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Öğe Assessment of Functional Status and Quality of Life in Children with Spina Bifida(AVES, 2014) Şahin, Nilay; Albayrak, İlknur; Durmuş, Bekir; Güngör, Tayfun; Cingöz, Havva TuraçObjective: The aim of this study was to determine functional status and QoL of children with spina bifida (SB) by using the Functional Independence Measure for Children (WeeFIM) and the Child Health Questionnaire PF-50 (CHQPF-50) and to compare the functional status data of pediatric SB patients with those of healthy children. Material and Methods: Forty children with SB and 40 healthy children aged between 36 and 143 months were enrolled in the study. Both pediatric SB patients and healthy children were divided into three age groups: Group 1: 36-71 months, Group 2: 72-107 months, and Group 3: 108-143 months. The WeeFIM and CHQPF-50 were completed for children with SB, whereas the WeeFIM was completed only for healthy children. Results: In both assessments, the total score and subscale scores were lower than normal values in children with SB. However, improvement was found in self-care; communication; social, emotional, and mental status; and family factors with increasing age. On the other hand, there was no improvement in physical score, transfer, mobility, and sphincter control with increasing age. Functional status of children with SB was significantly lower compared to healthy children. Conclusion: There was progress in self-care, communication, family factors, and social, emotional and mental status in children with SB with increasing age.Öğe Behavioral Risk Factors for Overweight and Obesity in Turkish Adolescents(Nobel Ilac, 2010) Bodur, Said; Uğuz, Meryem; Şahin, NilayObjective This study was carried out to determine behavioral risk factors for overweight and obesity in Turkish adolescents Material and Method. A total number of 496 children from two secondary schools selected by random sampling method from Konya city center were included in the survey For data collection a survey including the children's physical activities nutritional attitudes and preferences were carried out Also children's body weight and height were measured Results Overweight and obesity ratio among adolescents was 21 6% Spending longer time in front of television and computer having a high carbohydrate food diet habits of eating food and nuts eating at night just before sleeping and going school by vehicles were determined to have close relations with being overweight or obese Conclusion These findings suggest that overweight or obesity is related with behavioral factors in adolescents Children showing the risk factors and their families should be informed about proper nutritional behaviorsÖğe Effect of Different Transcutaneous Electrical Stimulation Modalities on Cervical Myofascial Pain Syndrome(TAYLOR & FRANCIS LTD, 2011) Şahin, Nilay; Albayrak, İlknur; Uğurlu, HaticeThe aim of this study is to compare the efficacies of different therapeutic transcutaneous electrical nerve stimulation [TENS] types and placebo TENS on pain syndrome in cervical myofascial pain syndrome [MPS] and to determine the superior method. Patients recruited in the study were randomized into four groups. Group 1 was treated with a conventional TENS with a frequency of 100 Hz, 40 mu s duration, low amplitude; Group 2 with an acupuncture-like TENS with a frequency of 4 Hz, 250 mu s duration, high amplitude; Group 3 with burst TENS with high [100 Hz] and low [2 Hz] frequency, 40 mu s and high amplitude. Group 4 was treated with an electrical stimulation until the patient felt it. Then the electrical current was interrupted, but the patient was told the current was proceeding and he/she did not feel it any more since he/she had gotten used to it. All groups were treated with a total of 10 therapies with 30-minute sessions three times a week. Patients were assessed with a visual analog scale and the bodily pain subscale of the Short Form Health Survey-36 scale before and after treatment. Eighty patients participated in the study. Before and after treatment, intra-groups and inter-groups evaluations of all groups showed that there was no significant progression in both scales [P > 0.05]. In conclusion, it was observed that none of the TENS types was superior to another or placebo. As a result of this outcome, it was thought that TENS alone has no role in cervical MPS therapy.Öğe The Effect of Two Exercise Programs on Various Functional Outcome Measures in Patients with Osteoarthritis of the Knee: A Randomized Controlled Clinical Trial(IOS PRESS, 2010) Şallı, Ali; Şahin, Nilay; Başkent, Akın; Uğurlu, HaticeWe aimed to investigate the effects of isometric and combined concentric-eccentric (C-E) isokinetic types of exercise applied to the knee muscles in patients with knee osteoarthritis (OA) in an attempt to identify which type of exercise would be most effective in terms of pain relief, functional status, quality of life, and muscular strength. This was a controlled trial in which 71 patients were randomized into three groups. The first group was assigned to C-E, the second group to isometric isokinetic exercises, while the third, control group, was only given paracetamol. A visual analog scale for pain, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Short From-36 (SF-36) for functional status and quality of life, and the isokinetic test for muscular strength were evaluated. Significant improvements were recorded in all groups for pre and post-treatment pain, the WOMAC and the SF-36 (P < 0.001). Among the exercise groups, improvement was significantly better in the C-E, isokinetic exercise group as compared with the isometric exercise group (P < 0.001). Isokinetic exercises are recommended as a treatment modality. However, the long-term effects of these exercises on pain and osteoarthritis progression need to be investigated.Öğe EFFECTIVENESS OF BACK SCHOOL FOR TREATMENT OF PAIN AND FUNCTIONAL DISABILITY IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED CONTROLLED TRIAL(FOUNDATION REHABILITATION INFORMATION, 2011) Şahin, Nilay; Albayrak, İlknur; Durmuş, Bekir; Uğurlu, HaticeObjective: To evaluate the effectiveness of the addition of back school to exercise and,physical treatment modalities in relieving pain and improving the functional status of patients with chronic low back pain. Design: A randomized controlled trial. Patients: A total of 146 patients with chronic low back pain were enrolled in the study. Methods: Subjects were divided into 2 groups: the back school group received exercise, physical treatment modalities and a back school programme; and the control group received exercise and physical treatment modalities. Treatment efficacy was evaluated at the end of treatment and 3 months post-treatment, in terms of pain, measured with the Visual Analogue Scale, and functional status, measured with the Oswestry Low Back Pain Disability Questionnaire. Results: In both groups, Visual Analogue Scale and Oswestry Low Back Pain Disability Questionnaire were significantly reduced after therapy (p<0.01), but the difference between the scores at the end of treatment and 3 months post-treatment was not significant. There was a significant improvement in Visual Analogue Scale and Oswestry Low Back Pain Disability Questionnaire in the back school group compared with the control group at the end of therapy and 3 months post-treatment (p<0.05). Conclusion: The addition of back school was more effective than exercise and physical treatment modalities alone in the treatment of patients with chronic low back pain.Öğe Effectiveness of physical therapy and exercise on pain and functional status in patients with chronic low back pain: a randomized-controlled trial(Baycınar Medial Publ-Baycınar Tıbbi Yayıncılık, 2018) Şahin, Nilay; Karahan, Ali Yavuz; Albayrak, İlknurObjectives: This study aims to investigate the effect of physical therapy modalities on pain and functional status in patients with non-specific low back pain. Patients and methods: Between February 2011 and August 2013, a total of 104 patients (38 males, 66 females; mean age 49.3 +/- 12.5 years; range 34 to 62 years) with non-specific chronic low back pain for more than 12 weeks without any neurological deficit were included in this randomized-controlled study. The patients were divided into two groups: physical therapy group (n=52) and control group (n=52). Both groups were given exercise and medical treatment; physiotherapy modalities were also applied in the physical therapy group. The patients were assessed using the Visual Analog Scale (VAS), Oswestry Disability Index (ODI), and Istanbul Low Back Pain Disability Index (ILBP) before treatment and at two weeks, three months, and one year after treatment. Results: A total of 100 patients completed one-year follow-up. In both groups, the VAS, ODI, and ILBP significantly improved after treatment (p<0.01), compared to before treatment values. There were statistically significant differences in the VAS, ODI, and ILBP scores at three months and one year after treatment between the physical therapy group and control group (p<0.05). Conclusion: Multidisciplinary approaches including physical therapy should be implemented to provide long-term improvement in pain and functional status in the treatment of non-specific chronic low back pain.Öğe The Effects of Aging on Muscle Strength(Nova Science Publishers, Inc, 2010) Şahin, NilayAging is a process affecting all living beings. Its mechanisms are highly diverse and part of them are currently tried to be explained. Aging; is the decrease of physiological and organisation reserves of the individual, deterioration of the strength against any kind of stress in the organism and the increase of sensitivity for various pathologies. Along with the aging process, an increase in the tendency of various painful pathologies and diseases are also observed in the musculoskeletal system. Weakness observed in the muscle strength is related with numerous musculoskeletal system diseases. Diseases observed in the musculoskeletal system may affect the muscle strength or a weakness observed in the muscle strength may lead to a disease. Well then, does the physiological change process of the muscle strength developing along with aging contribute to the occurrence of diseases in old individuals? The general impacts of aging on the muscle strength are; decrease in mass, decrease in power production, decrease in the pain perception threshold. With aging sarcopenia develops in muscles. Sarcopenia is the decrease of mass, power and function in the muscles depending on the age, after 30 years of age, the muscle mass diminishes by 3 to 5% at each decade. The decrease in the muscle mass increases after 60 years of age and it reaches 30% for each decade after age 70 and above. Is sarcopenia a situation seen in everyone? Sarcopenia may develop due to reasons such as physical inactivity, reformation in motor units, decreased sex hormone levels, decreased protein synthesis, increase in catabolic cytokine synthesis, decrease in growth hormone synthesis, insufficient protein in diet and increase in fat mass. It is not clear whether reasons other than these exist. In particular further studies are needed for clarifying the information related with the potential effects of genetic factors which assume a major role in many diseases on the development of sarcopenia. Comorbid diseases and the drugs used accordingly are other factors that should be taken into account in terms of their impacts on the muscle strength. Understanding the impact of aging on the muscle strength will take an important part in diagnosing and treating the problems observed in the musculoskeletal system.Öğe Efficacy of Acupunture in Patients With Chronic Neck Pain - A Randomised, Sham Controlled Trial(Cognizant Communication Corp, 2010) Şahin, Nilay; Özcan, Emel; Sezen, Kasım; Karataş, Ömer; İşsever, HalimThe aim of this study was to compare the efficacy of electroacupuncture and sham acupuncture in the treatment of patients with chronic neck pain. 31 patients with chronic neck pain were included in a randomised, controlled trial. Electric stimulation was given for 30 minutes at low frequency (1-4Hz), pulse width of 200 mu s, interrupted wave form. Of the 29 patients who completed the therapy, 13 were assigned to conventional acupuncture and 16 to sham acupuncture groups, receiving 3 sessions a week for a total of 10 sessions, each lasting for 30 minutes. Patients were evaluated before and after therapy and 3 months later by Visual Analogue Scale (VAS) and the bodily pain subscale of the Short Form Health Survey-36 scale. The treating physician was different from the evaluating physician who, like the patient, was blinded. VAS scores in both groups significantly reduced after therapy and at 3 months post-therapy, but the difference between groups was not significant. In respect of bodily pain, there was a significant improvement in the acupuncture group after therapy (P<0.01). Stimulation of conventional acupuncture points was not generally superior to needling of nonspecific points on the neck, and both treatments were associated with improvement of symptoms. Needles inserted into the neck are likely to be an inappropriate sham control for acupuncture.Öğe The efficacy of electrical stimulation in reducing the post-stroke spasticity: a randomized controlled study(TAYLOR & FRANCIS LTD, 2012) Şahin, Nilay; Uğurlu, Hatice; Albayrak, İlknurPurpose: The purpose of this study is to evaluate the efficacy of surface electrical stimulation on the spasticity occurring in the wrist flexor muscles after a cerebrovascular event. Method: Hemiplegic patients with stage 2-3 spasticity in the wrist muscles based on the Ashworth scale were divided into two groups. Both groups were applied stretching. One group was additionally administered neuromuscular electrical stimulation (NMES) to the wrist extensors, in the form of pulsed current, 100 Hz, with a pulse duration of 0.1 msec, and a resting duration of 9 seconds, for 15 minutes to provide the maximum muscular contraction. The efficacy of the treatment was evaluated using the following: modified Ashworth scale (MAS), Fmax/Mmax ratio, Hmax/Mmax ratio, wrist extension range of motion (ROM). The daily activities were assessed by Functional Independence Measurement (FIM) and the motor recovery was evaluated by Brunnstrom motor staging. Results: Both groups revealed a significant recovery after the treatment based on the MAS, the electrophysiological evaluation results, wrist ROM, FIM and Brunnstrom motor staging. The group receiving the combined treatment showed a better recovery in terms of MAS, wrist ROM, FIM and Brunnstrom motor staging compared to the group doing the stretching alone. Conclusions: The results of this study showed that NMES given together with stretching of the wrist extensor muscles was more effective than stretching of the wrist extensor muscles alone in reducing spasticity.Öğe Enthesitis and its relationship with disease activity, functional status, and quality of life in psoriatic arthritis: a multi-center study(SPRINGER HEIDELBERG, 2020) Sunar, İsmihan; Ataman, Şebnem; Nas, Kemal; Kılıç, Erkan; Sargın, Betül; Kasman, Sevtap Acer; Alkan, Hakan; Şahin, Nilay; Cengiz, Gizem; Cüzdan, Nihan; Gezer, İlknur Albayrak; Keskin, Dilek; Mülkoğlu, Cevriye; Resorlu, Hatice; Bal, Ajda; Duruöz, Mehmet Tuncay; Küçükakkaş, Okan; Yurdakul, Ozan Volkan; Melikoğlu, Meltem Alkan; Aydın, Yıldıray; Ayhan, F. Figen; Bodur, Hatice; Çalış, Mustafa; Çapkın, Erhan; Devrimsel, Gül; Gök, Kevser; Hizmetli, Sami; Kamanlı, Ayhan; Keskin, Yaşar; Kocabaş, Hilal; Kutluk, Öznur; Şen, Nesrin; Şendur, Ömer Faruk; Tekeoğlu, İbrahim; Tolu, Sena; Toprak, Murat; Tuncer, TirajePsoriatic arthritis (PsA) is an inflammatory arthritis with distinct phenotypic subtypes. Enthesitis is assigned as a hallmark of the disease, given its significant relations to disease activity and quality of life. Our objective is to evaluate the prevalence of enthesitis and its association with some clinical parameters, particularly quality of life, using data from a national registry. Patients with PsA meeting ClASsification criteria for Psoriatic Arthritis (CASPAR) were enrolled by means of a multi-centre Turkish League Against Rheumatism (TLAR) Network Project. The following information was recorded in web-based case report forms: demographic, clinical and radiographic data; physical examination findings, including tender and swollen joint counts (TJC and SJC); nail and skin involvement; Disease Activity Score-28 for Rheumatoid Arthritis with Erythrocyte Sedimentation Rate (DAS 28-ESR); Bath Ankylosing Spondylitis Disease Activity Index (BASDAI); Maastricht Ankylosing Spondylitis Enthesitis Score (MASES); Psoriasis Area Severity Index (PASI); Bath Ankylosing Spondylitis Radiology Index for the spine (BASRI-s); Health Assessment Questionnaire (HAQ); Bath Ankylosing Spondylitis Functional Index (BASFI); Health Assessment Questionnaire for the spondyloarthropathies (HAQ-s); Psoriatic arthritis quality of Life scale (PsAQoL); Short Form 36 (SF-36); Hospital Anxiety Depression Scale (HADS); Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F); and Fibromyalgia Rapid Screening Tool (FiRST) scores. The patients were divided into two groups, namely with and without enthesitis, based on the triple Likert-type physician-reported statement of 'active enthesitis', 'history of enthesitis' or 'none' in the case report forms. Patients with active enthesitis were compared to others in terms of these clinical parameters. A total of 1130 patients were enrolled in this observational study. Of these patients, 251 (22.2%) had active enthesitis according to the clinical assessment. TJC, HAQ-s, BASDAI, FiRST and PsAQoL were significantly higher whereas the SF-36 scores were lower in patients with enthesitis (p < 0.05). Chronic back pain, dactylitis, and tenosynovitis were more frequent in the enthesopathy group (59.4%/39%, 13.1%/6.5% and 24.7%/3.4%, respectively). Significant positive correlations between the MASES score and the TJC, HAQ, DAS 28-ESR, BASDAI, FiRST and PsAQoL scores, and a negative correlation with the SF-36 score were found. When linear regression analysis was performed, the SF-36 MCS and PCS scores decreased by - 9.740 and - 11.795 units, and the FiRST scores increased by 1.223 units in patients with enthesitis. Enthesitis is an important involvement of PsA with significant relations to quality of life determined with PsAQoL and SF-36 scores. Our study found higher frequency of dactylitis and chronic back pain, and worse quality of life determined with SF-36 and PsAQoL scores in patients with enthesitis.Öğe Evaluation of Sympathetic Response in Cases With Failed Back Surgery Syndrome(2009) Şahin, Nilay; Müslümanoğlu, Lütfiye; Karataş, Ömer; Çakmak, Ayşegül; Özcan, Emel; Berker, EnderObjectives: The aim of this study was to investigate whether sympathetic skin response (SSR) was affected in cases with failed back surgery syndrome (FBSS). Methods: Twenty-nine cases admitted to our department and diagnosed as FBSS were recruited for the study. All the cases had back, leg or back and leg pain in the months or in one year following spinal surgery. The control group consisted of 13 healthy hospital personnel. Electrophysiologic nerve conduction studies and SSR recordings were applied on the symptomatic side (29 legs) in study cases and both sides (26 legs) in the control group. SSRs of the study group were compared with those of the sex-, body mass index- and age-matched control group of 13 people. Patients having peripheral nerve entrapment syndromes, peripheral vascular disease, neurologic or psychiatric disease, alcoholism, or drug abuse were excluded from the study. Pain intensity was recorded by visual analog scale (VAS) and depression was recorded by Beck Depression Inventory (BDI). Results: Latency duration in SSR in the study group was significantly higher (p=0.006) when compared with the healthy controls. There was no SSR in 4 patients and there was a positive correlation between BDI and SSR (r=0.46). Conclusion: It was concluded that the sympathetic nervous system is affected in FBSS patients with changes in SSR, and that the dysfunction of the sympathetic nervous system may contribute to the intensity and chronicity of pain states in this group of patients.Öğe FRI0456 The effect of gender on disease activity, functional index and quality of life in patients with axial SPA. The data of Tlar-Network PsA study(BMJ PUBLISHING GROUP, 2019) Nas, Kemal; Kılıç, Erkan; Tekeoğlu, İbrahim; Çevik, Remzi; Sargın, Betül; Kasman, Sevtap Acer; Alkan, Hakan; Şahin, Nilay; Cengiz, Gizem; Cüzdan, Nihan; Gezer, İlknur Albayrak; Keskin, Dilek; Mülkoğlu, Cevriye; Resorlu, Hatice; Ataman, Şebnem; Bal, Ajda; Duruöz, Mehmet Tuncay; Küçükakkaş, Okan; Yurdakul, Ozan Volkan; Melikoğlu, Meltem Alkan; Aydın, Yıldıray; Ayhan, Figen; Bodur, Hatice; Çalış, Mustafa; Çapkın, Erhan; Devrimsel, Gül; Gök, Kevser; Hizmetli, Sami; Kamanlı, Ayhan; Keskin, Yaşar; Kocabaş, Hilal; Kutluk, Öznur; Şen, Nesrin; Şendur, Ömer Faruk; Toprak, Murat; Tolu, Sena; Tuncer, TirajeBackground PsA is a chronic musculoskeletal disease. The prevalence of axial involvement in PsA varies according to the duration of the disease. In early stage the incidence varies between 5% and 28%, but it increases up to 25-70% in later stages of the disease. In the literature, there is limited data on the differences in disease activity, functional status and quality of life of men and women with axial PsA.Öğe Hemiplejik Hastalarda Santral Ağrının Özellikleri(2010) Şahin, Nilay; Uğurlu, HaticeAmaç: Bu çalışmanın amacı serebrovasküler olay sonrası görülen santral ağrının şiddetinin fonksiyonel durum üzerine olan etkisini incelemekti. Gereç ve Yöntem: Nörolojik rehabilitasyon polikliniğimize başvuran, hemiplejik tarafta ağrı, uyuşma ve hissizlik şikayeti bulunan 45 hastanın fonksiyonel durumu ve ağrı şiddeti değerlendirildi. Hastaların anamnez, visüel ağrı skalası (VAS) ve fizik muayene ile hemiplejik taraftaki ağrısı, Fonksiyonel Bağımsızlık İndeksi (FBİ) ile günlük yaşam aktiviteleri değerlendirildi. Bulgular: Hastaların yaş ortalaması 59,9815,19 yıl olup, 24’ü kadın, 21’i erkek idi. VAS ile ağrı şiddeti 6,751,22 idi. Günlük yaşam aktiviteleri (FBİ ve FBİ subgrupları) ile santral ağrının arasında FBİ subgruplarından kendine bakım, transfer, sosyal aktivite ve FBİ’nin toplamında anlamlı bir ilişki tespit edildi (p0,05). Sonuç: Bu çalışmada santral ağrının hemiplejik hastada fonksiyonel durumu etkilediği, hastanın motor iyileşmesi iyi olmasına karşın fonksiyonel düzeyinin düşük olduğu saptandı. Sonuç olarak santral ağrı ciddi ağrı ve yetersizlik nedenidir, rehabilitasyon programlarını olumsuz etkilemekte ve öncelikli olarak tedavi edilmesi gerekmektedir.Öğe Hemiplejik Hastalarda Santral Ağrının Özellikleri(Galenos Yayıncılık, 2010) Şahin, Nilay; Uğurlu, HaticeObjective: The aim of this study was to investigate intensity of the central pain after a cerebrovascular episode and its effect on functional status. Materials and Methods: Forty-five patients complaining of pain, numbness, and tingling in the hemiplegic side were admitted to our stroke clinic and the functional status and intensity of pain were evaluated. The pain in the hemiplegic side was assessed by: patient history, visual analogue scale (VAS), physical examination, and activities of daily living using the Functional Independence Measure (FIM). Results: The mean age of the patients was 59.98±15.19 years-24 females and 21 males. Intensity of pain by VAS is 6.75±1.22. Significant relationship was found between central pain and some subitems of the FIM i.e.self-care, transfers, social cognitions and total FIM (p<0.05). Conclusion: In this study, it was observed that central post-stroke pain affected the patients with lower functional status, despite the better motor recovery. In conclusion, the central pain, which is a serious cause of pain and disability, has negative effects on rehabilitation and must be primarily treated.Öğe Kronik bel ağrılı hastalarda fizik tedavinin etkinliği(2011) Şahin, Nilay; Albayrak, İlknur; Karahan, Ali Yavuz; Uğurlu, HaticeAmaç: Bu çalışmanın amacı kronik bel ağrılı hastalarda fizik tedavinin etkinliğini ağrı ve fonksiyonel durum açısından değerlendirmekti. Yöntem: Çalışmaya bel ağrısı olan 60 hasta alındı ve randomize olarak ikiye ayrıldı. Gruplardan birine fizik tedavi modaliteleri, egzersiz ve medikal tedavi (grup 1) verilirken, diğerine sadece egzersiz ve medikal tedavi (grup 2) verildi. Tedavilerin etkinliği tedavi sonrası ağrı yönünden vizüel analog skala (VAS) ve fonksiyonel durum yönünden de Oswestry Disabilite İndeksi (ODİ) ile değerlendirildi. Bulgular: Tedavi öncesi VAS grup 1’de 16.092.11, grup 2’de 6.201.50 olarak değerlendirildi. Tedavi öncesi ODİ ise grup 1’de 51.508.3, grup 2’de 52.139.18 olarak tespit edildi. Tedaviden sonra her iki grupta da VAS ve ODİ açısından anlamlı iyileşmeler elde edildi. İki grup arasında ise tedavi sonrası grup 1’de grup 2’ye göre VAS skoru ve ODİ’de anlamlı değişiklikler gözlendi. Sonuç: Kronik bel ağrısı tedavisinde medikal ve egzersiz tedavisi yanında fizik tedavi uygulamalarına da yer verilmelidir.Öğe Neonatal brachial plexus palsy [Yenido?an brakial pleksus palsisi](2006) Şahin, Nilay; Akı, Semih; Müslümanoğlu, LütfiyeObstetrical brachial plexus palsy is defined a flaccid paresis of an arm at birth with an injury to the brachial plexus and a serious form of neonatal morbidity. Rate of recovery in the first two weeks is a good indicator of final outcome whereas complete recovery is unlikely if no improvement is noted in the first 2 weeks of life. High-resolution magnetic resonance imaging is the best procedure for evaluating and diagnosis of obstetrical brachial plexus palsy. Electrodiagnostic studies can provide data for timing, degree, prognosis and localization. The mainstay of treatment is physical and/or occupational therapy together with a regular home exercise program. Non-surgical procedures like electrical stimulation and botulinum toxin injections may prove effective in some brachial palsy children. A few patients may benefit from surgery in the early stages. The most important factor in treatment is a multidisciplinary approach with careful evaluation of outcome.Öğe Possible potential interactions between obesity, quality of life, psychological status and clinical parameters in psoriatic arthritis(BMJ PUBLISHING GROUP, 2019) Gök, Kevser; Nas, Kemal; Kılıç, Erkan; Sargın, Betül; Kasman, Sevtap Acer; Alkan, Hakan; Şahin, Nilay; Cengiz, Gizem; Cüzdan, Nihan; Gezer, İlknur Albayrak; Keskin, Dilek; Mülkoğlu, Cevriye; Resorku, Hatice; Sunar, İsmihan; Hastürk, Ajda Bal; Duruöz, Mehmet Tuncay; Küçükakkaş, Okan; Yurdakul, Ozan Volkan; Melikoğlu, Meltem Alkan; Aydın, Yıldıray; Ayhan, Figen; Bodur, Hatice; Çalış, Mustafa; Çapkın, Erhan; Devrimsel, Gül; Hizmetli, Sami; Kamanlı, Ayhan; Keskin, Yaşar; Kocabaş, Hilal; Kutluk, Öznur; Şen, Nesrin; Şendur, Ömer Faruk; Tekeoğlu, İbrahim; Toprak, Murat; Tolu, Sena; Tuncer, TirajeBackground: Psoriatic arthritis (PsA), a chronic rheumatic disease associated with reduced quality of life. Obesity is an important clinical problem which may interfere with loss of functioning and quality of life. Obesity is usually an overlooked entity in patients with PsA. Several studies were invastigated prevalence and the impact of obesity on disease activity in patients with PsA, however relationship between psychological status and quality of life have not been evaluated comparatively. Objectives: To assess the impact of obesity on quality of life, psychological status and clinical parameters in patients with PsA.Öğe Regional difference in disease burden among patients with psoriatic arthritis: A multi-center study(WILEY, 2019) Kılıç, Erkan; Kılıç, Gamze; Nas, Kemal; Sargın, Betül; Kasman, Sevtap Acer; Alkan, Hakan; Şahin, Nilay; Cengiz, Gizem; Cüzdan, Nihan; Gezer, İlknur Albayrak; Keskin, Dilek; Mülkoğlu, Cevriye; Resorlu, Hatice; Sunar, İsmihan; Bal, Ajda; Duruöz, Mehmet Tuncay; Küçükakkaş, Okan; Yurdakul, Ozan Volkan; Melikoğlu, Meltem Alkan; Aydın, Yıldıray; Ayhan, Fikriye Figen; Bodur, Hatice; Calış, Mustafa; Çapkın, Erhan; Devrimsel, Gül; Gök, Kevser; Hizmetli, Sami; Kamanlı, Ayhan; Keskin, Yaşar; Kocabaş, Hilal; Kutluk, Öznur; Şen, Nesrin; Şendur, Ömer Faruk; Tekeoğlu, İbrahim; Tolu, Sena; Toprak, Murat; Tuncer, TirajeBackground/Purpose : Psoriatic arthritis (PsA) has been de? ned as an in? ammatory arthritis associated with pso-riasis. The disease activity can be evaluated using many scales in patients with PsA. There is a great temperature difference between geographic region in Turkey. For example,the average annual air temperature in Erzurum (one of the Eastern Anatolian cities) is 5.7° C whereas in Antalya (one of the Mediterranean region cities) average temperature is 18.7° C. Furthermore, altitude of Eastern Anatolian cities is higher than Mediterranean cities.Öğe Reliability and Validity of the Turkish Version of the Pain Quality Assessment Scale in Patients With Carpal Tunnel Syndrome(Nobel Ilac, 2010) Şahin, Nilay; Bodur, Said; Salli, Ali; Uğurlu, HaticeObjective: There are some tests used by clinicians for defining and differentiating various pain types and following up the patient after initiating pain management therapy The Pain Quality Assessment Scale (PQAS) is a questionnaire used in differentiation of neuropathic and non-neuropathic pain. The PQAS is also used in detection of the most common symptom of neuropathic pain which has a wide spectrum, and in the management and follow up of pain therapy in the light of its findings. The aim of this study was to examine whether the Turkish version of PQAS is a valid and reliable tool to assess pain. Material and Method: Seventy patients with carpal tunnel syndrome seen by two clinicians were evaluated by Turkish version of the PQAS in the morning and in the afternoon of the same day. Results: With respect to reliability, the correlations between PQAS total score and paroxysmal, surface, deep and sensitive pain were 0.830 (p<0.001), 0.853 (p<0.001), 0.893 (p<0.001) and 0.679 (p<0.001), respectively. With respect to validity, the correlation results between total score and paroxysmal, surface and deep pain subgroups of PQAS was found as r:0.87, r:0.80 and r:0.87, respectively. Conclusion: In painful situations, defining the pain type and detecting the dominant symptom are quite helpful in management of therapy. The results of this study suggest that the Turkish version of the PQAS is a reliable and valid instrument for the measurement of pain in Turkish patients that have diseases with neuropathic pain types.Öğe The risk factors related to mental health problems in patients with psoriatic arthritis in a large multicenter study; data from tlar-network(BMJ PUBLISHING GROUP, 2019) Kılıç, Gamze; Nas, Kemal; Kılıç, Erkan; Tekeoğlu, İbrahim; Sargın, Betül; Kasman, Sevtap Acer; Alkan, Hakan; Şahin, Nilay; Cengiz, Gizem; Cüzdan, Nihan; Gezer, İlknur Albayrak; Keskin, Dilek; Mülkoğlu, Cevriye; Resorlu, Hatice; Ataman, Şebnem; Bal, Ajda; Duruöz, Mehmet Tuncay; Küçükakkaş, Okan; Yurdakul, Ozan Volkan; Melikoğlu, Meltem Alkan; Aydın, Yıldıray; Ayhan, Figen; Bodur, Hatice; Çalış, Mustafa; Çapkın, Erhan; Devrimsel, Gül; Hizmetli, Sami; Kamanlı, Ayhan; Gök, Kevser; Keskin, Yaşar; Kocabaş, Hilal; Kutluk, Öznur; Şen, Nesrin; Şendur, Ömer Faruk; Toprak, Murat; Tolu, Sena; Tuncer, Tiraje[Abstract not Available]
