This study aimed to assess the effect of workplace and ergonomic features on neck pain intensity, sleep problems, depression and health status at office workers during COVID-19 pandemic.One-hundred...

Background: Large language models (LLMs) such as DeepSeek-V3, Google Gemini 2.0 Pro, and ChatGPT-4o are increasingly used by patients seeking online medical information. However, their accuracy, reliability, and reproducibility in patient-facing content related to chest wall deformities (CWD) remain unclear. This study aimed to compare the performance of three contemporary LLMs in generating information on pectus excavatum, pectus carinatum, and related thoracic deformities. Methods: Eighty patient-facing questions were developed across eight thematic domains and independently submitted to each model using newly created accounts over two consecutive days. Accuracy was assessed using a validated four-point rubric by blinded physiatrists, and reproducibility was evaluated using agreement metrics and weighted Cohen’s kappa. Results: ChatGPT-4o achieved the highest overall accuracy (median score: 1.20), the greatest proportion of fully accurate responses, and the lowest hallucination rate (5.0%). Gemini showed intermediate accuracy, while DeepSeek-V3 demonstrated the lowest accuracy and highest hallucination rate (11.25%). Across all models, general-information and quality-of-life domains had the best performance, whereas treatment-related questions showed the most errors. Reproducibility was highest for ChatGPT-4o (weighted κ = almost perfect), followed by Gemini and DeepSeek-V3. Inter-rater reliability was substantial (Fleiss’ κ = 0.69). Conclusions: Contemporary LLMs can generate largely accurate and reproducible patient-facing information on CWD, with ChatGPT-4o showing the strongest overall performance. This study provides the first domain-specific comparative evaluation of LLMs in CWD and integrates reproducibility analysis alongside accuracy and reliability assessment. While these tools may support patient education, treatment-related responses require caution, and LLMs should be used as adjuncts rather than substitutes for clinical counseling.

Objectives: The aim of this study was to translate the Shoulder Rating Questionnaire (SRQ-T) into Turkish and to determine the validity and reliability of the translated version in patients with shoulder pain. Methods: The Turkish version of the SRQ-T was applied to patients after translation from English into Turkish. Patients with various shoulder pain complaint were included into the study if they were over 18 years. The patients with mixed-type pain, cancer pain, headache, substance abuse, severe depression, and fibromyalgia syndrome were excluded. The musculoskeletal and neurological examinations of the patients were performed. The Turkish version of the SRQ-T and Disabilities of arm, shoulder, hands-T (DASH-T) were applied to all patients. Results: 122 patients were included in the study, and then patients are divided into two groups: Group 1, working group (n = 72); Group 2, non- working group (n = 50). The reliability and consistency of SRQ-T for all the samples were acceptable with a Cronbach’s coefficient of 0.979. The test-retest method was used to determine reliability of the scale. Cronbach’s alpha was measured pre-assessment and post- assessment; the values were 0.815 and 0.770, respectively. The correlation analysis was determined for all the samples and calculated as 0.780. Also, the test-retest method with Wilcoxon Signed Rank Test was used to determine reliability of the SRQ- T and its domains in group 1 and group 2. Conclusion: The Turkish version of the SRQ-T seems to be a valid and reliable self-administered questionnaire to evaluate the shoulder pain in Turkish patients. Level of Evidence: Level II, Diagnostic Study Cite this article as: Çiftçi B, Uzunkulaoğlu A, Topçu DÖ. Validity and reliability of the Turkish version of the Shoulder Rating Questionnaire in patients with shoulder pain. Acta Orthop Traumatol Turc 2021; 55(3):208-12.

Aim: The purpose of this study was to evaluate the changes in health-related quality of life of hospitalized patients with the diagnosis of coronavirus disease-2019 (COVID-19) according to gender. Material and Method: The medical records of 77 patients (37 females and 40 males) who were hospitalized for COVID-19 were examined. Sociodemographic features including age, gender, marital status, comorbid diseases, duration of hospitalization, the period after discharge, symptoms of COVID-19 disease were analyzed. Short Form 36 (SF-36) was applied to all patients for evaluating the health-related quality of life pre and post COVID-19. Results: The median scores of physical function, bodily pain, vitality, social functioning and general health perceptions before COVID-19 were statistically significantly higher than the scores after COVID-19 in both gender. Social functioning and the scores were lower in females than males for pre and post COVID-19 period and the differences were statistically significant. Conclusions: The findings of this study revealed that health-related quality of life is affected by COVID-19 for both genders, mostly females.

Aim: This study aimed to assess the effects of COVID- 19 fear and anxiety on disease severity, pain, sleep quality and health-related quality of life in fibromyalgia patients. Material and Method: Sixty-four patients with diagnosis fibromyalgia and sixty-five healthy volunteers over 18 years of age were enrolled in the study. Sociodemographic features were evaluated. Fibromyalgia Impact Questionnaire (FIQ), Short Form 36 (SF-36), Coronavirus Anxiety Scale (CAS), Obsession with COVID-19 Scale(OCS), and Pittsburgh Sleep Quality Index (PSQI) were administered to all participants. Results: The mean values of CAS, FIQ, PSQI, and BDI were found to be higher in the fibromyalgia group than the control group (p

Ağrı Fiziksel Tıp ve Rehabilitasyon branşının ilgilendiği en temel konularından birisidir. Bu kitapla ağrıya fiziksel tıp ve rehabilitasyon alanındaki yaklaşımı geniş bir yelpazeden değerlendirmeye çalıştık. Güncel bilimsel verilere dayalı bilimsel içeriği güçlü olan bu kitabın bu alanda eğitim alan gerek asistan hekimler ve gerekse uzman hekimlere ışık tutacağını düşünmekteyiz.