Fizyoterapi ve Rehabilitasyon Bölümü Makale Koleksiyonu

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https://hdl.handle.net/20.500.12713/194

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Cross-cultural adaptation and validation of diabetes-39 in Turkish patients with type 2 diabetes
(Taylor and Francis Ltd., 2022) Buran Çırak, Yasemin; Yılmaz Yelvar, Gül Deniz; Parlak Demir, Yasemin; Durukan, Beyza Nur; Dürüstkan Elbaşı, Nurgül; Seyis, Ali Sabri
Purpose: To translate Diabetes-39 quality of life scale (D-39) into Turkish, to accomplish a cross-cultural adaptation, to demonstrate validity and reliability of Turkish version (D-39-TR). Methods: A total of 214 patients with type 2 diabetes were included, with an average age of 52.59 ± 14.83, a female/male ratio of 51/49%. Internal consistency and test-retest reliability were assessed by Cronbach's alpha coefficient and intraclass correlation coefficient (ICC), respectively. For structural validity, factor analysis was used. The SF-36 was used for convergent validity, and hemoglobin A1c (HbA1c) was used for differential validity. Results: The Cronbach's alpha coefficient was over 0.70 for all subscales of D-39-TR and it was 0.93 for whole D-39-TR. No problematic items were detected in the scale. The ICC for test-retest reliability was 0.91 (95% CI 0.91-0.94). The test-retest consistency for the total score was r = 0.94, p < 0.001. D-39-TR was explained by five factors. The ratio of explaining the total variance of these 5 factors was determined as 53.97%. SF-36 (r=-0.48, p < 0.001) and HbA1c values (r = 0.31, p < 0.001) were moderately correlated with total score of D-39-TR. A significant difference was found between QoL values of patients with poor and good glycemic control (p < 0.001). Conclusion: Turkish version of D-39 is a reliable and valid scale for measuring QoL in patients with type 2 diabetes.IMPLICATIONS FOR REHABILITATIONThe Turkish version of the Diabetes-39 (D-39) is a valid and reliable questionnaire and can be used in patients with type 2 diabetes.The Turkish version of the D-39 offers a useful tool for better identifying quality of life of patients with type 2 diabetes who are at risk for adverse outcomes.The Turkish version of the D-39 can be used to evaluate the effectiveness of attempts to increase quality of life in patients with type 2 diabetes.
General movements assessment and Alberta Infant Motor Scale in neurodevelopmental outcome of preterm infants
(Elsevier, 2022) Yıldırım, Canan; Asalıoğlu, Ayşegül; Coşkun, Yeşim; Acar, Gönül; Akman, İpek
Aim: We aimed to compare the General Movement Assessment (GMA) and the Alberta Infant Motor Scale (AIMS) in preterm infants for the prediction of cerebral palsy (CP) and neurodevelopmental delay (NDD). Additionally, we aimed to evaluate the diagnostic compatibility of the General Movement Optimality Score (GMOS), the Motor Optimality Score (MOS), and AIMS for detecting CP and NDD. Method: Seventy-five preterm infants with gestational age (GA) 24-37 weeks were enrolled. Group 1 was composed of infants with 24-28 GA (n = 22); groups 2 and 3 consisted of infants with 29-32 GA weeks (n = 23) and 33-37 GA (n = 30) weeks, respectively. The infants were assessed during the writhing period, the fidgety period, and at 6-12 months of corrected age with GMOS, MOS, and AIMS, respectively. Results: In the writhing period, a cramped-synchronized pattern was observed in 17 (22%) infants, whereas a poor repertoire pattern was observed in 34 (45%) infants. In the fidgety period of the 63 infants, 29 (46%) presented with fidgety movements absent. The MOS and AIMS scores of the infants in group 1 were significantly lower than the other groups, which were statistically significant (p = 0.004, p?0.001). High and positive compatibility (Kappa coefficient: 0.709; p = 0.001) was found between AIMS and GMOS scores and between AIMS and MOS scores (Kappa coefficient: 0.804; p < 0.001). In all groups, a statistically significant association was found between total GMOS scores (p = 0.003) and the presence of fidgety movements (p = 0.003). GMOS, MOS, and AIMS were found to be associated with CP and NDD (p < 0.001). Conclusion: GMA is an important tool for the prediction of CP and NDD. The combined use of GMOS, MOS, and AIMS may guide the clinical practice for the valid and reliable diagnosis of CP and NDD.
The reliability and validity of the Turkish version of smartphone impact scale
(SAGE Publications Inc., 2022) Birinci, Tansu; Van Der Veer, Pınar; Mutlu, Caner; Mutlu, Ebru Kaya
The Smartphone Impact Scale (SIS) was originally developed in English to determine the cognitive, affective, social, and behavioral impacts of smartphones. This study aimed to translate and cross-culturally adapt the SIS instrument into Turkish and investigate its psychometric properties. Two hundred and sixty-four young and middle-aged adults (186 females) with a mean age of 36.24 years (SD = 14.93; range, 18–65 years) were included. For cross-cultural adaptation, two bi-lingual translators used the back-translation procedure. Within a 5-to-7-day period after the first assessment, the participants completed the Turkish version of SIS (SIS-T) to evaluate test-retest reliability. Cronbach’s alpha (?) was used to assess internal consistency. The correlation between the Turkish version of the Smartphone Addiction Scale (SAS-T) and the Nottingham Health Profile was determined to check the validity. The SIS-T had a high-level internal consistency (? = 0.86) and test-retest reliability (ICC2,1 = 0.56 to 0.89 for subscales). The SIS-T subscales were correlated with the SAS-T (r = 0.31 to 0.66, p < 0.01), indicating a good concurrent validity. The results show that the SIS-T is semantically and linguistically adequate to determine smartphones' cognitive, affective, social, and behavioral impacts on young and middle-aged adults. Good internal validity and test-retest reliability of the SIS-T were defined to evaluate the impacts of smartphones among Turkish-speaking young and middle-aged adults. © The Author(s) 2022.
Effects of high intensity interval training and sprint interval training in patients with asthma: a systematic review
(Taylor & Francis Online, 2021) Ertürk, Gamze; Günday, Çiçek; Evrendilek, Halenur; Sağır, Kübra; Kuran Aslan, Gökşen
Objective: The aim of this study is to review the effects of high-intensity interval training (HIIT)/sprint interval training (SIT) on asthma symptoms, cardiorespiratory functions, and other variables among asthmatic patients.Data Sources: Randomized controlled trials published between January 2000 and January 2021 were searched in PubMed/MEDLINE, Web of Science, and Cochrane Library databases.Study Selections: Following pre-specified inclusion criteria, this review included 7 randomized controlled studies that compare HIIT/SIT as an intervention with any other intervention and/or control group.Results: Of the included studies only 4 reported the chronic phase effects of the HIIT/SIT protocols. HIIT and SIT protocols applied in studies differ. HIIT improved forced expiratory volume in 1 s (FEV1) in the acute phase and maximal oxygen consumption (VO2max) in the chronic phase in the asthmatic patients (p < 0.05).Conclusion: To our knowledge, our systematic review is the first study evaluating the effects of HIIT/SIT protocols on asthma patients. HIIT/SIT protocols have beneficial effects on asthma patients. In order to better understand the results of these training procedures, studies that will be designed with high methodology are needed.
Effectiveness of the Epley maneuver versus Cawthorne-Cooksey vestibular exercises in the treatment of posterior semicircular canal benign paroxysmal positional vertigo (BPPV): a randomized controlled trial
(ELSEVIER, 2021) Taçalan, Ekin; İnal, Habibe Serap; Şentürk, M. Nafiz; Mengi, Erdem; Alemdaroğlu-Gürbüz, İpek
Objective Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo that mainly affects the posterior semicircular canal. Studies suggest that Epley maneuver could improve balance of patients, but Cawthorne-Cooksey vestibular exercises are still scarce. This study aimed to observe the effects of Cawthorne-Cooksey vestibular exercises applied after the Epley maneuver on balance, vertigo symptoms, and quality of life in posterior semicircular canal BPPV. Methods Thirty-six patients with posterior semicircular canal BPPV were randomly assigned into Epley maneuver (EpleyM) and Epley maneuver and exercise (EpleyM&Exe) groups. All patients were treated with the Epley maneuver, while Cawthorne-Cooksey vestibular exercises were given to the EpleyM&Exe group as home exercises for 6 weeks. Their static and dynamic balance, vertigo symptoms, and quality of life were assessed at pre-, post-intervention (1st, 3rd and 6th weeks). Results Thirty-two patients completed the study (mean age: 46.91 ± 9.78 years). Epley maneuver applied alone and combined with Cawthorne-Cooksey vestibular exercises, was found to be effective in 25 patients (78.1%), 6 patients (18.8%) and 1 patient (3.1%) at the 1st, 3rd and 6th weeks, respectively. After 6 weeks, both groups had gained significant improvements in balance, vertigo symptoms, and quality of life (p < 0.001); however, there were no significant differences between the groups, except for the static dominant leg balance test (p = 0.022). Conclusions The Epley maneuver can be considered as the first option compared to Cawthorne-Cooksey vestibular exercises. Exercises do not appear to have any additional effects in improving posterior semicircular canal BPPV symptoms.
Kaynaştırma/bütünleştirme eğitimi hakkındaki görüşlerim ölçeğinin Türkçeye uyarlanması geçerlik ve güvenirlik çalışması
(DergiPark, 2021) Sabuncuoglu, Er Dudu Melek; Çırak, Yasemin; Mutlu, Ilayda
Amaç: Özel gereksinimi olan çocukların genel eğitim sistemi içinde akranları ile birlikte eğitim alabilmeleri en temel haklarındandır. Kaynaştırma/bütünleştirme eğitimi uygulamalarını etkileyen en önemli faktörlerden birisi öğretmenlerin bu konudaki tutumlarıdır. Bu çalışma, öğretmenlerinin kaynaştırma eğitimine yönelik tutumlarının belirlenmesine yönelik olarak Stoiber ve diğerleri tarafından 1998’de geliştirilen Kaynaştırma Eğitimi Hakkındaki Görüşlerim (My Thinking About Inclusion [MTAI]) ölçeğinin Türkçe geçerlik ve güvenirliğinin yapılması amacıyla gerçekleştirilmiştir. Yöntem: Stoiber ve diğerleri tarafından 1998’de geliştirilen Kaynaştırma Eğitimi Hakkındaki Görüşlerim (My Thinking About Inclusion [MTAI]) ölçeği, 158 öğretmen ve okul yöneticilerinin katılımı ile, benzer ölçek geçerliliği de kullanılarak uyarlama çalışması yürütülmüştür. Güvenirlik test-tekrar test ve iç tutarlık ile belirlenmiştir ve Cronbach alfa katsayısı hesaplanmıştır. Test-tekrar test güvenirliği Pearson korelasyon analizi ve sınıf içi korelasyon katsayısı (ICC) kullanılarak değerlendirilmiştir. Bulgular ve Sonuç: İlkokul ve ortaokul öğretmeni 158 katılımcı ile gerçekleşen çalışmada, yapı geçerliği faktör analizinde orijinal ölçekteki dört alt boyut, üç alt boyutta çıkmış, Cronbach alfa katsayısı 0,91 olarak bulunmuştur. Çalışmada, MTAI-TR ilk ve ortaokul öğretmenlerinin kaynaştırmaya yönelik görüşlerinin temel bakış açısı, beklenen çıktılar ve sınıf içi uygulamalar olmak üzere üç alt boyutta değerlendirilebilmesi için geçerli ve güvenilir bir ölçme aracı olarak bulunmuştur.
Effect of sustained natural apophyseal glides on stiffness of lumbar stabilizer muscles in patients with nonspecific low back pain: randomized controlled trial
(Elsevier Inc., 2021) Buran Çırak, Yasemin; Yurdaışık, Işıl; Dürüstkan Elbaşı, Nurgül; Tütüneken, Yunus Emre; Köçe, Kübra; Çınar, Betül
Objective: The aim of this study was to investigate the immediate effect of Mulligan sustained natural apophyseal glides (SNAGs) on muscular stiffness by using ultrasound shear wave elastography, pain, and function in patients with nonspecific low back pain. Methods: In a prospective, randomized, controlled, double-blinded study, 30 participants with nonspecific low back pain were randomly divided into 2 groups: a real SNAG group (aged 21.0 ± 1.7, 5 men, 10 women) and sham SNAG group (aged 20.4 ± 0.5, 4 men, 11 women). Muscular stiffness of the multifidus and erector spinal muscles with ultrasound shear wave elastography, visual analog scale, the sit and reach, flamingo balance, the functional reach, side bridge, and Biering-Sorensen tests were made before and immediately after intervention. The Oswestry Disability Index score was recorded only baseline. Results: After intervention, the change in visual analog scale, sit and reach, Biering-Sorensen, and side bridge tests scores were significantly different between real SNAG and sham SNAG groups (P < .05), but there was no significant difference in functional reach and flamingo balance test scores between the groups (P > .05). There was no significant difference for all measurements between pre- and post-intervention in sham SNAG group (P > .05). There was a significant reduction in muscular stiffness in the real SNAG group. But there was no change in muscular stiffness between pre- and postintervention in the sham group (P > .05). Conclusions: This study demonstrated that the Mulligan SNAG technique had a positive effect on pain severity, flexibility, trunk muscle endurance, and muscle stiffness in patients with nonspecific LBP.
Cultural adaptation and Turkish version of physical activity scale for individuals with physical disabilities in individuals with spinal cord injury: a reliability and validity study
(2021) Köçe, Kübra; Atıcı, Emine; Çırak, Yasemin Buran; Elbaşı, Nurgül Dürüstkan
Purpose To translate the "Physical Activity Scale for Individuals with Physical Disabilities (PASIPD)" into Turkish, to make a cultural adaptation, and to examine the psychometric properties including validity and reliability. Methods During the translation period cross-cultural adaptation design proposed by guideline was used. Patients completed the Turkish version of the PASIPD and it was applied again a week later. To determine the reliability and internal consistency, Cronbach's alpha coefficient was calculated. Test-retest reliability was determined by using intraclass correlation coefficient (ICC) and Pearson's correlation analysis. Construct validity was examined with factor analysis. Convergent validity was examined by comparing PASIPD with Functional Independent Measurement (FIM), Nottingham Health Profile (NHP), and Craig Handicap Assessment and Reporting Technique Short (CHART-SF), and criterion validity was examined by comparing PASIPD with Manual wheelchair propulsion tests scores. Results Cronbach's alpha coefficient was 0.725. The ICC coefficient for the test-retest reliability was 0.851. PASIPD was explained by three factors. The ratio of explaining the total variance of these 3 factors was determined as 51.66%. FIM (r = 0.307, p = 0.040) and CHART-SF were moderately positively correlated with PASIPD total score. The correlation between the total score of PASIPD and NHP was r = -0.443 (p = 0.002). 20 Meters Propulsion (r = -0.404, p = 0.005) and Slalom Tests (r = -0.305, p = 0.037) were highly negative and 6 min Push Propulsion (r = 0.456, p = 0.001) were moderately positive with PASIPD total score. Conclusion The Turkish version of the PASIPD is a valid and reliable scale in patients with spinal cord injury.
Evaluation of immediate effect of sacroiliac joint manipulation on balance and muscle strength
(Edizioni Minerva Medica, 2021) Toprak, Mehmet; Coşkunsu, Dilber Karagözoğlu; Alptekin, Hasan Kerem; İnal, Habibe Serap
Background: The aim of this study was to investigate the immediate effect of chiropractic high velocity low amplitude (HVLA) sacroiliac manipulation on muscle strength and balance in healthy individuals with asymptomatic dysfunction of the sacroiliac joint. Methods: Quadriceps and hamstring muscle strength and balance were measured before and after the application in healthy individuals, using the Biodex Balance System and MicroFet 2 Hand Dynamometer (Biodex Medical Systems, Inc., Shirley, NY, USA). Balance was measured when the patients stood on their feet eyes open, and eyes closed. In total, 60 individuals were included in the study. They were divided into two groups and the experimental group had 40 individuals in total. No application was made to the control group. One-time chiropractic HVLA sacroiliac manipulation was applied to the experimental group. Results: In the control group, the quadriceps muscle strength of the right leg was 58.51 kg in the first measurement and 52.95 kg in the second measurement. The left leg yielded 57.62 kg in the first measurement and 51.06 kg in the second measurement. The Hamstring Muscle Strength of the right leg in the control group was 41.77 kg in the first measurement and 38.28 kg in the second measurement. In the left leg, it was 41.96 kg in the first measurement and 39.36 kg in the second measurement. For balance measurement, there was a significant improvement in balance in the second measurement in both eyes-closed and eyes-open positions. In the experimental group, the Quadriceps Muscle Strength of the right leg was 58.05 kg in the first measurement and 67.43 kg in the second measurement. In the left leg, it was 56.23 kg in the first measurement and 64.97 kg in the second measurement. Hamstring muscle strength increased significantly in both right and left legs after chiropractic HVLA manipulation (P<0.05). In the experimental group, the hamstring muscle strength of the right leg was 34.68 kg in the first measurement and 43.29 kg in the second measurement. In the left leg, it was 35.96 kg in the first measurement and 43.64 kg in the second measurement. Conclusions: There was no significant improvement in balance of both legs in eyes-closed and eyes-open position after chiropractic HVLAmanipulation.
Some bryophytes trigger cytotoxicity of stem cell-like population in 5-fluorouracil resistant colon cancer cells
(Taylor and Francis, 2021) Özerkan, Dilşad; Erol, Ayşe; Altuner, Ergin Murat; Canlı, Kerem; Kuruca, Dürdane Serap
Colorectal cancer is the third most common cancer worldwide. Cancer stem cells are known to play an important role in relapse, and metastases of the disease after chemotherapy. Investigation of new drugs, and their combinations targeting these cells and thus eliminating cancer is one of the most urgent needs of today’s chemotherapy. The aim of the present study was to evaluate the effects of Bryophytes like Abietinella abietina (AA), Homolothecium sericeum (HS), Tortella tortuosa (TT), Syntrichia ruralis (SR), and Bryoerythrophyllum rubrum (BR) species extracted with ethyl alcohol on 5-fluorouracil(5-FU) resistant colorectal cancer cell lines (HCT116 and HT29). After extraction, stock solutions of bryophytes were prepared, and IC50 values were detected in drug-resistant cells obtained with 5-FU application. CD24+, CD44+/CD133+ surface markers and P?glycoprotein (P-gp) mediated efflux were isolated from both 5-FU treated cells and analyzed using the flow cytometry. In all bryophyte-treated groups, the binding Rho123low (low Rho fluorescence) and Rhohigh (high Rho fluorescence) were sorted from 5-FU resistant HCT116, and HT-29 cells. All types of bryophytes were found cytotoxic. Bryophyte extract reduced the percentage of Rholow cells in cultures incubated with 5-FU. In summary, the implementation of these bryophytes might be regarded as an effective approach for treatment of colorectal cancer due to their cytotoxic effect that decreases the recurrence of the disease.
Safety and efficacy of the stem cell transplantation in friedreich's ataxia: a report of three cases
(IJPHY PUBLISHERS, 2021) Azeri, Rıza; Irmak, Duygu Koyuncu; Sun, Eda; Karaöz, Erdal
Background: Friedreich's ataxia is a progressive degenerative disorder caused by deficiency of the frataxin protein. Expanded GAA repeats in intron 1 of the FXN gene lead to its heterochromatinization and transcriptional silencing. Strategies being trialed to treat Friedreich's ataxia include drugs that improve mitochondrial function and reduce oxidative injury. It has been shown that mesenchymal stem cell (MSC)-derived factors can restore cellular homeostasis and function to frataxin deficient cells. Case Summary: Here, we report three FRDA cases treated with four consecutive allogeneic transplantations of umbilical cord-derived MSCs with 30 days interval, upon per patient regulatory approvals for advanced cellular therapy. Outcome Measures: The cases were followed up after the treatment in means of the therapeutic effect of the cellular treatment by attenuating the neurological findings and gene expression parameters. Conclusions: Closely followed promising safety and efficacy outcomes demonstrated that the MSC treatment for FRDA might positively affect the clinical results caused by the defect in this genetic-based disease.
Comparison of physical performance and spirometry values according to fall risk of COPD subjects
(2020) Karadüz, Beyza Nur; Çırak, Yasemin; Çalık-Kütükçü, Ebru; Yılmaz-Yelvar, Gül Deniz; Dürüstkan Elbaşı, Nurgül
[No Abstract Available]
The effects of virtual reality on pulmonary functions, functional level and pain in the early period after open heart surgery
(EUROPEAN RESPIRATORY SOC JOURNALS LTD, 2020) Taşcı, Zübeyr; Buran Çırak, Yasemin; Dürüstkan Elbaşı, Nurgül; Tütüneken, Yunus Emre; Pamukçu, Burcu; Asalıoğlu, Ayşegül
[No Abstract Available]
Efficacy of mirror therapy for improving unimanual motor skills in chronic stroke patients: a case series
(IOS Press BV, 2020) Oktar, Hatice Nur; İnal, Habibe Serap
BACKGROUND: Unimanual activities are suggested as an effective intervention for the moderately or severely affected chronic stroke patients and bimanual activities for mildly affected cases in mirror therapy. OBJECTIVE: To observe the feasibility of unimanual mirror therapy to improve the motor skills of the effected hand in mild chronic stroke patients. METHODS: In this is case series study, n = 20 mildly affected chronic stroke patients were screened for participation in a nursing home setting. They were 45-60 years of stroke included ischemia (n = 3) and aneurysm (n = 1) of anterior cerebral artery, median time:3 years. The gross (Fugl-Meyer Assessment test), fine motor (Box and Block Tests) skills, the tripot pinch grip power (JTech Commander PichTrack) were assessed at baseline and post intervention. The intervention supervised included unimanual activities of the non-affected hands for 30 min, 5 days/week for 6 weeks. RESULTS: N = 4 participants were recruited from a nursing home setting; median age: 45, Gender: 3M; 1W. The causes of stroke included ischemia (n = 3) and aneurysm of anterior cerebral artery (n = 1). The median years of stroke was 3 years. The improvement in the gross motor skills (25%) of affected sides after unimanual training may be considered as feasable. There were also increase in tripot pinch grip power of the non-affected (34%) and affected hands (17%). The improvement in fine motor skills were 19% in affected hands the 10% in non-affected hands. CONCLUSIONS: The unimanual mirror therapy resulted in improvements in gross and fine motor skills and tripod pinch grip power of the affected hands of mild chronic stroke patients. This case series provides further evidence that mirror therapy is effective to improve function in patients with mild chronic stroke.
Cultural adaptation, reliability and validity of the pelvic girdle questionnaire in pregnant
(2019) Yelvar, Gul; Çırak, Yasemin; Demir, Yasemin; Turkyilmaz, Emine
"Objectives: The aims of this study were to translate the Pelvic Girdle Questionnaire (PGQ) to Turkish and to assess its test-retest reliability and validity in pregnant women. Materials and Methods: One hundred and thirty-five pregnant with pelvic girdle pain were recruited in the study. Visual analog scale was used to evaluate pain intensity, PGQ for condition-specific health related quality of life, Nottingham Health Profile for health-related quality of life, Oswestry Disability Index for disability level, The guidelines for cross-cultural adaptation in PGQ was used. Results: A total of 135 pregnant with a mean age of the 30±4.77 years included in the study. Interclass correlation coefficient score for test-retest reliability was 0.972 (95% CI= 0.968-0.977) for PGQ activity subscale, 0.910 (95% CI=0.905-0.915) for PGQ symptom subscale and 0.979 (95% CI= 0.975-0.983) for PGQ total. Conclusion: The study demonstrated that Turkish version of PGQ is a valid and reliable tool for measuring both disability and symptom and good psychometric properties in Turkish speaking pregnants with pelvic girdle pain."
The incidence and interrelationship of concomitant anomalies in congenital scoliosis
(Turkish Neurosurgical Soc, 2019) Sevencan, Ahmet; Misir, Abdulhamit; Üçpunar, Hanifi; Balioğlu, Mehmet Bülent; Gür, Volkan; Akıncı, Şuayip
AIM: To report the incidence and interrelationship of concomitant anomalies in congenital scoliosis (CS) patients. MATERIAL and METHODS: Whole-spine computed tomography and magnetic resonance imaging (MRI) examination, echocardiography, and renal ultrasonography (USG) evaluations of 231 patients with CS were reviewed. Additionally, intraspinal pathologies and structural cardiac and renal anomalies were recorded. RESULTS: The incidence of intraspinal pathology was 53.7%. Echocardiography was performed in 140 of 231 patients, and congenital heart disease was detected in 38 patients. Renal USG was performed in 133 of 231 patients, and a renal disease was detected in 37 patients. In 133 patients, spinal MRI, echocardiography, and renal USG were performed. In 22 of 67 (32.8%) patients with an intraspinal anomaly, an additional cardiac anomaly was detected. In 27 of 67 (40.3%) patients with an intraspinal anomaly, an additional renal anomaly was detected. In 47.3% of patients with a cardiac anomaly, an additional renal anomaly was detected. In 15 of 133 patients (11.2%) intraspinal, cardiac, and renal anomalies were identified. CONCLUSION: Surgeons should evaluate additional anomalies in CS if patients report having a congenital anomaly. Because cardiac and renal anomalies increase intra- and postoperative complication risks, a careful and comprehensive preoperative evaluation is needed.
Validity and reliability of Turkish version of Start back screening tool
(Kare Publ, 2019) Yilmaz Yelvar, Gul Deniz; Dalkilinc, Murat; Çırak, Yasemin; Parlak Demir, Yasemin; Karaduz, Beyza Nur; Kolsuz, Mumine Merve
Objectives: The psychosocial factors that may affect the prognosis of patients with low back pain are generally disregarded. The StarT Back Screening Tool can help clinicians to analyze prognostic indicators and the risk associated with outcome by examining physical and psychosocial factors. The aim of this study was to investigate the psychometric properties of the Turkish version of the StarT Back Screening Tool, including cross-cultural adaptation, internal consistency, test-retest reliability, and construct validity. Methods: In this study, 120 patients with non-specific low back pain were included. The Roland Morris Disability Questionnaire, Oswestry Disability Index, Beck Depression Inventory, Tampa Scale for Kinesiophobia, and the StarT Back Screening Tool were administered. One week after the initial testing, the same examiner repeated the tests. Results: The mean age of the patients who participated in the study was 35.54 +/- 12.45 years. Cronbach's alpha coefficients in the analysis of scale reliability were 0.747 for the overall scale and 0.738 for the psychosocial subscale. The test-retest reliability of StarT Back Screening Tool (intraclass correlation coefficient: 0.90-0.93) was found to be excellent. Pearson correlation coefficients for the correlations between the overall StarT Back Screening Tool and the other measures were very good (r=0.678; p<0.001) for the Roland Morris Disability Questionnaire, good (r=0.473; p<0.001) for the Tampa Scale for Kinesiophobia, good (r=0.541; p<0.001) for the Oswestry Disability Index, and moderate (r=0.336; p<0.001) for the Beck Depression Inventory. Conclusion: The Turkish version of the StarT Screening Tool for non-specific back pain was determined to be valid and reliable. A good assessment of both physical and psychosocial factors in symptomatic patients can help clinicians make a thorough prognosis.
Does vitamin D affect diabetic neuropathic pain and balance?
(Dove Medical Press Ltd, 2020) Sarı, Aylin; Altun, Zeynep Akdoğan; Karaman, Ciğdem Arifoğlu; Kaya, Başak Bilir; Durmuş, Bekir
Purpose: This randomized, placebo-controlled study examined the effect of vitamin D replacement therapy on neuropathic symptoms and balance in patients with diabetic neuropathic pain and low vitamin D levels. Patients and Methods: Among the 258 patients, the results in a total of 57 volunteers (32 in the treatment and 25 in the control arm) meeting the inclusion criteria are reported. Symptoms of neuropathic pain were assessed using Douleur Neuropathique 4 (DN4) questionnaire, and presence of polyneuropathy (PNP) was determined by performing electromyography (EMG). Balance was assessed using Berg balance test (BBT). After undergoing these examinations, the patients in the treatment group were intramuscularly (IM) injected with 300,000 IU vitamin D in a liquid formulation and those in the placebo group were IM injected with physiological saline. The DN4 and BBT were repeated after 12 weeks, and the results were compared. Results: The patients in the treatment group showed a significant decrease in total DN4 scores from baseline to the study endpoint compared with the patients in the placebo group (p=0.008). The patients in the treatment group also showed a significant increase in BBT scores from baseline to the study endpoint compared with the patients in the placebo group (p=0.001). Furthermore, in subgroup analysis, these patients showed a significant decrease in electric shock and burning sensation scores from baseline to the study endpoint compared with the patients in the placebo group (p=0.006, p=0.001, respectively). Conclusion: In patients with diabetic neuropathic pain, vitamin D levels should be measured and vitamin D replacement therapy should be administered as required to resolve neuropathic symptoms and to improve balance.
Comparison of supine and lateral decubitus positions for total hip arthroplasty with the direct lateral approach in overweight and obese patients
(Hindawi Ltd, 2020) Güler, Olcay; Öztürk, Sidar; Özgezmez, Ferit Tufan; Cerci, Mehmet Halis
Background. The purpose of our study is to compare the results of supine and lateral decubitus positions for total hip arthroplasty (THA) with the direct lateral (DL) approach in overweight and obese patients. Methods. Patients who had a THA with the DL approach using the lateral decubitus position (LD group) (n=54) or supine position (S group) (n=45) were retrospectively investigated. Demographic characteristics, age, and body mass indexes were calculated. Blood loss of patients, amount of transfusion, Harris Hip Scores (HHSs) (preop, 6 weeks, 3 months, 6 months, and 12 months), incision size, surgery time, postoperative acetabular cup inclination angle, femoral stem alignment, follow-up period, hospital stay, preoperative-postoperative leg length inequality, and complication rates (infection, wound site problems, and dislocation rates) were compared. Results. Both groups did not differ from each other by means of age, gender, BMI, and affected side (p=0.814, p=0.723, p=0.582, and p=0.833, respectively). The incision length (p<0.001), blood loss (p=0.010), and amount of blood transfused (p=0.002) were significantly higher in the S group than in the LD group. The surgical time was significantly longer in the S group (p<0.001). There were no statistically significant differences between the LD and S groups in terms of pre- and postoperative height, cup inclination, stem alignment, duration of hospital stay, and follow-up period. The change between pre- and postoperative HHS in the LD and S groups was statistically significant. Post hoc binary comparison analysis was conducted to investigate the difference between the groups. The values of HHS were significantly increased from the preoperative period to the final follow-up. Conclusions. The LD and S groups had comparable functional outcomes one year postoperatively. However, the S group was associated with worse intraoperative outcomes than the LD group.
A comparative overview of metatarsal stress fractures in premenopausal and postmenopausal women: our single-centre experience with eighty-one patients
(Springer, 2020) Güler, Olcay; Cerci, Mehmet Halis
Purpose To compare the demographic, clinical, and laboratory features of metatarsal bone stress fractures encountered in premenopausal and postmenopausal women. Methods This retrospective study was carried out in the orthopaedics and traumatology department of our tertiary care centre. Data were collected from the hospital records of a total of 81 women (average age 42.65 +/- 12.97) allocated in premenopausal (n = 36) and postmenopausal (n = 45) groups. These two groups were compared in terms of age, body mass index, side, and level of the metatarsal stress fracture, serum levels of vitamin D, duration of complaint and treatment, and T-scores of femur and vertebra as measured by dual-energy X-ray absorptiometry. Results The average body mass index (BMI) was 27.00 +/- 2.49 kg/m(2)(range 21.8 to 31.2). The right side was involved in 44 cases (54.3%), while the left side was affected in 37 patients. DXA T-scores were significantly high for group 2 for both femur and vertebra (p < 0.001 for both). Two groups did not exhibit any significant differences in terms of BMI, side of the stress fracture, level and location of the fracture, seasonal distribution, smoking habits, comorbidities, serum levels of vitamin D, durations of complaints, and treatment. Conclusion Our results indicated that there was no difference between 2 groups in terms of serum vitamin D levels; however, postmenopausal women had higher T-scores of femur and vertebra. Identification of patients under higher risk for stress fractures and elucidation of the possible role of menopause necessitate further controlled, randomized trials on larger series.

Güncel Gönderiler