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Copyright of Turkish Journal of Osteoporosis / Turk Osteoporoz Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Bosphorus Medical Journal / Boğaziçi Tıp Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Bosphorus Medical Journal / Boğaziçi Tıp Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: This study aims to evaluate subclinical atherosclerosis using the Ankle-Brachial Index (ABI) in patients with psoriatic arthritis (PsA). Patients and methods: This case-control study included 51 PsA patients (24 males, 27 females; median age 47; range, 41 to 52 years) recruited at our hospital’s outpatient clinics between October 2016 and January 2017 and 50 healthy controls (24 males, 26 females; median age: 48.5; range, 40.7 to 56 years). Anthropomorphic measurements and laboratory results were recorded. In patients, the 66 swollen/68 tender joints count, dactylitis score, Leeds Enthesitis Index, Health-related Quality of Life, the Psoriasis Area and Severity Index, and Dermatology Life Quality Index were evaluated. Ankylosing Spondylitis Quality of Life and Bath Ankylosing Spondylitis Disease Activity Index were applied to patients with axial disease. Then, Composite Psoriatic Disease Activity Index was determined. A Doppler probe and a standard blood pressure cuff were used to calculate the ABI values for each participant. Results: Patients had lower right ABI (median, 1.05 vs. 1.1, p<0.01), lower left ABI (1.04 vs. 1.09, p<0.01) and lower overall ABI (1.03 vs. 1.09, p<0.01) compared with healthy subjects. Twelve (23.5%) patients had borderline ABI, but none of the controls (p<0.01). Patients with borderline ABI had a longer duration of psoriasis (25 vs. 15 years, p=0.03). The distribution of borderline ABI value was statistically significant between patients with axial disease and peripheral disease only (42.1% vs. 12.5%, p=0.02). Disease activity was found as an independent risk factor for borderline ABI in a binary logistic regression (odds ratio 6.306, 95% confidence interval 1.185 to 33.561, p=0.031). Conclusion: Lower ABI was found in PsA patients than healthy controls even in those matched with traditional cardiovascular risk factors. All participants with borderline ABI were in the patient group. Borderline ABI was associated with disease activity and disease duration. [ABSTRACT FROM AUTHOR]

Objectives: In this study, we aimed to compare the efficacy of osteopathic manipulative treatment (OMT) to exercise treatment in the knee osteoarthritis (OA). Patients and methods: A total of 100 patients (9 males, 76 females; mean age 54.8±8.5 years; range, 40 to 70 years) with Stage II-III bilateral knee OA enrolled to the study and randomized into two groups between January 2015 and June 2015. Group 1 performed exercise and received OMT and Group 2 performed exercise alone. We assessed the clinical parameters with Western Ontario MacMaster Questionnaire (WOMAC) pain score, WOMAC joint stiffness score, WOMAC physical function score, Visual Analog Scale (VAS) and 50-m walking time. All patients were assessed at the beginning of the study, just after the treatment, and four weeks after the treatment. Results: There was no significant difference between groups in terms of physical examination and clinical assessment parameters before treatment. Functional improvement (p<0.05) and pain relief (p<0.05) were significantly higher in the exercise + OMT group. Conclusion: Based on our study results, OMT is a particular treatment used by osteopathic physicians to complement conventional treatment of OA of the knee. In addition to the conservative treatment, OMT can be used. [ABSTRACT FROM AUTHOR]

Copyright of Turkish Journal of Osteoporosis / Turk Osteoporoz Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: The objective of this study was to examine the association between 25-hydroxyvitamin D [25(OH)D] and cognitive function in younger women. Materials and Methods: One hundred four women aged 18 to 65 years were recruited in the study. The demographic data were recorded and the Standardized Mini Mental State Examination (SMMSE) was administered. Patients were divided into three groups; 25(OH)D level <20 ng/mL regarded as vitamin D deficiency, 20-29 ng/mL as vitamin D insufficiency, ≥30 ng/mL as normal. Results: There was no statistically significant relationship between SMMSE scores and serum 25(OH)D levels. Conclusion: We found no evidence of associations between lower 25(OH)D levels and cognitive functions in younger women. [ABSTRACT FROM AUTHOR]

A 61-year-old woman presented with localized back pain at the left inferomedial border of the scapula and left shoulder pain. On physical examination, a soft tissue mass was detected on the left scapula. Magnetic resonance imaging showed a mass at the left suprascapular region and another mass in the left infrascapular region. A Tru-Cut biopsy of the lesion at the left suprascapular region was obtained due to atypical localization. Pathological examination was consistent with an elastofibroma. During wire-marking, another mass was detected at the right infrascapular region. Three mass lesions were excised on consecutive operations. During follow-up, the patient reported reduced shoulder and back pain. [ABSTRACT FROM AUTHOR]

Copyright of Turkish Journal of Physical Medicine & Rehabilitation / Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi is the property of Turkish Society of Physical Medicine & Rehabilitation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkish Journal of Osteoporosis / Turk Osteoporoz Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

There is a little evidence in the literature regarding the effectiveness of Botulinum Toxin type A injections as an adjuvant therapy to customised rehabilitation programs in pediatric patients with hereditary spastic paraplegia. This is a report on two siblings aged 4 and 6, who underwent 3 sessions of botulinum toxin A injections to the hip adductors and ankle plantar flexor muscles. Additionaly, patients were given a home exercise program consisted of stretching the agonist muscles and strengthening of the antagonist muscles. Dynamic ankle foot orthoses were also prescribed and used regularly Both patients showed remarkable improvements in muscle tone and gross motor function measurements. The effects of Botulinum toxin A injections lasted for a mean of 5- 6 months in both children. [ABSTRACT FROM AUTHOR]

There has been a recent interest in calcitonin as a potential treatment for osteoarthritis, based on its metabolic activities in both bone turnover and cartilage. The aim of this study was to evaluate the effects of nasal form calcitonin on knee osteoarthritis and quality of life in women who receive calcitonin treatment for postmenopausal osteoporosis. Two hundred and twenty postmenopausal women, aged between 55 and 65 years with knee pain and knee osteoarthritis, graded II-III by using Kellgren-Lawrence radiographic scoring system, were included. Western Ontario and McMaster Universities (WOMAC) osteoarthritis index, the quality of life questionnaire of the European Foundation for Osteoporosis (QALEFFO-41) and visual analog scale were used for the algofunctional assessments. Need of rescue analgesic was recorded. Pain ( P < 0.001), stiffness ( P < 0.05), functional capability ( P < 0.05) and total score of WOMAC ( P < 0.05) revealed statistically significant improvements after 3 months of the treatment and remained consistent throughout 1 year of the treatment period. Participants experienced significant reductions in WOMAC perceptions of pain (−53 %), joint stiffness (−44 %) and limitations in physical function (−49 %) at the end of 1 year of calcitonin treatment. Need of rescue analgesic intake was reported to have decreased approximately by 60 % at the end of the 1-year treatment period. QUALEFFO_41 scores improved: 37.6 (baseline), 30.9 (3 months), 28.0 (6 months) and 24.4 (1 year). In conclusion, nasal calcitonin treatment provided dual action on osteoporosis and osteoarthritis with significant improvements in quality of life and algofunctional results in knee osteoarthritis. [ABSTRACT FROM AUTHOR]

Aim: To explore the relation between vitamin D and quality of life. Material and Methods: 110 women aged 35 to 65 years were recruited in the study.The demographic data were recorded, and Short Form- 36 (SF-36) and Quality-of-Life Questionnaire of The European Foundation for Osteoporosis (QUALEFFO-41) scales were filled out. Patients were divided into three groups; 25(OH)D level <20 ng/ml regarded as vitamin D deficiency, 20-29 ng/ml as vitamin D insufficiency, >30 ng/ml as normal. Bone mineral density was measured by dual x-ray absorptiometry. Modified Romberg test for balance, Timed Get Up and Go test for mobility and 10 meter walk test for gait assesment were used. Results: There was a statistically significant relation-ship between body mass index, wearing style, physical activity and 25(OH)D levels (p<0.01). Also, there was a statistically significant correlation between L2-L4 z-scores and 25(OH)D levels (p<0.05). Although there was a statistically significant correlation between Modified Romberg test and 25(OH)D levels (p<0.05), there was no correlation with Timed Get Up and Go test and 10 meter Walk Test (p>0.05). There was a statistically significant correlation between 25(OH)D levels and SF-36 Physical Function, Vitality scores, QUALEFFO-41 Social Function and Total scores (p<0.05). Conclusion: Deficient or insufficient vitamin D levels impair quality of life. [ABSTRACT FROM AUTHOR]

Aim: To explore the relation between vitamin D and quality of life. Material and Methods: 110 women aged 35 to 65 years were recruited in the study.The demographic data were recorded, and Short Form- 36 (SF-36) and Quality-of-Life Questionnaire of The European Foundation for Osteoporosis (QUALEFFO-41) scales were filled out. Patients were divided into three groups; 25(OH)D level <20 ng/ml regarded as vitamin D deficiency, 20-29 ng/ml as vitamin D insufficiency, >30 ng/ml as normal. Bone mineral density was measured by dual x-ray absorptiometry. Modified Romberg test for balance, Timed Get Up and Go test for mobility and 10 meter walk test for gait assesment were used. Results: There was a statistically significant relation-ship between body mass index, wearing style, physical activity and 25(OH)D levels (p<0.01). Also, there was a statistically significant correlation between L2-L4 z-scores and 25(OH)D levels (p<0.05). Although there was a statistically significant correlation between Modified Romberg test and 25(OH)D levels (p<0.05), there was no correlation with Timed Get Up and Go test and 10 meter Walk Test (p>0.05). There was a statistically significant correlation between 25(OH)D levels and SF-36 Physical Function, Vitality scores, QUALEFFO-41 Social Function and Total scores (p<0.05). Conclusion: Deficient or insufficient vitamin D levels impair quality of life. [ABSTRACT FROM AUTHOR]

Objective: The aims of this study were to evaluate the burnout of primary caregivers of children with cerebral palsy (CP), and to assess the relationship between burnout levels and the variables. Material and Method: Demographic characteristics, CP type, ambulation status, Gross Motor Functional Classification System (GMFCS) levels, accompanying problems were recorded. Caregivers were asked to fill Maslach Burnout ınventory (MBı). Results: 115 patients were included in the study (56.5% boys, 43.5% girls). Their mean age was 7.84years. Primary caregivers of 111 children were their mothers (96.5%). The neurologic classification were as follows: diplegia 27.8%, tetraplegia 43.5%, hemiplegia 20%. The GMFCS levels were as follows: level 1 15.7%, level 2 13.9%, level 3 17.4%, level 4 23.5%, level 5 29.6%. MBı subdimensions measurement scores were: reduced personal accomplishment: 23.25, emotional exhaustion: 12.21, and depersonalization: 3.81. We didn't detect any significant correlation between the GMFCS levels of children and caregivers' burnout. The presence of pain (69.6%) and chronic disease (31.3%) were releated with emotional exhaustion (p=0.006, p=0.008, respectively). The children's ambulation status was related with emotional exhaustion (p=0.03). Fathers' lack of interest (27%) was related with depersonalization (p=0.0019). Speech disorder was related with emotional exhaustion and depersonalization (p=0.031, p=0.04, respectively). There was no significant relationship between caregivers' burnout and caregivers' age-education status, income level, the presence of epilepsy and mental retardation in child. Conclusion: The presence of chronic disease and pain, fathers' lack of interest, children's ambulation status and speech disorders were detected as the factors that case caregivers burnout. Psychologic and physical health of caregivers affect child. So, not only children with CP but also their caregivers should be considered. [ABSTRACT FROM AUTHOR]

Objective. – To evaluate the efficacy of intramuscular injection of thiocolchicoside (4 mg–2 ml) compared to placebo administered twice daily for five days in patients suffering from acute low back pain.Patients and Methods. – Multicenter, randomized, double-blinded, placebo-controlled trial. The study was conducted between July 1998 and March 2000 in five centers. Hospitalized patients with acute low back pain were included. The primary evaluation criterion was spontaneous pain assessed by visual analogue scale (VAS). Hand- to floor distance, muscle spasm intensity, patients’ global evaluation and analgesic tablet (paracetamol) consumption were used as secondary evaluation criteria.Results. – One hundred forty nine (149) patients were included. Both groups showed improvement on spontaneous pain assessed by Vas at the end of day 1; however improvement was statistically significant in thiocolchicoside group on day 3 (p < 0.001). Hand- to floor distance and muscle spasm determined by palpation decreased significantly on day 5 in thiocolchicoside group (p < 0.0005 for both). According to the patients’ global evaluation, 76.8% of patients in thiocolchicoside group evaluated the treatment as very good/good (p < 0.0005). Also a significant difference was observed in favor of thiocolchicoside group in the total paracetamol consumption (p < 0.001). Treatment was well tolerated in both groups and none of the patients was withdrawn from the study due to an adverse effect.Conclusion. – Twice daily administration of 4 mg thiocolchicoside for five days provides an efficient and safe treatment for patients with acute low back pain accompanied by muscle spasm. [Copyright &y& Elsevier]

Objectives: This study aimed to investigate the effects of exercise-induced lower limb muscle fatigue on postural stability in female patients with fibromyalgia (FMS)., Method: This study included 19 female patients diagnosed with FMS according to the 2010 American College of Rheumatology criteria and 19 age-matched healthy controls. Muscle fatigue was induced by chair sit-to-stand (STS) repetitions in all participants. Postural stability was evaluated before and immediately after muscle fatigue test (MFT) in standard bipedal and tandem stances with eyes open (EO) and eyes closed (EC), and in single leg stance with EO using a foot pressure platform., Results: The mean number of STS repetitions on MFT was lower in FMS patients (p<0.001). Before MFT, plantar center of pressure (CoP) excursions was greater in FMS patients versus controls in all postures tested except in EO bipedal stance (all p<0.01). Postural sway increased post-MFT in both FMS and control groups in all stances (all p<0.001). Post-MFT increase in postural sway was greater in the FMS group versus controls (all p<0.05)., Conclusion: Lower limb muscle fatigue occurs earlier in FMS patients than in healthy individuals and exacerbates postural stability problems. This indicates the importance of planning tailored exercise programs for these patients., Competing Interests: The authors have no conflict of interest.

Spasticity is the most common motor disturbance in cerebral palsy (CP). Lockdown in the COVID-19 outbreak has profoundly changed daily routines, and similarly caused the suspension of spasticity treatment plans. Besides, the delay in botulinum toxin (BoNT) injection, which is important in the management of focal spasticity, led to some problems in children. This consensus report includes BoNT injection recommendations in the management of spasticity during the COVID-19 pandemic in children with CP. In order to develop the consensus report, physical medicine and rehabilitation (PMR) specialists experienced in the field of pediatric rehabilitation and BoNT injections were invited by Pediatric Rehabilitation Association. Items were prepared and adapted to the Delphi technique by PMR specialists. Then they were asked to the physicians experienced in BoNT injections (PMR specialist, pediatric orthopedists, and pediatric neurologists) or COVID-19 (pediatric infectious disease, adult infectious disease). In conclusion, the experts agree that conservative management approaches for spasticity may be the initial steps before BoNT injections. BoNT injections can be administered to children with CP with appropriate indications and with necessary precautions during the pandemic., Competing Interests: The authors declare that the study has not received any funding and there are no conflicts of interest, (This work is licensed under a Creative Commons Attribution 4.0 International License.)