Amaç: Ailevi Akdeniz ateşine (AAA) eşlik eden spondililoartropatisi (SpA) olan hastalarda sağlıkla ilişkili yaşam kalitesi (HRQoL), depresyon, yorgunluk, Akdeniz ateşi geni (MEFV) mutasyonları ve diğer hastalıklarla ilişkili durumların değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Kırk beş AAA spondilit hastası (41 kadın, 4 erkek) ve 40 sağlıklı kontrol çalışmaya dahil edildi. Metrolojik ölçümler (el parmak-zemin mesafesi, bel Schöber testi, oksiput-duvar mesafesi ve göğüs ekspansiyonu) değerlendirilerek kaydedildi. Aksiyal ve periferik eklem ağrısı görsel ağrı skalası (GAS) ile, hastalık aktivitesi Bath Ankilozan Spondilit Hastalık Aktivite indeksi (BASDAİ) ile, hastalık fonksiyonu Bath Ankilozan Spondilit Fonksiyonel indeksi (BASFİ) ile değerlendirildi. HRQoL, depresyon ve yorgunluk değerlendirilmesinde Kısa Form-36, Beck depresyon indeksi (BDI) ve multidimensiyonel yorgunluk değerlendirme (MAF) ölçekleri kullanıldı. Bulgular: Çalışmaya dahil edilen hastaların yaş ortalaması 43,73±8,7 (24-59) yıl idi. Hem fiziksel hem de mental sağlıkla ilişkili yaşam kalitesi sonuçları kontrol grubuna göre anlamlı derecede kötüydü. On iki hastada (%26,6) BDI 17'nin üzerinde olup klinik olarak depresyon saptandı. Yorgunluk skorları yüksek olarak saptandı. AAA'ya eşlik eden SpA hastalarında en sık rastlanan gen mutasyonları M694V ve E148Q idi. MEFV gen mutasyonlarının QoL, yorgunluk, depresyon, ağrı ve diğer hastalıkla ilişkili değişkenler üzerinde önemli bir etkisi görülmedi.Objective: Our aim was to evaluate the health-related quality of life (HRQoL), depression, fatigue, the Mediterranean fever (MEFV) gene mutations, and other disease-related variables in patients with Familial Mediterranean fever (FMF) associated spondyloarthropathies (SpA). Materials and Methods: Consecutively, 45 patients with FMF associated SpA (41 females, 4 males) and 40 healthy controls were included. Metrological measures (finger-floor distance, dorsal Schober's test, occiput-wall distance and chest expansion) were determined. Axial and peripheral joint pain was evaluated by using visual analog scale (VAS), disease activity by Bath Ankylosing Spondylitis Disease Activity index and function by Bath Ankylosing Spondylitis Functional index. Short Form-36 and the multidimensional assessment of fatigue (MAF) scale, Beck depression index (BDI) and MAF scales were used to evaluate HRQoL, depression and fatigue. Results: Mean ages of the patients was 43.73±8.7 (24-59) years. Both physical and mental HRQoL were found to be significantly worse in FMF associated SpA patients than in controls. Twelve patients (26.6%) had clinical depression with BDI scores ≥17. MAF score was high in patients with FMF associated SpA. The most frequent mutations were M694V and E148Q in patients with FMF associated SpA. No significant effect of MEFV gene mutations was seen on QoL, fatigue, depression, pain and disease-related variables. Conclusion: FMF associated SpA significantly affects the QoL of its sufferers, as other chronic ilnesses. In this study, both physical and menta...

Bu çalışmada, fibromiyalji sendromlu (FMS) hastalarda, hipermobilite sıklığını belirlemek ve hipermobilitenin fibromiyaljili hastalarda yaşam kalitesine etkisini araştırmak amaçlanmıştır. Gereç ve Yöntemler: Çalışmaya Ankara Yıldırım Beyazıt Üniversitesi Tıp Fakültesi Atatürk Eğitim Araştırma Hastanesi Fiziksel Tıp ve Rehabilitasyon Polikliniğine başvuran 18-60 yaş aralığında FMS tanısı alan 50 gönüllü kadın hasta ve 50 sağlıklı kadın kontrol dâhil edildi. Fibromiyalji tanısı 1990 ve 2010 American College of Rheumatology tanı kriterlerine ve hipermobilite tanısı da Beighton skorlama kriterlerine göre yapıldı. Yaşam kalitesi değerlendirilmesinde Fibromiyalji Etki Anketi (FEA) kullanıldı. Bulgular: Çalışmaya katılan FMS'li hastaların yaş ortalaması 43,8±8,9 yıl (20-59 yaş aralığı) ve sağlıklı kontrol grubunun 42,3±7,9 yıl (26-60 yaş aralığı) idi. FMS hastalarının 8'inde (%16), kontrol grubunun 5'inde (%10) hipermobilite saptanırken, gruplar arasında hipermobilite açısından anlamlı bir fark izlenmedi (p>0,05). Buna karşılık FMS ve sağlıklı kontrol grubu arasında yaşam kalitesi ile ilgili ölçülen FEA skorları arasında anlamlı fark tespit edildi (p<0,05). Fibromiyalji hastalarında, hipermobilite olan ve olmayan hastaların yaşam kalitesi skorları arasında anlamlı fark gözlenmedi. Sonuç: FMS'li hastalar ile sağlıklı kontroller arasında hipermobilite varlığı bakımından anlamlı bir fark saptanmadı. FMS'nin yaşam kalitesini olumsuz etkilemesine karşın hipermobilite varlığı FMS hastalarında yaşam kalitesine ek bir negatif faktör olarak gözükmemektedir. Anah tar Ke li me ler: Fibromiyalji sendromu; hipermobilite; yaşam kalitesi ABS TRACT Objective: It was aimed to determine the frequency of hypermobility in patients with fibromyalgia syndrome (FMS) and to investigate the effect of hypermobility on quality of life in patients with fibromyalgia. Material and Methods: The study included 50 volunteer female patients aged 18-60 years who applied to

Introduction:To evaluate the efficiency of 3M Coban self-adherent wrap application on early (1-4 weeks) edema among patients undergoing surgery following a flexor tendon injury in Zone V or distal. Material and Method:The study included 56 patients who had flexor tendon injuries. The patients were randomized into two groups by the computerized randomization method. Both groups were applied the "Modified Duran Protocol" (MDP) early passive mobilization exercises and "Retrograde Edema Massage". In addition, was applied 3M Coban self-adherent wrap to Group II. Finger circumferences was measured using a tape measure, and the pain intensity was evaluated with a visual analog scale (VAS). A goniometer was used to measure the joint range of motion (ROM), the Duruoz hand index (DHI) to evaluate functionality level, and the quality of life was investigated using the short form-36 (SF-36). Results:The results showed that was statistically significant differences in both groups compared to pre-treatment (p<0.05). Edema, ROM, and all parameters of the DHI were found in both groups improved significantly (p<0.05). VAS pain scores at rest and activity were found significantly decreased in both groups compared to pre-treatment (p<0.001). In addition, pain at activity was found more significantly decreased in Group II (using bandage group). When it comes to the quality of life, there was a significant improvement in the SF-36 scores in both groups (p<0.05). In addition, increases in the scores on the "Physical Functioning" and "Physical Role" subscales were more significant in Group II (p<0.05). Conclusion:In flexor tendon injuries, early rehabilitation and close follow-ups are likely to improve edema, upper extremity functions, and quality of life among patients. "Early Passive Mobilization Exercises (the Modified Duran Protocol)" and "Retrograde Edema Massage" are rather effective in edema treatment. Overall, we suggest that 3M Coban self-adherent wrap application also contributes to reducing pain at activity and improving physical functions following flexor tendon repairs.

Objectives: This study aims to investigate the validity, reliability and clinimetric features of the Duruöz Hand Index (DHI) in patients with lateral epicondylitis. Patients and methods: Between October 2019 and January 2020, a total of 78 patients (28 males, 50 females; mean age: 46.4±9.4 years; range, 20 to 65 years) who presented with pain in the forearm and were diagnosed with lateral epicondylitis were included in the study. The patients were evaluated using the Visual Analog Scale (VAS), Health Assessment Questionnaire (HAQ), the Patient-Rated Tennis Elbow Evaluation Questionnaire (PRTEEQ), the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire at Weeks 0, 1 and 4. The DHI reliability (Cronbach alpha, intraclass correlation [ICC]), validity and factor analyses were performed with the data of 70 and 49 patients who attended to follow-up visit at Weeks 1 and 4. The effect size (ES), standard response mean (SRM), and minimum detectable change (MDC) values of the DHI were calculated. Results: Of the patients, 84.6% were right-handed. The ICC coefficients of DHI were found to be perfect with the test-retest method (ICC; total=0.943). It showed a well-excellent consistency with the internal consistency method (Cronbach alpha; total=0.90). In the structural validity of the DHI, it was very strongly correlated with the DASH (r=0.801; p<0.01), strongly correlated with the PRTEEQ and HAQ total scores (r=0.793; p<0.01; r=0.785; p<0.01), and acceptably correlated with PRTEEQ pain score (r=0.570; p<0.01). The DHI was acceptably correlated with the VAS and grip strength as measured by the hand dynamometer (p<0.05). In our study, three main factors were obtained and MDC and responsiveness sensitivity were found to be moderate (MDC=4.4; SEM=1.61; ES=0.246 p<0.001; SRM=0.538 p<0.001). Conclusion: Duruöz Hand Index is a reliable, valid, and practical functional assessment scale in patients with lateral epicondylitis.