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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 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 Efficacy of High Intensity Laser and Ultrasound Therapies in Chronic Shoulder Pain; Randomized Controlled Single Blind Study
    (2017) Ökmen, Burcu Metin; Okmen, Korgun; Özkuk, Kağan; Uysal, Bilal; Sezer, Refia; Koyuncu, Engin
    Objective: The aim of our study was to compare the efficacy of the High IntensityLASER Therapy (HILT) and Ultrasound (US) for pain and daily activities of patients with chronicshoulder pain. Material and Methods: In this prospective, randomized, controlled, single blindstudy; 141 patients were randomized into two groups by using random table, as Group 1: US (n=70)and Group 2: HILT (n=71). HILT or US treatment was applied to the patients in addition to 14 sessionsof Hotpack in (HP) +Transcutaneous Electrical Nerve Stimulation (TENS) +Balneotherapy +Exercise. Pre-treatment (W0), Post-treatment 1st day (W2) and Post-Treatment findings 30th day(W6) findings were recorded using the visual analog scale (VAS) and shoulder pain and disabilityindex (SPADI) scoring. Results: There were no statistically significant difference neither in demographiccharacteristics nor pretreatment evaluation parameters between the two groups (p>0.05).In Group 1 and Group 2, statistically significant improvements were found in all the evaluation parametersboth at W2 and W6 (p<0.05). When the groups are compared to each other; statisticallysignificant difference was found in favor of Group 2 both at W2 and W6, in all evaluation parameters(p<0.05). Conclusion: This study demonstrates that in chronic shoulder pain HILT is superiorto US therapy in decreasing pain and improving function in short term.
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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.
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    Reliability and validation of the Turkish version of the Low Back Outcome Score
    (Turkish Assoc Orthopaedics Traumatology, 2020) Alhomedah, Ghofran; Citaker, Seyit; Gunaydin, Gurkan; Sezer, Refia; Khan, Furqan
    Objective: This study aimed to validate the Turkish version of the Low Back Outcome Score and check its reliability in patients with chronic low back pain (LBP). Methods: Overall, 105 patients [81 women and 24 men; mean age: 49.5 years (18-65 years)] with a complaint of LBP for at least 3 months were included in this study. Test-retest reliability was assessed after 7 days. Overall score of LBOS was compared with the overall scores of Rolland-Morris Disability Questionnaire: Oswestry Disability Index:' Quebec Back Pain Disability Scale: SF-36: and Bournemouth Questionnaire for Back Pain to calculate the convergent validity by using Pearson correlation coefficient. Results: The questionnaire was noted to have high internal consistency. The test-retest analysis revealed an excellent correlation (ICC=0.80). Pearson correlation coefficient of the LBOS was assessed using VAS and had an excellent correlation with all the questionnaires included in this study. Conclusion: The Turkish version of the LBOS questionnaire appeared to be a valid and reliable outcome measure.
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    Reliability and validation of Turkish version of the Dallas Pain Questionnaire
    (Kare Publ, 2022) Alhomedha, Ghofran; Citaker, Seyit; Gunaydin, Gurkan; Khan, Furqan; Sezer, Refia
    Objectives: Evaluation of low back pain (LBP) requires a condition specific disability questionnaire along with pain and satisfaction measure such as self-assessment pain scales. Dallas Pain Questionnaire (DPQ) is a 16-item visual analog scale, developed for evaluating patient's cognitions about the percentage that chronic pain affects four aspects of the subject's lives. It's easy to understand; can be answered in 3-5 min and can be scored in <1 min. This reliability and validation study offers health-care providers an opportunity to utilize this distinct questionnaire in Turkish population with back pain.The objectives are translation of Dallas questionnaire from English to Turkish language and to perform validation and reliability study. Methods: A total of 102 patients (79 women and 23 men) with mean age of 50.2 years and LBP for at least 3 months answered DPQ along with five other previously translated and validated questionnaires in Turkish language. Fifty-nine of these patients participated retest reliability after 7 days. Internal consistency and test-retest analyzes were conducted to determine the reliability and convergent validity was evaluated for the validation study. Results:The questionnaire was noted to have high internal consistency. The test-retest analysis revealed an excellent correlation (ICC=0.969). Pearson correlation coefficient shows that all subscales (sections) of DPQ are significant and comparable with each of the other questionnaires included in this study proving that it has sufficient convergent validity (p<0.001). Conclusion:The Turkish version of DPQ is content, valid, and reliable. DPQ is sensitive to use in patients with LBP.