Turkish Journal of Physical Medicine and Rehabilitation最新文献

{"title":"The relationship of serum adiponectin and leptin levels with pain, function and intervertebral disc degeneration in patients with chronic low back pain.","authors":"Nurcan Duran Taş, Birkan Sonel Tur, Berrin İmge Ergüder, Mustafa Durmaz","doi":"10.5606/tftrd.2024.14272","DOIUrl":"https://doi.org/10.5606/tftrd.2024.14272","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to investigate the relationship between serum adiponectin and leptin levels, which are cytokines released from fatty tissue, and pain, function and intervertebral disc degeneration (IVDD).</p><p><strong>Patients and methods: </strong>Between January 2018 and November 2019, a total of 85 patients (34 males, 51 females; mean age: 42.1±10.7 years; range, 18 to 62 years) who were diagnosed with IVDD and 84 healthy volunteers (34 males, 50 females; mean age: 41.9±10.7 years; range, 22 to 64 years) were included in this cross-sectional study. The Visual Analog Scale (VAS, 0-10 cm) and Oswestry Disability Index (ODI) scales were used in the patient group. Serum adiponectin and leptin levels were measured in all participants. The grading of IVDD was determined using the Pfirrmann Classification.</p><p><strong>Results: </strong>There was no significant difference in serum adiponectin (p=0.35) and leptin (p=0.19) levels between the patient group and the control group. No relationship was found between serum adiponectin and leptin levels and pain intensity (VAS), pain duration, and disability (ODI) in patients with low back pain. No relationship was found between the severity of IVDD as evidenced by magnetic resonance imaging (MRI) and adiponectin (p=0.18) and leptin (p=0.11) levels. There was a positive correlation between the severity of disc degeneration and body mass index (r=0.35, p=0.008) and waist circumference (r=0.34, p=0.01).</p><p><strong>Conclusion: </strong>Serum adipokine levels were not associated with low back pain symptoms and IVDD severity as evidenced by MRI. These findings suggest that the effects of obesity on chronic low back pain and disc degeneration cannot be explained by systemic inflammatory effects alone.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 4","pages":"468-475"},"PeriodicalIF":1.1,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound-guided injections for plantar fasciitis.","authors":"Pelin Analay, Ahmad J Abdulsalam, Murat Kara, Levent Özçakar","doi":"10.5606/tftrd.2024.15430","DOIUrl":"10.5606/tftrd.2024.15430","url":null,"abstract":"","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"71 2","pages":"260-261"},"PeriodicalIF":1.3,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The value of inspiratory muscle training on poststroke sarcopenia and its effect on rehabilitation outcomes: A randomized controlled trial.","authors":"Qianping Zhao, Chenlan Shao, Yongzheng Wang, Weiwei Zhao, Liang Wang, Wei Zhou, Hui Gou, Yuxing Mo, Tingting Chen","doi":"10.5606/tftrd.2024.13942","DOIUrl":"https://doi.org/10.5606/tftrd.2024.13942","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of the study was to validate the effectiveness of inspiratory muscle training (IMT) in preventing poststroke sarcopenia and to examine the impact of IMT on the prognosis for stroke recovery.</p><p><strong>Patients and methods: </strong>In the randomized controlled trial, 367 patients with a first stroke event between December 2021 and May 2023 were randomly allocated to an experimental group and a control group. Of the patients, 329 (179 males, 150 females; mean age: 61.0±8.7 years; range, 35 to 78 years) completed the experiment and were included in the analyses (experimental group, n=164; control group, n=165). Both groups received conventional neurological rehabilitation treatment, and the experimental group also received IMT. The incidence of poststroke sarcopenia and pneumonia during four weeks of treatment were examined and compared. Additionally, an analysis was conducted on the variations between the two groups in maximal inspiratory pressure (MIP), modified Rankin scale (mRS), trunk impact scale (TIS), and modified Barthel index (MBI).</p><p><strong>Results: </strong>Following four weeks of therapy, the experimental group experienced a reduced incidence of poststroke sarcopenia (p=0.004) and pneumonia (p=0.017) than the control group. The trial group performed better than the control group in MBI (p=0.002), TIS (p<0.001), MIP (p<0.001), and mRS (p=0.011) scores after intervention.</p><p><strong>Conclusion: </strong>In conclusion, the findings demonstrate that early IMT can significantly lower the risk of poststroke sarcopenia and pneumonia while also improving the prognosis for stroke patients' recovery.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 4","pages":"476-485"},"PeriodicalIF":1.1,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The comparison of the efficacy of extracorporeal shockwave therapy and high-intensity laser therapy in the treatment of de Quervain tenosynovitis.","authors":"Zeynep Karakuzu Güngör, Erdal Güngör","doi":"10.5606/tftrd.2024.14671","DOIUrl":"https://doi.org/10.5606/tftrd.2024.14671","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to investigate and compare the treatment efficacy of extracorporeal shockwave therapy (ESWT) and high-intensity laser therapy (HILT) regarding pain management and functionality in patients with de Quervain tenosynovitis (DQT).</p><p><strong>Patients and methods: </strong>Between May 2022 and November 2022, a total of 60 patients with DQT (16 males, 34 females; mean age: 43.3±7.7 years; range, 18 to 65 years) were included in this study. The patients were randomly divided into two groups as follows: Group A (ESWT, n=29) and Group B (HILT, n=31). The patients were asked to refrain from all types of exercise 24 h before the experiment. The pain level of the patients at the time of presentation was evaluated via Visual Analog Scale (VAS), and the function outcome was evaluated with Quick Disabilities of Arm, Shoulder and Hand (QDASH) before and after the treatment. Muscle strength was evaluated with a Jamar hand dynamometer, and an algometer was used to measure pressure pain threshold (PPT). The Global Assessment Scale (GAS) was used to measure the treatment success.</p><p><strong>Results: </strong>The intragroup comparisons revealed significant improvements in all parameters after the treatment in both groups (p<0.05). The VAS-rest score, the VAS-movement score, the QDASH score, pain-free grip strength (PFGS), and PPT showed a significant difference before treatment at three weeks and three months (p<0.01). The difference between the PPT values of the groups at three weeks was significant (p<0.01). The third-week PPT value of Group B was higher than the PPT value of Group A. The difference between GAS 1 and GAS 2 of both groups was statistically significant at three weeks and three months (p<0.05).</p><p><strong>Conclusion: </strong>Both ESWT and HILT treatments are safe and effective in DQT treatment. The ESWT is a recent, non-invasive therapeutic modality which is effective, convenient, and safe in DQT. On the other hand, HILT is a non-invasive, reliable method which has a greater effect on DQT.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"71 1","pages":"28-36"},"PeriodicalIF":1.1,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12012914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144011329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The efficacy of interferential current treatment on knee osteoarthritis: A pilot randomized double-blind study comparing the effects of different carrier frequencies.","authors":"Benil Nesli Ata, Berrin Durmaz, Ece Çınar, Funda Atamaz Calis","doi":"10.5606/tftrd.2024.12390","DOIUrl":"https://doi.org/10.5606/tftrd.2024.12390","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the effects of different carrier frequencies of interferential current (IFC) treatment on a Visual Analog Scale (VAS) for pain, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), 10-m walk test, and the amount of paracetamol taken.</p><p><strong>Patients and methods: </strong>The double-blind, randomized controlled study included 61 patients (16 males, 45 females; mean age: 63.7±9.8 years; range, 50 to 80 years) with knee osteoarthritis who were randomized to three treatment groups: 2,000 Hz, 4,000 Hz, and 8,000 Hz. The study was conducted between February 2019 and October 2019. Subjects received IFC treatment for 20 min five times per week for three weeks. All subjects were prescribed a home exercise program. Patients were evaluated at baseline and at three and seven weeks. The primary outcome was VAS to assess knee pain.</p><p><strong>Results: </strong>Treatment with IFC yielded significant results in VAS pain, WOMAC pain, and WOMAC function parameters in all three groups, but no significant difference was shown among the three groups. The WOMAC stiffness parameter was found to benefit from the treatment only in the first group, while the 10-m walk test improved for the first and third groups. The number of paracetamol tablets taken differed significantly neither in nor among the treatment groups.</p><p><strong>Conclusion: </strong>Previous trials have found a significant reduction in knee pain levels and an increase in function with IFC treatment, although there is no consensus on which carrier frequencies and duration to choose for IFC treatment. In this study, we detected significant benefits for all the different carrier frequency groups but were not able to show any to be superior to the others.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 4","pages":"517-524"},"PeriodicalIF":1.1,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sensitivity and specificity assessment of four clinical tests for palmaris longus muscle by ultrasound.","authors":"Zennure Adıgüzel Şahin, Mehmet Üzel, Fatma Güler Kahraman Yıldırım, Mahmut Ercan Tanyeli, Ahmet Ertaş, Deniz Palamar, Tuğçe Özekli Mısırlıoğlu, Kenan Akgün, Ahmet Dirican","doi":"10.5606/tftrd.2024.13746","DOIUrl":"https://doi.org/10.5606/tftrd.2024.13746","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the accuracy of four clinical tests confirmed by ultrasonography (USG) and to evaluate the role of age, sex, handedness, subcutaneous tissue thickness (STT), tendon thickness (TT), and STT/TT in determining the absence of the palmaris longus muscle.</p><p><strong>Patients and methods: </strong>In this descriptive study, 282 wrists of 141 healthy individuals (71 females, 70 males; mean age: 29±9.6 years; range, 21 to 55 years) were included between September 2021 and November 2022. The palmaris longus muscle tendon was identified by Schaeffer's test, Mishra's test I, Thompson's test, and Pushpakumar's test and then evaluated with USG. Before the tests, age, sex, and dominant hand information of the individuals were obtained. The STT and TT were measured with USG.</p><p><strong>Results: </strong>Sensitivity values by side were as follows (right/left respectively): Schaeffer's 92%/73%, Mishra's I 91%/93%, Thompson's 84%/87%, and Pushpakumar's 86%/91%. Specificity values by side were as follows (right/left respectively): Schaeffer's 87%/95%, Mishra's I 78%/82%, Thompson's 78%/79%, and Pushpakumar's 84%/82%. Sensitivity values by sex were as follows (female/male respectively): Schaeffer's 81%/96%, Mishra's I 92%/94%, Thompson's 85%/90%, and Pushpakumar's 91%/92%. Specificity values by sex were as follows (female/male respectively): Schaeffer's 68%/90%, Mishra's I 72%/90%, Thompson's 72%/85%, and Pushpakumar's 78%/85%. The intraclass correlation coefficient between clinical tests and USG was 0.94 for the left side and 0.95 for the right side.</p><p><strong>Conclusion: </strong>Mishra's test I and Pushpakumar's test can be used in females, while Schaeffer's test and Mishra's test I can be used in males as a mutually supportive clinical test. Furthermore, while there may be false negative and false positive test results due to muscle variations, it should be noted that STT/TT is also effective, particularly on the right side.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 4","pages":"525-531"},"PeriodicalIF":1.1,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of extracorporeal shock wave therapy and manual therapy on active trigger points of the sternocleidomastoid muscle in cervicogenic headache: A randomized controlled trial.","authors":"Chunfeng Xia, Yanjun Zhao, Lizhen Lin, Yanni Yu, Jialiang Wang, Jiecheng Fan, Xiangzhen Yuan, Shuyun Zhang","doi":"10.5606/tftrd.2024.13994","DOIUrl":"https://doi.org/10.5606/tftrd.2024.13994","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to investigate the effect of extracorporeal shock wave therapy (ESWT) and manual therapy (MT) on active trigger points of the sternocleidomastoid muscle (SCM) in patients with cervicogenic headache (CEH).</p><p><strong>Patients and methods: </strong>A total of 42 patients were included (27 females, 15 males; mean age: 33.2±7.7 years; range, 18 to 45 years) in the randomized controlled trial between March 2022 and December 2022. The patients were randomly divided into the ESWT group (n=21) and the MT group (n=21). Each group received therapy once a week for four weeks. The primary outcome measure was the Visual Analog Scale (VAS), and secondary outcome measures were pressure pain threshold (PPT), Neck Disability Index (NDI), and stiffness (shear elastic modulus) of the SCM measured at baseline, postintervention, and four weeks after treatment.</p><p><strong>Results: </strong>One patient from the ESWT group was lost to follow-up. The missing data were imputed for intention-to-treat analysis. Significant decreases of VAS, NDI, and shear elastic modulus of SCM were found at postintervention and four weeks after treatment in both groups (p<0.01). The PPT scores markedly increased over time compared to baseline in both groups (p<0.01). The repeated measures of analysis of variance revealed a significant time effect (p<0.001) in each outcome variable for both groups. There were no significant differences between the two groups in VAS, PPT, NDI, and the stiffness of SCM at each time point.</p><p><strong>Conclusion: </strong>Extracorporeal shock wave therapy and MT were equally effective in pain relief, functional recovery, and reduction of muscle stiffness. Extracorporeal shock wave therapy may be used as an alternative treatment method for CEH patients with active myofascial trigger points of the SCM.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"71 1","pages":"56-65"},"PeriodicalIF":1.1,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12012926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inadvertent intradiscal flow during transforaminal epidural steroid injection.","authors":"Merve Sekizkardes Tutuncu, Savas Sencan, Serdar Kokar, Osman Hakan Gunduz","doi":"10.5606/tftrd.2024.14243","DOIUrl":"https://doi.org/10.5606/tftrd.2024.14243","url":null,"abstract":"","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 4","pages":"557-558"},"PeriodicalIF":1.1,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation in a case with cauda equina syndrome after spinal manipulation: A long and difficult process.","authors":"Burak Kamil Turan, Birkan Sonel Tur","doi":"10.5606/tftrd.2024.14930","DOIUrl":"10.5606/tftrd.2024.14930","url":null,"abstract":"<p><p>In this case report, the rehabilitation process of a 38-year-old female patient who developed cauda equina syndrome due to spinal manipulation for the treatment of lumbar disc herniation was presented. The aim was to discuss the outcomes of rehabilitation after cauda equina syndrome, as well as the challenges associated with it. Despite the difficulties experienced during the rehabilitation process, a comprehensive multidisciplinary rehabilitation program is beneficial in terms of gaining independence and returning to daily activities, social life, and work for patients with cauda equina syndrome.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"71 2","pages":"250-254"},"PeriodicalIF":1.3,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can ozone injections be blinded in research?","authors":"Alper Mengi, Erkan Özduran","doi":"10.5606/tftrd.2024.15350","DOIUrl":"https://doi.org/10.5606/tftrd.2024.15350","url":null,"abstract":"","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 4","pages":"559"},"PeriodicalIF":1.1,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}