İnflamatuar romatizmal hastalıklar kronik multisistemik hastalıklardır ve başlıcaları Romatoid Artrit (RA) ve Ankilozan Spondilit (AS)'tir. Bu hastalıklarda etkin tedaviler bulunmasına karşın, hastalar tamamlayıcı ve alternatif tıp (TAT) yöntemlerine de başvurabilmektedirler. Bu çalışmadaki amacımız RA ve AS hastalarının TAT yöntemlerine başvuru sıklığını, nedenlerini ve bu hastaların fayda görüp görmediklerini saptamaktır. Gereç ve Yöntem: Çalışmaya Fiziksel Tıp ve Rehabilitasyon kliniklerine başvuran RA ve AS tanısı alan 391 hasta dahil edildi. Hastalara 'Romatizmal Hastalığı Bulunan Hastaların TAT Yöntemlerine Başvurma Sıklığı ve Nedenleri' anketi uygulandı.Bulgular: Toplamda 211 RA ve 180 AS hastası çalışmaya alındı. 120 hasta TAT yöntemine başvurmuştu (69 RA, 51 AS). 100 hasta ağrı nedeni ile TAT'a başvururken, başvurma kararında büyük oranda çevre etkiliydi. Hastaların yaklaşık yarısı tanı konmadan önce TAT kullanmışlardı ve Afyonkarahisar şehrinde yaşayan hastalar diğer şehirlere göre daha fazla oranda TAT'a başvurmuşlardı. En sık kullanılan TAT yöntemleri bitkisel yöntemler ve şifalı sular olarak saptandı. Hastaların yaklaşık yarısı kullandığı yöntemden fayda görmezken, 14 hasta zarar gördüğünü bildirdi.Sonuç: Birçok kronik hastalıkta olduğu gibi RA ve AS hastalarında da TAT başvurusu giderek artmaktadır. TAT yöntemine başvurma sıklığı ve TAT yöntemleri halkın kültürüne göre değişiklik gösterebilmektedir. Klinisyenlerin bu hastaların TAT yöntemi kullanabileceğini göz önünde bulundurmaları ve TAT yöntemlerinin olası yan etkileri hakkında bilgi sahibi olmaları gerekmektedir.
Bipartite patella is an accessory bone that can be incidentally observed during radiographic examinations. Hereby we present the efficiency of kinesiotaping treatment to the 32-year-old female patient with a unilateral symptomatic bipartite patella. Her pain worsened with movement. There was sensitivity at the patella upper lateral edge during palpation. She was treated with exercise and kinesiotaping to the left knee every five days for five sessions. The visual analog scale score of the patient decreased.
Abstract
Introduction Scoliosis is one of the major causes of respiratory dysfunction in patients with Duchene muscular dystrophy (DMD). Also, progressive spinal deformity severely affects walking and sitting, and can also lead to pain and difficulty in patient care. Although the relationship between scoliosis and respiratory functions was extensively studied, its impact on pain has not been examined. Hereby, we aimed to evaluate the relationship between scoliosis and respiratory dysfunction and pain, together with the frequency of scoliosis in Turkish DMD patients.
Materials and Methods The demographical data, rate, and region of scoliosis, pain, and respiratory functions were evaluated in 69 male DMD patients. The severity of pain was evaluated with a visual analog scale (VAS) and the degree of scoliosis was assessed with Cobb angle. Forced vital capacity was used to grade the pulmonary functions.
Results Scoliosis was present in 52.2% of the patients, mainly in the dorsolumbar region. Pain was present in 53.6% of the patients, most commonly in the back and lumbar regions. The rate of pulmonary dysfunction was 49.3%. Of the 36 patients with scoliosis, prevalences of pain and respiratory dysfunction were 77.7 and 50.0%, respectively. Scoliosis was significantly associated with pain and respiratory dysfunction, as expected.
Conclusion The prevalence of pain and respiratory dysfunction is considerably high in DMD patients with scoliosis. These patients should be closely monitored for pain and deterioration in respiratory functions, to ease their daily care, increase their quality of life, and preserve the functionality, as long as possible.
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