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Öğe The effect of intermittent diet and/or physical therapy in patients with chronic low back pain: A single-blinded randomized controlled trial(Elsevier Science Inc, 2022) Torlak, Mustafa S.; Bagcaci, Sinan; Akpinar, Elif; Okutan, Ozerk; Nazli, Merve S.; Kuccukturk, SerkanBackground and purpose: This study aimed to investigate the effect of intermittent diet and/or physical therapy in patients with chronic low back pain. Materials and methods: Sixty sedentary volunteers with chronic low back pain participated in the study. Body weight and body mass index (BMI) were measured. Pain severity was assessed using Visual Analogue Scale (VAS) and Leeds Assessment of Neuropathic Symptoms and Signs (LANSS), while assessment of disability was done using Barthel Index (BI). Results: The weight and BMI were reduced after treatment with diet only and diet plus physical therapy (p < 0.001). The pain severity was reduced in all the treated groups (p < 0.001), while BI was increased in the group treated with only physical therapy (p < 0.001). Conclusion: The present study indicated that intermittent diet and/or physical therapy are beneficial to patients with chronic low back pain in terms of pain sensation and daily activities. (c) 2020 Elsevier Inc. All rights reserved.Öğe Unilateral Vision Loss without Ophthalmoplegia as a Rare Complication of Spinal Surgery(Medknow Publications & Media Pvt Ltd, 2017) Akpinar, Elif; Gurbuz, Mehmet Sabri; Bitirgen, Gulfidan; Okutan, Mehmet OzerkPostoperative visual loss is an extremely rare complication of nonocular surgery. The most common causes are ischemic optic neuropathy, central retinal artery occlusion, and cerebral ischemia. Acute visual loss after spinal surgery is even rarer. The most important risk factors are long-lasting operations, massive bleedings, fluid overload, hypotension, hypothermia, coagulation disorders, direct trauma, embolism, long-term external ocular pressure, and anemia. Here, we present a case of a 54-year-old male who developed acute visual loss in his left eye after a lumbar instrumentation surgery and was diagnosed with retinal artery occlusion.