Functional leg length discrepancy results from soft tissue tightness or weakness across any joint in the lower extremity or spine. Herein, we present a 23-year-old female patient with leg length discrepancy due to a nontraumatic myositis ossificans (MO). Interpretation of the imaging findings is quite decisive in diagnosing soft tissue pathologies. It is particularly valid for MO to differentiate from other malignant or infectious lesions. There is no consensus on the treatment of nontraumatic MO. Although there are studies stating the contrary, surgical interventions should be considered as second option for patients who failed with nonsurgical treatments such as physical therapy.
功能性腿长不一致是由于下肢或脊柱任何关节的软组织紧绷或无力造成的。在此,我们介绍一位因非创伤性骨化性肌炎(MO)而导致腿长不一致的 23 岁女性患者。影像学检查结果的判读对诊断软组织病变起着决定性作用。尤其是在 MO 与其他恶性或感染性病变进行鉴别时。关于非创伤性 MO 的治疗,目前还没有达成共识。虽然有一些研究与此相反,但对于物理治疗等非手术治疗失败的患者,应考虑将手术治疗作为第二选择。
{"title":"An unusual clinical presentation of nontraumatic myositis ossificans: Leg length discrepancy.","authors":"Akif Şirin, Banu Sarıfakıoğlu, Kübra Ustaömer, Ertan Yılmaz","doi":"10.5606/tftrd.2023.11593","DOIUrl":"10.5606/tftrd.2023.11593","url":null,"abstract":"<p><p>Functional leg length discrepancy results from soft tissue tightness or weakness across any joint in the lower extremity or spine. Herein, we present a 23-year-old female patient with leg length discrepancy due to a nontraumatic myositis ossificans (MO). Interpretation of the imaging findings is quite decisive in diagnosing soft tissue pathologies. It is particularly valid for MO to differentiate from other malignant or infectious lesions. There is no consensus on the treatment of nontraumatic MO. Although there are studies stating the contrary, surgical interventions should be considered as second option for patients who failed with nonsurgical treatments such as physical therapy.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 1","pages":"145-148"},"PeriodicalIF":1.3,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10966760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.5606/tftrd.2023.13041
Lale Altan
Compartment syndrome can be defined as an increase in pressure in an anatomical compartment in the body resulting in muscle and nerve damage. Acute compartment syndrome mostly develops after crushing traumas and fractures to the extremities and is a condition that requires urgent intervention. Fasciotomy of the affected extremity segment in the early stage of the compartment syndrome is the gold standard in treatment of crush injury. Rehabilitation after fasciotomy is extremely important in regaining extremity functions. In this review, we discuss current approaches to compartment syndrome and rehabilitation principles following fasciotomy.
{"title":"Postoperative rehabilitation of compartment syndrome following fasciotomy.","authors":"Lale Altan","doi":"10.5606/tftrd.2023.13041","DOIUrl":"https://doi.org/10.5606/tftrd.2023.13041","url":null,"abstract":"<p><p>Compartment syndrome can be defined as an increase in pressure in an anatomical compartment in the body resulting in muscle and nerve damage. Acute compartment syndrome mostly develops after crushing traumas and fractures to the extremities and is a condition that requires urgent intervention. Fasciotomy of the affected extremity segment in the early stage of the compartment syndrome is the gold standard in treatment of crush injury. Rehabilitation after fasciotomy is extremely important in regaining extremity functions. In this review, we discuss current approaches to compartment syndrome and rehabilitation principles following fasciotomy.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"69 2","pages":"133-139"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3a/71/TurkJPhysMedRehab-69-133.PMC10475902.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10522980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.5606/tftrd.2023.10996
Bayram Kelle, Volkan Deniz, Emine Aygül Ortaç
Objectives: This study aims to compare the effectiveness of pulsed and continuous modes of therapeutic ultrasound (US) for phonophoresis in the treatment of subacromial impingement syndrome (SAIS). Patients and methods: Between April 2019 and January 2021, a total of 66 patients with SAIS (17 males, 49 females; mean age: 48.2±8.6 years; range, 19 to 64 years) were included. The patients were randomized to the phonophoresis with continuous mode group (n=22), phonophoresis with pulsed mode group (n=22), and phonophoresis with sham US group (n=22). Five grams of ibuprofen phonophoresis was applied in five sessions per week for three weeks for all groups. Primary outcomes were pain intensity as assessed by the Visual Analog Scale (VAS) and shoulder functions by the short version of Disabilities of the Arm, Shoulder and Hand Questionnaire (QuickDASH). The secondary outcome was the quality of life as assessed by the Nottingham Health Profile (NHP). All patients were evaluated at pre-treatment, post-treatment, and at three months after the end of the treatment. Results: There was a significant improvement in pain during activity, shoulder function, and quality of life after treatment in phonophoresis with continuous and pulsed modes compared to phonophoresis with sham US (p <0.05). Phonophoresis with continuous mode was superior to other groups in reducing pain at rest (p <0.05). Changes between pre-treatment and the three-month follow-up showed a significant improvement in pain during activity and shoulder functions in phonophoresis with continuous and pulsed modes, compared to phonophoresis with sham US (p <0.05). Phonophoresis with pulsed mode was more effective than the other interventions in improving quality of life during the same period (p<0.05). Conclusion: Despite a significant change in phonophoresis with continuous and pulsed modes, it is more pronounced for rest pain in the early period in continuous mode and for quality of life during follow-up in pulsed mode.
{"title":"Phonophoresis treatment of subacromial impingement syndrome: Pulsed or continuous: A randomized-controlled clinical trial.","authors":"Bayram Kelle, Volkan Deniz, Emine Aygül Ortaç","doi":"10.5606/tftrd.2023.10996","DOIUrl":"https://doi.org/10.5606/tftrd.2023.10996","url":null,"abstract":"<p><p><b>Objectives:</b> This study aims to compare the effectiveness of pulsed and continuous modes of therapeutic ultrasound (US) for phonophoresis in the treatment of subacromial impingement syndrome (SAIS). <b>Patients and methods:</b> Between April 2019 and January 2021, a total of 66 patients with SAIS (17 males, 49 females; mean age: 48.2±8.6 years; range, 19 to 64 years) were included. The patients were randomized to the phonophoresis with continuous mode group (n=22), phonophoresis with pulsed mode group (n=22), and phonophoresis with sham US group (n=22). Five grams of ibuprofen phonophoresis was applied in five sessions per week for three weeks for all groups. Primary outcomes were pain intensity as assessed by the Visual Analog Scale (VAS) and shoulder functions by the short version of Disabilities of the Arm, Shoulder and Hand Questionnaire (QuickDASH). The secondary outcome was the quality of life as assessed by the Nottingham Health Profile (NHP). All patients were evaluated at pre-treatment, post-treatment, and at three months after the end of the treatment. <b>Results:</b> There was a significant improvement in pain during activity, shoulder function, and quality of life after treatment in phonophoresis with continuous and pulsed modes compared to phonophoresis with sham US (p <0.05). Phonophoresis with continuous mode was superior to other groups in reducing pain at rest (p <0.05). Changes between pre-treatment and the three-month follow-up showed a significant improvement in pain during activity and shoulder functions in phonophoresis with continuous and pulsed modes, compared to phonophoresis with sham US (p <0.05). Phonophoresis with pulsed mode was more effective than the other interventions in improving quality of life during the same period (p<0.05). <b>Conclusion:</b> Despite a significant change in phonophoresis with continuous and pulsed modes, it is more pronounced for rest pain in the early period in continuous mode and for quality of life during follow-up in pulsed mode.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"69 2","pages":"230-238"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6b/c2/TurkJPhysMedRehab-69-230.PMC10475908.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10160251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.5606/tftrd.2023.12535
Burak Tayyip Dede, Mustafa Hüseyin Temel, Fatih Bağcıer
{"title":"Dry needling with blinded technique in pectoralis minor syndrome.","authors":"Burak Tayyip Dede, Mustafa Hüseyin Temel, Fatih Bağcıer","doi":"10.5606/tftrd.2023.12535","DOIUrl":"https://doi.org/10.5606/tftrd.2023.12535","url":null,"abstract":"","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"69 2","pages":"257-258"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c6/78/TurkJPhysMedRehab-69-257.PMC10475898.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10166970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.5606/tftrd.2023.11221
Qian Xiong, Feng Luo, Jing Zhan, Jia Qiao, Yi Duan, Jie Huang, Rong Li, Hong Liu, Pengjuan Jin
Objectives: This study aimed to evaluate the effect of manual lymphatic drainage (MLD) combined with targeted rehabilitation therapies on the recovery of upper limb function in patients with breast cancer after modified radical mastectomy.
Patients and methods: In the randomized controlled study conducted between October 2019 and June 2020, 104 eligible breast cancer patients who underwent modified radical mastectomy were randomly divided into two groups. The routine functional exercise group (Group RF) received regular functional exercise guidance. In addition, the MLD combined with targeted rehabilitation therapies group (Group MLDT) received MLD, targeted rehabilitation therapies, and regular functional exercise guidance. The primary endpoints were shoulder range of motion, arm circumference and the incidence of axillary web syndrome (AWS). The secondary endpoints included the duration of axillary drainage, the duration of chest wall drainage, and complications.
Results: One hundred participants (mean age: 51.9±8.0 years; range, 28 to 72 years) were included in the final analysis as four patients could not complete the study. A significant improvement in shoulder range of motion was observed in Group MLDT compared to Group RF (p<0.05). Additionally, in Group MLDT, the duration of chest wall drainage was reduced (p=0.037). The frequency of AWS in Group RF was twice that in Group MLDT (p=0.061), but there was no significant difference in arm circumference (p>0.05) or the duration of axillary drainage (p=0.519). Regarding complications, there was one case of necrosis in the MLDT group and four cases in the RF group, including wound infection and seroma.
Conclusion: Manual lymphatic drainage combined with targeted rehabilitation therapies is an effective strategy to improve shoulder function, shorten the duration of chest wall drainage, reduce complications, and partly lower the incidence of AWS.
{"title":"Effect of manual lymphatic drainage combined with targeted rehabilitation therapies on the recovery of upper limb function in patients with modified radical mastectomy: A randomized controlled trial.","authors":"Qian Xiong, Feng Luo, Jing Zhan, Jia Qiao, Yi Duan, Jie Huang, Rong Li, Hong Liu, Pengjuan Jin","doi":"10.5606/tftrd.2023.11221","DOIUrl":"https://doi.org/10.5606/tftrd.2023.11221","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the effect of manual lymphatic drainage (MLD) combined with targeted rehabilitation therapies on the recovery of upper limb function in patients with breast cancer after modified radical mastectomy.</p><p><strong>Patients and methods: </strong>In the randomized controlled study conducted between October 2019 and June 2020, 104 eligible breast cancer patients who underwent modified radical mastectomy were randomly divided into two groups. The routine functional exercise group (Group RF) received regular functional exercise guidance. In addition, the MLD combined with targeted rehabilitation therapies group (Group MLDT) received MLD, targeted rehabilitation therapies, and regular functional exercise guidance. The primary endpoints were shoulder range of motion, arm circumference and the incidence of axillary web syndrome (AWS). The secondary endpoints included the duration of axillary drainage, the duration of chest wall drainage, and complications.</p><p><strong>Results: </strong>One hundred participants (mean age: 51.9±8.0 years; range, 28 to 72 years) were included in the final analysis as four patients could not complete the study. A significant improvement in shoulder range of motion was observed in Group MLDT compared to Group RF (p<0.05). Additionally, in Group MLDT, the duration of chest wall drainage was reduced (p=0.037). The frequency of AWS in Group RF was twice that in Group MLDT (p=0.061), but there was no significant difference in arm circumference (p>0.05) or the duration of axillary drainage (p=0.519). Regarding complications, there was one case of necrosis in the MLDT group and four cases in the RF group, including wound infection and seroma.</p><p><strong>Conclusion: </strong>Manual lymphatic drainage combined with targeted rehabilitation therapies is an effective strategy to improve shoulder function, shorten the duration of chest wall drainage, reduce complications, and partly lower the incidence of AWS.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"69 2","pages":"161-170"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/32/83/TurkJPhysMedRehab-69-161.PMC10475909.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10166976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.5606/tftrd.2023.11054
Pelin Yıldırım, Gulfem Basol, Ali Yavuz Karahan
Objectives: In this study, we aimed to clarify the impact of a Pilates-based therapeutic exercise on disability, pain, mood, and sleep quality in patients with pregnancy-related lumbopelvic pain (LPP).
Patients and methods: In the single-blinded randomized controlled study conducted between January 2018 and June 2018, 34 pregnant women (mean age: 29.7±6.2 years; range, 18 to 40 years) in the second trimester (week 14-24) with LPP were randomly assigned to a control group and a Pilates group. All patients underwent usual prenatal care. In addition, the selected Pilates exercise was carried out twice a week for 60-min per session for 12 weeks in the Pilates group. The control group was not prescribed an exercise regimen; however, they were not discouraged from exercising. The primary outcome was disability; secondary outcomes were LPP, mood, and sleep quality. Disability [Roland-Morris Disability Questionnaire (RMDQ)], LPP [Visual Analog Scale (VAS)], mood [Hospital Anxiety and Depression Scale, Anxiety (HADS-A) and Depression (HADS-D) subscales], and sleep quality [Pittsburgh Sleep Quality Index (PSQI)] were measured before and after 12 weeks. Adverse effects and adherence were recorded to determine exercise safety and compliance. The intention-to-treat analysis was applied.
Results: The between-group effect sizes were moderate for the RMDQ and VAS scales (d=0.4 and d=0.7, respectively) and small for the HADS-A and HADS-D scales (both d=0.2). The intention-to-treat analysis demonstrated that there was a statistically significant difference in disability, pain, and mood in favor of the Pilates group (p0.05).
Conclusion: Adding Pilates to usual prenatal care should be considered a promising treatment option for pregnancy-related LPP.
{"title":"Pilates-based therapeutic exercise for pregnancy-related low back and pelvic pain: A prospective, randomized, controlled trial.","authors":"Pelin Yıldırım, Gulfem Basol, Ali Yavuz Karahan","doi":"10.5606/tftrd.2023.11054","DOIUrl":"https://doi.org/10.5606/tftrd.2023.11054","url":null,"abstract":"<p><strong>Objectives: </strong>In this study, we aimed to clarify the impact of a Pilates-based therapeutic exercise on disability, pain, mood, and sleep quality in patients with pregnancy-related lumbopelvic pain (LPP).</p><p><strong>Patients and methods: </strong>In the single-blinded randomized controlled study conducted between January 2018 and June 2018, 34 pregnant women (mean age: 29.7±6.2 years; range, 18 to 40 years) in the second trimester (week 14-24) with LPP were randomly assigned to a control group and a Pilates group. All patients underwent usual prenatal care. In addition, the selected Pilates exercise was carried out twice a week for 60-min per session for 12 weeks in the Pilates group. The control group was not prescribed an exercise regimen; however, they were not discouraged from exercising. The primary outcome was disability; secondary outcomes were LPP, mood, and sleep quality. Disability [Roland-Morris Disability Questionnaire (RMDQ)], LPP [Visual Analog Scale (VAS)], mood [Hospital Anxiety and Depression Scale, Anxiety (HADS-A) and Depression (HADS-D) subscales], and sleep quality [Pittsburgh Sleep Quality Index (PSQI)] were measured before and after 12 weeks. Adverse effects and adherence were recorded to determine exercise safety and compliance. The intention-to-treat analysis was applied.</p><p><strong>Results: </strong>The between-group effect sizes were moderate for the RMDQ and VAS scales (d=0.4 and d=0.7, respectively) and small for the HADS-A and HADS-D scales (both d=0.2). The intention-to-treat analysis demonstrated that there was a statistically significant difference in disability, pain, and mood in favor of the Pilates group (p0.05).</p><p><strong>Conclusion: </strong>Adding Pilates to usual prenatal care should be considered a promising treatment option for pregnancy-related LPP.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"69 2","pages":"207-215"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d5/81/TurkJPhysMedRehab-69-207.PMC10475913.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10171803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sefa Gümrük Aslan, Kutay Tezel, N Kutay Ordu-Gökkaya
McCune-Albright syndrome is classically defined by the clinical triad of fibrous dysplasia (FD) of the bone, café-au-lait macules, and endocrinopathies. We report the case of a 15-year-old male with a diagnosed with McCune Albright syndrome. McCune-Albright syndrome remains a diagnostic challenge, and delayed diagnosis may have significant consequences. Routine musculoskeletal screening along with other endocrinopathies should be kept in mind. The rehabilitation programs that provides significant improvement in their quality of life. The treatment of McCune-Albright syndrome is directed toward the specific symptoms that are apparent in each individual.
{"title":"Fibrous dysplasia and McCune-Albright syndrome: A case report with review of literature on the rehabilitation approach.","authors":"Sefa Gümrük Aslan, Kutay Tezel, N Kutay Ordu-Gökkaya","doi":"10.5606/tftrd.2023.8815","DOIUrl":"https://doi.org/10.5606/tftrd.2023.8815","url":null,"abstract":"<p><p>McCune-Albright syndrome is classically defined by the clinical triad of fibrous dysplasia (FD) of the bone, café-au-lait macules, and endocrinopathies. We report the case of a 15-year-old male with a diagnosed with McCune Albright syndrome. McCune-Albright syndrome remains a diagnostic challenge, and delayed diagnosis may have significant consequences. Routine musculoskeletal screening along with other endocrinopathies should be kept in mind. The rehabilitation programs that provides significant improvement in their quality of life. The treatment of McCune-Albright syndrome is directed toward the specific symptoms that are apparent in each individual.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"69 2","pages":"252-256"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a9/21/TurkJPhysMedRehab-69-252.PMC10475905.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10160252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.5606/tftrd.2023.12106
Hanife Çağlar Yağcı, İlker Yağcı, Fatih Bağcıer
Objectives The aim of this study was to compare the efficacy of the corticosteroid (CS) injection and shock wave therapy (SWT) in the treatment of greater trochanteric pain syndrome (GTPS). Patients and methods Between 2020 September and 2021 October, a total of 60 patients with GTPS (12 males, 48 females; mean age: 50.8±8.5 years; range, 34 to 65 years) were included. The patients were randomly assigned to two groups as the SWT group (n=32) receiving one session of SWT per week for a total of three weeks and CS injection group (n=28) receiving CS and local anesthetic. Both groups were evaluated using the Short Form-36 (SF-36) at baseline and three months and using the Visual Analog Scale (VAS) and Western Ontario and McMaster University Osteoarthritis Index (WOMAC) at baseline, three weeks, and three months. Results The mean VAS, greater trochanter tenderness, and WOMAC scores of both groups were similar at baseline, while the third-week and three-month scores were significantly lower in both groups compared to baseline (p<0.05). There was no significant difference in the treatment efficacy between the groups (p>0.05). There was a similar improvement in SF-36 physical function, physical role difficulty, and pain subscales in both groups (p<0.05). Conclusion Our study results show that both CS injection and SWT are effective modalities and none of the treatments is superior to each other.
{"title":"Comparison of shock wave therapy and corticosteroid injection in the treatment of greater trochanteric pain syndrome: A single-blind, randomized study.","authors":"Hanife Çağlar Yağcı, İlker Yağcı, Fatih Bağcıer","doi":"10.5606/tftrd.2023.12106","DOIUrl":"https://doi.org/10.5606/tftrd.2023.12106","url":null,"abstract":"Objectives The aim of this study was to compare the efficacy of the corticosteroid (CS) injection and shock wave therapy (SWT) in the treatment of greater trochanteric pain syndrome (GTPS). Patients and methods Between 2020 September and 2021 October, a total of 60 patients with GTPS (12 males, 48 females; mean age: 50.8±8.5 years; range, 34 to 65 years) were included. The patients were randomly assigned to two groups as the SWT group (n=32) receiving one session of SWT per week for a total of three weeks and CS injection group (n=28) receiving CS and local anesthetic. Both groups were evaluated using the Short Form-36 (SF-36) at baseline and three months and using the Visual Analog Scale (VAS) and Western Ontario and McMaster University Osteoarthritis Index (WOMAC) at baseline, three weeks, and three months. Results The mean VAS, greater trochanter tenderness, and WOMAC scores of both groups were similar at baseline, while the third-week and three-month scores were significantly lower in both groups compared to baseline (p<0.05). There was no significant difference in the treatment efficacy between the groups (p>0.05). There was a similar improvement in SF-36 physical function, physical role difficulty, and pain subscales in both groups (p<0.05). Conclusion Our study results show that both CS injection and SWT are effective modalities and none of the treatments is superior to each other.","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"69 2","pages":"180-187"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2b/c0/TurkJPhysMedRehab-69-180.PMC10475897.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10166971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.5606/tftrd.2023.13146
Ayşegül Ketenci, Mahir Topaloğlu
The purpose of this commentary is to explore pain management strategies for individuals with dementia, with a particular focus on the Cochrane Review titled “Algorithm-based pain management for people with dementia in nursing homes”.[1] The review, authored by Manietta et al.[1] and published by Cochrane Dementia and Cognitive Improvement Group, provides valuable insights into how best to address pain in this population. This Cochrane Corner is being presented in collaboration with the Turkish Journal of Physical Medicine and Rehabilitation, with input from the review summary authors in the “implications for practice” section.
{"title":"Is algorithm-based pain management for people with dementia in nursing homes possible? A Cochrane Review summary with commentary.","authors":"Ayşegül Ketenci, Mahir Topaloğlu","doi":"10.5606/tftrd.2023.13146","DOIUrl":"https://doi.org/10.5606/tftrd.2023.13146","url":null,"abstract":"The purpose of this commentary is to explore pain management strategies for individuals with dementia, with a particular focus on the Cochrane Review titled “Algorithm-based pain management for people with dementia in nursing homes”.[1] The review, authored by Manietta et al.[1] and published by Cochrane Dementia and Cognitive Improvement Group, provides valuable insights into how best to address pain in this population. This Cochrane Corner is being presented in collaboration with the Turkish Journal of Physical Medicine and Rehabilitation, with input from the review summary authors in the “implications for practice” section.","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"69 2","pages":"239-243"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/53/cf/TurkJPhysMedRehab-69-239.PMC10475910.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10171805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.5606/tftrd.2023.11990
Erkan Mesci, Nilgün Mesci
Objectives: This study aimed to investigate potential changes in the thickness of the multifidus and gastrocnemius muscles and to demonstrate the association of muscle thickness with postural stability in ankylosing spondylitis (AS) patients.
Patients and methods: The cross-sectional observational study enrolled 32 AS patients (23 males, 9 females; mean age: 39.4±7.2 years; range, 18 to 65 years) diagnosed according to the modified New York criteria and 32 healthy controls (22 males, 10 females; mean age: 36.6±7.5 years; range, 18 to 65 years) between April 2017 and October 2018. Plantar center of pressure (CoP) excursions were recorded using a pressure platform to evaluate postural stability. The thickness of the lumbar multifidus and gastrocnemius muscles was measured using ultrasound.
Results: Patients with AS showed reduced muscle thickness at the multifidus (p<0.05) muscle and medial gastrocnemius (p=0.002) and lateral gastrocnemius (p=0.002) muscles compared to controls. Increased CoP excursions were observed only in the anteroposterior direction in the double-leg (standard) stance with the eyes closed (p=0.003) and in both anteroposterior and mediolateral directions in tandem and single-leg stances (all p<0.05). Center of pressure excursions in standard stance with the eyes closed were negatively correlated with all muscle thickness values (all p<0.05). In the single-leg stance, CoP excursions were negatively correlated with muscle thickness of medial gastrocnemius (p=0.008) and lateral G (p=0.016) muscles.
Conclusion: Early planning of exercise programs taking muscle loss into account can help improve balance and thereby prevent falls and fractures in AS patients.
{"title":"The relationship of multifidus and gastrocnemius muscle thickness with postural stability in patients with ankylosing spondylitis.","authors":"Erkan Mesci, Nilgün Mesci","doi":"10.5606/tftrd.2023.11990","DOIUrl":"https://doi.org/10.5606/tftrd.2023.11990","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate potential changes in the thickness of the multifidus and gastrocnemius muscles and to demonstrate the association of muscle thickness with postural stability in ankylosing spondylitis (AS) patients.</p><p><strong>Patients and methods: </strong>The cross-sectional observational study enrolled 32 AS patients (23 males, 9 females; mean age: 39.4±7.2 years; range, 18 to 65 years) diagnosed according to the modified New York criteria and 32 healthy controls (22 males, 10 females; mean age: 36.6±7.5 years; range, 18 to 65 years) between April 2017 and October 2018. Plantar center of pressure (CoP) excursions were recorded using a pressure platform to evaluate postural stability. The thickness of the lumbar multifidus and gastrocnemius muscles was measured using ultrasound.</p><p><strong>Results: </strong>Patients with AS showed reduced muscle thickness at the multifidus (p<0.05) muscle and medial gastrocnemius (p=0.002) and lateral gastrocnemius (p=0.002) muscles compared to controls. Increased CoP excursions were observed only in the anteroposterior direction in the double-leg (standard) stance with the eyes closed (p=0.003) and in both anteroposterior and mediolateral directions in tandem and single-leg stances (all p<0.05). Center of pressure excursions in standard stance with the eyes closed were negatively correlated with all muscle thickness values (all p<0.05). In the single-leg stance, CoP excursions were negatively correlated with muscle thickness of medial gastrocnemius (p=0.008) and lateral G (p=0.016) muscles.</p><p><strong>Conclusion: </strong>Early planning of exercise programs taking muscle loss into account can help improve balance and thereby prevent falls and fractures in AS patients.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"69 2","pages":"222-229"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/22/00/TurkJPhysMedRehab-69-222.PMC10475907.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10170204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}