Background/aim: The aim of this study was to assess the reliability and validity of Turkish version of the Xerostomia Inventory XI in patients with primary Sjögren's Syndrome (pSS). Materials and methods:A cross-sectional survey study design and analysis were used to assess the reliability and validity of the Xerostomia Inventory XI. A total of 69 patients with pSS (5 males, 64 females; mean age=54.81±8.77 years) were included. The Xerostomia Inventory XI (TR) was applied twice at an interval of 15 days. The test-retest reliability was assessed with the intraclass correlation coefficient (ICC), and the internal consistency of multi-item subscales by calculating Cronbach alpha values. The correlations between ESSPRI, basal and stimulated salivary flow (BSF-SSF), Oral Health Impact Profile-14 (OHIP-14) and Oral Health-Related Quality of Life-UK (OHRQoL-UK) Questionnaire were evaluated to determine the construct validity. Results:The ICC value for test/retest reliability of the Xerostomia Inventory XI (TR) was 0.993. The internal consistency was 0.869. There were low to high correlations between Xerostomia Inventory XI (TR) and ESSPRI, BSF, SSF, OHIR-14 total and OHRQoL-UK total. Conclusion:The Turkish version of the Xerostomia Inventory XI was found to be clinically valid and reliable to be used in clinical evaluations and rehabilitation interventions in patients with pSS.
Aim This study aimed to examine the validity and reliability of the Turkish version of the Disabilities of the Arm, Shoulder and Hand Problems (DASH‐TR) questionnaire in rheumatoid arthritis (RA) using the Rasch analysis. Method A total 97 individuals (13 men, 84 women; mean age:51.99 ± 11.12 years, range: 20‐65 years) diagnosed as having RA according to the criteria of the American College of Rheumatology were included. The functional status of the upper extremities was evaluated with the DASH‐TR questionnaire, patient global health with a visual analog scale (VAS), disease activity with Disease Activity Score 28‐C‐reactive protein (DAS28‐CRP), and disability with Health Assessment Questionnaire (HAQ). DASH‐TR was applied to the patients with RA who did not receive any treatment for test‐retest at 1‐week intervals. DASH‐TR results were analyzed using the Rasch analysis. Results In the sample of patients with RA, it was determined that the DASH‐TR scale did not provide a unidimensional structure and the items were collected in two dimensions. The first 20 items and the last nine items were differentiated in the two‐dimensional structure, and the factor load of m21 was low. Person separation index was obtained as 0.948. Internal consistency reliability was quite high. A significant positive correlation was found between the DASH‐TR and VAS, DAS28 and HAQ. There was excellent test‐retest reliability according to the intra‐class correlation coefficient (0.921, 95% CI 0.882‐0.947; P < 0.001). Conclusion The DASH‐TR is a reliable and valid questionnaire and can be used for measurement of functional status of the upper extremities in RA.
BackgroundFibromiyalgia (FM) is a chronic condition characterized by widespread pain, sleep disorders, fatigue and reduced quality of life. Exercise is commonly recommended in the approach of people with FM. Researches support some forms of exercises reduce fibromyalgia symptoms and improve quality of life. Pilates recently has become popular form of exercise which focused core strenghening, posture and coordination of breathing with movement. Studies showed that clinical pilates can be used to provide improvements in patients with FM. However there is no study which compared clinical pilates-based supervised exercises and group exercises on FM patients in literature.ObjectivesThe first aim of the study was to investigate the effects of clinical pilates training, secondly to compare the effects of supervised exercises and group exercises training on disease activity, functional status, anxiety, quality of life and biopsychosocial status in individuals with FM.Methods42 voluntary women diagnosed with FM according to 2010 American College of Rheumatology Criteria in the age range of 35-65, who applied to Pamukkale University Department of Internal Medicine, Department of Rheumatology were included in the study. Individuals were randomly divided into two groups, as there would be supervised exercises (Group I, n=16, mean age 55,93±8,03) and group exercises (Group II, n=26, mean age 47,80±5,87). All participants attended 60-min exercises sessions (10-min warm up, 40-min clinical pilates exercises, 10-min cool down) per day, 2 times a week, for 6 weeks. The training was applied by same physiotherapist who received clinical pilates certificate by an experienced Pilates instructor and physiotherapist. After the demographic characteristics and disease related data of the individuals were recorded; disease activity were assessed with the Fibromyalgia Impact Questionnaire (FIQ), functional status with Health Assessment Questionnaire (HAQ), anxiety with Beck Anxiety Inventory (BAI), quality of life with Short Form 36 (SF-36) scale and biopsychosocial status with the Cognitive Exercise Therapy Approach Scale (BETY). All outcomes were assessed just before and 6 weeks after training. The data were statistically evaluated by the Wilcoxon test and Mann-Whitney Test.ResultsThere were no significant differences in baseline demographics between the Group I and Group II (p>0.05). After 6 weeks, showed for both groups a statistically significant improvement in FIQ,SF-36 (physical and mental component) and BETY also Group II showed a statistically significant improvement in HAQ and BAI (p<0.05). When both group were compared, a significant difference was observed in FIQ (p<0.05) in Group II, whereas no statiscal differences were found in other outcomes (p>0.05)ConclusionThis study showed that clinical pilates training which were applied 6 weeks, resulted in improvement on disease activity, functional status, anxiety, quality of life and biopsychosocial status in individuals with FM. Besides group exercises training provides social inte...
BackgroundPrimary Sjgrens syndrome (PSS), occurs in people with no other rheumatic disease, is a chronic, systemic, autoimmune disease characterized by lymphocytic infiltration of all exocrine glands, especially tears and salivary glands (1,2). Exercise training is commonly recommended in the approach of individuals with rheumatic disease and clinical pilates training have positive effects on endurance, functional mobility and quality of life. Nonetheless there is limited study related exercise training and no study which examined the efficacy of clinical pilates training in individuals with PSS in literature. Therefore, our study is very important.ObjectivesThe aim of the study was to examine the effects of clinical pilates training on trunk and lower extremity endurance, functional mobility, emosyonel status, sleep quality, functional level and quality of life in individuals with PSS.MethodsThe study included 23 voluntary individuals (22 female,1 male; mean age: 50.529.38 years), with PSS who were diagnosed with primary Sjgrens syndrome according to 2016 American College of Rheumatology/European League Against Rheumatism Classification Criteria and according to Chisholm-Mason classification between grade 3 and 4 who applied to Pamukkale University Department of Internal Medicine, Department of Rheumatology. Anterior and lateral bridge was used to determine trunk endurance, 30-Second Chair Stand Test (30s-CST) and The Timed Up and Go (TUG) Test for lower extremity endurance, Lower Extremity Functional Scale (LEFS) for functional mobility, Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) for emotional status, Pittsburgh Sleep Quality Index (PSQI) for sleep quality, Health Assessment Questionnaire (HAQ) for functional level and Short Form 36 (SF-36) for quality of life, right after demographic information and disease related data were recorded. The all assessments were made before and after clinical pilates training. All participants attended 60-min exercises training (5-min warm up, 45-min clinical pilates exercises, 10-min cool down) three times a week for 8 weeks which was progressively challenged and applied by a Physiotherapist with 2 years of experience in this field. Wilcoxon test were used to examine the factors related to functional level.ResultsAfter training in all evaluations a statistically advanced level of significant improvement compared to pre-training values in individuals with PSS (p<0.001).ConclusionMuscular endurance and functional level and the associated with emosyonel status, sleep and quality of life are important for individuals with PSS. Exercise approaches for these parameters are recommended. This study showed that clinical pilates exercise programs have positive effects on trunk and lower extremity endurance, functional mobility, emosyonel status, sleep quality, functional level and quality of life in individuals with PSS.References[1] Ramos-Casals M, Font J. Primary Sjogren’s syndrome: current and emergent aetiopathogenic concepts. Rheumatology (Oxford) 2005; 44:1354-1...
BackgroundFibromyalgia (FM) affects negatively physical and mental health and reduces quality of life. The most common symptom is chronic widespread musculoskeletal pain in FMS.ObjectivesThis study was planned to investigate comorbidities, number of medication and to determine the most painful body region in individuals with FM.MethodsThe study included 166 individuals (161 women, 5 men) who were diagnosed with FM, with a mean age of 47.5610.91 years. Comorbidities, number of medication which were used for FMS or other diseases of participants were recorded also painful body regions were assessed for 28 regions. The categorical variables were expressed in numbers and percentage.ResultsThe results showed that a total of 42.8% (n=71) of individuals in this study had no comorbidities, 11.4% (n=19) of individuals had hypertension and 7.8% (n=13) of individuals had asthma. When the number of medication were examined, a total of 66.3% (n=110) of individuals did not use any medication, 25.8% (n=43) of individuals did use one type of medication with FM-related and 4.2% (n=7) of individuals did use two type of medications with FMSrelated. Painful body regions were reported by 74.1% (n=123) for neck, 66.3% (n=110) right shoulder, 68.7% (n=114) left shoulder,68.1% (n=113) right knee and 68.1% (n=113) left knee.ConclusionIn general, there was no comorbidities with FMS. The study found that individuals with FMS usually did not use medication. Also neck were found the most painful body region in individuals with FMS.References[1] Clauw DJ. Fibromyalgia: An overview. Am J Med 2009; 122(12 Suppl):S3-S13[2] Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, Tugwell P, Campbell SM, Abeles M, Clark P, et al. The Am College of Rheumatol 1990 criteria for the classification of Fibromyalgia: report of the multicenter criteria committee. Arthritis Rheum. 1990; 33:160-72.Disclosure of InterestsNone declared
BackgroundFibromiyalgia (FM), one of the most common rheumatologic disorders, is characterized by widespread pain in the body, sensitivity in the certain anatomical regions, fatigue, sleep disorders and reduced pain threshold, uncommon and extra-articular rheumatism disease (1). It has been reported that impairments in functional capacity and quality of life cause significant limitations in individuals with FM (2).ObjectivesThe aim of this study was to examine the effect of disease and to investigate the factors associated with the disease in individuals with FM.MethodsIn our study, 334 voluntary individuals with FM (324 famele,10 male) who applied to Pamukkale University Department of Internal Medicine, Department of Rheumatology were diagnosed according to 2010 American College of Rheumatology criteria whom participated in the study with the mean age of 47,5510.46 (years). Fibromyalgia Impact Questionnaire (FIQ) was used to determine the effect of disease, Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) for emotional status and Pittsburgh Sleep Quality Index (PSQI) for sleep quality, right after demographic information and disease related data were recorded. Multiple regression analysis were used to examine the factors related to disease activity.ResultsHigh body mass index (B=.121, p=0.023), high tender point score (B=.427, p=0.000), high depression score (B=.350, p=0.00), high anxiety score (B=.258, p=0.000) and poor sleep quality (B=.157, p=0.002) corresponded to the higher FIQ score. However, age (B=-.019, p=0.716), level of education (B=.009, p=0.858) and disease duration (B=.054, p=0.331) did not significantly affect FIQ.ConclusionAs a result of our study the progress of body mass index in individuals with FM, increase in number of tender points, poor sleep quality, depression and anxiety were among the factors affecting the disease. Therefore, these factors must be considered in order to reduce the severity of the disease in individuals with FM.References[1] Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L. The prevalence and characteristic of fibromyalgia in the general population. Arthritis Rheum 1995;38:19-28.[2] Arnold LM, Crofford LJ, Mease PJ, et al. Patient perspectives on the impact of fibromyalgia. Patient Educ Couns 2008a;73:114-20.Disclosure of InterestsNone declaredAbstract AB1356HPR Table 1 Level of exercise, BASDAI, VAS pain, VAS fatigue and BMI presented with mean scores and standard deviation (SD) Before pregnancy N = 59 Mean (SD) 1st trimester N = 58 Mean (SD) 2nd trimester N = 79 Mean (SD) 3rd trimester N = 59 Mean (SD) 6 weeks postpartum N = 63 Mean (SD) 6 months postpartum N = 49 Mean (SD) 12 months postpartum N = 44 Mean (SD) Regular exercisers ≥ 3 times a week 32,2 % 19 % 20,3 % 8,5 % 9,5 % 24,5 % 13,6 % BASDAI3,0 (2,6)3,0 (2,5)2,9 (2,2)5,5 (1,8)2,9 (2,5)3,4 (2,9)3,2 (2,3)VAS pain26,2 (20,5)56,8 (31,8)33,4 (26,8)45,4 (29,2)28,5 (18,3)29,9 (29,2)24,8 (16,8)VAS fatigue38,3 (3,8)36,7 (32,9)50,8 (24,5)57,0 (36,4)42,5 (32,6)33,3 (37,4)29,2 (27,...
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