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Is the isokinetic strength of nonparetic lower limb related to fatigue in stroke survivors? A cross-sectional study. 中风幸存者非瘫痪下肢的等动力量与疲劳有关吗?一项横断面研究。
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-02-01 eCollection Date: 2024-03-01 DOI: 10.5606/tftrd.2024.12502
Ozden Ozyemisci Taskiran, Elif Balevi Batur, Gulcin Kaymak Karatas, Alessandro de Sire

Objectives: The study aimed to investigate the correlation between nonparetic knee muscle strength and fatigue in a cohort of stroke survivors.

Patients and methods: Thirty-two stroke survivors (17 females, 15 males; median age 62 (interquartile range [IQR] 51-69), (min: 45, max: 81) years were recruited in this cross-sectional study between January 2012 and September 2012. Sociodemographic, clinical, and stroke-related parameters were recorded. All participants underwent an isokinetic measurement of the nonparetic knee flexion and extension. Functional independence measure, functional ambulation category, and Mini-Mental State Examination scores were used to evaluate the functional status, ambulation, and mental status of the patients. Anxiety, depression, and fatigue severity were measured using the Hospital Anxiety and Depression Scale and fatigue severity scale (FSS), respectively.

Results: The median duration of stroke was 3.1 (IQR: 2.5-6.5) months. Stroke survivors with reduced muscle strength were older and had lower motor and total functional independence measure scores than those with normal strength (p=0.026, p=0.034, and p=0.034, respectively). There were more patients with lower functional ambulation category scores in the group with reduced muscle strength (p=0.023). Peak torque values of knee flexors at 60°/sec and 180°/sec correlated negatively with FSS (r= -0.360, p=0.043 and r= -0.452, p=0.009, respectively). There was also a negative correlation between the work of knee extensor and flexors at 180°/sec and FSS (r= -0.398, p=0.024 and r= -0.451, p=0.010, respectively). Anxiety and depression scores were not significantly correlated with fatigue.

Conclusion: The lower strength of nonparetic knee extensor muscles was related to greater disability and worse ambulatory scores. The lower strength of knee flexor muscles and the work of both knee muscles in the nonparetic limb were related to higher fatigue levels in stroke survivors. Therefore, fatigue management and strengthening of both knee flexor and extensor muscles in the nonparetic limb is emphasized during stroke rehabilitation.

研究目的本研究旨在调查一组中风幸存者的非瘫痪性膝关节肌力与疲劳之间的相关性:这项横断面研究在 2012 年 1 月至 2012 年 9 月间招募了 32 名中风幸存者(女性 17 人,男性 15 人;中位年龄 62 岁(四分位数间距 [IQR] 51-69),最小 45 岁,最大 81 岁)。研究人员记录了社会人口学、临床和卒中相关参数。所有参与者都接受了膝关节非麻痹性屈伸的等速测量。功能独立性测量、功能性行走类别和迷你精神状态检查评分用于评估患者的功能状态、行走和精神状态。焦虑、抑郁和疲劳严重程度分别采用医院焦虑抑郁量表和疲劳严重程度量表(FSS)进行测量:中位卒中持续时间为 3.1 个月(IQR:2.5-6.5 个月)。与肌力正常的中风幸存者相比,肌力减弱的中风幸存者年龄更大,运动和总体功能独立性测量得分更低(分别为 p=0.026、p=0.034 和 p=0.034)。在肌力减弱组中,有更多患者的功能性行走类别评分较低(P=0.023)。膝关节屈肌在 60°/秒和 180°/秒时的峰值扭矩值与 FSS 呈负相关(分别为 r= -0.360,p=0.043 和 r= -0.452,p=0.009)。膝关节在 180°/秒时的伸屈功与 FSS 也呈负相关(分别为 r= -0.398,p=0.024 和 r=-0.451,p=0.010)。焦虑和抑郁评分与疲劳无明显相关性:结论:非瘫痪性膝外展肌力量较低与残疾程度和活动能力评分较差有关。结论:非瘫痪肢体的膝关节屈肌力量和双膝关节肌肉的工作强度较低与中风幸存者的疲劳程度较高有关。因此,在中风康复过程中应强调疲劳管理和加强非瘫痪肢体的膝关节屈肌和伸肌。
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引用次数: 0
Noninvasive neuromodulatory effect on cognition in individuals with traumatic brain injury: A single-blinded, two-arm parallel randomized clinical trial. 无创神经调节对脑外伤患者认知能力的影响:单盲双臂平行随机临床试验。
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-02-01 eCollection Date: 2024-03-01 DOI: 10.5606/tftrd.2024.12252
Kavita Kaushik, Nidhi Sharma, Parveen Kumar, Simranjeet Kaur, Gaurav Kapoor, Ajay Gehlot

Objectives: The study aimed to compare the effect of cranial electrical stimulation (CES) and transcranial direct current stimulation (tDCS) in improving cognition among individuals with mild traumatic brain injury.

Patients and methods: The pretest-posttest randomized controlled study was conducted between November 2020 and March 2022. Seventy-two patients (64 males, 8 females; mean age: 40.5±9.5 years; range, 18 to 45 years) experiencing cognitive impairment within three months of traumatic brain injury were recruited. Participants were randomly assigned into two groups: Group 1 (CES with cognitive training, n=36) and Group 2 (tDCS with cognitive training, n=36). Participants were blinded in the study. Both groups received 30-min sessions of neuromodulation along with 30 min of cognitive training five days a week for four weeks. The patients were assessed at baseline and at the end of two and four weeks of intervention. The primary outcome measure was the Montreal Cognition Assessment (MoCA), and the secondary outcome measure was the Galveston Orientation Amnesia Test (GOAT).

Results: Demographic and baseline characteristics depicted normal distribution for both groups (p>0.05). Within group analyses of both groups demonstrated significant differences for both outcome measures (MoCA: p=0.001; GOAT: p=0.001). Between group analyses of MoCA showed significant improvement with p-value of 0.001 while GOAT exhibited p-value of 0.002 showing significant difference between the two groups. Time group interaction effect and covariance analyses depicted significant improvement with p-value of 0.001 for both outcome measures with excellent effect size >0.80.

Conclusion: Cranial electrical stimulation was a more effective noninvasive neuromodulatory device than tDCS in improving cognition among individuals with traumatic brain injury.

研究目的研究旨在比较颅脑电刺激(CES)和经颅直流电刺激(tDCS)在改善轻度脑外伤患者认知能力方面的效果:这项前测-后测随机对照研究于 2020 年 11 月至 2022 年 3 月间进行。研究招募了72名在脑外伤后三个月内出现认知障碍的患者(64名男性,8名女性;平均年龄:40.5±9.5岁;范围:18至45岁)。参与者被随机分为两组:第一组(CES 与认知训练,36 人)和第二组(tDCS 与认知训练,36 人)。参与者在研究中均为盲人。两组患者均接受 30 分钟的神经调控治疗,同时每周五天接受 30 分钟的认知训练,为期四周。患者分别在基线、两周和四周干预结束时接受评估。主要结果指标是蒙特利尔认知评估(MoCA),次要结果指标是加尔维斯顿定向遗忘测试(GOAT):两组的人口统计学特征和基线特征均呈正态分布(P>0.05)。两组的组内分析表明,两项结果测量均存在显著差异(MoCA:p=0.001;GOAT:p=0.001)。MoCA 的组间分析表明,两组间存在显著差异,P 值为 0.001,而 GOAT 的 P 值为 0.002。时间组交互效应和协方差分析显示,两组结果均有明显改善,P值均为0.001,效应大小均大于0.80:在改善脑外伤患者的认知能力方面,颅电刺激是一种比 tDCS 更有效的非侵入性神经调节设备。
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引用次数: 0
The epidemiology of osteoporosis in Türkiye: A comprehensive analysis using the e-Nabız database. 土耳其骨质疏松症流行病学:利用 e-Nabız 数据库进行综合分析。
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-02-01 eCollection Date: 2024-03-01 DOI: 10.5606/tftrd.2024.13505
Mustafa Mahir Ülgü, Şuayıp Birinci

Objectives: The study aimed to define the epidemiology of osteoporosis and low bone mass based on bone mineral density at the femoral neck and the lumbar spine in adults 50 years and older in Türkiye.

Patients and methods: The retrospective study included all patients diagnosed with osteoporosis with a bone mineral density scan between January 2016 and May 2023 in the e-Nabız database, a government-run online healthcare database including over 68 million of active users. The data was categorized according to patient demographics, presentation age (0-17, 18-64, and >65 years), geographic regions, and healthcare levels.

Results: A total of 4,253,039 patients (723,863 [17.0%] males, 3,529,176 [83.0%] females) were diagnosed with osteoporosis. Of the patients, 2,432,607 (57.2%) belonged to the 18-64 years age group, 1,783,690 (41.9%) were in the >65 years group, and 36,742 (0.9%) were in the 0-17 years group. The mean age at presentation was 61.1±14.4 (range, 0 to 110) years. The Marmara region had the highest number of cases with 1,330,325 (31.3%), and the Aegean region had the lowest with 194,009 (4.6%). Istanbul had the highest rate of osteoporosis as a province (18.4%), followed by Ankara (7.5%). The lowest rates were recorded in Bayburt (0.0%) and Tunceli (0.1%), respectively.

Conclusion: Registry studies provide reliable information in epidemiological studies. In this study, the first of its kind in Türkiye, we reported the geographical distribution of osteoporosis. As expected, there were more osteoporosis patients in the more densely populated areas of the country. Secondary and tertiary care centers had more entries compared to primary care centers. The annual incidence of osteoporosis showed a declining trend over the years.

研究目的该研究旨在根据土耳其 50 岁及以上成年人股骨颈和腰椎的骨矿密度,确定骨质疏松症和低骨量的流行病学:这项回顾性研究纳入了 e-Nabız 数据库中所有在 2016 年 1 月至 2023 年 5 月期间通过骨矿密度扫描确诊为骨质疏松症的患者,e-Nabız 是一个由政府运营的在线医疗保健数据库,拥有超过 6800 万活跃用户。数据根据患者的人口统计学特征、陈述年龄(0-17 岁、18-64 岁和大于 65 岁)、地理区域和医疗保健水平进行了分类:共有 4,253,039 名患者(723,863 名[17.0%]男性,3,529,176 名[83.0%]女性)被诊断为骨质疏松症。其中,2,432,607 人(57.2%)属于 18-64 岁年龄组,1,783,690 人(41.9%)属于 65 岁以上年龄组,36,742 人(0.9%)属于 0-17 岁年龄组。平均发病年龄为 61.1±14.4(0 至 110)岁。马尔马拉地区的病例数最多,为 1,330,325 例(31.3%),爱琴海地区的病例数最少,为 194,009 例(4.6%)。伊斯坦布尔是骨质疏松症发病率最高的省份(18.4%),其次是安卡拉(7.5%)。巴伊布尔特(0.0%)和通切利(0.1%)的骨质疏松症发病率最低:登记研究为流行病学研究提供了可靠的信息。在这项研究中,我们报告了骨质疏松症的地理分布情况。不出所料,该国人口较密集地区的骨质疏松症患者较多。与初级医疗中心相比,二级和三级医疗中心有更多的患者。骨质疏松症的年发病率呈逐年下降趋势。
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引用次数: 0
Efficacy of trigger point injection therapy in noncardiac chest pain: A randomized controlled trial. 扳机点注射疗法对非心源性胸痛的疗效:随机对照试验。
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-02-01 eCollection Date: 2024-03-01 DOI: 10.5606/tftrd.2024.12716
Mustafa Şengül, Sebahat Tekeli Şengül

Objectives: This study aimed to compare the effects of trigger point injections and stretching exercises in patients with noncardiac chest pain (NCCP) associated with myofascial pain syndrome.

Patients and methods: This prospective randomized controlled trial included 50 patients with noncardiac chest pain and trigger points in the pectoralis muscles between October 2019 and June 2020. The patients were randomly assigned to receive trigger point injections into the pectoralis muscles and exercise (n=25; 15 males, 10 females; mean age: 42.8±9.2 years; range, 25 to 57 years) or only perform exercise (n=25; 11 males, 14 females; mean age: 41.8±11.2 years; range, 18 to 60 years). The primary outcome was pain intensity at the first month and three months after the first treatment session, measured using the Visual Analog Scale from 0 to 100. The secondary outcome was the Nottingham Health Profile score.

Results: Treatment with stretching exercises and trigger point injection resulted in significant pain reduction compared to stretching exercises alone, and the reduction was persistent at the three-month follow-up (p<0.001). A between-group comparison showed no significant difference in the Nottingham Health Profile (p=0.522). Complications related to the procedure or severe adverse events attributable to treatment were not reported.

Conclusion: Trigger point injection combined with stretching exercises is an efficient treatment for noncardiac chest pain related to myofascial pain syndrome compared to exercise treatment alone.

研究目的本研究旨在比较触发点注射和拉伸运动对伴有肌筋膜疼痛综合征的非心源性胸痛(NCCP)患者的影响:这项前瞻性随机对照试验在2019年10月至2020年6月期间纳入了50名胸肌触发点的非心源性胸痛患者。患者被随机分配到接受胸肌触发点注射和锻炼(25 人;男性 15 人,女性 10 人;平均年龄:42.8±9.2 岁;年龄范围:25 至 57 岁)或仅进行锻炼(25 人;男性 11 人,女性 14 人;平均年龄:41.8±11.2 岁;年龄范围:18 至 60 岁)。主要结果是首次治疗后第一个月和三个月的疼痛强度,使用视觉模拟量表进行测量,范围从 0 到 100。次要结果是诺丁汉健康档案评分:结果:与单独进行拉伸运动相比,通过拉伸运动和扳机点注射治疗后,疼痛明显减轻,而且在三个月的随访中,疼痛减轻的情况仍在持续(p 结论:通过拉伸运动和扳机点注射治疗后,疼痛明显减轻,而且在三个月的随访中,疼痛减轻的情况仍在持续:与单纯的运动治疗相比,扳机点注射结合拉伸运动是治疗与肌筋膜疼痛综合征相关的非心源性胸痛的有效方法。
{"title":"Efficacy of trigger point injection therapy in noncardiac chest pain: A randomized controlled trial.","authors":"Mustafa Şengül, Sebahat Tekeli Şengül","doi":"10.5606/tftrd.2024.12716","DOIUrl":"10.5606/tftrd.2024.12716","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to compare the effects of trigger point injections and stretching exercises in patients with noncardiac chest pain (NCCP) associated with myofascial pain syndrome.</p><p><strong>Patients and methods: </strong>This prospective randomized controlled trial included 50 patients with noncardiac chest pain and trigger points in the pectoralis muscles between October 2019 and June 2020. The patients were randomly assigned to receive trigger point injections into the pectoralis muscles and exercise (n=25; 15 males, 10 females; mean age: 42.8±9.2 years; range, 25 to 57 years) or only perform exercise (n=25; 11 males, 14 females; mean age: 41.8±11.2 years; range, 18 to 60 years). The primary outcome was pain intensity at the first month and three months after the first treatment session, measured using the Visual Analog Scale from 0 to 100. The secondary outcome was the Nottingham Health Profile score.</p><p><strong>Results: </strong>Treatment with stretching exercises and trigger point injection resulted in significant pain reduction compared to stretching exercises alone, and the reduction was persistent at the three-month follow-up (p<0.001). A between-group comparison showed no significant difference in the Nottingham Health Profile (p=0.522). Complications related to the procedure or severe adverse events attributable to treatment were not reported.</p><p><strong>Conclusion: </strong>Trigger point injection combined with stretching exercises is an efficient treatment for noncardiac chest pain related to myofascial pain syndrome compared to exercise treatment alone.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 1","pages":"98-104"},"PeriodicalIF":1.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10966746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320002","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}
引用次数: 0
Investigation of incidental findings of temporomandibular joint disorders on brain magnetic resonance imaging in three-dimensional T2-weighted SPACE sequence performed for brain imaging. 脑磁共振成像三维T2加权SPACE序列中颞下颌关节疾病偶然发现的调查。
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-02-01 eCollection Date: 2024-03-01 DOI: 10.5606/tftrd.2024.12538
Rumeysa Samancı, Hayri Oğul, Ayşe Gökçe, Abdulkadir Kaya, Safinaz Ataoğlu

Objectives: The study aimed to determine the temporomandibular joint (TMJ) findings, to investigate the prevalence contribution of this sequence on cases in which cranial magnetic resonance examination was performed and three-dimensional (3D) T2-SPACE (T2-weighted sampling perfection with application-optimized contrasts using different flip-angle evolutions) sequence was used by retrospectively scanning the magnetic resonance imaging (MRI) archive of our hospital, and to reveal the advantages of the 3D-T2 SPACE sequence in patients with TMJ disorders.

Patients and methods: The cross-sectional retrospective study was conducted with 499 patients (289 females, 210 males; mean age: 50.1±17.7 years; range, 8 to 92 years) who underwent brain MRI and had 3D-T2 SPACE between March 1, 2021 and March 1, 2022. Two radiologists analyzed the TMJs of the subjects included in the study in 3D-T2 SPACE sequences.

Results: At least one incidental finding was detected in the TMJ in 37.1% (n=185) of the patients included in our study. In our study, the most common (13.6%) MRI findings were osteoarthritic changes and synovial cysts. Joint effusion (13.2%) and disc displacement (9%) were less frequent. When the relationship between the age of the patients and the presence of incidental findings, degeneration, effusion, disc displacement, and cyst was examined, the age of the patients with incidental findings (p=0.001) and osteoarthritic changes (p<0.001) was statistically significantly higher.

Conclusion: Incidental findings, particularly osteoarthritic changes and synovial cysts, can be seen quite commonly in the TMJ in brain MRI using 3D T2-SPACE sequences in the general population. The 3D T2-SPACE sequence provides valuable information in the recognition of TMJ disorders.

研究目的该研究旨在通过回顾性扫描我院的磁共振成像(MRI)档案,确定颞下颌关节(TMJ)的检查结果,调查该序列对进行头颅磁共振检查并使用三维(3D)T2-SPACE(T2加权取样完善,使用不同翻转角度演变的应用优化对比度)序列的病例的患病率贡献,并揭示3D-T2 SPACE序列在颞下颌关节疾病患者中的优势:该横断面回顾性研究的对象为 2021 年 3 月 1 日至 2022 年 3 月 1 日期间接受脑磁共振成像并进行 3D-T2 SPACE 的 499 例患者(女性 289 例,男性 210 例;平均年龄:50.1±17.7 岁;范围:8 至 92 岁)。两名放射科医生对研究对象的颞下颌关节进行了三维-T2 SPACE序列分析:在我们的研究中,37.1% 的患者(185 人)的颞下颌关节中至少有一个偶然发现。在我们的研究中,最常见(13.6%)的磁共振成像结果是骨关节炎改变和滑膜囊肿。关节积液(13.2%)和椎间盘移位(9%)较少见。在研究患者年龄与偶然发现、退变、积液、椎间盘移位和囊肿之间的关系时,偶然发现患者的年龄(P=0.001)和骨关节炎病变患者的年龄(P=0.001)与骨关节炎病变患者的年龄(P=0.001)和骨关节炎病变患者的年龄(P=0.001)之间的关系:在普通人群中,使用三维 T2-SPACE 序列进行脑部磁共振成像时,颞下颌关节的偶然发现,尤其是骨关节炎病变和滑膜囊肿非常常见。三维 T2-SPACE 序列可为识别颞下颌关节疾病提供有价值的信息。
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引用次数: 0
The efficiency of mirror therapy in peripheral nerve injuries. 镜像疗法对周围神经损伤的疗效。
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-02-01 eCollection Date: 2024-03-01 DOI: 10.5606/tftrd.2024.12648
Serkan Kablanoğlu, Ilgın Sade, Çiğdem Çekmece, Gül Özdin, Levent Buluç, Nigar Dursun

Objectives: The purpose of this study was to investigate the effectiveness of mirror therapy on pain, sensory, and functional development in addition to conventional rehabilitation and occupational practices in patients with a peripheral nerve injury in the hand.

Patients and methods: Twenty-six patients with peripheral nerve injury in the hand were included in this randomized controlled study between November 2017 and May 2018. The patients were randomly assigned to the mirror group (n=14) and the control (n=12) group. Both groups received conventional therapy in our clinic for 45 min a day during weekdays for six consecutive weeks. The mirror group received an additional 10-15 min of visual mirror therapy. Visual Analog Scale (VAS), Duruöz Hand Index, Quick Disabilities of the Arm, Shoulder, and Hand, Jebsen hand function test, and Semmes-Weinstein monofilament test were used for the assessment of pain, hand function, and sensation of the patients at baseline and after treatment. The handgrip strength of the patients was measured with a dynamometer.

Results: A total of 20 patients (17 males, 3 females; mean age 31.9±16.5, range 16 to 65 years) completed the study, with 10 in each group. Statistically significant improvement was detected in hand skill functions, such as page-turning (p=0.004), backgammon packing (p=0.023), and heavy object lifting (p=0.029) in the mirror group. A statistically significant decrease was found in total scores of VAS after treatment in both groups (p<0.05).

Conclusion: The results imply that mirror therapy integrated with conventional rehabilitation may aid additional benefits on hand functions in peripheral nerve injury. These results demonstrate that mirror therapy can be used in addition to the rehabilitation program of patients with peripheral nerve injury.

研究目的本研究的目的是探讨在手部周围神经损伤患者的常规康复和职业实践之外,镜像疗法对疼痛、感觉和功能发展的有效性:这项随机对照研究纳入了 26 名手部周围神经损伤患者,研究时间为 2017 年 11 月至 2018 年 5 月。患者被随机分配到镜子组(n=14)和对照组(n=12)。两组患者均在本诊所接受常规治疗,平日每天 45 分钟,连续六周。镜像组则额外接受 10-15 分钟的视觉镜像治疗。采用视觉模拟量表(VAS)、Duruöz 手指数、手臂、肩部和手部快速残疾测试、捷布森手部功能测试和塞姆斯-韦恩斯坦单韧带测试来评估基线和治疗后患者的疼痛、手部功能和感觉。使用测力计测量了患者的手握力:共有 20 名患者(17 名男性,3 名女性;平均年龄(31.9±16.5)岁,16 至 65 岁不等)完成了研究,每组 10 人。镜子组的手部技能功能有明显改善,如翻页(P=0.004)、包装西洋双陆棋(P=0.023)和搬运重物(P=0.029)。两组患者治疗后的 VAS 总分均有统计学意义上的明显降低(p 结论:研究结果表明,镜子疗法与传统康复治疗相结合,可为周围神经损伤患者的手部功能带来更多益处。这些结果表明,镜子疗法可以作为周围神经损伤患者康复计划的补充。
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引用次数: 0
Clinical and ultrasonographic enthesitis assessment before and after anti-tumor necrosis factor treatment in patients with spondyloarthritis. 脊柱关节炎患者在接受抗肿瘤坏死因子治疗前后的临床和超声波夹缝炎评估。
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-02-01 eCollection Date: 2024-03-01 DOI: 10.5606/tftrd.2024.11943
Ibrahim Asoglu, Deniz Palamar, Kenan Akgün, Gunay Er, Hidayet Sarı

Objectives: This study aimed to clinically and ultrasonographically evaluate enthesitis in patients with spondyloarthritis (SpA) and to determine enthesitis response to anti-tumor necrosis factor (TNF) treatment.

Patients and methods: Thirty-one SpA patients (22 males, 9 females; mean age: 39.4±10.9 years; range, 22 to 60 years) who started anti-TNF treatment due to their high disease activity were included in the cross-sectional prospective study between May 2017 and January 2018. Ankylosing Spondylitis Disease Activity Score, Bath Ankylosing Spondylitis Disease Activity Index, Ankylosing Spondylitis Quality of Life Questionnaire, Bath Ankylosing Spondylitis Functional Index, and Bath Ankylosing Spondylitis Metrology Index were recorded. Maastricht Ankylosing Spondylitis Enthesitis Score (MASES) and Spondyloarthritis Research Consortium of Canada (SPARCC) Enthesitis Score were utilized for clinical enthesitis evaluation. Patients were ultrasonographically evaluated in accordance with the Madrid Sonographic Enthesitis Index (MASEI) by a blinded sonographer. Patients were clinically and ultrasonographically assessed at baseline and in the third month after the treatment.

Results: In the initial evaluation, 24 (77.42%) of the patients had clinical enthesitis, and 30 (96.77%) of the patients had ultrasonographic enthesitis. After anti-TNF treatment, MASES, SPARCC, MASEI-structure, MASEI-thickness, MASEI-bursitis, MASEI-Doppler, MASEI-inflammatory, and MASEI-total scores significantly decreased (p<0.05). There was no significant change in MASEI-damage, MASEI-erosion, and MASEI-calcification scores following the therapy (p>0.05).

Conclusion: Anti-TNF treatment may improve clinical and ultrasonographic enthesitis, particularly inflammatory changes. Erosions and calcifications may not ameliorate after three months of anti-TNF treatment.

研究目的本研究旨在对脊柱关节炎(SpA)患者的关节内膜炎进行临床和超声评估,并确定关节内膜炎对抗肿瘤坏死因子(TNF)治疗的反应:这项横断面前瞻性研究纳入了31名SpA患者(22名男性,9名女性;平均年龄:39.4±10.9岁;年龄范围:22岁至60岁),这些患者因疾病活动度高而开始接受抗肿瘤坏死因子治疗,研究时间为2017年5月至2018年1月。研究记录了强直性脊柱炎疾病活动度评分、巴斯强直性脊柱炎疾病活动度指数、强直性脊柱炎生活质量问卷、巴斯强直性脊柱炎功能指数和巴斯强直性脊柱炎计量指数。马斯特里赫特强直性脊柱炎关节炎评分(MASES)和加拿大脊柱关节炎研究联合会(SPARCC)关节炎评分用于临床关节炎评估。由一名盲人超声波技师根据马德里超声波切口炎指数(MASEI)对患者进行超声波评估。在基线和治疗后第三个月对患者进行临床和超声波评估:在初始评估中,24 名患者(77.42%)患有临床粘膜炎,30 名患者(96.77%)患有超声粘膜炎。抗肿瘤坏死因子治疗后,MASES、SPARCC、MASEI-结构、MASEI-厚度、MASEI-滑囊炎、MASEI-多普勒、MASEI-炎症和 MASEI-总分显著下降(P0.05):结论:抗肿瘤坏死因子治疗可改善临床和超声波夹腱炎,尤其是炎性改变。结论:抗肿瘤坏死因子治疗可改善临床和超声波粘膜炎,尤其是炎症改变,但三个月的抗肿瘤坏死因子治疗后,侵蚀和钙化可能不会改善。
{"title":"Clinical and ultrasonographic enthesitis assessment before and after anti-tumor necrosis factor treatment in patients with spondyloarthritis.","authors":"Ibrahim Asoglu, Deniz Palamar, Kenan Akgün, Gunay Er, Hidayet Sarı","doi":"10.5606/tftrd.2024.11943","DOIUrl":"10.5606/tftrd.2024.11943","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to clinically and ultrasonographically evaluate enthesitis in patients with spondyloarthritis (SpA) and to determine enthesitis response to anti-tumor necrosis factor (TNF) treatment.</p><p><strong>Patients and methods: </strong>Thirty-one SpA patients (22 males, 9 females; mean age: 39.4±10.9 years; range, 22 to 60 years) who started anti-TNF treatment due to their high disease activity were included in the cross-sectional prospective study between May 2017 and January 2018. Ankylosing Spondylitis Disease Activity Score, Bath Ankylosing Spondylitis Disease Activity Index, Ankylosing Spondylitis Quality of Life Questionnaire, Bath Ankylosing Spondylitis Functional Index, and Bath Ankylosing Spondylitis Metrology Index were recorded. Maastricht Ankylosing Spondylitis Enthesitis Score (MASES) and Spondyloarthritis Research Consortium of Canada (SPARCC) Enthesitis Score were utilized for clinical enthesitis evaluation. Patients were ultrasonographically evaluated in accordance with the Madrid Sonographic Enthesitis Index (MASEI) by a blinded sonographer. Patients were clinically and ultrasonographically assessed at baseline and in the third month after the treatment.</p><p><strong>Results: </strong>In the initial evaluation, 24 (77.42%) of the patients had clinical enthesitis, and 30 (96.77%) of the patients had ultrasonographic enthesitis. After anti-TNF treatment, MASES, SPARCC, MASEI-structure, MASEI-thickness, MASEI-bursitis, MASEI-Doppler, MASEI-inflammatory, and MASEI-total scores significantly decreased (p<0.05). There was no significant change in MASEI-damage, MASEI-erosion, and MASEI-calcification scores following the therapy (p>0.05).</p><p><strong>Conclusion: </strong>Anti-TNF treatment may improve clinical and ultrasonographic enthesitis, particularly inflammatory changes. Erosions and calcifications may not ameliorate after three months of anti-TNF treatment.</p>","PeriodicalId":56043,"journal":{"name":"Turkish Journal of Physical Medicine and Rehabilitation","volume":"70 1","pages":"90-97"},"PeriodicalIF":1.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10966744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319997","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}
引用次数: 0
Deep Gluteal syndrome: An underestimated cause of posterior hip pain. 臀深综合征:髋关节后部疼痛的一个被低估的原因。
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-02-01 eCollection Date: 2024-03-01 DOI: 10.5606/tftrd.2024.14668
Duygu Geler Külcü

Deep gluteal syndrome (DGS) is a significant cause of posterior hip pain resulting from the compression of the sciatic or other peripheral nerves in the deep gluteal space. Understanding the anatomy of the deep gluteal space and the kinematics of the sciatic nerve, as it passes through this region is crucial for understanding DGS. Despite increasing awareness, DGS is still often overlooked. This review focuses on conditions that specifically contribute to posterior hip pain as a consequence of DGS. Predominantly addressing piriformis syndrome, gemelli-obturator internus syndrome, ischiofemoral impingement syndrome, and proximal hamstring syndrome, the review also touches upon rare cases such as inferior and superior gluteal nerve entrapment.

臀深部综合征(DGS)是臀部后部疼痛的一个重要原因,是坐骨神经或其他周围神经在臀深部间隙受到压迫所致。了解臀深部间隙的解剖结构以及坐骨神经穿过该区域时的运动学原理对于理解 DGS 至关重要。尽管人们对 DGS 的认识不断提高,但它仍经常被忽视。这篇综述将重点讨论 DGS 导致髋后疼痛的具体病症。主要讨论梨状肌综合征、脐内肌综合征、峡股骨撞击综合征和近端腘绳肌综合征,也涉及臀下和臀上神经卡压等罕见病例。
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引用次数: 0
Effect of diaphragmatic breathing training with visual biofeedback on respiratory function in patients with multiple rib fractures: A randomized-controlled study. 横膈膜呼吸训练与视觉生物反馈对多发性肋骨骨折患者呼吸功能的影响:随机对照研究。
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-01-15 eCollection Date: 2024-03-01 DOI: 10.5606/tftrd.2024.12601
Ho Jeong Shin, Ho Hee Son

Objectives: The aim of this study was to investigate the effect of diaphragmatic breathing training with visual biofeedback on respiratory function in patients with multiple rib fractures.

Patients and methods: Between June 2021 and October 2021, a total of 16 patients (15 males, 1 female; mean age: 49.50±11.85 years; range, 25 to 66 years) who were diagnosed with multiple rib fractures were randomly assigned into two groups as the control group (CG, n=8) and the visual biofeedback group (VBG, n=8). The effect of each diaphragmatic breathing training on respiratory function was evaluated before and after eight interventions. For respiratory function, pulmonary function test was used to measure pulmonary function and respiratory muscle strength, and the Pain, Inspiratory capacity, Cough (PIC) score was used to evaluated pain, inspiratory capacity, and cough ability.

Results: In both groups, the pulmonary function representing the ratio of measurements to predicted values of both forced vital capacity (CG mean difference=25.37±4.58, p=0.002, VBG mean difference=24.25±3.96, p=0.007) and forced expiratory volume in 1 sec (CG mean difference=32.38±5.7, p=0.002, VBG mean difference=26.15±5.73, p <0.001) increased significantly. The maximal inspiratory (CG mean difference=14.00±0.35, p=0.002, VBG mean difference=20.5±6.26, p=0.009) and expiratory pressure (CG mean difference=43.72±29.44, p=0.034, VBG mean difference=25.76±6.78, p=0.015), the indicators of respiratory muscle strength, increased significantly in both groups. The PIC score, which evaluated pain, inspiratory capacity, and cough ability, also increased significantly in both groups (CG mean difference=1.63±0.26, p≤0.001, VBG mean difference=3.13±0.19, p <0.001). The change of PIC score after intervention did not significantly differ between the groups (F=1.439, p=0.250); however, there was a significant difference over time (F=38.476, p <0.001). The change of PIC scores differed over time between the groups (F=2.806 p=0.011).

Conclusion: Diaphragmatic breathing training and diaphragmatic breathing training with visual biofeedback can improve pulmonary function, respiratory muscle strength, pain, inspiratory capacity, and cough ability in patients with multiple rib fractures.

研究目的本研究旨在探讨横膈膜呼吸训练与视觉生物反馈对多发性肋骨骨折患者呼吸功能的影响:在 2021 年 6 月至 2021 年 10 月期间,将 16 例确诊为多发性肋骨骨折的患者(15 例男性,1 例女性;平均年龄为(49.50±11.85)岁;范围为 25 至 66 岁)随机分为两组,分别为对照组(CG,n=8)和视觉生物反馈组(VBG,n=8)。在八次干预前后,分别评估了横膈膜呼吸训练对呼吸功能的影响。在呼吸功能方面,采用肺功能测试测量肺功能和呼吸肌力量,采用疼痛、吸气能力、咳嗽(PIC)评分评估疼痛、吸气能力和咳嗽能力:结果:两组患者的肺功能均代表强迫生命容量(CG 平均差=25.37±4.58,P=0.002;VBG 平均差=24.25±3.96,P=0.007)和 1 秒内强迫呼气量(CG 平均差=32.38±5.7,P=0.002;VBG 平均差=26.15±5.73,P 结论:两组患者的肺功能均代表强迫生命容量和 1 秒内强迫呼气量的测量值与预测值的比值:横膈膜呼吸训练和横膈膜呼吸训练与视觉生物反馈可改善多发性肋骨骨折患者的肺功能、呼吸肌力量、疼痛、吸气能力和咳嗽能力。
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引用次数: 0
Posture-induced compressive peroneal neuropathy during harvesting season: A case series. 收割季节姿势引起的压迫性腓肠神经病:病例系列
IF 1.1 4区 医学 Q3 REHABILITATION Pub Date : 2024-01-15 eCollection Date: 2024-09-01 DOI: 10.5606/tftrd.2024.11968
Aylin Sarıyıldız

Posture-induced compressive peroneal neuropathy usually occurs after maintaining certain positions, such as prolonged squatting or habitual leg crossing. Peroneal neuropathy mainly presents with unilateral foot drop and variable sensory deficit. In this article, a case series of unilateral/bilateral peroneal nerve palsy secondary to prolonged squatting during peanut harvesting was reported. The four patients presented were aged between 12 and 21 years. All patients showed signs of peroneal nerve palsy in the electrophysiological examination. The present article also reviewed the clinical evaluation, rehabilitation approaches, and prognosis of posture-induced peroneal neuropathy in light of the current literature.

姿势引起的压迫性腓肠神经病通常发生在保持某些姿势之后,如长时间下蹲或习惯性交叉腿。腓肠神经病主要表现为单侧足下垂和不同程度的感觉障碍。本文报告了一例因在收获花生时长时间下蹲而继发单侧/双侧腓肠神经麻痹的系列病例。四名患者的年龄在 12 至 21 岁之间。所有患者在电生理检查中均显示出腓肠神经麻痹的症状。本文还根据现有文献回顾了姿势诱发腓总神经病的临床评估、康复方法和预后。
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引用次数: 0
期刊
Turkish Journal of Physical Medicine and Rehabilitation
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