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Öğe The association between bone mineral density, quality of life, quality of sleep and fatigue(TAYLOR & FRANCIS LTD, 2016) Albayrak, İlknur; Aydoğmuş, Mehmet; Özerbil, Önder Murat; Levendoğlu, FundaObjectives: This study was undertaken to examine quality of life (QoL), the quality of sleep and fatigue level in postmenopausal women with osteoporosis (OP) but without fractures, to assess the associations between these parameters and to compare the results with those for subjects who have osteopenia or normal bone mineral density (BMD). Methods: In this study, 113 postmenopausal osteoporosis (PMO) subjects without fractures, 172 subjects with osteopenia and 102 subjects with normal BMD were included. The severity of pain, QoL, quality of sleep and fatigue were assessed using the visual analogue scale (VAS), the QoL Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41), the Pittsburgh Sleep Quality Index (PSQI) and the Checklist of Individual Strength (CIS) questionnaire. Results: No statistically significant differences between the three groups were found in terms of VAS and QUALEFFO-41 total scores (p > 0.05). On the other hand, PSQI and CIS total scores were significantly different in the PMO and osteopenia groups (P = 0.015 and 0.007, respectively) compared to the group with normal BMD. Conclusions: During the follow-up and treatment of women with PMO or osteopenia, QoL, quality of sleep and fatigue should be assessed and incorporated into treatment decisions, even in the absence of fractures.Öğe Characteristics of Urinary Tract Infections in Patients with Spinal Cord Injuries Hospitalized at a Rehabilitation Centre(AVES, 2016) Albayrak, İlknur; Çalışkan, Ahmet; Levendoğlu, Funda; Özerbil, Önder Murat; Dağı, Hatice TürkBACKGROUND The aims of this study were to determine the prevalence of urinary tract infections (UTIs), identify the most frequently isolated pathogens associated with UTIs, and evaluate the antimicrobial susceptibility of these pathogens in spinal cord injury (SCI) patients. MATERIAL and METHODS A total of 91 patient charts were retrospectively evaluated in this study. The demographic data of these patients, length of hospital stay, SCI data, mode of bladder emptying, number of UTI episodes, microorganisms isolated by urine culture, and antimicrobial susceptibility tests were recorded. RESULTS Of the 91 SCI patients, 53 were males and 38 were females, with a mean age of 45.29 (+/- 17.87) years. A total of 47 UTI episodes were recorded in 38 SCI patients, nine of whom had experienced two episodes. The prevalence of UTI was 41.7% (38/ 91). The most frequently isolated pathogen was Escherichia coli (57.4%). The antimicrobial agents were most frequently susceptible were gentamicin (72.3%), piperacillin/tazobactam (57.4%), and meropenem (48.9%). CONCLUSION The UTI prevalence in patients with SCI was considerably high. E. coli was the most common uropathogen, and gentamicin was the most frequently used antimicrobial agent.Öğe The Effect of Isokinetic Exercise on Symptoms, Functional Status and Emg Activation Onset Time of the Vastus Medialis Oblique and Vastus Lateralis in Female Patients with Patellofemoral Pain Syndrome(IOS PRESS, 2010) Akkurt, Ekrem; Şallı, Ali; Özerbil, Önder Murat; Uğurlu, HaticeThe aim of this study was to evaluate VMO and VL EMG activation onset times (AOT) during isometric contractions at various degrees of knee flexion and to explore the effects of a 6-w isokinetic exercises program on pain, quality of life, muscle strength and, if observed, on the difference in AOT, in patients with patellofemoral pain syndrome (PFPS). Twenty two female patients suffering from anterior knee pain and diagnosed with PFPS were recruited. The main outcome measures consisted of AOT and maximal isometric contraction of VMO and VL muscle and Medical Outcomes Study (SF36) and VAS scores. Compared to control knees, pre-exercise measurements revealed significant delay only in VMO at knee flexion angles of 15 degrees, 30 degrees, 45 degrees. Post-exercise measurements showed improvement in the delay at 15 degrees, 30 degrees, 45 degrees and also in the other pain, health quality and muscle strength measurements. In conclusion; VMO is activated later than VL in PFPS patients while exercise results in improvements in both symptoms and delay in VMO.Öğe Efficacy of Pulsed Radiofrequency Therapy to Dorsal Root Ganglion Adding to TENS and Exercise for Persistent Pain after Total Knee Arthroplasty(GEORG THIEME VERLAG KG, 2017) Albayrak, İlknur; Apilioğulları, Seza; Dal, Çağatay Nusret; Levendoğlu, Funda; Özerbil, Önder MuratThe majority of patients achieve substantial pain relief and improved function after total knee arthroplasty (TKA), but a proportion continues to experience life-disturbing persistent postsurgical pain (PPSP) in the months and years after surgery. This study aimed to assess the efficacy of transcutaneous electrical nerve stimulation (TENS), exercise, and pulsed radiofrequency (PRF) treatment on pain severity, neuropathic pain, knee flexion range of motion (ROM), functional status, and patient satisfaction in patients with PPSP after TKA. This is a retrospective study of prospectively collected data. Patients who were identified retrospectively from hospital charts were divided into two groups: group 1 (n = 17) received TENS and exercise treatment and group 2 (n = 22) received TENS, exercise, and PRF application to the dorsal root ganglion (DRG). The following procedure-related parameters were collected from the special registry form: visual analog scale (VAS), Douleur Neuropathique 4 (DN4) questionnaire, knee flexion ROM, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and patient satisfaction scale scores. The mean follow-up was 253.8 +/- 109 days. When the two groups were compared, a significant difference of at least 50% improvement in the VAS (activity) and a significant reduction in the DN4 scores following the last control examination were found in group 2. There was a significant reduction in total WOMAC scores in group 1 compared with group 2 for the four study periods. Higher scores for the patient satisfaction scale were found in group 1 compared with group 2 following the last control examination. Adding PRF to TENS and exercise therapy is useful in reducing the degree of pain and the neuropathic component of PPSP in patients with PPSP.Öğe Fluoroscopy-Guided Intraarticular Corticosteroid Injection Into the Sacroiliac Joints in Patients With Ankylosing Spondylitis(Blackwell Munksgaard, 2002) Karabacakoğlu, A.; Karaköse, Serdar; Özerbil, Önder Murat; Ödev, KemalPurpose: Our goal was to prospectively study the therapeutic efficacy of CT-marking and fluoroscopy-guided intraarticular corticosteroid instillation of inflamed sacroiliac joints in patients with ankylosing spondylitis. Material and Methods: A total of 22 fluoroscopy-guided intraarticular corticosteroid injections in the sacroiliac joints were performed in 17 patients with ankylosing spondylitis and severe low back pain. Needle puncture point, angle of intervention and distance of sacroiliac joint from the skin were determined by sacroiliac joint axial CT examination in prone position. 14 mg of betamethasone were instilled in each joint under fluoroscopy. Results: Twenty of 22 joints (90.9%) reported good improvement during a month after corticosteroid injection of the sacroiliac joint. The remaining 2 joints reported fair improvement. Conclusion: CT-marking and fluoroscopy-guided intraarticular corticosteroid instillation in the sacroiliac joints may be regarded as an effective therapy. This technique was useful, rapid and safe.Öğe Psöriasis hastalarında psöriatik artrit görülme sıklığı ve psöriatik artritin klinik özellikleri(2016) Albayrak, İlknur Gezer; Levendoğlu, Funda; Özerbil, Önder MuratAmaç: Psöriatik artrit (PsA), çoğunlukla psöriasis ile birlikte görülen yaygın inflamatuvar ve sistemik bir hastalıktır. Bu çalışmada psöriasis tanısıyla takip edilen hastalarda PsA sıklığı ve klinik özelliklerinin tespit edilmesi amaçlandı.Gereç ve Yöntem: Çalışmada 32 psöriasis hastasının dosyası retrospektif olarak tarandı. Klinik ve sosyodemografik özellikler kaydedildi. Hastalar Classification criteria for psoriatic arthritis (CASPAR) kullanılarak PsA açısından değerlendirildi.Bulgular: 15 hastada (46,8%) PsA tespit edildi. Kadın hasta sayısı ve psöriasis süresi PsA bulunan grupta bulunmayanlara göre daha fazlaydı (p0,05). PsA' lı hastaların tamamında bel ağrısı vardı. PsA' lı hastaların %33' ünde HLA-B27 pozitifti ve %55,7' sinde sakroileit tespit edildi. Sonuç: PsA psöriasisli hastalarda yaygın olarak görülen bir durumdur. Kadın cinsiyet, psöriasis süresi, HLA-B27 pozitifliği ve sakroileit bulunanlarda PsA görülme riski daha fazla olabilir. Bu sonuçların desteklenmesi için daha fazla hastanın dahil edildiği çalışmalara ihtiyaç vardır.Öğe Total Knee Arthroplasty due to Knee Osteoarthritis: Risk Factors for Persistent Postsurgical Pain(NATL MED ASSOC, 2016) Albayrak, İlknur; Apilioğulları, Seza; Erkoçak, Ömer Faruk; Kavalcı, Hidayet; Özerbil, Önder Murat; Levendoğlu, FundaObjective: The aim of this study was to identify whether different patient characteristics and clinical factors can be risk factors in patients with persistent postsurgical pain (PPSP) after total knee arthroplasty (TKA). Methods: Patients who underwent TKA due to knee osteoarthritis were divided into two groups: those who experienced no or mild PPSP ( Numerical Rating Scale [NRS] <= 3) (group 1, n = 91) and those who experienced moderate to severe PPSP ( NRS > 3) ( group 2, n = 183). Information on the characteristics of patients, comorbid diseases and pre-surgical NRS scores were obtained retrospectively from hospital charts. The follow-up time; presurgical and last control time walking distance; and ratings on the NRS, Pain DETECT Questionnaire (PDQ) and patient satisfaction scales were recorded from the standard questionnaire presented to patients during the telephone interview. Results: The mean follow-up time was 22.8 +/- 12.3 months. The rate of moderate to severe PPSP among patients amounted to 66.7% after TKA. No neuropathic pain was found in Group 1. In Group 2, 22.9% of patients experienced neuropathic pain, the results for 18% of patients were uncertain, and 59% of patients did not experience neuropathic pain. Group 2 had worse scores on the patient satisfaction scale following the last control time compared with Group 1. Being widowed, having a low education level, being a housewife, having employment that requires physical effort, presurgical pain intensity at rest and pre-surgical restricted walking distance are risk factors for Group 2. Conclusions: PPSP and the neuropathic component in PPSP after TKA are not underestimated for pain management and patient satisfaction. Subgroups of patients, particularly widowers, having a primary school education level or under, housewives, people with jobs that require physical effort, individuals with intense pre-surgical pain during rest and those suffering from pre-surgical restricted walking distance, are at higher risk of developing PPSP following TKA.Öğe Trigeminocervical Reflex in Fibromyalgia Patients(W B SAUNDERS CO, 2003) Yuruten, B; Özerbil, Önder MuratObjective: To describe the properties of trigeminocervical reflex in normal Subjects and in patients with primary fibromyalgia syndrome (PFS) having neck pain. Design: Prospective testing of trigeminocervical reflex. Setting: University hospital electromyography laboratory in Turkey. Participants: Patients with PFS (n=16) and healthy volunteers (n=20). Interventions: Trigeminocervical reflex is a brainstem reflex that is evoked by stimulating the sensory branches of the trigeminal nerve and can be recorded from the neck muscles. Electric stimulation of the supraorbital nerve evokes a reflex response (C3) and early reflex response (C1). The mean latencies of C1 and C3 of patients with PFS were compared with normal values. Main Outcome Measure: The Cl and C3 latencies of trigeminocervical reflex. Results: In healthy volunteers, C3 latency +/- standard deviation was 54.17+/-6.00ms ipsilaterally and 51.25+/-9.26ms contralaterally. The difference was not significant (P=.26). The C1 latency was 17.46+/-4.89ms. In patients with PFS, C1 latency was 13.83+/-4.48ms and the C3 latency was 62.70+/-18.22ms. The difference was not significant between the patients (P=.08) and healthy volunteers (P=.17). Conclusion: In patients with PFS having neck pain, trigeminocervical connections were not influenced and some other mechanisms may be responsible for pain in these patients.
