Wos İndeksli Yayınlar Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/11727/4807
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Item The Effect of Patellar Height by Using Insall Salvati Index on Pain, Function, Muscle Strength and Postural Stability in Patients with Primary Knee Osteoarthritis(2021) Analan, Pinar Doruk; Ozdemir, Hulya; 0000-0002-3528-3712; 0000-0002-7138-246X; 32811402; AAA-8043-2021; AAK-9104-2021Purpose: The Insall-Salvati Index (ISI) is the ratio of the patellar tendon length to the length of the patella. This ratio is the most commonly used method for evaluating patellar placement and patellofemoral imbalance. The position of the patella is important for the knee joint function and also for biomechanics. The abnormal position of the patella may lead to patellofemoral malalignment and instability. Herein, we aimed to analyze the relationship between the ISI and pain, physical function, muscle strength, fall risk, and postural stability in patients with primary knee osteoarthritis (OA). Methods: Sixty-two symptomatic knees of 45 patients (aged between 40 -75 years) who were suffering from the primary knee OA according to the American College of Rheumatology criteria were included retrospectively in the study. Patients with stages II and III osteoarthritis according to the Kellgren-Lawrence (K/L) radiological grading system were included. The ISI was measured on the lateral knee radiograph in a 30 degrees flexed posture. Visual Analogue scale (VAS), Western Ontario and McMaster Universities Osteoarthritis (WOMAC) and Lequesne indexes were recorded for evaluating pain and function. Tetrax Interactive Balance System was used to assess fall risk and postural stability. Isokinetic muscle strength measurements of quadriceps and hamstrings were recorded at the constant angular velocities of 60 and 180 degrees/sec. Results: The mean age of the study population was 58.52 +/- 8.01 years. The frequency of the patellar situation types was as follows; patella alta; 15 (24.2%), patella baja; n=2(3.2%), and normal patellar height; n=45(72.6%). The mean ISI was 1.19 +/- 0.17 on the right side and 1.18 +/- 0.16 on the left side. There was no significant correlation between the ISI and VAS, WOMAC and Lequesne indexes, postural stability scores, and isokinetic measurements (r<0.3, p>0.05). Conclusion: In primary knee OA, the ISI may not have an effect on pain, physical function, fall risk, postural stability, and isokinetic muscle strength.Item Factors Associated with Fibromyalgia Syndrome in Peritoneal Dialysis Patients(2019) Ozelsancak, Ruya; Analan, Pinar Doruk; Leblebici, Berrin; 0000-0002-3528-3712; 0000-0002-0788-8319; 30787502; AAA-8043-2021; AAD-5716-2021Purpose: We evaluated the prevalence of fibromyalgia syndrome (FMS) in peritoneal dialysis (PD) patients and whether this syndrome is associated with gender, age, duration of PD, or other laboratory parameters. Methods: A total of 60 chronic PD patients (26 women, 34 men) and 60 healthy controls (30 women, 30 men) were included. We recorded each participant's age, gender, cause of kidney failure, PD duration, laboratory parameters, education level, and symptoms related to FMS, diagnosed according to the 2010 American College of Rheumatology criteria. Results: Eleven patients (18%) in the PD group and nine (15%) in the control group met the diagnostic criteria for FMS. There were no statistically significant differences in age; gender; education level; PD duration; laboratory parameters; or sleepdisturbance, fatigue, or cognitive symptoms between the FMS and non-FMS groups among the PD patients. We next compared control and PD patients with FMS. Both groups were of a similar age and gender and had similar sleep disturbance and cognitive symptoms, but more patients had fatigue in the control group. Conclusions: The prevalence of FMS among PD patients was similar to that in the general population, and FMS was not associated with gender, age, duration of PD, or other laboratory parameters.Item The Effect of Serum 25(OH)D3 Level on Breast Cancer-Related Lymphedema(2019) Analan, Pinar Doruk; Kaya, Emine; 31140909Background: The aim of this study was to evaluate the effect of serum 25-hydroxyvitamin D3 [25(OH)D3] levels on the presence and severity of lymphedema, and on the levels of pain, disability, and function in patients with breast cancer-related lymphedema (BCRL). Methods and Results: This controlled study included 71 patients diagnosed with breast carcinoma. Participants were divided into two groups. The BCRL group included 37 breast cancer patients with lymphedema and the control group included 34 breast carcinoma patients without lymphedema. Demographic information, dominant extremity, affected breast, duration of malignancy, and serum 25(OH)D3 levels were recorded for all patients. The 25(OH)D3 levels were then compared between groups. The correlations between serum 25(OH)D3 levels and the visual analog scale (VAS) and Quick Disabilities of the Arm, Shoulder, and Hand Questionnaire (Q-DASH) scales and the volumetric and diametric differences between the upper extremities were analyzed in the BCRL group. Serum 25(OH)D3 levels did not show statistically significant differences between groups (p > 0.05). There was no correlation in the BCRL group between 25(OH)D3 levels and the VAS and Q-DASH scores or the diametric and volumetric differences of extremities (r <= 0.3; p > 0.05). Conclusions: Serum 25(OH)D3 levels do not appear to affect the presence or severity of lymphedema, pain, disability, or physical function in BCRL patients. In routine clinical practice, evaluation of this vitamin level does not appear to be necessary for lymphedema in BCRL patients.Item A Comparison of The Effects of Lidocaine and Saline Injection on Pain, Disability, and Shear-Wave Elastography Findings in Patients with Myofascial Trigger Points(2019) Analan, Pinar Doruk; Aslan, Hulya; Umay, Sermin Tok; 0000-0002-7161-016X; AAW-6708-2020BACKGROUND/AIMS To compare the effects of lidocaine injection (LI) and saline injection (SI) on the myofascial trigger points (MTrPs) in the trapezius muscle on pain, disability, and shear-wave elastography (SWE) in patients with myofascial pain syndrome (MPS). The secondary aim was to evaluate the correlations between SWE and pain with disability scores. MATERIAL and METHODS This prospective study included 45 patients with MTrPs due to MPS. The patients were evaluated using the visual analog scale (VAS), Neck Disability Index (NDI), and SWE immediately before and 15 days after the injections. The patients were randomly assigned to an LI (n=20, 30 MTrPs) or an SI (n=25, 32 MTrPs) group. The LI group was treated with lidocaine, and the SI group was treated with SI. RESULTS Visual analog scale and NDI scores improved significantly in both groups after injection (p <= 0.05). In addition, 16 MTrPs in the LI group and 3 MTrPs in the SI group were completely resolved. Maximum shear-wave velocity (V(s)max) and mean shear-wave velocity significantly decreased in the SI group after injection (p=0.025). The size of MTrPs decreased in the LI group (p=0.02). Pre-injection V(s)max and resting VAS were weakly correlated (r=0.309). No significant correlation was found on other SWE measurements with VAS and NDI scores (r<0.3). CONCLUSION Lidocaine injection and SI effectively improved the disability and pain in patients with MPS. LI is more effective than SI in reducing the size of the trigger points and resolving MTrPs. SWE findings may not completely reflect the severity of pain and correlate with disability.