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Search Results: 1 - 10 of 831 matches for " ?zlem Alt?nda? "
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Neuroendocrine Dysfunction in Fibromyalgia
zlem Altnda
Romatizma , 2009,
Abstract: Fibromyalgia is a chronic rheumatismal disease characterized by widespread pain and fatigue with unknown etiology. Subtle alterations of the neuroendocrine system in fibromyalgia syndrome have been proposed as a shared pathway linking numerous etiological and perpetuating processes with symptoms and observed physiological abnormalities. The role of neurohormonal mechanisms in the pathogenesis of fibromyalgia is discussed in this paper.
Atherosclerosis in Patients with Osteoporosis
zlem Altnda
Romatizma , 2009,
Body Composition and Relation with Physical Activities in Children: A Pilot Study
zlem Altnda,Cemil Sert
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2009,
Abstract: Objective: In recent years, childhood obesity becomes a major public health problem especially in developed countries. Body Mass Index (BMI) and body composition are useful methods for defining childhood obesity. The aim of this study was to determine the relation between body composition and risk factors predisposing to overweight in children. Materials and Methods: A total of 81 (47 male, 34 female) healthy children with mean age of 12.0±0.8 years were included in the study. Body composition was determined by Bioimpedance Analysis method (BIA). Daily physical activities such as average sleep (hour/day), television viewing time (hour/day), daily achieved average numbers of stair steps, and sportive activities were recorded, and the time period (minute) for running 72 meters was measured. Results: BMI was positively correlated with television viewing time and negatively correlated with sleep time (p=0.03, r=0.330; p=0.01, r=-0.420, respectively). Further, total fat mass was negatively and basal metabolic rate was positively correlated with sportive activities (p=0.03, r=-0.270; p=0.01, r=0.442, respectively). Conclusion: Our findings indicated that daily physical activities and life style may affect the body composition and overweight in childhood. Obesity and increased fat mass in childhood probably will be maintained in the future; therefore children should be kept away from sedentary life style and should be encouraged for sportive activities. Turk J Phys Med Rehab 2009;55:60-3.
Heterotopic Ossification in Hip and Knee Joint After Abdominal Surgery
zlem Altnda,Birsev Kü?üko?lu
Turkish Journal of Rheumatology , 2010,
Abstract: Heterotopic ossification is a process characterized by the lamellar bone formation in tissues that do not ossify under normal conditions. Although the etiology is not entirely clear, trauma has been considered as an initiating factor for heterotopic ossification. Heterotopic ossification generally occurs in the hip, knee and shoulder joints. Cases with heterotopic ossification have been reported as a slowly developing complication following trauma, spinal cord lesions, stroke, arthroplasty, and burn injury. In this report, a patient with heterotopic ossification developing 20 days after surgery for ruptured aortic aneurysm is presented and discussed in light of the recent literature.
Effectiveness of Iontophoresis Treatment on Knee Osteoarthritis
zlem Altnda,Neslihan Soran,Metin Er?in,Leman Ege
Romatizma , 2009,
Abstract: Objective: Osteoarthritis is the most common joint disease causing disability. The primary goals for osteoarthritis therapy are to relieve pain, maintain or improve functional status, and minimize deformity. Many treatment options, including non-pharmacological and pharmacological measures, have been recommended in the management of osteoarthritis. Among the non-pharmacological approaches is physiotherapy, which involves the use of physical modalities like heat therapy, exercise therapy, electrical stimulation, therapeutic ultrasound, iontophoresis, and phonophoresis. The aim of our study was to retrospectively evaluate the efficacy of iontophoresis in patients with knee osteoarthritis. Materials and Methods: The study group included 40 patients with knee osteoarthritis to whom ketoprofen gel iontophoresis was applied. Pre-treatment and post-treatment pain, functional status and physical limitation were evaluated by Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Lequesne Index, respectively. Results: There was significant difference between the pre- and post-treatment evaluation in all parameters (p<0.05). Conclusion: Iontophoresis may be considered as an alternative therapy in knee osteoarthritis that is inexpensive, simple and non-invasive.
Cervical Spine Involvement in Rheumatoid Arthritis: Case Report
Ali Aydeniz,zlem Altnda,Sava? Gürsoy
Turkish Journal of Rheumatology , 2009,
Abstract: Cervical spine involvement occurs in over half of the patients with rheumatoid arthritis. The destruction of the spine ranges from minimal subluxation to atlantoaxial dislocation and compression of the spinal cord and brainstem, and hence may result in sudden death. In this paper, we present a case of seronegative rheumatoid arthritis with cervical involvement, and we review cervical involvement in view of the related literature.
A Case with Anti TNF- α Induced Bullous Pemhigoid
zlem Altnda,Ali Aydeniz,Sava? Gürsoy
Turkish Journal of Rheumatology , 2010,
Abstract: Tumor necrosis factor-alpha (TNF-α) plays a crucial role in the development of autoimmune diseases, and anti-TNF-α agents are used in the treatment of this group of diseases. However, some adverse events such as various autoimmune diseases can occur with use of these agents. In this report, we present a female case who was diagnosed as bullous pemphigoid while receiving adalimumab for rheumatoid arthritis.
The Case of Neuralgic Amyotrophy with Bilateral Axillary Nerve Involvement Case Report
?rfan Koca,Erhan ?ba?,Hilal Karagüllü,zlem Altnda
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2011,
Abstract: Neuralgic amyotrophy is one of the rare neuromuscular diseases characterized by sudden onset of severe pain and sensory deficits in the upper extremities and is followed by muscle weakness and atrophy. The diagnosis is based on the patient’s history and physical findings and is corroborated by electroneuromyography. In this article, we discuss a case of neuralgic amyotrophy with bilateral axillary nerve involvement and its clinical and electrophysiological findings. Turk J Phys Med Rehab 2011;57:107-10.
Bilateral Obstetric Palsy of Brachial Plexus
zlem Altnda,Sava? Gürsoy,Ahmet Mete
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2009,
Abstract: Obstetric Brachial Plexus Palsy (OBPP) is one of the devastating complications of difficult or assisted deliveries. Brachial plexus palsy with upper root involvement most commonly affects the external rotators and abductors. Twenty percent of obstetrical brachial plexus palsies are bilateral and they represent a more severe condition. An eight-year-old girl patient with bilateral brachial plexus palsy was described and discussed in this report. Turk J Phys Med Rehab 2009;55:126-7.
Radiological Findings and Its Relation with Clinical Parameters in Knee Osteoarthritis
Neslihan Soran,zlem Altnda,Ahmet Demirkol,Hasan Tabur
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2008,
Abstract: Objective: The aim of this study was to investigate the joint space narrowing in patients with knee osteoarthritis and its relationship with clinical parameters.Materials and Methods: Eighty knees of 40 women, mean age 62.5±9.4 years diagnosed as knee osteoarthritis according to American College of Rheumatology criteria were included in the study. Pain at rest and walking were assessed by visual analogue scale (VAS). Disease severity was evaluated by Lequesne index. The level of disability was measured by means of Stanford Health Assessment Questionnaire (HAQ). Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to determine pain, stiffness and physical function. Furthermore, each patient underwent anteroposterior and lateral plain X-Rays of both knees.Results: HAQ score was positively correlated with Lequesne index and with pain and physical function subscale of WOMAC (r=0.354, p=0.01; r=431, p=0.02; r=0.414, p=0.003, respectively). No correlation was found between radiological joint spaces, clinical parameters and disability index.Conclusion: Our results indicated that radiological joint space narrowing was not related with pain intensity and disease activity in patients with knee osteoarthritis. Therefore in knee osteoarthritis, we think that treatment should be planned according to clinical parameters instead of radiological findings. Turk J Phys Med Rehab 2008;54:59-62
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