Premenstrual syndrome and fibromyalgia: the frequency of the coexistence and their effects on quality of life

Objective: We aimed to investigate the association between Premenstrual syndrome (PMS) and fibromyalgia syndrome (FMS), to assess common symptoms and quality of life (QOL) of them.Methods: Patients with PMS formed the PMS group and age-matched healthy normal controls were included in the control group. The diagnosis of the FMS and PMS were based on new American College of Rheumatology FMS criteria and DSM-IV PMS criteria. FMS-related symptoms assessed by visual analog scale and number of tender points (TePs) were analyzed. QOL, PMS severity and FMS severity were assessed with SF-36, fibromyalgia impact questionnaire (FIQ) and premenstrual assessment form (PAF), respectively. Patients with PMS were divided into two subgroups according to coexistence of FMS or not.Results: The frequency of FMS in PMS and control group were 20 and 0%, respectively (p=0.002). FMS-related symptoms, number of TePs in the PMS group were higher than those in the control group. The mean mental component summary (MCS) score of SF-36 was low in the PMS group. The mean PAF score in PMS with FMS subgroup was higher than those in without FMS subgroup. The mean physical component summary of SF-36 was low in the PMS patient with FMS. There was correlation between PAF score and FIQ score (r=0.476, p<0.001).Conclusion: FMS was common among the patients with PMS and frequently seen in the PMS patients having severe premenstrual complaints. Mental QOL was distressed in the patients with PMS but while FMS accompanied to PMS, the physical QOL was decreased

The Frequency of Fibromyalgia Syndrome in Patients with Polycystic Ovary Syndrome

Objectives: Polycystic ovary syndrome [PCOS] is one of the most common reproductive abnormalities and is characterized by hyperandrogenemia. We aimed to assess the frequency of fibromyalgia syndrome [FMS] and psychological distress in patients with PCOS. Methods: Forty patients with PCOS and 39 age-matched healthy controls were included in the study as PCOS and healthy normal control [HNC] groups. The diagnosis of FMS was based on the American College of Rheumatology criteria of 1990, and the diagnosis of PCOS was based on the Rotterdam criteria of 2003. All participants completed the questionnaires to gather information including demographic features, FMS-related symptoms, and the psychological status. Patients with PCOS were divided into two subgroups according to coexistence of FMS [PCOS only and PCOS + FMS]. Results: The mean age of PCOS and HNC groups were 23.97 +/- 6.01 and 26.15 +/- 5.45 years, respectively [P > 0.05]. The frequency of FMS in PCOS and HNC groups was 32.5 percent and 7.7 percent, respectively [P < 0.05]. Except constipation and paresthesia, the presence of FMS-related symptoms in the PCOS + FMS subgroup were higher than those of the PCOS only subgroup and HNC group. There were no differences in depression scores between the PCOS only and PCOS + FMS subgroups, but there were differences in anxiety scores. Conclusion: The frequency of FMS was found to be increased in PCOS. Anxiety risk was also found to be increased, particularly in patients with PCOS and concomitant FMS

Evaluation of hand functions in women with polycystic ovary syndrome

Objectives. Polycystic ovary syndrome (PCOS) is characterized by hyperandrogenemia and androgen levels are associated with muscle size and strength; thus we aimed to investigate the hand functions of women with PCOS. Methods. Thirty-seven patients with PCOS and 35 age-matched healthy women were included in the study as PCOS and control groups. Age, body mass index, dominant hand, physical activity level, lean/fat mass ratio, percentage of body fat, Beck Depression Inventory (BDI) score and Duruoz Hand Index (DHI) score were recorded. Hand grip and pinch strengths were tested in the dominant hand using a hand dynamometer and a pinch meter, respectively. Manuel dexterity was tested by the grooved pegboard test. Serum concentrations of total testosterone, estradiol, dehydroepiandrosterone sulfate, follicle-stimulating hormone, luteinizing hormone, thyroid-stimulating hormone and progesterone were measured. Results. Patients with PCOS had high total testosterone levels (p0.001). There were no differences between groups in all of the hand strengths or dexterity. No correlations between hand parameters and hormones were found. DHI and BDI scores were high in the PCOS group (p=0.002 and 0.039, respectively). There was a correlation between DHI and BDI scores. Depressive patients had higher BMI (p=0.021) and body fat percentage (p=0.05) than non-depressive patients in the PCOS group. Conclusion. Hand strength and dexterity did not change in patients with PCOS. Depression risk increased especially in the patients with high BMI and affected hand functional status in PCOS

Ultrasonographic measurement of the contribution of carpal ligament traction device used in the treatment of carpal tunnel syndrome treatment

Amaç: Çalışmanın amacı karpal tünel sendromu (KTS) tedavisinde kullanılan el bileği traksiyonunun sonografik olarak etkinliğini araştırmak, ultrasonografi (US)’nin KTS tanılı olgularda uygulanan tedavilerin öncesinde ve sonrasında takip amacıyla kullanılıp kullanılamayacağını belirlemektir. Gereç ve Yöntem: Çalışmaya daha önce yapılan elektrofizyolojik çalışmalarla idiopatik KTS tanısı almış 28 olgu (45 el) dahil edildi. Tüm olgulara tedavi amacıyla el bileği traksiyonu uygulanması için traksiyon cihazı (CTRACTM marka) kullanıldı. Tüm olgulara tedavi öncesi ve sonrasında iki kez US yapıldı. US incelemeleri 12-MHz lineer proba sahip (Toshiba, Aplio 500, Tokyo, Japan) cihaz kullanı- larak yapıldı. Tüm olgularda karpal tünel giriş ve çıkış düzeyinde kemikler arasında ölçülen mesafe ile medyan sinir kesitsel alanının ölçümleri arasında fark olup olmadığı ba- ğımlı grupların t testi ile değerlendirildi. Bulgular: Çalışmaya dahil edilen 45 el bileğinde, el bileği traksiyon cihaz kullanım öncesi ve sonrası iki US ölçümünde, karpal tünel giriş ve çıkış düzeyinde ölçülen kemik mesafeler arasında istatistiksel olarak anlamlı fark bulunurken (p < 0,001); medyan sinir kesitsel alan ölçümleri arasında istatistiksel olarak anlamlı fark bulunmadı (p > 0,05). Sonuç: Çalışmamız literatürde US ile KTS’de karpal ligaman traksiyonunun etkinliğini değerlendiren ilk çalışmadır. US ile KTS düşünülen olgularda ölçümler kısa sürede, radyasyona maruz kalmadan dinamik olarak gerçekleştirmek mümkündür.Objective: The aim of this study is to figure out the wrist traction effectiveness of ultrasound which is used to treat the carpal tunnel syndrome (CTS), determine whether the ultrasound (US) applied in patients with a diagnosis of CTS can be used for follow up before and after the treatments. Material and Methods: 28 patients (45 hands) which has been diagnosed idiopathic CTS with the electrophysiological studies were included in the study. For treatment wrist traction device for the application of traction (C-TRACTM brand) was used on all patients. All the patients have been carried out with the US two times before and after the treatment.US examinations were performed with a 12-MHz linear probe (Toshiba, Aplio500, Tokyo, Japan) device. In all cases, the measured distance between the bones carpal tunnel at the level of the input and output measurements and the fact whether there is a difference between the median nerve cross-sectional area measurements, were assessed by the groups’t-test. Results: On the 45 wrists included in the study, two US measurements before and after the usage of wrist traction device, the carpal tunnel at the level of the input and output of measured between distances of bone were found statistically significant difference (p<0,001), while there wasn’t found statistically significant difference between the median nerve cross-sectional area measurements (p>0,05). Conclusion: Our study is the first study evaluating the effectiveness of US and CTS carpal ligament traction in the literature. Considered in patients with CTS and US measurements can be carried out in a short time and can be performed in a dynamic way without the exposure to radiation

Ultrasonographic measurement of the contribution of carpal ligament traction device used in the treatment of carpal tunnel syndrome treatment

Amaç: Çalışmanın amacı karpal tünel sendromu (KTS) tedavisinde kullanılan el bileği traksiyonunun sonografik olarak etkinliğini araştırmak, ultrasonografi (US)’nin KTS tanılı olgularda uygulanan tedavilerin öncesinde ve sonrasında takip amacıyla kullanılıp kullanılamayacağını belirlemektir. Gereç ve Yöntem: Çalışmaya daha önce yapılan elektrofizyolojik çalışmalarla idiopatik KTS tanısı almış 28 olgu (45 el) dahil edildi. Tüm olgulara tedavi amacıyla el bileği traksiyonu uygulanması için traksiyon cihazı (CTRACTM marka) kullanıldı. Tüm olgulara tedavi öncesi ve sonrasında iki kez US yapıldı. US incelemeleri 12-MHz lineer proba sahip (Toshiba, Aplio 500, Tokyo, Japan) cihaz kullanı- larak yapıldı. Tüm olgularda karpal tünel giriş ve çıkış düzeyinde kemikler arasında ölçülen mesafe ile medyan sinir kesitsel alanının ölçümleri arasında fark olup olmadığı ba- ğımlı grupların t testi ile değerlendirildi. Bulgular: Çalışmaya dahil edilen 45 el bileğinde, el bileği traksiyon cihaz kullanım öncesi ve sonrası iki US ölçümünde, karpal tünel giriş ve çıkış düzeyinde ölçülen kemik mesafeler arasında istatistiksel olarak anlamlı fark bulunurken (p < 0,001); medyan sinir kesitsel alan ölçümleri arasında istatistiksel olarak anlamlı fark bulunmadı (p > 0,05). Sonuç: Çalışmamız literatürde US ile KTS’de karpal ligaman traksiyonunun etkinliğini değerlendiren ilk çalışmadır. US ile KTS düşünülen olgularda ölçümler kısa sürede, radyasyona maruz kalmadan dinamik olarak gerçekleştirmek mümkündür.Objective: The aim of this study is to figure out the wrist traction effectiveness of ultrasound which is used to treat the carpal tunnel syndrome (CTS), determine whether the ultrasound (US) applied in patients with a diagnosis of CTS can be used for follow up before and after the treatments. Material and Methods: 28 patients (45 hands) which has been diagnosed idiopathic CTS with the electrophysiological studies were included in the study. For treatment wrist traction device for the application of traction (C-TRACTM brand) was used on all patients. All the patients have been carried out with the US two times before and after the treatment.US examinations were performed with a 12-MHz linear probe (Toshiba, Aplio500, Tokyo, Japan) device. In all cases, the measured distance between the bones carpal tunnel at the level of the input and output measurements and the fact whether there is a difference between the median nerve cross-sectional area measurements, were assessed by the groups’t-test. Results: On the 45 wrists included in the study, two US measurements before and after the usage of wrist traction device, the carpal tunnel at the level of the input and output of measured between distances of bone were found statistically significant difference (p<0,001), while there wasn’t found statistically significant difference between the median nerve cross-sectional area measurements (p>0,05). Conclusion: Our study is the first study evaluating the effectiveness of US and CTS carpal ligament traction in the literature. Considered in patients with CTS and US measurements can be carried out in a short time and can be performed in a dynamic way without the exposure to radiation

A rare cause of acute wrist pain: a thrombosed persistent median artery

WOS: 000394500100010The persistent median artery (PMA) is an anatomic variation of the hand vascularity and is usually asymptomatic. The presence and thrombosis of PMA may result in several complications such as carpal tunnel syndrome. Early diagnosis and treatment of acute thrombosis of PMA is important because many complications and the need for surgery can be prevented with early anticoagulant therapy. In this report, we present the imaging findings of a thrombosed PMA causing acute wrist pain in a 36-year-old female case. Early anticoagulant therapy provided complete resolution of the symptoms. She had any evidence of carpal tunnel syndrome or another complication

The Awareness of Physicians and Allied Health Professionals about Cardiopulmonary Rehabilitation: A Cross-Sectional Survey Study

WOS: 000343521300003Objective: Cardiopulmonary (CPR) programs were developed to improve and stabilize the physical, psychological, social, mental, professional, and economic conditions of patients with cardiovascular and pulmonary diseases. Although it is known that CPR reduces mortality and morbidity, it is not widely implemented as it is in Turkey. In this study, we aimed to determine the level of CPR awareness among physicians and allied health professionals. Material and Methods: This was a multi-center, cross-sectional survey study. The study included physicians, nurses, physiotherapists, and other allied health professionals who were informed about the survey and provided written consent to participate. Results: A total of 727 volunteers from 12 different centers were included in the study. Of the participants, 59.5% were physicians, 31.4% were nurses, 5.9% were physiotherapists, and 3.2% were other allied health professionals; 79.3% participants answered the question on if they have had any idea about CPR. Participants indicated that patients should be referred to cardiac pulmonary rehabilitation after a coronary artery bypass (83.8%), chronic obstructive pulmonary disease (83.2%), and cardiac valve surgery (38.9%). Only 40.1% of the survey participants provided information about CPR to patients, while 20.5% did not provide any information about CPR. Conclusion: This survey study determined that in centers where CPR could be implemented, health professionals have knowledge about CPR. If the study were conducted nationwide, the level of awareness might be even lower. Although it is an idea of CPR, the level of knowledge for this issue is not adequate. As the number of the CPR centers will increase, the knowledge of doctors and allied health professionals will advance

Premenstrual syndrome and fibromyalgia: the frequency of the coexistence and their effects on quality of life

Objective: We aimed to investigate the association between Premenstrual syndrome (PMS) and fibromyalgia syndrome (FMS), to assess common symptoms and quality of life (QOL) of them.Methods: Patients with PMS formed the PMS group and age-matched healthy normal controls were included in the control group. The diagnosis of the FMS and PMS were based on new American College of Rheumatology FMS criteria and DSM-IV PMS criteria. FMS-related symptoms assessed by visual analog scale and number of tender points (TePs) were analyzed. QOL, PMS severity and FMS severity were assessed with SF-36, fibromyalgia impact questionnaire (FIQ) and premenstrual assessment form (PAF), respectively. Patients with PMS were divided into two subgroups according to coexistence of FMS or not.Results: The frequency of FMS in PMS and control group were 20 and 0%, respectively (p=0.002). FMS-related symptoms, number of TePs in the PMS group were higher than those in the control group. The mean mental component summary (MCS) score of SF-36 was low in the PMS group. The mean PAF score in PMS with FMS subgroup was higher than those in without FMS subgroup. The mean physical component summary of SF-36 was low in the PMS patient with FMS. There was correlation between PAF score and FIQ score (r=0.476, p<0.001).Conclusion: FMS was common among the patients with PMS and frequently seen in the PMS patients having severe premenstrual complaints. Mental QOL was distressed in the patients with PMS but while FMS accompanied to PMS, the physical QOL was decreased