We aimed to evaluate the effectiveness of balneotherapy in fibromyalgia management. Fifty women with fibromyalgia under pharmacological treatment were randomly assigned to either the balneotherapy (25) or the control (25) group. Four patients from the balneotherapy group and one patient from the control group left the study after randomization. The patients in the balneotherapy group (21) had 2 thermomineral water baths daily for 2 weeks in Tuzla Spa Center. The patients in the control group (24) continued to have their medical treatment and routine daily life. An investigator who was blinded to the study arms assessed the patients. All patients were assessed four times; at the beginning of the study, at the end of the 2nd week, the 1st month, and the 3rd month after balneotherapy. Outcome measures of the study were pain intensity, Fibromyalgia Impact Questionnaire (FIQ), Beck Depression Inventory (BDI), patient's global assessment, investigator's global assessment, SF-36 scores, and tender point count. Balneotherapy was found to be superior at the end of the cure period in terms of pain intensity, FIQ, Beck Depression Inventory, patient's global assessment, investigator's global assessment scores, and tender point count as compared to the control group. The superiority of balneotherapy lasted up to the end of the 3rd month, except for the Beck Depression Inventory score and the investigator's global assessment score. Significant improvements were observed in PF, GH, and MH subscales of SF-36 during the study period in the balneotherapy group; however, no such improvement was observed in the control group. Balneotherapy was superior only in VT subscale at the end of therapy and at the end of the third month after the therapy as compared to the controls. It was concluded that balneotherapy provides beneficial effects in patients with fibromyalgia.

Objectives: This study aims to measure the two-point discrimination (TPD) values of the upper extremities of healthy young Turkish individuals. Patients and methods: Between March 2016 and June 2016, a total of 60 healthy students (31 males, 29 females; mean age: 22.0±1.7 years; range, 19 to 27 years) were included. Eleven grand upper limb parts which take innervation from the brachial plexus were measured with an esthesiometer. Results: The values at the dominant sides were statistically significantly greater than the non-dominant sides at those areas: upper lateral arm (p=0.001), lower lateral arm (p=0.001), mid-posterior arm (p=0.001), mid-lateral forearm (p=0.001), mid-posterior forearm (p=0.012), skin over the first dorsal interossei muscle (p=0.031), and palmar surface of distal phalanx of the thumb (p=0.045). Both dominant and non-dominant lower lateral arm TPD measurement results increased in males compared to females, indicating a statistically significant difference (p=0.005 and p=0.011, respectively). Also, dominant and non-dominant mid-posterior arm measurement scores were found to statistically significantly increase in males compared to females (p=0.019 and p=0.040, respectively). Conclusion: Our study results show that laterality, with lower values on the non-dominant side, but not the sex, has an effect on TPD. The findings of this study may be useful in establishing the normative data for TPD in the upper extremity parts of healthy young Turkish individuals.

Bu çalışmada diş çürüğü deneyimi ile ergen bireyler ve anneler arasındaki tutarlılık duygusu (SOC) ilişkisinin saptanması ve tutarlılık duygusunun bireylerin oral hijyenleri üzerindeki etkisinin incelenmesi amaçlanmıştır. Gereç ve Yöntemler: Bu çalışma 11-14 yaş grubu arasındaki sağlıklı 100 ergen birey ve anneleri dahil edilerek oral klinik muayeneleri DMFT indeksi ve Silness-Löe plak indeksi kullanılarak yapılmıştır. Demografik verilerden kardeş sayısı, anne eğitim durumu, baba eğitim durumu ve aile geliri değerlendirilmiştir. Tutarlılık duygusu, tutarlılık duygu skalasının 13 sorudan oluşan Türkçe'ye uyarlanmış kısa anket versiyonu kullanılarak uygulanmıştır. Yanıtlar, her soru için 7'li Likert ölçeği ile değerlendirilmiştir. Tutarlılık duygusu ile DMFT, plak indeksi, demografik veriler arasındaki ilişki istatistiksel olarak Spearman Korelasyon Analizi kullanılarak incelenmiştir. Bulgular: Çocukların SOC değeriyle annelerin SOC değeri arasında orta düzeyde anlamlı ilişki bulunmuştur. Kardeş sayısı ve aile geliriyle çocukların SOC ve annelerin SOC değerleri arasında istatistiksel olarak anlamlı ilişki yoktur. Anne eğitim durumlarıyla çocukların SOC değeri arasında zayıf düzeyde anlamlı ilişki bulunurken, anne eğitim durumlarıyla annelerin SOC değeri arasında anlamlı ilişki bulunmamıştır. Çocukların DMFT değerleriyle çocukların SOC ve annelerin SOC değerleri arasında anlamlı bir ilişki bulunmazken çocukların DMFT değerleriyle çocuk plak indeksi arasında ise zayıf düzeyde anlamlı bir ilişki mevcuttur. Sonuç: Sonuç olarak anneyle ergen bireylerin tutarlılık duyguları arasında ilişki gözlenirken, diş çürüğü ve tutarlılık duygusu arasında ilişki bulunamamıştır.

Objective: It was aimed to compare the effects of manual therapy (MT) and Inspiratory Muscle Training (IMT) on respiratory functions and postural problems of young adults in this study. Material and Methods: Thirty-five volunteers were randomly allocated into IMT and MT groups. All participants received twenty minutes of IMT twice a week for four weeks. Eight sessions of manual therapy were applied to MT group in addition to IMT. Forced Expiratory Volume in 1 Second (FEV1), Forced Vital Capacity (FVC), FEV1/FVC ratio, Peak Expiratory Flow (PEF), forward head posture (FHP) and thoracic hyperkyphosis were evaluated before and after the treatments. Results: Although there were significant improvements in the FEV1, FVC, FEV1/FVC ratio and PEF scores of MT group (p0.05). The comparisons of post-treatment scores of the FEV1, FVC, FEV1/FVC ratio and PEF between the groups revealed the greater improvements in the MT group than IMT group (p

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