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    Comparison of the effectiveness of high-intensity laser and ultrasound therapies in adhesive capsulitis: A randomized controlled study
    (Ios Press, 2023) Uysal, Bilal; Ozkuk, Kagan; Sahin, Nilay; Okmen, Burcu M.; Sezer, Refia; Ates, Zeynep
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    Comparison of the effectiveness of high-intensity laser and ultrasound therapies in adhesive capsulitis: A randomized controlled study
    (Ios Press, 2023) Uysal, Bilal; Ozkuk, Kagan; Sahin, Nilay; Okmen, Burcu M.; Sezer, Refia; Ates, Zeynep
    BACKGROUND: Adhesive capsulitis (AC) is a common musculoskeletal disease characterized with shoulder pain, limitation of range of motion (ROM) and disability. Although physical therapy is used in the treatment of AC, studies on its effectiveness are continuing. OBJECTIVE: This study aimed to assess the effectiveness of ultrasound (US) and high-intensity laser therapy (HILT) in the treatment of AC. METHODS: Sixty patients were randomized into two groups. Group I received US (15 sessions) and Group II received HILT (9 sessions) for 3 weeks. In addition, all patients received physical therapy program (hot pack, TENS and exercises). Assessments were made using VAS-pain, Shoulder Pain and Disability Index (SPADI), range of motion (ROM) at baseline and in post-treatment 3rd, 8th and 24th weeks. RESULTS: There was no statistically significant difference between the groups in terms of all pre-treatment values. In intragroup assessment, statistically significant difference was identified in all the values of Groups 1 and 2 in all assessment periods compared with the pre-treatment values (p < 0.05). There was no significant difference between groups in all assessment periods. CONCLUSION: According to results, US therapy and HILT were effective on the improvement of pain, ROM and functional conditions of patients in the treatment of AC.
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    Comparison of the Efficacy of Corticosteroid and Local Anesthetic Injections Combined with Physiotherapy in Patients with Concomitant Pes Anserine Bursitis and Knee Osteoarthritis: A Prospective Randomized Study
    (2022) Yaşar, Mustafa Fatih; Kurul, Ramazan; Yakşi, Elif; Aydilek, Merve; Ates, Zeynep; Tonuk, Sukru Burak
    Objectives: It was aimed to investigate the effects of local corticosteroid and local anesthetic injection in patients with concomitant pes anserine bursitis and knee osteoarthritis.\rMethods: In this prospective randomized controlled study, 102 patients with knee osteoarthritis with pes anserine bursitis were divided into three groups: group I (physiotherapy + lidocaine), group II (physiotherapy + betamethasone dipropionate), and group III (physiotherapy: control). Evaluations were performed three times at the start of treatment, \rat day 15, and at week eight, using the Visual analog scale (VAS), Western Ontario and McMaster Universities Osteoarthritis index (WOMAC), and the Timed up and go (TUG).\rResults: There was no difference in age, BMI, gender and baseline values in all three groups. There was a significant difference between the groups in pre and post treatment VAS and WOMAC scores (p<0.05). However, there was no difference between the groups in the post-test follow-up values (p>0.05). While betamethasone significantly decreased \rVAS and WOMAC scores, only WOMAC scores were decreased in the lidocaine group. There was no significant difference between the WOMAC scores of the lidocaine and betamethasone groups (p>0.05).\rConclusion: Corticosteroids and lidocaine are avaiable choices to relieve pain, our results show, corticosteroids are more effective. Consequently, steroids may be considered as a better option in patients with concomitant pes anserine bursitis and knee osteoarthritis.
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    The effect of obesity on pain and disability in chronic shoulder pain patients
    (Ios Press, 2020) Ozkuk, Kagan; Ates, Zeynep
    OBJECTIVE: This study aimed to investigate the relationship between chronic shoulder pain and the increase in BMI. METHODS: A prospective, cross-sectional study design was adopted for the study. Two hundred and eighty-five patients with chronic shoulder pain were evaluated for eligibility. A total of 94 patients were excluded from the study. The 191 remaining volunteers filled out a questionnaire (Pain (VAS), Shoulder Pain and Disability Index (SPADI)) and weight, height, C-reactive protein (CRP) results and 1-hour-rate of erythrocyte sedimentation rate (ESR) were measured. The participants were dived into the normal weight, overweight or obese group, considering the obesity classification defined by the World Health Organization (WHO). RESULTS: A statistically significant correlation was found between the increase in BMI and pain (VAS), SPADI (pain, activity and total) and ESR. Although there was no statistically significant difference between the normal weight and overweight groups in all parameters, there was a statistically significant difference between the obese group and other groups. CONCLUSIONS: Shoulder pain may associated with obesity and we recommend the addition of weight control to the treatment of patients with shoulder pain.
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    The effects of inpatient versus outpatient spa therapy on pain, anxiety, and quality of life in elderly patients with generalized osteoarthritis: a pilot study
    (Springer, 2018) Ozkuk, Kagan; Uysal, Bilal; Ates, Zeynep; Okmen, Burcu Metin; Sezer, Refia; Dilek, Gamze
    This study aimed to investigate the effect of inpatient vs outpatient spa therapy on pain, quality of life, and anxiety in elderly patients with generalized osteoarthritis. A total of 150 patients were randomized into three groups. Group I was given medical treatment, group II was treated as outpatients, and group III was treated as inpatient spa therapy. Assessments were made using the Pain (VAS), EQ-5D-3L Scale, and State and Trait Anxiety Inventory (STAI) at the beginning of treatment (W0), at the end of treatment (W2), and at the fourth week after treatment (W6). The comparison of outpatient spa group and etodolac treatment group showed that outpatient spa group was superior to etodolac treatment group in all evaluated parameters at W2 vs W0 and W6 vs W0. The comparison of inpatient spa group and etodolac treatment group showed that inpatient spa group was superior to etodolac treatment group in all evaluated parameters at W2 vs W0 and W6 vs W0. The comparison of inpatient spa group and outpatient spa group showed that inpatient spa group was superior to outpatient spa group in all evaluated parameters except STAI-TXII at W2 vs W0 and in all evaluated parameters W6 vs W0. Spa therapy, either as an outpatient or inpatient basis, may have a positive effect on pain, anxiety, and quality of life in geriatric patients with generalized osteoarthritis. The inpatient spa therapy may be more beneficial than outpatient spa therapy. When the side effects of drug treatments are emphasized, spa therapy may be considered as an interesting option for elderly with osteoarthritis.