Psoas abscess is a rare infectious disease with nonspecific clinical presentation that frequently causes a diagnostic difficulty. Its insidious onset and occult characteristics can cause diagnostic delays. It is classified as primary or secondary. Staphylococcus aureus is the most commonly causative pathogen in primary psoas abscess. Secondary psoas abscess usually occurs as a result of underlying diseases. A high index of clinical suspicion, the past and recent history of the patient, and imaging studies can be helpful in diagnosing the disease. The delay of the treatment is related with high morbidity and mortality rates. In this paper, 54-year-old patient with severe hip pain having an abscess in the psoas muscle due to metastatic cervical carcinoma is presented.
Context: More studies are needed to compare the effect of voluntary contraction, electrical stimulation, and electrical stimulation superimposed onto voluntary contraction in improving trained and untrained homolog muscle strength and lower-extremity endurance. Design: Seventy-six healthy young adults (age = 20.41 [3.07] y, 61 females and 15 males) were included in the study. Subjects were randomly divided into 3 groups as voluntary isometric contraction (IC) group, Russian current (RC) group, and superimposed Russian current (SRC) group. Methods: All training regimens were performed under physiotherapist supervision for a total of 18 sessions (3 times per week for 6 wk). In each session, 10 ICs were achieved with voluntary isometric exercise only, RC only, or RC superimposed onto ICs. Main outcome measures were trained and untrained quadriceps strength (maximal voluntary isometric contraction [MVIC]) and lower-extremity endurance (sit-to-stand test). Results: After 6 weeks of training, all outcome measures improved in all groups (P < .05), except the untrained quadriceps MVIC score of RC group (P = .562). The trained quadriceps MVIC score (P < .001, η2 = .478), untrained quadriceps MVIC score (P = .011, η2 = .115), and sit-to-stand test score (P < .001, η2 = .357) differed significantly among the 3 groups; post hoc analysis revealed that the trained quadriceps MVIC score was higher in SRC and RC groups than in the IC group, untrained quadriceps MVIC score was higher in SRC group than in the RC group, and sit-to-stand test score was higher in SRC group than in the RC group and IC group. Conclusions: RC and RC superimposed onto IC are superior to IC in improving quadriceps muscle strength, and RC superimposed onto IC is superior to RC and IC in improving lower-extremity endurance. RC superimposed onto IC and voluntary IC created cross-education effect on untrained quadriceps.
İdiyopatik hipoparatiroidi paratiroid hormonun yetersiz salgılanmasına bağlı olarak ortaya çıkan nadir bir endokrinopatidir. Hipokalsemi, hiperfosfatemi, düşük parathormon seviyeleri ile kendini gösterir. Uzun süre tanı alamayan vakalarda kas-iskelet sistemi ile ilgili olarak yaygın ağrı, postür bozukluğu, vertebra hareketlerinde kısıtlılık ortaya çıkar. Periartiküler, paraspinal, vertebral kalsifikasyonlar nedeniyle spondilartropati benzeri radyolojik değişiklikler meydana gelir. Bu olgu sunumunda, asemptomatik hipokalsemi ve spondilartropati benzeri klinik bulguları olan bir idiyopatik hipoparatiroidi olgusunun tartışılması amaçlandı.Anahtar Sözcükler: Hipoparatiroidi, hipokalsemi, kalsifikasyon, spondiloartropati. Abstract Idiopathic hypoparathyroidism is a rarely seen endocrinopathy characterized by insufficient parathyroid hormone secrection. It is manifested by hypocalcemia
Objective: The objective of this study was to compare the standalone and combined mid-term effects of conventional physiotherapy and lumbar sustained natural apophyseal glides on pain, range of motion, fear avoidance belief, and functional status in patients with non-specific chronic low back pain. Materials and Methods: This randomized clinical study was conducted in a state hospital. Fifty-five patients with non-specific chronic low back pain (mean age: 40.69 ± 6.27 years) were divided into 3 groups. Group I (n = 18) received conventional physiotherapy (electrotherapy and heat application) 5 days a week for 3 weeks, group II (n = 19) received lumbar sustained natural apophyseal glides 3 days a week for 3 weeks. Group III (n = 18) received conventional physiotherapy plus lumbar sustained natural apophyseal glides. Pain (visual analog scale), flexion range of motion (back range of motion II), functional status (Roland–Morris Disability Questionnaire), and fear avoidance belief (Fear Avoidance Belief Questionnaire) were assessed at baseline, third week, and 6-month follow-up. Results: After 3 weeks of intervention, all outcome measures improved in groups II and III. These improvements remained significant until 6-month follow-up ( P < .05), except fear avoidance belief ( P = .06) and flexion range of motion ( P = .764) scores of group III. Flexion range of motion ( P = .001), functional status ( P = .001), and fear avoidance belief ( P = .03) differed significantly between the 3 groups at 6-month follow-up; post-hoc analysis revealed that flexion range of motion ( P < .0001), functional status ( P = .037), and fear avoidance belief ( P = .002) scores were significantly improved in group II compared to group I. Conclusion: Compared with conventional physiotherapy, lumbar sustained natural apophyseal glides improved mid-term range of motion, functional status, and fear avoidance belief, but there was no difference in pain. Conventional physiotherapy added to lumbar sustained natural apophyseal glides provided no additional benefit.
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