Objective: To determine the incidence and etiology of fever and the risk factors related to fever in adults with spinal cord injury (SCI) at the rehabilitation stage. Design/Subjects: A retrospective examination of records of 392 consecutive adult patients with traumatic SCI who received inpatient rehabilitation program. Setting: A national rehabilitation center in Turkey. Outcome Measures: Incidence and etiology of fever, period of hospitalization (days). Results: A total of 187 patients (47.7%) had fever at least once during their rehabilitation program. The most common etiology was urinary tract infection. The rate of fever occurrence was significantly higher in patients with complete SCI (P 5 0.001). In patients with fever, the use of an indwelling catheter was significantly higher compared with clean intermittent catheterization and spontaneous voiding (P 5 0.001). The hospitalization period of patients with fever was significantly longer than that of patients without fever (P 5 0.006). Conclusions: A high rate of fever was seen in patients with SCI during rehabilitation. Fever was caused by various infections, of which urinary tract infection was the most common. Patients with motor complete injuries and those with permanent catheters constituted higher risk groups. Fever prolonged the length of rehabilitation stay and hindered active participation in the rehabilitation program.

Bladder capacity is decreased in most children with cerebral palsy, and postvoid residue is present in an important proportion. Uroflowmetry and portable ultrasonic device combination is a noninvasive, well-tolerated, and efficient method in the first line evaluation of lower urinary tract function in children with cerebral palsy.

[Purpose] The aim of this study was to assess the effects of central poststroke pain on quality of life, functionality, and depression in stroke. [Subjects and Methods] Twenty-four patients with stroke having central poststroke pain (a mean age of 60.6±8.5 years; 14 males, 10 females; Group I) and 24 similar age-and gender-matched patients with stroke without central poststroke pain (Group II) were enrolled. Characteristics of pain were recorded in patients with stroke having central poststroke pain. The Visual Analogue Scale and Leeds Assessment of Neuropathic Symptoms and Signs pain scale were used to evaluate pain. The Functional Independence Measure was used to assess functionality, the 36-Item Short-Form Health Survey was used to assess quality of life (QoL), and the Beck Depression Inventory was used to assess depression. [Results] There were no significant differences in Functional Independence Measure and Beck Depression Inventory. Some of the 36-Item Short-Form Health Survey domains (physical role limitations, pain, and physical scores) in Group II were significantly higher than those in Group I. Additionally, we found that a unit increase in Leeds Assessment of Neuropathic Symptoms and Signs score led to 0.679 decrease in physical score and 0.387 decrease in mental score. [Conclusion] The physical component of the 36-Item Short-Form Health Survey is negatively affected in patient with central poststroke pain, but the mood and mental components of the scale unaffected.

Storage dysfunction and urodynamic abnormality is associated with poorly functional outcomes in TBI patients. There is a direct correlation between motor deficit and urodynamic abnormality. All of the TBI patients with or without LUTS should be evaluated neuro-urologically; urodynamic evaluation and treatment should be arranged if needed.

Hastanemiz Engelli Sağlık Kuruluna başvuran, kas-iskelet sistemini etkileyen patolojisi olan ve olmayan erişkin hastaların özelliklerini karşılaştırmak. Kas-iskelet sistemi patolojilerini ve bunların neden olduğu kas-iskelet ve tüm vücut engel oranlarını tespit etmek, ilave olarak eşlik eden diğer sistem tutulumlarını belirlemek. Gereç ve Yöntemler: Ocak 2020-Aralık 2020 tarihleri arasında Giresun Üniversitesi Prof. Dr. A. İlhan Özdemir Eğitim ve Araştırma Hastanesi Engelli Sağlık Kuruluna başvuran 1.703 hastanın verileri retrospektif olarak Ulusal Engelli Veri Sistemi'nden tarandı. Hastaların demografik özellikleri, başvuru nedenleri, bağımlılık düzeyleri, tüm vücut özür oranları değerlendirildi ve kas-iskelet sistemi patolojisi olanlarla olmayanlar karşılaştırıldı. Kas-iskelet sistemini etkileyen patolojisi olan 1.059 hastanın ise ayrıca kas-iskelet sistemi patolojileri, bunların neden olduğu engel oranları, eşlik eden diğer sistem hastalıkları kayıt edildi. Bulgular: Engelli Sağlık Kuruluna başvuran 1.703 hastanın 1.059'unda (%62,18) kas-iskelet sistemini etkileyen en az bir patoloji tespit edildi. Kas-iskelet sistemi patolojisi olanlarda olmayanlara göre yaş ortalaması (62,55±20,22-43,92±16,93 yıl), tüm vücut engel oranı (68,25±26,45-55,49±25,54) ve tam bağımlı birey oranı (%24,9-12,7) daha yüksek bulundu (p<0,001). Kas-iskelet sistemi patolojisi olanlarda en sık görülen patoloji osteoartrit ve en çok kas-iskelet sistemi engellilik oranına neden olan hastalık serebral palsiydi. Kas-iskelet sistemi patolojisi olanlarda en sık eşlik eden hastalık hipertansiyon idi. Sonuç: Engelli Sağlık Kuruluna başvuran bireylerde en sık görülen patolojilerin başında kas-iskelet sistemi patolojileri gelmektedir. Engellilikte önem arz eden kas-iskelet sistemi patolojilerinin belirlenmesi, alınacak koruyucu önlemler, bu kişilere uygulanacak tedavi ve belirlenecek politikalar açısından fikir verecektir.Anah tar Ke li me ler: Engelli; kas-iskelet sistemi; sağlık kurulu ABS TRACT Objective: Comparing the characteristics of adult patients with and without musculoskeletal system pathology who applied to our hospital's disabled medical board. Detecting musculoskeletal system pathologies and the ratios of musculoskeletal and whole body disabilities caused by them, in addition identifying other accompanying system involvements. Material and Methods: The data of 1,703 patients who applied to Giresun University Prof. Dr. A. İlhan Özdemir Training and Research Hospital Disabled Medical Board between January 2020 and December 2020 were retrospectively scanned from the National Disability Data System. Patients' demographic characteristics, reasons for admission, dependency ratios and whole body impairment rates were evaluated, and those with and without musculoskeletal pathology were compared. Additionally, musculoskeletal pathologies, disability rates, and other system diseases were reported in 1,059 patients with musculoskeletal system pathology. Results: At least one pathology affecting the musculoskeletal system was detected in 1,059 (62...