Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleAçık Erişim2026The role of mood in complex regional pain syndrome: Cause or consequence?
Ahi, Emine Dundar; Kuculmez, Ozlem
Aim: Complex Regional Pain Syndrome (CRPS) involves pain and dysfunction in multiple nervous system pathways. Psychological symptoms such as anxiety, depression, and difficulty coping often accompany the physical aspects of the condition. This study sought to examine whether mood-related factors play a causal role in the onset of CRPS or if individuals with pre-existing psychological conditions exhibit increased susceptibility to its development. Materials and Methods: This is a cross-sectional study that included 131 patients with a history of trauma or surgery who were referred for rehabilitation within the first three months following the incident. Among them, 70 patients were diagnosed with CRPS, while 61 patients formed the control group. Each participant underwent evaluation through the Short Form-36, Visual Analog Scale (VAS), Beck Depression Inventory, and the Beck Anxiety Inventory. Results: The study included 62 men and 69 women, with no significant differences in anxiety and depression scores observed between the CRPS group and the control group (p>0.05 for both). However, individuals with CRPS reported notably higher scores on the VAS (p<0.05). In addition, their scores were significantly lower in the Short Form-36 subdomains related to pain intensity (p<0.05), social functioning (p<0.05), and physical role limitations (p<0.05). Conclusion: The results indicate that an individual's baseline mood does not seem to contribute to the development of CRPS. These mood changes may be only the result of the disease, as pain level, social function, and physical role were determined to be worse in these patients.
- MakaleYalnız künye2023Scopus SJRQ2Comparison of the effectiveness of dry needling and high-intensity laser therapy in the treatment of myofascial pain syndrome: a randomized single-blind controlled study
Ahi, Emine Dundar; Sirzai, Hulya
Myofascial pain syndrome (MPS) is a very common disease in the population that seriously affects quality of life. Although many treatment modalities are used, there is still no common protocol. The aim of this study was to compare the effectiveness of high-intensity laser therapy (HILT) and dry needling options. This prospective study included 108 patients with neck and/or upper back pain, diagnosed with MPS, who were randomly separated into 3 groups: the exercise group, the exercise + HILT group (HILT group), and the exercise + dry needling group (needling group). The visual analog scale (VAS), neck disability index (NDI), short form-36 (SF-36) scores, and neck range of motion (ROM) values of the patients before and after treatment were recorded and compared between the groups. In all 3 groups, the VAS and NDI scores decreased and ROM levels increased after treatment. The results in the HILT and needling groups were statistically significantly better than those of the exercise group (p < 0.05).The addition of HILT and dry needling to exercises is seen as a more successful treatment option to reduce pain in MPS. Clinical trial registration number: NCT05078333.
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İncele - MakaleAçık Erişim2021Frequency and Risk Factors of Lower Limb Disorders in Work-related Musculoskeletal Disorders
Arikan, Hulya; Ahi, Emine Dundar
Objective: Work-related musculoskeletal disorders(WMSDs) are a serious health and economic problem. Occupationalhealth and safety is important for preventing these disorders. There aremany reports about work-related upper limb musculoskeletal disorders,but few about the lower limb. Most of lower limb reports were basedon self-reported scales. Our aim was to determine the frequency andrisk factors of lower limb disorders in WMSDs in workers in heavy industry. Material and Methods: We included 110 male and femaleheavy industry workers among 1,268 patients diagnosed with a WMSDwho were admitted to the physical medicine and rehabilitation (PMR)outpatient clinic between 2018 and 2020, and were diagnosed with alower limb WMSD by physical and radiological examinations. We recorded demographic data, risk factors, and lower limb WMSD diagnoses for all patients. Results: The incidence of lower limb WMSDs(n=110) among all patients diagnosed with a WMSD in the PMR outpatient clinic was 8.67%. Of these lower extremity WMSDs, the mostcommon site was the knee (83.6% of patients), followed by the feet-ankles (24.5%), and the hip joint (20.9%). In our study, the frequency ofwearing special shoes/boots was statistically significantly higher incases with WMSDs in the feet-ankles (p<0.001). Conclusion: WMSDsare seen in both the lower and upper extremities. Special shoes andboots designed for the working environment should include featuresthat would help to reduce WMSDs of the feet-ankles.
- MakaleYalnız künye2021Scopus SJRQ3Incidence of Neuropathic Pain in Patients with Thoracic Disc Pathologies Presenting with Chronic Upper Back Pain and Correlation of Herniation Grade with Pain Severity
Ahi, Emine Dundar; Goktan, Asli
AIM: To determine the incidence of neuropathic pain (NP) in patients with thoracic disc herniation (TDH) and to determine whether there is any correlation between pain severity and herniation grade. MATERIAL and METHODS: A total of 110 patients diagnosed with TDH with chronic non-specific thoracic spine pain were included in our cross-sectional observational study. Data including magnetic resonance imaging findings, bulging, protrusion, extrusion and sequestration were retrospectively analysed. We determined the incidence of NP in patients by administering the self report form Douleur Neuropathique 4 (DN4) questionnaire. Pain severity was assessed using Numeric Rating Scale scores. RESULTS: In our study, 79.1% of TDHs were located below the T7-8 level. The patients were divided into two subgroups on the basis of the results of the DN4 questionnaire: NP subgroup, 43 (39.1%), and non-NP subgroup, 67 (60.9%). Although there was no statistically significant association between presence of NP and herniation grade bulging, protrusion or sequestration (p>0.05), the rate of herniation in the extrusion grade was statistically significantly higher in patients with NP than in those without NP (p=0.004). The pain severity of the patients with herniation grade extrusion was statistically higher than that of patients with other non-extrusion grades (p=0.035). CONCLUSION: TDH should be considered in patients with neuropathic chronic back, chest and abdominal pain. If the patient's pain characteristics indicate NP, a diagnosis of TDH becomes more likely, considering that nearly 4 out of 10 patients with TDH have NP.
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