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    Chronic pain and it's management in spinal cord injured patients
    (1995) Akman M.N.; Ersoy Y.
    Although, advances in rehabilitation medicine has led considerable improvements in prevention and treatment of complications following spinal cord injuries, chronic pain constitutes a major problem by effecting patients' social integration and life quality. A close collaboration between disciplines, especially Physiatry and Anaesthesiology is essential for diagnosis and treatment. In this article, the literature on spinal cord injury pain and current therapeutic approaches will be reviewed.
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    Intrathecal baclofen: Does tolerance occur?
    (1993) Akman M.N.; Loubser P.G.; Donovan W.H.; O’Neill M.E.; Rossi C.D.
    Concern over the development of tolerance in patients on continuous intrathecal baclofen therapy has arisen as this new form of treatment for spasticity has gained wider use. We have studied time-dose relationships in 18 spinal cord injured patients who have undergone intrathecal baclofen infusion pump implantation since February 1988 in our facility. Our data show that there was a significant increase in baclofen dosage needed to control spasticity during the first 12 months post implantation. After 12 months, however, no significant change in dosage requirement was detected. In addition, there was no significant difference between completely and incompletely spinal cord injured patients with regard to both the initial dose and the tolerance trend. © 1993 International Medical Society of Paraplegia.
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    A new orthosis for trapezius palsy following radical neck dissection in patients with head and neck cancer
    (1995) Akman M.N.; Sari Z.; Ersoy Y.; Saydam L.
    Serious shoulder malalignment which causes pain and dysfunction as well as cosmetic disturbance, constitutes a major problem following radical neck dissection in patients with head and neck cancer. Complete lesion or enbloc removal of the accessory nerve during surgery results in paralysis of the trapezius muscle, main stabilizer of the scapula. Loss of its function causes ipsilateral shoulder depression and protraction, decreased active range of motion and disabling pain associated with strain and stretch of the rhomboids and levator scapula muscles. We developed a new orthosis, 'Akman-Sari Trapezius Palsy Orthosis', to correct shoulder malalignment and relieve pain in these patients. Here, we describe our orthosis and present a case in whom we have got excellent results with this orthosis.