Abdulkadir Aydın

Serebral palsili çocukların annelerinde depresyon ve yaşam kalitesinin değerlendirilmesi

Amac: Serebral palsili (SP) cocuklarin annelerinde depresyon varliginin arastirilmasi ve yasam kalitesinin degerlendirilmesi, cocugu saglikli annelerden olusan kontrollerle karsilastirilmasidir. Hastalar ve Yontem: Calismaya 49 SP’li cocuk ve annesi ile saglikli cocugu olan 30 anne alindi. SP tipi belirlenen cocuklarin; Kaba Motor Fonksiyon Siniflama Sistemi (KMFSS) ile fonksiyonel duzeyi belirlendi. Annelerin depresyon durumu Beck Depresyon Olcegi (BDO) ile, yasam kalitesi Nottingham Saglik Profili (NSP) ile degerlendirildi. Bulgular: SP’li cocuklarin yas ortalamasi 66.20 ± 43.73 aydi. Cocuklarin 28’ i diplejik, 1’i hemiplejik, 20’si kuadriplejik tipteydi. KMFSS’e gore; cocuklarin cogu, duzey 2 (n=20) ve duzey 3 (n=17)’ tu. SP grubunun annelerinin yas ortalamasi 35.75 ± 7.44, kontrol grubunun ise 33.80 ± 7.21 bulundu. SP’li cocugu olan anne grubunda akraba evliligi, annenin ev hanimi olma orani, gelir duzeyi dusuklugu, NSP ve BDO puanlari anlamli olarak yuksek bulundu (p<0.05). KMFSS duzeyi ve SP tipi ile annelerin BDO ve NSP puanlari arasinda anlamli korelasyon saptanmadi (p < 0.05). Sonuc: SP’li cocuklarin annelerinde yasam kalitesinde bozulmanin ve depresyona egilimin daha fazla oldugu saptanmistir. Bu surec cocugun fonksiyonel durumundan ve serebral palsi tipinden etkilenmemektedir.

Comparison of extracorporeal shock-wave therapy and wrist-extensor splint application in the treatment of lateral epicondylitis: a prospective randomized controlled study

Background Extracorporeal shock-wave therapy (ESWT) and wrist-extensor splints (WESs) are two commonly used methods in the treatment of lateral epicondylitis. In this study, the efficacy of these two methods was compared. Methods The study was planned as a prospective randomized controlled study. A total of 67 patients were enrolled. The patients were divided into two groups: group 1 received ESWT (32 patients) and group 2 received WES (35 patients). Patients in group 1 underwent four sessions of ESWT once every week. In each session, an ESWT device at 10–12 Hz, 2,000 pulses, and 1.6–1.8 bar pressure was used. Patients in group 2 used a wrist splint, holding the wrist at 30°–45° extension for 4 weeks. Patients were assessed for handgrip strength, pain at rest, pain while working, and quality of life. Data were collected before and after treatment (at weeks 4, 12, and 24). A visual analog scale was used to evaluate pain at rest and while working, a hand dynamometer for handgrip strength, subscales of the SF36 Health Survey to evaluate quality of life, and the Turkish version of the patient-rated tennis-elbow evaluation was used to evaluate functioning of the affected arm during various daily life activities. Results In both ESWT and WES groups, although there were considerably significant improvements (P<0.001) in the parameters evaluated (pain at rest and while working, handgrip strength, Patient-Rated Tennis Elbow Evaluation, Nirschl score, and SF36 subscales) were observed at 4, 12, and 24 weeks compared to pretreatment values, there was no statistically significant difference between the two groups in terms of our evaluation parameters at the three time points (P>0.05). Conclusion Both ESWT and WES applications were found to yield significantly superior results when compared to pretreatment values. In comparison of the two groups, on the other hand, there was no statistically significant difference.

The Evaluation of Balance and Depression Status in Patients with Transtibial Amputations: Controlled Study

Amac : Ampute yaslilarda denge ve koordinasyon daha fazla bozulmakta, dusme ve dusme korkusu saglikli yaslilara gore daha fazla olmaktadir. Diz alti amputasyonu (DAA) vaskuler ve vaskuler olmayan nedenlere bagli olarak gelisen amputasyonlardir. Calismamizdaki amac DAA’ li hastalarda yurume, denge ve dusme risklerini arastirmak ve benzer yas grubundaki ampute olmayan kontrol grubu (KG) hastalarla karsilastirmaktir. Materyal ve Metot: Calismaya 72 hasta (37 DAA, 35 KG) dahil edildi. Hastalarin yas ortalamasi DAA grubu 61±5,06 iken KG yas ortalamasi 63±5,12 idi. Her iki grubun demografik ve klinik ozellikleri kaydedildi. Ayrica denge ve yurumeyi degerlendirmek icin tinetti yurume ve denge skalasi kullanilarak dusme riski ve anksiyete-depresyon degerlendirildi. Hipotezler cift yonlu olup, p≤0.05 ise istatistiksel olarak anlamli kabul edildi. Bulgular: Demografik veri acisindan her iki grup arasinda istatistiksel fark bulunmadi (p>0.05). Denge, dusme ve dusme korkusunun varligi KG yaslilar lehine anlamli fark bulundu (p<0.001). Yardimci cihaz kullanimi KG yaslilar lehine anlamli bulundu (p<0,05). Tinetti denge, tinetti yurume ve tinetti total ve BECK anksiyete- depresyon skorlarinda KG yaslilar lehine oldukca anlamli sonuclar bulunurken (p<0.001), tinetti yurume skorlarinda KG yaslilar lehine anlamli bulundu(p<0.05). Sonuc: DAA’li hastalar yurume ve denge bozukluklarina oldukca fazla maruz kalmakta ve anksiyete-depresyon sikliklari artmaktadir.

Sockets Manufactured by Cad/cam Method Have Positive Effects on the Quality of Life of Patients With Transtibial Amputation

Objective: Patients with amputation need prosthesis to comfortably move around. One of the most important parts of a good prosthesis is the socket. Currently, the most commonly used method is the traditional socket manufacturing method, which involves manual work; however, computer-aided design/computer-aided manufacturing (CAD/CAM) is also being used in the recent years. The present study aimed to investigate the effects of sockets manufactured by traditional and CAD/CAM method on clinical characteristics and quality of life of patients with transtibial amputation. Design The study included 72 patients with transtibial amputation using prosthesis, 36 of whom had CAD/CAM prosthetic sockets (group 1) and 36 had traditional prosthetic sockets (group 2). Amputation reason, prosthesis lifetime, walking time and distance with prosthesis, pain-free walking time with prosthesis, production time of the prosthesis, and adaptation time to the prosthesis were questioned. Quality of life was assessed using the 36-item Short Form Health Survey questionnaire and the Trinity Amputation and Prosthesis Experience Scales. Results Walking time and distance and pain-free walking time with prosthesis were significantly better in group 1 than those in group 2. Furthermore, the prosthesis was applied in a significantly shorter time, and socket adaptation time was significantly shorter in group 1. Except emotional role limitation, all 36-item Short Form Healthy Survey questionnaire parameters were significantly better in group 1 than in group 2. Trinity Amputation and Prosthesis Experience Scales activity limitation scores of group 1 were lower, and Trinity Amputation and Prosthesis Experience Scales satisfaction with the prosthesis scores were higher than those in group 2. Conclusion Our study demonstrated that the sockets manufactured by CAD/CAM methods yield better outcomes in quality of life of patients with transtibial amputation than the sockets manufactured by the traditional method.