Yazar "Aktürk, Semra" seçeneğine göre listele
Listeleniyor 1 - 12 / 12
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Çocuklar için özel gereksinim raporunda fiziksel tıp ve rehabilitasyon hekiminin rolü(2022) Büyükavcı, Raikan; Buyukavci, Mehmet Akif; Aktürk, SemraAmaç: Bu çalışmanın amacı ‘Çocuklar İçin Özel Gereksinim Raporu (ÇÖZGER)’ için 3. basamak üniversite hastanesine başvuran çocuk ve ergen olgularda hareket gelişimi alanında tanı dağılımını ve buna bağlı gereksinim düzeylerini saptamak ve fiziksel tıp ve rehabilitasyon (FTR) hekiminin (fiziatrist) hekiminin rolünü vurgulamaktır. Yöntemler: Çalışma kapsamında Nisan 2019-Şubat 2022 tarihleri arasında hastanemiz sağlık kuruluna ÇÖZGER için başvuran 0-18 yaş arası hastalara ait veriler retrospektif olarak tarandı. Olguların demografik verileri, hareket alanındaki özel gereksinim ve tanıları, değerlendirme yapan diğer bölümler ile ek özel gereksinimleri, rapor sonuçları ve süreleri analiz edildi. Bulgular: Çalışmaya 547’si kız (%38,3) olmak üzere 1428 hasta dâhil edildi. 1252’si (%87,7) ilk başvuru- sunu yaparken, 179 hasta rapor yenilemesi yapmak üzere başvurmuştu. Tüm hastaların yaş ortalaması 95.47±56.59 (min 2-max 216) aydı. FTR polikliniğine başvuru sayısı Çalışmaya dâhil edilen hastalar içinde FTR polikliniğine başvuranların sayısı 199'u kız olmak üzere 469 (%32.8) idi. FTR’ye başvuran hastaların yaş ortalaması 80.54±2.64 ay olmak üzere başvurmayanlara oranla daha erken yaştı (p<0.001). ÇÖZGER’de yer alan FTR tanıları arasında en sık serebral palsi ve Down sendromu yer almıştı. FTR polikliniğine başvu- ran hastaların sadece 8’i ‘Özel Gereksinim Yok’ olarak değerlendirilirken; 336 hastanın raporu ‘Özel Koşul Gereksinimi Var’ olarak sonuçlanmıştı. FTR bölümüyle birlikte en sık rapor veren bölümler sırasıyla çocuk ve ergen ruh sağlığı hastalıkları, çocuk nöroloji ve gelişimsel pediatri olarak saptandı. Sonuç: ÇÖZGER için başvuran hastaların yaklaşık üçte biri FTR hekimine başvurmaktadır. Henüz tanı almasa da erken yaş grubundan itibaren hareket gelişim alanında destek gerektirecek düzeyde zorluk saptanan hastaların değerlendirilmesine ve desteklenmesine faydası olan ÇÖZGER’de FTR hekimi anahtar role sahiptir.Öğe Comparison of high-intensity laser therapy and combination of transcutaneous nerve stimulation and ultrasound treatment in patients with chronic lumbar radiculopathy: A randomized single-blind study(PROFESSIONAL MEDICAL PUBLICATIONS, PANORAMA CENTRE, RM 522, 5TH FLOOR, BLDG 2, RAJA GHAZANFAR ALI RD, PO BOX 8766, SADDAR, KARACHI 00000, PAKISTAN, 2018) Kolu, Emine; Büyükavcı, Raikan; Aktürk, Semra; Eren, Fatma; Ersoy, YükselObjective: To compare the effects of high-intensity laser therapy (HILT) and a combination of transcutaneous nerve stimulation (TENS) with ultrasound (US) therapy on pain and functionality in patients with chronic lumbar radiculopathy. Methods: This prospective randomized comparative study was conducted in Department of physical medicine and rehabilitation, Turgut Ozal Medicine Center, Malatya, Turkey from April 2016 to September 2016. A total of 54 patients with chronic lumbar radiculopathy were enrolled in this study. The patients were randomly divided into two groups: Group 1 (n:27) received 10 sessions of a combination of hot pack, TENS, US and exercise, and Group 2 (n:27) received hot pack, HILT and exercise. The outcomes measured were low back with unilateral leg pain level measured by visual analog scale (VAS) and functionality measured with the Oswestry Disability Index (ODI) at the end of the therapy and four weeks later. p-value less than 0.05 considered statistically significant. Results: In two groups, VAS (low back with unilateral leg pain) and ODI scores showed significant changes. At the end of the 2 weeks intervention, participants in Group-1 showed a significantly greater decrease in pain than participants in Group-2. Statistically significant differences in pain variation and functionality (VAS and ODI) were observed four weeks after treatment sessions for participants in the TENS+US therapy group compared with participants in the HILT group. Conclusion: HILT and TENS+US combined with exercise were effective treatment modalities in decreasing the VAS and ODI scores. TENS+US combined with exercises were more effective than HILT combined with exercise.Öğe Demographic and clinical characteristics of patients with spinal cord injuries: Two years’ experience at a tertiary rehabilitation center(2018) Ersoy, Yüksel; Aktürk, Semra; Büyükavcı, RaikanAbstract: Aim: We aim to define the demographic and clinical characteristics of patients with spinal cord injury (SCI) attending the rehabilitation clinic of a tertiary rehabilitation center during the last two years. Material and Methods: Data of 24 SCI patients treated on an inpatient basis between January 2016 and January 2018 at our hospital were retrospectively evaluated. The age, gender, etiologic factor causing spinal cord injury, injury level, duration between admission to hospital and injury time, duration of hospital stay, and additional problems encountered during rehabilitation (pain, spasticity, compression wounds, and neurogenic bladder) of patients were recorded. The definition of spinal cord lesion was made according to the American Spinal Injury Association (ASIA) scale. Results: Among 24 individuals with spinal cord injury, 62.5% were males (male: female ratio is 1.66 : 1). Mean age was 37.3±16 years. The mean duration of hospitalization was 45±16 days. Motor vehicle accidents and spinal cord operations were the main reasons for SCI. The most common neurological level of injury was between T10-12. Of all individuals, 63% had thoracic, 21% had lumbar and 16% had cervical lesions. Conclusion: The mean age of the SCI population is increasing. Motor vehicle accidents and spinal cord operations constitute the majority of etiologic factors. The male-female ratio is reducing. Thoraco-lumbar injuries are more common than cervical injuries.Öğe Does Osteoporosis with Type 2 Diabetes Mellitus (Diabetoporosis) increase the risk of fracture?(2018) Büyükavcı, Raikan; Aktürk, Semra; Ersoy, YükselOur aim was to investigate whether the association of diabetes and osteoporosis caused an increased risk of fracture or not. The study included 120 patients with osteoporosis aged between 40-90 years. Age, gender, body mass index (BMI), history of fracture and presence of Type 2 diabetes mellitus (T2DM) were recorded. 10-year major fracture and hip fracture risks were calculated with FRAX-WHO Fracture Risks Assessment Tool. Bone mineral density (BMD) measurements were made from femur neck and lumbar 1-4 vertebrae. All of the 120 patients included in the study, 21 were male and 99 were female. Twenty patients had T2DM diagnosis. The patient group with T2DM was older than the non-T2DM group in terms of mean age (p<0.05). There was no differences in terms of BMI, BMD measurements, and FRAX 10-year major fracture and hip fracture risks of patients with T2DM and patients without T2DM (p>0.05). The number of patients with previous history of fracture was 24, and two of them were suffering from T2DM. In this study, Our results showed that osteoporosis with Type 2 Diabetes Mellitus may not significantly affect the fracture risk. The relationship between diabetes and bone metabolism should be screened in larger quantities, and T2DM should be positioned among the algorithms that assess the risk of fracture.Öğe Efficiency of high intensity laser therapy in patients with knee osteoarthritis(2018) Ersoy, Yüksel; Büyükavcı, Raikan; Aktürk, Semra; Çıplak, Ezgi DenizAbstract: It is aimed to compare the effects of high-intensity laser treatment (HILT) and the transcutaneous electrical nerve stimulation (TENS) and ultrasound (US) combined treatment on pain, functionality, and quality of life in the patients with knee osteoarthritis. The patients were randomized into 2 groups. Combination of hot pack, TENS and US treatment were applied to the first group and HILT was applied to the second group for 2 weeks. At every visit; resting, movement and night pain scores, function, and stiffness scores were assessed.The patients were invited for the control after the treatment and in the 6th week. A total of 48 patients (33 women and 15 men, aged between 25 and 65 years, average age of 54.25 years) participated in this study. In both groups, a statistical significant change was observed in all the parameters in posttreatment measurements. In the between-groups comparison, it was observed that HILT provided a significant recovery in pain scores both after the treatment and in the 6th week than TENS and US combined treatment. HILT in knee osteoarthritis is a statistically significant efficient method on pain and functional scales compared to TENS+US combined treatment.Öğe Evaluating the functional outcomes of ultrasound-guided botulinum toxin type A injections using the Euro-musculus approach for upper limb spasticity treatment in post-stroke patients: an observational study(EDIZIONI MINERVA MEDICA, CORSO BRAMANTE 83-85 INT JOURNALS DEPT., 10126 TURIN, ITALY, 2018) Büyükavcı, Raikan; Aktürk, Semra; Ersoy, YükselBACKGROUND: Ultrasound-guided botulinum toxin type A injection is an effective treatment for spasticity. Euro-musculus spasticity approach is a new method for administering injections to the correct point of the correct muscle. The clinical outcomes of this practical approach are not vet available in the literature. AIM: The purpose of this study was to evaluate the effects on spasticity and the functional outcomes of ultrasound guided botulinum toxin type A injections via the Euro-musculus spasticity approach to treat upper limb spasticity in post-stroke patients. DESIGN: Observational study. SETTING: Inpatient post-stroke patients. POPULATION: Twenty-five post-stroke patients with post-stroke upper limb spasticity were recruited. METHODS: The ultrasound-guided botulinum toxin type A injections were administered into the spastic target muscles using the Euro-musculus spasticity approach, and all of the patients were enrolled in rehabilitation programs after the injections. This research included the innervation zone and injection site figures and ultrasound images of each muscle in the upper limb. The degree of spasticity was assessed via the Modified Ashworth Scale and the upper limb motor function via the Fugl Meyer Upper Extremity Scale at the baseline and 4 and 12 weeks after the botulinum toxin type A injection. RESULTS: Significant decreases in the Modified Ashworth Scale scores of the upper limb flexor muscle tone measured 4 and 12 weeks after the botulinum toxin type A injection were found when compared to the baseline scores (P<0.025). When compared with the baseline Fugl Meyer Upper Extremity subgroup scores, the sitting position, wrist and total scores at 4 and 12 weeks were significantly improved (P<0.025). However, only the Fugl Meyer Upper Extremity hand scores were significantly improved 12 weeks after the injection (P<0.025). CONCLUSIONS: Ultrasound-guided botulinum toxin type A injection via the Euro-musculus spasticity approach is a practical and effective method for administering injections to the correct point of the correct muscle. Ultrasound-guided botulinum toxin type A injections combined with rehabilitation programs decrease spasticity and improve the upper extremity motor functions in stroke patients. CLINICAL REHABILITATION IMPACT: This new approach for ultrasound-guided botulinum toxin type A injection is very practical and effective method for upper extremity spasticity.Öğe Metastatic gastric adenocarcinoma in a pregnant woman(The European Research Journal, 2018) Büyükavcı, Raikan; Apaydın, Hakan; Aktürk, SemraÖz: Gastric cancers occur in only 0.025% to 0.1% of all pregnancies. We present a pregnant woman with gastric adenocarcinoma associated with bone metastasis. She is 36-year-old (gravida: 4, para: 0) 16-week pregnancy, complaining of nausea, vomiting, weight loss (~15 kg) and low back pain. Although the patient considered the condition to be related with pregnancy and underestimated its importance. She had high erythrocyte sedimentation rate (107 mm/h) and anemia (hemoglobin = 9.4 gr/dl). Lumbar magnetic resonance imaging showed L4 vertebrae malign compression fracture and diffuse bone metastasis. Because of the patient's melena, esophagogastroduodenoscopy was performed and biopsy result was reported as stomach adenocarcinoma. It is important to evaluate the symptoms of low back pain and pregnancy related symptoms carefully and do not cause delays in diagnosis due to overlapping symptoms.Öğe Patient with multiple sclerosis diagnosis after fibula fracture: Holistic view of a rehabilitation patient(2019) Büyükavcı, Raikan; Gunes, Hatice Kubra; Ismailoğlu, Ali Recai; Aktürk, SemraAbstract: Multiple sclerosis (MS) is a disease with chronic progressive neurological symptoms. Multiple sclerosis patients are frequently observed to have balance problems and falls, and these may occur as initial symptoms. Distal fibula fractures comprise a significant proportion of ankle fractures occurring commonly after trauma or falls. This report presents the case of a 49-year old female patient developing right distal fibula fracture after a fall 4 years previously, who attended the rehabilitation clinic many times due to inability to walk in spite of full union of the bone. Detailed anamnesis included frequent falls and loss of balance before the fracture. The patient had upper motor neuron findings identified, and in light of the clinical findings along with cranial MR images, the patient was diagnosed with primary progressive multiple sclerosis. Attending rehabilitation after fractures at young-middle age, patients should be questioned carefully about the loss of balance and history of falling, and detailed neurological examination should definitely be performed in addition to an orthopedic examination.Öğe Radial nerve neuropathies: a retrospective analysis(2018) Ersoy, Yüksel; Aktürk, Semra; Büyükavcı, RaikanAbstract: Aim: Radial nerve neuropathy is a less common neuropathy among other upper extremity entrapment neuropathies. The aim of this study was to evaluate patients referred to our electrophysiology laboratory with a diagnosis of radial nerve neuropathy. Material and Methods: Electrophysiological finding of the 42 patients who were referred to the electrophysiology laboratory with the preliminary diagnosis of radial nerve lesion between 2017-2018 were retrospectively scanned. Results : Forty-two patients were included in the study. 36 patients were male (85.7%), 6 were female (14.3%) and the mean age was 36.09 ± 14.26. Evaluating the relationship between the etiology of the nerve injury showed that the highest rate was consisted of radial nerve sensory and motor axonal lesions which occurred after traffic accidents. The majority of the patients had dropped hand and finger (85.7%). Conclusion : In the etiology of radial nerve lesions, the causes such as trauma and work accidents are at the forefront and this may explain the increased incidence in men. Electromyography can provide valuable contributions to diagnosis, treatment planning and prognosis.Öğe The relationship between musculoskeletal disorders and physical activity among nursing students(2020) Büyükavcı, Raikan; Aktürk, Semra; Aktürk, ÜmmühanAbstract: To determine the correlation between musculoskeletal system disorders and the physical activity levels of nursing students. A total of 489 nursing students included in this cross-sectional study. Self-administered questionnaire included Nordic musculoskeletal questionnaire and International physical activity questionnaire short form (IPAQ-SF). The standardized Nordic musculoskeletal questionnaire showed that 358 students (%73.2) reported having musculoskeletal disorders in one or more body parts, while 131 students (26.8%) had no complaints. The mean weekly energy consumption as linked to the physical activity of the participants was found to be 1542.96±1949.35 MET-min/wk. 51.5% of the individuals exhibited low levels of activity. Statistically significant correlation was found between experiencing upper back pain during the last year and the participants’ physical activity levels. The current study has shown that the prevalence of MSDs was high among nursing students, with a correlation being found between low physical activity and upper back pain. Physical activity levels should hence be considered when evaluating young adults with musculoskeletal disorders.Öğe Relationship between obesity and disability in adult individuals- retrospective screening(2017) Bati, Fatih; Ersoy, Yüksel; Büyükavcı, Raikan; Aktürk, Semra; Celbiş, OsmanAim: The objective is to examine the relationship between the musculoskeletal system (MSS)-based disability and the body mass index (BMI). Material and Method: The medical board reports (MBR) issued for patients in 2010, who applied for a disability report, were screened. From a total of 283 MBR’s, 99 disability reports were included. BMI was calculated and the relationship between disability ratios and BMI was examined. Findings: Out of the 99 patients, 77 were male and 22 were female. The mean age was 46.7±17.8, the BMI was 25.5±5.7 kg/m², the total disability ratio (TDR) was 46±24% and the MSS disability ratio was 33±23%. Both the BMI and age of the patient were significantly correlated with TDR values (p<0.05). The female mean age, the TDR, MSS disability ratio and BMI were higher compared to males. However, only the TDR was statistically significantly higher (p<0.05). 46% of the disability reports were due to acquired diseases (most commonly caused by arthrosis), 37% injuries (most frequently falls, work accidents and firearm injuries) and 11% were for congenital diseases. It was determined that the most patients, had applied to The Department of Physical Medicine and Rehabilitation and the most affected region was the lower extremities. Conclusion: It was identified that the increase in BMI may have an increasing effect on the disability ratios as well as the positive effect of disability on BMI. This fact should be taken into consideration when the ratio of disability is calculated in health board reportsÖğe Relationship between obesity and disability in adult individuals- retrospective screening(2017) Bati, Fatih; Ersoy, Yüksel; Büyükavcı, Raikan; Aktürk, Semra; Celbiş, OsmanAim: The objective is to examine the relationship between the musculoskeletal system (MSS)-based disability and the body mass index (BMI).Material and Method: The medical board reports (MBR) issued for patients in 2010, who applied for a disability report, were screened. From a total of 283 MBR’s, 99 disability reports were included. BMI was calculated and the relationship between disability ratios and BMI was examined.Findings: Out of the 99 patients, 77 were male and 22 were female. The mean age was 46.7±17.8, the BMI was 25.5±5.7 kg/m2, the total disability ratio (TDR) was 46±24% and the MSS disability ratio was 33±23%. Both the BMI and age of the patient weresignificantly correlated with TDR values (p<0.05). The female mean age, the TDR, MSS disability ratio and BMI were higher compared to males. However, only the TDR was statistically significantly higher (p<0.05). 46% of the disability reports were due toacquired diseases (most commonly caused by arthrosis), 37% injuries (most frequently falls, work accidents and firearm injuries) and 11% were for congenital diseases. It was determined that the most patients, had applied to The Department of PhysicalMedicine and Rehabilitation and the most affected region was the lower extremities.Conclusion: It was identified that the increase in BMI may have an increasing effect on the disability ratios as well as the positive effect of disability on BMI. This fact should be taken into consideration when the ratio of disability is calculated in health board reports.
