Tıp Fakültesi / Faculty of Medicine

Permanent URI for this collectionhttps://hdl.handle.net/11727/1403

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Author: search.filters.author.Cosar, Sacide Nur SaracgilHas files: No

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    A Comparison of Physical Therapy Modalities Versus Acupuncture in the Treatment of Fibromyalgia Syndrome: A Pilot Study
    (2019) Ozen, Selin; Cosar, Sacide Nur Saracgil; Cabioglu, Mehmet Tugrul; Cetin, Nuri; https://orcid.org/0000-0002-7290-8558; https://orcid.org/0000-0001-8306-463X; 30620209; ABC-1305-2020; AAF-1085-2021
    Objectives: Physical therapy (PT) modalities are used in the treatment of fibromyalgia syndrome (FMS). Acupuncture is a treatment option often sought after by FMS patients. The aim of this study was to compare the effects of PT modalities with those of acupuncture on pain, daily function, and quality of life in FMS patients. Design: A comparative effectiveness study. Setting and Subjects: Forty-four female patients between the ages of 18-70 years presenting to Baskent University Faculty of Medicine Department of Physical and Rehabilitation Medicine with a new diagnosis of FMS according to the American College of Rheumatology, with manifestations of chronic widespread musculoskeletal pain symptoms, normal routine blood tests, and a desire to receive PT or acupuncture were included in the study. Exclusion criteria included the presence of neurologic, inflammatory, endocrinologic, and other chronic diseases, psychiatric illness, use of antidepressants or analgesics, and contraindication to treatment with PT modalities. Interventions: One group (n=22) received 15 sessions of hotpack, transcutaneous electrical nerve stimulation (TENS), and ultrasound to the tender points of the cervical and upper back regions. The other group (n=22) received 10 sessions of formulated acupuncture aimed at treating pain of the neck, upper, and lower back regions. Outcome measures: Pain, functionality, and quality of life measured using the Short Form McGill Pain Questionnaire (SF-MPQ) and Fibromyalgia Impact Questionnaire (FIQ) before and after treatment. Results: There was a reduction in all SF-MPQ domains and FIQ scores after treatment in both the PT and acupuncture groups. There was no difference in pre- and post-treatment scores between the two groups. Conclusions: PT modalities and acupuncture can be effectively used in the treatment of FMS. Even though one treatment option was not found to be more beneficial than the other, longer post-treatment follow-up may help determine the superior treatment option.
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    Does the presence of ideomotor apraxia in stroke patients adversely affect rehabilitation outcomes? A prospective study
    (2020) Cosar, Sacide Nur Saracgil; Ozen, Selin; Selcuk, Selin Taflan; Yemisci, Oya Umit; 0000-0001-8306-463X; AAF-1085-2021
    Background and Objectives: Ideomotor apraxia is an inability to perform a gesture following a verbal command despite having intact knowledge of the task. The presence of ideomotor apraxia may negatively affect functional outcome of stroke patients. The aim of this study was to evaluate the effect of ideomotor apraxia on rehabilitation outcomes following first ever stroke. Methods: A cross sectional observational study of 35 stroke patients admitted to a rehabilitation unit for treatment. Patients were evaluated for ideomotor apraxia using the ideomotor apraxia test. Function was assessed before and after treatment using the Functional Independence Measure, motricity index and functional ambulation scale. Cognitive function was evaluated using the Functional Independence Measure and mini mental state examination. Results: Ideomotor apraxia was present in 31.4% of patients. Mean Functional Independence Measure motor and cognitive scores of apraxic patients on admission and at discharge were lower than those of non-apraxic patients, (p<0.05). The cognitive and total Functional Independence Measure scores and motricity scores in the ideomotor apraxia group on discharge had not reached the admission values of the non-ideomotor apraxia group. Conclusion: The presence of ideomotor apraxia following stroke has a negative impact on overall function, both before and after rehabilitation, when compared to stroke patients without ideomotor apraxia. Stroke patients must be assessed for ideomotor apraxia prior to commencement of a rehabilitation program in order to guide treatment and determine realistic treatment goals.
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    Longitudinal Associations Between Provision of Autonomy Support and Well-Being in Spouses of Individuals With Chronic Pain
    (2019) Ascigil, Esra; Uysal, Ahmet; Cosar, Sacide Nur Saracgil; 29947732
    Background Caregiving spouses of individuals with chronic pain often experience poor well-being. Purpose The current study aimed to examine the association between chronic pain-related provision of autonomy support and well-being in support providers (spouses) of individuals with chronic pain. Methods Spouses of individuals with a diagnosed musculoskeletal chronic pain condition (N = 172) were recruited for a five-time point longitudinal study. Participants completed the questionnaires once every 6 months across 2 years. In a follow-up diary study, participants (N = 41) completed daily records of provision of autonomy support and well-being. Results Multilevel analyses showed that provision of autonomy support was associated with greater well-being in support providers at both within-person and between-person levels. Longitudinal cross-lagged analyses also provided some evidence that it is provision of autonomy support that predicts well-being, and not the opposite. These effects held true in the follow-up diary study; however, some findings also suggested that the short-term associations between provision of autonomy support and well-being could be reciprocal. Conclusions Current findings extend the existing literature by suggesting provision of autonomy support as a beneficial type of support for the provider within the chronic pain context and lay the groundwork for caregiver-focused interventions. Provision of autonomy support to individuals with chronic pain (e.g., understanding their perspective, providing choices, encouraging initiation, minimizing pressure) was beneficial for the well-being of support-providing spouses.