The effect of high-intensity versus low-level laser therapy in the management of plantar fasciitis: a randomized clinical trial

PubMed ID: 29627888We aimed to compare the efficacy of low-level laser therapy (LLLT) and high-intensity laser therapy (HILT) in the treatment of plantar fasciitis (PF). Seventy patients were randomized into either the LLLT (8 men, 27 women; mean age 48.65 ± 10.81 years) or HILT (7 men, 28 women; mean age 48.73 ± 11.41 years) groups. LLLT (904 nm) and HILT (1064 nm) were performed three times per week, over a period of 3 weeks. Each treatment combined with silicone insole and stretching exercises. Patients’ pain and functional status were evaluated with Visual Analog Scale, Heel Tenderness Index, and Foot and Ankle Outcome Score before and after treatment. A chi-square test was performed to compare demographic and clinical characteristics. Within-group and between-group differences were also investigated. Paired samples t test was used to analyze the differences between baseline and after treatment values, while independent samples t test was used to compare the two groups. Both groups contained similar demographic characteristics including age, sex, and body mass index (all p > 0.05). Three and two patients in the HILT and LLLT group, respectively, were lost to follow-up. At the study onset, there were no statistically significant differences between the two groups in the Visual Analog Scale, Heel Tenderness Index, and Foot And Ankle Outcome Scores. Three weeks later, both groups showed significant improvement in all parameters (p < 0.05). The HILT group demonstrated better improvement in all parameters than the LLLT group. Although both treatments improved the pain levels, function, and quality of life in patients with PF, HILT had a more significant effect than LLLT. © 2018, Springer-Verlag London Ltd., part of Springer Nature

Superb microvascular imaging of the median nerve in carpal tunnel syndrome: An electrodiagnostic and ultrasonographic study

PubMed ID: 29663478Objective—To evaluate intraneural blood flow of the median nerve using superb microvascular imaging (SMI) and power Doppler ultrasonography (PDUS), and to examine their correlation with electroneuromyography in patients with carpal tunnel syndrome (CTS). Methods—A cross-sectional survey was used, and the study was conducted in the research unit of a training and research hospital. Patients diagnosed with CTS according to electroneuromyography studies were included in the study. Ultrasound measurements were taken using an Aplio-500 (Toshiba Medical System Corporation, Tokyo, Japan) device and a linear multifrequency 14-MHz probe. The cross-sectional area of the median nerve at the carpal tunnel level was measured by the direct tracing method using electronic calipers. The power Doppler ultrasonography and superb microvascular imaging scores were recorded by grading the vascularity between 0 and 3. Results—Evaluation was made of a total of 113 hands of 80 patients (18 men, 62 women) with a mean age of 34.67 ± 12.82 years. The mean duration of symptoms was 12.34 ± 6.66 months. When the patients were grouped as mild, moderate, and severe CTS, there was a statistically significant difference between the SMI and PDUS grades (P<.05). As the severity of CTS increased, an increase in SMI and PDUS scores was observed. There was a strong correlation between SMI scores and motor distal latency (r =.71/P =.026), amplitude of sensory action potential (r =2.77/P =.029), and sensory neurotransmission rate (r =.77/P =.029). Conclusion—SMI seems to be more sensitive than PDUS for evaluating the vascularity of the median nerve in patients with CTS, and SMI grading is correlated with the ENMG results. © 2018 by the American Institute of Ultrasound in Medicine

Assessment of the relationship between Vitamin D level and non-specific musculoskeletal system pain: A Multicenter Retrospective Study (Stroke Study Group) [Vitamin D Düzeyi ile Non-spesifik Kas İskelet Sistemi Ağrıları Arasındaki İlişkinin Değerlendirilmesi: Çok Merkezli Retrospektif Bir Çalışma (İnme Çalışma Grubu)]

Objective: In this study, it was aimed to evaluate the relationship between vitamin D level and pain severity, localization and duration in atients with non-specific musculoskeletal pain.Materials and Methods: Patients who applied to physical medicine and rehabilitation outpatient clinics due to non-specific muscle pain in 19centers in Turkey were retrospectively screened. Three thousand four hundred fourpatients were included in the study, whose pain level wasdetermined by visual analog scale (VAS) and the painful region, duration of pain and vitamin D level were reached. D group was found to beD deficient (group 1) when 25 (OH)D level was 20 ng/mL or less and group D 2 (vitamin D deficiency) was higher than 30 ng/mL (group 3).The groups were compared in terms of pain duration, localization and severity. In addition, the correlations of pain localization, severity andduration with vitamin D levels were examined.Results: D vitamin deficiency was detected in 2202 (70.9%) of 3 thousand four hundred and four registered patients, and it was foundthat vitamin D deficiency in 516 (16.6%) and normal vitamin D in 386 (12.4%). The groups were similar in terms of age, body mass index,income level, duration of complaint, education level, family type and working status between groups in terms of VAS, pain localization and duration scores (p>0.05). Conclusion: Our study shows that vitamin D deficiency in patients with nonspecific musculoskeletal pain is not associated with the severity and duration of pain. © Copyright 2017 by the Turkish Osteoporosis Society

ASSESSMENT OF NUTRITIONAL STATUS AND BOWEL HABITS IN OSTEOPOROSIS: A CROSS-SECTIONAL, MULTICENTER STUDY OF TURKISH ELDERLY FEMALE POPULATION

World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO-IOF-ESCEO) -- APR 04-07, 2019 -- Paris, FRANCEWOS: 000475685501040Int Osteoporosis Fdn, ESCEO, Mylan, UCB, IBSA, Medimaps, Lilly, Hologic, Strax Corp, Kyowa Kirin, Galgo Med, EffRx, Amgen, Abiogen Pharma, Medi, Fidia Pharma Grp, TRB Chemedica Sa, AgNovos Healthcare GmbH, Expanscience Labs, Wisepress Com, GE, Pierre Fabre, Roche, Echolight, Thuasne, Theramex, Bindex, Gedeon Richter, Sinklar Conf Management B

Assessment of Nutritional Status and Bowel Habits in Osteoporosis: A Cross-Sectional, Multicenter Study of Turkish Elderly Female Population

World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO-IOF-ESCEO) -- APR 04-07, 2019 -- Paris, FRANCE[No Abstract Available]Int Osteoporosis Fdn, ESCEO, Mylan, UCB, IBSA, Medimaps, Lilly, Hologic, Strax Corp, Kyowa Kirin, Galgo Med, EffRx, Amgen, Abiogen Pharma, Medi, Fidia Pharma Grp, TRB Chemedica Sa, AgNovos Healthcare GmbH, Expanscience Labs, Wisepress Com, GE, Pierre Fabre, Roche, Echolight, Thuasne, Theramex, Bindex, Gedeon Richter, Sinklar Conf Management B

Assessment of nutritional status and bowel habits in osteoporosis: A cross-sectional, multicenter study of turkish elderly female population

*Karakoyun, Ahmet ( Aksaray, Yazar )...Int Osteoporosis Fdn; ESCEO; Mylan; UCB; IBSA; Medimaps; Lilly; Hologic; Strax Corp; Kyowa Kirin; Galgo Med; EffRx; Amgen; Abiogen Pharma; Medi; Fidia Pharma Grp; TRB Chemedica Sa; AgNovos Healthcare GmbH; Expanscience Labs; Wisepress Com; GE; Pierre Fabre; Roche; Echolight; Thuasne; Theramex; Bindex; Gedeon Richter; Sinklar Conf Management B

Study Group)

Objective: In this study, it was aimed to evaluate the relationship between vitamin D level and pain severity, localization and duration in patients with non-specific musculoskeletal pain.Materials and Methods: Patients who applied to physical medicine and rehabilitation outpatient clinics due to non-specific muscle pain in 19 centers in Turkey were retrospectively screened. Three thousand four hundred fourpatients were included in the study, whose pain level was determined by visual analog scale (VAS) and the painful region, duration of pain and vitamin D level were reached. D group was found to be D deficient (group 1) when 25 (OH) D level was 20 ng/mL or less and group D 2 (vitamin D deficiency) was higher than 30 ng/mL (group 3). The groups were compared in terms of pain duration, localization and severity. In addition, the correlations of pain localization, severity and duration with vitamin D levels were examined.Results: D vitamin deficiency was detected in 2202 (70.9%) of 3 thousand four hundred and four registered patients, and it was found that vitamin D deficiency in 516 (16.6%) and normal vitamin D in 386 (12.4%). The groups were similar in terms of age, body mass index, income level, duration of complaint, education level, family type and working status (p>0.05). There was no statistically significant difference between groups in terms of VAS, pain localization and duration scores (p>0.05).Conclusion: Our study shows that vitamin D deficiency in patients with nonspecific musculoskeletal pain is not associated with the severity and duration of pain