Although hemoglobin, folate, 25 (OH) vitamin D 3 , and vitamin B 12 levels have been reported to be associated with the risk of stroke, there are limited data on the relationship between these levels and functional status, disability, pain or balance in those who develop post-stroke hemiplegia. The present study aimed to investigate the relationship between parameters such as functional status, pain, balance, and hemoglobin, folate, 25 (OH) vitamin D 3 , and vitamin B 12 levels in patients with post-stroke hemiplegia. Material and Methods: Thirty-nine patients were included in the study. Brunnstrom recovery stages, Berg Balance Scale, Functional Ambulation Category (FAC), Leeds Assessment of Neuropathic Symptoms and Signs pain scale, Barthel Index scores were determined. In addition, the patients' central pain and hemiplegic shoulder pain were evaluated using numerical rating scales. The hemoglobin, folate, vitamin B 12 , and 25 (OH) vitamin D3 levels of the participants were noted. Results: Hemoglobin levels were significantly higher in functional ambulatory patients (FAC Stage 3-5) than in non-functional ambulatory (FAC Stage 0-2) patients (mean±standard deviation 13.77±2.38, 12.13±1.58, respectively) (p=0.019). In addition, hemoglobin levels were positively correlated with Barthel Index (r=0.496, p=0.002) and Berg Balance Scale (r=0.458, p=0.005). Folate, vitamin B 12 , and 25 (OH) vitamin D 3 levels were not associated with any of the scales. According to the results of the multivariate logistic regression analysis, the increase in the hemoglobin values of the patients increases the probability of being in the functional ambulatory group 1,655 times (p=0.024). Conclusion: In this study, hemoglobin level was found to be associated with disability, ambulation and balance status in patients with post-stroke hemiplegia. For better rehabilitation success, it should be kept in mind to evaluate the hemoglobin levels of the patients.
AIM: Patellofemoral pain syndrome is a knee problem, especially frequent in physically active young individuals. Patellofemoral pain syndrome is a set of symptoms rather than a specific diagnosis. It adversely affects both the quality of life and the functional activities of the patients. The aim of this study was to provide researchers and clinicians with an information concerning modifiable predictive variables for patellofemoral pain syndrome, to aid the development of preventative interventions. MATERIAL AND METHOD:A total of 130 patients with complaints of anterior knee pain and subsequently diagnosed as having patellofemoral pain syndrome and 100 healthy individuals without anterior knee pain were included in the study. All individuals were assessed in terms of shortness in soft tissues, muscle weakness, lower extremity alignment disorders, pain levels and functional levels. RESULTS:The patients with patellofemoral pain syndrome and asymptomatic subjects included in the study were similar in terms of age, gender and body mass index. In the comparison between patients with patellofemoral pain syndrome and asymptomatic subjects, J finding, one-legged hop test positivity, quadriceps atrophy, trendelenburg test positivity, iliotibial band tightness, patellar tilt, patellar hypermobility, patellar edge sensitivity, genu recurvatum, differences in leg length and external tibial torsion findings were significantly higher in patients with PFPS (p<0.05). CONCLUSION:Due to the multifactorial nature of patellofemoral pain syndrome, numerous risk factors may play a role in the development of patellofemoral pain syndrome. While many risk factors have been reported, only some of them may be modifiable. Therefore, we think it makes sense to investigate these modifiable risk factors in patients with patellofemoral pain syndrome and to correct or replace them, if any.
ABS TRACT Objective: Sleep disturbance plays an important role in the etiopathogenesis of fibromyalgia syndrome (FMS). This study aimed to compare the frequency of FMS between those with and without obstructive sleep apnea syndrome (OSAS). In addition, it was aimed to examine the relationship between polysomnography parameters and FMS. Materials and Methods: Twenty participants with OSAS (OSAS group) and 20 participants without OSAS (control group) were included in the study. All participants were evaluated for FMS diagnosis using the American College of Rheumatology FMS criteria. The chronic widespread pain levels of all participants were evaluated by the Numerical Rating Scale (NRS), their depression levels were evaluated by the Beck Depression Inventory (BDI), and their anxiety levels were evaluated by the Beck Anxiety Inventory (BAI). Results: The number of patients diagnosed with FMS, chronic widespread pain NRS levels, BAI scores, and chronic pain durations of the patients in the OSAS group were found to be significantly higher than in the control group. BDI scores of both groups were similar. Among the patients in the OSAS group, no significant difference was detected in terms of polysomnography parameters between patients with FMS and patients without FMS. Conclusion: In this study, the frequency of FMS in patients with OSAS was higher than in those without OSAS. This association should be kept in mind when evaluating patients with FMS and OSAS. In addition, in this study, it was determined that the presence of FMS did not affect the polysomnography parameters of patients with OSAS.
Orthosis is frequently used in individuals with disability due to neurological diseases. Non-compliance with the orthosis is an important problem in these patients. However, studies examining the factors affecting orthotic compliance are limited. The aim of this study is to examine the factors affecting compliance with lower and upper extremity orthoses in individuals with disability due to neurological diseases. Material and Methods: Orthosis compliance of 45 patients who were previously recommended lower and/or upper extremity orthosis and followed up for neurological rehabilitation was questioned. In addition, the relationship of factors such as age, gender, height, weight, duration of disease, diagnosis, clinical stage of the disease, reasons for non-compliance with the device, occupation, education level, residence, what floor their house is on, whether there is an elevator in the building they live in, the number of physiotherapy sessions they receive per year, the duration of home exercise they use, the walking aid they use, the type of orthosis prescribed, the time their orthoses are prescribed, affected extremities, and ambulation status of patients with orthosis compliance were examined. Results: Device-related reasons were found to be significantly more common than other reasons, among the reasons for leaving the device in patients who were offered lower extremity orthosis and did not comply with the device. The rate of use of upper extremity orthosis was found to be negatively related to disease duration and orthosis prescription time, and positively related to age. Conclusion: It has been determined that the most important factors affecting the orthotic compliance of patients using orthoses are device-related reasons. In addition, patients' disease duration, age, and orthosis prescription duration are also associated with orthosis compliance. These results should be considered during prescribing, orthotic manufacture, and patient follow-up.
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