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Öğe Co-Existence of Polyneuropathy, Osteoporosis and Limb Girdle Muscular Dystrophy in a Patient with Ankylosing Spondylitis(2022) TİFTİKÇİOĞLU, Bedile İrem; UYSAL, Hasan; Sertpoyraz, Filiz MeryemIn this paper, we aimed to report a case of limb-girdle muscular dystrophy with diabetes mellitus who admitted to our outpatient clinic with paresthesia in all four limbs and swelling and pain in both ankles and waist. Nerve conduction study affirmed peripheral sensory polyneuropathy and osteoporosis was detected by bone mineral density analysis. A detailed evaluation revealed bilateral sacroiliitis, HLA-B 27 positivity, and elevation of erythrocyte sedimentation rate and serum C-reactive protein levels. Thus, the diagnose of ankylosing spondylitis was confirmed. It is worth presenting because the diagnoses of limb-girdle muscular dystrophy, diabetic polyneuropathy, osteoporosis, and ankylosing spondylitis were observed together in the same patient.Öğe Evaluation of Dysphagia and Associated Factors in Patients with Neuromuscular Disorders: Do the Oral Factors Deserve Some Focus too?(2024) Sertpoyraz, Filiz Meryem; Tanigor, Goksel; Doğan, ZelihaAim: Dysphagia may occur during neuromuscular disorders. As it may cause serious morbidity and mortality, it is important to define the characteristics and burden of this problem among these individuals. This study aimed to evaluate the dysphagia status and associated factors in patients with neuromuscular disorders in a tertiary care center. Material and Method: Two-hundred fifty-two patients in the three groups were included in this study (59 Duchenne or Becker muscular dystrophies (DMD-BMD), 130 other muscular diseases, and 63 neuropathies). The patients were carefully assessed clinically, and their dysphagia status was evaluated using the EAT-10 questionnaire. Dysphagia prevalence was defined for each diagnosis, and patients in each group were compared in terms of their clinical characteristics, depending on the presence of dysphagia. Results: The prevalence of dysphagia was 17%, 18.4%, and 47.6% in the DMD-BMD, other muscular diseases, and neuropathy groups, respectively. Moreover, dysphagia was associated with worse ambulatory status, poor oral hygiene, dry mouth, dental implants, and pneumonia (p<0.05). Conclusion: Dysphagia is an important problem in neuromuscular diseases and requires inquiry and assessment by caregivers and clinicians. Studies focusing on more detailed evaluations, especially for oral health status, and the effectiveness of possible treatment methods will improve this problem.Öğe Mekanik bel ağrısı olan hastalarda tamamlayıcı alternatif tedavi yöntemlerinin kullanımının değerlendirilmesi(University of Health Sciences, 2025) Mutlu, Gözde; Gök, Umut; Sertpoyraz, Filiz MeryemBel ağrısı sık görülür ve fonksiyonel kısıtlılık, yaşam kalitesinin azalması iş gücü kaybı ve ekonomik yük nedenidir. Amaç: Amacımız kronik mekanik bel ağrısı olan hastaların Tamamlayıcı Alternatif Tedavi yöntemlerine ne oranda başvurdukları, sıklıkla hangi yöntemleri kullandıkları, bu yöntemlere hangi kanallarla başvurdukları ve sosyodemografik özelliklerle ilişkisinin değerlendirmektir. Gereç Yöntem: Kesitsel tanımlayıcı nitelikteki araştırmaya kronik mekanik bel ağrısı olan rastgele seçilen 500, kadın ve erkek hasta alındı. Bilgilendirilmiş onamları imzalayan hastaların sosyodemografik özellikleri, tanıları kaydedildi.Bel ağrısı şiddeti vizuel analog skalayla değerlendirildi, tamamlayıcı alternatif tedavi kullanımları sorgulandı. Sonuç :Bel ağrısında tamamlayıcı alternatif tedavilere başvuru sıktır. Bu nedenle hekimler tarafından bu konuda kapsamlı, yüksek hasta katılımlı bilimsel araştırmaların yapılması gerekliliğini ortaya koymuştur. Anahtar Kelimeler: Bel Ağrısı , Fizyoterapi, Alternatif TıpÖğe Shoulder pain, kinesiophobia, emotional state and muscle strength in breast cancer surgery patients: A cross-sectional study(University of Health Sciences, 2024) Sertpoyraz, Filiz Meryem; Akyol, Murat; Altaş, Elif Umay; Kebabçı, Eyüp; Beytorun, Ecem Sak; Arslan, Fatma DemetBreast cancer is the most common type of cancer in women. The life expectancy of patients is increasing with advances in treatment. However, lymphovascular, musculoskeletal, and psychogenic complications are reported to be expected in the follow-up period after breast cancer surgery. Kinesiophobia is the behavior of avoiding movement for fear of increased pain. Research on the frequency and interrelationships of kinesiophobia and other complications in the follow-up period is limited. Aim: We aim to evaluate shoulder pain, kinesiophobia, emotional state and muscle strength in female patients who have undergone breast cancer surgery and are in the follow-up period and to examine the relationship between these factors. Materials and Methods: A total of 50 female patients who underwent unilateral breast cancer surgery and were using aromatase inhibitors were included in this cross-sectional descriptive study. Demographic data, details of the surgical procedure and medical treatment information were recorded from the patient files. Hand grip muscle strength was measured by hand dynamometer, the Beck Depression Scale assessed emotional state, and the Tampa Kinesiophobia Scale assessed fear of movement. A Beck Depression Scale score of 10 and above and a Tampa Kinesiophobia Scale of 37 and above were considered significant. Results: The mean age of 50 female patients was 59.31 ± 11.19 years. Sixty percent of the patients had undergone surgery on the right breast and 40% on the left breast. Shoulder pain (n:31) was present in 62%. There were statistically significant correlations between pain and the Tampa kinesiophobia scale and the Beck depression scale (p:0.042, p:0.038). Kinesiophobia was present in 74% of the patients, and 64% had moderate to severe depression. The mean of the Tampa Kinesiophobia scale was 42.86±8.81, and the mean of the Beck depression scale was 15.19±10.98. When the relationship between kinesiophobia and depression was evaluated, a statistically positive significant relationship was found between them (p=0.005, r=0.410). The hand grip strength was 22.16±5.00 kg on the right and 18.22±5.10 kg on the left in patients who underwent left-sided breast cancer surgery. A significant difference was found in the left- and right-hand grip strength of those who underwent left-sided surgery for breast cancer (pÖğe Vitamin D levels and their relationship with ambulation in patients with amyotrophic lateral sclerosis(Galenos Publ House, 2024) Sertpoyraz, Filiz Meryem; Arslan, Fatma DemetObjective: Vitamin D is a steroid hormone that exerts many effects on human health. Amyotrophic lateral sclerosis is a progressive neurodegenerative disease characterized by the loss of motor neurons. This can result in a number of complications, including muscle weakness, spasticity, difficulty swallowing, speech disturbances, and, in some cases, respiratory failure. A number of studies have reported an association between vitamin D and various neurological diseases. This study aimed to assess vitamin D levels in patients diagnosed with amyotrophic lateral sclerosis and compare them with those of a control group comprising healthy individuals. In addition, the correlation between vitamin D levels and functional ambulation levels will be examined. Materials and Methods: This retrospective cross-sectional study was conducted involving 29 male and female patients diagnosed with definite amyotrophic lateral sclerosis using the El Escorial criteria and 28 healthy controls from the physical medicine and rehabilitation clinic of medicine. The medical records of the patients were consulted to obtain relevant demographic, clinical, and vitamin D levels. Subsequently, vitamin D levels were compared with those of healthy controls. Results: The results are presented in the following section. The mean vitamin D level observed in the patient group with amyotrophic lateral sclerosis was 20.21 +/- 9.53, while in the healthy control group, it was 26.69 +/- 8.90. A statistically significant difference in vitamin D levels was observed between the two groups (p=0.034). No correlation was observed between patients' ambulation levels and vitamin D levels (p=0.202). Conclusion: It can be concluded that patients with amyotrophic lateral sclerosis are at risk of vitamin D deficiency or insufficiency. It is therefore recommended that regular vitamin D levels are measured and treatment plans are developed for these patients.Öğe Work-Related Musculoskeletal Pain in Hospital Employees(2024) Sertpoyraz, Filiz Meryem; Altas, Elif Umay; Tanigor, Goksel; Esra, HanAim: Work-related musculoskeletal disorders are common health problems in the community. They lead to various levels of pain, loss of function, and deterioration in quality of life. Our aim is to evaluate work-related musculoskeletal pain in hospital employees and factors that could prevent this problem. Material and Method: Female and male hospital employees working in different departments of our hospital participated in the study. Demographic data, work and working environment, ergonomic training, and musculoskeletal pain were queried. The severity of pain in those experiencing it was assessed using the visual analog scale and the Nordic Musculoskeletal Questionnaire. Results: A total of 275 individuals participated in the study. 72.4% of the participants were female and 27.6% were male. 79.3% of the participants reported musculoskeletal pain. Pain was most commonly (71.3%) observed in the 35-54 age group and was of moderate severity. According to the frequency of pain, it was most common in the back (61.5%), followed by the lower back (55.6%) and neck (53.5%) regions. The presence and severity of pain were more pronounced in females (p<0.05). There was a statistically significant relationship between the presence of pain and female gender (p=0.003, r=0.179). Pain severity was higher in females (p<0.001, r=0.226). 69.8% of healthcare workers reported that ergonomic arrangements were not made in the hospital, and 81.4% reported not receiving training in ergonomics. Conclusion: Work-related musculoskeletal pain was highly prevalent among hospital healthcare workers, and it was found that healthcare workers did not receive ergonomic arrangements in their work environments or education on protecting the musculoskeletal system. Inference: We believe that making ergonomic adjustments in the work environments of hospital employees, providing education on musculoskeletal system protection, and integrating these into the quality system would be important.
