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    Complex regional pain syndrome in stroke patients
    (LIPPINCOTT WILLIAMS & WILKINS, 2007) Kocabas, Hilal; Levendoglu, Funda; Ozerbil, Onder Murat; Yuruten, Betigul
    The objective of this study was to investigate the incidence, and the factors influencing the development, of complex regional pain syndrome-1 in the upper extremity in herniplegic patients within the first 28 weeks following a stroke. We followed up 82 stroke patients. All patients were evaluated at weeks 2, 6, 14 and 28 after suffering a stroke. Outcomes were assessed using passive range of motion of shoulder, presence of subluxation, Ashworth score, Motricity index arm score, Brunnstrorn stages and depression score. The incidence of complex regional pain syndrome-I was 48.8% in the first 28 weeks. Significant correlation was found between complex regional pain syndrome-1 and the presence of subluxation, Ashworth score, Motricity index arm score, Brunnstrom stage and depression score (r= 0.259, P= 0.019; r= 0.271, P= 0.014; r= - 0.393, P < 0.001; r= - 0.385, P < 0.001; r= 0.293, P=0.008, respectively). In this study, there was a relationship between complex regional pain syndrome-I and subluxation, loss of range of motion, spasticity of shoulder muscles and muscle strength. In order to prevent the development of complex regional pain syndrome-1, exercises directed at increasing the range of motion for the glenolhumeral joint, strengthening shoulder muscles and reduction of spasticity will establish the integrity of the shoulder joint.
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    Relationship between handgrip strength and isokinetic shoulder abduction-adduction muscle strength in primer fibromyalgia
    (TURKISH LEAGUE AGAINST RHEUMATISM-T L A R, 2008) Salli, Ali; Yilmaz, Halim; Kocabas, Hilal; Ugurlu, Hatice
    Objective: To compare grip strength and isokinetic shoulder abduction-adduction maximal muscle strength and to assess the correlation between hand grip strength (HGS) and shoulder strength in primer fibromyalgia patients with healthy controls. Patients and Methods: One hundred patient and 50 healthy women were included in this study. The patient's complaint duration and number of tender points were recorded. The visual analog scale was used for the assessment of pain. Beck depression scale and Fibromyalgia Impact Questionnaire (FIQ) were calculated. Handgrip strength was measured using a handgrip dynamometer and the highest value of sequential 3 measurements was recorded. Isokinetic shoulder abduction-adduction maximal muscle strength was measured at 60 and 180 degrees/sec. All patients' dominant side was assessed. The strength was calculated as the mean of five consantric isokinetic repetations. Results: There was no statistical difference between patients and the control group in age and body mass index (BMI). The mean HGS was 0,41 +/- 0,10 and 0,62 +/- 0,13 in the fibromyalgia and the healthy group respectively. The mean HGS and shoulder abduction-adduction maximal muscle strength were significantly lower in the fibromyalgia group than the healthy subjects (p<0,001). Whereas a positive correlation was found between HGS and age, BMI and shoulder abduction-adduction maximal muscle strength, a negative correlation was recorded between complaint duration, VAS and FIQ. Conclusion: Hand grip strength may be a simple and effective method to determine muscle performance of the upper extremity.