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Horner Syndrome is a rare condition characterized with ptosis, miosis, unilateral anhidrosis and rarely enophtalmos resulting from the sympathetic innervation loss by interruption of oculosymathetic pathway. Congenital muscular torticollis is a musculoskeletal system malformation resulting from fibrosis, therefore shortening of sternocleidomastoid muscle. In this report, Horners syndrome secondary to congenital muscular torticollis and diagnosis in rehabilitation period are discussed. Three-month-old baby girl was referred to our unit by pediatrics clinic with congenital muscular torticollis diagnosis. Her history comprised of cesarean delivery following a 34-week pregnancy as twin, and no intensive care need; her parents realized asymmetry in neck when she was a-month-and-a-half old and they admitted to pediatrics. Craniofacial asymmetry, cervical left lateral flexion, restricted left rotation and olive sign were detected in physical examination. During rehabilitation, anhidrosis in the right side of face, soft left miosis and ptosis were also observed, and patient was diagnosed with Horners syndrome. Other possible reasons were ruled out with differential diagnosis and etiology was linked to torticollis. Consequently, while evaluating patients with torticollis, it must be considered that Horners syndrome, rarely accompanies, and since clinical findings may be soft, diagnosis may easily be missed out. [Med-Science 2016; 5(3.000): 829-37]

Objective:It is known that in vitamin D deficiency, people suffer extensive musculoskeletal pain. In this study, the relationship between vitamin D deficiency and myofascial pain syndrome (MPS) and the effect of vitamin D on pain, disability, quality of life, sleep and psychological condition were examined.Method:In this study, 180 cases were examined. Of the cases, 120 were patients, and 60 were in the control group. The cases were compared in terms of 25(OH)D level and quality of life. The patients were also divided into two subgroups based on their 25(OH)D levels. Their scores on the visual pain scale, the neck pain and disability scale, the short form-36 (SF-36) quality of life index, Pittsburgh sleep quality index, Beck anxiety inventory and Beck depression inventory, which were tested for validity and reliability in Turkish, were recorded.Results:The average 25(OH)D level of the patient group was 12.8±7.3 ng/mL, while that of the control group was 22.8±14.3 ng/mL, and there was a significant difference. Physical parameters of SF-36 quality of life index were higher in the control group than in the patient group. In the patient group with a deficiency in 25(OH)D levels, depression and anxiety levels were significantly higher and the mental parameters of the SF-36 quality of life index were significantly lower.Conclusion:In our study, 25(OH)D levels were significantly lower in the patients diagnosed with MPS compared to the healthy people in the control group, and vitamin D deficiency was shown to have a negative effect on mental functions and mood.

Aim:Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy, developed by entrapment of the median nerve in the carpal tunnel. Despite widespread use, the effectiveness of physical therapy agents in the treatment of CTS is still not clear. In this study, our clinical experience of evaluating the efficacy of ultrasound (US) therapy in patients with CTS has been shared.Materials and Methods:A diagnosis of CTS patients who received treatment in our physical therapy unit were analyzed retrospectively. Demographic data, clinical and physical examination findings were recorded. Before and after treatment, patients’ clinical scales, as visual analog scale, the Boston carpal tunnel syndrome questionnaire, Beck depression and anxiety scales were evaluated.Results:24 patients (20 women and 4 men), 43 hands included in the study. The mean age of patients was 51.95 ± 10.10 years. The most common symptoms in patients were; numbness (41 hands, 95.34%), pain (36 hands, 83.72%), flick mark (27 hands, 62.79%), respectively. In the examination findings; 36 Tinel sign (83.72%), 33 positive Phalen test (76.74%), 4 evidence of thenar atrophy (0.09%) were detected. 22 hand were obtained as mild stage of CTS, 18 hand were obtained as moderate stage of CTS, 3 hand were obtained as advanced stage of CTS. In all clinical measurements significant improvement were determined.Conclusion:As a result, US is easy to apply, non-invasive, effective method of treatment of CTS. In order to determine the activity and duration of action more clearly, more clinical trials with larger series are needed.