Araştırma Çıktıları
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Item Comparison of mobilization with supervised exercise for patients with subacromial impingement syndrome(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2020-01-01) Pekgoz, Ferit; Taskiran, Hanifegul; Mutlu, Ebru Kaya; Atalay, Ayce; Celiker, ReyhanObjectives: This study aims to investigate the effects of joint mobilization with supervised exercise in patients with subacromial impingement syndrome (SAIS). Patients and methods: This prospective, randomized-controlled study included a total of 40 patients (18 males, 22 femalesItem Metachromatic Leukodystrophy Diagnosed after Traumatic Brain Injury: A Case Report(GALENOS YAYINCILIK, 2011-01-01) Guzel, Selcuk; Atalay, Ayce; Turhan, Nur; Benli, Ulku Sibel; Tore, Huseyin GurkanMetachromatic leukodystrophy (MLD) is a rare inherited neurodegenerative disorder caused by a deficiency of a lysosomal enzyme arylsulphatase A. Herein, we report the case of a patient with late-onset MLD who presented with symptoms inconsistent with traumatic brain injury. The diagnosis of MLD was based only on MRI findings and low levels of arylsulphatase A. Although there was an underlying serious neurodegenerative disorderItem Medical complications experienced by first-time ischemic stroke patients during inpatient, tertiary level stroke rehabilitation(SOC PHYSICAL THERAPY SCIENCE, 2016-01-01) Civelek, Gul Mete; Atalay, Ayce; Turhan, Nur{[}Purpose] The aim of this study was to assess the medical complications in first-time ischemic stroke patients, to identify the factors related to occurrence of complications. {[}Subjects and Methods] First-time ischemic stroke patients (n=81) admitted to a tertiary level inpatient rehabilitation center during a 5 year period were included in the study. The attending physiatrist noted the presence of specific medical complications and complications that required transfer to the acute care facility from patient records. The Oxfordshire Community Stroke Project classification was used to define the clinical subtypes of the ischemic stroke patients. The Charlson comorbidity index was used to evaluate co-morbid conditions. Functional disability was assessed using the Functional Independence Measure at admission and discharge. {[}Results] We found that 88.9\% of the patients had at least one complication. The five most common complications were urinary tract infection (48.1\%), shoulder pain (37.0\%), insomnia (37.0\%), depression (32.1\%), and musculoskeletal pain other than shoulder pain (32.1\%) and 11.1\% of patients were transferred to acute care facility during rehabilitation period. Functional Independence Measure scores both at admission and discharge were significantly lower in patients with at least one complication than in patients with no complications. {[}Conclusion] Medical complications are common among patients undergoing stroke rehabilitation. Close interdisciplinary collaboration between physiatrists and other medical specialities is necessary for optimal management.Item EVALUATION OF MULLIGAN'S TECHNIQUE FOR ADHESIVE CAPSULITIS OF THE SHOULDER(FOUNDATION REHABILITATION INFORMATION, 2013-01-01) Doner, Gokhan; Guven, Zeynep; Atalay, Ayce; Celiker, ReyhanObjective: To evaluate Mulligan's technique for relieving pain and improving functional capacity of the shoulder in patients with adhesive capsulitis in the stiffness phase. Design: Randomized controlled study. Methods: A total of 40 subjects were randomly allocated into 2 groups: (i) group 1 (n=20) were treated with hot pack, transcutaneous electrical nerve stimulation, and passive stretching exercisesItem Treatment of Spasticity in Cerebral Palsy(GALENOS YAYINCILIK, 2016-01-01) Civelek, Gul Mete; Atalay, AyceThe cerebral palsy diagnosis is a clinical one and it includes motor development delay, abnormal muscle tone and hyperreflexia. Muscle weakness, spasticity, loss of coordination, the continuation of the primitive reflexes and non-developed normal motor control are often seen in children with cerebral palsy. Spasticity is the velocity dependent increase in the resistance against passive muscle stretching. Spasticity treatment program should be established after detailed evaluation of degree and effects. Treatments to achieve optimal muscle tone include physical therapy and rehabilitation program, oral and injectable medications and surgical treatments. In the treatment of spasticity, a personalized physical therapy and rehabilitation program including stretching exercises should be in the treatment plans, absolutely. There is no consensus regarding the optimal application of pharmacotherapy for the treatment of spasticity in cerebral palsy. Oral medications such as baclofen, benzodiazepine, tizanidine and dantrolene can be used for the treatment of generalized spasticity. Oral drugs have significant side effects such as sedation and cognitive deficits. Chemodenervation with perineural phenol or ethanol injection or intramuscular injection of botulinum neurotoxin A can be used as treatment of localized spasticity. It is shown that botulinum neurotoxin type A is safe and effective in reducing spasticity in children. Most commonly used surgical technique for the treatment of spasticity in cerebral palsy is selective dorsal rhizotomy and it can be applied to selected cases. Treatment options that are used in the treatment of spasticity in cerebral palsy are discussed in this review.Item The Kinesiologic Taping Technique and its Applications(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2011-01-01) Celiker, Reyhan; Guven, Zeynep; Aydog, Tolga; Bagis, Selda; Atalay, Ayce; Yagci, Hanife Caglar; Korkmaz, NurtenKinesiotaping technique was designed by Dr.Kenzo Kase in 1970's to counteract the unwanted effects of standard taping techniques such as limitation of joint motions and functional activities. This technique facilitates circulation and motion due to elevation of skin and subcutaneous interstitial tissues, decreases inflammation and pain, increases performance, enhances neuromuscular reeducation, prevents injury and stimulates recovery. Kinesiotaping technigue has a wide range of indications. Today, in accordance with the original application techniques, different applications and indications are being innovated and research is accumulating. The aim of the present review is to summarize the current literature about kinesiotaping applications in musculoskeletal conditions and various fields such as sports rehabilitation, pediatric patients, neurologic disorders, vascular problems, lymphedema and its uses other than musculoskeletal problems. Turk J Phys Med Rehab 2011Item Exercise Prescription for Painful Hip Disorders(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2014-01-01) Atalay, Ayce; Guven, ZeynepThe hip is the joint that serves as a force transmitter for the upper and lower extremities and is vital for daily activities, such as walking. The hip joint has a deep socket and surrounding strong musclesItem New Agents for the Treatment of Osteoporosis(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2011-01-01) Guven, Zeynep; Celiker, Reyhan; Atalay, Ayce; Bagis, SeldaPostmenopausal osteoporosis is characterized by an increase in resorption and inadequate bone formation. Alteration in bone remodeling is associated with an accelerated risk of fracture. Pharmacological agents that increase bone mass, reduce bone loss or decrease fracture risk have become available in the last few decades. Current compounds used for the treatment of osteoporosis mostly inhibit osteoclast-mediated bone resorption, while few others have an anabolic effect. Inhibition of bone resorption by currently available agents does not restore bone structure or bone that has already been lost and it is coupled with inhibition of bone formation. The identification of new pathways involved in bone turnover, will accelerate clinical research to develop new formation-stimulating and resorption-inhibiting agents with improved safety profile and efficacy in fracture prevention in osteoporosis. In the light of new data, it is estimated that novel antiosteoporotic compounds will increase considerably in the coming years. Turk J Phys Med Rehab 2011Item Comparison of the long-term effectiveness of progressive neuromuscular facilitation and continuous passive motion therapies after total knee arthroplasty(SOC PHYSICAL THERAPY SCIENCE, 2015-01-01) Alaca, Nuray; Atalay, Ayce; Guven, Zeynep{[}Purpose] The aim of this longitudinal study was to examine the long term functional effectiveness of proprioceptive neuromuscular facilitation (PNF) after total knee arthroplasty. {[}Subjects and Methods] We included 30 patients and they were randomly assigned to two groups. In addition to the standard rehabilitation program the PNF group received proprioceptive neuromuscular facilitation therapy and the CPM group received continuous passive motion therapy. The outcome measures included range of motion using a goniometer, pain scores using a numeric pain rating scale, days to reach functional benchmarks, the Beck depression scale and isokinetic torque and isometric strength measurements. {[}Results] There were no significant differences between the two groups in terms of baseline demographic data, clinical findings and length of stay. Days to reach range of motion benchmarks were similar in the two groups. Pain at the 8th week was slightly higher in the PNF group. With the exception of walking with a walker, days to reach functional benchmarks were statistically significantly fewer in patients of the PNF group despite similar isokinetic measurements. Administration of PNF resulted in earlier functional gains in patients after total knee arthroplasty. These functional accomplishments were more pronounced in the PNF group despite it having isokinetic torque measurements similar to those of the CPM group. {[}Conclusion] PNF techniques can positively affect functional outcomes over the long term.