A RANDOMIZED TRIAL TO STUDY THE COMPARISON OF TRIGGER POINT DRY NEEDLING VERSUS KINESIO TAPING TECHNIQUE IN MYOFASCIAL PAIN SYNDROME DURING A 3-MONTH FOLLOW UP

Background: Managemen of myofascial pain syndrome (MPS) is a current research subject since there is a small number of randomized studies comparing different management techniques. Multiple studies attempted to assess various treatment options including trigger point dry needling and kinesiotaping. We compared the effects of trigger point dry needling and kinesiotaping in the management of myofascial pain syndome during a 3-month follow-up period. Methods: In this prospective randomized studyin MPS patients with upper trapezius muscle trigger points, the effects of dry needling (n=28) and kinesiotaping (n=27) was compared with regard to the visual analog scale (VAS), neck disability index (NDI), and Nottingham health profile (NHP) scores measured at the weeks 0, 4, and 12. Results: Both dry needling and kinesiotaping comparably reduced VAS scores measured at the weeks 4 and 12 and their efficacies were more remarkable at the week 12 (p<0.05). These interventions significantly reduced the NDI and NHP score and their effects were also more remarkable at the week 12; however, dry needling was found more effective (p<0.05). Conclusion: Overall, in current clinical settings, during the management of MPS, pain can be reduced comparably by both dry needling and kinesiotaping; however, restriction in the range of motionin neck region and quality of life are more remarkably reduced by dry needling. Both dry needling and kinesiotaping can provide an increasing effectiveness up to 12 weeks

In Urban Areas of Sivas City the Determination of Bone Mineral Density Reference Values of Healthy Women Who Admitted to Cumhuriyet University Hospital Physical Medicine and Rehabilitation Outpatient Clinic

Objective: Osteoporosis and its results of fractures became a major health problem worldwide. Classification of OP by WHO based on Bone Mineral Density (BMD) measurements, and therefore it’s definite measurement is the major tool for OP diagnosis. There are many ways to measure BMD. The mostly used technique is Dual-Energy-X-Ray Absorptiometry (DXA). Our aim in this study was to determine BMD reference values among healthy women in Sivas by using DXA. Materials and Methods: 350 volunteered women between ages 20-79 who came to Cumhuriyet University Department of Physical Medicine and Rehabilitation took place in this study. A survey form was used to exclude women who have problems that may lead to secondary osteoporosis, who are pregnant, breast feeding, being already treated for osteoporosis, and located outside Sivas county area. Women who met the criteria, are tested for their lumbar vertebrae (L1-L4) and left hip (femur neck, trochanter, total hip) BMD values by DXA method (Hologic QDR 4500 W). Results: Obtained BMD values classified in 6 groups based on decades (from 20-29 to 70-79). Obtained BMD values evaluated statistically and BMD reference values for age groups in Sivas county area are determined. Conclusion: In our study mean BMD values between ages 20-49 are stable for spinal and femoral levels. In our study mean BMD values for lumbar area varies between 1.01 gr/cm2 - 0.96 gr/cm2, for femoral area varies between 0.91 gr/cm2-0.89 gr/cm2 among women who are between 20-49 years old and reaches peak values in both femoral and spinal area between 30-39 age group. As a result we determined BMD reference values of healthy women in Sivas county area in our study. (Turkish Journal of Osteoporosis 2014;20: 104-9

The relationship between ASIC3 gene polymorphism and fibromyalgia syndrome

Fibromyalgia syndrome (FMS) is a chronic pain syndrome characterized by widespread body pain over a long period, the cause of which is not yet clearly known. FMS patients usually have high pain sensitivity. We aimed to investigate whether rs4148855 and rs2288646 polymorphisms of acid-sensing ion channel 3 (ASIC3), one of the factors contributing to pain, cause a predisposition to FMS in the Turkish population

Romatoid Artritli Hastalarda Romatoid Faktör İzotiplerinin Hastalık Prognozuyla İlişkisi

Amaç: Bu çalışmanın amacı RA’li hastalarda hastalık aktivitesi, radyolojik eklem hasarı, fonksiyonel bozukluk veekstraartiküler tutulum ile RF izotipleri ve Siklik Sitrulin Peptit antikoru (anti-CCP) arasındaki ilişkiyi araştırmaktır.Materyal ve Metod: Çalışmaya RA tanılı 45 gönüllü hasta ile diz osteoartrit tanılı 41 gönüllü hasta dahil edildi.Çalışmaya alınan tüm olguların akut faz reaktantları, RF, RF izotipleri (RF-IgA, RF-IgG, RF-IgM) ve anti-CCPdeğerleri çalışıldı. RA’ lı hastalarda hastalık aktivitesi, radyolojik eklem hasarı, fonksiyonel bozukluk ve ekstraartiküler tutulum değerlendirildi.Bulgular: RA’lı hasta grubunda anti-CCP %71,1’lik oranla ve RF %57,8’lik oranla pozitif bulundu. RF-IgM, ensık gözlenen RF izotipi olup, RA’lı hastaların % 66,7’de pozitif bulundu. RA tanısı için RF ve anti-CCP’nin özgüllüğü %98’di ve RF izotiplerinin özgüllüğünden yüksekti. Anti-CCP’nin duyarlılığı %71’lik oranla en yüksekti. RF,RF-IgM RF-IgA ve RF-IgG’nin duyarlılıkları sırayla %58, %67, %42 ve %53’dü. RA’lı hasta grubu hastalıkaktivitesi, fonksiyonel bozukluk, radyolojik eklem hasarı ve ekstraartiküler tutulum varlığına göre gruplandırıldığında otoantikor değerleri açısından gruplar arasında istatistiksel olarak anlamlı bir fark yoktu (P&gt;0.05).Sonuçlar: Anti-CCP ve RF-IgM, RA tanısı için yüksek özgüllüğe sahip olsalar da, otoantikorlar hastalık prognozunu belirlemede etkili bulunmamışlardır. Bu nedenle hastalık tanısı konulduğunda otoantikor pozitifliğinigözönünde bulundurmaksızın tedavinin planlanması gerektiğini düşünmekteyiz. (FTR Bil Der 2011;14: 43-7</p

Is There a Clinically Meaningful Change in the Blood Pressure of Osteoarthritis Patients with Comorbid Hypertension During the Course of Balneotherapy?

Background: Balneotherapy (BT) is a treatment modality that uses the physical and chemical effects of water, including thermomineral, acratothermal, and acratopegal waters. It has many effects on cardiovascular system. Aim: The aim of the study is to investigate the effects of 3-week BT on blood pressure of osteoarthritis (OA) patients with no hypertension (HT), and controlled or uncontrolled HT. Materials and Methods: The OA patients (n = 270) were divided into three groups: No HT, controlled HT, and uncontrolled HT. All the groups received BT in the facilities of our university hospital at the same time every day (10: 00-11: 30 AM) for 10 min per day, 5 days per week, for a total duration of 15 days in a 3-week period. Systolic and diastolic blood pressures and pulse rates were measured before and after BT on daily basis. Results: Overall, (1) the pulse rates of study groups measured after BT were significantly increased compared to before BT; (2) the systolic blood pressures of study groups measured before and after BT were found as comparable; and (3) the diastolic blood pressures of no HT and controlled HT groups measured before and after BT were not statistically significant (P > 0.05); however, in the uncontrolled HT group, the diastolic blood pressure showed a decreasing trend after BT (P < 0.05). Conclusions: In patients with OA, BT can be safely used without resulting in any meaningful changes in systolic and diastolic blood pressures in patients with normal and controlled HT but a decrease in diastolic blood pressure of patients with uncontrolled HT. This may be an advantage in OA patients having HT as comorbid disease

Differentiation of Rheumatoid Arthritis From HCV Infection: Rheumatoid Factor, Anti-Cyclic Citrullinated Peptide or Anti-Mutated Citrullinated Vimentin?

Objective: Differentiation of rheumatoid arthritis (RA) from other diseases with joint involvement such as hepatitis-C virus (HCV) infection represents a diagnostic problem. In addition to the rheumatoid factor (RF), more specific and sensitive autoantibodies are under evaluation in recent years with conflicting results. In this study, we tested the diagnostic value of rheumatoid factor, anti-cyclic citrullinated peptide (anti-CCP) and antimutated citrullinated vimentin (anti-MCV) in distinguishing RA from hepatitis C patients. Materials and Methods: Sera of 34 RA patients and 30 hepatitis C patients were tested for RF, anti-CCP anti-MCV. Disease activity was determined by disease activity score (DAS-28) 28 in RA and by modified Knodell score in hepatitis C patients. Extra-articular involvement in RA and rheumatologic involvement in hepatitis