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    Evaluation of glenohumeral subluxation and related factors in patients with post-stroke shoulder pain
    (2020) Kocyigit, Burhan Fatih; Akaltun, Mazlum Serdar
    Aim: Glenohumeral subluxation (GHS) is a frequent complication of post-stroke patients which can be considered as a major predisposing factor for other disorders. We aimed to assess the frequency of GHS in patients with post-stroke shoulder pain and to determine the relationships of GHS with motor recovery, pain, functional status and depression. Material and Methods: This study has a descriptive design. A total of 73 stroke patients with shoulder pain were enrolled in this study. Patients’ demographic characteristics, disease duration, Brunnstrom motor recovery levels for upper extremities, functional ambulation scales (FAS), spasticity stages, pain levels, Barthel Index (BI) and depression scores were recorded. The presence of GHS was evaluated clinically and radiologically. Considering patients with and without GHS, clinical variables were compared.Results: Of the 73 patients, 21 (28.7%) of them had GHS. The ratio of patients in Brunnstrom Category I (Brunstrom 1-3) and non-functional ambulation level were significantly higher in patients with GHS (p 0.05). Shoulder flexion, abduction, internal rotation and external rotation ROMs were found to be significantly lower in patients with GHS (p 0.05). Pain levels and BDI scores were significantly higher, BI scores were significantly lower in patients with GHS, though (p 0.05).Conclusion: GHS is a frequent problem in stroke patients which is closely related to the motor recovery and ambulation level. Patients with GHS have a more restricted shoulder ROM, higher pain and depression scores and poor level functional independence.
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    Impact of pulmonary rehabilitation program with cycle ergometry in chronic obstructive pulmonary disease
    (2021) Altindag, Ozlem; Uyar, Meral; Akaltun, Mazlum Serdar; Gursoy, Savas; Gur, Ali
    Aim: To evaluate impact of pulmonary rehabilitation (PR) on quality of life (QoL) and respiratory variables in Chronic Obstructive Pulmonary Disease (COPD).Materials and methods: PR program for 3 times per week for 8 weeks were performed in patients with COPD. Breathing, upper extremity strengthening and cycle ergometry exercises were performed. PFTs, MMRC dyspnoea scale, BODE Index and 6-minute walking test (6-MWT) were evaluated baseline and after treatment in all patients with COPD. Beck Depression Inventory and State-Trait Anxiety Inventory (STAI I and II) were used for evaluating depression and anxiety and QoL was evaluated with SF-36 scale. Patients having any other cardiac or pulmonary co-morbiditites, inability for attending rehabilitation program (due to physical, physicologic or neurologic problems) were excluded. Results: A total of 50 patients were included (45 male and 5 female patients). Mean age was 59.4±8.8 (56-62). Improvement was detected in exercise capacity, dyspnea severity, QoL, anxiety, and depression levels. Improvement in PFT results were obtained after exercise program. Conclusion: PR program with cycle ergometry is effective in patients with COPD.