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    ARE JOINT POSITION SENSE, TWO-POINT DISCRIMINATION, FINE MOTOR CONTROL, GRIP STRENGTH, LIGHT TOUCH SENSATION, PAIN, AND FUNCTIONALITY AFFECTED BILATERALLY IN UNILATERAL CARPAL TUNNEL SYNDROME?
    (Istanbul Univ, Fac Medicine, Publ Off, 2022) Ozaltin, Gulfem Ezgi; Adl, Havva; Talu, Burcu
    Objective: This study aimed to evaluate joint position sense, two-point discrimination, fine motor control, grip strength, light touch sensation, pain, and functionality in patients with unilater-al carpal tunnel syndrome and to determine whether these vari-ables change in the unaffected hands of patients with unilateral carpal tunnel syndrome.Materials and Methods: The study was planned as a sin-gle-blind, cross-sectional case-control study. Individuals be-tween the ages of 20-65 who were diagnosed with carpal tunnel syndrome (n=22) and healthy (n=22) were included. The device was designed for the study of measurements; discriminator; 9-hole peg test, dynamometer, and pinch meter, Semmens Weinstein monofilament test; The visual analog scale was evalu-ated bilaterally with the Boston questionnaire.Results: There was a significant difference between all measure-ments in the affected and unaffected hands between the CTS group and the control group (p<0.05). There was no significant difference between the joint position sense, two-point discrimi-nation, fine motor control, grip strength, light touch sense, and functionality between the affected and unaffected hand in the CTS group (p>0.05). Conclusion: This is the first study evaluating joint position sense in the wrist, metacarpophalangeal joints, and interphalangeal joints in unilateral CTS syndrome. It was noteworthy that patientswith unilateral carpal tunnel syndrome had deficiencies in joint position sense, fine motor control, two-point discrimination, light touch sense, and grip strength compared to the healthy control group, as well as deficiencies in the unaffected sides.
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    Effect of psoriatic arthritis on the strength, proprioception, skill, coordination, and functional condition of the hand
    (Wiley, 2022) Candiri, Busra; Talu, Burcu; Karaoba, Dilan Demirtas; Ozaltin, Gulfem Ezgi; Yolbas, Servet
    Background This study was planned to evaluate the strength, proprioception, skill, coordination, and functional condition of the hand in individuals with psoriatic arthritis and to correlate disease activity with these parameters. Methods Fifty-six individuals (psoriatic arthritis group, n = 36; control group, n = 20) were included in the study. Evaluations were performed of disease activity with Disease Activity Score 28; grip strength with a dynamometer and pinch strength with pinch gauge dynamometers; joint position sensation with a goniometer; finger skills with a mobile application; and coordination and skill of both hands with the Purdue Pegboard test. The Michigan Hand Outcomes Questionnaire (MHQ) was used for hand functional evaluation. Results There was a significant difference between the grip and pinch strength of the psoriatic arthritis group and the control group (P < 0.05). There was no significant difference between the joint position sense measurements and the mobile application scores between the groups (P > 0.05). Purdue Pegboard scores showed a significant difference only in both hands and assembly subsections (P < 0.05). With Disease Activity Score 28, significant correlations were found between grip and pinch strength, mobile application scores, Purdue Pegboard all subsections, and left-hand joint position sense average error amount, and between MHQ and grip and pinch strength. Conclusions This study is the first to show that psoriatic arthritis has a negative effect especially on hand strength; grip strength decreases as disease severity increases and, skill, coordination, and functionality of hand deteriorate.
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    Examination of Motor Imagery Ability in Individuals With Diplegic Cerebral Palsy: Case-Control Study
    (Imr Press, 2025) Karaoba, Dilan Demirtas; Ozaltin, Gulfem Ezgi; Candiri, Busra; Talu, Burcu
    Introduction: Given the important role of motor imagery (MI) in rehabilitation, this study aimed to compare MI abilities in individuals with spastic diplegic cerebral palsy (SDCP) and typically-developing (TD), and to determine the factors associated with MI ability in SDCP.Patients and Methods: This study was planned as a cross-sectional, case-control study. SDCP (n = 26) and TD (n = 26) individuals participated in the study. SDCP individuals were selected from Special Education and Rehabilitation Centers, while TD participants were recruited from relatives of patients receiving therapy at these centers and from volunteers responding to bulletin board announcements. All assessments were performed before or after the weekly physiotherapy sessions, to avoid interfering with routine physiotherapy and rehabilitation sessions. Visual and kinesthetic imagery abilities were assessed using the Movement imagery questionnaire for children (MIQ-C), Implicit MI capacity laterality task, and Explicit MI capacity mental chronometry.Results: The SDCP group had a mean age of 11.69 (3.78) years, consisting of 12 females and 14 males; 10 participants were classified as Gross Motor Function Classification System (GMFCS) Level I and 16 as Level II. The TD group had a mean age of 11.50 (2.30) years, including 16 females and 10 males. A significant difference was found between the groups in MIQ-C and mental chronometry performance (p < 0.05). While there was a significant difference in reaction time according to dominance in SDCP (p = 0.038), there was no difference in accuracy rate (p = 0.699). Reaction time and accuracy rate were significantly different between groups according to dominance (p < 0.05). There was no correlation between MIQ-C total score, dominant reaction time and accuracy rate and age, Body Mass Index (BMI), and GMFCS (p > 0.05). While age and BMI were not related to mental chronometry; GMFCS was found to have a significant positive effect on mental chronometry (p = 0.000).Conclusions: In children with SDCP MI ability differs from that of typically developing peers, being weaker across all assessed subparameters. Moreover, MI ability showed a moderate association with the GMFCS level.
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    High Tibial Osteotomy Is Associated with Improvements in Both Knee and Ankle Alignment in Medial Compartment Osteoarthritis
    (Mdpi, 2026) Oktem, Umut; Dastan, Muhammed Cihan; Avci, Hanife; Bulut, Mustafa; Ozaltin, Gulfem Ezgi; Ocguder, Durmus Ali; Tecimel, Osman
    Introduction: Medial compartment knee osteoarthritis (OA) is characterized by varus deformity. A medial open-wedge high tibial osteotomy (MOWHTO), frequently invoked in the treatment of this deformity, affects the knee as well as the ankle joints. This study aims to evaluate the radiological and clinical effects of a MOWHTO on the ankle joint. Materials and Methods: A retrospective analysis was conducted with data from 110 patients (mean age: 52 years; 74.5% female) who underwent a MOWHTO between 2020 and 2023. Radiographic assessments were conducted both preoperatively and one year after surgery using full-length weight-bearing radiographs. The measurements included several alignment parameters such as the hip-knee-ankle angle (HKA), medial proximal tibial angle (MPTA), joint line convergence angle (JLCA), lateral distal tibial angle (LDTA), and talar tilt. Clinical outcomes were assessed using the Lysholm knee score and the American Orthopedic Foot and Ankle Society (AOFAS) ankle score. Results: While changes in the LDTA demonstrated a small effect size (d = 0.225), moderate-to-large effect sizes were observed in key alignment parameters (MPTA (d = 0.838), the JLCA (d = 0.798), and talar tilt (d = 0.752)), all of which showed statistically significant differences indicative of a correction in the joint alignment of potential clinical significance. Median Lysholm and AOFAS scores at one year were 90 and 100, respectively, indicating favorable clinical outcomes. No significant difference in outcomes was observed based on the amount of correction. Conclusions: An MOWHTO not only restores knee alignment but also significantly improves ankle alignment in the coronal plane. These findings suggest that an MOWHTO is associated with the restoration of knee alignment and with improvements in ankle alignment in the coronal plane.
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    Long-term impact of self-mobilization via telerehabilitation vs. manual therapy and home exercise on pain and function in cervical degenerative disease
    (Taylor & Francis Ltd, 2025) Aygul, Gokhan; Tuncer, Aysenur; Ozaltin, Gulfem Ezgi; Celik, Erman Berk; Aygul, Bedriye Ilkay
    Purpose: Cervical Degenerative Disease (CDD) commonly leads to neck pain, functional impairment, and reduced quality of life. This study aimed to compare the long-term effects of home exercise, manual therapy, and telerehabilitation-assisted treatment on pain, functionality, and patient satisfaction in individuals with CDD. Patients and methods: Sixty-six patients diagnosed with CDD were randomly assigned to three groups: home exercise (n = 23), manual therapy (n = 22), and telerehabilitation (n = 21). All groups participated in an 8-week exercise program, with the manual therapy and telerehabilitation groups receiving additional sessions twice a week. Pain was measured using the Visual Analogue Scale (VAS), pain threshold with an algometer, neck function with the Neck Disability Index and range of motion (ROM), and patient satisfaction with the Patient Satisfaction Questionnaire-18. Results: All groups significantly improved pain, function, and ROM over time (p < 0.05). But there were no significant differences between groups at the 6-month follow-up. Manual therapy and telerehabilitation significantly enhanced patient satisfaction, particularly in communication and technical quality (p < 0.05). Conclusion: Home exercise, manual therapy, and telerehabilitation improve long-term outcomes in CDD. Manual therapy and telerehabilitation provide greater patient satisfaction, making them viable options for long-term management. Telerehabilitation can be used as an alternative when necessary.
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    The effect of proprioceptive vestibular rehabilitation on sensory-motor symptoms and quality of life
    (Assoc Arquivos Neuro- Psiquiatria, 2024) Ozaltin, Gulfem Ezgi; Talu, Burcu; Bayindir, Tuba
    Background Peripheral vestibular hypofunction (PVH) is characterized by balance and gait disorders and vestibulo-autonomic findings. The vestibular system and proprioceptive system work together to regulate sensorimotor functions. Vestibular exercises are effective in PVH, but their superiority over each other is still unclear. Objective This study aims to examine the effect of proprioceptive vestibular exercises on patients with PVH. Methods 30 individuals with unilateral PVH were assigned to 3 groups. Group 1 received proprioceptive vestibular rehabilitation, group 2 received standard vestibular rehabilitation. Both groups were given standard vestibular exercises as home exercises. No exercise was applied to the group 3. Patients were evaluated in terms of balance, functional mobility, posture, sensory profile, and quality of life. Results Although there was a significant intra-group difference in balance, functional mobility, and quality of life results in all groups ( p < 0.05), the difference between groups was generally in favor of group 1 ( p < 0.05). There was a significant difference between the groups in the posture analysis results ( p < 0.05), while there was a significant difference in the 1st group ( p < 0.05). There was a significant difference between the groups in the results of sensory sensitivity, sensory avoidance, and low recording ( p < 0.05). There was no significant difference between the groups in sensory-seeking results ( p > 0.05). There was a significant difference in quality of life between and within groups ( p < 0.05). Conclusion Proprioceptive vestibular rehabilitation is an effective method in PVH. We think that our study will guide clinicians and contribute to the literature.