• ÖZ

Avascular necrosis (AVN), meaning the cellular death of bone, can occur for various reasons. A 34-year-old male patient admitted with pain in the left shoulder was identified with bilateral hip AVN and bilateral shoulder AVN on magnetic resonance imaging. The patient underwent 21 sessions of physical therapy and was started on a rehabilitation program as the prescribed medical treatment. Prior to treatment, the patient reported a pain Visual Analog Scale score of 8, which reduced to 2 after 3 weeks of treatment. We present this case to literature due to the rare coexistence of hip and shoulder AVN and the good response of the patient to conservative treatment.

• ÖZ

Objectives: The aim of this study was to investigate the relationship between scoliosis and upper extremity functions in patients with Duchenne muscular dystrophy (DMD). Patients and methods: Between January 2018 and July 2018, a total of 55 patients (54 males, 1 female; mean age: 9.9±2.9 years; range, 6 to 15 years) who were diagnosed with DMD based on the clinical, laboratory, muscle biopsy and molecular analysis results were included in this cross-sectional study. Scoliosis was evaluated and Cobb angles were measured. Functional Ambulation Scale and Brooke and Vignos scale scores were recorded. The ABILHAND-Kids questionnaire and Nine-Hole Peg Test (9-HPT) were used to assess the upper extremity functions. Hand grip strengths were also evaluated. Results: The median ABILHAND-Kids scores and the hand grip strength values of the patients without scoliosis were significantly higher compared to those with scoliosis (p=0.002 and p=0.004 for right hand and p=0.012 for left hand, respectively). There was no statistically significant difference in the 9-HPT scores between the patients with and without scoliosis (p>0.05). We found a negative, significant correlation between the Cobb angle and ABILHAND-Kids scores in patients with scoliosis (r=-0.503; p=0.017). Conclusion: Our study results show a moderate relationship between scoliosis and upper extremity functions. Scoliosis may adversely affect upper extremity functions in patients with DMD.

• ÖZ

Objectives: In this study, we aimed to investigate whether there was any difference in kinesiotaping (KT) application on the upper trapezius muscle between a trained and untrained physiatrist in the management of patients with myofascial pain syndrome (MPS). Patients and methods: Between April 2013 and July 2015, a total of 45 patients (44 females, 1 males; mean age 31.9±8.0 years; range, 18 to 55 years) with MPS were included in this prospective, single-blind, randomized-controlled study. The patients were randomly divided into two groups. The first group (intervention group, n=24) was administered KT band with the muscle in a tense condition according to the muscle technique performed by a trained physiatrist, from the muscle origo toward its insertion point. The second group (control group, n=21) received no technique and KT was applied to the painful area by an untrained physiatrist using a randomly selected method. Primary outcome measures were pain at rest, during activity (0-10 cm visual analog scale), and threshold measurement with algometry (kg/cm 2 ). Secondary outcome measures were function (Neck Pain and Disability Scale), degree of palpable muscle spasm, and quality of life (Nottingham Health Profile). All evaluations were performed at baseline, at three and six weeks after the treatment. Results: There were significant improvements in all parameters in both groups. There were no significant differences in any parameters at six weeks. We demonstrated that KT, which was applied on active trigger points on the upper trapezius muscle by trained and untrained physiatrists, improved pain, palpable muscle spasm, neck function, quality of life, and patient satisfaction degree in patients with MPS. Conclusion: Our study results show that KT, which is applied by trained and untrained physiatrists, improves pain, palpable muscle spasm, neck function, quality of life in patients with MPS.

• ÖZ

Background/aim: In this study, it was aimed to investigate the effects of pulsed electromagnetic field (PEMF) therapy on pain, disability,psychological state, and quality of life in cervical disc herniation.Materials and methods: Patients were randomly divided into two groups, including Group 1, which received a therapy consisting oftranscutaneous electrical nerve stimulation (TENS), hot pack (HP), and PEMF, and Group 2, which received a magnetic field (shammagnetic field) without current flow in addition to TENS and HP therapy. Pain was assessed by a visual analog scale (VAS, 0–10cm). The other outcome measures were function (Neck Pain and Disability Scale), anxiety-depressive mood (Hospital Anxiety andDepression Scale), and quality of life (Nottingham Health Profile). All evaluations were performed at baseline, in the 3rd week, and inthe 12th week after treatment.Results: A significant improvement was found in the neck pain, disability, depression, anxiety, and quality of life scores of both groupsafter treatment when compared to those before treatment. However, in the comparison between changes within groups, significantimprovements were determined only in the VAS and Nottingham Health Profile sleep subparameter in the 12th week after treatmentcompared to those before treatment.Conclusion: PEMF therapy in cervical disc herniation can be used safely in routine treatment in addition to conventional physicaltherapy modalities.

• ÖZ

Background and aim: This study aims to ultrasonographically and clinically evaluate the additive contribution of kinesiotaping totendon and nerve gliding exercises in the treatment of mild or moderate carpal tunnel syndrome (CTS).Materials and methods: Thirty-eight wrists of patients (n = 21) with CTS were randomized into two groups as the intervention group(n = 19) and the control group (n = 19). Tendon and nerve gliding exercises were given to both groups. In the intervention group,additional kinesiotaping was performed three times with 5-day intervals. Functional assessments were performed with the BostonCarpal Tunnel Syndrome Questionnaire and the Moberg pick-up test. Hand grip and pinch strength were evaluated. Cross-section area(CSA) of the median nerve was measured by ultrasonography. All assessments were performed at baseline and at 3 and 6 weeks aftertreatment.Results: In the intervention group, there was a significant improvement in all clinical assessments and in the CSA of the median nerveat the level of proximal carpal bones. In the control group, a significant improvement was detected in all clinical parameters except gripstrength and ultrasonographic measurements. There was no significant difference in the clinical and ultrasonographic findings betweenthe groups at 6 weeks.Conclusion: Kinesiotaping may provide a positive contribution to ultrasonographic and clinical outcomes in the treatment of mild ormoderate CTS in the short term.