Sağlık Bilimleri Fakültesi / Faculty of Health Sciences

Permanent URI for this collectionhttps://hdl.handle.net/11727/1402

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Author: search.filters.author.Sonmezer, EmelSubject: search.filters.subject.rehabilitation

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    The Effects of Exercise Program on Satisfaction Level in Unilateral Above Knee Amputees
    (2015) Anaforoglu, Bahar; Erbahceci, Fatih; Tuzun, Emine Handan; Sonmezer, Emel
    Purpose: To investigate the effects of exercise program performed under the supervision of a physiotherapist, on prosthetic satisfaction level in unilateral above knee amputees. Methods: 19 unilateral above knee amputees, with the mean age of 39.3+/-12.8 years were enrolled in this study. The sociodemographic and clinical characteristics and properties of the prostheses of the participants were recorded. All cases attended to a 10 session exercise program. They continued the exercises after the program finished. The satisfaction level of the patients concerning comfort, appearance weight of the prosthesis and walking with prosthesis were assessed by Visual Analog Scale (VAS) before and 2 months after the treatment. Results: When compared pre and post-treatment results, comfort of the prosthesis (p=0.048), satisfaction with the appearence of prosthesis (p=0.01), and walking ability (p=0.033) were statistically different. Discussion: In the present study, it is demonstrated that the exercise program affected prosthetic satisfaction levels positively in unilateral above knee amputees.
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    Targeted Treatment Protocol in Patellofemoral Pain: Does Treatment Designed According to Subgroups Improve Clinical Outcomes in Patients Unresponsive to Multimodal Treatment?
    (2019) Yosmaoglu, Hayri Baran; Selfe, James; Sonmezer, Emel; Sahin, Ilknur Ezgi; Duygu, Senay Cerezci; Ozkoslu, Manolya Acar; Richards, Jim; Jenssen, Jessica; 31750786; AAA-4826-2020
    Background: Targeted intervention for subgroups is a promising approach for the management of patellofemoral pain. Hypothesis: Treatment designed according to subgroups will improve clinical outcomes in patients unresponsive to multimodal treatment. Study Design: Prospective crossover intervention. Methods: Patients with patellofemoral pain (PFP; n = 61; mean age, 27 +/- 9 years) were enrolled. Patients with PFP received standard multimodal treatment 3 times a week for 6 weeks. Patients not responding to multimodal treatment were then classified into 1 of 3 subgroups (strong, weak and tight, and weak and pronated foot) using 6 simple clinical tests. They were subsequently administered 6 further weeks of targeted intervention, designed according to subgroup characteristics. Visual analog scale (VAS), perception of recovery scale (PRS), 5-Level European Quality 5 Dimensions (EQ-5D-5L), and self-reported version of the Leeds Assessment of Neuropathic Symptoms and Signs scale (S-LANSS) were used to assess pain, knee function, and quality of life before and after the interventions. Results: In total, 34% (n = 21) of patients demonstrated recovery after multimodal treatment. However, over 70% (n = 29/40) of nonresponders demonstrated recovery after targeted treatment. The VAS, PRS, S-LANSS, and EQ-5D-5L scores improved significantly after targeted intervention compared with after multimodal treatment (P < 0.001). The VAS score at rest was significantly lower in the "weak and pronated foot" and the "weak and tight" subgroups (P = 0.011 and P = 0.008, respectively). Posttreatment pain intensity on activity was significantly lower in the "strong" subgroup (P = 0.006). Conclusion: Targeted treatment designed according to subgroup characteristics improves clinical outcomes in patients unresponsive to multimodal treatment.