Evaluation of pain pressure threshold and widespread pain in chronic low back pain [Kronik bel agri{dotless}si{dotless}nda basi{dotless}nç agri{dotless} eşigi ve yaygi{dotless}n agri{dotless}ni{dotless}n degerlendirilmesi]

Objective: The purpose of this study was to determine differences in pain pressure threshold (PPT) values between patients with chronic low back pain (CLPB) and healthy people and to also evaluate widespread pain sensitivity by testing PPT in different sites of patients with CLBP. Material and Methods: Seventy subjects with CLBP and 62 healthy controls were included in the study. PPT values were evaluated for a total of 34 points, including 18 tender points defined for fibromyalgia syndrome by the American College of Rheumatology, 12 points for testing of sciatic valleix, and 4 lumbar paravertebral points, in both groups. An electronic pressure algometer was used to measure PPT with a stimulation surface area of 1 cm2. Results: A significantly lower mean PPT was determined for all test sites in the patients with CLBP compared with healthy controls (p=0.001). Conclusion: The study showed that patients with CLBP have significantly lower PPT values at every individual site compared with healthy controls. This result suggests that widespread pain should be taken into account in the evaluation of patients with CLBP. © 2014 by Turkish Society of Physical Medicine and Rehabilitation

Relationship between clinical findings and elektrodiagnostic studies in patients with carpal tunnel syndrome [Karpal tünel sendromlu hastalarda klinik bulgularin elektrodiagnostik testler ile i·lişkisi]

Objective: Compression of the median nerve at the wrist is the most frequent entrapment neuropathy observed. The purpose of this study is to investigate the relationship between the symptoms, signs, physical examination findings, functional status and electrodiagnostic findings of patients who were diagnosed as carpal tunnel syndrome (CTS) with electrodiagnostic study. Materials and methods: Seventyone hands of 53 patients (48 female, 5 male) with a mean age of 47±10.06 years were included in this study. Patients were asked about their demographic data. Tinnel's and Phalen's tests, wrist dimensions, hand grip and pinch strength were recorded. Visual analogue scale (VAS) was used to investigate the severity of symptoms of daytime and night, and all the patients filled Duruoz Hand Scale in order to determine their hand functions. Results: There was no statistically significant correlation between the severity of symptoms, wrist dimensions, grip and pinch strength, Duruoz Hand Scale and electrodiagnostic findings (p>0.05). There was a positive correlation between Duruoz Hand Scale and visual analogue scale (daytime) (r=0.310, p=0.009), and a negative correlation was present between grip strength and visual analogue scale (daytime) (r=-0.242, p=0.04). Sensitivity of Tinnel's and Phalen's tests were 57.74% and 60.56%, respectively. Conclusion: While there is no significant relation between the clinical symptoms and signs and electrodiagnostic findings; correlation between VAS(daytime) and DES, hand grip strenght proves that activities of daily living is severely impaired. Although symptoms and signs could not be used for the diagnosis of CTS, we think that they could be usefull for following-up of the patients

Pregnancy associated osteoporosis with vertebral fractures and scoliosis [1] [Une ostéoporose gravidique compliquée de tassements vertébraux et d'une scoliose]

[No abstract available

Pro-inflammatory cytokines and oxidized low-density-lipoprotein in patients with fibromyalgia

Objectives: This study aims to evaluate the differences in serum levels of tumor necrosis factor-alpha (TNF-?), interleukin-1 beta (IL-1ß), (IL-8), and oxidized low-density lipoprotein (Ox-LDL) between female fibromyalgia (FM) patients and healthy females and also to examine a possible relationship between the cytokines/biomarker and the severity of pain and clinical features of FM. Patients and methods: This case-control study included 48 female patients (mean age 26.51±6.98 years; range, 18 to 50 years) who were diagnosed with FM according to the American College of Rheumatology criteria and 43 healthy female subjects (mean age 23.93±4.22 years; range, 18 to 50 years). Serum levels of TNF-?, IL-1ß, IL-8, and Ox-LDL were measured by enzyme-linked immunosorbent assay in both groups. Fibromyalgia Impact Questionnaire, visual analog scale, symptom severity scale, and widespread pain index were carried out and also their relationships with TNF-?, IL-1ß, IL-8, and Ox-LDL levels were evaluated. Results: There was no difference in levels of the serum TNF-?, IL-1ß, IL-8, and Ox-LDL between FM patients and healthy controls (p>0.05). The severity of pain was significantly associated with TNF-? (r=0.338; p=0.021) and IL-8 (r=0.299; p=0.043) levels, and Ox-LDL (r=0.415; p=0.006) level was found to be related to symptom severity of FM. Conclusion: Our results suggest that serum levels of TNF-? and IL-8 may be involved in the occurrence of pain in FM. The level of Ox-LDL may play an important role in the severity of symptoms. Future studies are needed to determine whether and how Ox-LDL plays a role in FM. © 2019 Turkish League Against Rheumatism. All rights reserved.2013-93733444-01This study was supported by Bulent Ecevit University Scientific Research Fund (Project Number: 2013-93733444-01)

Pregnancy-associated osteoporosis with vertebral fractures and scoliosis [1]

[No abstract available

Recurrent uveitis under golimumab treatment in a patient diagnosed with axial spondyloarthritis: Is it a paradoxical effect?

Anti-tumor necrosis factor drugs are highly effective in the treatment of spondyloarthropathies. In recent years, there have been reports of paradoxical effects with the use of these drugs. Herein, we report the first case of axial spondyloarthropathy in whom recurrent attacks of panuveitis paradoxically developed under golimumab treatment in the light of literature data. © Copyright 2019 by Turkish Society of Physical Medicine and Rehabilitation

Effectiveness of the kinesiotaping in the patellofemoral pain syndrome

Objectives: This study aims to evaluate the effect of kinesiotaping implementation on pain and functional status in patellofemoral pain syndrome (PFPS). Patients and methods: Between January 2014 and July 2014, this prospective, single-center, randomized-controlled study included a total of 75 knees from 43 patients (20 males, 23 females; mean age 33.8±7.9 years; range, 20 to 50 years). All patients were divided into three treatment groups: Group 1 (25 knees) were treated with kinesiotaping and exercise, Group 2 (25 knees) were treated with sham taping + and exercise, and Group 3 (25 knees) were treated with exercise alone. The Visual Analog Scale (VAS) was used to assess the pain severity. The Kujala Patellofemoral Scale (KPS) was used to determine the effect of the knee pain on the patients’ daily living activities. All three groups were given the same exercise program during six weeks. Kinesiotaping was applied twice a week, 12 times in total during the treatment period of six weeks. The VAS and KPS assessments for all patients were made at baseline, then at the end of the treatment (week 6) and at week 12 the end of the 12th week. Results: There were no statistically significant differences between the three groups in terms of age, sex, height, weight, and Body Mass Index (p>0.05, for all). A statistically significant improvement was observed in all groups in terms of the mean VAS and KPS scores before the treatment, at week 6, and at week 12 (p<0.001, for all). There was no statistically significant change in the mean changes of the VAS and KPS among the groups at week 6 and 12. Conclusion: Our study results suggest that the addition of the kinesiotaping application to the exercise treatment for PFPS seems to be ineffective on pain control and improved daily life activities. © 2017 by Turkish Society of Physical Medicine and Rehabilitation

Low back pain and lumbar angles in Turkish coal miners

Background: This study was designed to assess the incidence of low back pain among Turkish coal miners and to investigate the relationship between angles of the lumbar spine and low back pain in coal miners. Methods: Fifty underground workers (Group I) and 38 age-matched surface workers (Group II) were included in the study. All the subjects were asked about low back pain in the past 5 years. The severity of low back pain was evaluated with 10 mm visual analog scale (VAS). Modified oswestry low back pain disability questionnaire (MOSW) was used to measure functional disability. Sacral horizontal angle (SHA), lumbosacral angle (LSA), and lumbar lordosis were measured through Cobb method. Results: The prevalance of low back pain was higher in Group I than in Group II (78.0%, 32.4%, respectively, P 0.05). Conclusions: The results of the study showed that low back pain occurred in 78.0% of Turkish coal miners. Although the nature of the occupation may have influenced coal miners' lumbar spinal curvature, lumbar angles are not a determinant for low back pain in this population. Further extensive studies involving ergonomic measurements are needed to validate our results for Turkish coal mining industry. © 2006 Wiley-Liss, Inc