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  • Küçük Resim
    Öğe
    Akut lumbar disk hernili hastalarda uygulanan konservatif ve cerrahi tedavilerin uzun dönem sonuçlarının karşılaştırılması
    (İnönü Üniversitesi, 1995) Ersoy, Yüksel
    Akut lumbar disk hernilerinde, cerrahi veya konservatif tedavinin tercih edilmesi için, cauda equina sendromu dışında netleşmiş kriterler mevcut değildir. İlerleyici nörolojik defisitin bulunması ve konservatif tedaviye cevap vermeyen dayanılmaz ağrının mevcudiyetinin cerrahi tedavi endikasyonu taşıdığı, hafif nörolojik defısit olması veya hiç olmaması, hastanın günlük yaşam aktivitelerini fazla etkilemeyen ağrının mevcudiyeti ve radyolojik olarak küçük boyutlu herniasyonların tesbit edilmesinin ise konservatif tedavi için uygun endikasyonlar olduğu büyük çoğunluk tarafından kabul edilmektedir. Ancak hastalığın spektrumunda bu iki uç arasında kalan, yani hafıf-orta şiddette fakat ilerlemeyen nörolojik defısiti olan, orta şiddette ağrısı ve günlük yaşam aktivitelerinde sıkıntısı olan hasta grubunda hangi tedavinin seçilmesi gerektiği konusunda görüş birliği yoktur. Bu tür hastalarda her iki tedavi şeklinin ağrı, günlük yaşam aktiviteleri ve fonksiyonel kapasite yönünden uzun dönem sonuçlarını karşılaştırmak üzere bir klinik çalışma gerçekleştirdik. Çalışma, hastanemizin nöröşirürji ve FTR polikliniklerine başvurarak klinik ve radyolojik olarak akut lumbar*disk hernisi tanısı konan toplam 65 hasta üzerinde yapıldı. Tedavi öncesi ve tedavi sonrası üçer aylık periodlarla değerlendirilen hastaların ağrı şiddeti, Roland Morris Disabilite skorları, modifiye schober değerleri ve ağrısu yürüme mesafeleri kaydedildi. Ortalama 13.6 ay (9-18) izlenen; 25’i cerrahi ve 40’ı konservatif olarak tedavi edilmiş hastalar arasında ağrı, günlük yaşam aktiviteleri ve fonksiyonel kapasite yönünden anlamlı bir fark tesbit edilmedi.
  • Küçük Resim Yok
    Öğe
    Ankilozan spondilitli hastalarda etanercept tedavisinin etkinliği ve güvenilirliği
    (2010) Kalı, Gökhan; Ersoy, Yüksel; Durmuş, Bekir; Altay, Zuhal; Baysal, Özlem; Ersoy, Yasemin
    Amaç: Bu çalışmanın amacı; ankilozan spondilit (AS)’li hastalarda etanercept tedavisinin etkinliğini ve güvenilirliğini araştırmaktır. Gereç ve Yöntem: 21 AS’li hasta tedavi öncesi ve 6 aylık tedaviden sonra klinik ve laboratuvar parametrelerle değerlendirildi. Tedavinin etkinliği ayrıca Uluslararası AS Çalışma Grubu (ASAS)’nun AS’te tedaviye yanıt kriterleri olan ASAS-20, ASAS-40, ASAS-5/6, ASAS parsiyel remisyon ve BASDAI-50 yanıtı ile belirlendi. Bulgular: 6 aylık etanercept tedavisinden sonra klinik ve laboratuvar değerlendirme parametrelerinin tümünde istatistiksel olarak anlamlı iyileşme görüldü. Ayrıca 18 hastada ASAS-20, 16 hastada ASAS-40, 14 hastada ASAS-5/6, 10 hastada ASAS parsiyel remisyon ve 16 hastada BASDAI-50 yanıtları elde edildi. Ciddi yan etki nedeni ile tedaviyi bırakmak zorunda kalan hasta olmadı. 4 hastada enjeksiyon yeri reaksiyonu, 1 hastada eritem, 1 hastada bulantı-kusma şikayeti tespit edildi. Sonuç: Bulgularımız, etanercept tedavisinin AS’li hastalarda etkili olduğunu ve güvenle kullanılabileceğini göstermektedir.
  • Küçük Resim
    Öğe
    Ankilozan Spondilitli Hastalarda Etanercept Tedavisinin Etkinliği ve Güvenilirliği+
    (İnönü Üniversitesi Tıp Fakültesi Dergisi, 2010) Kalı, Gökhan; Ersoy, Yüksel; Durmuş, Bekir; Altay, Zühal; Baysal, Özlem; Ersoy, Yasemin
    Bu çalışmanın amacı; ankilozan spondilit (AS)’li hastalarda etanercept tedavisinin etkinliğini ve güvenilirliğini araştırmaktır. Gereç ve Yöntem: 21 AS’li hasta tedavi öncesi ve 6 aylık tedaviden sonra klinik ve laboratuvar parametrelerle değerlendirildi. Tedavinin etkinliği ayrıca Uluslararası AS Çalışma Grubu (ASAS)’nun AS’te tedaviye yanıt kriterleri olan ASAS-20, ASAS-40, ASAS-5/6, ASAS parsiyel remisyon ve BASDAI-50 yanıtı ile belirlendi. Bulgular: 6 aylık etanercept tedavisinden sonra klinik ve laboratuvar değerlendirme parametrelerinin tümünde istatistiksel olarak anlamlı iyileşme görüldü. Ayrıca 18 hastada ASAS-20, 16 hastada ASAS-40, 14 hastada ASAS-5/6, 10 hastada ASAS parsiyel remisyon ve 16 hastada BASDAI-50 yanıtları elde edildi. Ciddi yan etki nedeni ile tedaviyi bırakmak zorunda kalan hasta olmadı. 4 hastada enjeksiyon yeri reaksiyonu, 1 hastada eritem, 1 hastada bulantı-kusma şikayeti tespit edildi. Sonuç: Bulgularımız, etanercept tedavisinin AS’li hastalarda etkili olduğunu ve güvenle kullanılabileceğini göstermektedir.
  • Küçük Resim
    Öğe
    Ankilozan Spondilitli Hastalarda Nörolojik Komplikasyonlar+
    (Turgut Özal Tıp Merkezi Dergisi, 2000) Ataoğlu, Safinaz; Altay, Zühal; Ersoy, Yüksel
    In this study we aimed to investigate the neurological complications in patients with ankylosing spondylitis involving the spine. Material and Methods: Forty-eight cases with ankylosing spondylitis were included in this study. Conventional radiogram, computerized tomography and magnetic resonance imaging of cervical, thoracic and lumbar regions were obtained from each patient for examination of the neurological complications. Results: We identified single nerve root compression in two cases (4.16 %). One of them was in L3, and the other one was in L5 intervertebral disc space. The other neurological complications have not been observed. Conclusion: As a conclusion, we observed that; a) the frequency of neurological complications in patients with ankylosing spondylitis is not high, b) the localization of neurological complications is often the lumbar region, and c) the type of neurological complication is usually single nerve root compression.
  • Küçük Resim
    Öğe
    Ankilozan spondilitli hastalarda yaş ve cinsiyete göre düzeltilmiş göğüs ekspansiyonunun klinik pratikte kullanımı
    (Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 2011) Durmuş, Bekir; Altay, Zuhal; Baysal, Özlem; Ersoy, Yüksel; Hacıevliyagil, Süleyman Savaş; Baysal, Tamer; Aytemur, Zeynep Ayfer; Doğan, Erdal
    Öz: Amaç: Bu çalışmanın amacı; ankilozan spondilit (AS)’li hastalarda yaş ve cinsiyete göre düzeltilmiş göğüs ekspansiyonunun klinik pratikte kullanı mının uygun olup olmadığını ve göğüs ekspansiyonunun pulmoner fonk siyonlar ve hastalık şiddeti ile ilişkisini araştırmaktır. Gereç ve Yöntem: Çalışmaya 82 AS’li hasta ve 42 sağlıklı gönüllü alındı. Hastalar, yaş, cinsiyet ve düzeltilmiş göğüs ekspansiyonuna göre; göğüs ekspansiyonu kısıtlanmış ve kısıtlanmamış olmak üzere iki gruba ayrıldı. Hastalar, klinik parametrelere ek olarak, Bath AS Disease Activity Index (BASDAI), Bath AS Functional Index (BASFI) ve Bath AS Metrology Index (BASMI) ile değerlendirildi. Bulgular: Zorlu vital kapasite ve 1. saniyedeki zorlu ekspiratuar hacim; göğüs ekspansiyonu kısıtlanmış hastalarda, kısıtlanmamış hastalar ve kont rol grubuna göre anlamlı derecede azalmış bulundu. Ağrı, BASFI ve BASMI skorları, göğüs ekspansiyonu kısıtlanmış grupta istatistiksel olarak anlamlı düzeyde yüksekti. Göğüs ekspansiyonu, klinik parametreler ve solunum fonksiyon testleri ile anlamlı derecede korele idi. Sonuç: AS’li hastalarda yaş ve cinsiyete göre düzeltilmiş göğüs ekspansi yonunun klinik pratikte kullanılmasının daha uygun olduğu ve göğüs eks pansiyonunun pulmoner fonksiyonlar ve hastalık şiddeti ile ilişkili olduğu kanısına varıldı. Türk Fiz Tıp Rehab Derg 2011;57: 128-33. Başlık (İngilizce): Clinical use of chest expansion corrected for age and sex in patients with ankylosing spondylitis
  • Küçük Resim
    Öğe
    Atlanto odontoid osteoarthritis in rheumatoid arthritis dynamic CT findings
    (Clin Rheumatol, 2004) Baysal, Özlem; Baysal, Tamer; Sığırcı, Ahmet; Ersoy, Yüksel; Altay, Zuhal
    We analyzed the CT appearances of degenerative change in the atlanto-odontoid joint (AOJ) in patients with rheumatoid arthritis (RA) and evaluated the effect of these changes on atlanto-axial joint (AAJ) rotation by dynamic CT. This revealed that 9 patients (24%) treated with methotrexate had degenerative features in the AOJ. The ratio of AAJ rotation to the total rotation of the cervical spine was significantly higher in normal subjects (54±3%) than in patients (38±12%). The degree of AAJ rotation was significantly lower in the patient group with degenerative features in the AOJ (20.9±8.4) than in patients without degenerative features (28.5±7.4). RA patients with a history of longstanding disease and treatment with antirheumatic drugs may develop AO OA. Although secondary OA was described as healing phenomena in the joints of RA patients, it can limit rotation in the AAJ and cause suboccipital neck pain. A regular check-up of the AAJ and AOJ by means of dynamic CT in all RA patients is proposed to avoid possible antirheumatic drug complications.
  • Küçük Resim Yok
    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, Yüksel
    Objective: 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.
  • Küçük Resim
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    Comparison of motor functions according to stroke type in hemiplegic patients with a specific level of disability
    (2019) Kızılay, Fatma; Toy, Seyma; Akyol, Betül; Ersoy, Yüksel
    Abstract: Aim: 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.
  • Küçük Resim
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    Demographic and clinical characteristics of patients with spinal cord injuries: Two years’ experience at a tertiary rehabilitation center
    (2018) Buyukavci, Raikan; Akturk, Semra; Ersoy, Yüksel
    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.
  • Küçük Resim Yok
    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, Raikan
    Abstract: 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.
  • Küçük Resim
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    Diz Osteoartritinde Ultrason, Kesikli Kısa Dalga Diatermi ve Bisiklet Egzersizlerinin Etkinliği
    (İnönü Üniversitesi Tıp Fakültesi Dergisi, 2010) Berktaş, Serap; Durmuş, Bekir; Baysal, Özlem; Altay, Zühal; Ersoy, Yüksel
    Bu çalışmanın amacı; diz osteoartriti (OA) olan hastalarda farklı fizik tedavi kombinasyonlarına ilave edilen bisiklet egzersizlerinin; ağrı, fonksiyonel durum ve yaşam kalitesine katkısının olup olmadığını araştırmaktır. Gereç ve Yöntem: 80 diz OA’li hasta rastgele yöntemle dört gruba ayrılarak; 1. gruba sıcak paket + transkutanöz elektriksel sinir stimülasyonu (TENS) + ultrason, 2. gruba sıcak paket + TENS + kesikli kısa dalga diatermi (KDD), 3. gruba sıcak paket + TENS + ultrason + bisiklet egzersizi, 4. gruba ise sıcak paket + TENS + kesikli KDD + bisiklet egzersizi uygulandı. Tedavi programı 3 hafta süreyle uygulandı. Hastalar; ağrı, 50 adım yürüme süresi ve eklem hareket açıklığı ile değerlendirildiler. Bulgular: Tedavi bitiminde grupların hepsinde istatistiksel olarak anlamlı düzelme görüldü. Bisiklet egzersizlerinin uygulandığı 3. ve 4. grupta ağrı ve 50 adım yürüme süresi istatistiksel olarak anlamlı düzeyde diğer gruplardan daha iyiydi. Sonuç: Bisiklet egzersizleri ile birlikte uygulanan fizik tedavi kombinasyonlarının tek başına uygulanan fizik tedavi kombinasyonlarından daha etkili olduğu sonucuna varıldı.
  • Küçük Resim Yok
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    Diz osteoartritli olgularda diadinamik ve interferansiyel akımların tedavideki etkinlikleri
    (2000) Ersoy, Yüksel; Meral, Ülkü; Kabasakal, Sevim A.; Baysal, Özlem; Altay, Zühal E.; Kıtlık, Filiz
    Öz: Bu çalışma, ACR kriterlerine göre diz osteoartriti tanısı konulmuş olan 30 hasta üzerinde diadinamik ve interferansiyel akım modalitelerinin etkinliklerini araştırmak üzere planlandı. Bu amaçla, olgular 15'er kişiden oluşan yaş ve cinsiyetleri uyumluluk gösteren iki gruba ayrılarak her iki gruba da yüzeyel ve derin ısıtıcılardan oluşan tedavi modalitelerini takiben; ilk gruba diadinamik akımlar (DD grubu), diğer gruba ise interferansiyel akımlar (IF grubu) uygulandı. Her iki gruba da tedavi sonrası standart egzersiz programı önerildi. Olgular; ağrı şiddeti, sabah katılığı süresi, aktif ve pasif diz eklem hareket açıklıkları, 15 m mesafeyi yürüme süresi, 10 basamaklı merdivenleri çıkış ve iniş süreleri, fonksiyonel kısıtlanma profili skorları ile ilaç gereksinimi bakımından tedavi öncesi ve sonrası değerlendirildiler. Her iki gruptaki olgularda tedavi öncesi ile sonrası kıyaslandığında incelenen tüm semptomatik ve fonksiyonel parametrelerde istatistiksel olarak anlamlı iyileşmeler olduğu (p<0.05) ve grupların kendi aralarında yapılan kıyaslamada ise incelenen parametreler bakımından gruplar arasında istatistiksel olarak anlamlı bir farkın olmadığı tespit edildi (p>0.05). Bu veriler her iki tedavi modalitesinin de diz osteoartritli hastaların tedavisinde etkili olduklarını, fakat etkinlikleri bakımından birbirlerine üstünlüklerinin olmadığını göstermektedir. Her iki modalitenin de diz osteoartritinin tedavisinde etkili oldukları ve birbirlerine üstünlüklerinin bulunmadığı sonucuna varıldı.
  • Küçük Resim Yok
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    Does Osteoporosis with Type 2 Diabetes Mellitus (Diabetoporosis) increase the risk of fracture?
    (2018) Büyükavcı, Raikan; Aktürk, Semra; Ersoy, Yüksel
    Our 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.
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    The Effects of Kinesio Taping on Reaction Time, Pain, Hand Grip Strength and Upper Extremity Functional State in Patients with Lateral Epicondylitis
    (2021) Toy, Şeyma; Şenol, Deniz; Çiftci, Rukiye; Kızılay, Fatma; Ersoy, Yüksel
    Abstract: Purpose: This study aims to evaluate the effects of kinesio taping (KT) in addition to conventional physiotherapy methods, on visualreaction time (VRT) and auditory reaction time (ART), pain, handgrip strength (HGS), and upper extremity function in patients withlateral epicondylitis (LE).Materials and Methods: 70 patients diagnosed with LE by a physician in a university hospital were included in the study. Patientswith LE were randomly divided into “Inhibitory KT” (IKT) and “Sham KT” (SKT) groups. Visual Analog Scale (VAS) measureswere made at rest (VAS-R), with movement (VAS-M), and at night (VAS-N) separately. Hubbard Scientific reaction timer for VRTART assessment, quick disability of the arm, shoulder, and hand questionnaire (Quick DASH) for the functional state, and Jamar handdynamometer measurements for HGS were recorded for pre-treatment and post-treatment comparisons.Results: In pre-treatment and post-treatment group comparison, it was found that both groups showed statistically significant recoveryin all parameters (p<0.05). When post-treatment data of the groups were compared, it was found that VAS-M, VAS-R, VRT, and ARTscores showed a statistically significant decrease in the IKT group (p<0.05).Conclusion: The present study shows that KT application in addition to conventional physiotherapy was an effective method in LE’sconservative treatment. Statistically significant differences were found on pain, reaction time (RT) scores in favor of the IKT groupwhen the post-treatment results of both groups were compared
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    Efficiency of high intensity laser therapy in patients with knee osteoarthritis
    (2018) Ersoy, Yüksel; Büyükavcı, Raikan; Aktürk, Semra; Çıplak, Ezgi Deniz
    Abstract: 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.
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    Endoscopy Assisted Percutaneous Repair for Achilles Tendon Rupture Instead of Open Surgical Treatment
    (2015) Görmeli, Gökay; Ersoy, Yüksel
    Abstract: Achilles tendon (AT) is the strongest and most ruptured tendon due to increasing sports activities. Operative treatment techniques for AT ruptures are open, percutaneous or endoscopic assisted percutaneous techniques. Endoscopy-assisted percutaneous suturing of the Achilles tendon is an optimal treatment with cosmetic wound healing and short time recovery which may be the first choice for patients with AT rupture with wound healing problems and for athletic population with better clinical outcomes than other treatment methods.
  • Küçük Resim Yok
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    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, Yüksel
    BACKGROUND: 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.
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    An Evaluation of the Efficacy of ESWT and Placebo-ESWT Treatment for Chronic Plantar Fasciitis
    (2016) Akyol, Gülsen; Ersoy, Yüksel
    Abstract: The aim of this study was to evaluate the short-term effectiveness on heel pain and daily activities of extracorporeal shock wave therapy (ESWT) and placebo- ESWT in the treatment of chronic plantar fasciitis. A total of 42 patients diagnosed with chronic plantar fasciitis ongoing for at least 6 months were randomly separated into 2 groups. Group 1 (study group, n=21) were administered a total of 5 sessions of ESWT treatment at once a day for days with an EMS (Electro Medical System) Swiss DolorClast Master ESWT device at frequency 10-15 Hz, 2-3 bar pressure with 2000 shocks per session. Group 2 (control group, n=21) were administered placebo-ESWT. The pain levels were evaluated with a Visual Analog Scale (VAS) and the heel pain together with range of movement and activities with Roles-Maudsley (RM) scoring. Comparisons were made of the values pre-treatment and at 1 week and 5 weeks post-treatment. In the VAS values of the study group, a decrease was determined of 43.39% in post-treatment week 1 and of 70.37% in week 5 compared to pre-treatment values. The RM pain score reduced by 28.4% in week 1 and by 56.79% in week 5. In the control group, the VAS scores reduced by 17.13% and 16.03% and the RM scores by 8.86% and 11.4% respectively at weeks 1 and 5 post-treatment. The reductions in the treatment and control groups were found to be statistically significant and when the changes were compared between the two groups, the differences were found to be statistically significant. The treatment group was determined to have made statistically significantly more improvement than the control group. ESWT was seen to be a safe and effective treatment choice with shortterm efficacy in the treatment of chronic plantar fasciitis
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    Evaluation of visual and auditory reaction time, pain, and hand grip strength performance before and after conventional physiotherapy in patients with herniated cervical intervertebral disc with radiculopathy
    (2021) Şenol, Deniz; Kızılay, Fatma; Toy, Seyma; Çiftci, Rukiye; Ersoy, Yüksel
    OBJECTIVE: Herniated cervical intervertebral disc (cervical disc herniation [CDH]) with radiculopathy is known to occur in seven or eight out of 100 people worldwide. This disease causes movement limitation, loss of strength, and pain of upper extremity. The aim of this study is the effect of conventional physiotherapy agents on predetermined parameters in patients with cervical radiculopathy and to compare the results with healthy controls. METHODS: A total of 102 patients with CDH with radiculopathy and 98 healthy controls were included in the study. Visual reaction time (VRT) and auditory reaction time (ART) measurements were evaluated with reaction timer, while the pain was assessed with visual analog scale (VAS) and handgrip strength (HGS) assessed with hand dynamometer, respectively. Conventional physiotherapy (transcutaneous electrical nerve stimulation, hot pack application, and therapeutic ultrasound) agents were applied 5 days/week for 3 weeks as treatment protocol. RESULTS: As a result, VAS, VRT, and ART scores were significantly decreased, and HGS scores increased significantly in both female and male patients post-treatment measures (p<0.05). There was no statistically significant difference between patient group and control group measurements in post-treatment evaluations (p>0.05). CONCLUSION: This study presents the conclusion to literature that conventional physiotherapy agents have the effect of decreasing pain and regaining motor function and also a therapeutic effect on VRT and ART in the treatment of patients with CDH with radiculopathy
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    Fibromyalji sendromlu hastalarda olaya ilişkin endojen potansiyeller (P300)
    (Romatizma Dergisi (. Turkish Journal of Rheumatology), 2000) Baysal, Özlem; Özcan, Cemal; Ersoy, Yüksel; Altay, Ergünay Zuhal
    Öz: Fibromyalji, kronik kas iskelet sistemi ağrısı ve hassasiyeti ile karakterize non-artiküler romatizmal bir hastalıktır. Hastalarda dikkat, kısa süreli bellek ve uyku gibi bilişsel işlevlerde bozukluğa sıklıkla rastlanmaktadır. Olaya ilişkin endojen potansiyellerden P300 bilişsel işlevleri değerlendirmekte, demans ve Parkinson hastalığı gibi nörolojik hastalıkların yanısıra şizofreni ve depresyon gibi psikiyatrik hastalıklarda da uzun süredir kullanılan, uzun latanslı bir potansiyeldir. Bu çalışmada, Amerikan Romatoloji Koleji 1990 kriterlerine göre fibromyalji tanısı konan ve ilaç tedavisi başlanmamış 14 hasta ve hastalarla benzer yaş ve cinsiyet özellikleri gösteren 13 sağlıklı kontrol grubunda P300 potansiyeli çalışıldı. P300 yanıtı için hasta ve kontrollere işitsel şaşırtmalı uyaran (iki farklı tonda klik sesi) dizileri verildi. Fibromyaljili hastalardan elde edilen P300 potansiyellerinin ortalama latans (317.8±32.4 msn) ve ortalama amplitüd (12.9±7.8 mV) değerleri ile kontrol grubu ortalama latans (335.4±34.6 msn) ve ortalama amplitüd (12.9±6.8 mV) değerleri arasında istatiksel olarak (sırasıyla p=0.8 ve 0.9) fark bulunmadı.