Fizik Tedavi ve Rehabilitasyon/Makale Koleksiyonu

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https://hdl.handle.net/20.500.12395/15648

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YouTube as an Information Source for Pulmonary Rehabilitation in Patients with COVID-19: A Cross-Sectional Study
(Selçuk Üniversitesi, 2022) Karabaş, Çağlar; Doğru, Yıldız Gonca
Introduction: Impaired lung function and decreased exercise capacity may have been in COVID-19. Therefore, the importance of pulmonary rehabilitation stands out. YouTube has been used often for information about health. The aim of the study is to evaluate the content and the quality of YouTube videos of pulmonary rehabilitation in COVID-19. Method: In this cross-sectional study, the keywords were determined and searched in YouTube by two researchers. A total of 282 videos were watched. Video sources, contents, duration, view number, likes, dislikes, and comments were recorded. For assessment of quality, the Global Quality Scale (GQS) and for reliability the Modified DISCERN reliability tool was used. Results: After application of inclusion and exclusion criteria, a total of 135 videos were analyzed. According to the GQS, 27 (20%) of videos were low, 47 (34.8%) of medium, and 61 (45.2%) of highquality. Non-physician Health personnel shared the most videos (31.1%). The high-quality video source was Non-physician health personnel, Physician, Academic/university, and Health-related website. There was a statistically significant difference in DISCERN score between quality groups and the highest score was in the high-quality group (p<0.001). There was no statistically significant difference in groups between video parameters. When the video content was examined, 81.5% had the information about COVID-19, 77% had the importance of pulmonary rehabilitation in COVID-19 and the most mentioned contents were diaphragmatic breathing and thoracic expansion. Conlusion: Health professionals should create more videos for internet users to access high-quality, reliable videos. Viewers are advised to prefer videos prepared by health professionals, rather than parameters such as the video duration, number of views, likes, dislikes, and comments.
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, Tiraje
Psoriatic 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.
What is the effect of accompanying ankylosing spondylitis in treatment of Multiple Sclerosis? Is there a resistance
(TURKISH NEUROLOGICAL SOC, 2019) Tezcan, Ezgi Akyıldız.; Ekmekçi, Hakan.; Özdemir, Gökhan.; Gümüş, Haluk.; Öztürk, Şerefnur.
Multiple sclerosis (MS) is an autoimmune central nervous system disease characterized by inflammation, demyelination, and axonal damage (1). Ankylosing spondylitis (AS) is a common inflammatory rheumatic disease affecting the axial skeleton, which can cause structural and functional disorders and decreased quality of life, and cause a characteristic back pain and position (2). The coexistence of MS and AS is rare. Besides the neurogenetic and neuroepidemiologic aspects of this association, there may be an interactive interaction in the treatment. It may be necessary to examine the effect of this situation on the roadmap to be followed in the treatment of both diseases.
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]
The GUSS test as a good indicator to evaluate dysphagia in healthy older people: a multicenter reliability and validity study
(SPRINGER, 2019) Umay, Ebru; Eyigor, Sibel; Karahan, Ali Yavuz; Gezer, İlknur Albayrak; Kürkcü, Ayşe; Keskin, Dilek; Karaca, Gülten; Unlu, Zeliha; Tıkız, Canan; Vural, Meltem; Aydeniz, Banu; Alemdaroğlu, Ebru; Bilir, Emine Esra; Yalıman, Ayşe; Şen, Ekin İlke; Akaltun, Mazlum Serdar; Altındağ, Özlem; Keleş, Betül Yavuz; Bilgilisoy, Meral; Özçete, Zeynep Alev; Demirhan, Aylin; Gündoğdu, İbrahim; İnanır, Murat; Çalık, Yalkın
Purpose Dysphagia is known to be a disorder of the swallowing function, and is a growing health problem in aging populations. Swallowing screening tests have mostly been studied in comorbidities such as stroke associated with old age. There is no simple, quick and easy screening test to best determine the risk of oropharyngeal dysphagia in geriatric guidelines. We aimed to evaluate whether the Gugging Swallowing Screen (GUSS) test is an effective method for evaluating swallowing difficulty in healthy older people. Methods This cross-sectional and multicenter study was conducted at 13 hospitals between September 2017 and February 2019. The study included 1163 participants aged >= 65 years and who had no secondary dysphagia. Reliability was evaluated for data quality, scaling assumptions, acceptability, reliability, and validity as well as cutoff points, specificity and sensitivity. Results The age distribution of 773 (66.5%) patients was between 65 and 74 years and 347 (29.8%) of them were male and 767 (66%) patients were female. The average total GUSS score was 18.57 +/- 1.41. The Cronbach's alpha was 0.968. There was a moderate statistically significant negative correlation between the total GUSS and 10-item Eating Assessment Tool scores as well as between the total GUSS score and quality of life. The cutoff point of the total GUSS score was 18.50, sensitivity was 95.5% and specificity was 94.4%. Conclusions The GUSS test is a valid and reliable test to identify possible oropharyngeal dysphagia risk in healthy older people who had no secondary dysphagia. It is suitable as a screen test for clinical practice. Key summary pointsAim We aimed to evaluate whether the Gugging Swallowing Screen (GUSS) test is an effective method for evaluating swallowing difficulty in healthy older people. Findings Total GUSS score sensitivity was 95.5% and its specificity was 94.4%. Message The GUSS test is a valid and reliable test to identify possible oropharyngeal dysphagia risk in healthy older person who had no secondary dysphagia. It is suitable as a screen test for clinical practice.
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, İlknur
Objectives: 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.
Yenidoğanda brakiyal pleksus yaralanması: Bir olgu sunumu
(2016) Demirbek, İrem; Evliya, Büşra Nur; Koursido, Roulan; Malla, Imadeddin; Albayrak, İlknur Gezer
Brakiyal pleksus üst ekstremite hareketlerinde etkili bir sinir demetidir. Doğum sırasındaki travmalara bağlı olarak brakiyal pleksus yaralanmaları görülebilir. Etkilenen ekstremite kısmi ya da tamamen hareketsiz hale gelebilir. Motor ve duyu defisiti görülebilir. Biz de bu olgu sunumunda brakiyal pleksus yaralanmalı bir hastadan bahsettik.
Ön diz ağrılarından patellofemoral ağrı sendromu: Bir olgu sunumu
(2016) Karakaş, Kübra; Akış, Ali Kaan; Bostancı, Kenan; Albayrak, İlknur Gezer
Patellofemoral ağrı sendromu (PFAS) patella femoral eklemdeki fiziksel ve biyomekanik değişiklikler sonucu ortaya çıkan retropatellar veya peripatellar ağrı olarak tanımlanmaktadır. PFAS, fiziksel olarak aktif, genç, yetişkin bireylerde genellikle kadınlarda görülür. Bu vaka sunumunda ön diz ağrısı yakınmasıyla başvuran 46 yaşındaki kadın hasta sunulmuştur.
Fiziatristlerin Antiosteoporotik İlaç Tercihleri: Çok Merkezli Tanımlayıcı Araştırma
(Galenos Yayıncılık, 2012) Kutsal, Yeşim Gökçe; Özdemir, Oya; Çalışkan, Aslı; İnanıcı, Fatma; Karahan, Sevilay; Doğan, Asuman; Hizmetli, Sami; Kamanlı, Ayhan; Kuran, Banu; Öncel, Sema; Sarıkaya, Selda; Savaş, Serpil; Şenel, Kazım; Uğurlu, Hatice; Yazgan, Pelin
Aim: The purpose of this multicenter descriptive study is to determine the preferences of physiatrists in our country for anti-osteoporotic drugs in patients with primary and secondary osteoporosis. Materials and Methods: This study was carried out in 10 provinces of Turkey. The diagnosis of osteoporosis was based on World Health Organization criteria using dual-energy x-ray absorptiometry. Patients with a spine and/or hip T-score ?-2.5 were considered as osteoporotic. 714 patients over 18 years old with primary or secondary osteoporosis were included in the study. In addition to socio-demographic characteristics and chronic use of medications and/or additional systemic diseases that cause secondary osteoporosis were questioned and antiosteoporotic drugs that are recommended by their physicians were recorded. Results: The physicians' preferred vitamin D and calcium as the prior treatment both in primary and secondary osteoporosis. The most commonly used anti-osteoporotic agent was alendronate from the biphosphonate group. It was followed by ibandronate, risedronate, strontium ranelate, calcitonin, zoledronate, raloxifene, parathyroid hormone (PTH) and hormone replacement therapy (HRT) in the primary osteoporosis and risedronate, ibandronate, calcitonin, strontium ranelate, zoledronate, PTH, HRT and raloxifene in the secondary osteoporosis, respectively. Conclusion: The physician should choose the most suitable treatment for the patient based on fracture risk, medical history, previous treatments for osteoporosis, concomitant diseases, treatment-induced risks and benefits, and the relation between financial cost and potential benefit.
Inklüzyon Cisimcikli Miyozit Yaşlılarda Zor Bir Tanı
(2012) Küçükşen, Sami; Albayrak, İlknur; Turaç, Havva Cingöz; Sallı, Ali; Toy, Hatice
Inclusion body myositis (IBM) is the most common inflammatory myopathy in patients older than 50 years, however, it is very rare amongst the inflammatory myopathies. It is characterised by slowly progressive, disabling muscle weakness and inclusion bodies visible on muscle biopsy. Due to the slow progression of the disease, histologic similarity with other myopathies and limited awareness of physicians, the diagnosis is frequently delayed or it is misdiagnosed as polymyositis. Furthermore, the co-morbidities of older people may render clinical diagnosis difficult. IBM should be a diagnostic consideration in the evaluation of progressive weakness in older patients. A high index of suspicion along with knowledge of the diagnostic criteria is essential to avoid misdiagnosis. In this article, we report a 63 year old man diagnosed with IBM 5 years after the initial presentation and review the literature.
Inclusion Body Myositis: a Difficult Diagnosis in Elderly People
(Gunes Kitabevi Ltd Sti, 2012) Küçüksen, Sami; Albayrak, İlknur; Cingöz, Havva Turaç; Sallı, Ali; Toy, Hatice
Inclusion body myositis (IBM) is the most common inflammatory myopathy in patients older than 50 years, however, it is very rare amongst the inflammatory myopathies. It is characterised by slowly progressive, disabling muscle weakness and inclusion bodies visible on muscle biopsy. Due to the slow progression of the disease, histologic similarity with other myopathies and limited awareness of physicians, the diagnosis is frequently delayed or it is misdiagnosed as polymyositis. Furthermore, the co-morbidities of older people may render clinical diagnosis difficult. IBM should be a diagnostic consideration in the evaluation of progressive weakness in older patients. A high index of suspicion along with knowledge of the diagnostic criteria is essential to avoid misdiagnosis. In this article, we report a 63 year old man diagnosed with IBM 5 years after the initial presentation and review the literature.
Turnike kullanımı sonrası femoral sinir hasarı
(2011) Şahin, Nilay; Salbaş, Ender; Uğurlu, Hatice
Amaç: Sağ dize uygulanan artroskopik girişim sonrası bacakta güçsüzlük, uyluğun ön-yan yüzünde uyuşma ve karıncalanma şikayeti gelişen olgunun sunulması. Olgu sunumu: Sağ dizde gelişen travma sonrası artroskopik olarak menisektomi operasyonu geçiren hastanın aynı bacakta güçsüzlük ve uyuşma şikayeti gelişti. Bunun üzerine yapılan elektromyografik incelemede hastada ağır femoral sinir hasarı tespit edildi ve nedeni operasyon sırasında uygulanan pnömatik turnikeye bağlandı. Hastanın takiplerinde yapılan fizik muayene ve elektromyografik incelemelerinde bir iyileşme gözlenmedi. Hastaya dizini kilitlemesini sağlayarak yürümesine yardımcı olması amacıyla bir dizlik verildi. Sonuç: Alt ekstremiteye yönelik yapılan cerrahi girişimlerde uygulanan pnömatik turnike femoral sinir hasarlanmasına yol açabilir. Bu nedenle turnike kullanımında dikkatli olmak gerekir.
Tekrarlayan femoral kateterizasyon sonrası meraljiya parestetika
(2011) Sallı, Ali; Salbaş, Ender; Albayrak, İlknur; Küçükşen, Sami; Yazıcı, Mehmet
Amaç: Tekrarlayan femoral kateterizasyon sonrası meraljiya parestetika (MP) gelişen olguyu sunmayı amaçladık. Olgu sunumu: Akut inferior miyokard infarktüsü tanısı konan, tıkanıklık saptanan iki ayrı koroner damara girişim uygulanan 49 yaşındaki erkek hastada ikinci girişim sonrasında sağ uylukta uyuşma, karıncalanma ve keçeleşme şikayeti gelişmiş. EMG tetkiki ile lateral femoral kutanöz sinir tuzak nöropatisi saptanarak MP tanısı konuldu. Sonuç: Femoral arter yoluyla kardiyak kateterizasyon uygulanan vakalarda kanama kontrolü için uygulanan kompresyona bağlı olarak lateral femoral kutanöz sinir tuzaklanması gelişebilir
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, Hatice
We 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.
The Effects of Aging on Muscle Strength
(Nova Science Publishers, Inc, 2010) Şahin, Nilay
Aging 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.
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, Hatice
The 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.
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, Hatice
Objective: 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.
Relationship of Cellular Oxidant and Antioxidant Status With Disease Activity in Patients With Rheumatoid Arthritis
(Turkish League Against Rheumatism, 2010) Kocabaş, Hilal; Kocabaş, Volkan; Büyükbaş, Sadık; Sallı, Ali; Uğurlu, Hatice
Objective: In recent years, increasing attention has been given to the role of reactive oxygen metabolites in the pathogenesis of inflammatory diseases such as rheumatoid arthritis (RA). The aim of this study was to elucidate plasma and especially erythrocyte oxidant and antioxidant status in RA patients and to assess the relationship between disease activity scores (evaluated by Disease Activity Score (DAS) 28 as mild, moderate and severe) and antioxidant status Materials and Methods: Fasting blood samples were obtained from 50 RA patients and 26 control subjects. DAS28 was used to evaluate the activity. Plasma and erythrocyte levels of malondialdehyde (MDA), xanthine oxidase (XO) and superoxide dismutase (SOD) were investigated in both groups. Results: The plasma levels of MDA and XO and erythrocyte levels of MDA and SOD were significantly higher in RA patients than in control subjects Although increases in plasma MDA levels in mild and moderate and erythrocyte MDA levels in mild activity groups of RA were not significant (p>0.05), plasma MDA levels in severe (p=0.001) and erythrocyte MDA levels in moderate and severe activity groups of RA were significantly higher (p<0.001). Whereas plasma SOD levels showed no significant change (p=0.241), erythrocyte SOD levels were significantly increased in RA patients (p<0.001). Although increase in erythrocyte SOD activity in mild RA was not significant, it was significant in moderate and severe RA (p=0.002 and p<0.001, respectively). Conclusion: These results suggest that increased plasma and erythrocyte MDA levels in RA patients, especially in those with severe activity, indicate an increased oxidative stress due to inflammation. Nonetheless, an increase particularly in erythrocyte SOD activity in moderate and severe RA patients suggests that the cellular antioxidant system might counterbalance the oxidant status in RA patients.
Hemiplejik Hastalarda Santral Ağrının Özellikleri
(Galenos Yayıncılık, 2010) Şahin, Nilay; Uğurlu, Hatice
Objective: 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.
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, Halim
The 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.

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