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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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    The effects of the number of physical therapy sessions on pain, disability, and quality of life in patients with chronic low back pain
    (Tubitak Scientific & Technological Research Council Turkey, 2017) Metin Okmen, Burcu; Koyuncu, Engin; Uysal, Bilal; Ozgirgin, Nese
    Background/aim: The aim of this study was to investigate and compare the effect of different physical therapy (PT) session numbers on pain, impairment. and quality of life in patients with chronic low back pain (LBP). Materials and methods: In this prospective, randomized-controlled, single-blind trial, a total of 60 patients with chronic LBP were divided into 2 groups with simple randomization within the scope of the study. A PT program of a total of 10 sessions was applied for patients in Group 10 (n = 30) and a total of 15 sessions for patients in Group 15 (n = 30). The main outcome measures were fingertip-to-floor distance (FFD), a visual analog scale (VAS), the modified Oswestry Disability Index (mODI), and the Nottingham Health Profile (NHP). Results: We found statistically significant differences in both groups between the before-treatment (BT) and after-treatment (AT) results in terms of all evaluation parameters. We detected significant differences between the 2 groups in terms of AT VAS, mODI, NHP Pain, and NHP Total; however, no significant differences were found in terms of FFD and the other NHP subdimension levels. Conclusion: We determined that 15 treatment sessions were more effective than 10 sessions on pain and disability in patients with chronic LBP.
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    Is the Duration of Spa Cure Treatment Important in Knee Osteoarthritis? A Randomized Controlled Study
    (Karger, 2019) Ozkuk, Kagan; Uysal, Bilal
    Background: Spa therapies are applied in varying durations. Today, the duration of spa therapy may be long for people with active lives. How should we determine the duration of treatment in order to minimize therapy costs and loss of labor force? Does the duration of treatment have an impact on pain, functional status, and quality of life of patients? Objective: Our aim was to investigate the role of application time on the efficacy of spa therapy in individuals undergoing the same treatment protocol. Methods: This was a randomized, controlled, single-blind clinical trial design. Sixty individuals were divided into two groups: 3 weeks of therapy (group 1) and 2 weeks of therapy (group 2). Pretreatment, posttreatment, and 30-day posttreatment findings were recorded using a visual analog scale (VAS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Nottingham Health Profile (NHP). Results: The measurements revealed significant improvement after treatment compared to those observed prior to the treatment in both groups, except for the social isolation subgroup. When the groups were compared to each other, significant improvement was observed in pain (VAS, WOMAC, NHP) in favor of group 1 at all measurement times. Conclusion: Our results suggest that spa therapy has positive effects on pain, physical activity, and quality of life in patients, and 15 sessions of therapy had even better effects on pain. We believe that the duration of therapy should be determined considering the efficacy of the therapy on pain as well as the functional situation and quality of life of patients regarding therapy costs.