Browsing by Author "Gulsen, Mustafa"

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Acute effect of scapular proprioceptive neuromuscular facilitation (PNF) techniques and classic exercises in adhesive capsulitis: a randomized controlled trial
(2016) Balci, Nilay Comuk; Yuruk, Zeliha Ozlem; Zeybek, Aslican; Gulsen, Mustafa; Tekindal, Mustafa Agah; 27190456
[Purpose] The aim of our study was to compare the initial effects of scapular proprioceptive neuromuscular facilitation techniques and classic exercise interventions with physiotherapy modalities on pain, scapular dyskinesis, range of motion, and function in adhesive capsulitis. [Subjects and Methods] Fifty-three subjects were allocated to 3 groups: scapular proprioceptive neuromuscular facilitation exercies and physiotherapy modalities, classic exercise and physiotherapy modalities, and only physiotherapy modalities. The intervention was applied in a single session. The Visual Analog Scale, Lateral Scapular Slide Test, range of motion and Simple Shoulder Test were evaluated before and just after the one-hour intervention in the same session (all in one session). [Results] All of the groups showed significant differences in shoulder flexion and abduction range of motion and Simple Shoulder Test scores. There were statistically significant differences in Visual Analog Scale scores in the proprioceptive neuromuscular facilitation and control groups, and no treatment method had significant effect on the Lateral Scapular Slide Test results. There were no statistically significant differences between the groups before and after the intervention. [Conclusion] Proprioceptive neuromuscular facilitation, classic exercise, and physiotherapy modalities had immediate effects on adhesive capsulitis in our study. However, there was no additional benefit of exercises in one session over physiotherapy modalities. Also, an effective treatment regimen for shoulder rehabilitation of adhesive capsulitis patients should include scapular exercises.
The Effects of Instrument-Assisted Soft Tissue Mobilization and Kinesio Taping on Pain, Functional Disability and Depression in Patients with Chronic Low Back Pain: A Randomized Trial
(2022) Cakmak, Ozge; Atici, Emine; Gulsen, Mustafa
Purpose: Low back pain is a common condition that can become chronic, which reduces the life quality of the patient by causing functional disability and depression. This study aimed to investigate the effects of instrument-assisted soft tissue mobilization (IASTM) and kinesio taping (KT) along with conservative treatment in patients with chronic nonspecific low back pain (CNLBP). Methods: A total of 30 patients with chronic low back pain aged between 30-50 years included in the study were randomized to IASTM (n=15) and KT (n=15) groups. Both the groups underwent conservative treatment that comprised of a hot pack, ultrasound, transcutaneous electrical nerve stimulation (TENS) and home exercises. In this study, assessments were made using the Visual Analogue Scale (VAS), Roland Morris Disability Questionnaire (RMDQ), and Beck Depression Inventory (BDI). The measurements were carried out at the beginning and end of the treatment. Results: As a result of the study, IASTM method improved in parameters such as pain (p<0.05), functionality (p=0.001) and depression (p<0.05). As a result of the study, the KT group improved in parameters such as pain, functionality and depression compared to pre-treatment (p<0.05). However, the two treatments were not superior to each other in pain (p=0.241), functionality (p=0.687) and depression (p=0.699) parameters. Conclusion: It has been observed that both treatments have positive effects on many parameters such as pain, disability, depression and mental state in patients with CNLBP. This study demonstrates that IASTM and KT treatments can be used to support therapeutic effects in patients with CNLBP.
EFFECTS OF KINESIO TAPING ON POSTURAL STABILITY IN YOUNG SOCCER PLAYERS
(2019) Gulsen, Mustafa; Pekyavas, Niahn Ozunlu; Atici, Emine; Sahin, Fatma Nese; Guler, Ozkan
Background: This study aims to investigate the effects of Kinesio Taping on postural stability in young soccer players. Methods: 62 volunteer soccer players from Cayyolu Sports Club were included in our study. Players were randomly allocated into two groups; a Kinesio taping (KT) (n=31), and a control group (n = 31). KT application including gastrocnemius and quadriceps femoris muscle facilitation techniques were applied to the first group. The second group was set as the control group and no application was made. Sociodemographic characteristics, postural stability and thermographic assessment were evaluated prior to and after the application of the Kinesio Taping. All the statistical analyses were set a priori at an alpha level of p<0.05. The tests for homogeneity (Levene's test) and normality (Shapiro-Wilk) were used to determine the appropriate statistical methods to apply for comparison between the groups. According to the test results, the parametric paired sample T-test was used to compare between baseline and post-treatment within a group, while independent sample T-test for equality of means was used for comparison between the groups. Results: No statistically significant differences were observed between the groups at baseline regarding age, body mass index, skin temperature and postural stability (p > 0.05). Statistically significant differences were found in all the assessed parameters in both Kinesio Taping and control groups (all p<0.05) except thermal imaging of dominant gastrocnemius muscle results (p=0.668) after the Kinesio application. Statistically significant differences were found in all parameters across groups (all p<0.05). Conclusions: Kinesio Taping may increase postural stability and decrease the risk of injury. According to thermal imaging assessments, both quadriceps and gastrocnemius muscles may be active in maintaining postural stability. As the decreasing risk of injury is very important for young soccer players, our results may show a preventive measure for sports physiotherapists working on soccer fields.
Effects Of Subscapularis Muscle Soft Tissue Mobilization On Pain And Functionality In Shoulder Dysfunction
(2021) Gulsen, Mustafa
Purpose: Tightness of the subscapularis muscle causes glenohumeral external rotation limitation and difficulties in over-head activities. This study aimed to determine the effects of soft tissue mobilization applied to the subscapularis muscle on pain and functionality in shoulder dysfunctions. Methods: The 48 patients with shoulder pain and limitation were included in the study. They were randomly divided into conventional physiotherapy program (CPP) group (n=25) and soft tissue mobilization (STM) group (n=23). The first group received CPP and the second group received STM. All patients had treatment at a physiotherapy clinic for 15 sessions. The pain was evaluated using Visual Analogue Scale (VAS), shoulder joint movements were measured using a goniometer and overhead reach test, and functionality was evaluated using the Shoulder Pain and Disability Index (SPADI). The patients were assessed before, immediately after, and three weeks after the treatment. Results: Statistically significant improvements were found in VAS, shoulder flexion and extemal rotation range of motion, and overhead reach test in both groups immediately after treatment and at the end of the 3rd week (p<0.05). When groups were compared after three weeks, statistically significant improvements were found in VAS, external rotation range of motion, and overhead reach test in the STM group (p<0.05). There was a statistically significant improvement in SPADI in both groups after the treatment (p<0.05). There was no significant difference in SPADI score between the groups (p>0.05). Conclusion: The STM was more effective on pain, range of motion, and functionality than CPP. STM of subscapularis muscle might be an alternative treatment of the shoulder dysfunction.
Effects of Traction Therapy in Addition to Conventional Physiotherapy Modalities on Pain and Functionality in Patients with Lumbar Disc Herniation: Randomized Controlled Study
(2018) Gulsen, Mustafa; Atici, Emine; Aytar, Aydan; Sahin, Fatma Nese; HIR-3735-2022
The aim of this study is to investigate the effects of traction therapy in addition to conventional physiotherapy modalities on pain and functionality in patients with chronic lumbar disc herniation. Patients (n=210, mean age=48.20 +/- 13.07 years, mean height=167.2 +/- 9.34 and mean weight= 74.86 +/- 13.47) were diagnosed with lumbar disc hernia through a clinical evaluation and an MRI and were graded as "protrusion or bulging lumbar herniation" according to the Macnab Classification. Patients were then randomly divided into 3 groups: the first group (n=70) underwent a hot pack (HP), Transcutaneous Electrical Nerve Stimulation (TENS), ultrasounds (US) and home exercise (HE); the second group (n=75) underwent additional traction therapy compared to the first group and the third group (n=65) was given only home exercise. Sociodemographic and clinical characteristics of patients were recorded. All assessments were done before and after the treatments (4th week). Pain and functional status of patients were evaluated. There were no significant differences between the groups (p>0.05) except for pain score (p<0.05). Comparing within groups showed improvements in all parameters after treatment (p<0.05). Although there was a significant difference between group 1 and group 3, group 2 and group 3 in pain scores (p< 0.05), there was no significant difference found for other outcome measures.It was observed that in all treatment groups, there was a significant reduction of pain and functional impairment. Traction therapy wasn't more effective than other treatments for patients with lumbar disc herniation. As a clinical outcome not only physiotherapy modalities are effective, but also specific home exercises could be considered as a form of treatment for patients with lumbar disc hernia.