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    The approach to the shoulder pain with evidence based datas
    (2011) Dilek B.; El Ö.
    Shoulder pain is the most common situation that effects the quality of life and the prevelance increases with age. The most causes of shoulder pain that rotator cuff diseases, glenohumeral and acromioclavicular joint diseases. Diagnosis of shoulder pain is used history, physical examination and imaging methods. Treatment of shoulder pain consist of conservative and surgical methods. Evidence based studies about treatment of shoulder pathologies are very few in the literature. In this review is revised that aproache to the most common pathologies of soft tissue in shoulder with evedence based datas. Copyright © 2011 by Türk Tibbi Rehabilitasyon Kurumu Derneği.
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    The effect of posture support corset on balance, quality of life, dorsal kyphosis in patients with kyphosis due to osteoporosis
    (2013) Gündoğdu M.; Öncel S.; Şahin E.; Baydar M.; Dilek B.
    Introduction: The aim of this study was to investigate the effect of posture support corset (kypho-orthosis) on balance, quality of life, and dorsal kyphosis angle in patients with kyphosis due to osteoporosis. Materials and Method: Twenty-nine patients were randomized into two groups. One group (n=14) was given the conventional osteoporosis exercises, and the other group (n=15) was given the kypho-orthosis in addition to these exercises. Kyphosis angle and height were measured. Evaluations were done by Kinesthetic Ability Trainer device, single foot balance test, Timed Up & Go Test, Berg Balance Scale, Quality of Life Questionnaire of the European Foundation for Osteoporosis at baseline, and after one and three months. Results: In both groups, a significant improvement was found after treatment in terms of values measured by Timed Up & Go Test, Berg Balance Scale, right and left foot balance test, the physical and mental functional dimensions of quality of life and dorsal kyphosis angle. A significant difference was found in height at three months in the corset group. Conclusion: Using kypho-orthosis does not provide additional benefit to the exercise program on balance, dorsal kyphosis angle and the quality of life; but it contributes to height increase by providing the patients with a more vertical posture.
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    Osteoporosis, subclinical vertebral fractures and related factors in patients with peripheral arterial disease
    (2012) Baydar M.; Karabay O.; Dilek B.; Şahin E.; Karasel S.A.; Manisali M.; Ünal B.
    Introduction: The aim of the present study is to investigate the factors,affecting osteoporosis and subclinical vertebral fracture in patients with peripheral arterial disease(PAD). Materials and Method: Eighty patients over 45 years of age with a diagnosis of PAD and without a history of osteoporosis were included in the study.The patients were queried in terms of demographic characteristics,calcium intake and physical activity.BMD was measured by a dual energy X-ray absorbsiometer(DEXA).The loss of vertebral height was determined.PAD was staged according to Fontaine's classification.Serum calcium,phosphorus,alkaline phosphatase, 25(OH)D,parathormone,homocysteine and B12 levels were measured and thyroid,renal and hepatic function tests were performed. Results: According to the DEXA measurements,19.17% (14)of the patients had osteoporosis while 63.01%(46) of them had osteopenia.Of the patients 28(36.70%)and 8(10.12%)had grade 1 and grade 2 vertebral fractures, respectively.Radiologically confirmed vertebral fractures were not present in 43(53.2%) patients.No significant relation was found between the stage of the PAD, BMD and t scores (p>0.05). On the other hand,subclinical vertebral fractures significantly correlated with the stage of the disease and the weakness symptom(p<0.05). Conclusion: The stage of the disease showed no correlation with osteoporosis,but correlated with the grade of subclinical vertebral fracture.Thus, this group of patients should be investigated for osteoporosis and evaluated both with BMD measurement and direct radiography.
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    Serum osteocalcin, bone alkaline phosphatase and cathepsin k levels of patients with postmenopausal ra: Correlation with disease activity and joint damage
    (Acta Medica Mediterranea, 2014) Batmaz I.; Çakirca G.; Sariyildiz M.A.; Dilek B.; Mete N.; Hamidi C.; Bozkurt M.
    Objective: To investigate serum levels of osteocalcin (OC), bone alkaline phosphatase (BALP) and cathepsin K in patients with postmenopausal rheumatoid arthritis (RA) and to evaluate the relationship between these markers and disease activity and radiological joint damage. Material and methods: Forty six postmenopausal women diagnosed with RA according to the criteria of American College of Rheumatology and 42 postmenopausal healthy women who have similar age range with the patient group were involved into the study. Disease activity was measured with Disease Activity Score (DAS 28). Furthermore, Larsen score was used to evaluate radiological damage. Results: OC and BALP levels were not different between postmenopausal patients with RA and control group (p >0.05). However, levels of cathepsin K were elevated in serum of the patients with postmenopausal RA when compared with that of the healthy control group (p<0.05). In addition, the elevated serum levels of cathepsin K were positively correlated with disease activity and joint destruction (p<0.05). No significant relationship was observed between OC and BALP levels and disease activity and joint destruction (p >0.05). Conclusions: Cathepsin K may be a valuable parameter to assess disease prognosis in postmenopausal RA.