Bu araştırmada Koronavirüs hastalığı-2019 (COVID-19) enfeksiyonu nedeniyle karantina merkezinde kalan hastalarda, serviste ya da yoğun bakımda yatacak kadar ağır hastalık semptomları olmayan, enfekte olduktan sonra başlayan miyalji ve yaş, cinsiyet, kronik hastalık, akciğer tutulumu varlığı ve COVID-19 enfeksiyonunda görülen öksürük, boğaz ağrısı, baş ağrısı, bulantı, ishal, tat/ koku kaybı, burun tıkanıklığı, nefes darlığı, halsizlik gibi diğer COVID-19 ilişkili semptomlarla ilişkili faktörlerin incelenmesi amacıyla retrospektif değerlendirme yapılmıştır.Gereç ve Yöntemler: Karantina merkezinde Haziran-Eylül 2020 tarihleri arasında kalan 487 COVID-19 ile enfekte hastaların, enfekte olduktan sonra başlayan miyaljileri olup olmadığı, yaş, cinsiyet, kronik hastalık durumları (diyabet mellitus, hipertansiyon, kardiyak ve pulmoner hastalıklar ve endokrinolojik hastalıklar), diğer COVID-19 semptomları (öksürük, boğaz ağrısı, baş ağrısı, bulantı, ishal, tat/koku kaybı, burun tıkanıklığı, nefes darlığı, halsizlik) ve radyolojik bulguları retrospektif olarak incelenmiştir. Bulguların yorumlanmasında frekans tabloları ve tanımlayıcı istatistikler kullanılmıştır.Bulgular: COVID-19'la enfekte hastalarda yeni başlayan miyalji görülme oranı %33,3 olup, akciğer tomografisi bulguları %39,6 oranında pozitiftir. Miyaljili hastaların %64'ünde öksürük, boğaz ağrısı, baş ağrısı, bulantı, ishal, tat/koku kaybı, burun tıkanıklığı, nefes darlığı, halsizlik gibi diğer COVID-19 ilişkili semptomlar görülmektedir. Miyalji ile yaş, cinsiyet ve kronik hastalıklar arasında istatistiksel olarak anlamlı bir ilişki yoktur.Sonuç: En fazla miyalji ile birlikte görülen semptomlar öksürük, halsizlik ve boğaz ağrısıdır. Hastanede yatarak takip olmayan hastaların da yakından takibi, diğer semptomlarının sorgulanması ve akciğer bulgularının izlenmesi önemlidir.

Aim: The aim of this study was to investigate the efficacy of a home-based breathing exercise program on dyspnea, quality of life, depression and sleeping disorders in patients with COVID-19 after discharge from the hospital. Methods: The study was completed with a total of 60 participants. The intervention group (n=39) received a homed-based exercise program including controlled breathing techniques and low-intensity upper and lower extremity exercises. The control group (n=21) did not receive any intervention. The patients were evaluated with the Modified Borg Scale (MBS), Nottingham Health Profile (NHP), Insomnia Severity Index (ISI) and Beck Depression Inventory (BDI) before and at the end of the intervention. Results: After treatment, the MBS scores significantly decreased in both the intervention and control groups compared with the baseline values(p

Objective To evaluate foot function and prevalence of tarsal tunnel syndrome in patients diagnosed with fibromyalgia syndrome as compared with healthy individuals. Methods This prospective study included 111 participants, including 63 female patients with fibromyalgia (mean age: 46.17±6.64 years) and 48 female healthy controls (mean age: 46.16±9.38 years) who met the selection criteria. The participants were evaluated for Tinel’s sign and asked about the presence of foot pain and paraesthesia in both groups. In addition, the participants were assessed using the Fibromyalgia Impact Questionnaire and Foot Function Index (FFI) for functionality. Bilateral electrophysiological studies of the tibial, peroneal, sural, medial and lateral plantar nerves were performed. Results Tarsal tunnel syndrome was present in 20 extremities of the patients with fibromyalgia (15.9%) and four extremities of the controls (4.2%)(p=0.005). Paraesthesia was observed in 56 extremities in the fibromyalgia group (44.4%) and 10 extremities in the control group (10.4%)(p<0.001). Tinel’s sign was positive in 69 extremities (54.8%) in the fibromyalgia group and 17 in the control group (17.7%)(p<0.001). The total number of painful feet was 123 (97.6%) in the fibromyalgia group and 22 (22.9%) in the control group (p<0.001). The mean total FFI was 66.26±60.80 for the right foot and 66.28±64.12 for the left foot in the FMS group; in the control group, it was 16.02±31.01 and 16.87±34.14, respectively. Both values exhibited a statistically significant difference between the two groups (p<0.001) Conclusion In patients with fibromyalgia syndrome, paraesthesia and foot pain may be seen more frequently. Therefore, electrophysiological evaluation of the lower extremities may be recommended in these patients.

Lymphedema is defined as the abnormal accumulation of protein-rich fluid in the interstitial space as a result of deterioration in lymphatic system functions. In our case, we describe a patient that developed lymphedema symptoms in his right upper extremity following liver transplantation. After the lymphedema diagnosis, the patient underwent complex decongestive therapy, which included 30 sessions of manual lymphatic drainage (30 minutes a day) and 30 sessions of multilayer bandaging (five days a week). There was an improvement in both the shoulder joint range of motion and circumferences measurements of the hand and arm after treatment.Based on this case, we recommend manual lymph drainage as a preventative in the early period after organ transplants affecting the lymphatic system.