Browsing by Publisher "Turkish Society of Physical Medicine and Rehabilitation"

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    A rare cause for a gluteal pain in adults: Tuber ischium avulsion fracture; [Erişkinlerde nadir görülen bir gluteal ağrı nedeni: Tuber iskium avülsiyon kırığı]
    (Turkish Society of Physical Medicine and Rehabilitation, 2016) Tıkız C.; Örgüç Ş.; Ulusoy A.; Akgül Ö.
    Tuber ischium avulsion fracture is a rare injury, of which the diagnosis is often missed or delayed. It usually occurs as a result of hamstring muscle contraction in adolescent athletes. Herein, we report a tuber ischium avulsion fracture developed in a 28-year-old male patient, who was admitted with the complaint of pain in the gluteal area after inguinal hernia surgery. © Telif Hakkı 2016 Türkiye Fiziksel Tıp ve Rehabilitasyon Derneği.
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    Black colored intervertebral disc; ochronosis: A case report; [Siyah renkli intervertebral disk; okronozis: Olgu sunumu]
    (Turkish Society of Physical Medicine and Rehabilitation, 2017) Ösün A.; Korkmaz M.; Temiz P.; Samancıoğlu A.; Atay B.
    Alkaptonuria is a rare inborn error of metabolism caused by mutations in the gene responsible for the production of homogentisate 1,2-dioxygenase, an enzyme that plays an important role in the normal degradation of the aromatic amino acids tyrosine and phenylalanine. Defective production of this enzyme results in the accumulation of homogentisic acid, a tyrosine degradation product, in the bloodstream. Accumulation of homogentisic acid and its metabolites in tissues cause ochronosis. The word ochronosis refers to the dark bluish black discoloration of connective tissues including the sclera, cornea, auricular cartilage, heart valves, articular cartilage, tendons, and ligaments. In this article, we present a 38-year-old male patient with alkaptonuria associated degenerative L4-5 disc hernia, in which the patient was diagnosed after lumbar discectomy. © 2017 by Turkish Society of Physical Medicine and Rehabilitation.
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    Pulmonary rehabilitation principles in SARS-COV-2 infection (COVID-19): A guideline for the acute and subacute rehabilitation
    (Turkish Society of Physical Medicine and Rehabilitation, 2020) Aytà Y.K.; Köseoğlu B.F.; TaÅkiran Ö.Ö.; Ordu-Gökkaya N.K.; DelialioÄa&lu S.Ü.; Tur B.S.; Sarikaya S.; Åžirzai H.; Tiftik T.T.; AlemdaroÄa&lu E.; Ayhan F.F.; Cąkit B.D.; Genà A.; GündoÄa&du I.; Güzel R.; Karayel D.D.; Kaya B.B.; Öken Ö.; Özdemir H.; Soyupek F.; Tikiz C.
    Coronavirus disease 2019 (COVID-19) is a contagious infection disease, which may cause respiratory, physical, psychological, and generalized systemic dysfunction. The severity of disease ranges from an asymptomatic infection or mild illness to mild or severe pneumonia with respiratory failure and/or death. COVID-19 dramatically affects the pulmonary system. There is a lack of knowledge about the long-term outcomes of the disease and the possible sequelae and rehabilitation. This clinical practice guideline includes pulmonary rehabilitation (PR) recommendations for adult COVID-19 patients and has been developed in the light of the guidelines on the diagnosis and treatment of COVID-19 provided by the World Health Organization and Republic of Turkey, Ministry of Health, recently published scientific literature, and PR recommendations for COVID-19 regarding basic principles of PR. In this guideline, the contagiousness of COVID-19, recommendations on limited contact of patient with healthcare providers, and the evidence about possible benefits of PR were taken into consideration. © 2020 Turkish Society of Physical Medicine and Rehabilitation. All rights reserved.
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    Pulmonary rehabilitation principles in SARS-COV-2 infection (COVID-19): The revised guideline for the acute, subacute, and post-COVID-19 rehabilitation
    (Turkish Society of Physical Medicine and Rehabilitation, 2021) Aytür Y.K.; Köseoglu B.F.; Taşkıran Ö.Ö.; Gökkaya N.K.O.; Delialioğlu S.Ü.; Tur B.S.; Sarıkaya S.; Şirzai H.; Tiftik T.T.; Alemdaroglu E.; Ayhan F.F.; Çakıt B.D.; Genç A.; Gündoğdu İ.; Güzel R.; Kabayel D.D.; Kaya B.B.; Öken Ö.; Özdemir H.; Soyupek F.; Tıkız C.
    Coronavirus disease 2019 (COVID-19) is a contagious infection disease, which may cause respiratory, physical, psychological, and generalized systemic dysfunction. The severity of disease ranges from an asymptomatic infection or mild illness to mild or severe pneumonia with respiratory failure and/or death. COVID-19 dramatically affects the pulmonary system. This clinical practice guideline includes pulmonary rehabilitation (PR) recommendations for adult COVID-19 patients and has been developed in the light of the guidelines on the diagnosis and treatment of COVID-19 provided by the World Health Organization and Republic of Turkey, Ministry of Health, recently published scientific literature, and PR recommendations for COVID-19 regarding basic principles of PR. This national guideline provides suggestions regarding the PR methods during the clinical stages of COVID-19 and post-COVID-19 with its possible benefits, contraindications, and disadvantages. © 2021 All right reserved by the Turkish Society of Physical Medicine and Rehabilitation
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    Evaluation of the physical and emotional effects of the COVID-19 pandemic on patients with fibromyalgia and chronic low back pain: A multicenter cross-sectional controlled study
    (Turkish Society of Physical Medicine and Rehabilitation, 2022) Bagcier F.; Kibar S.; Evcik D.; Ketenci A.; Sindel D.; Tur B.S.; Ünlü Z.; Tıkız C.; Keskin D.; Alp A.; Ay S.; Yanık B.; Külcü D.G.; Karakaş M.; Ural Nazlıkul F.G.; Kurt Oktay K.N.; Aksoy M.K.; Fındıkoğlu G.; Eser F.; Atıcı A.; Yurdakul O.V.; Koçak F.A.; Kurt E.E.; Özkan Y.; Doğan Ş.K.; Sultanoğlu T.E.; Ordahan B.; Umay E.K.; Demirhan E.; Yağcı H.Ç.; Balbaloğlu Ö.; Tezel N.; Satış S.; Atar S.; Akaltun M.S.
    Objectives: This study aimed to investigate the physical and emotional effects of the coronavirus disease 2019 pandemic in patients with fibromyalgia syndrome (FMS) and chronic low back pain (CLBP) patients. Patients and methods: The cross-sectional controlled study was performed with 1,360 participants (332 males, 1,028 females; mean age: 42.3±12.5 years; range, 18 to 65 years) between September 2020 and February 2021. The participants were evaluated in three groups: the FMS group (n=465), the CLBP group (n=455), and the healthy control group (n=440). Physical activity, pain levels, and general health status before and during the pandemic were evaluated in all participants. Stress levels were analyzed with the perceived stress scale (PSS) in all groups, and disease activity was analyzed with the fibromyalgia impact questionnaire (FIQ) in patients with FMS. Results: Patients with FMS had worsened general health status and pain levels during the pandemic compared to the other groups (p<0.01). The FMS group showed significantly higher PSS scores than those in other groups (p<0.01). There was a weak-positive correlation between FIQ and PSS parameters in patients with FMS (p<0.05, r=0.385). Conclusion: The general health status, pain, and stress levels of the patients with FMS and CLBP tended to worsen during the pandemic. This high-stress level appeared to affect disease activity in patients with FMS. ©2022 All right reserved by the Turkish Society of Physical Medicine and Rehabilitation.
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    COVID-19, cardiac involvement and cardiac rehabilitation: Insights from a rehabilitation perspective - State of the Art
    (Turkish Society of Physical Medicine and Rehabilitation, 2022) Tur B.S.; Köseoğlu B.F.; Ordu Gökkaya N.K.; Aytür Y.K.; Taşkıran Ö.Ö.; Kabayel D.D.; Kesiktaş N.; Tıkız C.; Özdemir H.; Alemdaroğlu E.; Kaya B.B.; Genç A.; Sütbeyaz S.T.
    Since the beginning of the pandemic, many novel coronavirus disease 2019 (COVID-19) patients have experienced multisystem involvement or become critically ill and treated in intensive care units, and even died. Among these systemic effects, cardiac involvement may have very important consequences for the patient’s prognosis and later life. Patients with COVID-19 may develop cardiac complications such as heart failure, myocarditis, pericarditis, vasculitis, acute coronary syndrome, and cardiac arrhythmias or trigger an accompanying cardiac disease. The ratio of COVID-19 cardiac involvement ranges between 7 and 28% in hospitalized patients with worse outcomes, longer stay in the intensive care unit, and a higher risk of death. Furthermore, deconditioning due to immobility and muscle involvement can be seen in post-COVID-19 patients and significant physical, cognitive and psychosocial impairments may be observed in some cases. Considering that the definition of health is “a state of complete physical, mental and social well-being”, individuals with heart involvement due to COVID-19 should be rehabilitated by evaluating all these aspects of the disease effect. In the light of the rehabilitation perspective and given the increasing number of patients with cardiac manifestations of COVID-19, in this review, we discuss the rehabilitation principles in this group of patients. ©2022 All right reserved by the Turkish Society of Physical Medicine and Rehabilitation.
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    Demographic and clinical characteristics of inpatient stroke patients in Turkey
    (Turkish Society of Physical Medicine and Rehabilitation, 2022) Külcü D.G.; Kuran B.; Karahan A.Y.; Özgirgin N.; Başaran S.; Yalıman A.; Savaş S.; Tıkız C.; Aktaş İ.; Bardak A.; Tuncer T.; Yılmaz F.; Erhan B.; Şirzai H.; Çelik B.; Durlanık G.; Doğu B.; Öncü J.; Hüner B.; Öztürk G.; Eskiyurt N.; Akpınar F.M.; Özkan F.Ü.; Paker N.; Buğdaycı D.S.; Gündüz B.; Şatır Ö.; Atalay N.Ş.; Yıldız N.; Altındağ Ö.; Demir S.E.; Kaya E.; Uçar D.; Sarı A.; Karataş G.K.; Taşkıran Ö.Ö.
    Objectives: This study aims to assess the stroke rehabilitation facilities provided by university hospitals (UHs) and training and research hospitals (TRHs) and to evaluate the geographical disparities in stroke rehabilitation. Patients and methods: Between April 2013 and April 2014 a total of 1,529 stroke patients (817 males, 712 females; mean age: 61.7±14.0 years; range, 12 to 91 years) who were admitted to the physical medicine and rehabilitation clinics in 20 tertiary care centers were retrospectively analyzed. Demographic, regional and clinical characteristics, details of rehabilitation period, functional status, and complications were collected. Results: The median duration of stroke was five (range, 1 to 360) months. The ratio of the patients treated in the TRH in the Marmara region was 77%, but only 25% of the patients were living in the Marmara region. Duration of hospitalization was longer in the TRHs with a median of 28 days compared to those of UHs (median: 22 days) (p<0.0001). More than half of the patients (55%) were rehabilitated in the Marmara region. Time after stroke was the highest in the Southeast region with a median of 12 (range, 1 to 230) months and the lowest in the Aegean region with a median of four (range, 1 to 84) months. Conclusion: This study provides an insight into the situation of stroke rehabilitation settings and characteristics of stroke patients in Turkey. A standard method of patient evaluation and a registry system may provide data about the efficacy of stroke rehabilitation and may help to focus on the problems that hinder a better outcome. © 2022 All right reserved by the Turkish Society of Physical Medicine and Rehabilitation.
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    The caregiver burden of informal caregivers for stroke patients with and without dysphagia: A multi-center, cross-sectional study in Türkiye
    (Turkish Society of Physical Medicine and Rehabilitation, 2023) Giray E.; Eyigör S.; Çalık Y.; Gezer İ.A.; Sarı A.; Umay E.; Akaltun M.S.; Tıkız C.; Ünlü Z.; Vural M.; Aydeniz B.; Karahan A.Y.
    Objectives: The aim of this study was to investigate the caregiver burden (CB) of informal caregivers for stroke survivors with and without dysphagia and to assess the relationship between the CB levels of informal caregivers for stroke survivors with dysphagia, patients’ swallowing-related quality of life (QoL), and patients’ stroke-specific QoL. Patients and methods: This multi-center, prospective, cross-sectional study included a total of 120 stroke patients (76 males, 44 females; mean age: 61.1±12.3 years; range, 19 to 86 years) between October 2019 and 2020. Of the patients, 57 had dysphagia and 63 had no dysphagia. The Functional Oral Intake Scale (FOIS) was used to classify the degree of functional dietary limitation caused by each patient’s swallowing impairment. Patients and caregivers completed the Eating Assessment Tool (EAT-10), Swallowing Quality of Life (SWQoL) questionnaire, Stroke Impact Scale (SIS), and the Zarit Caregiver Burden Interview (ZBI). Results: The CB levels were higher in those caring for stroke patients with dysphagia than in those caring for stroke patients without dysphagia. Caregiver burden was found to be associated with patients’ swallowing-related QoL and stroke-related QoL. Significant predictors of high CB scores (F=2.55, R2=0.59; p=0.007) were being an employed caregiver (B=17.48, p=0.003), being a caregiver with high school (B=-19.6, p=0.03), and secondary school (B=-16.28, p=0.02) educational status, being son, daughter (B=30.63, p=0.007) or other relative of the patient (B=20.06, p=0.01), lower FOIS stage (B=-3.14, p=0.011), lower SWQoL (B=0.52, p=0.009) and lower SIS (B=-0.37, p=0.04) scores. Conclusion: Caregivers of stroke patients with dysphagia suffer from a higher CB than those without dysphagia. In stroke patients with dysphagia, swallowing-related QoL is associated with the QoL levels of stroke patients and the CB levels of their caregivers. Employment status, educational status of caregiver, caregiver’s relativity to the patient, FOIS stage, swallowing and stroke related QoL of the patients are factors related to burden levels of caregivers of stroke patients with dysphagia. These results may help health professionals to understand dysphagia as an essential source of CB and consider it, while planning treatments. ©2023 All right reserved by the Turkish Society of Physical Medicine and Rehabilitation.
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    Applying the WHO ICF framework to long COVID patients with persistent respiratory symptoms
    (Turkish Society of Physical Medicine and Rehabilitation, 2023) Köseoğlu B.F.; Tur B.S.; Gökkaya N.K.O.; Gökmen İ.G.; Kesiktaş F.N.; Kaya B.B.; Önal R.; Tuncay F.; Genç A.; Findikoglu G.; Doğan Ş.K.; Sütbeyaz S.T.; Sarıkaya S.; Tıkız C.; Özdemir H.; Kabayel D.D.; Atar M.Ö.; Atan T.; Yüksel S.
    Objectives: The aim of this study was to evaluate long COVID patients with persistent respiratory symptoms through the application of the World Health Organization (WHO) International Classification of Functioning, Disability and Health (ICF) framework. Patients and methods: This national, prospective, multicenter, cross-sectional study was conducted with 213 patients (118 females, 95 males; median age 56 years; range, 20 to 85 years) with long COVID between February 2022 and November 2022. The ICF data were primarily collected through patient interviews and from the acute medical management records, physical examination findings, rehabilitation outcomes, and laboratory test results. Each parameter was linked to the Component Body Functions (CBF), the Component Body Structures (CBS), the Component Activities and Participation (CAP), the Component Environmental Factors (CEF), and Personal Factors according to the ICF linking rules. Analysis was made of the frequency of the problems encountered at each level of ICF category and by what percentage of the patient sample. Results: In the ICF, 21 categories for CBF, 1 category for CBS, and 18 categories of CAP were reported as a significant problem in a Turkish population of long COVID patients with persistent respiratory symptoms. Furthermore, eight categories for CEF were described as a facilitator, and four as a barrier. Conclusion: These results can be of guidance and provide insight into the identification of health and health-related conditions of long COVID patients with persistent respiratory symptoms beyond the pathophysiological aspects, organ involvement, and damage of COVID-19. The ICF can be used in patients with long COVID to describe the types and magnitude of impairments, restrictions, special needs, and complications. ©2023 All right reserved by the Turkish Society of Physical Medicine and Rehabilitation.