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Öğe Aim: Pilonidal disease is a chronic inflammatory process. From time to time poor cosmetic results can be obtained after surgery. In this study, it was aimed to investigate the effects of cosmetic results and the satisfaction level of the cases in patients who underwent surgery with different surgical techniques due to pilonidal disease. Material and Methods: The information about study was given to cases, which were operated due to pilonidal disease between January 2014 and December 2014 and could be contacted by phone. The questionnaire was applied to 125 cases who agreed to participate in the study. Cases were divided into two groups as primary excision with midline closure applied group and other surgical techniques applied group. The questions about the postoperative results were asked to the cases. Results: There was no statistically significant difference between the two groups in terms of pain duration, painless sitting-walking times, time to return to daily life, complications, reoperation rates and patient satisfaction of surgical scar. It was detected that there was more recurrence in the primary excision group and the results were statistically significant (p = 0.038). In the both groups, it was found that there is no statistically significant difference in the satisfaction questionnaire on surgical scar. (p> 0.05). Conclusions: The surgical scar can cause significant cosmetic problems in surgery treatment of pilonidal disease. Poor cosmetic results on cases may sometimes be more important. The results of this study showed that patients care more about the functional outcomes of treatment than the cosmetic results.(2019) Kizilay, Fatma; Toy, Seyma; Akyol, Betul; Ersoy, YukselAim: Stroke is basically classified as hemorrhagic and ischemic etiologically. Stroke type can be a factor influencing recovery and evidence is insufficient on this issue. Therefore, the purpose of study is to compare motor and functional recovery in terms of stroke type. Material and Methods: 20 patients with stroke between 30 and 65 years of age participated in the study voluntarily. The volunteers were grouped according to the stroke type as ischemic (n=10) or hemorrhagic (n=10). Disability levels of patients determined using Functional Independence Measure (FIM). The patients were compared with isokinetic knee strength, static-dynamic balance test, and 6-minutes walking test according to stroke type. Results: According to isokinetic strength test results, no statistically significant difference was found between groups in the parameters of hemiplegic side knee extension peak torque, knee flexion peak torque, values obtained in the flexion and extension phases of the average power, total work in the flexion phase and extension phase of the movement and hamstring/quadriceps (H/Q) muscle groups strength ratio (p>0.05). According to the data of balance test and 6-minute walk test, no statistically significant difference was found between groups in the parameters of balance indexes and test completion time and 6 minute-long walk distance (p>0.05). Conclusion: It was concluded that a stroke’s being ischemic or hemorrhagic did not create a difference in the recovery of motor function such as strength, balance, and walking. The fact that there are contradictory results and that there is no consensus shows that more studies are required in literature.Öğe The comparison of radiologic measurements of the hip parameters between girls and boys(Bayrakol Medical Publisher, 2022) Calisgan, Elisa; Akyol, Betul; Sevimli, Resit; Turan, Caner CengizAim: This study aimed to compare the radiologic measurement of hip parameters between girls and boys aged 3,5 to 4 years. Material and Methods: This retrospective study included 112 healthy children (n:57 girls, n: 55 boys) aged 3,5 to 4 years who required radiological images due to examination. Radiological images from Inonu University, Faculty of Medicine, Department of Orthopedia were used in the study. The measurements taken from the children were right and left femur head ossification, acetabular index and femur inclination angle. Results: In girls, median right femur head ossification was 16.80 mm, median left femur head ossification was 15.30 mm, median right acetabular index was 24.10(0), median left acetabular index was 23.80(0), median right femur inclination angle was 147.40(0), median left femur inclination angle was 147.50 degrees. In boys, median right femur head ossification was 18.40 mm, median left femur head ossification was 19.50 mm, the median right acetabular index was 17.40 degrees, the median left acetabular index was 17.50 degrees, median right femur inclination angle was 147.50 degrees, and median left femur inclination angle was 148.70 degrees. Discussion: A statistically significant difference was found between girls and boys regarding right and left femur head ossification and acetabular index. This contributes to the determination of gender differentiation, gold standard values of hip parameters for diagnosis, evaluation and prognosis of hip diseases in children aged 3,5 to 4 years.Öğe Current concepts in physiotherapy and rehabilitation protocol for arthrogryposis multiplex congenita: An unusual case report(Bayrakol Medical Publisher, 2021) Calisgan, Elisa; Akyol, BetulArthrogryposis multiplex congenita is a non-progressive syndrome characterized by multiple congenital joint contractures. This case is a six-year-old child with arthrogryposis multiplex congenita who presented at Inonu University Orthopedic Clinic with complaints of weakness and atrophy of m. flexor and extensor carpi radialis and ulnaris, m.flexor and extensor digitorum superficialis, biceps, triceps muscles in the bilateral arms. The tendon transfer was performed in the attachment of the triceps muscle due to the absence of brachialis. This case report presents information on differential diagnosis, detailed symptoms, and physical therapy management of a six-year-old patient with arthrogryposis multiplex congenita. An early approach to physical therapy decreases complications such as flexor contracture of the wrist and elbow, muscle weakness and atrophy following arthrogryposis multiplex congenita. Physical therapy interventions can improve rigid contracture and muscle atrophy and prolong the need for surgical operation in childhood.Öğe Investigating the dynamic loading pattern of the foot in sedentary healthy adolescent(2020) Fil Balkan, Ayla; Keklicek, Hilal; Salci, Yeliz; Akyol, BetulAim: The aims of this study were to define the dynamic loading pattern of the foot in healthy adolescents and to investigate the differences between boys and girls.Material and Methods: n = 89 adolescents (n = 42 girls, n = 47 males) using right hand-preferred and have normal body mass index (18.5- 24.9 kg/m2) were included in the study. Dynamic foot pressure analysis was used to determine the foot dynamical load patterns of the participants. The results were compared by considering be male or female factor and right-left foot dynamic loadingpattern.Results: In the comparison between the groups, it was seen that the contact percentages and active contact areas of the different regions of the feet were different in boys and girls (p 0.05). When the right-left foot load patterns were compared, it was seen that the load transfer in the right foot progressed to the anterior medial and the left foot showed a delay in the load transfer processes (p 0.05).Conclusion: Boys walked with a wider contact percentage in the left foot and wider metatarsal and heel active contact areas in both feet than in girls. Furthermore, on the preferred side (right) the load transfer is positioned on the anterior medial of the foot, while the main difference in the other foot is due to the delay in reaching the maximum pressure.Öğe The reliability and validity of the balance tests in hearing-impaired athletes(Springer London Ltd, 2024) Unal, Nazli Nehir; Akyol, Betul; Balkan, Ayla FilBackgroundIt is known that balance is affected in hearing-impaired athletes and its effects on performance. However, studies on the reliability and validity of scales evaluating balance are insufficient.AimTo analyze and demonstrate the effectiveness of various clinical tests using assessment balance for hearing-impaired athletes.MethodThe study included 60 elite athletes (aged between 18 and 25) with (n = 30) and without (n = 30) hearing impairment. The static balance was evaluated with the Flamingo Test (FT) and the dynamic balance with the Functional Reach Test (FRT), Four-Step Square Test (FSST), Star Excursion Balance Test (SEBT), and Y Balance Test (YBT). All balance tests were repeated at 1-week intervals. Test-retest reliability, known-group validity, and predictive validity of the scales were investigated.ResultAll balancing tests demonstrated strong test-retest reliability. FT and FSST had known-group and predictive validity. While FRT and the components of both YBT and SEBT involving anterior reaching were not valid tests for hearing-impaired individuals, YBT and SEBT had validity considering the composite score and other components.ConclusionIt was revealed that the balance of hearing-impaired athletes was comparable to the balance of healthy athletes in test conditions in which visual information could be used effectively. For this reason, it is important to consider the visual information factor when evaluating the balance of hearing-impaired athletes. Additionally, taking into account time and tiredness, FT for static balance and FSST for dynamic balance may be helpful to evaluate hearing-impaired athletes.
