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    Effectiveness of High-Intensity Laser Therapy in Subacromial Impingement Syndrome
    (Mary Ann Liebert, Inc, 2016) Karaca, Burcu
    Objective: The short-term effectiveness of high-intensity laser therapy (HILT) was investigated as a retrospective case series for the treatment of the pain and disability associated with subacromial impingement syndrome (SAIS). Materials and methods: A total of 42 patients, who were diagnosed with subacromial impingement syndrome, underwent a total of nine sessions (three sessions per week) of high-intensity laser therapy. The patients were evaluated before therapy and 8 weeks after therapy using the pain and disability subscales and the total scores of the Shoulder Pain and Disability Index (SPADI), as well as scores for the University of California at Los Angeles (UCLA) shoulder rating scale. Results: Significant differences were observed between SPADI pain, disability, and total scores and UCLA scores of the patients. Conclusions: HILT was found to be effective in the short term in the treatment of pain and disability in patients with SAIS.
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    Factors Affecting Poststroke Sleep Disorders
    (Elsevier Science Bv, 2016) Karaca, Burcu
    Objective: The aim of this study is to evaluate the sleep quality of stroke patients, to present the influencing factors, and thus to provide more effective rehabilitation in hospitals' inpatient clinics. Materials and Methods: Twenty-three stroke patients who received inpatient treatment at Bolu Physical Therapy and Rehabilitation Hospital were retrospectively evaluated in the study. Educational background, occupation, body mass index, symptom duration, etiology, dominant hemisphere, affected hemisphere, comorbid diseases, and Brunnstrom recovery stages (9), Pittsburgh Sleep Quality Index (PSQI) score, Beck Depression Inventory (BDI) score, and Functional Independence Measure score were assessed. Results: In multivariate linear regression analysis, we found that BDI score (P = .030) and comorbid diseases (P = .040) had the highest effect on change in PSQI. Conclusions: Depression and comorbid diseases were the most effective factors on poststroke sleep disorder in patients who underwent neurological rehabilitation and they should be managed to increase the efficacy of the neurological rehabilitation.
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    Outcomes of Botulinum Toxin Type A Injection Followed by Rehabilitation in Cases of Cerebral Palsy With Upper Extremity Involvement
    (Sage Publications Inc, 2016) Karaca, Burcu; Unlu, Ece; Kose, Gulsen; Gonen, Emel; Cakci, Aytul
    We evaluated the efficiency of botulinum toxin type A injection followed by a rehabilitation program including individual therapy, group therapy, and occupational therapy in cases of cerebral palsy with upper extremity involvement. A total of 29 injections were performed on 25 patients, and the patients were placed on rehabilitation program. At 3-month and 6-month assessments, there was a significant improvement in lateral grip strength, 9 Hole Peg test, Upper Limb Physician's Rating Scale and pediatric functional independence measure total scores. There were significant decreases in active range of motion in elbow extension, supination, and wrist extension, and Modified Ashworth Scale in elbow flexion, elbow pronation, and wrist flexion at 6-week, 3-month, and 6-month assessments. Combination of group therapy with traditional therapy methods after injection is effective in cases of cerebral palsy with upper extremity involvement.