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Öğe An alternative method for anatomy training: Immersive virtual reality(Wiley, 2020) Kurul, Ramazan; Ögün, Muhammed Nur; Narin, Ayşe Neriman; Avcı, Şebnem; Yazgan, BeyzaThe aim of this study was to investigate the effect of immersive three-dimensional (3D) interactive virtual reality (VR) on anatomy training in undergraduate physical therapy students. A total of 72 students were included in the study. The students were randomized into control (n = 36) and VR (n = 36) group according to the Kolb Learning Style Inventory, sex, and Purdue Spatial Visualization Test Rotations (PSVT-R). Each student completed a pre-intervention and post-intervention test, consisting of 15 multiple-choice questions. There was no significant difference between the two groups in terms of age, sex, Kolb Learning Style Inventory distribution, and the PSVT-R (P > 0.05). The post-test scores were significantly higher compared to pre-test scores in both the VR group (P < 0.001) and the control group (P < 0.001). The difference between the pre-test and post-test results was found to be significantly higher in favor of the VR group (P < 0.001). In this study, anatomy training with a 3D immersive VR system was found to be beneficial. These results suggest that VR systems can be used as an alternative method to the conventional anatomy training approach for health students.Öğe Can action research arm test predict functional independence in addition to motor functions in stroke patients?(2020) Ögün, Muhammed Nur; Kurul, RamazanObjective: To investigate the ability of the Action Research Arm Test (ARAT) scores to predict functional independence in the evaluation of upper extremity motor functions in stroke patients. Methods: A total of 59 patients with stroke with a mean age of 61.10±9.12 were included in this study. Forty-one (69.5%) of the patients were male, and 18 (30.5%) were female. After obtaining the demographic data of the patients who were followed up in the stroke outpatient clinic after the stroke, upper extremity functions were evaluated using ARAT test, and functional independence was evaluated with Performance Assessment of Self Care Skills (PASS) and Functional Independence Scale (FIM) tests. The data were retrospectively evaluated and recorded. Results: The mean stroke duration was 15.38±7.16 months. According to Spearman correlation test results, there was no correlation between ARAT and PASS (p=0.902), PASS-BADL (Basic activities of daily living) (p=0.480), PASS-IADL (Instrumental activities of daily living) (p=0.524) and between ARAT and FIM (p=0.451), FIM Motor (p=0.393), and FIM Cognitive (p=0.553). There was a weak correlation between the FIM and the PASS scores (r=0.278, p=0.033). Conclusion: ARAT scores routinely used in the evaluation of upper extremity motor functions were not correlated with functional independence. In addition to the ARAT test, functional independence scales may be appropriate for the evaluation of upper extremity motor functions.Öğe Comparison of dry needling and kinesio taping methods in the treatment of myofascial pain syndrome: A single blinded randomised controlled study(Wiley, 2021) Yaşar, Mustafa Fatih; Yakşi, Elif; Kurul, Ramazan; Alışık, Tuğba; Şeker, ZeynepObjectives The aim of this study was to compare the effectiveness of kinesio taping (KT) and dry needling (DN) in the treatment of myofascial pain syndrome (MPS) of the trapezius muscle. Methods The patients with MPS were divided into 3 groups as those who received exercise only (control group), those who received KT and exercise (KT group) and those who received DN and exercise (DN group) by using a sealed opaque envelope randomisation method. Visual Analog Scale (VAS), Pressure Pain Threshold (PPT), Neck Disability Index (NDI) and Global Perceived Effect Scale (GPES) were measured twice at baseline and at the end of the second week by blinded evaluator. Results A total of 26 patients were assigned to KT group, 32 to DN group and 30 to control group. The results of the study showed that PPT, VAS and NDI scores were significantly improved in the KT (1.61 +/- 1.25, -2.66 +/- 1.24 and -7.08 +/- 6.24, respectively) and DN (1.30 +/- 1.13, -3.34 +/- 1.40 and -10.63 +/- 7.80 respectively) groups (P < .001 for all). In the control group, no significant improvement was found in the VAS (.10 +/- 1.39) and NDI (-.83 +/- 4.91) scores (P > .05), with a significant decrease in PPT (-.98 +/- 1.92) (P = .014). KT and DN methods in MPS treatment have more positive effects in terms of pain, disability and global effect compared to the control group. Conclusions In the treatment of MPS, adding DN or KT to exercise programme may provide important contributions to the treatment.Öğe Comparison of outpatient and inpatient spa therapy in knee osteoarthritis(Springer, 2021) Yaşar, Mustafa Fatih; Yakşi, Elif; Kurul, Ramazan; Balcı, MuhammedOsteoarthritis (OA) is a common condition that impacts many people worldwide and involves weight-bearing joints, resulting in chronic pain. In this study, we aimed to compare the effectiveness of inpatient and outpatient physical therapy modalities and spa combination treatments on pain and functional status in patients with knee osteoarthritis. Seventy-four patients diagnosed with primary knee osteoarthritis were included in this study. The patients were randomized into two groups, inpatient (n = 37) and outpatient (n = 37) physical therapy. All patients received a physical therapy program (superficial heater + deep heater + transcutaneous electrical nerve stimulation) for 2 weeks and spa therapy. All cases were evaluated clinically, laboratory, and radiographically. In order to evaluate pain and functional status, the Visual Analogue Scale (VAS), Western Ontario and McMaster Universities osteoarthritis index (WOMAC), and Timed Up and Go (TUG) test were used before and after treatment. There was no significant difference between the two groups in the TUG test and WOMAC scores (p > 0.05). However, a significant difference was found in VAS scores in favor of the outpatient group (p < 0.05). As a result, although there was a significant improvement in pain scores in the outpatient group, multicenter studies with larger patient groups may provide more evidence.Öğe 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 BurakObjectives: 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.Öğe Disfajik inmeli bireylerde kullanılan kompansatuvar postürün yutma üzerine etkisi(2018) Yakşi, Elif; Kurul, Ramazan; Avcı, Şebnem; Ögün, Muhammed NurAmaç: Bu çalışmanın amacı inme sonrası disfaji görülen bireylerde kullanılan postüral adaptasyon manevralarının bireylerin yutması üzerine etkisini incelemektir. Gereç ve Yöntem: Fonksiyonel oral alım skalasına göre disfaji görülen 64 inmeli birey bu çalışmaya dahil edilmiştir. Bireylerin yutma becerileri Teat-10 testi ile baş nötral pozisyonda ve etkilemiş tarafa rotasyon yaptırılarak 2 kez değerlendirilmiştir. Bulgular: Etkilenen arter bölgelerine göre yutma bozukluk şiddetlerinde belirgin farklılık olduğu bulunmuştur(p<0.05). Pozisyonlama sonrası yapılan yutma değerlendirmesi sonuçlarında nötral pozisyona göre yutmalarının anlamlı düzeyde değiştiği gözlenmiştir(p<0.05). Sonuç: Bu çalışmada chin tuck postürüne ek olarak başın etkilenen tarafa rotasyonunun inmeli disfajik bireylerde yutma fonksiyonları üzerine olumlu etkisi bulunmuştur.Öğe The Effect of Customized 3D Printed Insoles on Physical Activity Level, Balance, and Physical Performance in Patients with Pes Planus: A Randomized, Placebo Controlled, DoubleBlinded Study(Duzce Univ, Fac Medicine, 2024) Ozturk, Enes; Kurul, RamazanObjective: This study aimed to investigate the effects of individually designed insoles on physical activity level, balance, and functional performance in patients with pes planus. Materials and Methods: 38 participants were divided into 2 groups as 3D printed (n=20) and placebo (n=18). In the 3D printed group, medial longitudinal arch support, medial wedge of the foot, medial heel wedge, and transverse arch support were given to the insoles according to the needs of the participants. The placebo group received placebo insoles. Muscle strength, range of motion, static and dynamic balance, physical and physical activity levels were measured at baseline, and eight weeks later (clinicaltrials.gov ID: NCT05306886). Results: Muscle strengths of the plantar flexion (p=0.030) and eversion increased after the use of insoles in the 3D printed and placebo groups (p=0.020). There was no change in static balance in both groups (p=0.386), but there were significant improvements in dynamic balance in 3D printed groups (p=0.019). Gait speed improved in both 3D printed (p=0.001) and placebo groups (p=0.015). There was no significant difference in the explosive power between the groups (p=0.272). The shuttle run test improved significantly in the placebo group (p=0.015), but no significant change was observed in the 3D printed group (p=0.886). While the physical activity levels in the placebo group showed a significant improvement (p=0.017), the physical activity level decreased in the 3D printed group (p=0.489). Conclusions: In this study, it was found that the use of personalized insoles is effective in improving physical activity, balance, and performance, while placebo insoles were found to be more effective in increasing muscle strength and explosive muscle strength.Öğe Effect of leap motion based 3D immersive virtual reality usage on upper extremity function in ischemic stroke patients(Assoc Arquivos Neuro- Psiquiatria, 2019) Ögün, Muhammed Nur; Kurul, Ramazan; Yaşar, Mustafa Fatih; Türkoğlu, Şule Aydın; Avcı, Şebnem; Yıldız, NebilImmersive virtual reality (VR) is a technology that provides a more realistic environmental design and object tracking than ordinary VR. The aim of this study was to investigate the effectiveness of immersive VR on upper extremity function in patients with ischemic stroke. Sixty-five patients with ischemic stroke were included in this randomized, controlled, double-blind study. Patients were randomly divided into VR (n = 33) and control (n = 32) groups. The VR group received 60 minutes of the upper extremity immersive VR rehabilitation program and the control group received 45 minutes of conventional therapy and 15 minutes of a sham VR program. Rehabilitation consisted of 18 sessions of therapy, three days per week, for six weeks. The outcome measures were the Action Research Arm Test (ARAT), Functional Independence Measure (AM), Fugl-Meyer Upper Extremity Scale (FMUE) and Performance Assessment of Self-Care Skills (PASS). In both the VR and control groups all parameters except the PASS improved over time. However independent t-test results showed that all of the FMUE, ARAT, FIM and PASS scores were significantly higher in the VR group compared with the control (p < 0.05). The minimal clinically important difference (MCID) scores of the FMUE and ARAT were higher than the cut-off MCID scores described in the literature in the VR group, whereas the AM scores were below the cut-off MCID scores. All scores in the control group were below the cut-off scores. Immersive VR rehabilitation appeared to be effective in improving upper extremity function and self-care skills, but it did not improve functional independence.Öğe The effect of robot-assisted gait training frequency on walking, functional recovery, and quality of life in patients with stroke(Springer, 2023) Yakşi, Elif; Bahadır, Elif Selim; Yaşar, Mustafa Fatih; Alışık, Tuğba; Kurul, Ramazan; Demirel, AdnanAimThis study aims to investigate the effects of robot-assisted gait training (RAGT) frequency on walking, functional recovery, QoL and mood.MethodsSixty patients aged 50-75, diagnosed with post-stroke hemiplegia were entered into the retrospective analysis. Participants who scored maximum 3 on the Modified Rankin Scale and were diagnosed with moderate stroke according to The NIH Stroke Scale were included in the study. The participants in group 1 (G1) received only conventional treatment (CT), in group 2 (G2) participants received one session of RAGT per week in addition to the CT program, and group 3 (G3) received two sessions of RAGT per week in addition to the CT program. 6-min walk test (6-MWT), Barthel Index (BI), Stroke-Specific Quality of Life Scale (SSQoL), and Beck Depression Inventory (BDI) were recorded.ResultsMedian change in SSQoL of G3 was significantly higher from median change of G1 (p < 0.05), and median change in BDI of G3 was significantly lower than median change of G1 (p < 0.05). Median change in BDI of G3 was also significantly lower from change of G2 (p < 0.05).ConclusionTwo weekly sessions of RAGT in addition to CT exhibit positive effects on QoL and mood but no additional contribution to functional status.Öğe The effect of working time in cold conditions on pain and fibromyalgia syndrome symptoms(Bayrakol Medical Publisher, 2020) Altuntaş, Yasin Devran; Çankaya, Tamer; Kurul, Ramazan; Uysal, Muhammet Fatih; Duygu, Elif; Karatay, Gökhan Mehmet; Karatay, Fatma AsenaAim: This study aimed to investigate the effect of working time on cold and fibromialgia syndrome symptoms. Material and Methods: The study included 568 individuals with a mean age of 36.9 years. Visual analog scale (VAS), The Revised Fibromyalgia Impact Questionnaire (FIQR) and 2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria were used for evaluation. The groups were formed as 2 years or less, 3-5 years, 6-9 years and 10 years or more. For daily working hours, two groups created as less than 8 hours and 8 hours or more. Results: It was found that the score for VAS pain felt when working was higher compared to pain felt when resting (p=0.046). FIQR scores increased significantly in the cold work year (p=0.006) but there was no significant change in resting or working pain as working years increase (p> 0.05). FIQR total score, resting and working pain VAS values were found to increase for the group work more than 8 hours daily (p <0.05). Discussion: As a conclusion, the results of this study showed that increasing working years and daily working hours caused an increase in the severity of FM related symptoms. Especially those who have been working for 10 years or more and/or more than 8 hours in cold were feeling greater pain and their fibromyalgia related symptoms were worse.Öğe Evaluation of the relationship of balance and posture with speech functions in stroke patients(2023) Arslan, Mine; Kurul, RamazanAim: Balance disorders, postural dysfunctions, and speech disorders are common after stroke. This study aims to investigate whether there is a connection between language and speech function and posture and balance in paralyzed patients and to which speech area function the connection is related. Methods: Eighteen stroke patients with speech impairment and no cognitive impairment were included in the study. Balance and postures of stroke patients were evaluated using the Berg Balance Test (BBT) and Postural Assessment Scale for Stroke Patients (PASS-T), while their quality of life was evaluated using the Stroke and Aphasia Quality of Life-39 Test (SAQOL-39). Patients’ speech functions were evaluated using the Gülhane Aphasia Test-2 (GAT-2), voice-related assessments were made with the Voice-Related Quality of Life Scale (V-RQOL), and objective voice analysis. Results: The mean age of the participants was 59.10±14.72 years, the mean score of the Mini-Mental Test was 26.16±2.00. According to statistical analysis, there was a significant relationship between BBT score and GAT-2 (r: 0.552, p=0.017), and BBT score and SAQOL-39 mean score (r: 0.589, p=0.010), there was no significant relationship between BBT and V-RQOL (r: -0.075, p=0.768). While there was a significant relationship between PASS-T (r: 0.499, p=0.035) and SAQOL-39, no significant relationship was found with GAT-2 (r: 0.388, p=0.112). In addition, a significant correlation was found between the SAQOL-39 mean score and the GAT-2 total score (r: 0,606, p=0.008). Conclusion: It was observed that there is a significant relationship between balance functions and speech function and quality of life, and patients with good balance have better functional independence and speech functions. However, it was found that posture did not change speech function. Due to the importance of evaluation in treatment, it is thought that the evaluation of stroke patients who will receive speech and language therapy in terms of balance and postural functions will contribute to the speech functions of patients.Öğe The immediate effect of elastic trunk orthosis on trunk positioning sense and balance in post-stroke individuals(2021) Avci, Şebnem; Kurul, Ramazan; Sevim, Serkan; Çankaya, HaticePurpose: Stroke; causing sensory, perception, motor loss, affects balance, postural stability and mobility. Position sense oftrunk and its stability are important in terms of limb functions. Various methods are used in physiotherapy and rehabilitation,including orthotic devices to increase trunk control. This study aimed to investigate the immediate effect of elastic trunk orthosison trunk repositioning sense and balance in post-stroke individuals.Methods: A total of 56, 28 with stroke and 28 age matched healthy individuals, were included into study. Repositioning senseand balance were evaluated with and without a trunk orthosis, using the HUMAC NORM isokinetic device, Trunk ImpairmentScale, Postural Assessment Scale for Stroke Patients, and Functional Reach Tests.Results: There was no significant difference within and between groups on trunk repositioning sense with and without corsetuse (p?0.05). Postural Assessment Scale for Stroke Patients scores did not show significant change (p?0.05). There was asignificant difference in favour of corset use in both study and control groups in functional reach test (p=0.013 and p<0.001respectively). Study group showed significant change with and without corset scores in Trunk Impairment Scale (p=0.003).Mean differences on Functional Reach Test and Trunk Repositioning Test showed no significant difference in both groups(p?0.05).Conclusion: The use of trunk orthosis has an immediate effect in some functional tests, but not in terms of repositioning sensewere concluded. We propose to examine the factors affecting the repositioning sense in individuals with stroke and toinvestigate the effectiveness of new physiotherapy applications accordingly.Öğe The incidence of deep venous thrombosis in Parkinson's disease(Taylor & Francis Ltd, 2023) Afşin, Emine; Coşgun, Zeliha; Kurul, Ramazan; Türkoğlu, Şule AydınIntroductionVenous thromboembolism is one of the causes of sudden death in Parkinson's Disease (PD). Few studies have investigated the correlation between PD and deep venous thrombosis (DVT). This study aimed to investigate the frequency of DVT in PD patients prospectively.Material and MethodDemographic characteristics of 37 PD patients without known risk factors for DVT, disease duration, Hoehn-Yahr (H - Y) stage, oxygen saturation (SpO2) and heart rate values with pulse oximetry, use of assistive devices, waist and knee circumference measurements, and modified Medical Research Council (mMRC) dyspnea score was recorded. Both legs were evaluated for thrombus by Doppler venous ultrasound (US).ResultsWith the H-Y stage of the disease duration, a positive correlation was determined between the H-Y stage and mMRC. Disease duration was negatively correlated with BMI and positively correlated with the need for assistance. Assistive device use was positively associated with age and mMRC. DVT was detected in only one patient. When our patients' files were reviewed after 1.5 years, one patient was hospitalized with the diagnosis of submassive pulmonary embolism.ConclusionAttention should be paid to the development of DVT in elderly patients with advanced stages of PD, progression in the H-Y stage, use of assistive devices, and progression in dyspnea scoring. There is also a need for studies on the benefit of DVT prophylaxis in PD patients with a high risk of venous thromboembolism.Öğe İnmeli Bireylerde Dyna Ayak Bileği Ortezi Kullanımının Denge ve Yürüme Üzerindeki Akut Etkisi(2018) Kurul, Ramazan; Çankaya, Tamer; Çankaya, Hatice; Özengin, Nuriye; Avcı, Şebnem; Pala, Ömer OsmanAmaç: Bu çalışmada inmeli bireylerde Dyna ayak bileği ortezi kullanımının denge ve yürüme üzerindeki akut etkisini araştırmak amaçlanmıştır.Gereç ve Yöntemler: Çalışmaya inme geçireli en az 3 ay olan toplam 30 birey dahil edildi. Bireylerin demografik bilgileri edinildikten sonra, Berg Denge Ölçeği, Süreli Kalk & Yürü testi, ayak izi yöntemiyle yürüyüş değerlendirmesi ve Tetrax denge değerlendirmesi gerçekleştirildi. Bireyler Dyna ayak bileği ortezi giydikten sonra tüm ölçümler tekrarlandı.Bulgular: Tetrax'ın F7 ve F8 parametresi, ağırlık dağılım indeksi, Süreli Kalk & Yürü testi ve yürüyüş değerlendirmesinin tek adım uzunluğu ve adım genişliği parametrelerinde fark bulunmadı (p>0,05). Dyna ayak bileği ortez kullanımı sırasında Berg denge skorlarında ve çift adım uzunluğunda artış tespit edildi (p<0,05).Tartışma ve Sonuç: Bu çalışmada Dyna ayak bileği ortezi kullanımının statik dengeyi ve çift adım uzunluğunu artırdığı, buna karşın dinamik denge, gövde salınım miktarı, ağırlık dağılımı ve yürüyüşün diğer parametreleri üzerinde akut etkisi olmadığı görüldü.Öğe İnmeli hastalarda kinezyo bant uygulamasının denge üzerine etkisi(Bolu Abant İzzet Baysal Üniversitesi, 2014) Kurul, Ramazan; Çankaya, Tamer; Yıldırım, Necmıye ÜnBu çalışmanın amacı ayak bileğine yapılan Kinezyo bantlamanın inme geçirmiş bireylerin denge üzerine etkisini araştırmaktı. Çalışmaya yaş ortalaması 60,3 yıl olan inme teşhisi almış, inme geçirme süresi 3 aydan az ve 2 yıldan fazla olmayan toplam 41 birey dahil edildi. Bireyler rastgele kontrol grubu (n=20), Kinezyo bantlama grubu (n=21) olarak 2 gruba ayrıldı. Çalışmaya katılan tüm bireylerin demografik bilgileri alındıktan sonra BESTest, fonksiyonel uzanma testi, süreli kalk yürü testi, Tetrax denge ölçüm sistemi uygulandı. Kontrol grubu tedavi öncesi, 1. hafta ve 2. hafta düzenli olarak değerlendirildi. Kinezyo bantlama grubuna her hafta bantlama uygulandı ve tedavi öncesi, tedaviden hemen sonra, 1. hafta ve 2. hafta değerlendirmeler tekrarlandı. Süreli kalk yürü skorlarında, Tetrax 5-6, Tetrax 7-8 değerlerinde, ağırlık dağılım indeksinde gruplar arasında anlamlı fark bulunmadı (p>0,05). BESTest ve fonksiyonel uzanma skorları arasında Kinezyo bantlama lehine anlamlı artış bulundu (p<0,05). Ağırlık dağılım indeksinde etkilenen tarafta yük taşımada artış görüldü fakat istatistiksel olarak anlamlı fark bulunmadı (p>0,05). Kinezyo bantlamanın anlık etkisi incelendiğinde tüm değerlendirmelerde anlamlı değişiklik saptanmadı (p>0,05). Bu çalışmada statik denge ögelerinde artış bulunmazken dinamik denge ölçümlerinde Kinezyo bandın dinamik dengeyi artırdığı gösterildi. Kinezyo bantlamanın 1 haftalık uygulanmasının uygun olduğu, denge üzerine anlık etkisinin olmadığı bulundu. Dinamik denge için kullanılmasının yarar sağlayacağı tespit edildi. Anahtar Kelimeler: Denge, Hemipleji, Kinezyo bantlama, Propriyosepsiyon, TetraxÖğe Kinesio taping techniques for ankle stabilisation in patients with stroke: A single-blinded randomised controlled study(MARK ALLEN GROUP, 2021) Kurul, Ramazan; Çankaya, Tamer; Yıldırım, Necmiye ÜnBackground/Aims Ankle proprioception and neuromuscular feedback from this region provides the sensory input needed for balance. The aim of this study was to investigate the effects of repeated correction taping applied on the ankle and peroneus longus and peroneus brevis muscles on balance and gait in patients with stroke. Methods A total of 61 patients with stroke with a mean age of 62.25 +/- 7.04 years were included in this study. The patients were randomly divided into two groups. The control group (n=30) received 1 hour of rehabilitation, which took place during weekdays over the course of 2 weeks. The intervention group (n=31) received 1 hour of daily rehabilitation as well as having kinesio tape applied to their ankle. Both groups were assessed with the Balance Evaluating Systems Test, Timed Up and Go Test, Functional Reach Test, Tetrax Balance System and Barthel Index. Clinical assessments were performed at baseline, immediately after the first application, 1 week and 2 weeks later, following the first taping. Results There was a significant improvement in the Balance Evaluating Systems and Functional Reach Tests scores between the first and last measurements in favour of the intervention group (P<0.05). There were no significant changes between baseline and immediately after assessment for all measurements (P>0.05). There was no significant difference in Tetrax scores, Timed Up and Go Test and Barthel Index scores (P>0.05). Conclusions In this study, it was found that dynamic balance was improved by taping the peroneus longus and peroneus brevis muscles, but the static balance did not change. One week of kinesio taping would be beneficial; however, prolonged use would not provide further improvement.Öğe Kronik Venöz Yetmezliği Olan Bireylerde Manyetik Alan Tedavisinin Ödem, Eklem Hareket Açıklığı, Depresyon ve Yaşam Kalitesine Etkisi(2017) Özdemir, Özlem Çınar; Kurul, Ramazan; Duygu, Elif; Uysal, M. Fatih; Bakar, Yeşim; Pala, Ömer Osman; Erdem, KemalettinAmaç: Bu çalışmanın amacı düşük frekanslı kesikli manyetik alan (KEMA) tedavisinin kronik venöz yetmezliği olan hastalarda ödem, yaşam kalitesi, depresyon ve eklem hareket açıklığına etkisini incelemektir.Gereç ve Yöntemler: Bu çalışmaya kronik venöz yetmezlik tanısı almış, CEAP (klinik-etiyolojik-anatomik-patofizyolojik) sınıflamasına göre C3-C6 olan 55 hasta dahil edildi. Hastaların demografik bilgileri çalışma öncesinde toplandı ve analiz edildi. Klinik değerlendirmelerde ise Venöz Yetmezlikte Epidemiyolojik ve Ekonomik Çalışma-Yaşam Kalitesi Anketi (VEINES-QOL), Beck Depresyon Ölçeği (BDÖ), eklem hareket açıklığı (EHA) ve çevre ölçümleri kullanıldı. Hastalar tedavi (n=21) ve kontrol grubu (n=24) olarak rastgele sayı oluşturucu kullanılarak iki gruba ayrıldı. Tüm testler çalışmanın başlangıcında ve bitişinde olmak üzere iki kez uygulandı. İlk değerlendirmenin ardından KEMA terapisi haftanın 5 günü 6 hafta boyunca uygulama grubuna uygulandı. Bireylere aynı zamanda kompresyon çorabı verilerek 6 hafta kullanmaları istendi. Kontrol grubu ise 6 hafta boyunca sadece kompresyon çorabı kullandı.Bulgular: Her bir grubun ilk ölçüm, son ölçüm değerleri karşılaştırıldığında, tedavi grubunda etkilenen ekstremitede ayak bileği dorsifleksiyon ve plantar fleksiyon hareketlerinde ve depresyon ölçümlerinde anlamlı fark bulundu (p<0,001; p=0,007; p<0,001). Çevre ölçümleri, depresyon ve yaşam kaliteleri bakımından gruplar karşılaştırıldığında depresyon değerlendirmesi ve ayak bileği (CB) ve ayak bileği üstündeki bölgenin (CB1) çevre ölçümlerinde anlamlı fark olduğu saptandı (p<0,05).Tartışma ve Sonuç: Bu çalışma düşük frekanslı KEMA tedavisi uygulamasının kronik venöz yetmezliği olan bireylerde eklem hareket açıklığını artırdığını, ödem ve depresyonu azalttığını gösterdi. Bu çalışma ülkemizde manyetik alan tedavisinin kronik venöz yetmezliğin diğer evrelerinde de kullanıldığı ilk çalışmadır. Uzun dönem takip edilen daha büyük bir örneklemle tekrarlanmasının literatüre katkı sağlayabileceği düşüncesindeyizÖğe Servikal ve üst torakal miyofasyal tetik nokta görülen bireylerde fasyal gevşetmenin ağrı ve yaşam kalitesi üzerine etkisi(Bolu Abant İzzet Baysal Üniversitesi, 2019) Kurul, Ramazan; Avcı, ŞebnemBu çalışmanın amacı, servikal ve üst torakal tetik nokta görülen bireylerde miyofasyal gevşetme tekniklerinin sham uygulamaya göre ağrı, basınç eşiği, eklem hareketi ve yaşam kalitesi üzerine etkisini incelemektir. Çalışmaya yaş ortalaması çalışma grubunda 43,10±13,04 yıl kontrol grubunda 43,15±12,52 yıl olan toplam 75 birey dahil edildi. Bireyler rastgele olarak çalışma grubu (n=37) ve kontrol grubu (n=38) olarak 2 gruba ayrıldı. Çalışmaya katılan bireylere 4 hafta boyunca haftada 2 kez 30 dakika miyofasyal gevşetme veya sham uygulama yapıldı. Basınç ağrı eşiğini değerlendirmek için algometre, hissedilen ağrı için vizüel analog skalası, servikal normal eklem hareketi için gonyometrik ölçüm, özürlülük için boyun dizabilite indeksi ve global algılanan etki ölçeği kullanıldı. Ölçümler uygulama öncesi, 4 hafta sonra ve 12 hafta sonra olmak 3 kez tekrarlandı. Bireylerin vizüel analog skalası, normal eklem hareket ölçümü ve boyun dizabilite indeksi skorlarında ön test-son test arasında çalışma grubu lehine anlamlı artış bulundu (p<0,05). Son test-takip arasında anlamlı fark bulunmadı (p>0,05). Algometre değerlerinde ön test-son test arasında gruplar arasında anlamlı değişim bulunmadı (p>0,05). Son test-takip arasında çalışma grubu lehine anlamlı artış bulundu (p<0,05). Global algılanan etki ölçeğine göre çalışma grubunda kontrol grubuna göre anlamlı ölçüde daha fazla kişi iyileştiğini bildirdi (p<0,05). Bu çalışmada miyofasyal gevşetme yöntemlerinin non spesifik boyun ağrısında ağrıyı azaltmada normal eklem hareketi ve basınç ağrı eşiğini artırıp özürlülük seviyesini düşürmede etkin bir yöntem olduğu bulundu. Uygulamanın etkileri 4 hafta içerisinde etkin olarak açığa çıktı ve tedavinin etkinliği 12. haftada yapılan takip değerlendirmesinde korunmuş olarak bulundu. Uygulaması güvenli ve kolay bir teknik olduğu için tercih edilmesi faydalı olacaktır. Anahtar Kelimeler: Ağrı, Boyun, Manuel terapi, Miyofasyal gevşetme
