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Onat S.S.,Ankara Fizik Tedavi Egitim Ve Arastirma Hastanesi | Delialioglu S.U.,Ankara Fizik Tedavi Egitim Ve Arastirma Hastanesi | Bicer S.,Ankara Fizik Tedavi Egitim Ve Arastirma Hastanesi | Ozel S.,Ankara Fizik Tedavi Egitim Ve Arastirma Hastanesi
Turk Osteoporoz Dergisi | Year: 2013

Aim: The purpose of the study was to evaluate sleep quality in osteoporotic individuals, and to determine the associated factors with sleep quality and to investigate the relationship between quality of life and sleep quality Material and Methods: 154 patients with osteoporosis admitted to our outpatient clinic included in the study. A questionnaire that was including patients age, sex, marital status, education level, occupation, height, weight, alcohol use, smoking, physical activity level, milk consumption and previous fragility fracture was completed. DXA was used to determine bone mineral density of the lumbar spine and femoral neck. Thoracal and lumbar compression fractures were evaulated with thoracal and lumbar radiography.Visual analog scale was used to evaluate back pain. Pittsburgh sleep quality index was used to determine sleep quality and QUALEFFO was used to evaluate quality of life in the individuals. Results: A total of 154 individuals included in the study. 65 patients (42.2%) had a sleep disorder and 89 patients (57.8%) hadn't a sleep disorder. Mean age, female gender, not being married, not working actively, illiteracy rates were higher; the mean of weekly consumption of milk were lower in patients with sleep disorders than without sleep disorders. Vertebral compression fracture was more in patients with sleep disorders than without sleep disorders. Both lumbar and femoral T and Z values, VAS values were significantly higher in patients with sleep disorders than without sleep disorders (p<0.05). The value of all sub-parameters of quality of life scale QUALEFFO and total value were significantly higher in patients with sleep disorders than without sleep disorders (p<0.05). Conclusion: Sleep disorders in patients with osteoporosis are releated to factors such as age, sex, marital status, education level and diet. Sleep disorders cause a further decrease in the quality of life of patients with osteoporosis.


Objective: In this study, the aim is to investigate the effect of socio-demographic characteristics and the change of cognitive functions to quality of life in elderly inidividuals. Materials and Methods: A total of 174 individuals (65 years and over) were included. Socio-demographic data, comorbidities, used chronic drugs and smoking were recorded. Cognitive functions were evaluated with Standardized Mini Mental State Examination (MMSE). Quality of life was evaluated with the SF-36 quality of life scale (SF-36 QOL). Results: The average age of patients was about 72.35±6.55. 104 (59.8%) of individuals were age from 65 to 74, and 70 (40.2%) of individuals were from 75 to 88. The mean of SF-36 QOL sub-groups physical and mental score of the individuals who are aged from 65 to 74 were found to be significantly higher than that of the mean SF-36 QOL sub-groups physical and mental score of the individuals who are aged from 74 to 88 (p<0.05). The mean MMSE of the individuals who are aged from75 to 88 were found significantly higher than the mean MMSE of the individuals who are aged from 65 to 74 individuals (p<0.05). Sex, occupation and smoking affected not only the physical scores but also the mental score, income status affected the physical scores, marital status and education level affected only the mental score. The numbers of used drugs and chronic illness affected only mental scores, did not affect physical score. In addition, a linear relationship was also found between the number of comorbid disease and used drugs, MMSE and age (p<0.001). Conclusion: Advanced age, marital status, education level, income level, and poor cognitive level affected negatively the quality of life of elderly population. On the other hand, sex, occupation, smoking were not found to be affecting the quality of life.


Onat S.S.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi | Delialioglu S.U.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi | Bicer S.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi | Ozel S.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi
Turk Osteoporoz Dergisi | Year: 2013

Objective: The aim of this study was to identify risk factors for the development of depression in patients with osteoporosis, and to measure the psychosocial effects to the change in quality of life. Material and Methods: 125 patients with osteoporosis were included in the study. A questionnaire was completed which was including age, sex, marital status, education level, occupation, height, weight, alcohol use, smoking, physical activity level, milk consumption, previous fragility fracture of the patients. Bone mineral density of the lumbar spine and femoral neck were measured with DEXA. Back and lumbar compression fractures of the individuals were recorded by back and lumbar radiography. To evaluate back pain, Visual Analog Scale (VAS) was used. To assess depression in patients, Beck Depression Inventory (BDI) was used, and to assess the quality of life the European Council of Osteoporosis Quality of Life Questionnaire (QUALEFFO) was used. Results: 125 patients were included in the study, 57 patients (45.6%) had depression and 68 patients (54.4%) had not depression. The average age, illiteracy status, reduced physical activity level were higher in the patients with depression than the patients without depression. Vertebral compression fracture, family history of fracture, fall predisposition, and osteopenia in the risk factors of osteoporosis were found statistically significantly higher in the group with depression than the group without depression. Both lumbar and femoral T and Z values, and VAS values were significantly higher in the patients with depression than the patients without depression (p<0.05). The total value and all sub-parameters of quality of life scale QUALEFFO were significantly higher in patients with depression than patients without depression (p<0.05). Positive significant correlation was found between BDI scores and sub-parameters of QUALEFFO scores (p<0.05). Conclusion: Depression in individuals with increased bone loss was shown to lead to a further decrease in the quality of life.


Sahin Onat S.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi | Unsal Delialioglu S.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi | Ozel S.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi
Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi | Year: 2014

Objective: The purpose of the study, assessment of balance in the geriatric populations, to investigate the effect of balance impairment on functional status and quality of life. Materials and Methods: A total of 164 patients, 83 elderly and 81 nonelderly were included in the study. Demographic data were recorded. Mini- Mental State Examination was performed to evaluate the mental status of the elderly. To assess the balance and walking of all individuals Tinetti Balance and Gait Score, Timed Get up and Walk Test (TGWT) and 10-meters walking test, to assess the functionality of all individuals Functional Activity Score (FAS), to measure the quality of life short form 36 (SF-36) was applied. Results: Tinetti Balance, Gait scores and total scores of elderly individuals lower than non-elderly individuals, TGWT and 10-meter walk test of elderly individuals higher than non-elderly individuals (p=0.001). FAS and SF-36's all sub-parameter scores of elderly individuals were significantly lower than non-elderly individuals. There was strong correlation Tinetti total score of elderly individuals between SF-36 physical scores. There was medium correlation Tinetti total score of elderly individuals between SF-36 mental scores. There was strong correlation Tinetti total score of elderly individuals between FAS. TGWT and 10-meters walking test score had medium negative corelation with the mental score of SF-36 and strong negative corelation corelation with the physical and functional activity scores and scores. Conclusion: In this study, we have determined that with aging balance deteriorated and reduction in quality of life and functionality. © 2014 by Turkish Society of Physical Medicine and Rehabilitation.


Onat S.S.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi | Delialioglu S.U.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi | Demir S.O.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi | Ozel S.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi
Turk Osteoporoz Dergisi | Year: 2014

Objective: The purpose of the study was to determine the prevalence of fibromyalgia in postmenopausal women with osteoporosis and to determine the associated factors with fibromyalgia. Materials and Methods: Hundred thirty-seven postmenopausal women with osteoporosis admitted to our outpatient clinic were included in the study. A questionnaire that was including patients'age, marital status, education level, occupation, height, weight was completed. Risk factors of osteoporosis were recorded. major and minor risk factors were determined according to Canadian diagnosis and treatment guideline. DXA was used to determine bone mineral density of the lumbar spine and femoral neck. Thoracal and lumbar compression fractures were evaulated with thoracal and lumbar radiography. The diagnosis of fibromyalgia was according to the 1990 American College of Rheumatology (ACR) criteria. Results: Twenty-six (19%) of 137 postmenopausal women with osteoporosis had fibromyalgia. Ninety-four (68.6%) of all patients were married and 43 (31.4%) of all patients were not married, 63 (46%) of all patients were literate, 74 (54%) of all patients were illiterate. The average age of patients was 73.56±6.17. According to the results of logistic regression analysis, advanced age, to be married, the number of major risk factors and the decrease of lomber and femur bone mineral density were found to be risk factors for fibromyalgia. Educational level, BMI and the number of minor risk factors were not found to be a risk factors for fibromyalgia. Conclusion: It is importatnt to be careful for fibromyalgia not only in premenopousal women but also in postmenopausal osteoporotic women.


Onat S.S.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi | Delialioglu S.U.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi | Ozel S.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi
Turk Osteoporoz Dergisi | Year: 2013

Objective: Since osteoporosis is a preventable disease to some extent, risk factor determination and if possible modification is very important. The aim of this study is to identify the relationship between ostoporotic risk factors and bone mineral density results and emphasize the importance of risk factors. Materials and Methods: The study comprised 103 postmenopausal osteoporotic women. Demographic characteristics, osteoporortic risk factors, lumbar vertebrae and femur neck T scores were recorded. Relationships between lumbar vertebra and femur neck T scores and risk factors were statistically studied. Results: Advanced age, low physical activity status, inadequte dietary calcium intake and vertebral compression fractures were found to be associated with low bone mineral density results in postmenopausal osteoporotic women whereas marital status, occupation, education level and familial fracture history were not. Furthermore early menopause was found to be associated with low femoral T scores and smoking with low lumbar T scores. Tendency to fall and number of chronic diseases were irrelevant to bone mineral density. Conclusions: Risk factor assesment is still important for osteoporosis prevention.


Onat S.S.,Ankara Fizik Tedavi Egitim Ve Arastirma Hastanesi | Delialioglu S.U.,Ankara Fizik Tedavi Egitim Ve Arastirma Hastanesi
Turk Osteoporoz Dergisi | Year: 2013

Palmar fibromatosis is a hard nodule on the base of the finger that runs through both sides of distal palmar line. We come across this condition quite often in our geriatrics clinic, yet it is usually overlooked because it does not cause any pain, even though with proper care and treatment patient's functional limits can increase significantly. In the study, 3 patients came to our clinic with limited mobility complaint on their fingers. First case, an 82-year old male patient, had this complaint on his right hand's 4th finger for over a year. Second case was a 68-year old male patient with the same complaint on his left hand's 3rd finger for 15 years and finally, third case was an 85-year old female patient with complaint on her left hand's 4th and 5th fingers for 30 years. Finger goniometry results for joint movement range were 0-80 degrees in 4th metacarpophalangeal (MCP) joint in the first case, 0-60 degrees in left 3rd MCP joint in second case and 0-40 degrees in left 4th MCP joint, 0-80 degrees in proximal interphalangeal joint, 0-40 degrees in 5th MCP joint and 0-90 in proximal interphalangeal joint on third case. All patients were diagnosed with idiopathic palmar fibromatosis and given physical therapy programs. The cases with hypointense lesions, seen on both T1 and T2 weighted MRI slices, were referred to surgery. Our main purpose in this presentation is to review PF diagnosis and treatment as physiatrists.


Onat S.S.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi | Ozgirgin N.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi
Turk Osteoporoz Dergisi | Year: 2014

Musculoskeletal system tumors may be insidious and overlooked easily in the clinic. Rest pain can be the only sign and must need attention. A patient with resting knee pain is presented here who have been finally diagnosed as enchondroma of the distal femur.


Onat S.S.,Ankara Fizik Tedavi Egitim Ve Arastirma Hastanesi | Bicer S.,Ankara Fizik Tedavi Egitim Ve Arastirma Hastanesi | Ozgirgin N.,Ankara Fizik Tedavi Egitim Ve Arastirma Hastanesi
Turk Osteoporoz Dergisi | Year: 2013

Forgetfulness and reduction of memory function in the elderly is common complaints. We have presented this circumstance because of taking attention to say demans without a detailed evaluation of these patients and to express the inconsistency on the medium exchanges on the hospitalized geriatric.


Onat S.S.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi | Ozisler Z.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi | Koklu K.,Ankara Fizik Tedavi Egitim ve Arastirma Hastanesi
Turk Osteoporoz Dergisi | Year: 2013

With advancing age, when the human body entry "aging" process, cells and organs occur irreversible changes. How does qualitative changes in the elderly osteoporotic bone, such that changes occur in other organs. As a result, with balance disorders and fall down arisen in elderly osteoporotic individuals, the quality of life decreases. Our aim in this presentation is to review the occurance of the balance disorder on elderly osteoporotic individuals and fall down conclusion.

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