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    Are visual and auditory reaction times influenced by ramadan fasting? Neuro performance study on healthy individuals
    (2019) Senol, Deniz; Kisaoglu, Aysegul; Canbolat, Mustafa; Calisgan, Elisa; Acak, Mahmut; Duz, Serkan; Ozbag, Davut
    Aim: The purpose of this study is to find out whether visual and auditory reaction time (VRT and ART) is influenced by Ramadan fasting in healthy individuals in terms of neuro performance. Materials and Methods: 60 healthy individuals (30 male, 30 female) with the mean age of 20.22±1.45 years participated in the study. First reaction measurement was collected on the second week of the date Ramadan fasting started and this period was called fasting period. Second reaction measurement was collected five days after Ramadan fasting ended and this period was called post-fasting period. VRT and ART of the samples who participated in the study were made with reaction timer device. 10 trials for sound and light stimuli were taken from each sample. The first five trials were considered as exercise and the average of the last five trials was determined as reaction time. The analysis of VRT and ART in fasting and post-fasting periods was conducted with Wilcoxon matched pairs test. In addition, Mann Whitney U test was used to analyze whether there were differences between fasting and post-fasting periods of males and females in terms of VRT and ART. Results: No statistical difference was found between the VRT and ART of males and females in fasting and post-fasting period (p>0.05). Conclusion: In this study which examined the effect of fasting on VRT and ART, it was found that males and females who participated in this study were not negatively influenced by Ramadan fasting in terms of neuro performance.
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    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 Cengiz
    Aim: 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.
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    The correlation of muscle strength, flexibility and range of motion with pain in musicians playing string instruments
    (2019) Calisgan, Elisa; Gogremis, Mehmet; İmik, Ünal; Talu, Burcu
    Abstract: The aim of this study was to determine the correlation of muscle strength, flexibility, and range of motion with pain in musicians playing string instruments. This randomized, controlled trial included 37 in musicians aged range of 19 to 41, including 17 male and 20 female string players. The mean of age, weight, height, and BMI values of musicians playing a string instrument were examined. The amount of pain parameters was measured with the visual analog scale, joints’ range of motion measured with universal goniometer and flexibility measured with Beighton Hypermobility Score. Measured variables were analyzed, compared, and correlated. The mean age of participants was 24.97±5.52 years, and the mean body mass index of participants was 21.69±2.46 kg/m2. Regarding the rough grip, pinch grip muscle strength, pain parameter scores between male and female string players, statistically significant differences were observed (p <0.05). There was no difference between male and female musicians in terms of flexibility (p>0.05). A weak positive correlation observed between muscle strength and pain parameters; a weak negative correlation observed between joints’ the range of motion and pain parameters. Also, a significantly strong negative relationship observed between flexibility and pain parameters. In conclusion, according to scores between female and male string players, statistically significant differences were noticed in the rough grip, pinch grip muscle strength, pain parameters in contrast with flexibility. This study found that flexibility and joints’ range of motion has a negative correlation with pain in musicians playing a string instrument in contrast to muscle strength.
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    Current concepts in physiotherapy and rehabilitation protocol for arthrogryposis multiplex congenita: An unusual case report
    (Bayrakol Medical Publisher, 2021) Calisgan, Elisa; Akyol, Betul
    Arthrogryposis 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.
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    The effect of vestibular and somatosensory rehabilitation in addition to early rehabilitation on balance after stroke: a randomized controlled trial
    (Taylor & Francis Ltd, 2024) Calisgan, Elisa; Talu, Burcu
    BackgroundThe goal of post-stroke early rehabilitation is to regain ambulation, standing and balance.ObjectiveThe purpose of this study was to investigate the effects of vestibular and somatosensory rehabilitation in addition to early rehabilitation on balance in patients with early subacute stroke.Design and settingA randomized controlled trial was conducted at a university hospital.MethodsThe study was included 52 hemiplegic hospitalized early suacute stroke patients. The experimental group (n: 30), was applied with vestibular and somatosensorial rehabilitation together with early rehabilitation. Vestibular exercises, included Cawthorne-Cooksey exercises, stimulate the vestibulo-ocular and vestibulo-spinal reflex. Somatosensory exercises, which included Frenkel exercises, stimulate the sensory proprioception and somatosensory systems. The control group (n: 22) patients with early subacute stroke were treated with the early rehabilitation program only. The balance parameters of the patients were evaluated with the Korebalance System, Functional Reach Test, Postural Assessment Scale for Stroke, and Functional Ambulation Scale.ResultsThe mean age of the patients was 67.32 +/- 9.46 years, and the mean number of days that had passed since the stroke occurred was7.90 +/- 7.26. In calculating the balance scores, statistically significant differences were observed in the experimental and control groups, with a statistically greater improvement in the rehabilitation group. Statistically significant differences were determined between the groups in respect of the balance scores.ConclusionsBased on these findings, the use of vestibular and somatosensory rehabilitation can be recommended for better functioning of the compensatory mechanism of early subacute-stroke hemiplegic patients in early ambulation, and this can lead to considerably improved standing and dynamic upper and lower body balance.
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    Hirayama disease: An unusual case report
    (2018) Calisgan, Elisa; Canbay, Ali; Talu, Burcu; Tecellioglu, Mehmet; Sevimli, Reşit
    Hirayama disease is an uncommon and rarely seen lower motor neuron disease. It is usually seen during periods of rapid growth (15-25 years). Distal upper extremities characteristically show weakness and atrophy. In this paper a case is presented of this rare, and difficult to diagnose disease, not previously reported in this age group, and the findings are discussed in the light of information of earlier cases in Turkey. A 53-year old male patient presented at Inonu University Neurology Polyclinic with complaints of motion tremor and atrophy in the left arm, which had been ongoing for 4 years. After electromyography, the deltoid, biceps, triceps, extensor digitorum communis, abductor pollicis brevis and abduction digiti minimi muscles were identified in the upper left limb. This case report presents information about the differential diagnosis, detailed symptoms and treatment methods of a Hirayama patient applying for physical therapy.
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    Physiotherapy outweighed multiple therapy methods of bell’s palsy: A review study
    (2017) Calisgan, Elisa; Senol, Deniz; Cay, Mahmut
    Although its etiology is not known, Bell’s palsy is commonly based on trauma, infection, nervous damage due to surgery, genetic predisposition, autoimmune disease, temporal bone fracture, cerebellar arachnoid cyst and viral infection associated with vascular ischemia and inflammation. Viral infection due to herpes zoster and herpes simplex is the most common known cause of Bell’s palsy. It is seen in about 20-35 out of 100.000 people each year. Its incidence is low in children under the age of 14 and it is more frequent within the range of 15-45 years. It is also known to occur equally in men and women. In the third trimester of pregnancy and postpartum in the first week, its frequency increases 3-fold. Unilateral paralysis, lagophthalmos, keratitis, droop of eyelid and edge of mouth, mouth and eye dryness, conjunctivitis and decreasing sensation and 2/3 taste of luxury in front of lingua are its common symptoms. 3 days from the onset of palsy, patients begin to use corticosteroid and antiviral drugs. 71% of patients had improvement after recovery but 29% of patients were shown to have hemifacial weakness and residual sequela throughout life. Synkinesis is the most common sequela of Bell’s palsy. The effects of physiotherapy methods and their different combinations with other methods on prognosis were discussed in the treatment of Bell’s palsy.