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Background Dysphagia is a geriatric syndrome. Changes in the whole body that occur with aging also affect swallowing functions and cause presbyphagia. This condition may progress to oropharyngeal and/or esophageal dysphagia in the presence of secondary causes that increase in incidence with aging. However, no study has been published that provides recommendations for use in clinical practice that addresses in detail all aspects of the management of dysphagia in geriatric individuals. This study aimed to answer almost all potential questions and problems in the management of geriatric dysphagia in clinical practice. Methods A multidisciplinary team created this recommendation guide using the seven-step and three-round modified Delphi method via e-mail. The study included 39 experts from 29 centers in 14 cities. Results Based on the 5W and 1H method, we developed 216 detailed recommendations for older adults from the perspective of different disciplines dealing with older people. Conclusion This consensus-based recommendation is a useful guide to address practical clinical questions in the diagnosis, rehabilitation, and follow-up for the management of geriatric dysphagia and also contains detailed commentary on these issues.

Objective:Fibromyalgia (FM) is a rheumatic disease which exactly unknown etiology, causes widespread body pain. In FM patients, a large variety of ocular findings, especially dry eye, occur with and without other rheumatic diseases. These ocular findings may be the first findings to warn the clinician for diagnosis in rheumatic diseases. The aim of this study is to evaluate the eye findings as clinically in patients with FM.Materials and Methods:The patients of those between the ages of 18-75, who were admitted to the Aksaray University Training and Research Hospital, Physical Medicine and Rehabilitation Polyclinic and diagnosed with FM, and then examined in the Ophthalmology Polyclinic, were included in the study. Patients’ files were reviewed retrospectively. The clinical diagnosis, socio-demographic characteristics, ocular examination findings, history, family history and the results of the treatments were recorded. Those who had undergone eye surgery, rheumatologic disease, diabetic retinopathy, glaucoma, systemic infection, autoimmune disease, cerebrovascular disease, major depression, abnormal laboratory values, and history of malignancy, were not included in the study. The diagnosis of FM was determined according to the American College of Rheumatology updated in 2016.Results:The files of 94 patients who met the appropriate criteria were included in the study. The mean age of the patients was 38.2 (18-75), and 80 (85%) were female and 14 (15%) were male. According to the ocular findings, 57 patients (57.4%) had eye pain, 28.2% had redness, 26.9% had burning-stinging, 15.1% had turbidity, 6.3% had burring, and 3.7% had itching. Among the causes of eye pain were 49.1% dry eye, 24.6% refractive failure, 12.3% blepharitis, and 3.5% allergy, while no cause was found in 10.5%.Conclusion:In our study; it was detected that the patients with FM have a large extent of eye pain, and the most important cause of the eye pain was dry eye. The result of study shows that patients with FM may be accompanied by various ocular findings in addition to chronic widespread body pain and multidisciplinary approach is important in chronic diseases such as FM.

Objective: We aimed to examine the relationship between the levels of vitamin D and patients with chronic low back-leg pain (CLBLP) and to investigate its effects on pain and functional capacity. Methods: 145 patients (female/male:103/42) with CLBLP, aged between 35 and 65 years (mean age: 53,06 ± 8,14), participated in the study. Visual Analog Pain Scale (VAS) was used to measure the state of pain. Pain-related functional capacity was evaluated through Oswestry Disability Index (ODI). Patients were classified into three groups based on their serum vitamin D levels: normal (≥30 ng/ml), vitamin D insufficiency (21–29 ng/ml), and vitamin D deficiency (≤20 ng/ml). Results: We found that 22,8% of patients (n:33) had vitamin D deficiency, 42,8% (n:62) had vitamin D insufficiency, and 34,5% (n:50) had normal levels of vitamin D. VAS scores were 4,75 ± 0,93; 4,66 ± 0,97 and 4,52 ± 0,90 for patients with vitamin D deficiency, vitamin D insufficiency, and normal levels of vitamin D, respectively. We found that there was no significant relationship between vitamin D level and VAS score (p>0,05). ODI scores were 18,78 ± 7,89; 15,46 ± 5,57 and 14,52 ± 7,19 for patients with vitamin D deficiency, vitamin D insufficiency, and normal levels of vitamin D, respectively. CLBLP-related functional capacity was found to be significantly lower in patients with vitamin D deficiency when compared to other two groups (p

Objective: The aim of this study was to evaluate both the prevalence of neuropathic pain (NP) and the effect of functional disability of NP in patients with chronic low back pain (CLBP). Materials and Methods: In this study, outpatients data were reviewed retrospectively from January 2014 to December 2014 to determine the patients with CLBP. 190 patients with CLBP meeting the inclusion criteria were included. NP scores of the patients were assessed using Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) and the evaluation of pain was performed using the Visual analoque scale (VAS) and functional disability scores was determined by the Oswestry disability index (ODI). Results: In this study NP was detected in 39.4% of the patients with CLBP. The number of female patients with NP (n=60, %80) was significantly higher than the number of male patients with NP (n=15, %20), (p

Objective: Subacromial impingement syndrome (SIS) characterized by inflammation of supraspinatus tendon is one of the most common causes of the shoulder pain. In some studies, platelet activity has been shown as a marker to indicate the inflammation associated with the disease. The mean platelet volume (MPV) shows platelet function and activation. The aim of this study was to investigate the relationship between MPV and SIS. Materials and Methods: Eighty seven inpatients (female/male: 55/32, mean age: 56.34±7.53 years) diagnosed with SIS according to physical examination and MR findings in Bolu Physical Therapy and Rehabilitation Hospital between January 2014- June 2014 constituted the case group, 87 outpatients (female/male 61/26, mean age: 52.97±8.48 years) not diagnosed with SIS constituted the control group. MPV values between case and control group that were similar in terms of age and gender were compared. Results: In case group MPV (8.36±0.73***) was lower than that of the control group (8.44±1.02****) and platelet count (253.75±50.17***) was higher than that of the control group (244.79±56.19***). Both were not statistically significant (p>0.05). Significant negative correlation was found between MPV and platelet level in case group (r=-0.240, p

Objective: Osteoporosis (OP) is a metabolic bone disease characterized by low bone mass and microarchitectural deterioration of bone tissue. OP is an important health problem with regard to morbidity, mortality, and negative effects on quality of life (QOL). The aim of this study was to evaluate the effect of bone mineral density (BMD) on QOL in men with osteoporosis. Materials and Methods: A total of 180 male patients aged between 40-60 years admitted to Bolu Physical Therapy and Rehabilitation Hospital were included in the study. 113 patients (mean age: 50.01±5.01 years) diagnosed with OP according to BMD values at the lumbar spine (L1-L4) and the femur neck measured using Dual Energy X-Ray absorptiometry were formed the case group, 67 patients (mean age: 44.62±3.86 years) not diagnosed with OP were formed control group. A questionnaire prepared for assessment of sociodemographic features and risk factors for osteoporosis was applied in both groups after they gave their consent. The quality of life was assessed by means of Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO) and Short Form-36 (SF-36). In the statistical analysis student’s t test and correlation analyses were performed by using SPSS 11.0 computer program and p