[Show abstract][Hide abstract] ABSTRACT: Objective: To determine the risk factors of symptomatic knee, hand, and
hip osteoarthritis among people aged ≥40 years in a suburban area of
İzmir City, Turkey
Material and Methods: A total of 522 subjects were randomly chosen
with systematic randomization. All subjects fulfilled a detailed survey and
had a physical examination. Any subject who met at least one of the ACR
clinical criteria for knee/hand/hip osteoarthritis (OA) was considered as
screening positive and was invited for x-rays.
Results: We report that the symptomatic knee, hand, and hip osteoarthritis
prevalence correspondingly increases with age. Symptomatic knee
osteoarthritis (SKO) has a positive correlation with female gender (OR:
26.5, 95% CI: 7.6-92.3), obesity, morbid obesity (OR:5.8, 95% CI:2.1-
16.2), and regular prayer habit (namaz) (OR:2.6, 95% CI: 1.1-6.2).
SKO and symptomatic hand osteoarthritis (SHaO) prevalence numbers
are higher in the postmenopausal female group than premenopausal
women (p<0.05). We determined that poorly educated people had
a 1.5-times higher risk for developing SKO (p=0.649). Non-smokers
had 1.5 times the risk of smokers for developing OA. Subjects lacking
symptomatic knee OA were found to be significantly more active than
the other groups.
Conclusion: Risk factors for development of symptomatic knee, hand,
and hip osteoarthritis were determined as female gender, advanced
age, obesity, and being in postmenopausal stage. Low education level,
being a non-smoker, having a regular prayer habit, climbing stairs,
being a worker, and sedentary life were also risk factors for having knee
osteoarthritis. It is an obvious issue that we need countrywide studies
with larger populations to build a health policy for osteoarthritis.
Key Words: Osteoarthritis, epidemiology, risk factors
FTR - Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi 06/2014; 60(2):126-33. DOI:10.5152/tftrd.2014.72593 · 0.08 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This cross-sectional study was conducted to determine the prevalence of symptomatic knee, hand and hip osteoarthritis among men and women at or over 40 years of age, living in the Bayraklı Adalet district of İzmir.
The study included a sample size of 522 people calculated using the Epi Info™ software. Demographic information, weight, height and body mass index were recorded. Patients were physically examined for evidence of osteoarthritis, such as joint tenderness, range of motion deficiency, deformity, 1st carpometacarpal joint involvement and Heberden's and/or Bouchard's nodes. One hundred and ninety-one individuals were suspected of having knee/hand/hip osteoarthritis and 152 of these were called in for radiographs.
The prevalence of symptomatic knee, hand and hip osteoarthritis of adults aged ≥40 years was 20.9%, 2.8% and 1.0%, respectively. Symptomatic knee and hand osteoarthritis was significantly higher among women (p<0.05). However, there was no significant difference between two genders regarding symptomatic hip osteoarthritis.
Knee osteoarthritis is frequent in the region in which the study was conducted. An effective health policy regarding osteoarthritis can be created following further studies with larger samples representing the entire country.
[Show abstract][Hide abstract] ABSTRACT: In this study, the bladder emptying methods at different stages of the post-stroke period along with the effects of demographic and clinical parameters on spontaneous voiding frequency were investigated. The frequencies of bladder emptying methods at admission to the rehabilitation clinic, after neurourological and urodynamic assessment and at home after discharge were spontaneous voiding (SV) 51/99 (51.5 %), 62/99 (62.6 %), 73/99 (73.7 %), emptying without a urinary catheter + an external collector system (EWUC + ECS) 24/99 (24.2 %), 18/99 (18.2 %), 17/99 (17.2 %), intermittent catheterization (IC) 1/99 (1.0 %), 15/99 (15.2 %), 6/99 (6.1 %), indwelling urethral catheter (IUC) 23/99 (23.2 %), 4/99 (4.0 %) and 3/99 (3.0 %), respectively. Lower spontaneous voiding frequencies were observed in single-divorced and geriatric individuals (p < 0.05). The number of patients who modified the method at home was 2/62 for SV, 5/18 for EWUC + ECS, 9/15 for IC, and 2/4 for IUC. The majority of stroke patients were able to void spontaneously and the spontaneous voiding frequency increased at follow-up. The spontaneous voiding frequency was low in geriatric and single-divorced subgroups. The method in which the most changes occurred was IC.
[Show abstract][Hide abstract] ABSTRACT: This study compares the quality of life (QoL) and psychological status of mothers of children with cancer with those of mothers of children without cancer. One hundred hospitalized children and their mothers, as primary caregivers, were included in this study. Fifty mothers with healthy children were enrolled as the control group. A children and mother query form was used to obtain demographical data. The disease histories were extracted from patient records. QoL was measured with the Medical Outcomes Study 36-item Short Form Survey (SF-36) and the State-Trait Anxiety Inventory (STAI) in order to assess the psychological symptoms of the mothers in the study and in the control groups. The mean age of the caregivers was 35.93 ± 8.27 years, whereas the mean age of the mothers in the control group was 39.72 ± 6.88 years. The general health, vitality, social functioning, and mental health scores from the SF-36 and the STAI-trait scores were significantly poorer among the mothers of children with cancer as compared with the scores of the mothers of children without cancer (P < .05). Significant negative correlations were found between the age of the children, the age at diagnosis, and the SF-36 subscores for physical functioning, physical role, and pain (P < .05). The mothers of children with cancer, who require hospital care, have poorer QoL and psychological health than the mothers of healthy children. These results suggest that the current system for treating cancer in Turkish children should also include close monitoring of the care-giving mothers' QoL and psychological health.
[Show abstract][Hide abstract] ABSTRACT: MS patients frequently present with urinary system symptoms, which have a negative effect on the quality life. The aim of our study was to demonstrate the validity and reliability of the Turkish King's Health Questionnaire (KHQ) in MS patients. The study included 37 patients. For analysis of test-retest reliability, the Turkish version of the KHQ developed and the "translation-back translation" method was performed. To assess the validity of these results, Multiple Sclerosis Quality of Life Scale (MQoL-54) and Expanded Disability Status Scale (EDSS) were used. The internal consistency (intra-class correlation coefficient: 0.59-0.94) and test-retest reliability (Cronbach's α-score 0.59-0.94) of KHQ were found to be high (p < 0.05). A significant correlation was detected between most of the KHQ subscores and the physical and mental MQoL-54 and EDSS (total and bowel/bladder, p < 0.05) subscores. The KHQ may be used to determine the effect of incontinence on the quality of life for MS patients.
[Show abstract][Hide abstract] ABSTRACT: There are very few randomized controlled studies on exercise in cancer patients. Consequently, there are no guidelines available with regard to the exercises that can be recommended and difficulties are encountered in the clinical practice as to which exercise is more suitable to the patients.
The purpose of this study was to investigate the impact of pilates exercises on physical performance, flexibility, fatigue, depression and quality of life in women who had been treated for breast cancer.
Randomized controlled trial.
Out patient group, Department of Physical Medicine and Rehabilitation and Medical Oncology Department, University Hospital.
Fifty-two patients with breast cancer were divided into either pilates exercise (group 1) and control group (group 2).
Patients in Group 1 performed pilates and home exercises and patients in group 2 performed only home exercises. Pilates exercise sessions were performed three times a week for a period of eight weeks in the rehabilitation unit.
Subjects were assessed before and after rehabilitation program, with respect to, 6-min walk test (6MWT), modified sit and reach test, Brief Fatigue Inventory (BFI), Beck Depression Index (BDI) and the European Organisation for Research and Treatment of Cancer Quality of Life C30 (EORTC QLQ-C30) and EORTC QLQ BR23.
After the exercise program, improvements were observed in Group 1 in 6-minute walk test, BDI, EORTC QLQ-C30 functional, and EORTC QLQ-C30 BR23 functional scores (P<0.05). In contrast, no significant improvement was observed in Group 2 after the exercise program in any of parameters in comparison to the pre-exercise period (P>0.05). When the two exercise groups were compared, there were significant differences in 6MWT in pilates-exercise group (P<0.05).
Pilates exercises are effective and safe in female breast cancer patients. There is a need for further studies so that its effect can be confirmed.
This study addressed the effects of pilates exercise, as a new approach, on functional capacity, fatigue, depression and quality of life in breast cancer patients in whom there are doubts regarding the efficacy and usefulness of the exercise.
European journal of physical and rehabilitation medicine 12/2010; 46(4):481-7. · 1.95 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Incontinence is one of the most frequently encountered problems in multiple sclerosis (MS), and it has a negative effect on the daily lives of patients. Therefore, it is important to investigate this complaint and start appropriate treatment early. The aim of our study was to demonstrate the validity and reliability of the Turkish-language Incontinence Quality of Life Scale (I-QOL) in patients with MS. We included 37 patients with MS in this study. For analysis of test-retest reliability, we administered the Turkish-language version of I-QOL developed by a "translation-back translation" method to patients on the day of admission and 1 week after admission. To assess validity, we also evaluated patients with the Multiple Sclerosis Quality of Life Scale (MQOL-54) and Expanded Disability Status Scale (EDSS). We calculated the intraclass correlation coefficient of the I-QOL (total and all subscores) as 0.88 to 0.91 and the Cronbach alpha score as 0.88 to 0.91 (p < 0.05). We found a significant correlation among all subscores of I-QOL and physical and mental subscores of MQOL-54 and EDSS (p < 0.05). Our study has demonstrated the internal consistency and reliability of the I-QOL in the Turkish language in patients with MS.
The Journal of Rehabilitation Research and Development 01/2010; 47(1):67-71. DOI:10.1682/JRRD.2009.08.0132 · 1.69 Impact Factor