Tıp Fakültesi / Faculty of Medicine
Permanent URI for this collectionhttps://hdl.handle.net/11727/1403
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Item The Effects of Scapular Mobilization in Patients with Subacromial Impingement Syndrome: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial(2015) Aytar, Aydan; Baltaci, Gul; Uhl, Tim; Tuzun, Handan; Oztop, Pinar; Karatas, Metin; 25054347; HIR-3735-2022; AAC-5843-2021To determine the effects of scapular mobilization on function, pain, range of motion, and satisfaction in patients with subacromial impingement syndrome (SAIS). Design: Randomized, double-blind, placebo-controlled clinical trial. Setting: University hospital clinics in Turkey. Participants: 66 participants (mean +/- SD age 52.06 +/- 3.71 y) with SAIS. Interventions: Participants were randomized into 3 groups: scapular mobilization, sham scapular mobilization, and supervised exercise. Before the interventions transcutaneous electrical stimulation and hot pack were applied to all groups. Total intervention duration for all groups was 3 wk with a total of 9 treatment sessions. Main Outcome Measures: Shoulder function and pain intensity were primary outcome measures; range of motion and participant satisfaction were secondary outcome measures. Shoulder function was assessed with the short form of the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH). A visual analog scale was used to evaluate pain severity. Active range of motion was measured with a universal goniometer. A 7-point Likert scale was used to evaluate satisfaction. Outcome measurements were performed at baseline, before visits 5 and 10, 4 wk after visit 9, and 8 wk after visit 9. Results: There was no group difference for DASH score (P = .75), pain at rest (P = .41), pain with activity (P = .45), pain at night (P = .74), and shoulder flexion (P = .65), external rotation (P = .63), and internal rotation (P = .19). There was a significant increase in shoulder motion and function and a significant decrease in pain across time when all groups were combined (P < .001). The level of satisfaction was not significantly different for any of the questions about participant satisfaction between all groups (P > .05). Conclusion: There was not a significant advantage of scapular mobilization for shoulder function, pain, range of motion, and satisfaction compared with sham or supervised-exercise groups in patients with SAIS.Item Evaluation of Restless Legs Syndrome in Fibromyalgia Syndrome: An Analysis of Quality of Sleep and Life(2014) Civelek, Gul Mete; Ciftkaya, Pinar Oztop; Karatas, Metin; 24867908; AAD-3858-2021BACKGROUND AND OBJECTIVE: The aim of this study is to find prevalence and severity of restless legs syndrome (RLS) in patients with fibromyalgia syndrome (FMS) and detect effect of FMS and RLS coexistance on quality of sleep and life. METHODS: In this study, presence and severity of RLS were detected in patients with FMS and Pitsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS) and Fibromyalgia Impact Questionnaire (FIQ) scores of all patients were measured. RESULTS: One hundred and fifteen female patients with median age 49 (39.0-57.0) [median (25-75% interquartile range)] were included in the study. In 42.6% of patients RLS coexisting with FMS was found. RLS was classified as moderate in 42.9% of patients and as severe in 49.0% of patients. In patients with FMS ans RLS sleep quality, daytime sleepiness and quality of life were more severely impaired (PSQI scores were 9.0 +/- 4.4 vs 7.8 +/- 4.3, p = 0.003; ESS scores were 5.0(3.0-7.5) vs 3.0(1.0-4.3), p = 0.036 and FIQ scores were 68.1 +/- 9.8 vs 59.4 +/- 16.9, p = 0.027) compared to patients with only FMS. Prevalence of RLS was found higher in FMS than normal population and quality of sleep and quality of life were worse in patients with RLS. CONCLUSIONS: Presence of RLS should be investigated in every patient with FMS and treatment plans should also cover RLS in case of coexistance with FMS. Prospective cohort studies are needed for better explanation of FMS and RLS coexistance.Item The Effects of Quadriceps Kinesio Taping on Aerobic and Anaerobic Exercise Performance in Healthy Participants: A Randomized Controlled Study(2016) Duruturk, Neslihan; Pekyavas, Nihan Ozunlu; Yilmaz, Atakan; Karatas, Metin; https://orcid.org/0000-0002-4520-0220; AAD-3908-2020; AAC-6522-2020; AAM-8875-2021Objective: Aerobic and anaerobic exercise capacities are important components of athletic performance. The use of Kinesio Taping (R) (KT) as a supplementary treatment in athletic settings has increased in the recent years. KT can facilitate muscle contraction, which may be useful for improving performance. The purpose of this study was to determine whether the application of KT to the quadriceps muscle has any effect on anaerobic and aerobic performance in young healthy individuals. Design: Randomized, controlled, double-blind clinical study. Setting: Baskent University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation. Patients: Thirty-two healthy male participants were randomly assigned to either the KT group or a sham KT (SKT) group. Interventions: The KT muscle facilitation technique was applied to the quadriceps muscle bilaterally and measurements were taken 45 min later to ensure full adhesion. Main Outcome Measures: The Wingate cycle ergometer test was used to assess peak anaerobic power (peak AnP, in Watts) and exercise capacity (Watt/kg), while the 6-minute walk test (6MWT) was used to assess aerobic exercise capacity of the participants. Comparisons between groups were performed using the nonparametric Mann-Whitney U test, while those between baseline and posttaping used the nonparametric Wilcoxon test. Results: No significant difference was found between the two groups in the aerobic or anaerobic test parameters (p > .05). Within the groups, a significant improvement in time factors in peak AnP (929.7 2 +/- 184.37 W to 1043.49 +/- 224.42 W) was found only in the KT group (p = .028) and no other parameter was significantly different (p > .05). Conclusions: KT applied to the quadriceps muscle can positively improve anaerobic exercise performance and athletic performance capacity. However, KT did not affect aerobic capacity. Further research is needed to show that KT can improve and support anaerobic and aerobic exercise capacity in healthy participants or athletes.Item 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 A Comparison of Magnetic Resonance Imaging and Electroneuromyography for Denervated Muscle Diagnosis(2017) Tepeli, Betul; Karatas, Metin; Coskun, Mehmet; Yemisci, Oya Umit; https://orcid.org/0000-0002-0501-5127; 27893494; AAJ-8820-2021Purpose: The aim of this study was to evaluate the diagnostic value of magnetic resonance imaging (MRI) for muscle denervation due to focal lesions of the median nerve and to compare electrophysiological findings with MRI findings. Methods: Twenty-six patients with electrophysiological studies diagnosed for focal lesions of the median nerve were included in this study. Electrophysiological studies and MRI were conducted on 34 patients' hands. Patients' hands were divided into two groups based on edema findings revealed by the MRI: group 1 (edema-negative group; n = 24) and group 2 (edema-positive group; n = 10). Results: Positive correlations were found between the existence of edema in MRI and fibrillation, positive sharp waves, denervation, and the level of reduced recruitment pattern. In median nerve conduction studies, amplitude of compound muscle action potential and palm-to-wrist segment mixed-nerve action potentials were significantly lower, and also the third-digit wrist sensory nerve conduction velocity and mixed-nerve palm-wrist conduction velocity were significantly slower in group 2. Conclusions: For muscle denervation resulting from median nerve lesions, MRI findings correlated with electrophysiological findings; further study is required for the use of MRI.Item Validity and Reliability of A Turkish Brief Pain Inventory Short form When Used To Evaluate Musculoskeletal Pain(2017) Celik, Evrim Coskun; Yalcinkaya, Ebru Yilmaz; Atamaz, Funda; Karatas, Metin; Ones, Kadriye; Sezer, Tezgul; Eren, Imran; Paker, Nurdan; Gning, Ibrahima; Mendoza, Tito; Cleeland, Charles S.; 27472857BACKGROUND: The Brief Pain Inventory (BPI) is both a questionnaire and an outcome measure that is used widely in clinical trials to assess pain associated with many conditions. The BPI Short Form has been extensively translated into foreign languages. The aim of this study was to assess the validity and reliability of a Turkish Brief Pain Inventory Short Form (BPI-TR) to evaluate musculoskeletal pain. METHODS: In total, 297 patients with musculoskeletal pain participated in the study. Demographic characteristics and brief medical histories were recorded. Pain intensity was assessed using a visual analogue scale (VAS) and quality-of-life was assessed using the Short Form 36 (SF-36). Pain was evaluated using the BPI-TR in all patients. Internal consistency and test-retest analysis were used to assess reliability. The internal consistency of the scale items was assessed by calculating Cronbach's a value, which was expected to be > 0.7. The criterion validity of the BPI-TR was assessed by correlation with VAS scores. RESULTS: Pain intensity, pain interference, and other components of the Turkish version were consistent with validity thereof. Cronbach's a was 0.84 for pain intensity and 0.89 for pain interference. The extent of BPI-TR and VAS correlation was statistically significant. CONCLUSIONS: The BPI-TR may be used for assessment of musculoskeletal pain.Item Ulnar Nerve Conduction Abnormalities in Turkish Taxi Drivers(2014) Afsar, Sevgi Ikbali; Cetin, Nuri; Ayas, Sehri; Mumcu, Gamze Akin; Karatas, MetinObjectives: This study aims to investigate the presence of ulnar entrapment neuropathy at the elbow in taxi drivers, and possible relationship between ulnar entrapment neuropathy and habitually leaning the left elbow on the lower edge of the window. Patients and methods: The study was performed between December 2008 and February 2009 in Ankara and included 40 male taxi drivers (mean age 35.5 +/- 7.3 years; range 25 to 54 years) and 40 healthy male controls (mean age 33.6 +/- 6.1 years; range 25 to 54 years). Nerve conduction studies were performed on both upper limbs of all participants. Results: Left side motor and sensory nerve conduction velocities at the elbow segment of the ulnar nerve were significantly decreased, while F latency of the ulnar nerve was significantly prolonged in taxi drivers. Motor and sensory conduction velocity over both left and right ulnar nerve at the elbow segment were significantly decreased, while F latency of the ulnar nerve was significantly prolonged in the taxi drivers compared to the control group. Ulnar nerve conduction parameters and F latency on both sides were statistically similar in the non-leaning group of taxi drivers; however, motor and sensory conduction studies over the left side of the ulnar nerve elbow segment were slower and F latency was longer in the leaning group of taxi drivers, compared to the right side and to the non-leaning group of taxi drivers. Conclusion: Prolonged elbow flexion and habitually leaning the left elbow may cause electrodiagnostically diagnosed ulnar entrapment neuropathy in taxi drivers.Item Sexuality and sexual dysfunction in spinal cord-injured men in Turkey(2015) Akman, Ramazan Yavuz; Celik, Evrim Coskun; Karatas, Metin; 26422842Background/aim: To provide a comprehensive evaluation of sexual function and dysfunction in spinal cord-injured men based on self-reports of patients. Materials and methods: Forty-seven spinal cord-injured men who completed the spinal shock and rehabilitation period were included. Patients were asked to complete a questionnaire developed to assess social status, sexual activities, abilities, and sexuality education after injury. Neurologic levels of patients were classified according to American Spinal Cord Injury Association protocol. Erectile function was evaluated by International Index of Erectile Function-5 (IIEF-5) questionnaire. Results: Patients were aged between 20 and 62 years (mean: 35.2). Twenty-eight patients had T10 and above, 15 between T11 and L2, and 4 cauda conus injury. While 61.7% of the patients declared sexual activity, 93.6% declared some degree of erection. Mean IIEF-5 score was 5.3 and 87.3% of the patients had moderate to severe erectile dysfunction. Conclusion: Continuation of sexual activity after injury is very important and has a great impact on quality of life and interpersonal relationships for spinal cord-injured men. More attention must be given to sexuality after spinal cord injury. A very high rate of sexual dysfunction in spinal cord-injured patients was found and the importance of sexual education was emphasized in this study.Item Case of an Unusual Suprascapular Neuropathy: Case Report and Literature Review(2018) Afsar, Sevgi Ilkbali; Karatas, MetinSuprascapular neuropathy is a rare cause of shoulder pain and muscle weakness. Common causes include space-occupying lesions such as paralabral cysts, soft tissue or bone tumors, recurrent overhead activities in athletes, direct trauma, fractures of the scapula and iatrogenic causes. Diagnosis of suprascapular neuropathy can be difficult due to overlap in the clinical presentation with cervical region and other pathologies of the shoulder. We present a 33-year-old male patient admitted to our clinic with complaints of left shoulder pain and arm weakness starting in 8 months ago. The clinical and electrophysiological evaluations confirmed the left suprascapular nerve lesion at suprascapular notch level. This case is presented to emphasize that suprascapular neuropathy should keep in mind in the differential diagnosis of shoulder pain also without of a mass, trauma or excessive physical activity that may cause the neuropathy.