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  • Küçük Resim
    Öğe
    Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Traditional Physiotherapy in Myofascial Trigger Points
    (2022) Güler, Kadir; Güler, Hayal; Yıldızgören, Mustafa Turgut; Seyfettin, Ayça; Karazincir, Sinem; Turhanoğlu, Ayşe Dicle
    Objective: The main purpose of this study is to compare the\refficacy of radial-extracorporeal shock wave therapy (r-ESWT) and traditional physiotherapy (TP) in the treatment of myofascial trigger points in\rthe upper trapezius muscle. Material and Methods: A total of 74 patients\rwith myofascial trigger points were randomly separated into the ESWT\r(n=37) group and the TP (n=37) group. The groups received treatment for\r2 weeks. A total of 66 (r-ESWT, n=30; TP, n=36) patients completed the\rstudy. Neck pain and disability were evaluated with Visual Analogue Scale\r(VAS), Quick-Disabilities of Arm, Shoulder and Hand Questionnaire (QDASH), and the Nottingham Health Profile (NHP). Active trigger points\rwere evaluated using ultrasound shear wave elastography (SWE). All outcome measurements were assessed before treatment, then at 2 weeks, and 1\rmonth after the completion of the treatment. Results: Significant improvements of VAS, Q-DASH, NHP, and SWE scores were observed at all time\rpoints after treatment in both treatment groups. When the change levels were\rcompared between the groups, the decrease in VAS, and the improvement\rin Q-DASH and NHP scores were significantly higher in the TP group than\rin the ESWT group. There was no significant difference between the groups\rin terms of the amount of change in SWE. Conclusion: The both methods\rwere useful in alleviating pain, improving function, and reducing shear modulus in myofascial trigger points, although TP seemed to be more effective\rthan ESWT.
  • Küçük Resim
    Öğe
    Does B12 deficiency lead to syringomyelia?
    (Turkish Society of Physical Medicine and Rehabilitation, 2020) Güler, Kadir; Turhanoğlu, Ayşe Dicle
    A 20-year-old female was admitted to our clinic with the complaint of gait disturbance, which started three months ago and slowly progressed. Her medical history was non-specific. Her initial complaints began with numbness in her right foot and, then, under the left knee. Over time, activities such as sitting and standing up and climbing stairs became more difficult, and urinary incontinence started. Her physical examination revealed an ataxic gait pattern. Bilateral lower extremity strength was 4/5. Bilateral patellar reflexes were hyperactive. Bilateral Achilles reflexes were hypoactive. The plantar reflex was unresponsive at right and flexor at left. The superficial sensation was normal at lower extremities; however, there was a loss of deep sensation. The Romberg sign was positive. Laboratory test revealed that hemoglobin was 11 g/dL (reference: 13.6 to 17.2), mean corpuscular volume was 124 fL (reference: 80.4-95.9), serum vitamin B12 level was 80 pg/mL (reference: 190911), and liver and kidney function tests, electrolyte levels, blood glucose, glycosylated hemoglobin, C-reactive protein, and erythrocyte sedimentation rate were within normal limits. Nerve conduction studies showed that bilateral common peroneal, tibial, ulnar, and median nerve sensory and motor conduction were within normal limits.