Conclusion:Although there was a significant correlation between the LANSS and PD-Q scores, the PD-Q scores revealed better correlation coefficients in VAS pain, DHI scores and SWM tests. In conclusion, the PD-Q seems to be better than the LANSS both in neuropathic pain and in detecting functions related to hand abilities.

BackgroundEnhancing quality of life (QoL) in older adults with physical limitations is a significant challenge for healthcare providers. One of the first steps to improving quality of life in older adults with osteoarthritis (OA) is developing a better understanding of the set of factors that coexist and influence QoL.ObjectivesTo determine the predictors of disease-specific QoL in a sample of knee and hip OA in a tertiary care hospital and to evaluate physical activity, mental health, social functioning and social support components of OA-specific-QoL questionnaire in addition to score of pain, ESR, CRP, x-ray, and co-morbid conditions.MethodsA cross-sectional, methodological exploration from an inpatient sample (N=100) of adults (mean age: 64.51±8.78, 83 female) with OA of the knee (N=78) and hip (N=22) according to the ACR- clinic and radiograhic knee OA or hip OA classification criteria was performed. Clinical, laboratory and radiographic datas were analysed using SPSS15.0. The osteoarthritis knee and hip quality of life questionnaire (OAKHQOL) consisting of 43 items in five dimensions and three independent items were fullfilled by patients (1).ResultsMeans of pain-VAS scores at rest and movement were moderately high (5.14 and 6.64). Twenty patients were in stage I, 36 patients were stage II, 30 patients were in stage III and remaining 14 patients were in stage IV OA according to the Kellgren-Lawrence system. All of the patients were overweight or obese. Related comorbidities were common such as 48 hypertensive, and 33 diabetic.Lineer regression analyses showed that mental health (R2=0.668, p=.000), pain (R2=0.591, p=.000), and vehichle-transfer difficulties (R2=0.572, p=.000) were the most important predictors for OA-specific-QOL.ConclusionsThe findings of this study provide a foundation or targeted interventions to improve QoL and the importance of mental health older adults with OA of the knee and hip. The individual problem solving including both mental and physical approaches may help these patients to improve OA-specific-QoL. Mental health and cognitive approaches should be incorporated to OA management.ReferencesRat AC, Coste J, Pouchot J, Baumann M, Spitz E, Retel-Rude N, Le Quintrec JS, Dumont-Fischer D, Guillemin F. OAKHQOL: a new instrument to measure quality of life in knee and hip osteoarthritis. J Clin Epidemiol. 2005 Jan;58(1):47-55.Disclosure of InterestNone declared

BackgroundCarpal tunnel syndrome (CTS) is an entrapment neuropathy of the median nerve and can cause neuropathic pain and functional decrease in hand functions.ObjectivesThe aim of this study was to compare the effectivity of Leeds assessment of neuropathic symptoms and signs scale (LANSS) with pain detect questionnaire (PDQ) in CTS and their relations with hand functions.MethodsThe patients were selected among the patients who admitted to physical medicine and rehabilitation outpatient clinics and the selection criteria was to have positive Tinel or Phalen sign and paresthesia in hand. 157 hands of 90 patients were evaluated by electromyography and grouped as mild, moderate or severe involvement. Neuropathic pain was analysed by LANNS and PDQ; hand functions by Duruöz hand index (DHI); sensory evaluations by Semmes Weinstein monofilaments (SWM) and grip strength by Jamar dynamometer.ResultsEMG findings revealed 30.4% of hands had mild, 66.5% had moderate and 2.5% had severe CTS. In statistical evaluations in order to have a homogenous group, we have chosen the moderate CTS group. LANSS scores correlated with DHI, Jamar scores (p and r values were 0.032, 0.209; 0.010, -0.250 respectively. PDQ scores correlated with VAS score, DHI, Jamar, SWM (p and r values were 0.001, 0.314; 0.000, 0.346; 0.005, -0.270; 0.000, 0.391). The correlation coefficient between LANSS and PDQ was p: 0.000; r: 0.324.ConclusionsThough there is a significant correlation between LANSS and PDQ scores, PDQ scores revealed better correlation coefficients in DHI and Jamar scores and additional correlations were determined in VAS scores and SWM values.In conclusion we think PDQ presents finer results then LANNS.Disclosure of InterestNone declared

BackgroundDiabetes mellitus (DM) is a chronic condition which can effect different systems of the bodyObjectivesIn this study we aimed to determine the impairments in hand and upper extremity functions, pain and quality of life in diabetic patients.MethodsFifty diabetic patients who attended to physical medicine and rehabilitation outpatient clinics were evaluated. The patients fasting blood glucose levels, hemoglobin A1 C levels, body mass indexes were detected; existing hand deformities were noted; evaluations of hand strength was made by hand grip strength, hand pain by VAS, hand skills by purdue pegboard test and nerve involvement by semmes weinstein monofilaments (SWM). For upper extremity functions Disabilities of Arm Shoulder and Hand scores (DASH) and for quality of life Nottingham Health profile (NHP) test were selected.ResultsThe mean age of the patients were 62,76±10,99 years. Among our DM patients only 4 patients had normal weight, 14 were over weight, 29 were obese and 4 had morbid obesity. The mean valueof fasting blood gucose was 145,2 and that of HbA1 c was 7,64. In hand evaluations we found trigger finger and dupuytren contracture in 10,6%, restricted hand mobility in 3,4%,crepitation of hand tendons in 55,3% and carpal tunnel syndrome in 38,3%. SWM median nerve mean values were 3,64±0,68 and that of ulnar nerve was 3,77±0,83.In correlation analysis we found hand pain by VAS correlated all evaluation parameters except purdue pegboard test. SWM scores correlated with all subgroups of NHP, purdue pegboard test and hand pain by VAS. DASH scores correlated with HbA1 c levels, abdominal circumference, grip strength and SWM evaluations.ConclusionsIn our diabetic patients we found nearly all patients were obese or overweight; had problems both in hand functions and median - ulnar nerves. Involvement of the nerves leads to problems in quality of life and fine skills of hands. Additional upper extremity impairments increase their pain and disability. As a result we suggest the patients to have a strict glucose control for a better life standard.Disclosure of InterestNone declared