Tıp Fakültesi / Faculty of Medicine
Permanent URI for this collectionhttps://hdl.handle.net/11727/1403
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Item Assessment of Pain, Joint Range of Motion, and Balance in Patients with Knee Osteoarthritis(2023) Dag, Muhlis Yigitcan; Ergun, Ahmet; Incekas, Caner; Afsar, Sevgi IkbaliItem Lumbar Spinal Stenosis Due to Ligamentum Flavum Hypertrophy in a Patient with Multiple Exostosis Multipl Ekzostozu(2016) Afsar, Sevgi Ikbali; Karatas, Metin; 0000-0002-4003-3646; E-2103-2019Hereditary multiple exostosis is an autosomal dominant disease characterized by multiple exostoses (osteochondromas) usually affecting the metaphysical regions of long bones, usually of the Iover extremity, and seldom occurring in the axial skeleton. In the literature, hereditary multiple exostosis cases that developed spinal canal stenosis due to spinal osteochondromas have been reported. Lumbar spinal stenosis may occur in a hereditary multiple exostosis patient due to ligamentum flavum hypertrophy, which is a hyperosteotic process that differs from exostosis. We discuss one such case, along with pathogenetic mechanisms and clinical features.Item Association Between Gender, Body Mass Index, and Ulnar Nerve Entrapment at the Elbow: A Retrospective Study(2016) Uzunkulaoglu, Aslihan; Afsar, Sevgi Ikbali; Karatas, Metin; 0000-0002-4003-3646; 27300075; E-2103-2019Introduction: Entrapment of the ulnar nerve is the second most common compression neuropathy in the upper extremity, but the etiology is multifactorial and still not clearly understood. The authors aimed to determine whether gender and body mass index (BMI) are risk factors for ulnar nerve entrapment (UNE) at the elbow. Methods: Results of electrodiagnostic studies performed on patients with UNE between January 2008 and February 2013 were examined retrospectively. Patients with BMI <= 22 were considered slender, those with a BMI between 22 and 29, normal, and those with a BMI >29, overweight. The authors compared the data for patients with and without UNE. Results: A total of 622 subjects were studied; 295 were UNE cases (154 men, 141 women) and 327 were controls (110 men, 217 women). There was no difference between control and UNE groups in terms of BMI. In univariate analysis, age and gender are independent risk factors for UNE, but when included in a stepwise Cox regression model, only gender was a significant factor. Male gender was found to be a risk factor for UNE. Conclusions: Male gender is a risk factor for developing UNE, but age and BMI are not significant risk factors. Further studies which examine BMI and gender differences with data about occupational risk factors are required.Item Virtual Reality in Upper Extremity Rehabilitation of Stroke Patients: A Randomized Controlled Trial(2018) Afsar, Sevgi Ikbali; Mirzayev, Ilkin; Yemisci, Oya Umit; Saracgil, Sacide Nur Cosar; 0000-0002-4003-3646; 0000-0002-0501-5127; 0000-0001-8306-463X; 30193810; E-2103-2019; AAJ-8820-2021; AAF-1085-2021Objective: Virtual reality game system is one of novel approaches, which can improve hemiplegic extremity functions of stroke patients. We aimed to evaluate the effect of the Microsoft Xbox 360 Kinect video game system on upper limb motor functions for subacute stroke patients. Methods: The study included 42 stroke patients of which 35 (19 Virtual reality group, 16 control group) completed the study. All patients received 60 minutes of conventional therapy for upper extremity, 5 times per-week for 4 weeks. Virtual reality group additionally received Xbox Kinect game system 30 minutes per-day. Patients were evaluated prior to the rehabilitation and at the end of 4 weeks. Box&Block Test, Functional independence measure self-care score, Brunnstorm stage and Fugl-Meyer upper extremity motor function scale were used as outcome measures. Results: The Brunnstrom stages and the scores on the Fugl-Meyer upper extremity, Box&Block Test and Functional independence measure improved significantly from baseline to post-treatment in both the experimental and the control groups. The Brunnstrom stage-upper extremity and Box&Block Test gain for the experimental group were significantly higher compared to the control group, while the Brunnstrom stage-hand, the Functional independence measure gain and Fugl-Meyer gain were similar between the groups. Conclusions: We found evidence that kinect-based game system in addition to conventional therapy may have supplemental benefit for stroke patients. However, for virtual reality game systems to enter the routine practice of stroke rehabilitation, randomized controlled clinical trials with longer follow-up periods and larger sample sizes are needed especially to determine an optimal duration and intensity of the treatment.