Spondiloartropatiler (SPA) vertebra, periferik eklem ve eklem çevresi dokularýn inflamasyonu ile ... more Spondiloartropatiler (SPA) vertebra, periferik eklem ve eklem çevresi dokularýn inflamasyonu ile karakterize bir hastalýk grubudur. Bu grup hastalýklar benzer klinik görüntü verebilirler. Etyolojilerinin kesin olarak aydýnlatýlmamýþ olmasýna karþýn, genetik yatkýnlýk, enfeksiyon ve çevresel etkenlerin rol oynadýðý düþünülmektedir. Bu makalede, SPA'lerin temel özellikleri ve tedavisindeki yeni geliþmeler kýsaca gözden geçirilmiþtir. Spondiloartropatiler Spondyloarthropathies are characterised by inflammation of vertebrae, peripheral joints and periarticular tissues. Diseases in this group present with similar clinical features. Etiology is unknown but genetical tendency, infectious agents and environmental factors may play a role. In this review main features and new approaches in treatment of spondyloarthropathies are briefly overviewed. Spondyloarthropathies
Eosinophilic fasciitis is an uncommon entity characterized by edema, skin thickening and hyperpig... more Eosinophilic fasciitis is an uncommon entity characterized by edema, skin thickening and hyperpigmentation of extremities. Laboratory findings are variable and may include hypergammaglobulemia, peripheral eosinophilia and elevated acute phase reactants. A full-thickness skin/fascia/muscle biopsy is the gold standart for diagnosis. Since EF is an uncommon disorder and the clinic presentation mimics scleroderma, it takes a long time to make definitive diagnosis. We present a case diagnosed two years after its onset and responded well to the treatment. We also include herein the results of our literature survey regarding delayed diagnosis of Eosinophilic Fasciitis.
Clinical studies have suggested that atherosclerosis is also associated with reduced bone density... more Clinical studies have suggested that atherosclerosis is also associated with reduced bone density. Data propose that lipid oxidation, which plays such a central role in the pathogenesis of atherosclerosis, may also promote osteoporosis, thereby linking lipid ...
Brucellosis can be difficult to diagnose because of the nonspecific and variable clinical picture... more Brucellosis can be difficult to diagnose because of the nonspecific and variable clinical picture. This systemic disease is still an important public health problem in the Mediterranean Basin. These four cases of brucellar spine infection originated from rural areas around Aydƒn, Turkey. The systemic complaints of fever, profuse sweating, malaise, polyarthromyalgia, and weight loss indicated the final diagnosis of brucellosis and presumptive diagnoses were made based on agglutination testing for brucellosis. Computed tomography and magnetic resonance imaging indicated signs of bone infection and soft tissue involvement. Good outcomes were obtained with prolonged treatment with antibrucellar drugs including streptomycin, rifampicin, and tetracycline. Early diagnosis is important and prompt antibrucellar chemotherapy is effective in most cases, but prolonged follow up is necessary in all patients with spinal brucellosis.
The relationship between serum trace element levels and clinical parameters in patients with fibr... more The relationship between serum trace element levels and clinical parameters in patients with fibromyalgia.
Chronic exposure to n-hexane is one of the well known causes of peripheral neuropathy. This type ... more Chronic exposure to n-hexane is one of the well known causes of peripheral neuropathy. This type of neuropathy is commonly seen among individuals employed in shoe and bag factories with inadequate ventilation. We describe three patients with acute and sub-acute neuropathy following n-hexane exposure via inhalation of glue. All of the patients had history of working in the same place. The results of laboratory examinations were in normal ranges except the electroneuromyographic (ENMG) findings which were showing the neuropathy. All patients were hospitalized and rehabilitation programs were carried out. Symptomatic relief was achieved following this treatment, however the pathologic ENMG findings still persisted.
The etiology and pathogenic mechanisms of fibromyalgia (FM) syndrome are unknown. A number of stu... more The etiology and pathogenic mechanisms of fibromyalgia (FM) syndrome are unknown. A number of studies have shown that there is an association between some of the musculoskeletal system diseases and hyperlipidemia. The aims of this study were (1) to compare the serum lipid profile among FM and healthy women and (2) to investigate the relationship between serum lipid levels and FM findings. One hundred sixty-four women (82 women with FM as study group and 82 healthy women as control group) were enrolled in the study. The mean serum total cholesterol and low-density lipoprotein cholesterol (LDL-c) were found significantly higher in the FM group than that in the control group (p<0.05). However, There was no statistically significant difference in the mean serum triglyceride, high-density lipoprotein cholesterol (HDL-c), and very low-density lipoprotein cholesterol (VLDL-c) values between the two groups (p>0.05). In the FM group, we could not find a significant correlation between the serum lipid profile values and the FM parameters (p>0.05).
The etiology and pathogenic mechanisms of fibromyalgia (FM) are unknown. A number of studies have... more The etiology and pathogenic mechanisms of fibromyalgia (FM) are unknown. A number of studies have suggested that there was a link between hypermobility and FM. In this study, we aimed to expose the frequency of hypermobility in FM patients and its relation with clinical findings. For this reason, 236 women (118 FM women as study group and 118 healthy women as control group) were enrolled in the study. Joint hypermobility was evaluated in the participants by using Beighton scoring system. The rate of joint hypermobility among FM patients (Beighton score of at least 4 or more) was found to be higher than the control group (46.6 vs 28.8%). This result was also statistically meaningful (p<0.05). In addition, the mean Beighton score of FM group was observed to be higher than the control (3.68 vs 2.55, p<0.001). Although not reaching statistical difference (p>0.05), more severe clinical findings were observed in FM patients with hypermobility when compared with ones without.
In the treatment of rheumatoid arthritis, specific drugs targeting disease-related proinflammator... more In the treatment of rheumatoid arthritis, specific drugs targeting disease-related proinflammatory cytokines such as tumour necrosis factor-alpha have been observed to show a positive impact on the clinical course of the disease. One of these drugs, etanercept, is a recombinant soluble fusion protein of tumour necrosis factor-alpha type 2 receptor. Although it has many well-established side effects, up to date there has not been any report of angio-oedema in the literature. Hence, we aimed to present clinical findings of a 59-year-old female patient who received etanercept for rheumatoid arthritis and developed angio-oedema during treatment, and to the discuss side effects of the drug within the context of current literature.
Archives of Physical Medicine and Rehabilitation, 2012
Comparison of the efficacy of transcutaneous electrical nerve stimulation, interferential current... more Comparison of the efficacy of transcutaneous electrical nerve stimulation, interferential currents, and shortwave diathermy in knee osteoarthritis: a double-blind, randomized, controlled, multicenter study. Arch Phys Med Rehabil 2012;xx:xxx. Objective: To compare the effectiveness of transcutaneous electrical nerve stimulation (TENS), interferential currents (IFCs), and shortwave diathermy (SWD) against each other and sham intervention with exercise training and education as a multimodal package. Design: A double-blind, randomized, controlled, multicenter trial. Setting: Departments of physical medicine and rehabilitation in 4 centers. Participants: Patients (Nϭ203) with knee osteoarthritis (OA). Interventions: The patients were randomized by the principal center into the following 6 treatment groups: TENS sham, TENS, IFCs sham, IFCs, SWD sham, and SWD. All interventions were applied 5 times a week for 3 weeks. In addition, exercises and an education program were given. The exercises were carried out as part of a home-based training program after 3 weeks' supervised group exercise. Main Outcome Measures: Primary outcome was a visual analog scale (0-100mm) to assess knee pain. Other outcome measures were time to walk a distance of 15m, range of motion, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Nottingham Health Profile, and paracetamol intake (in grams). Results: We found a significant decrease in all assessment parameters (PϽ.05), without a significant difference among the groups except WOMAC stiffness score and range of motion. However, the intake of paracetamol was significantly lower in each treatment group when compared with the sham groups at 3 months (PϽ.05). Also, the patients in the IFCs group used a lower amount of paracetamol at 6 months (PϽ.05) in comparison with the IFCs sham group. Conclusions: Although all groups showed significant improvements, we can suggest that the use of physical therapy agents in knee OA provided additional benefits in improving pain because paracetamol intake was significantly higher in the patients who were treated with 3 sham interventions in addition to exercise and education.
BACKGROUND Müller-Weiss disease (MWD) is a rare pathological entity of unclear etiology that occu... more BACKGROUND Müller-Weiss disease (MWD) is a rare pathological entity of unclear etiology that occurs in middle aged individuals and is characterized by midfoot pain and typical radiographic findings of navicular compression between the talar head and lateral cuneiform. Pes planovarus is a hallmark of advanced disease. The purpose of this study was to characterize the plantar pressure distribution in patients with this diagnosis. METHODS Eight symptomatic feet in six patients with MWD, between the ages of 40 and 60 years, were compared to 18 feet of nine normal individuals. Midfoot scores were recorded according to the American Orthopaedic Foot and Ankle Society scale. Radiographic staging of navicular fragmentation and talar head displacement was done according to the Meary-Tomeno lines. Plantar pressure was measured during walking on a level floor at a natural preferred cadence. All subjects used the same shoe model, and plantar pressure data were collected over four cycles. For each step, the mean pressure and mean normalized pressure impulse were calculated for each of 10 foot zones. The mean of the four steps was computed for comparison between groups. Statistical analysis was performed using a t-test, and the level of significance was set at 0.05. RESULTS All patients with MWD had advanced radiographic characteristics, and their midfoot scores did not exceed 47 points. Plantar pressure measurements demonstrated significantly higher values (p < 0.05) in the midfoot segments of patients with MWD than the control group, while significantly lower values (p < 0.01) were recorded in the toe segments. CONCLUSIONS Müller-Weiss disease is characterized by increased plantar pressures at the midfoot, combined with reduction in toe pressures. This abnormal pressure distribution may be at least partially responsible for patients' pain and discomfort. Considering these foot characteristics in treatment plans may help choose appropriate nonoperative treatment (i.e. insoles, arch support, hard platform shoes), as well as operative alternatives (appropriate fusion procedures).
Purpose: This study aims to investigate the role of additional balneotherapy in fibromyalgia pati... more Purpose: This study aims to investigate the role of additional balneotherapy in fibromyalgia patients receiving conventional physical therapy. Materials and Methods: 107 female patients diagnosed with fibromyalgia for the first time were studied in two groups. Group 1 included those patients receiving Transcutaneous Electrical Nerve Stimulation, physical therapy modalities including superficial hot and therapeutic ultrasound. Group 2 consisted of patients applied balneotherapy in addition to therapeutic modalities given to the first group. All patients went through a 10-session treatment program. Evaluation was based on Fibromyalgia Impact Questionnaire (FIQ), Visual Analogue Scale (VAS), Pittsburgh Sleep Quality Index (PSQI), Quality of Life Short Form-36 (SF-36) before and after the treatment. The total amount of paracetamol tablets consumed was also recorded. Results: In both groups, there was significant improvement in post-treatment pain VAS, FIQ and PSQI scores compared to pri...
Objective: The purpose of this study was to assess the relationship between electrodiagnostic fi ... more Objective: The purpose of this study was to assess the relationship between electrodiagnostic fi ndings and hand functions, clinical severity and examination fi ndings of carpal tunnel syndrome (CTS). In addition, we aimed to determine the diagnostic value of provocative tests such as tinel, phalen and reverse phalen tests in the diagnosis of CTS. Material and Methods: We evaluated 79 wrists of 44 patients who were diagnosed as CTS on the basis of clinical history, physical examination and abnormalities of median nerve sensory and motor conduction velocities and 50 healthy volunteers. Physical evaluation included the tinel, phalen and reverse phalen tests. The clinical severity of CTS was scored in terms of a historic and objective scale and hand function was evaluated through the Boston carpal tunnel questionnaire and Duruoz Hand Index. Results: It was determined that the severity of CTS and the electrophysiological assessment was correlated with the severity of symptoms, pain and hand strength whereas it was not correlated with functional status. Functional status is affected by hand and pinch grip strength. Sensitivities of the tinel, phalen and reverse phalen tests were 62%, 54.4%, and 57% respectively, whereas their specifi cities were 92%, 86%, and 88% respectively in our study group. There was no association between CTS severity and the positivity of provocative tests. Conclusion: Electrophysiological evaluation is quite important for the diagnosis of CTS disease. However, this investigative method cannot be carried out everywhere and patient appointments to evaluate their condition are arranged for later times. In such situations, provocative tests, symptoms and functional status are important for the diagnosis.
... Türk Romatoloji Dergisi NESLİHAN SORAN, ÖZLEM ALTINDAĞ, AHMET DEMİRKOL FİBROMİYALJİ SENDROMUN... more ... Türk Romatoloji Dergisi NESLİHAN SORAN, ÖZLEM ALTINDAĞ, AHMET DEMİRKOL FİBROMİYALJİ SENDROMUNDA DEPRESYON DÜZEYİ VE KLİNİK ... Türk Romatoloji Dergisi BERRİN LEBLEBİCİ, NUR TURHAN, MEHMET ADAM, NURİ ÇETİN, SELDA BAĞIŞ GERİATRİK ...
Spondiloartropatiler (SPA) vertebra, periferik eklem ve eklem çevresi dokularýn inflamasyonu ile ... more Spondiloartropatiler (SPA) vertebra, periferik eklem ve eklem çevresi dokularýn inflamasyonu ile karakterize bir hastalýk grubudur. Bu grup hastalýklar benzer klinik görüntü verebilirler. Etyolojilerinin kesin olarak aydýnlatýlmamýþ olmasýna karþýn, genetik yatkýnlýk, enfeksiyon ve çevresel etkenlerin rol oynadýðý düþünülmektedir. Bu makalede, SPA'lerin temel özellikleri ve tedavisindeki yeni geliþmeler kýsaca gözden geçirilmiþtir. Spondiloartropatiler Spondyloarthropathies are characterised by inflammation of vertebrae, peripheral joints and periarticular tissues. Diseases in this group present with similar clinical features. Etiology is unknown but genetical tendency, infectious agents and environmental factors may play a role. In this review main features and new approaches in treatment of spondyloarthropathies are briefly overviewed. Spondyloarthropathies
Eosinophilic fasciitis is an uncommon entity characterized by edema, skin thickening and hyperpig... more Eosinophilic fasciitis is an uncommon entity characterized by edema, skin thickening and hyperpigmentation of extremities. Laboratory findings are variable and may include hypergammaglobulemia, peripheral eosinophilia and elevated acute phase reactants. A full-thickness skin/fascia/muscle biopsy is the gold standart for diagnosis. Since EF is an uncommon disorder and the clinic presentation mimics scleroderma, it takes a long time to make definitive diagnosis. We present a case diagnosed two years after its onset and responded well to the treatment. We also include herein the results of our literature survey regarding delayed diagnosis of Eosinophilic Fasciitis.
Clinical studies have suggested that atherosclerosis is also associated with reduced bone density... more Clinical studies have suggested that atherosclerosis is also associated with reduced bone density. Data propose that lipid oxidation, which plays such a central role in the pathogenesis of atherosclerosis, may also promote osteoporosis, thereby linking lipid ...
Brucellosis can be difficult to diagnose because of the nonspecific and variable clinical picture... more Brucellosis can be difficult to diagnose because of the nonspecific and variable clinical picture. This systemic disease is still an important public health problem in the Mediterranean Basin. These four cases of brucellar spine infection originated from rural areas around Aydƒn, Turkey. The systemic complaints of fever, profuse sweating, malaise, polyarthromyalgia, and weight loss indicated the final diagnosis of brucellosis and presumptive diagnoses were made based on agglutination testing for brucellosis. Computed tomography and magnetic resonance imaging indicated signs of bone infection and soft tissue involvement. Good outcomes were obtained with prolonged treatment with antibrucellar drugs including streptomycin, rifampicin, and tetracycline. Early diagnosis is important and prompt antibrucellar chemotherapy is effective in most cases, but prolonged follow up is necessary in all patients with spinal brucellosis.
The relationship between serum trace element levels and clinical parameters in patients with fibr... more The relationship between serum trace element levels and clinical parameters in patients with fibromyalgia.
Chronic exposure to n-hexane is one of the well known causes of peripheral neuropathy. This type ... more Chronic exposure to n-hexane is one of the well known causes of peripheral neuropathy. This type of neuropathy is commonly seen among individuals employed in shoe and bag factories with inadequate ventilation. We describe three patients with acute and sub-acute neuropathy following n-hexane exposure via inhalation of glue. All of the patients had history of working in the same place. The results of laboratory examinations were in normal ranges except the electroneuromyographic (ENMG) findings which were showing the neuropathy. All patients were hospitalized and rehabilitation programs were carried out. Symptomatic relief was achieved following this treatment, however the pathologic ENMG findings still persisted.
The etiology and pathogenic mechanisms of fibromyalgia (FM) syndrome are unknown. A number of stu... more The etiology and pathogenic mechanisms of fibromyalgia (FM) syndrome are unknown. A number of studies have shown that there is an association between some of the musculoskeletal system diseases and hyperlipidemia. The aims of this study were (1) to compare the serum lipid profile among FM and healthy women and (2) to investigate the relationship between serum lipid levels and FM findings. One hundred sixty-four women (82 women with FM as study group and 82 healthy women as control group) were enrolled in the study. The mean serum total cholesterol and low-density lipoprotein cholesterol (LDL-c) were found significantly higher in the FM group than that in the control group (p<0.05). However, There was no statistically significant difference in the mean serum triglyceride, high-density lipoprotein cholesterol (HDL-c), and very low-density lipoprotein cholesterol (VLDL-c) values between the two groups (p>0.05). In the FM group, we could not find a significant correlation between the serum lipid profile values and the FM parameters (p>0.05).
The etiology and pathogenic mechanisms of fibromyalgia (FM) are unknown. A number of studies have... more The etiology and pathogenic mechanisms of fibromyalgia (FM) are unknown. A number of studies have suggested that there was a link between hypermobility and FM. In this study, we aimed to expose the frequency of hypermobility in FM patients and its relation with clinical findings. For this reason, 236 women (118 FM women as study group and 118 healthy women as control group) were enrolled in the study. Joint hypermobility was evaluated in the participants by using Beighton scoring system. The rate of joint hypermobility among FM patients (Beighton score of at least 4 or more) was found to be higher than the control group (46.6 vs 28.8%). This result was also statistically meaningful (p<0.05). In addition, the mean Beighton score of FM group was observed to be higher than the control (3.68 vs 2.55, p<0.001). Although not reaching statistical difference (p>0.05), more severe clinical findings were observed in FM patients with hypermobility when compared with ones without.
In the treatment of rheumatoid arthritis, specific drugs targeting disease-related proinflammator... more In the treatment of rheumatoid arthritis, specific drugs targeting disease-related proinflammatory cytokines such as tumour necrosis factor-alpha have been observed to show a positive impact on the clinical course of the disease. One of these drugs, etanercept, is a recombinant soluble fusion protein of tumour necrosis factor-alpha type 2 receptor. Although it has many well-established side effects, up to date there has not been any report of angio-oedema in the literature. Hence, we aimed to present clinical findings of a 59-year-old female patient who received etanercept for rheumatoid arthritis and developed angio-oedema during treatment, and to the discuss side effects of the drug within the context of current literature.
Archives of Physical Medicine and Rehabilitation, 2012
Comparison of the efficacy of transcutaneous electrical nerve stimulation, interferential current... more Comparison of the efficacy of transcutaneous electrical nerve stimulation, interferential currents, and shortwave diathermy in knee osteoarthritis: a double-blind, randomized, controlled, multicenter study. Arch Phys Med Rehabil 2012;xx:xxx. Objective: To compare the effectiveness of transcutaneous electrical nerve stimulation (TENS), interferential currents (IFCs), and shortwave diathermy (SWD) against each other and sham intervention with exercise training and education as a multimodal package. Design: A double-blind, randomized, controlled, multicenter trial. Setting: Departments of physical medicine and rehabilitation in 4 centers. Participants: Patients (Nϭ203) with knee osteoarthritis (OA). Interventions: The patients were randomized by the principal center into the following 6 treatment groups: TENS sham, TENS, IFCs sham, IFCs, SWD sham, and SWD. All interventions were applied 5 times a week for 3 weeks. In addition, exercises and an education program were given. The exercises were carried out as part of a home-based training program after 3 weeks' supervised group exercise. Main Outcome Measures: Primary outcome was a visual analog scale (0-100mm) to assess knee pain. Other outcome measures were time to walk a distance of 15m, range of motion, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Nottingham Health Profile, and paracetamol intake (in grams). Results: We found a significant decrease in all assessment parameters (PϽ.05), without a significant difference among the groups except WOMAC stiffness score and range of motion. However, the intake of paracetamol was significantly lower in each treatment group when compared with the sham groups at 3 months (PϽ.05). Also, the patients in the IFCs group used a lower amount of paracetamol at 6 months (PϽ.05) in comparison with the IFCs sham group. Conclusions: Although all groups showed significant improvements, we can suggest that the use of physical therapy agents in knee OA provided additional benefits in improving pain because paracetamol intake was significantly higher in the patients who were treated with 3 sham interventions in addition to exercise and education.
BACKGROUND Müller-Weiss disease (MWD) is a rare pathological entity of unclear etiology that occu... more BACKGROUND Müller-Weiss disease (MWD) is a rare pathological entity of unclear etiology that occurs in middle aged individuals and is characterized by midfoot pain and typical radiographic findings of navicular compression between the talar head and lateral cuneiform. Pes planovarus is a hallmark of advanced disease. The purpose of this study was to characterize the plantar pressure distribution in patients with this diagnosis. METHODS Eight symptomatic feet in six patients with MWD, between the ages of 40 and 60 years, were compared to 18 feet of nine normal individuals. Midfoot scores were recorded according to the American Orthopaedic Foot and Ankle Society scale. Radiographic staging of navicular fragmentation and talar head displacement was done according to the Meary-Tomeno lines. Plantar pressure was measured during walking on a level floor at a natural preferred cadence. All subjects used the same shoe model, and plantar pressure data were collected over four cycles. For each step, the mean pressure and mean normalized pressure impulse were calculated for each of 10 foot zones. The mean of the four steps was computed for comparison between groups. Statistical analysis was performed using a t-test, and the level of significance was set at 0.05. RESULTS All patients with MWD had advanced radiographic characteristics, and their midfoot scores did not exceed 47 points. Plantar pressure measurements demonstrated significantly higher values (p < 0.05) in the midfoot segments of patients with MWD than the control group, while significantly lower values (p < 0.01) were recorded in the toe segments. CONCLUSIONS Müller-Weiss disease is characterized by increased plantar pressures at the midfoot, combined with reduction in toe pressures. This abnormal pressure distribution may be at least partially responsible for patients' pain and discomfort. Considering these foot characteristics in treatment plans may help choose appropriate nonoperative treatment (i.e. insoles, arch support, hard platform shoes), as well as operative alternatives (appropriate fusion procedures).
Purpose: This study aims to investigate the role of additional balneotherapy in fibromyalgia pati... more Purpose: This study aims to investigate the role of additional balneotherapy in fibromyalgia patients receiving conventional physical therapy. Materials and Methods: 107 female patients diagnosed with fibromyalgia for the first time were studied in two groups. Group 1 included those patients receiving Transcutaneous Electrical Nerve Stimulation, physical therapy modalities including superficial hot and therapeutic ultrasound. Group 2 consisted of patients applied balneotherapy in addition to therapeutic modalities given to the first group. All patients went through a 10-session treatment program. Evaluation was based on Fibromyalgia Impact Questionnaire (FIQ), Visual Analogue Scale (VAS), Pittsburgh Sleep Quality Index (PSQI), Quality of Life Short Form-36 (SF-36) before and after the treatment. The total amount of paracetamol tablets consumed was also recorded. Results: In both groups, there was significant improvement in post-treatment pain VAS, FIQ and PSQI scores compared to pri...
Objective: The purpose of this study was to assess the relationship between electrodiagnostic fi ... more Objective: The purpose of this study was to assess the relationship between electrodiagnostic fi ndings and hand functions, clinical severity and examination fi ndings of carpal tunnel syndrome (CTS). In addition, we aimed to determine the diagnostic value of provocative tests such as tinel, phalen and reverse phalen tests in the diagnosis of CTS. Material and Methods: We evaluated 79 wrists of 44 patients who were diagnosed as CTS on the basis of clinical history, physical examination and abnormalities of median nerve sensory and motor conduction velocities and 50 healthy volunteers. Physical evaluation included the tinel, phalen and reverse phalen tests. The clinical severity of CTS was scored in terms of a historic and objective scale and hand function was evaluated through the Boston carpal tunnel questionnaire and Duruoz Hand Index. Results: It was determined that the severity of CTS and the electrophysiological assessment was correlated with the severity of symptoms, pain and hand strength whereas it was not correlated with functional status. Functional status is affected by hand and pinch grip strength. Sensitivities of the tinel, phalen and reverse phalen tests were 62%, 54.4%, and 57% respectively, whereas their specifi cities were 92%, 86%, and 88% respectively in our study group. There was no association between CTS severity and the positivity of provocative tests. Conclusion: Electrophysiological evaluation is quite important for the diagnosis of CTS disease. However, this investigative method cannot be carried out everywhere and patient appointments to evaluate their condition are arranged for later times. In such situations, provocative tests, symptoms and functional status are important for the diagnosis.
... Türk Romatoloji Dergisi NESLİHAN SORAN, ÖZLEM ALTINDAĞ, AHMET DEMİRKOL FİBROMİYALJİ SENDROMUN... more ... Türk Romatoloji Dergisi NESLİHAN SORAN, ÖZLEM ALTINDAĞ, AHMET DEMİRKOL FİBROMİYALJİ SENDROMUNDA DEPRESYON DÜZEYİ VE KLİNİK ... Türk Romatoloji Dergisi BERRİN LEBLEBİCİ, NUR TURHAN, MEHMET ADAM, NURİ ÇETİN, SELDA BAĞIŞ GERİATRİK ...
Uploads
Papers by Ömer Şendur