The Effect of Yoga Education on Balance and Quality of Life in Postmenopausal Osteoporosis

Osteoporotic vertebra and hip fractures are major cause of dysfunction, disability, mortality and loss of life quality in our growing and ageing population. In the premenopausal period exercises prevent rapid bone loss due to estrogen deficiency and increase muscle strength, mobility and flexibility thereby decreasing risk of falls and fractures. Yoga exercises, which have been an inseperable part of the Eastern culture for hundreds of years, are now being used in the field of osteoporosis rehabilitation.Yoga has a positive effect on balance, posture, flexibility, and life quality by its effects on balance, stretching, relaxation and strengthening. The aim of this study was to evaluate the effect of yoga exercises in postmenopausal osteoporotic women on balance and life quality and to compare the result with a classic osteoporosis exercise program. Twenty-six postmenopausal osteoporotic women over 55 years of age were included in the study. A neuromusculer test battery and the QUALEFFO as life quality index were used for assessment of balance and life quality. The results showed that yoga education has a positive effect on pain, physical functions, social functions, general health perception and balance. As a conclucion yoga appers to be an alternative modality for the rehabilitation of osteoporotic subjects

Case of Transient Osteoporosis of the Hip in Pregnancy

Transient osteoporosis of the hip is an uncommon disease, the cause is not known. It is usually seen in women in the third trimester of pregnancy and in middle-aged men. Patients present with acute, severe hip pain which generally resulting in gait disorder. Prognosis of transient osteoporosis of the hip is good. Within few months of appropriate conservative aproach and bed rest patient’s complains can be fully recovered. In this article; we present the clinical features, diagnosis and treatment options of patients presented to our clinic with severe bilateral hip pain during the third trimester of pregnancy diagnosed as transient osteoporosis accompanied by literature review

Correlation of Vitamin D and Bone Mineral Density in Postmenopausal Women in 3 Different Regions of Turkey - Original Investigation

Aim: To find the correlation with regard to various age groups between bone mineral density (BMD) measured in spine and hip areas and Vitamin D level in 3 different cities. Material and Methods: The 3 cities (Marmara, Egean, South Turkey) were located in different geographical regions. BMD was measured with DXA in spine (L1-4) and hip (femur neck and femur total) areas by Hologic QDR4500. Serum Vitamin D and calcium levels were measured. Women over age 40 in these different cities were divided into 3 groups according to their age group. Results: A total of 558 woman were included in the study. Vitamin D levels in the 3 cities were found to be significantly different from each other (p<0.05). In Istanbul in both group 1 (40-49 years) and 2 (50-59 years) a weakly significant correlation was found between Vitamin D level and L1-4 T-score (r= -0.50, p<0.01) as well as serum calcium level and L1-4 T-score (r= -0.45, p<0.01) (r= -0.46, p<0.01). The significance for the correlation of femoral neck T-score and Vitamin D and calcium levels was weak (r= -0.26, p<0.05 and r=-0.30, p<0.05, respectively). No significant correlation between Vitamin D or calcium levels and T-scores at spinal or femoral neck and total hip T-scores existed for group 3 in Istanbul or any group in Izmir and Osmaniye. Vitamin D levels in Izmir was significantly higher than in Istanbul and Osmaniye. It can be concluded that in Istanbul in 3 groups there was a weakly significant correlation between Vitamin D level and L1-4 T-score (r= -0.44, p<0.001). Conclusion: In this study the most important result was correlation between BMD and low vitamin D levels. We concluded that correlation between BMD and vitamin D levels should be investigated in larger populations. (From the World of Osteoporosis 2010;16:49-52

Alt ekstremite lenfödem hastalarında kinezyofobi, fiziksel performans ve denge arasındaki ilişki

Purpose: Lymphedema is an important situation that causes physical and psychological lifethreatening problems. This study researches kinesiophobia in lower extremity patients and scrutinizes the relationship between kinesiophobia, physical performance and balance. Methods: This cross-sectional controlled study included 40 individuals diagnosed with lower extremity lymphedema with a mean age of 42.58±10.30 years and 31 healthy individuals with a mean age of 40.65 ± 9.53 years. The evaluation of patients with unilateral lymphedema without cognitive and visual problems and those without orthopedic and neurological disorders that would prevent walking and those without heart disease and hypertension was carried out between November 2018 and March 2019. Static balance was evaluated with standing on One leg Balance Test, fear of movement was evaluated with Tampa Scale Kinesiophobia and functional levels were evaluated with Timed Up and Go test. Results. Static balance and physical performance of lower extremity lymphedema patients were different from healthy individuals (p<0.05). Static balance and physical performance were lower in these patients than in healthy individuals. Patients with lower extremity lymphedema had a severe fear of movement (37 and above). There was a significant moderate correlation between kinesiophobia and balance (r= -0.536 p= 0.001), kinesiophobia and physical performance (r= 0.522 p= 0.001) in lower extremity lymphedema patients. And this correlation was more in healthy individuals. Conclusions: High fear of movement and decreased physical performance and balance were found in patients with lower extremity lymphedema. Early diagnosis and treatment of complications due to lymphedema is important for the clinical results of this patient group.Amaç: Lenfödem, fiziksel ve psikolojik yaşamı tehdit eden sorunlara neden olan önemli bir durumdur. Bu çalışma, alt ekstremite hastalarında kinezyofobiyi araştırmakta ve kinezyofobi, fiziksel performans ve denge arasındaki ilişkiyi incelemektedir. Yöntem: Bu kesitsel kontrollü çalışmaya, yaş ortalaması 42,58±10,30 yıl olan alt ekstremite lenfödem tanısı konan 40 kişi ve yaş ortalaması 40,65 ± 9,53 yıl olan 31 sağlıklı birey dahil edildi. Tek taraflı lenfödemi bulunan ve bilişsel ve görsel sorunu olmayan, yürümeyi engelleyecek ortopedik ve nörolojik bozukluğu olmayan, kalp hastalığı ve hipertansiyonu olmayan hastaların değerlendirilmesi Kasım 2018-Mart 2019 tarihleri arasında yapıldı. Statik denge tek ayak üzerinde durma testi ile hareket korkusu Tampa Kinezyofobi Ölçeği ile, fonksiyonel düzeyleri ise Zamanlı Kalk Yürü Testi ile değerlendirildi. Sonuçlar: Alt ekstremite lenfödem hastalarının statik dengesi ve fiziksel performansı sağlıklı bireylerden farklıydı (p<0,05). Bu hastalarda statik denge ve fiziksel performans sağlıklı bireylere göre daha düşüktü. Alt ekstremite lenfödemli hastalarda şiddetli hareket korkusu vardı (37 ve üzeri). Alt ekstremite lenfödem hastalarında kinezyofobi ile denge (r= -0,536 p= 0,001), kinezyofobi ve fiziksel performans (r= 0,522 p= 0,001) arasında orta düzeyde anlamlı bir ilişki vardı. Bu korelasyon sağlıklı bireylerde daha fazlaydı. Tartışma: Alt ekstremite lenfödemli hastalarda yüksek hareket korkusu, fiziksel performans ve dengede azalma bulundu. Lenfödeme bağlı komplikasyonların erken teşhisi ve tedavisi bu hasta grubunun klinik sonuçları açısından önemlidir.No sponso

Correlation of Spinal Deformity Index and Bone Mineral Density in Postmenopausal Osteoporotic Women

Lumbar spine is the most frequently effected skeletal site by bone loss due to menopause in women. Therefore increased dorsal kyphosis and spinal deformity are the most common problems in postmenopausal women with spinal osteoporosis. The aim of this study was to evaluate the relationship between spinal deformity index (SDI) and bone mineral density in postmenopausal women with spinal osteoporosis.Fifty women aged 51-80 years were examined in the study. In all cases age, weight, height, body mass index, menopause duration and menopause age were examined. The mean age was 64.60+/-8.01. The spinal deformity index (SDI) was evaluated according to the Genant Method, 24 patients (48%) had mild deformation (Grade 1), 26 patients had moderate deformation (Grade 2). The mean age of cases in Grade 2 was significantly higher than Grade 1 (p<0.05). Both mean age and menopause duration were significantly higher in Grade 2 than Grade 1 SDI (p<0.05). There was no correlation between SDI degrees and height, weight, body mass index (BMI) and menopause age. There was no correlation between Grade 1 and 2 SDI and L1-4 BMD, trochanter BMD, total hip BMD. In patients with Grade 1 SDI, neck BMD was signficantly higher than Grade 2 SDI patients. In our study, spinal deformity index calculated with Genant Method was positively correlated with age and duration of menopause. In our cases, vertebral deformities were mild or moderate

The Characteristics of Male Patients Diagnosed with Osteoporosis - Original Investigation

Aims: Evaluating the characteristics of male osteoporosis cases followed up in outpatient clinic. Material and Methods: The age, education status, alcohol, cigarette and coffee consumption, and nutritive habits of the male cases followed up in outpatient clinic between 2004-2005 were evaluated. Usage of toxic drugs and low energy fracture presence in the patient and his family were recorded. Sexual function was evaluated. Total blood count, comprehensive biochemical analyses, and bone mineral density (BMD) measurement (DXA Hologic) were applied. Results: The mean age of the 55 study subjects was 61.7 ± 14.69 (age range: 22-85). 49.09% of the cases graduated from university, 29.09% high school, and 21.81% primary school. 78.2% of the cases were not using alcohol at all, 5.5% of them drinks alcohol one glass a day, and 3.6% of them have a few glasses a week. The nonsmokers were 89%, the ones that smokes up to 5 cigarettes a day were 7.3%, and the ones who smokes more than 5 cigarettes a day were 3.7%. The percentage of cases that drinks more than 3 cups of coffee a day were 3.6%, the people who receive calcium-rich food were 69.1%, and the regularly exercising people were 49%. 40% of the cases manifested sexual dysfunction. Secondary diseases were determined in 67.3% of cases and 29.1% of them had a history of toxic drug usage. The percentages of having fracture history in patients and their families were, respectively, 16.4% and 10.9%. Mean total hip densitometry value T-score was -2.19 ± 0.89, and Lumbar 1-4 T-score was -2.63 ± 0.80. Conclusion: We can affirm about osteoporosis that it should be considered in men at advanced ages, secondary diseases and sexual hormones play significant roles as etiologic causes, and it effects especially lumbar region. (Osteoporoz Dünyasından 2006;12:84-6

Assessment of musculoskeletal pain, fatigue and grip strength in hospitalized patients with COVID-19

BACKGROUND: Although there are some retrospective studies to present musculoskeletal findings of the COVID-19, still the muscle strength and fatigue has not been studied in detail