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  • Küçük Resim
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    Comparison of Kinesiotaping, Exercise and Subacromial Injection Treatments on Functionality and Life Quality in Shoulder Impingement Syndrome: A Randomized Controlled Study
    (SPRINGER HEIDELBERG, 2021) Vergili, Özge; Oktaş, Birhan; Canbeyli, İbrahim Deniz
    Purpose Disturbance of scapulohumeral rhythm has been shown to play a major role in subacromial impingement syndrome. Exercise, taping and subacromial injection are first ray conservative treatment modalities. We aimed to correct scapulohumeral rhythm with kinesio taping and exercise program via focusing on especially periscapular muscles not on glenohumeral structures to achieve scapulothorasic stabilization. Material and Methods Seventy five patients were divided into three groups randomly with different treatment modalities which are only exercise group (Group 1), kinesiotaping + exercise group (Group 2), and injection + exercise group (Group 3). Western Ontario Rotator Cuff Index (WORCI), Quick Disability of arm, shoulder, hand (Q-DASH), Constant- Murley Scores (CMS) were evaluated for each patient at the beginning, 15th and 60th days and compared in time and technique manner. Scores were analyzed statistically with One-way ANOVA and Chi-square tests. Results All the three groups had better results in short and long term follow ups as compared to initial admission. But in the second group 15th and 60th day results were superior to other groups significantly (p < 0,001). Conclusions Most of recent studies using kinesio taping were focused on mechanical correction of humerus which will be an impaired treatment to correct the main cause of impingement. Not only mechanical correction of periscapular muscles and also stabilization of scapulae will help to gain scapulohumeral rhythm.
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    Öğe
    KALKANEAL EPİN HASTALARINDA FİZİKSEL AKTİVİTE DÜZEYİNİN AYAK AĞRISI VE FONKSİYONEL PERFORMANS ÜZERİNDEKİ ETKİSİ
    (2020) Vergili, Özge; Oktaş, Birhan; Aktaş, Fatma Cansu; Arıkan, Halime; Deveci, Hülya
    AMAÇ: Kalkaneal epin, hastalara ciddi anlamda rahatsızlık vererek günlük yaşam aktivitelerini kısıtlar. Çalışmamızın amacı bu bireylerde fiziksel aktivite düzeyinin ağrı ve fonksiyonellik yanıtları üzerindeki etkisini araştırmaktı. GEREÇ VE YÖNTEM: Çalışma kalkaneal epin tanısı konmuş 41 birey ile yapıldı. Bireylerin yaş, cinsiyet, boy, kilo, beden kütle indeksi (BKİ) ve topuk ağrılarına ilişkin niteliksel ve niceliksel özellikleri sorgulandı. Bireylerin fiziksel aktivite düzeylerini değerlendirmek için Uluslararası Fiziksel Aktivite Anketi (UFAA) kullanıldı. Ayak ağrısını değerlendirmek için algometre, fonksiyonel performanslarını belirlemek için 6 dakika yürüme testi ve topuk yükseltme testi kullanıldı. BULGULAR: Bireylerin 8’i (%19,5) düşük düzeyde aktivite, 26’sı (%63,4) orta düzeyde aktivite ve 7’si (%17,1) yüksek düzeyde aktiviteye sahipti. Fiziksel aktivite düzeylerine göre sınıflandırılan bireylerde ayak ağrısı ve fonksiyonel performans parametreleri açısından anlamlı bir fark görülmedi. SONUÇ: Farklı fiziksel aktivite düzeyine sahip gruplar arasında ağrı ve fonksiyonel performans açısından farklılık çıkmamış olsa da çok yüksek düzeyde fiziksel aktivitenin topuk ağrısı / plantar fasit / kalkaneal epin gelişimi için önemli bir risk faktörü olduğu, bunun özellikle de yüksek BKİ’ye sahip kişilerde daha sık görüldüğü bilinmektedir. Aktif bir yaşamın ve egzersiz alışkanlığının sistemik endokrin yanıtlar, kas iskelet sistemi ve vücut kompozisyonu üzerindeki olumlu etkileri ile söz konusu şikayetlerin görülme sıklığını azaltabileceği unutulmamalıdır.
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    Öğe
    KALKANEAL EPİN HASTALARINDA VÜCUT KOMPOZİSYONU İLE AYAK AĞRISI ARASINDAKİ İLİŞKİNİN İNCELENMESİ
    (2019) Vergili, Özge; Oktaş, Birhan; Arıkan, Halime; Aktaş, Fatma Cansu
    Amaç: Kalkaneal epin özellikle fazla kilolu ve obez erişkinpopülasyonda sık görülen ve bireyin yaşam kalitesini ciddiölçüde etkileyen bir hastalıktır. Çalışmamızın amacı bu hastapopülasyonunda ayak ağrısı ile vücut kompozisyonu arasındakiilişkiyi incelemektir.Gereç ve Yöntemler: Kalkaneal epin tanısı almış olan 25-55yaş arasındaki 44 birey üzerinde gerçekleştirilmiş olançalışmada ağrı şiddeti ve ağrılı bölge sayısı ayak ağrısınıdeğerlendirme parametreleri olarak ele alınırken, vücut kitleindeksi, bel kalça oranı, deri altı yağ dokusu ölçümlerinden eldeedilen yağ yüzdesi, yağ ağırlığı, yağsız vücut ağırlığı verileri iseadipoz dokuyu değerlendirmek amacıyla kullanılmıştır.Bulgular: Obez olan hastalarda kronik hastalık görülme sıklığıkalkaneal epin tanılı diğer bireylere nazaran daha yüksekbulunmuştur. Ayak ağrısına ilişkin parametreler ile vücutkompozisyonu parametreleri arasında anlamlı bir ilişkisaptanmamıştır.Sonuç: Bu çalışmada adipoz dokuya ait yağ yüzdesi, yağağırlığı, yağsız vücut ağırlığı gibi parametreler ile ayak ağrısıarasında bir ilişki olmadığı belirlenmiş olup, adipoz dokunundeğerlendirilmesinde daha objektif ölçüm yöntemleri üzerindeodaklanılması gerekliliği bir kez daha vurgulanmıştır.
  • Küçük Resim
    Öğe
    Lenf ödem ve kompleks boşaltıcı fizyoterapi
    (2015) Vergili, Özge
    Lenfatik sistemin yükünün artması ya da lenfatik transport kapasitesinin azalmasına bağlı olarak proteinden zengin sıvının hücre dışındaki boşluklara dolması sonucunda yumuşak dokularda ortaya çıkan şişme lenf ödem olarak adlandırılmaktadır. Lenf ödemin primer ve sekonder formları bulunmakta olup, hastanın yaşam kalitesini olumsuz yönde etkilemektedir. Bu derlemede lenf ödem ve tedavisinde kullanılan etkin bir tedavi yaklaşımı olan kompleks boşaltıcı fizyoterapi hakkında bilgi verilecektir
  • Küçük Resim
    Öğe
    The relationship between balance, trunk muscular endurance, and functional level in individuals with chronic low back pain
    (2020) Bezgin, Sabiha; Aydoğan, Saniye; Sertel, Meral; Vergili, Özge; Kocaman, Ayşe Abit; Oral, Muhammet Ayhan; Sahan, Tezel Yıldırım
    Aim: This study was planned to investigate the relationship between trunk muscular endurance, balance, and functional level in individuals with chronic low back pain. Material and Methods: Sixty-three individuals, aged 18-65 years and having chronic low back pain for the last six months, were included in the study. Sociodemographic data of the individuals were recorded. The static and dynamic endurance of trunk muscles was evaluated by the curl-up test and modified Sorenson test. In order to evaluate the dynamic balance, the Timed Up and Go test was performed. The functionality level related to the low back pain of individuals was evaluated by the Oswestry Low Back Pain Disability Questionnaire. Results: Forty-one female (65%) and twenty-two male (35%) individuals were included in the study. The mean age of the individuals was 40.50 ± 16.75 years, and the mean body mass index was 26.51 ± 5.34 kg/m2 . A moderate negative correlation was found between trunk flexor and extensor muscle endurance with both dynamic balance and functional level (p<0.05). Conclusion: It was determined that there is a significant relationship between balance, trunk muscular endurance, and functional level. The presence of this relationship may guide the planning of exercise therapy in individuals with chronic low back pain.
  • Küçük Resim
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    Return to work in miners following anterior cruciate ligament reconstruction
    (African Field Epidemiology Network-Afenet, 2015) Tiftikci, Uğur; Serbest, Sancar; Kilinç, Cem Yalın; Karabıçak, Gul Öznur; Vergili, Özge
    Introduction: The aim of the study is retrospectively investigated durations for returning to work following anatomic ACL reconstruction by hamstring autograft in miners and the reasons in patients who were delayed to return to work. Methods: Miners with symptomatic anterior cruciate ligament rupture underwent arthroscopic reconstruction. Patients were evaluated in terms of range of motion (ROM) values; Lysholm, Cincinati and Tegner activity scales; laxity testing and complications. By modifying the method used by Fitzgerald et al. we decided for the criteria returning to work. Results: Thirty three patients were evaluated with mean followup of 22.7 +/- 8.3 months (range 13-46 months). Mean age at the surgery was 27.8 (18-38) years. Lysholm, Cincinati and Tegner activity scales were signifi cantly higher from preoperative scores (Lysholm scores: preoperative: 60.7 +/- 12.5, postoperative: 90.3 +/- 4.8 (P < 0.001); Tegner activity scores: Preoperative 3.5 +/- 1.4, postoperative: 6.2 +/- 1.5 (P < 0.001); Cincinati scores: Preoperative: 14.8 +/- 5.3, postoperative: 26.9 +/- 1.6 (P < 0.001). The average time for returning to work was determined as 15,3 +/- 4 weeks. There was no significant difference for knee scores and time for returning to work between patients with meniscal injuries and don't have meniscus lesions. Conclusion: The reasons for delays in returning to work was work accident. Hematoma or effusion and pain inside the knee were the most significant reason which affected returning to work.
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    Öğe
    The effect of manual lymphatic drainage on the postoperative recovery process following total knee arthroplasty
    (2022) Vergili, Özge; Canbeyli, İbrahim Deniz; Oktaş, Birhan; Özsar, Barış Kemal; Keskin, Savaş
    Background: Knee joint has great importance on daily living activities thus gonarthrosis does affect quality of life of patients very dramatically. Total knee arthroplasty \r(TKA) is accepted as gold standard in order to cope with pain, deformity and instability especially in patients with gonarthrosis who are in terminal stage. Physical therapy \rand rehabilitation programs are known to increase the success of this surgical procedure. As edema around knee joint is one of the major postoperative complications, which \rprolong recovery process, it is important to use therapeutic modalities against this problem.\rObjective: In this study it was aimed to evaluate the effectiveness of manual lymphatic drainage (MLD) following TKA on edema, range of motion, pain, independence of \rdaily living activities, gait distance and knee functionality.\rMaterial and Method: 16 patients with TKA were divided into two groups while one of them is applied standard postoperative rehabilitation procedure (exercise therapy, \rcryotherapy and positioning) and the other group had MLD therapy on the second and fourth days of the postoperative process for thirty minutes and in one session during \rthe day in addition to standard protocol. On post-op 2nd, 4th, and 6th days, the volumetric changes were calculated based on a formula of Sitzia et al. for each 4 cm segment of \rthe lower extremity, active ROM and knee posture at rest were measured by a universal goniometer, pain by using visual analog scale (VAS), walking distance by calculating \rtotal walking distance in a day, independence level in daily living activities by using Functional independence measurement (FIM) scale. In addition, Lysholm knee score was \rcalculated on postoperative 15th day in order to evaluate functionality of knee joint.\rResults: At postoperative 2nd day, 4th day and 6th day, the mean of FIM (p=0.972, p=0.575, p=0.398, respectively), active ROM (p=0.288, p=0.522, p=0.622, respectively), \rknee posture (p=0.870, p=0.521, p=0.445, respectively), gait distance (p=1.000, p=0.258, p=0.113, respectively), volume of the operated lower extremity (p=0.451, p=0.384, \rp=0.268, respectively), VAS for pain daytime (p=0.192, p=0.488, p=0.506, respectively) and night (p=0.137, p=0.562, p=0.748, respectively) were similar in both MLD and \rnon-MLD groups. The mean of Lysholm score was 46.25±24.50 in MLD group and 61.12±17.70 in non-MLD group (p=0.186).\rConclusion: Although there is no significant difference between groups, the effectiveness of MLD can be showed in studies which will be performed with a larger sample size
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    The efficiency of Coban bandage on acute phase edema among patients undergoing a flexor tendon repair
    (2022) Kapan, Merve; Vergili, Özge; Alkan, Berat Meryem; Kapan, Nazife
    Introduction: To evaluate the efficiency of 3M Coban self-adherent wrap application on early (1-4 weeks) edema among patients undergoing surgery following a flexor tendon injury in Zone V or distal. Material and Method: The study included 56 patients who had flexor tendon injuries. The patients were randomized into two groups by the computerized randomization method. Both groups were applied the \"Modified Duran Protocol\" (MDP) early passive mobilization exercises and \"Retrograde Edema Massage\". In addition, was applied 3M Coban self-adherent wrap to Group II. Finger circumferences was measured using a tape measure, and the pain intensity was evaluated with a visual analog scale (VAS). A goniometer was used to measure the joint range of motion (ROM), the Duruoz hand index (DHI) to evaluate functionality level, and the quality of life was investigated using the short form-36 (SF-36). Results: The results showed that was statistically significant differences in both groups compared to pre-treatment (p<0.05). Edema, ROM, and all parameters of the DHI were found in both groups improved significantly (p<0.05). VAS pain scores at rest and activity were found significantly decreased in both groups compared to pre-treatment (p<0.001). In addition, pain at activity was found more significantly decreased in Group II (using bandage group). When it comes to the quality of life, there was a significant improvement in the SF-36 scores in both groups (p<0.05). In addition, increases in the scores on the \"Physical Functioning\" and \"Physical Role\" subscales were more significant in Group II (p<0.05). Conclusion: In flexor tendon injuries, early rehabilitation and close follow-ups are likely to improve edema, upper extremity functions, and quality of life among patients. \"Early Passive Mobilization Exercises (the Modified Duran Protocol)\" and \"Retrograde Edema Massage\" are rather effective in edema treatment. Overall, we suggest that 3M Coban self-adherent wrap application also contributes to reducing pain at activity and improving physical functions following flexor tendon repairs.