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Öğe Awareness of Osteoporosis and its Related Factors After Distal Radius Fractures in Patients Aged 45 Years and Older(Galenos Yayincilik, 2013) Sahin, Ebru; Dilek, Banu; Baydar, Meltem; Kosehasanogullari, Meryem; Ucku, Reyhan; Oncel, SemaObjective: Osteoporosis is an important health problem with regard to morbidity, mortality, and negative effects on quality of life as well as health-related costs. Distal radius fracture is one of the most frequent fractures and it has been shown to be associated with an increased risk of further fractures. Awareness and treatment of osteoporosis is important to prevent further fractures in patients with osteoporosis. The aim of this study was to evaluate the awareness of osteoporosis and related factors in distal radius fracture patients. Materials and Methods: A total of 120 low-energy distal radius fracture patients aged 45 years and over were included in the study. A questionnaire was applied in all patients after they gave their consent. Results: In our patients 40.8% had awareness about osteoporosis, and 59.2% did not. About the educational levels 47.5% of patients were not able to read and write or were primary school graduates, 52.5% were secondary or high school graduates. Awareness of osteoporosis was positively correlated with education. With regard to sources of information, 50% of patients reported physicians as the main source of information. Conclusion: We demonstrated that the level of awareness of osteoporosis is associated with educational level in distal radius fracture patients. Awareness of osteoporosis and thus to begin treatment earlier is important to prevent further fractures in distal radius fracture patients. Turk J Phys Med Rehab 2013;59:52-6.Öğe THE EFFECT OF POSTURE SUPPORT CORSET ON BALANCE, QUALITY OF LIFE, DORSAL KYPHOSIS IN PATIENTS WITH KYPHOSIS DUE TO OSTEOPOROSIS(Gunes Kitabevi Ltd Sti, 2013) Gundogdu, Mehtap; Oncel, Sema; Sahin, Ebru; Baydar, Meltem; Dilek, BanuIntroduction: 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.Öğe Kinesio taping in patients with lateral epicondylitis(Ios Press, 2016) Dilek, Banu; Batmaz, Ibrahim; Sariyildiz, Mustafa Akif; Sahin, Ebru; Ilter, Leman; Gulbahar, Selmin; Cevik, RemziBACKGROUND: Lateral epicondylitis (LE) is a painful condition that affects the tendinous tissue of the lateral epicondyle of the humerus and leads to loss of function of the affected limb. Therefore it can have a major impact on the patient's social and personal life. Many treatments are recommended for lateral epicondylitis; unfortunately the evidence is limited. OBJECTIVES: The aim of study was to investigate the effect of kinesio taping (KT) on pain, grip strength and function in patients LE. METHODS: Thirty-one (23 females, 8 males) patients with LE were included. KT was applied twice a week for 2 weeks. Pain at rest, activity of daily living (ADL), night and palpation on lateral epicondyle was evaluated with the visual analog scale (VAS 0-10 cm), and the grip strength was measured with a hand held dynamometer. The stage of the disease was evaluated by the Nirschl score and the functional status was assessed with Patient-Rated Forearm Evaluation Questionnaire (PRTEQ) score. These parameters were evaluated before, at 2 weeks and 6 weeks after treatment. Patients' satisfaction was also recorded on a Likert scale after treatment at 2 weeks and 6 weeks. RESULTS: The average age of the patients was 43.58 +/- 9.02. The dominant limb was affected in 64.5% (20) of the patients. After the application of KT on lateral epicondyle, there was a significant improvement in all parameters in terms of pain, Nirschl score, hand grip strength, patient satisfaction, and PRTEQ scores at 2 and 6 weeks. CONCLUSIONS: Kinesio taping can be an effective treatment method in LE. This application improves pain, grip strength and functional status of the patients with LE.Öğe OSTEOPOROSIS, SUBCLINICAL VERTEBRAL FRACTURES AND RELATED FACTORS IN PATIENTS WITH PERIPHERAL ARTERIAL DISEASE(Gunes Kitabevi Ltd Sti, 2012) Baydar, Meltem; Karabay, Ozalp; Dilek, Banu; Sahin, Ebru; Karasel, Seide Alev; Manisali, Metin; Unal, BelginIntroduction: 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.
