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    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, Zeliha
    Aim: 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.
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    Work-Related Musculoskeletal Pain in Hospital Employees
    (2024) Sertpoyraz, Filiz Meryem; Altas, Elif Umay; Tanigor, Goksel; Esra, Han
    Aim: 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.