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Öğe Burden of chronic low back pain in the Turkish population [Kronik bel ağrısının Türk toplumuna maliyeti](Turkish Society of Physical Medicine and Rehabilitation, 2015) İçağasioğlu A.; Yumuşakhuylu Y.; Ketenci A.; Toraman N.F.; Kaymak Karataş G.; Kuru Ö.; Kirazli Y.; Çapaci K.; Eriman E.; Haliloğlu S.Objective: Chronic low back pain (CLBP) is a great economic burden to the society mainly in terms of the large number of the lost work days and disability, and it appears to be growing. The economic burden of LBP in Turkey is not known. This study aims to analyze the health care resource use, work and productivity loss, and health-related economics of CLBP in Turkey. Material and Methods: The study was designed as a multi-centered cross-sectional survey of patients in physical therapy and rehabilitation clinics from eight different regions of Turkey and 662 patients with CLBP over 18 years of age were included. Data on patient sociodemographics, disease-related healthcare resource use during the previous 6 months, inability to work during the last 3 months, Roland Morris Disability Index for the functional status, and psychological health with Beck Depression Scale were collected. Direct costs included medical visits, investigations, medications, hospitalizations, orthopedic aids, and physical therapy. İndirect costs were evaluated mostly with productivity loss. Results: The total annual direct costs for CLBP per patient were estimated at 1080 TL. The indirect costs were estimated at 5511 TL per patient. Direct cost was correlated with disease severity, duration, and age. Indirect cost was higher in women. Conclusion: The indirect costs for CLBP were significantly higher than the direct costs. © 2015 by Turkish Society of Physical Medicine and Rehabilitation.Öğe Effects of different therapies on articular cartilage in experimental severe osteoarthritis(2006) Eyigör S.; Hepgüler S.; Sezak M.; Öztop F.; Çapaci K.Objective: To examine the effect of intraarticular injections of methyl-prednisolone, hyaluronic acid and therapeutic ultrasound on osteoarthritic lesions in experimental severe osteoarthritis (OA). Materials and Methods: Thirty five adult white New Zealand rabbits were used in this study. The experimental OA was induced by the injection of papain (2 mg) to the knee joints bilaterally. Five weeks after the intraarticular injection of papain, rabbits were divided into 3 groups. Group 1: In 12 rabbits, 20 mg methylprednisolone was injected into the right knee once weekly for three weeks. Group 2: In 10 rabbits, 0.4 ml of HA (concentration 15 mg per ml) was injected into the right knee once weekly for three weeks. Group 3: In 10 rabbits 7 min. pulse sonication (US) was applied to the right knees with an intensity of 0.5 W/cm2 once daily for a total of 10 times. The left knee joints were used as controls. Surface cartilage lesions on the condyles and plateaus was evaluated macroscobically, where as lesion severity was evaluated histologically. Results: There were no significant differences between the groups for macroscopic and histologic grades of cartilage lesions on condyles and plateaus at the end of the treatment (p>0.05). Furthermore no statistically significant difference was observed between the treated and control knees of the rabbits in each group (p>0.05). Conclusion: In this study, none of the treatments applied were found to be effective in cartilage lesions in severe OA.Öğe Falls and fractures after stroke [İnmede düşme ve kiriklar](2007) Çapaci K.Falls are one of the most commonly seen complications during stroke rehabilitation. Not only they prevent rehabilitation process due to several fall related complications including fractures, but also they lead the patients to restrict activities through fear of falling, to the point of becoming social isolated. Hip fractures are particularly important due to their morbidity and mortality. Thus, the risk factors should be identified and precautions should be taken. In this paper, causitive factors and risk factors contributing to the fall, fractures and prevention strategies are rewieved.Öğe Outcome of joint functions in hemophilic patients: A twelve year retrospective study(2010) Çapaci K.; Balkan C.; Yilmaz D.; Yilmaz A.Y.; Kirazli Y.; Durmaz B.; Kavakli K.In hemophilic patients, recurrent intra-articular bleeding results in hemophilic arthropathy. The frequently affected joints are knee, elbow, and ankle. Prevention of recurrent joint bleedings is of great significance in avoiding hemophilic arthropathy. Bleedings may occur as a result of minor traumas or spontaneously in severe hemophilic patients. In this study, data belonging to 31 hemophilic patients were analyzed after a 12-year retrospective observation. Joints of knee, elbow, and ankle were assessed with Gilbert score and swelling, atrophy, axial deformity, crepitus, range of motion, and flexion contracture were assessed in terms of instability. Patients were grouped based on the severity of hemophilia. Severe hemophiliacs were grouped depending on whether they received long term prophylaxis or on-demand therapy. As a conclusion, it was observed that joint assessment results of severe hemophiliacs who received on-demand therapy were rather poor compared to those of mild or moderate hemophiliacs. Joint assessment results obtained from hemophilia patients who received prophylaxis, on the other hand, were almost as good as those of mild hemophiliacs. Based on swelling, atrophy, axial deformity, crepitus, flexion contracture and loss of full range of motion, there was a significant difference between the on-demand and prophylaxis groups in severe hemophiliacs (p< 0.05). In the on-demand group there was a significant difference between the baseline and final evaluations based on all parameters (p< 0.05). Consequently, it was determined that prophylactic treatment has a crucial role in the prevention of arthropathy in severe hemophiliacs. Copyright © 2010 by Türk Tibbi Rehabilitasyon Kurumu Dernegi.Öğe Pelvic digit [Pelvik kosta](Turkish Society of Physical Medicine and Rehabilitation, 2014) Hepgüler S.; Çapaci K.; Çinar E.Pelvic digit is an unusual developmental anomaly in which bone develops in soft tissues adjacent to normal skeletal bone. It is an asymptomatic entity that is usually discovered incidentally. The importance of recognizing pelvic digit is in distinguishing it from post-traumatic ossification and avulsion injuries of the pelvis. We report pelvic digits discovered in plain films of two patients who presented with hip pain. One patient has accompanying femoroacetabular impingement on the same side, which may explain the presence of hip pain. © 2014 by Turkish Society of Physical Medicine and Rehabilitation.Öğe Risk factors of symptomatic knee, hand and hip osteoarthritis in a suburban area of Izmir City [Izmir Ilindeki semptomatik diz, el ve kalça osteoartrit risk faktörleri](Turkish Society of Physical Medicine and Rehabilitation, 2014) Yeşil H.; Hepgüler S.; Öztürk C.; Yeşil M.; Çapaci K.Objective: To determine the risk factors of symptomatic knee, hand, and hip osteoarthritis among people aged ?40 years in a suburban area of Izmir City, Turkey Material and Methods: A total of 522 subjects were randomly chosen with systematic randomization. All subjects fulfilled a detailed survey and had a physical examination. Any subject who met at least one of the ACR clinical criteria for knee/hand/hip osteoarthritis (OA) was considered as screening positive and was invited for x-rays. Results: We report that the symptomatic knee, hand, and hip osteoarthritis prevalence correspondingly increases with age. Symptomatic knee osteoarthritis (SKO) has a positive correlation with female gender (OR: 26.5, 95% CI: 7.6-92.3), obesity, morbid obesity (OR:5.8, 95% CI:2.1- 16.2), and regular prayer habit (namaz) (OR:2.6, 95% CI: 1.1-6.2). SKO and symptomatic hand osteoarthritis (SHaO) prevalence numbers are higher in the postmenopausal female group than premenopausal women (p<0.05). We determined that poorly educated people had a 1.5-times higher risk for developing SKO (p=0.649). Non-smokers had 1.5 times the risk of smokers for developing OA. Subjects lacking symptomatic knee OA were found to be significantly more active than the other groups. Conclusion: Risk factors for development of symptomatic knee, hand, and hip osteoarthritis were determined as female gender, advanced age, obesity, and being in postmenopausal stage. Low education level, being a non-smoker, having a regular prayer habit, climbing stairs, being a worker, and sedentary life were also risk factors for having knee osteoarthritis. It is an obvious issue that we need countrywide studies with larger populations to build a health policy for osteoarthritis. © 2014 by Turkish Society of Physical Medicine and Rehabilitation.
