Araştırma Çıktıları | TR-Dizin | WoS | Scopus | PubMed
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Item Is there a relationship between upper limb function and swallowing function in children with cerebral palsy? A cross-sectional study(2022) Guzel, Sukran; Yigman, Zeynep Aykin; Umay, Ebru; 0000-0001-9852-0917; AAG-3148-2021Objective: Despite the association between gross motor and swallowing functions in patients with cerebral palsy (CP), there have been no studies examining the relationship between upper limb functions and swallowing in detail. The aim of this study was to evaluate the relationship between upper extremity skills and swallowing function in children with CP. Methods: The study included a total of 71 patients with CP who were attending the rehabilitation clinic. Upper limb functions were assessed using the Bimanual Fine Motor Function (BFMF) scale, and swallowing function with the Functional Oral Intake Scale (FOIS). The Nine-hole peg test (NPHT) was used to assess manual hand dexterity. Grip strength was measured with a Jamar hand dynamometer and pinchmeter. Correlation analysis was applied to outcome parameters. Results: The BFMF classification was level 1 in 6 patients (8.5%), level 2 in 22 patients (31.0%), level 3 in 27 patients (38.0%), level 4 in 12 patients (16.9%) and level 5 in 4 patients (5.6%). Nutrition was provided through oral intake in 59 (83.1%) patients and 12 (16.9%) were tube dependent. While a negative correlation was determined between swallowing function and BFMF and NHPT, a positive correlation was determined between swallowing function and grip strength values. Conclusions: The findings of this study demonstrated that there is a relationship between swallowing functions and upper limb functions. These findings may help in predicting functional improvement in terms of swallowing and/or if the patient needs further intervention such as upper limb rehabilitation in addition to oral motor training to improve oral intake, and thereby nutritional intake.Item An uncommon case of primary biliary cirrhosis and Hashimoto thyroiditis followed by the concurrent onset of multiple sclerosis and Sjogren syndrome(2022) Guzel, Sukran; Ozen, Selin; 0000-0001-9852-0917; 35949967; AAG-3148-2021A 51-year-old woman with a diagnosis of primary biliary cirrhosis and Hashimoto thyroiditis followed by concurrent onset of multiple sclerosis and Sjogren syndrome for seven years was admitted. The patient was treated with pulse steroid and cyclophosphamide combined with a physical therapy program. This is a case of four autoimmune diseases coexisting in a single patient, a finding which has not previously been described in the literature. This combination of autoimmune diseases should be kept in mind in patients with the relevant symptoms and signs of each to provide early diagnosis and appropriate treatment.Item Effects of diaphragm thickness on rehabilitation outcomes in post-ICU patients with spinal cord and brain injury(2020) Guzel, Sukran; Umay, Ebru; Gundogdu, Ibrahim; Bahtiyarca, Zeynep Tuba; Cankurtaran, Damla; 0000-0001-9852-0917; 32601716; AAG-3148-2021Background Intensive care unit (ICU) complications affect outcomes but it remains unknown if the diaphragm thickness affects rehabilitation outcomes after ICU. We conducted a pilot study to evaluate the effect of diaphragm thickness on rehabilitation outcomes of post-ICU patients with spinal cord injury (SCI) and traumatic brain injury (TBI) and to evaluate factors that may be associated with diaphragm atrophy. Materials and methods Fifty-one patients (26 SCI, 25 TBI) who admitted to the rehabilitation clinic from the ICU included in this study. All demographic data were recorded. All participants underwent diaphragmatic ultrasonography evaluation before and after 12 weeks of neurologic rehabilitation program. The diaphragm thickness and outcome parameters were compared in all patient groups and in each patient subgroups. Evaluation parameters of patients before and after treatment were compared in patient subgroups. Results Diaphragm atrophy was found in 14 patients (64%) in TBI group and 12 patients (46%) in SCI group. The diaphragm thickness negatively correlated with the ICU length of stay and positively correlated with the before/after rehabilitation functional scores and the change in functional independence measure scores (p < 0.05). According to the regression analysis; the change in functional independence measure scores was found to be affected by the diaphragm thickness (p < 0.05). Conclusions The diaphragm thickness may be an effective factor on the rehabilitation process.Item Elastofibroma dorsi: A case report on an unobserved cause of back pain(2020) Guzel, Sukran; Ozen, Selin; Sozay, Seyhan; Kilic, Mehmet Dalokay; 0000-0002-8460-7699; 0000-0002-7290-8558; 0000-0001-9852-0917; 32962604; AAJ-2936-2021; ABC-1305-2020; AAG-3148-2021Elastofibroma dorsi (ED) is a rare, benign soft tissue tumor which often occurs in the subscapular region of elderly individuals and shows a female predominance. While many patients remain asymptomatic, ED can cause pain in the periscapular region. The clinical signs of ED are non-specific and variable which can result in misdiagnoses; it is often confused with rotator cuff and cervical spine pathologies. In this article, we present the case of a 78-year-old female patient with persistent back and shoulder pain. The patient was admitted to various clinics over a number of years for diagnostic investigations and treatment. However, the true etiology of back pain was never established and treatments were applied without any positive effect. Finally, when the patient presented to our clinic, a mass was detected in the right subcapular region. Thoracic computed tomography imaging was consistent with a diagnosis of ED. Due to the patient's persistent back pain, surgical excision of the tumor was performed. The pathology report confirmed the diagnosis. This case emphasizes the importance of a thorough examination in patients who may initially only have very subtle signs of the underlying pathology. This case also highlights the importance of re-visiting initial evaluations and differential diagnoses when faced with a difficult case of persistent back and shoulder pain so to avoid misdiagnoses and unnecessary treatments.