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    Comparison of efficacy of fluidotherapy and paraffin bath in hand osteoarthritis: A randomized controlled trial
    (Turkish League Against Rheumatism, 2021) Oncel, Adil; Kucuksen, Sami; Ecesoy, Hilal; Sodali, Emre; Yalcin, Sevket
    Objectives: This study aims to compare the efficacy of paraffin bath therapy and fluidotherapy on pain, hand muscle strength, functional status, and quality of life (QoL) in patients with hand osteoarthritis (OA). Patients and methods: This prospective randomized controlled study included 77 patients (8 males, 69 females; mean age: 63.1 +/- 10.3 years; range 39 to 88 years) with primary hand OA who applied between July 2017 and March 2018. The patients were randomized into two groups with the sealed envelope method: Paraffin bath therapy (20 min, one session per day, for two weeks) was applied for 36 patients whereas 41 patients received fluidotherapy for the same period. The pain severity of the patients, both at rest and during activities of daily living (ADL) within the last 48 hours was questioned and scored using Visual Analog Scale. Duruoz Hand Index (DHI) was used to evaluate hand functions. Gross grip strength was measured using Jamar dynamometer whereas fine grip strength was measured using pinch meter in three different positions (lateral pinch, tip pinch, and palmar pinch). The 36-Item Short Form (SF-36) was used to analyze the QoL. All measurements were performed before, immediately after, and three months after treatment. Results: Improvement was observed in pain score at rest and during ADL, DHI scores, gross and fine grip strengths, and SF-36 subscores in both groups after treatment. However, no significant difference was observed between the groups. Conclusion: Both fluidotherapy and paraffin bath therapy have been found to have positive effects on pain, hand muscle strength, functional status, and QoL in the treatment of hand OA. However, no superiority was observed between the two treatment modalities.
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    Effects of Pain, Depression and Quality of Life on Bone Mineral Density in Patients with Fibromyalgia
    (Dokuz Eylul Univ Inst Health Sciences, 2020) Demirbas, Nur; Kutlu, Ruhusen; Ecesoy, Hilal
    Objective: In this study, we aimed to assess the effects of bone mineral density with fibromyalgia on pain, depression and quality of life. Methods: In this case-control study, 100 women who were diagnosed as FMS and 100 women who were not diagnosed as FMS were included. Visual Analog Scala ( VAS), Fibromyalgia Impact Questionnaire (FIQ) and Hospital Anxiety and Depression Scala (HADS) were used for the patients. Bone mineral density (BMD) of the participants was measured with dual energy x ray absorptiometry (DXA) method. Results: The number of the tender points of the women with fibromyalgia and VAS, FIQ, HAD-A and HAD-D scores were found significantly higher than of the control group (p<0.001). Of the patients with fibromyalgia, 64.3% had anxiety and 59.9% of them had depression. No statistically significant difference was found when the averages of bone mineral density and T-Z scores were compared in two groups (p>0.05). When BMD measurements and HAD-A and HAD-D scores of the fibromyalgia patients were compared; in the L1-L4 region of the patients with anxiety and depression; BMD (mass, T score and Z score) were found respectively lower than of those without anxiety and depression (p=0.011) (p=0.040). Conclusions: The FIQ scores of the patients with low L1-L4 T scores were found higher than of the patients with normal T scores. The L1-L4 region of the patients with anxiety and depression; BMD (mass, T score and Z score) were found respectively lower than of those without anxiety and depression. This study confirmed the concept that FMS is a risk factor for osteoporosis.
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    Ultrasonographic assessment of quadriceps and patellar tendon thicknesses in patients with patellofemoral pain syndrome
    (2019) Kızılkaya, Ahmet Özcan; Ecesoy, Hilal
    Objective: The aim of this study was to compare ultrasonographically measured quadriceps and patellar tendon thicknesses between Patellofemoral Pain Syndrome (PFPS) patients and age- and gender- matched healthy controls. Methods: Among patients who presented to physical therapy and rehabilitation outpatient clinic in January-December 2016, 61 volunteers (28 men and 33 women; mean age: 30.79 6.55 years) who were eligible considering the inclusion and exclusion criteria were enrolled. 30 were diagnosed with PFPS, and the remaining were age- and gender-matched healthy volunteers. Mean age was 30.03 5.67 years in healthy subjects and 45.2% were of male gender. The patient group had mean age of 31.57 7.37 years and 46.7% of the patients were male. Q angles were measured at standing, supine and sitting positions. Patellar and femoral tendon thicknesses and areas were measured ultrasonographically. Kujala questionnaire were used to evaluate the functional status of the participants. Results: No significant difference was detected between groups regarding profession, educational background, and body mass indices (BMI) (p0.05). Q angle values were significantly higher in the patient group when compared to controls at standing , supine and sitting positions. Kujala score was significantly lower in the PFPS group when compared to controls. Patellar and quadriceps vs. tendon thicknesses were significantly higher in the PFPS group when compared to controls. There was no significant difference between groups regarding patellar tendon areas. Patellar tendon thickness values of 0.35 cm were found to have 66.7% sensitivity and 67.7% specificity for PFPS diagnosis in the ROC curve analysis (area under curve: 0.771, 95% confidence interval Quadriceps tendon thickness values of 0.54 cm were found to have 80% sensitivity and 71% specificity for PFPS diagnosis in the ROC curve analysis (area under curve: 0.824, 95% confidence interval. In PFPS patients, quadriceps tendon thickness had significant positive correlation with age and BMI ; and significant negative correlation with Kujala score. In the multivariate regression analysis, quadriceps tendon thickness was independently associated with the presence of PFPS (Exp (B): 3.089, 95% confidence interval. Conclusion: Our study demonstrates that ultrasonographically measured patellar and quadriceps tendon thicknesses are significantly higher in subjects with PFPS and particularly, quadriceps tendon thickness may be used for the diagnosis. Level of Evidence: Level III, Therapeutic Study