42 research outputs found
Extracorporeal Shockwave Therapy and Knee Osteoarthritis: Defining a Placebo Group
No full text[No abstract available
Reliability and Validity of the Turkish Version of Pain Modulation Index
No full textObjective: Chronic pain has significant impact on individuals and society. It is not just a symptom but is considered to be a separate disease in its own right. The aim of this study is to translate into Turkish and assess the validity and reliability of the Pain Modulation index, which was developed to be used as an indicator of the changing central pain processing process in individuals presenting with chronic pain. Materials and Methods: Study included 125 patients who had chronic pain. The Turkish translation was carried out using the forward- backward translation method. After adjustments were made according to the feedback of 10 volunteers, the study was started on the patient population. To evaluate the reliability of the scale, the test-retest was conducted with a 15-day interval. To evaluate its validity, Pain Detect and the Central Sensitization Inventory were applied on the first visit, along with the Pain Modulation index. Results: Since the scale has 2 factors, the Cronbach's alpha coefficient was calculated separately for the factors, and it was found to be 0.89 for factor 1 and 0.82 for factor 2. intraclass correlation coefficient values were determined as 0.95 for factor 1 and 0.92 for factor 2. the results of the Turkish version of the pain modulation scale were found to correlate significantly with pain detect and central sensitization inventory (p<0.05). Conclusion: The Turkish version of the pain modulation scale is a fast and easily applicable scale with high validity and reliability for clinical and epidemiological studies in patients presenting with chronic pain
Does the Use of Electrotherapies Increase the Effectiveness of Neck Stabilization Exercises for Improving Pain, Disability, Mood, and Quality of Life in Chronic Neck Pain?
No full textStudy Design. This study was a prospective, randomized, controlled study. Objective. The aim of this study was to determine whether transcutaneous electrical nerve stimulation (TENS) or interferential current (IFC) increase the effectiveness of neck stabilization exercises (NSEs) on pain, disability, mood and quality of life for chronic neck pain (CNP). Summary of Background Data. Neck pain is one of the three most frequently reported complaints of the musculoskeletal system. Electrotherapies, such as IFC and TENS, have been applied solo or combined with exercise for management of neck pain; however, the efficacy of these combinations is unclear. Methods. A total of 81 patients with CNP were included in this study. Patients were randomly assigned into three groups regarding age and gender. First group had NSE, second group had TENS and NSE, and third group had IFC and NSE. Pain levels [visual analogue scale (VAS)], limits of cervical range of motion (ROM), quality of life (short form-36), mood (Beck depression inventory), levels of disability (Neck Pain and Disability Index), and the need for analgesics of all patients were evaluated before treatment, at 6th and 12th week follow-up. Physical therapy modalities were applied for 15 sessions in all groups. All participants had group exercise accompanied by a physiotherapist for 3 weeks and an additional 3 weeks of home exercise program. Results. According to the intragroup assessment, the study achieved its purpose of pain reduction, ROM increase, improvement of disability, quality of life, mood and reduction in drug use in all three treatment groups (P 0.05). Conclusion. TENS and IFC therapies are effective in the treatment of CNP patients. However, they have no additional benefit or superiority over NSE
Pelvic Digit
No full textPelvic digit is an unusual developmental anomaly in which bone develops in soft tissues adjacent to normal skeletal bone. It is an asymptomatic entity that is usually discovered incidentally. The importance of recognizing pelvic digit is in distinguishing it from post-traumatic ossification and avulsion injuries of the pelvis. We report pelvic digits discovered in plain films of two patients who presented with hip pain. One patient has accompanying femoroacetabular impingement on the same side, which may explain the presence of hip pain
Prevalence of symptomatic knee, hand and hip osteoarthritis among individuals 40 years or older: a study conducted in izmir city
No full textObjective: This cross-sectional study was conducted to determine the prevalence of symptomatic knee, hand and hip osteoarthritis among men and women at or over 40 years of age, living in the Bayrakli Adalet district of Izmir. Methods: The study included a sample size of 522 people calculated using the Epi Info (TM) software. Demographic information, weight, height and body mass index were recorded. Patients were physically examined for evidence of osteoarthritis, such as joint tenderness, range of motion deficiency, deformity, 1st carpometacarpal joint involvement and Heberden's and/or Bouchard's nodes. One hundred and ninety-one individuals were suspected of having knee/hand/hip osteoarthritis and 152 of these were called in for radiographs. Results: The prevalence of symptomatic knee, hand and hip osteoarthritis of adults aged >= 40 years was 20.9%, 2.8% and 1.0%, respectively. Symptomatic knee and hand osteoarthritis was significantly higher among women (p<0.05). However, there was no significant difference between two genders regarding symptomatic hip osteoarthritis. Conclusion: Knee osteoarthritis is frequent in the region in which the study was conducted. An effective health policy regarding osteoarthritis can be created following further studies with larger samples representing the entire country
A comparison of four disability scales for Turkish patients with neck pain
No full textObjective: The Neck Disability Index, the Northwick Park Pain Questionnaire, the Copenhagen Neck Functional Disability Scale and the Neck Pain and Disability Scale are widely used scales for assessing neck pain or disability. The aim of this study was to determine the most suitable scale for Turkish patients with neck pain. Methods: All scales were translated into Turkish, administered to 102 patients with neck pain, then compared with regard to their construct validity, reliability, responsiveness, acceptability and usefulness. Results: The scales were similar in their high validity, reliability standards and sensitivity to change, but differed in their acceptability and usefulness. The item about driving in the Neck Disability Index and the Northwick Park Pain Questionnaire was omitted by 69.6% of patients for reasons other than a neck problem. Conclusion: All scales were reliable, valid and sensitive instruments, with similar psychometric properties. The scale that most adequately reflects the patient should be chosen
Bisphosphonate-Related Osteonecrosis of the Jaw Bones in a Patient with Ankylosing Spondylitis Receiving Anti-Tumor Necrosis Factor Treatment
No full textBisphosphonate-related osteonecrosis of the jaw bones is a rare, but well-recognized pathology, occurring mainly in patients receiving parenteral and high doses of bisphosphonates for the treatment of skeletal metastasis and/or hypercalcemia associated with cancer. However, to a lesser extent, this complication may also occur in patients receiving oral bisphosphonates for the treatment of osteoporosis. In this article, we present a 58-year-old female patient with ankylosing spondylitis (AS) who developed mandible osteonecrosis following long-term oral alendronate treatment for osteoporosis. Dental tooth extraction possibly triggered the occurrence of mandible osteonecrosis in this patient. This patient is notable for receiving concomitant anti-tumor necrosis factor (anti-TNF) treatment. To our knowledge, occurrence of bisphosphonate-related jaw osteonecrosis in a patient with AS receiving concomitant anti-TNF treatment has not been reported previously in the literature
Risk Factors of Symptomatic Knee, Hand and Hip Osteoarthritis in a Suburban Area of Izmir City
No full textObjective: To determine the risk factors of symptomatic knee, hand, and hip osteoarthritis among people aged >= 40 years in a suburban area of Izmir City, Turkey Material and Methods: A total of 522 subjects were randomly chosen with systematic randomization. All subjects fulfilled a detailed survey and had a physical examination. Any subject who met at least one of the ACR clinical criteria for knee/hand/hip osteoarthritis (OA) was considered as screening positive and was invited for x-rays. Results: We report that the symptomatic knee, hand, and hip osteoarthritis prevalence correspondingly increases with age. Symptomatic knee osteoarthritis (SKO) has a positive correlation with female gender (OR: 26.5, 95% CI: 7.6-92.3), obesity, morbid obesity (OR: 5.8, 95% CI: 2.1-16.2), and regular prayer habit (namaz) (OR: 2.6, 95% CI: 1.1-6.2). SKO and symptomatic hand osteoarthritis (SHaO) prevalence numbers are higher in the postmenopausal female group than premenopausal women (p<0.05). We determined that poorly educated people had a 1.5-times higher risk for developing SKO (p=0.649). Non-smokers had 1.5 times the risk of smokers for developing OA. Subjects lacking symptomatic knee OA were found to be significantly more active than the other groups. Conclusion: Risk factors for development of symptomatic knee, hand, and hip osteoarthritis were determined as female gender, advanced age, obesity, and being in postmenopausal stage. Low education level, being a non-smoker, having a regular prayer habit, climbing stairs, being a worker, and sedentary life were also risk factors for having knee osteoarthritis. It is an obvious issue that we need countrywide studies with larger populations to build a health policy for osteoarthritis.Ege University Faculty of MedicineEge University [09.TIP-15]This study was financially supported by Ege University Faculty of Medicine (Project no: 09.TIP-15
Comparison of the effects of amitriptyline and paroxetine in the treatment of fibromyalgia syndrome
No full textThe aim of this study is to research the efficiency and the side effects of paroxetine, which is a selective serotonin re-uptake inhibitor (SSRI), and to compare it with amitriptyline, whose efficiency in fibromyalgia syndrome (FMS) is well known. The 40 FMS-diagnosed patients that were involved in the research were separated into two groups randomly. The patients within the first group were given paroxetine tablets (for the first weeks 20 mg/day, later 40 mg/day); those within the second group were given amitriptyline drage (for the first two weeks 10 mg/day, later 20 mg/day). The treatment continued for two months. All of the patients were evaluated by a physician, who was not aware of the therapy options, in the 2(nd), 4(th) and 8(th) weeks with regard to fatigue, morning stiffness, sleep disturbances, paraesthesia, headaches, tender point count and score, severity of global pain, Beck depression index, global efficiency and tolerance according to the patient and the physician's judgments. It is observed that paroxetine has shown good efficiency in treating the symptoms of FMS with the exception of fatigue (p < 0.5), but amitriptyline works better. The most important side effect of paroxetine is sexual dysfunction. Paroxetine therefore can be used as an alternative drug in FMS when the patients cannot use amitriptyline for any reason
RETRACTED: Osteoporotic hip fracture costs in the elderly Turkish population (vol 45, pg 316, 2011) (Retracted article. See vol. 46, pg. 324, 2012)
No full text
