: The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Association of Academic Physiatrists designates this activity for amaximumof 1.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Background: Dry needling (DN) is a commonly used technique by clinicians for the treatment of mechanical neck pain (MNP) by targeting trigger points and nontrigger point structures. It is a skilled intervention that uses a thin filiform needle to penetrate the skin and stimulate underlying trigger points, muscular and connective tissues without the use of injectate. Another popular treatment technique used in the management of musculoskeletal pathologies is kinesiotaping (KT). Although its popular, there is minimal scientific evidence supporting KT for neck pain. Although there are a few studies regarding KT for neck pain in literature, there is a lack of randomized, controlled studies evaluating KT for neck pain. Objectives: To evaluate the effect of KT on posterior cervical spine and DN into a posterior paracervical muscle of patients with MNP. Study Design: Randomized clinical study. Setting: Physical medicine and rehabilitation center. Methods: Seventy-two patients (17 men, 55 women) were randomly assigned to DN or KT treatment groups. Numeric Rating Scale (NPS-11), Neck Disability Index (NDI), range of motion (ROM), Short Form36 Quality of Life Scale, and Beck Depression Inventory (BDI) were assessed before the intervention and one month postintervention. Results: Before treatment, there was no difference between groups in NPS-11, NDI, and BDI scores; however, ROM of the DN group was greater than ROM of the KT group (P < 0.05). After treatment, significant improvement was observed in all variables for both of the groups, except ROM in the DN group (P < 0.05). The KT group showed greater ROM compared with the DN group (P < 0.05). The preand posttreatment results showed that the KT group was significantly superior for the differences on ROM and NDI (P < 0.05); however, each group showed better results after treatment (P < 0.05). Limitations: First, we did not include a control or placebo group. Second, patients were followed up for only 4 weeks. Third, we used a sample of convenience from one clinic, which may not be representative of the entire population of individuals with MNP. Conclusions: In this study, both methods were found to be effective on pain, mood, and quality of life, and KT was found to be superior to DN in MNP in terms of increasing ROM and decreasing disability
Forgetfulness and reduction of memory function in the elderly is common complaints. We have presented this circumstance because of taking attention to say demans without a detailed evaluation of these patients and to express the inconsistency on the medium exchanges on the hospitalized geriatric.Unutkanlık ve hafıza fonksiyonlarında azalma, yaşlılarda oldukça sık görülen yakınmalardır. Hastaneye yatırılan geriatrik bireylerde ortam değişikliğine bağlı ortaya çıkabilecek böyle uyumsuzlukları vurgulamak ve bu hastaların ayrıntılı değerlendirilmeden demans denilmemesine dikkat çekmek adına bu vakayı sunduk. (Türk Os te opo roz Dergisi 2013;19: 56-7) Anah tar ke li me ler: Yaşlılık, unutkanlık, demans
Objective: The aim of this study was to identify risk factors for the development of depression in patients with osteoporosis, and to measure the psychosocial effects to the change in quality of life. Material and Methods: 125 patients with osteoporosis were included in the study. A questionnaire was completed which was including age, sex, marital status, education level, occupation, height, weight, alcohol use, smoking, physical activity level, milk consumption, previous fragility fracture of the patients. Bone mineral density of the lumbar spine and femoral neck were measured with DEXA. Back and lumbar compression fractures of the individuals were recorded by back and lumbar radiography. To evaluate back pain, Visual Analog Scale (VAS) was used. To assess depression in patients, Beck Depression Inventory (BDI) was used, and to assess the quality of life the European Council of Osteoporosis Quality of Life Questionnaire (QUALEFFO) was used. Results: 125 patients were included in the study, 57 patients (45.6%) had depression and 68 patients (54.4%) had not depression. The average age, illiteracy status, reduced physical activity level were higher in the patients with depression than the patients without depression. Vertebral compression fracture, family history of fracture, fall predisposition, and osteopenia in the risk factors of osteoporosis were found statistically significantly higher in the group with depression than the group without depression. Both lumbar and femoral T and Z values, and VAS values were significantly higher in the patients with depression than the patients without depression (p<0.05). The total value and all sub-parameters of quality of life scale QUALEFFO were significantly higher in patients with depression than patients without depression (p<0.05). Positive significant correlation was found between BDI scores and sub-parameters of QUALEFFO scores (p<0.05). Conclusion: Depression in individuals with increased bone loss was shown to lead to a further decrease in the quality of life. (Turkish Journal of Osteoporosis 2013;19: 58-64) Amaç: Bu çalışmanın amacı osteoporozlu hastalarda depresyon gelişimi için risk faktörlerini belirlemek ve depresyonun osteoporozlu hastalarda yaşam kalitesine etkisini ölçmektir. Gereç ve Yöntem: Çalışmaya polikliniğimize başvuran 125 osteoporoz tanısı konulmuş hasta alındı. Hastalara yaş, cinsiyet, medeni durum, eğitim düzeyi, meslek, boy, kilo, alkol kullanımı, sigara kullanımı, fiziksel aktivite düzeyi, süt tüketimi, geçirilmiş frajilite kırığı öyküsünü içeren sorgulama formu dolduruldu. Kemik mineral yoğunluğu ölçümü DEXA ile lomber bölge ve femur boynundan yapıldı. Olguların torakal ve lomber vertebra grafileri çekilerek kompresyon kırıkları olup olmadığı kaydedildi. Sırt ağrısını değerlendirmek için Görsel Analog Skala (GAS) kullanıldı. Hastaların depresyonunu değerlendirmek için Beck Depresyon Ölçeği (BDÖ), yaşam kalitesini değerlendirmek için Avrupa Osteoporoz Kurumu Yaşam Kalitesi Anketi (QUALEFFO) kullanıldı. Bulgular: Çalışmaya alınan 125 hastanın 57...
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