis I. Spermatogenesis was arrested at the stage of spermatogonia and primary spermatocytes. Spermatozoa were found only in the case of one hybrid and these were mostly malformed. To summarize, all the males studied were sterile, despite …

In Vitro Effect Of Recombinant Human Gonadotropins On Meiotic Competence Of Dog Oocytes, Kamber Demi̇r, Mi̇that Evecen, Ramazan Arici, Seli̇n Yağcioğlu, Nur Ersoy, Ni̇lhan Coşkun, Hatem Atalla, Kemal Ak, Sema Bi̇rler, Serhat Pabuccuoğlu

Turkish Journal of Veterinary & Animal Sciences

The reproductive biology of the domestic dog is unique among mammalian species; because of this, in vitro maturation (IVM) rate is still very low compared with other domestic animals in spite of attempts at improvement. The aim of this study was to consider the use of recombinant human gonadotropins as a replacement for pituitary gonadotropins for IVM of dog oocytes. A total of 845 cumulus-oocyte complexes were used in this study. To determine the effects of human recombinant gonadotropins, maturation medium was supplemented with two different concentrations (0.05 or 0.1 IU/mL) of pituitary (pFSH, pLH) and human recombinant (rhFSH and …

The Effects Of Supplementation Of Rumen-Protected Choline On Some Blood And Milk Metabolites In The Transition Period Of Dairy Cattle, Ni̇yazi̇ Alan, Mustafa Salman

Turkish Journal of Veterinary & Animal Sciences

The aim of this study was to investigate nonesterified fatty acid (NEFA), beta-hydroxy butyric acid (BHBA), and milk urea nitrogen (MUN) profiles for dairy cows fed with rumen-protected choline (RPC) during the transition period. A total of 30 dairy cows were allocated to one control and two experimental groups (10 animals per group) and were fed from 3 weeks before calving to 21 days in milk. The control was fed only the basal diet. Treatment groups 1 and 2 were fed a basal diet containing 60 and 120 g/head/day RPC, respectively. The differences between groups were insignificant for MUN levels …

The Coexistence Of Heart Murmurs And Arrhythmias In An Equine Hospital Population ? A Retrospective Study, Ali̇ Cesur Onmaz, Vehbi̇ Güneş, Alexandra Pavaloiu, René Van Den Hoven

Turkish Journal of Veterinary & Animal Sciences

This study was performed to characterize the coexistence of valvar insufficiencies of the mitral, tricuspid, aortic, and pulmonary valves and their possible association with atrial fibrillation in an equine clinic population. During an 11-year period, 348 horses had been examined for cardiac arrhythmias and suspected defects of the cardiac valves at the Vetmeduni Vienna, Austria. The study population included 256 male and 92 female horses. A subpopulation of 197 (57%) horses was identified with at least one valvular disorder. In these horses, mitral valve regurgitation (MR) was reported in 124 animals (63%), aortic valve regurgitation (AR) in 101 (51%), tricuspid …

Cointegration Analysis Of Wild And Farmed Sea Bream And Sea Bass Prices In Turkey, Mehmet Saltuk Arikan, Ahmet Cumhur Akin, Mustafa Bahadir Çevri̇mli̇, Mustafa Agah Teki̇ndal

Turkish Journal of Veterinary & Animal Sciences

Market integration is an indicator of the extent to which different products are interrelated, and the presence of market integration between products suggests that they are substitutes. The objective of this study was to determine the market interaction between wild and farmed products of two fish species, namely sea bream and sea bass. For this purpose, the relationship between the producer price time series of cultured sea bream, wild sea bream, cultured sea bass, and wild sea bass in the period of 2009-2017 was tested using the cointegration analysis technique. It was found that the wild sea bream and sea …

Predicting The Body Weight Of Balochi Sheep Using A Machine Learning Approach, Zil E. Huma, Farhat Iqbal

Turkish Journal of Veterinary & Animal Sciences

Various machine learning algorithms have been used to model and predict the body weight of rams of the Balochi sheep breed of Pakistan. The traditional generalized linear model along with regression trees, support vector machine, and random forests methods have been used to develop models for the prediction of the body weight of animals. The independent variables (inputs) include the body (body length, heart girth, withers height) and testicular (scrotal diameter, scrotal circumference, scrotal length, and testicular length) measurements of 131 male sheep 2-36 months of age. The performance of the models is assessed based on evaluation criteria of mean …

Repeated Low Doses Of Dexamethasone As A Pretreatment For Induction Of Parturition In Simmental Cows, Seçki̇n Salar, Hali̇t Kanca, Fi̇li̇z Bakar, Ayhan Baştan

Turkish Journal of Veterinary & Animal Sciences

The aim herein was to evaluate the effects of the induction of parturition using repeated low doses of dexamethasone in cattle. A total of 28 Simmental cows were used for the induction of parturition (n = 20) or served as controls (n = 8). Parturition was induced by a 1.6-mg intramuscular (IM) injection of dexamethasone twice daily for 6 days, beginning on day 270, and a 40-mg IM injection of dexamethasone on day 276. The calf birth weight, incidences of dystocia, daytime parturitions, and placental retention were compared. The calf birth weights in the treatment and the control groups were …

Methods Of Diagnosis And Treatment Of Postpartum Uterine Infection Adopted By Algerian Veterinarians, Hamza Rahab, Alessandro Ricci, Ahmed Kasseh-Laouar, Christian Hanzen

Turkish Journal of Veterinary & Animal Sciences

The present study aimed to monitor the practices of Algerian veterinarians in the diagnosis and treatment of puerperal metritis (PM) and clinical endometritis (CE) in cattle. For this purpose, a questionnaire was established and distributed to collect the information concerning veterinarian profiles and practices related to the diagnosis and treatment of PM and CE. The results showed that examinations of the uterus (rectal palpation), vaginal discharge, and rectal temperature were the most practiced methods for PM (71%, 68%, and 83%, respectively) and CE (86%, 60%, and 65%, respectively) diagnosis. Tetracycline was the antibiotic of choice for intrauterine treatment of PM …

Prolonged Gestation In A Swedish Red Cow Due To Fetal Unilateral Adrenal Gland Dysgenesis, Ebru Karakaya-Bi̇len, Ahmet Akkoç, Bariş Güner, Gülnaz Yilmazbaş-Meci̇toğlu, Ahmet Gümen, Abdulkadi̇r Keski̇n

Turkish Journal of Veterinary & Animal Sciences

A 5-year-old Swedish Red cow, pregnant for 465 days according to the last insemination record, was presented in this case. She conceived by artificial insemination at spontaneous estrus using frozen-thawed sperm of Swedish Red sire. No abnormalities were detected during gestation and no clinical signs of parturition at the expected time of delivery were noted. She was reexamined several times to eliminate breeding records error and, once prolonged gestation was confirmed, parturition was induced. The calf survived birth but died 10 min after birth. A macroscopically giant fetus was diagnosed. Following necropsy, some congenital anomalies were noticed. While the structure …

Comparative Detection Of Bovine Herpesvirus-1 Using Antigen Elisa, Immunohistochemistry And Immunofluorescence Methods In Cattle With Pneumonia, Seli̇m Çomakli, Yavuz Seli̇m Sağlam, Mehmet Özkan Ti̇murkan

Turkish Journal of Veterinary & Animal Sciences

This study was conducted to detect the prevalence and presence of bovine herpesvirus-1 (BoHV-1) using immunohistochemistry (IHC), immunofluorescence (IF) and antigen enzyme-linked immunosorbent assay (ELISA) in the lung samples of cattle (n = 1023). In addition, three methods were compared using receiver operating characteristic (ROC) and chi-square test ($χ^{2}$ test), and their usability were evaluated in laboratory conditions. Macroscopically, pneumonia was seen in 120 of the lung tissue samples (11.73%). Based on the microscopic examinations, the pneumonia types were classified as catarrhal-suppurative bronchopneumonia (6.7%), fibrinous bronchopneumonia (5%), interstitial pneumonia (84.1%), and granulomatous pneumonia (4.2%). The IHC, IF and antigen ELISA …

Snake Envenomation In Two Cattle: Clinical/Laboratory Aspects And Treatment Using Equine-Derived Antivenin Of Viperidae, Nuri̇ Altuğ, Cafer Tayer İşler

Turkish Journal of Veterinary & Animal Sciences

In this case report, specific antivenin treatment for Viperidae snake envenomation in two cattle was defined for the first time. The diagnosis of snake envenomation was made according to the history and clinical findings. Clinical examination revealed systemic (tachycardia, dyspnea, cyanosis, hypersalivation, ruminal hypotony) and local (swelling of the leg and head) findings depending on the location of snake bites. Laboratory analysis determined granulocytic leukocytosis, monocytosis, decreased iron binding capacity, and increased CK and LDH enzyme activities. In the specific treatment of cases, equine-derived polyvalent antivenin containing antitoxic immunoglobulins against Viperidae species was administered. Additionally, 5% dextrose, antibiotics, dexamethasone, antihistamines, …

Impact Of Light-Emitting Diode And Compact Fluorescent Lighting Type And Cage Tier On Layers Reared In An Enriched Cage System, Part 2: Some Welfare Traits, Gülsüm Tünaydin, Bi̇lgehan Yilmaz Di̇kmen

Turkish Journal of Veterinary & Animal Sciences

The aim of this study was to determine the effects of lighting type [light-emitting diode (LED) and compact fluorescent (FLO) light] and cage tier on welfare traits such as feather score, body and comb wounds, bumble foot and footpad dermatitis, beak damage, keel bone deformity, finger damage, aggressive pecking behavior, and the avoidance distance test (ADT) in laying hens reared in an enriched cage system. A total of 400 layers were used to determine these traits at 25 and 45 weeks of age. A total of 80 layers were used to determine tonic immobility (TI) duration and induction number. The …

The Impact Of Breeder Age On Egg Quality And Lysozyme Activity, Dorota Banaszewska, Barbara Biesiada-Drzazga, Dominik Ostrowski, Kamil Drabik, Justyna Batkowska

Turkish Journal of Veterinary & Animal Sciences

The aim of this study was to analyze the biological components of eggs as well as lysozyme activity in relation to the age of hens. The research material consisted of eggs from parent stock of Ross 308 meat chickens. The eggs were evaluated at peak laying, i.e. eggs from 30-week-old hens, and after peak laying, i.e. from hens aged 60 weeks. Ninety eggs were evaluated in each period (180 eggs in total). Egg quality traits were divided into destructive and nondestructive traits. In addition, lysozyme activity in the albumen of the eggs was assessed. The quantitative characteristics of the eggs …

Ethnoveterinary Medicine In Turkey: A Comprehensive Review, Zeynep Büşra Erarslan, Şükran Kültür

Turkish Journal of Veterinary & Animal Sciences

Today, traditional societies throughout the world possess a wealth of ethnoveterinary knowledge, which they have accumulated during prolonged interaction with nature. Turkey has ample resources of ethnoveterinary medicines as evident from its rich floral diversity and traditional botanical knowledge from the past. This review aims to compile herbal remedies used in ethnoveterinary medicine in Turkey with comprehensive usage information and to compare our findings with pharmacological studies. The botanical, family, and local names; used parts; preparation methods; administration/dosage and duration of the treatment; and ailments treated/therapeutic effects were presented by screening ethnobotanical and ethnoveterinary studies. The most cited plant families, …

Inside Outsourcing: Experiences Of Outsourced Physical Therapy Services In Dutch Hospitals, Rudi A. Steenbruggen Pt, Mba, Hannah Boven Msc

Internet Journal of Allied Health Sciences and Practice

Over the past years, it has become more common in Dutch hospitals to outsource allied healthcare services to the private sector. This development has affected hospital-based physical therapy significantly. And as a result, there is an increasing need for guidance in this new situation. In response to this, the Dutch Association of Physical Therapy in Hospitals (NVZF) conducted a comprehensive study into the process of outsourcing with the objective to inform and advise physical therapy services in hospitals about outsourcing developments. Eight Dutch hospitals where physical therapy services had been outsourced or where this option was explored, were interviewed. The …

Need For Nutrition Education In Health Professional Programs: A Review Of The Literature, Nava Livne

Internet Journal of Allied Health Sciences and Practice

Purpose: The ever-increasing burden of obesity as a high risk factor for nutrition-related diseases, together with health professionals’ lack of competencies in nutrition, has left health professional students needing further education to offer nutrition advising to patients. The purpose of this review was to summarize the current literature related to nutrition education in health professional programs.

Method: This literature review was conducted using eight scientific literature databases: PubMed, CINAHL Complete, PsycINFO, Academic Search Complete, Directory of Open Access Journals, Professional Development Collection, Complementary Index, and Google Scholar. Articles published in English from January 2007 through January 2018 were reviewed. …

Effect Of Mental And Physical Practice On Clinical Skill Learning In Kinesiology, Melanie E. Perreault, Christopher Brown, Robert J. Doan, David R. Dolbow

Internet Journal of Allied Health Sciences and Practice

Purpose: The amount of information required for an allied health professional has increased dramatically. In-class practice time and large amounts of practice materials may be difficult for instructors to acquire. Mental practice is a method of practice that does not involve physical movement or materials. This study investigated the effect of mental practice, physical practice, and a combination of mental and physical practice on kinesiology students learning three manual muscle tests.

Method: Fifty-six students aged 18 to 26 years (M = 20.09, SD + 1.58), pursuing a degree in kinesiology with an emphasis in either athletic training or kinesiotherapy …

The Experience And Perception Of Physiotherapists In Nigeria Re: Fall Prevention In Recurrent-Faller Older Adults, Perpetua Chinenye Obi, Henrietha Chibuzor Nwankwo, Diaemeta Emofe, Isreal Adandom, Michael E. Kalu

Internet Journal of Allied Health Sciences and Practice

Background: Effective fall prevention practices are essential for reducing falls among older adults. Rehabilitation professionals like physiotherapists are essential members of the fall prevention team, yet little is known about the experiences of physiotherapists practicing fall prevention in developing nations. Objective: To explore the experiences of physiotherapists in Nigeria who practice fall prevention among older adults. Method: We adopted a phenomenological approach to the traditional qualitative design in this study. We purposefully selected and conducted face-to-face interview with twelve physiotherapists who have treated at least one older adult who reported falling two or three times within last six months. Data …

Critical Appraisal Of “Immediate Changes In Spinal Heights And Pain After Aquatic Vertical Traction In Patients With Persistent Low Back Symptoms: A Crossover Clinical Trial” By Simmerman Et Al -- An Opinion Piece, David C. Berry, Nicole Miela

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this paper is to critically review the article, Immediate changes in spinal height and pain after aquatic vertical traction in patients with persistent low back symptoms: a crossover clinical trial. PM R.2011 May;3(5):447-57. [PMID: 21570033] doi: 10.1016/j.pmrj.2011.01.010. Methods: Study, key evidence including study design, sample population, procedure, outcome measures, and results were summarized. Critical appraisal of the study's internal, external, and statistical validity followed. Results: In a crossover study of 61 total subjects, mean age 59.6 years, fifteen minutes of supine land-based flexion and weighted aquatic vertical traction were applied in both groups preceded by …