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Öğe Assessing the validity and reliability of the Turkish version of the Trunk Impairment Scale in stroke patients(Kare Publ, 2019) Sag, Sinem; Buyukavci, Raikan; Sahin, Fusun; Sag, Mustafa Serdar; Dogu, Beril; Kuran, BanuOBJECTIVE: To determine the validity and reliability of the Turkish version of the Trunk impairment scale (TIS), used in the evaluation of somatic, motor, and coordination disturbances in stroke patients, and provide a culturally adapted version for use in the Turkish population. METHODS: A total of 80 patients who were either hospitalized at our facility and rehabilitated for stroke or admitted at our outpatient clinics were included in this study. Reliability was evaluated by the internal consistency (Cronbach a) and test reproducibility [intra-class correlation coefficient (ICCC)] methods, and validity was evaluated by the correlation between subgroups and the total scores of the TIS and Berg Balance Scale (BBS), Brunnstrom phases, Barthel index (BI), Rivermead mobility index (RMI), and Short Form-36 (SF-36) scores. RESULTS: The mean age of the patients was 63.00 +/- 12.1 years. Out of a total of 80 subjects, 34 were female and 46 were male. The reliability of the scale was evaluated by the internal consistency, inter-and intra-observer reliability, and test reproducibility. The findings showed that the Turkish form of the scale was reliable at a good level. The test values were as follows; Cronbach a: >0.70, ICCC: 0.969-1, subgroups and total score comparison: 0. The correlation between TIS and BBS was considerably high in the validity analysis (p<0.001). Further, significant associations among the BI, RMI, KF-36, Brunnstrom, and TIS scores were found (p<0.001), which indicate the structural validity of this scale. CONCLUSION: TIS is a scale used in measuring the motor derangement that develops after a stroke. It has sufficient reliability, internal consistency, and validity for use in clinical practice and stroke investigations. Our study has shown that TIS used for the evaluation of body balance is valid and reliable for the Turkish population.Öğe Comment on 'Age, body mass index, and function as the independent predictors of sarcopenia in axial spondyloarthritis: a cross-sectional analysis'(Springer London Ltd, 2024) Akturk, Semra; Buyukavci, Raikan[Abstract Not Available]Öğe Comparison of blood platelet distribution width and neutrophil-lymphocyte ratio in patients with different grades of knee osteoarthritis(Ios Press, 2018) Buyukavci, Raikan; Akturk, Semra; Sag, SinemOBJECTIVE: The aim of this study was to compare platelet distribution width (PDW) and neutrophil to lymphocyte ratio (NLR) values in mild-to-moderate and severe knee osteoarthritis (OA). METHODS: This was a retrospective study of patients with knee OA according to the Kellgren-Lawrence (KL) grading system. Of 465 patients, 231 were excluded (62 due to not meeting the inclusion criteria and 169 due to the lack of simultaneous haemogram and radiographic evaluations). Demographic characteristics and PDW and NLR values were recorded. The patients were then divided into two groups: KL grade 1-3 (mild-to-moderate OA) and KL grade 4 (severe OA). RESULTS: In severe knee OA patients, blood PDW (13.44 +/- 2.58, p = 0.01) and NLR values (2.16 +/- 0.84, p = 0.04) were elevated as compared with those in mild-to-moderate knee OA patients. Blood PDW and NLR values of >= 12.5 and >= 2.1, respectively, were taken as cut-offs based on a receiver operating characteristics (ROC) curve analysis. In the ROC curve analysis, blood NLR >= 2.1 had 60% sensitivity and 64.8% specificity, and PDW >= 12.5 had 61% sensitivity and 58% specificity in predicting severe knee OA. In a univariate analysis, age (p < 0.001), PDW >= 12.5 (p = 0.029) and blood NLR >= 2.1 (p = 0.030) emerged as significant predictors of the severe knee OA. CONCLUSION: The results suggested that the blood PDW and NLR are novel inflammatory markers that can predict the radiographic severity of knee OA in clinical practice.Öğe Comparison of blood platelet distribution width and neutrophil-lymphocyte ratio in patients withdifferent grades of knee osteoarthritis(Ios press, nıeuwe hemweg 6b, 1013 bg amsterdam, netherlands, 2018) Buyukavci, Raikan; Akturk, Semra; Sag, SinemOBJECTIVE: The aim of this study was to compare platelet distribution width (PDW) and neutrophil to lymphocyte ratio (NLR) values in mild-to-moderate and severe knee osteoarthritis (OA). METHODS: This was a retrospective study of patients with knee OA according to the Kellgren-Lawrence (KL) grading system. Of 465 patients, 231 were excluded (62 due to not meeting the inclusion criteria and 169 due to the lack of simultaneous haemogram and radiographic evaluations). Demographic characteristics and PDW and NLR values were recorded. The patients were then divided into two groups: KL grade 1-3 (mild-to-moderate OA) and KL grade 4 (severe OA). RESULTS: In severe knee OA patients, blood PDW (13.44 +/- 2.58, p = 0.01) and NLR values (2.16 +/- 0.84, p = 0.04) were elevated as compared with those in mild-to-moderate knee OA patients. Blood PDW and NLR values of >= 12.5 and >= 2.1, respectively, were taken as cut-offs based on a receiver operating characteristics (ROC) curve analysis. In the ROC curve analysis, blood NLR >= 2.1 had 60% sensitivity and 64.8% specificity, and PDW >= 12.5 had 61% sensitivity and 58% specificity in predicting severe knee OA. In a univariate analysis, age (p < 0.001), PDW >= 12.5 (p = 0.029) and blood NLR >= 2.1 (p = 0.030) emerged as significant predictors of the severe knee OA. CONCLUSION: The results suggested that the blood PDW and NLR are novel inflammatory markers that can predict the radiographic severity of knee OA in clinical practice.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, 2018) Kolu, Emine; Buyukavci, Raikan; Akturk, Semra; Eren, Fatma; Ersoy, YukselObjective: 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 Comparison of splinting and Kinesio taping in the treatment of carpal tunnel syndrome: a prospective randomized study(Springer London Ltd, 2018) Akturk, Semra; Buyukavci, Raikan; Aslan, Ozlem; Ersoy, YukselThe aim of this study was to investigate and compare the effectiveness of splinting and Kinesio taping (KT) as forms of treatment for patients with mild to moderate idiopathic carpal tunnel syndrome (CTS) by evaluating the symptoms and measuring the range of function and electrophysiological findings. This single-blind, randomized, prospective study included 44 patients (58 hands) suffering mild to moderate idiopathic CTS according to nerve conduction studies (NCS). The patients were randomized into two groups and evaluated before treatment and 6 weeks after treatment by means of physical examination findings, NCS, and the Boston Carpal Tunnel Questionnaire (BCTQ) functional status and symptom severity scale scores. When the differences in both groups before and after treatment were compared, a significant improvement was observed in the KT group compared to the splint group in terms of electrophysiological changes, provocative test responses, BCTQ symptom severity, and functional status scores. KT may help prevent the disease from progressing further in mild and moderate idiopathic CTS when applied in time using the appropriate technique and be a good alternative to neutral splinting in terms of patient compliance.Öğe Demographic and clinical characteristics of patients with spinal cord injuries: Two years’ experience at a tertiary rehabilitation center(2018) Buyukavci, Raikan; Akturk, Semra; Ersoy, YükselAim: 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 Effectiveness of USG-guided corticosteroid injection administered into the glenohumeral joint and oral prednisone treatment in patients with adhesive capsulitis(2024) Yildirim, Hatice Kubra; Ersoy, Yuksel; Buyukavci, Raikan; Comruk, Emine BurcuAim: This study aims to compare the efficacy of ultrasonography-guided corticosteroid injection to the glenohumeral joint and oral steroid therapy on clinical response and inferior axillary pouch (AR) thickness measured by ultrasonography (USG) in patients with adhesive capsulitis (AC). Materials and Methods: Our prospective randomized study included 48 patients (18-65 years) with a diagnosis of AC. The first group (n=24) underwent USG-guided corticosteroid injection to glenohumeral joint. In the second group (n=24), oral prednisone was started at 0.5 mg/kg dose with the dosing schedule determined by decreasing and continued for 6 weeks. Both groups were also included in a standard physical therapy program (electrotherapy+exercises). The questionnaire, active and passive shoulder joint range of motion (ROM) measurements, Shoulder Pain and Disability Index (SPADI), evaluation of the joint with USG, and AR thickness measurements were performed. Results: There was a statistically significant increase in passive-active ROM values in all directions before and after the treatment (p<0.05) and decrease in AR values after the treatment (p<0.001) in both groups. However, there was no significant difference between the two groups. In addition, the decrease in inferior pouch thickness and the decrease in SPADI scores were positively correlated. Conclusion: Steroid injection into the glenohumeral joint and oral steroid use significantly reduced shoulder pain and disability and increased range of motion in AC patients. Moreover, both oral steroid and steroid injection treatments improved radiologic findings (by reducing AR), consistent with clinical response. Although both treatments were effective, they were not superior to each other.Öğe The effects of respiratory functions on disease activity, functionality, spinal mobility and quality of life in patients with ankylosing spondylitis(Medicine Science, 2017) Buyukavci, Raikan; Sağ, Sinem; Ozkarafakili, Mufide Arzu; Kuran, BanuAbstract: We aimed to determine the relationship between the pulmonary functions with disease activity, functionality, spinal mobility and quality of life in patients with ankylosing spondyilitis (AS). PATIENTS AND METHOD: 52 patients (44 male, 8 female) who were diagnosed as AS in Şişli Etfal Education and Research Hospital physical medicine and rehabilitation policlinics according to the Modified New York criteria, participated in our study. The demographic characteristics and smoking habbits were questioned, the chest expansion was measured. The functional activity, disease activity, spinal mobility measurement were evaluated by BASFI, BASDAI,BASMI (Bath Ankylosing Spondylitis functional, disease activity, metrology ındex),and the life quality was evaluated by life quality spesific to the disease (ASQOL). The respiratory functions were measured by spirometry. 52 patients in 31 patients restrictive, and in 1 patient mixed pattern pulmonary involvement were detected. There was no determined no significant difference between who detected and not detected restrictive lung disease regarding age, gender, body mass index, lung expansion (LE), history of smoking (p>0.005). Pulmonary function tests results and LE of smoker and no smoker patients were similar. While LE was found to be positively correlated with FEV1 and FVC (p<0.01); there was negative correlation between BASFI and BASMI (p<0.01). But significant relationship was not determined LE and BASDAI (p>0.05). FEV1 and FVC values were negative correlation with LE, BASFI and BASMI (p<0.05). There was no significant correlation between BASDAI and FEV1, FVC values (p<0.01) ). There were no statistically significant relationship between ASQOL and the pulmonary function tests. (p>0.05) As pulmonary involvement in AS patients was detected, we have found its effects on disease activity, patients functionality and spinal mobility in the results of our study. But as expected there was no significant relationship between pulmonary function tests and life qualityÖğe Effects of ultrasound-guided botulinum toxin type-A injections with a specific approach in spastic cerebral palsy(Springer Heidelberg, 2018) Buyukavci, Raikan; Buyukavci, Mehmet AkifThe aim of this study was to detect effects of ultrasound-guided botulinum toxin type-A (US-guided BoNT-A) injections prepared according to lower extremity innervation zones on spasticity and motor function in 3-16 years children with diplegic and hemiplegic spastic cerebral palsy. This study included 25 patients between 3 and 16 years of age who admitted to our clinic in 2017, were being followed in our clinic with a diagnosis of cerebral palsy, had BoNT-A injections due to lower extremity spasticity. The US-guided BoNT-A injections were administered into the spastic muscles using a specific approach according to innervation zones of muscle. Modified Ashworth Scale (MAS) and Gross Motor Functional Classification System (GMFCS) were assessed at the baseline, and 4 and 12 weeks after the BoNT-A injections. Minimum and maximum ages of the patients were 45 and 192 months, and gender distribution was 8 females and 17 males. Significant decreases in the MAS scores of the knee and ankle tones were measured 4 and 12 weeks after the BoNT-A injection when compared to the baseline scores (p < 0.025). Hip muscle tonus only decreased 12 weeks after the injection (p < 0.025). In parallel with a reduction in spasticity GMFCS improved from 3 to 2 in the 4th and 12th weeks. US-guided BoNT-A injections with Euro-musculus approach is a practical and effective method to perform injections into proper points of proper muscles in children with spastic cerebral palsy.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, 2018) Buyukavci, Raikan; Akturk, Semra; Ersoy, YukselBACKGROUND: 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 Evaluation of blood neutrophil-lymphocyte ratio and platelet distribution width as inflammatory markers in patients with fibromyalgia(Springer London Ltd, 2017) Akturk, Semra; Buyukavci, RaikanFibromyalgia syndrome (FMS) is characterized by chronic widespread pain and systemic symptoms. The aetiology and pathogenesis of fibromyalgia are not yet fully understood. Blood neutrophil/lymphocyte ratio (NLR) is a marker of systemic inflammatory response. Platelet distribution width (PDW) and mean platelet volume (MPV) are the determinants of platelet activation and studied as markers in inflammatory diseases. The aim of the present study was to evaluate levels of NLR,PDW and MPV in patients with fibromyalgia. A total of 197 FMS patients and 53 healthy controls are included in the study. Demographic characteristics, erythrocyte sedimentation rate, C-reactive protein, neutrophil, lymphocyte and platelet counts, platelet distribution width and mean platelet volume levels were recorded. In the patient group, the blood NLR and MPV were significantly higher and the PDW was significantly lower compared to the control group. In the roc curve analysis, blood PDW >= had 90.4% sensitivity and 90% specificity in predicting fibromyalgia. The results of this study suggest NLR and PDW as promising inflammatory markers indicating fibromyalgia and may be beneficial in facilitating the diagnosis of FMS patients.Öğe Functional outcomes following ultrasound-guided botulinum toxin type A injections to reduce spastic equinovarus in adult post-stroke patients(Pergamon-Elsevier Science Ltd, 2018) Akturk, Semra; Buyukavci, Raikan; Ersoy, YukselObjective: The aim of this study is to identify the effect on spasticity and walking of US-guided botulinum toxin type A (BoNT-A) injections administered to improve equinovarus walking pattern commonly observed in patients after stroke. Material and method: Twenty-three patients with post-stroke spastic equinovarus deformity were recruited. The US-guided BoNT-A injections were administered into the spastic muscles (including gastrocnemius; GK, soleus; S and tibialis posterior; TP) using a specific approach, and all of the patients were enrolled in rehabilitation programmes after the injections. Modified Ashworth Scale (MAS), Brunnstrom stage of lower limb, Functional Ambulation Score (FAS), Preferred Gait Speed (PGS) and the six-minute walk test (6MWT) were assessed at the baseline, 4 and 12 weeks after the BoNT-A injection. Results: Significant decreases in the MAS scores of the lower limb muscle (GK, S and TP) tone were measured 4 and 12 weeks after the BoNT-A injection when compared to the baseline scores (p < 0.05). In parallel with a reduction in spasticity there was an increase in 6MWT and PGS in the 4th and 12th weeks. Increases in motor improvement and functional ambulation score were ensured in the 12th week (p <0.05). Conclusion: Spastic equinovarus deformity observed in patients after stroke creates significant limitations in the patient's functional walking speed and distance. As a result, when BoNT-A injections accompanied by ultrasound to improve equinovarus deformity considering the innervation zones of the muscles with a specific approach are administered directly into the muscle at the correct point, we can say it provides hopeful results from a functional point of view. (C) 2018 Elsevier Ltd. All rights reserved.Öğe Functional outcomes following ultrasound-guided botulinum toxin type A injections to reduce spastic equinovarus in adult post-stroke patients(Pergamon-elsevıer scıence ltd, the boulevard, langford lane, kıdlıngton, oxford ox5 1gb, england, 2018) Akturk, Semra; Buyukavci, Raikan; Ersoy, YukselObjective: The aim of this study is to identify the effect on spasticity and walking of US-guided botulinum toxin type A (BoNT-A) injections administered to improve equinovarus walking pattern commonly observed in patients after stroke. Material and method: Twenty-three patients with post-stroke spastic equinovarus deformity were recruited. The US-guided BoNT-A injections were administered into the spastic muscles (including gastrocnemius; GK, soleus; S and tibialis posterior; TP) using a specific approach, and all of the patients were enrolled in rehabilitation programmes after the injections. Modified Ashworth Scale (MAS), Brunnstrom stage of lower limb, Functional Ambulation Score (FAS), Preferred Gait Speed (PGS) and the six-minute walk test (6MWT) were assessed at the baseline, 4 and 12 weeks after the BoNT-A injection. Results: Significant decreases in the MAS scores of the lower limb muscle (GK, S and TP) tone were measured 4 and 12 weeks after the BoNT-A injection when compared to the baseline scores (p < 0.05). In parallel with a reduction in spasticity there was an increase in 6MWT and PGS in the 4th and 12th weeks. Increases in motor improvement and functional ambulation score were ensured in the 12th week (p <0.05). Conclusion: Spastic equinovarus deformity observed in patients after stroke creates significant limitations in the patient's functional walking speed and distance. As a result, when BoNT-A injections accompanied by ultrasound to improve equinovarus deformity considering the innervation zones of the muscles with a specific approach are administered directly into the muscle at the correct point, we can say it provides hopeful results from a functional point of view. (C) 2018 Elsevier Ltd. All rights reserved.Öğe Median nerve ultrasound in carpal tunnel syndrome with normal electrodiagnostic tests(Springer Heidelberg, 2020) Akturk, Semra; Buyukavci, Raikan; Ersoy, YukselIntroduction To evaluate the ultrasound findings of the median nerve in patients with clinical assigned carpal tunnel syndrome but normal nerve conduction studies. Methods This prospective, cross-sectional study involved 41 patients (51 hands) with clinically assigned CTS and normal nerve conduction studies and 20 healthy controls (30 hands). Ultrasonography was performed in all participants, and cross-sectional area (CSA), hypoechogenicity, and mobility of the median nerve were evaluated. All patients were assessed with Boston Carpal Tunnel Questionnaire (BCTQ). Results CSA of the median nerve in the wrist was significantly higher in the patient group when compared to the control group. Echogenicity and mobility were significantly decreased in the patient group. Ultrasound abnormalities were positively correlated with clinical features. A significant correlation was observed among sensory loss, provocative tests, body mass index, BCTQ, and high CSA. Conclusion US can help the clinicians with the diagnosis of carpal tunnel syndrome in patients with clinical symptoms but negative nerve conduction study results.Öğe Neuropathic pain in patients with post-COVID-19(Kare Publ, 2023) Comruk, Emine Burcu; Buyukavci, Raikan; Comruk, Erol; Akturk, Semra; Ersoy, YukselOBJECTIVE: In this study, we aimed to determine the continuing pain during the post-COVID-19 period the frequency of neuropathic pain in these patients, and the factors affecting the frequency. METHODS: A total of 209 participants were included in the study who had COVID-19 disease (PCR-positive) aged 18-75 years. The demographic characteristics and COVID-19 severity data were recorded by questioning the patients. The musculoskeletal pain was also assessed using Visual Analog Scale (VAS) and the extended Nordic musculoskeletal system questionnaire (NMQ-E). In addition, the neuropathic components of pain were evaluated using the Leeds Assessment of neuropathic symptoms and Signs (LANSS) pain scale and the Pain-DETECT questionnaire (PDQ). RESULTS: The mean time elapsed since COVID-19 was 5.76 & PLUSMN;2.95 months (min, 1; max, 12). Six patients (2.9%) had neuropathic pain according to the LANSS score, and 12 patients (5.7%) according to the PDQ score. The NMQ-E indicated that the most pain was detected in the back (20.1%), low back (15.3%), and knee (11.5%) regions during the post-COVID-19 period. According to both neuropathic pain scales; low back pain (p=0.001/0.001) and knee pain (p=0.001/0.01) were more common in patients with PDQ/LANSS neuropathic pain. Logistic regression analysis showed that there were significant associations between neuropathic pain and acute COVID-19 VAS score. CONCLUSION: This study demonstrated that musculoskeletal pain was prominent mostly in the back, low back, and knee during the post-COVID-19 period. The incidence of neuropathic pain was 2.9%-5.7% depending on the evaluation parameters. Neuropathic pain is a finding that should be considered during the post-COVID-19 period.Öğe Patient with multiple sclerosis diagnosis after fibula fracture: Holistic view of a rehabilitation patient(2019) Buyukavci, Raikan; Gunes, Hatice Kubra; Ismailoglu, Ali Recai; Akturk, SemraMultiple 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) Akturk, Semra; Buyukavci, Raikan; Ersoy, YükselAim: 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 motor performance and femoral cartilage thickness in children with Down syndrome(Springer Heidelberg, 2021) Buyukavci, Raikan; Buyukavci, Mehmet Akif; Akturk, Semra; Arslan, Feyzullah Necati; Dogan, Derya; Canaloglu, Sinem KortayDown syndrome (DS) is a genetic disorder associated with mental and motor developmental delays in childhood. The aim of this study was to investigate the relationship of the femoral cartilage thickness with motor performance in children with Down syndrome (DS). A total of 39 children with DS in the age range of 12-42 months were included in the study (female/male: 21/18; mean age: 23.4 +/- 8.2 months). Femoral cartilage thickness was measured with ultrasound in the medial and lateral condyles and intercondylar areas of both knees. Gross motor subtest scaled scores of the Bayley Scales of Infant and Toddler Development III were used for the motor performance assessment. There was a positive correlation between the gross motor scaled scores and the femoral cartilage thickness in both knee joints (p < .05; r = 0.415 for the right medial condyle; r = 0.323 for the right lateral condyle; r = 0.339 for the right intercondylar area; r = 0.369 for the left medial condyle; r = 0.364 for the left lateral condyle, and r = 0.590 for the left intercondylar area). The study demonstrated that the femoral cartilage thickness was positively correlated with gross motor functioning in children with DS.Öğe Relationship between musculoskeletal disorders and physical inactivity in adolescents(Springer Heidelberg, 2019) Aktuerk, Semra; Buyukavci, Raikan; Aktuerk, UmmuhanPurposeTo determine the correlation between musculoskeletal system disorders and the physical activity levels of adolescents.MethodsA total of 417 high school students were included in this cross-sectional study. To explain the musculoskeletal pain and physical activity, a self-administered questionnaire which included the Nordic International Physical Activity Questionnaire Short Form (IPAQ-SF) was distributed.ResultsThe standardised Nordic musculoskeletal questionnaire showed that 57.3% of the students reported having musculoskeletal disorders in one or more body parts, and 52.2% of them consisted of girls. The mean weekly energy consumption as linked to the physical activity of the participants was found to be 2534.58 (2371.31) metabolic equivalent task (MET/wk): 45.8% of the individuals exhibited low levels of activity. A statistically significant relationship was found between experiencing upper/low back pain and the participants' low physical activity levels.Conclusions p id=Par4The current study has shown that the prevalence of MSDs was high among high school students, with a correlation being found between low physical activity and back pain. Physical activity levels should hence be considered when evaluating adolescents with musculoskeletal disorders.
