Study design: Multi-center, cross-sectional study. Objectives: To investigate the effects of different bladder management methods on the quality of life (QoL) in patients with spinal cord injury (SCI). Setting: Turkey. Methods: Consecutive SCI patients (n ¼ 195, 74.4% males), for whom at least 6 months had elapsed since the injury, were included and evaluated in five groups: normal spontaneous micturition (NSM), micturition with assisted maneuvers (MAM), aseptic intermittent catheterization by patient (IC-P), aseptic IC by an attendant/caregiver (IC-A) and indwelling catheterization. The King's Health Questionnaire was used to evaluate the patients' QoL. Results: The bladder management groups were similar regarding age, time elapsed since injury, education level, marital and occupational status. There was no difference among the groups in general health perception, personal relationships and sleep/energy domain scores. While the NSM group had generally the lowest scores, that is, better QoL, the IC-A group had the highest scores, that is, poorer QoL, in most of the domains. When the patients were grouped according to the frequency of urinary incontinence or American Spinal Injury Association Impairment Scale grades, no difference was found in the domain scores of the groups except the symptom severity domain scores. No significant difference was found between paraplegic and tetraplegic patients in the King's Health Questionnaire domains. Conclusion: The QoL was notably affected in SCI patients in IC-A group and negative effects on emotional status, physical and social activity limitations were observed, as well.

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In the prospective, randomized, controlled multicenter study, 100 patients who were clinically diagnosed with sarcopenia were assigned to either a home-based exercise group or a control group. The home-based training program included exercises with gradually increasing intensity comprising posture, stretching and upper- and lower-extremity muscle-strengthening exercises, balance and coordination exercises, and gait training. Before and 3 months after the exercise program, all the patients were evaluated. The 6-min walking test and Berg Balance Scale scores increased significantly after 3 months in the home-based exercise group compared with the controls. There was also a significant decrease in timed up and go test scores and a significant improvement in quality of life in the exercise group compared with the control group. Our findings indicated that a home-based exercise program can have a positive effect on physical function, balance, and quality of life in patients with sarcopenia.

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ÖzetAmaç: Ilımlı veya orta dereceli karpal tünel sendromunda (KTS) kesikli kısa dalga (KKD) ve kısa dalga (KD) tedavisinin birbirlerine ve plasebo tedaviye üstün olup olmadıklarının araştırılmasıdır. Gereç ve Yöntem: Çalışma klinik ve elektrofizyolojik bulguları ılımlı-orta dereceli KTS ile uyumlu olan 60 el (45 hasta) üzerinde gerçekleştirildi. Olgular KD, KKD ve plasebo olmak üzere üç gruba randomize edildiler. Tüm gruplara 2 hafta süreyle, haftada 5 gün, günde 20 dakika olmak üzere 10 seans tedavi uygulandı. On iki hafta boyunca tüm gruplara tendon ve sinir kaydırma egzersizleri verildi. Tedavi öncesi, sonrası, 1. ve 3. ayda Boston Semptom Şiddet Skalası (BSŞS) ve Boston Fonksiyonel Kapasite Skalası (BFKS), el kavrama ve parmak sıkma gücü ve median sinir ileti çalışmaları, uygulanan tedaviye kör olan bir araştırmacı tarafından gerçekleştirildi. Bulgular: Her üç grupta da, BSŞS ve BFKS skorlarında tedavi öncesi değerlere göre istatistiksel anlamlı düzelme olurken (p<0,05), düzelme oranları açısından gruplar arasında fark saptanmadı (p>0,05). El kavrama gücünde sadece KD grubunda, 1.ve 3.ayda istatistiksel anlamlı artış saptandı (p<0,05). Parmak sıkma gücünde KD grubunda tedavi sonrası, 1.ay ve 3.ayda istatistiksel anlamlı iyileşmeler saptandı (p<0,05). Median sinir duyusal ileti hızlarında sadece KD grubunda istatistiksel anlamlı iyileşme saptanırken (p<0,05), median sinir motor distal latans değerlerinde her üç grupta da istatistiksel anlamlı değişim saptanmadı (p>0,05). Sonuç: Bu çalışmada, karpal tünel sendromunda KD tedavisinin subjektif klinik parametreler üzerinde etkin olduğu, ancak bu etkinliğin plaseboya üstün olmadığı, objektif klinik parametreler olan el kavrama ve parmak sıkma gücünde KKD tedavisine ve plaseboya göre daha üstün olduğu, median sinir duyusal ileti hızlarında düzelmeye yol açtığı sonucuna ulaşılmıştır. Türk Fiz T›p Re hab Derg 2013;59:103-7. Anah tar Ke li me ler: Karpal tünel sendromu, konservatif tedavi, kısa dalga tedavisi, kesikli kısa dalga tedavisi, sinir ve tendon kaydırma egzersizleri Sum maryObjective: The aim of this study was to investigate superiority of short wave (SW) and pulsed short wave (PSW) therapies to each other and to placebo in mild and moderate carpal tunnel syndrome (CTS). Materials and Methods: Sixty hands (45 patients) with mild-to-moderate CTS were randomly assigned to receive SW, PSW or sham therapy. All the treatments were applied 20 minutes once a day, 5 days a week, for 2 weeks. Nerve and tendon gliding exercises were given to all hands for 12 weeks. The patients were evaluated before and after the treatment and at the 1 st and the 3 rd months using the Boston Symptom Severity Scale (BSSS), Boston Functional Status Scale (BFSS), grip strength, pinch strength and median nerve conduction studies by a physician who had been blinded to the treatment. Results: Although statistically significant improvements were obtained in BSSS and BFSS scores in all groups (p<0.05), the differences between the groups were not significant (p>0.05). Grip strength increased s...