The present study shows that knee OA had a negative effect on ambulation levels in hemiplegic patients after stroke. Thus, knee pain at rest and knee osteoarthritis could be evaluated as a functional outcome factor for the improvement of the ambulation levels within stroke patients.

The aim of our study was to evaluate the frequency of fibromyalgia syndrome (FMS) in hemodialysis (HD) patients and to assess whether this syndrome is associated with gender, age, duration of HD, or various laboratory parameters. This study was composed of 221 chronic HD patients (99 females and 122 males), and we recorded each participant's age, gender, causes of kidney failure, HD duration, education level, and symptoms related to FMS, which was diagnosed according to the 2010 American College of Rheumatology criteria. We documented the laboratory parameters for all patients. In addition, patients with FMS filled out the Fibromyalgia Impact Questionnaire. Twenty-two patients met the diagnostic criteria for FMS (9%), and there were no statistically significant differences related to age, gender, or HD duration between FMS and non-FMS groups (P > 0.05). In addition, the education levels were lower in patients diagnosed with FMS (P < 0.05), and there were statistically significant differences related to sleep disturbance, fatigue, and cognitive symptoms between the two groups (P < 0.05) as well. However, their laboratory parameters were similar (P > 0.05). There was a higher prevalence of FMS in HD patients than in the general population. Sleep disturbances, fatigue, education level, and cognitive symptoms were associated with FMS, but there was no correlation between the laboratory parameters and this condition.

Osteopetrosis is a rare genetic disorder caused by osteoclast failure. Dominant negative mutations of the ClCN7 gene cause the so-called, autosomal dominant osteopetrosis type II, which represents the most frequent and heterogeneous form of osteopetrosis, ranging from asymptomatic to intermediate-severe, thus suggesting additional genetic and environmental determinants affecting penetrance. Here, we present a case a 46 year-old woman complained low back pain for 15 years. The patient lacked any history of direct trauma and her pain was radiating to her left leg, increasing with physical activity, she had no pain at nights. The patient was diagnosed with autosomal dominant osteopetrosis on the basis of the presence of typical radiological appearance. Were present a case report of osteopetrosis type II (an autosomal dominantly inherited disease) as a cause for low back pain without any familial penetrance of the disease.

A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : This study aims to evaluate the effect of wrist flexion on electrophysiological studies in suspected cases of carpal tunnel syndrome (CTS) when patients have already undergone routine nerve conduction studies (NCS) and difference tests and had normal results. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : In this study, 27 patients (41 hands) with CTS symptoms who had previously undergone routine electrophysiological studies and difference tests and had normal results were investigated. After performing provocative wrist flexion bilaterally at a 90 degree angle for five minutes, the median nerve distal sensory latencies (DSLs), median versus radial first digit sensory latency differences, and median versus ulnar fourth digit sensory latency differences were recorded. R Re es su ul lt ts s: : The mean value of the median DSL observed before the wrist flexion provocation was 2.92±0.25, and it was 2.91±0.25 ms (p>0.05) afterwards. The median versus the ulnar fourth digit sensory latency difference recorded before the provocation was 0.21±0.20 while it was 0.24±0.17 ms (p>0.05) after the procedure. There was a statistically significant difference between the two measurements for median versus radial nerve first digit sensory latency differences (0.06±0.23 ms versus 0.18±0.25 ms, p<0.05), but this increase was not sufficient to reach the accepted electrodiagnostic criteria for CTS diagnosis. C Co on nc cl lu us si io on n: : In this study, it was concluded that patients with CTS symptoms who had undergone routine electrophysiological studies and difference tests had no additional benefit from provocative wrist flexion performed for five minutes.K Ke ey y W Wo or rd ds s: : Carpal tunnel syndrome; electrophysiology; wrist Ö ÖZ ZE ET T A Am ma aç ç: : Bu çalışmada rutin sinir ileti çalışmaları ve fark testleri normal olan şüpheli karpal tünel sendromlu (KTS) hastalarda el bilek fleksiyonunun, elektrofizyolojik çalışmalara olan etkisini değerlendirmek amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu çalışma KTS semptomları bulunan, rutin elektrofizyolojik çalışmaları ve fark testleri normal olan 27 hasta (toplam 41 el) üzerinde yapıldı. Beş dakikalık provokatif bilateral 90° el bilek fleksiyonunu takiben median duyusal distal latans (ddl), başparmak median-radial ddl farkı ve 4. parmak median-ulnar ddl farkları tekrarlandı. B Bu ul lg gu ul la ar r: : Provakasyon öncesi saptanan median sinir ortalama dsl değeri 2,92±0,25 ms idi. Provokasyon sonrası median sinir ortalama ddl değeri ise 2,91±0,25 ms idi (p>0,05). Dördüncü parmak median-ulnar ddl farkı değerleri provakasyon öncesi 0,21±0,20 ms ve provakasyon sonrası 0,24±0,17 ms ölçüldü (p>0,05). Başparmak median-radial sinirler ddl farkları iki ölçüm arasında istatistiksel olarak anlamlı fark vardı (0,06±0,23 ms ve 0,18±0,25 ms p<0,05). Ancak bu artış KTS tanısında kullanılmak üzere elektrodiagnostik kriter olarak kabul edilen farka ulaşmıyordu. S So on nu uç ç: : Bu çalışmada, rut...

© Tür ki ye Fi zik sel Tıp ve Re ha bi li tas yon Der gi si, Ga le nos Ya yı ne vi ta ra fın dan ba sıl mış tır. / © Tur kish Jo ur nal of Physi cal Me di ci ne and Re ha bi li ta ti on, pub lis hed by Ga le nos Pub lis hing.