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    ARE JOINT POSITION SENSE, TWO-POINT DISCRIMINATION, FINE MOTOR CONTROL, GRIP STRENGTH, LIGHT TOUCH SENSATION, PAIN, AND FUNCTIONALITY AFFECTED BILATERALLY IN UNILATERAL CARPAL TUNNEL SYNDROME?
    (Istanbul Univ, Fac Medicine, Publ Off, 2022) Ozaltin, Gulfem Ezgi; Adl, Havva; Talu, Burcu
    Objective: This study aimed to evaluate joint position sense, two-point discrimination, fine motor control, grip strength, light touch sensation, pain, and functionality in patients with unilater-al carpal tunnel syndrome and to determine whether these vari-ables change in the unaffected hands of patients with unilateral carpal tunnel syndrome.Materials and Methods: The study was planned as a sin-gle-blind, cross-sectional case-control study. Individuals be-tween the ages of 20-65 who were diagnosed with carpal tunnel syndrome (n=22) and healthy (n=22) were included. The device was designed for the study of measurements; discriminator; 9-hole peg test, dynamometer, and pinch meter, Semmens Weinstein monofilament test; The visual analog scale was evalu-ated bilaterally with the Boston questionnaire.Results: There was a significant difference between all measure-ments in the affected and unaffected hands between the CTS group and the control group (p<0.05). There was no significant difference between the joint position sense, two-point discrimi-nation, fine motor control, grip strength, light touch sense, and functionality between the affected and unaffected hand in the CTS group (p>0.05). Conclusion: This is the first study evaluating joint position sense in the wrist, metacarpophalangeal joints, and interphalangeal joints in unilateral CTS syndrome. It was noteworthy that patientswith unilateral carpal tunnel syndrome had deficiencies in joint position sense, fine motor control, two-point discrimination, light touch sense, and grip strength compared to the healthy control group, as well as deficiencies in the unaffected sides.
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    Effect of psoriatic arthritis on the strength, proprioception, skill, coordination, and functional condition of the hand
    (Wiley, 2022) Candiri, Busra; Talu, Burcu; Karaoba, Dilan Demirtas; Ozaltin, Gulfem Ezgi; Yolbas, Servet
    Background This study was planned to evaluate the strength, proprioception, skill, coordination, and functional condition of the hand in individuals with psoriatic arthritis and to correlate disease activity with these parameters. Methods Fifty-six individuals (psoriatic arthritis group, n = 36; control group, n = 20) were included in the study. Evaluations were performed of disease activity with Disease Activity Score 28; grip strength with a dynamometer and pinch strength with pinch gauge dynamometers; joint position sensation with a goniometer; finger skills with a mobile application; and coordination and skill of both hands with the Purdue Pegboard test. The Michigan Hand Outcomes Questionnaire (MHQ) was used for hand functional evaluation. Results There was a significant difference between the grip and pinch strength of the psoriatic arthritis group and the control group (P < 0.05). There was no significant difference between the joint position sense measurements and the mobile application scores between the groups (P > 0.05). Purdue Pegboard scores showed a significant difference only in both hands and assembly subsections (P < 0.05). With Disease Activity Score 28, significant correlations were found between grip and pinch strength, mobile application scores, Purdue Pegboard all subsections, and left-hand joint position sense average error amount, and between MHQ and grip and pinch strength. Conclusions This study is the first to show that psoriatic arthritis has a negative effect especially on hand strength; grip strength decreases as disease severity increases and, skill, coordination, and functionality of hand deteriorate.