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    The effect of low back pain on quality of life and anxiety levels in pregnant women
    (2021) Eroğlu, Semra; Karataş, Gülsah
    Objective: Maternal low back pain is a potent risk factor for poor health quality. We aimed toinvestigate the prevalence and risk factors of Low back pain (LBP) and Pelvic girdle pain (PGP) duringpregnancy, and their effects on quality of life.Material and Methods: Between March and August 2018, a total 160 pregnant women, whoapplied to outpatient clinics of the departments of Gynecology and Physical Therapy RehabilitationClinic, were included in this prospective study. Demographic characteristics, obstetric history of theparticipants, and LBP and PGP status during and before pregnancy were recorded. Severity of pain,functional capacity, Quality of life (QoL), and anxiety depression status were assessed using visualanalogue scale (VAS), Oswestry Disability Questionnaire (ODQ), World Health Organization Qualityof Life Scale Short Form (WHOQOL-BREF), and Hospital Anxiety and Depression Scale (HADS),respectively.Results: The prevalence of LBP and PGP were 73.4% and 28.12%, respectively. Total ODQ andVAS were significantly high in groups with LBP or PGP (p=0.000 and p=0.000, respectively). Ofthe WHOQOL-BREF subheadings, ‘the general health’ and ‘physical health’ parameters weresignificantly lower in women with LBP, whereas the ‘social relationship’ parameter was significantlylow in those with PGP (p=0.003, p=0.002, and p=0.049, respectively). The increase in anxiety anddepression scores was only associated with LBP (p=0.019 and p=0.006, respectively).Conclusion: LBP and PGP during pregnancy adversely affect QoL, leading to functional limitations,depression, and anxiety disorders.
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    The effects of carpal tunnel syndrome on sleep quality
    (2020) Karataş, Gülsah; Kütük, Öznur; Akyuz, Mufit; Karaahmet, Özgür Zeliha; Yalçın, Elif
    Aim: Carpal tunnel syndrome (CTS) is the most common mononeuropathy of the upper extremities. The aim of this study was toinvestigate the relationship between different compression levels and sleep quality in patients with clinically and electrophysiologicallydiagnosed CTS.Material and Methods: Patients with CTS diagnosed by electroneuromyographic evaluation and healthy controls were included inthe study. Demographic characteristics and disease symptoms were recorded carefully. The Boston Carpal Tunnel Questionnaire[symptom severity scale (SSS) and functional status scale (FSS)] was used to assess the severity of symptoms. Pittsburgh SleepQuality Index (PSQI) was used to evaluate sleep quality and disorders.Results: A total of 94 CTS patients (80 female, 14 male) and 33 healthy controls were included. The median ages were similar among thegroups (patient vs. control, mild-CTS vs. moderate-CTS, unilateral CTS vs. bilateral CTS; p = 0.11, p = 0.54, p = 0.22, respectively). Themean PSQI of patient group was higher than control group (7.81 ± 3.97 vs. 3.66 ± 2.08, p=0.000). While PSQI values were significantlydifferent (p= 0.03) between unilateral-CTS and bilateral-CTS patients, no significant difference was observed in Boston-SSS, BostonFSS, and total Boston values (p= 0.51, p= 0.29, p= 0.34 respectively). There was no significant difference between patients with mildCTS and those with moderate-CTS in terms of PSQI, Boston-FSS, Boston-SSS, and total Boston values (p= 0.61, p= 0.54, p= 0.62, andp= 0.53 respectively). There was a positive correlation between PSQI and Boston-SSS, Boston-FSS, and total Boston values (p <0.001).Conclusion: Sleep quality was significantly affected in CTS patients, with a significant decrease in sleep time. While an increase inelectrophysiological severity in patients with CTS did not affect the sleep quality, an increase in symptom severity decreased thesleep quality, with the greatest effect observed in patients with bilateral CTS.
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    The relation between the bladder drainage types and sleep quality on patients with spinal cord injury
    (2020) Karataş, Gülsah; Metlı, Neslihan Bilge; Akyuz, Mufit; Özısler, Zuhal; Yalçın, Elif
    Objectives: Intermittent self-catheterization (IsC) improves self-care, independence, body image, and expression ofsexuality, reducing the risk of urethral trauma and urinary tract infections. However, increased frequency of catheterization,especially nocturnal catheterization, may disturb the sleep process and reduce the quality of life (QoL).Methods: Sixty patients with spinal cord injury (SCI), 29 of whom were tetraplegic and 65 were paraplegic, were included.The participants were divided into 4 groups based on the bladder drainage types as spontaneous voiding,IsCx4 (4 times a day), IsCx6 (6 times a day), and permanent catheterization. Pittsburgh Sleep Quality Index (PSQI) andSatisfaction with Life Scale (SWLS) were used to assess sleep quality and life satisfaction of the participants. PSQI andSWLS were compared between the groups.Results: The mean age of the patients was 35.06±13.28 years. Median time from SCI was 22 (6-276) months. PSQI andSWLS values were similar among the groups based on the types of voiding (p=0.24, and p=0.68, respectively). In eachgroup, the SWLS and PSQI were correlated with poor life satisfaction and poor sleep quality, respectively.Conclusion: Although we thought that the increased frequency of IsC could affect the sleep quality and life satisfaction,the results of this preliminary study did not support this hypothesis.