Browsing by Subject "ENTHESITIS"

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    Evaluation Effects of Laser Therapy and Extracorporeal Shock Wave Therapy with Clinical Parameters and Magnetic Resonance Imaging for Treatment of Plantar Fasciitis in Patients with Spondyloarthritis: A Randomized Controlled Trial
    (HINDAWI LTD) Alpturker, KA; Cerrahoglu, ABL; Orguc, IS
    Objective. Low-level laser therapy (LLLT) and extracorporeal shock wave therapy (ESWT) is applied in the conservative treatment of inflammatory plantar fasciitis, which is also a characteristic feature of spondyloarthritis (SpA) (Gill, 1997 and Roxas, 2005). We determined and compared the effectiveness of LLLT and ESWT using magnetic resonance imaging (MRI).Methods. This study is a prospective, randomized, comparative, single-blind clinical study. Voluntarily followed 40 patients with the diagnosis of SpA and having pain at the heels at least for 6 months. Patients were divided randomly into two treatment groups. One group undertook 14 sessions of infrared Ga-Al-As LLLT, and the other group undertook 3 sessions ESWT. Feet functions of the patients were evaluated by American Orthopaedic Foot and Ankle Society (AOFAS) and Roles and Maudsley Scoring; VAS was evaluated for foot pain and function. In clinical assessment, disease activity was carried out by applying the BASDAI, the functional assessment was evaluated through the BASFI, and the patient quality of life was evaluated through the ASQoL; enthesitis was scored according to MASES assessment, performed before and at 1 month after treatment. The thickness of the plantar fascia was measured with MRI before and 1 month after treatment.Results. Compared with the pretherapy, progress in the feet function by AOFAS and Roles-Maudsley scoring and decrease in VAS levels were statistically significant in both groups (p<0.001). Only the VAS exercise score was superior to LLLT (p<0.05). The thickness of the plantar fascia had decreased significantly on MRI in all two groups.Conclusion. The treatment of plantar fasciitis with LLLT and ESWT was more successful in pain improvement and functional outcomes with the dose, frequency, and duration used in our study.
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    Clinical and radiological characteristics of spondyloarthropathy
    (AVES YAYINCILIK, IBRAHIM KARA) Turan, Y; Duruöz, MT; Cerrahoglu, L
    Objective: The objective of this study is to determine the clinical characteristics of patients with spondyloarthropaties ( SpA). Patients and Methods: One hundred - twenty patients that match European Spondyloarthropaties Study Group (ESSG) diagnostic criteria, were included in this study. There were 48 ankylosing spondylitis ( AS), 42 reactive arthritis (ReA), 9 psoriatic arthritis (PsA), 3 enteropathic arthritis ( EA) and 18 undifferentiated SpA (uSpA) patients. Demographic data, clinical parameters and grade of sacroiliitis were assessed. Enthesitis were evaluated by the Mander Enthesis Index (MEI). Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and Bath Ankylosing Spondylitis Functional Index (BASFI) evaluated disease activity and functional status in AS patients, respectively. Results: The most frequently seen symptom was night pain (55.1%) and the most frequently seen radiographic involvement was right sacroiliitis (95.8%). Epin calcanei was most frequently observed in PsA (55.5%) and EA (33.3%) patients. The incidence of enthesitis in patients with SpA was 86.7%. Uveitis and heel pain were most commonly found respectively in AS (16.7%), and ReA (47.6%) patients. Conclusion: Whereas patients with SpA had similar clinical symptoms, their most common complaint was night pain. We think that it should be keep in mind while medical treatment is put in order.