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Öğe Can the patient-reported outcome instruments determine disease activity in rheumatoid arthritis?(Aepress Sro, 2011) Durmus, B.; Altay, Z.; Baysal, O.; Ersoy, Y.; Erdal, A.; Cevik, R.; Ardicoglu, O.Objectives: The aim of this study was to investigate the indicative value of the patient-reported outcome instruments (PROs) on disease activity in rheumatoid arthritis (RA). Methods: Three hundred sixty eight patients with RA were included in this cross-sectional study. Disease activity was evaluated using both the Disease Activity Score 28 (DAS 28) and the Clinical Disease Activity Index (CDAI). Patients who had DAS 28 score <3.60 points and CDAI score <10.00 points were allocated into the low disease activity group and those who had DAS 28 score >= 3.60 points and CDAI score >= 10.00 points into the moderate or high disease activity group. The Health Assessment Questionnaire (HAQ), Nottingham Health Profile (NHP), Rheumatoid Arthritis Quality of Life (RAQoL), and Short Form 36 (SF 36) were used as PROs. Logistic regression analysis was used to find variables, which had an indicative value for disease activity. Results: HAQ, pain and emotional reaction subscales of NHP, and bodily pain, general health and social functioning subscales of SF 36 had independent indicative values, when DAS 28 was used as dependent variable. On the other hand, HAQ, pain and emotional reaction subscales of NHP, and general health and emotional role limitation subscales of SF 36 had indicative values when CDAI was used as dependent variable. DAS 28 and CDAI both showed HAQ as the parameter with the highest odds ratio (OR). But RAQoL had shown no independent indicative value for projecting disease activity. Conclusion: It was concluded that HAQ could determine disease activity in RA better than other PROs included in this study (Tab. 4, Ref. 36). Full Text in free PDF www.bmj.sk.Öğe COMORBIDITIES IN PSORIATIC ARTHRITIS: COMPARISON WITH RHEUMATOID ARTHRITIS AND PSORIASIS(Clinical & Exper Rheumatology, 2014) Nas, K.; Karkucak, M.; Durmus, B.; Karatay, S.; Capkin, E.; Kaya, A.; Ucmak, D.[Abstract Not Available]Öğe Effects of a tennis tournament on players' hand grip strength, pressure pain threshold and visual analogue scale(Edizioni Minerva Medica, 2014) Kafkas, A. Sahin; Kafkas, M. Emin; Durmus, B.; Acak, M.Aim. Tennis is one of the most popular global sports. It is considerably important both as an international tournament and one of the Olympics games around world. The requirements of a tennis tournament are high, both mentally and physiologically. The aim of this study was to evaluate changes both of hand grip strength and pain pressure threshold values during tournament among amateur tennis players. Methods. The study involved two tennis groups. The first comprised 25 females (age 24.35 +/- 5.42 years, height 167.74 +/- 7.10 cm, weight 59.25 +/- 7.80 kg) and the second included 34 males (age 25.10 +/- 6.05 years, height 174.50 +/- 10.63 cm and weight 69.40 +/- 12.50 kg). Results. Pain pressure threshold and hand grip strength values were significantly different. Lateral epicondyle, deltoid and trapezius values were significantly lower after every match day compared with the first day of the tournament (P<0.05). Both female and male tennis groups' lateral epicondyle, trapezius, and deltoid values reduced significantly after the second, third, and forth day compared with the values of the first day of the tournament. Also, hand grip strength values significantly decreased after the second, third, and fourth day of female tennis group and decreased the third and fourth day of male tennis group (P<0.05). As a result, this research found a decreased sensitivity level of pain pressure threshold, hand grip strength and an increased level of visual analogue scale during consecutive tournament days. In terms of both pain pressure threshold and hand grip strength, values adversely affected from such tournament sports organizations. These tournaments have a busy schedule that may adversely affects the values of the upper extremity pain pressure threshold (lateral epicondyle, deltoid, supraspinatus, and trapezius). Therefore, especially during these tournaments tennis players should be careful.Öğe Gain in visual acuity after cataract surgery improves postural stability and mobility(Comenius Univ, 2011) Durmus, B.; Emre, S.; Cankaya, C.; Baysal, O.; Altay, Z.Objectives: Vision plays an important role in postural stability. It has also been shown that visual information from the environment and visual cues significantly contribute to balance skills. The aim of this study was to investigate the effects of visual acuity on postural stability and mobility before and after cataract surgery. Methods: The study group was composed of 25 male and 11 female patients (age 57-84, mean 66.6+/-4.7) who had been operated for age-related cataract. Postural stability and mobility were assessed before and four weeks after the surgery by means of Biodex stability system (BSS), Tinetti, Time up and go (TUG) and Functional reach (FR) tests, as well as by gait analysis (gait velocity, step length, step width, cadence, stride length). Results: Postoperative visual acuity was significantly improved. Gait velocity and cadence increased significantly but step length, stride length, and step width did not change significantly. Postoperative improvement of Tinetti balance, TUG and FR tests were significant. Similarly, antero-posterior stability index (APSI), medio-lateral stability index (MLSI) and overall stability index (OSI) that were examined with BSS improved significantly after the cataract surgery. Conclusion: These results demonstrated that gain in visual acuity after cataract surgery improves the postural stability and mobility of patients (Tab. 2, Fig. 1, Ref. 29). Full Text in free PDF www.bmj.sk.Öğe Isokinetic evaluation of knee extensor/flexor muscle strength in Behcet's patients(Publisaude-Edicoes Medicas Lda, 2015) Durmus, B.; Emre, S.; Sahin, N.; Karincaoglu, Y.; Dogan, E.; Baysal, O.; Ersoy, Y.Background: Behcet's disease (BD) is an idiopathic, multisystemic, progressive disease. The purpose of this study is to compare the knee flexor and extensor isokinetic muscle strengths of Behcet's patients with that of healthy subjects. Methods: Twenty-five (13 male and 12 female) patients with BD and 25 (15 male and 10 female) healthy individuals were included in the study Velocities of 90 degrees/sec, 120 degrees/sec, and 150 degrees/sec were used for the isokinetic muscle strength testing. Patients with active inflammatory knee arthritis were excluded. Peak torque (Nm) and peak torque adjusted to body weight (%) were taken into consideration for comparison between study groups. Results: Compared to healthy controls, there was a statistically significant decrease in both the bilateral knee extensor and flexor muscle isokinetic peak torques (Nm) as well as the peak torques adjusted to body weight (%) at velocities of 90 degrees/sec, 120 degrees/sec and 150 degrees/sec in patients with BD (p < 0.05). However, there was no significant difference in the agonist-antagonist ratio of the isokinetic peak torques of knee muscles between the two groups. Conclusion: In light of these findings, we have concluded that both knee flexor and extensor isokinetic muscle strengths are lower in BD. We therefore recommend careful monitoring of patients with BD in temis of muscle strength.Öğe THE PERFORMANCE OF PSORIATIC ARTHRITIS CLASSIFICATION CRITERIA IN PSORIATIC ARTHRITIS IN TURKISH PATIENTS(Clinical & Exper Rheumatology, 2012) Nas, K.; Karkucak, M.; Durmus, B.; Ulu, M. A.; Karatay, S.; Capkin, E.; Ulusoy, H.[Abstract Not Available]Öğe Vitamin D and muscle strength, functional ability and balance in peritoneal dialysis patients with vitamin D deficiency(Dustri-Verlag Dr Karl Feistle, 2011) Taskapan, H.; Baysal, O.; Karahan, D.; Durmus, B.; Altay, Z.; Ulutas, O.25(OH)D deficiency has been associated with significantly worse physical performance in individuals with normal renal function. We examined the physical function, muscle strength and balance in age- and gender-matched 25 Stage 3 - 4 CKD patients and 47 Stage 5 CKD patients on peritoneal dialysis (PD) with vitamin D deficiency by objective methods and evaluated the effect of vitamin D replacement on physical performance tests: the timed up and go (TUG) test, gait velocity test, timed chair stand test, stair climb test, dynamic balance tests (TUG test, dynamic postural stability test), static balance test (functional reach test) and muscle strength in these two groups. At baseline 25(OH) D in the Stage 3 - 4 CKD patients and patients on PD were 6.9 +/- 3.5 ng/ml (17.2 +/- 8.7 nmol/l) and 5.7 +/- 3.3 ng/ml (14.2 +/- 8.2 nmol/l), respectively (p > 0.05). Mean (+/- SD) 25(OH)D in Stage 3 - 4 CKD patients and those on PD were 52.0 +/- 40.9 ng/ml (129.7 +/- 102.2 nmol/l) and 41.9 +/- 21, ng/ml (104,5 +/- 52,6 nmol/l) respectively after vitamin D replacement (p > 0.05). When both Stage 3 - 4 CKD and dialysis patients became vitamin D-sufficient after vitamin D replacement, they took a significantly shorter time to complete the TUG test, gait velocity test, the timed chair stand test and stair climb test. Results of physical performance tests, static and dynamic balance tests and isometric strength tests improved in both groups after the treatment (p < 0.05). In conclusion, our results show that vitamin D supplementation improves muscle strength, functional ability and balance in both CKD and dialysis patients.
