Bilge Yilmaz | Gulhane Military Medical Academy (original) (raw)

Papers by Bilge Yilmaz

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 2013

Prosthetics and Orthotics International, Mar 1, 2010

Amputee patients spend more energy during walking than able-bodied persons. It is generally accep... more Amputee patients spend more energy during walking than able-bodied persons. It is generally accepted that more proximal amputation is associated with more energy need. However, the picture is not clear, especially for partial foot amputees. The purpose of this study was to compare the energy consumption of walking in traumatic unilateral amputees with three different amputation levels (transfemoral, trans-tibial and partial foot amputations). Sixty-four male unilateral traumatic amputees participated in this study. Energy expenditure during walking was measured for four different speed and slope combinations: 1.5 km/h and 08 slope, 3 km/h and 08 slope, 1.5 km/h and 58 slope, 3 km/h and 58 slope. Mean O 2 consumption (ml/kg/min) of the last 2 min of each 5-min session was calculated. In all four combinations, energy expenditure of trans-tibial amputees was the lowest, and energy expenditure of trans-femoral amputees was the highest. Statistical significance, however, could not be obtained for the differences among the groups. In conclusion, walking of partial foot amputees does not seem to be more energy efficient than that of higher level amputees.

American Journal of Physical Medicine Rehabilitation Association of Academic Physiatrists, Nov 1, 2002

To assess the effect of an isokinetic exercise program on symptoms and functions of patients with... more To assess the effect of an isokinetic exercise program on symptoms and functions of patients with patellofemoral pain syndrome. A total of 22 consecutive patients with the complaint of anterior knee pain who met the inclusion criteria were recruited to assess the efficacy of isokinetic exercise on functional capacity, isokinetic parameters, and pain scores in patients with patellofemoral pain syndrome. A total of 37 knees were examined. Six-meter hopping, three-step hopping, and single-limb hopping course tests were performed for each patient with the measurements of the Lysholm scale and visual analog scale. Tested parameters were peak torque, total work, average power, and endurance ratios. Statistical analyses revealed that at the end of the 6-wk treatment period, functional and isokinetic parameters improved significantly, as did pain scores. There was not statistically significant correlation between different groups of parameters. The isokinetic exercise treatment program used in this study prevented the extensor power loss due to patellofemoral pain syndrome, but the improvement in the functional capacity was not correlated with the gained power.

Bulletin of Clinical Psychopharmacology

... Relationship with Quality of Life Ismail Safaz1, Bilge Yilmaz2, Ahmet Salim Goktepe2, Kamil Y... more ... Relationship with Quality of Life Ismail Safaz1, Bilge Yilmaz2, Ahmet Salim Goktepe2, Kamil Yazicioglu3 ÖZET: Türkçe ampute vücut imaj anketi ve yaflam ka-litesi ile iliflkisi ... Kaiser Meyer Olkin measure was used for sampling adequacy (both global and for each item). ...

The journal of spinal cord medicine

To compare the t-scores of proximal femur and lumbar spine of patients with spinal cord injury (S... more To compare the t-scores of proximal femur and lumbar spine of patients with spinal cord injury (SCI) with different levels of weight bearing. Cross-sectional study comparing 3 groups of patients with SCI: patients with daily standing times of more than 1 hour, patients with daily standing times of less than 1 hour, and nonstanding patients. Seventy-one patients with chronic SCI were recruited. They were assigned to 1 of 3 groups according to their reported daily standing time. The bone density of lumbar and proximal femoral regions was measured with dual-energy x-ray absorptiometry. The 3 groups were similar in terms of demographics and clinical variables. No significant difference was found among the mean t-scores of lumbar and proximal femoral regions of the groups. However, the patients in the group that stood more than 1 hour daily had a slight tendency to have higher t-scores than those in the control group. There was no significant difference among the 3 groups. However, stand...

FTR - Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi

Osteonecrosis is a common complication of corticosteroid therapy. In this study, we report the ca... more Osteonecrosis is a common complication of corticosteroid therapy. In this study, we report the case of a patient with Posterior Inferior Cerebellar Artery (PICA)-Arteriovenous (AV) malformation who has been diagnosed with knee osteonecrosis involving bilateral proximal tibial and distal femur due to high-dose corticosteroid use. A 27-year-old male patient presented with a history of subarachnoidal hemorrhage due to PICA-AV. He had undergone Gamma knife radiosurgery and received short-term high-dose corticosteroid therapy (dxamethasone 16 mg/kg for 21 days). Two years later, he developed bilateral anterior knee pain of insidious onset. Magnetic resonance imaging performed on admission showed osteonecrosis of the bilateral proximal tibial and distal femur, more pronounced in the tibia. Osteonecrosis is a fairly common complication in patients with the history of corticosteroid use for the treatment of variety of systemic and rheumatic disorders. The condition can manifest itself anywh...

Spinal Cord, 2015

ABSTRACT Spinal Cord is the official journal of the International Spinal Cord Society. It provide... more ABSTRACT Spinal Cord is the official journal of the International Spinal Cord Society. It provides complete coverage of all aspects of spinal injury and disease.

Spinal cord, Jan 17, 2015

Study design:Prospective single-arm study.Objectives:To investigate the effect of functional elec... more Study design:Prospective single-arm study.Objectives:To investigate the effect of functional electrical stimulation (FES) cycling on late functional recovery, spasticity, gait parameters and oxygen consumption during walking in patients with chronic incomplete spinal cord injury (SCI).Setting:Turkish Armed Forces Rehabilitation Center, Ankara, Turkey.Methods:Ten patients with chronic (duration of more than 2 years) incomplete SCI who could ambulate at least 10 m independently or with the assistance of a cane or walker, but no hip-knee-ankle-foot orthosis. The subjects underwent 1-h FES cycling sessions three times a week for 16 weeks. Outcome measures including the total motor score, the Functional Independence Measure (FIM) score, the Modified Ashworth Scale for knee spasticity, temporal spatial gait parameters and oxygen consumption rate during walking were assessed at baseline, 3 and 6 months after the baseline.Results:There were statistically significant improvements in total mo...

European journal of physical and rehabilitation medicine, 2014

The saphenous nerve is the terminal branch of the femoral nerve and a pure sensory nerve that pro... more The saphenous nerve is the terminal branch of the femoral nerve and a pure sensory nerve that provide sensation to medial leg. Injury to saphanous nerve following trauma or surgery of the knee can result in formation of a painful neuroma along its distribution. We present a case of saphenous neuroma following use of an ankle-foot orthosis (AFO) in a patient with paraplegia. A 36-year-old patient with paraplegia who was capable of walking independently with his AFO presented to our department with a 3-month history of pain in his left calf. Examination revealed tenderness, paresthesias and positive Tinel sign over the anteromedial aspect of the calf. Ultrasonographic examination of the painful area showed a mass with heterogenous echogenity which was consistent with a saphenous neuroma at the site where fastener band of AFO compressed to skin. We performed a nerve block with steroid and local anesthetic injection under ultrasound guidance to the neuroma. The patient reported pain rel...

Military medicine, 2006

Quality of life is a broad, complex, multidimensional concept incorporating psychological, sociop... more Quality of life is a broad, complex, multidimensional concept incorporating psychological, sociopsychological, economic, philosophical, social, cultural, and spiritual dimensions. As accompanying or even constituting the concept of quality life, social support (empathic, informational, instrumental, and reassurance support) has not been studied. This study sought to determine the effects of sociodemographic characteristics, illness process, and type of social support on the quality of life levels of veterans hospitalized in a rehabilitation center. Seventy-nine veterans were involved in the study. None of the sociodemographic characteristics of the veterans correlated with the quality of life of the veterans except housing conditions. The perceived quality of life scores of the veterans who needed psychological help were lower than those of their counterparts (p < 0.01). The quality of life scores of the veterans were not different from those of the average Turkish population, bu...

Military medicine, 2002

Gunshot wounds are the second leading cause of spinal cord injuries in developed countries, where... more Gunshot wounds are the second leading cause of spinal cord injuries in developed countries, whereas in undeveloped and developing countries, this likelihood is much more. However, the weapon and injury characteristics are very different between those two groups of countries. The aim of this study was to review our experience with gunshot wound-caused spinal cord injury during our struggle with terrorism, to examine surgical and medical complications, and to determine the difference between civilian and military gunshot wounds. One hundred five male patients (mean, 25 years of age) were examined according to completeness, spinal and nonspinal injuries, American Spinal Injury Association classification, motor and pinprick scores, surgical and nonsurgical interventions, surgical complications, and spinal cord injury-related medical complications. This study has shown that the likelihood of completeness was higher in gunshot wounds with high velocity weapons. Because of their higher wou...

Revue du Rhumatisme, 2004

Annals of Physical and Rehabilitation Medicine, 2014

Spinal Cord, 2014

ABSTRACT Objectives:The aim of this study is to examine the obstacles in people with traumatic sp... more ABSTRACT Objectives:The aim of this study is to examine the obstacles in people with traumatic spinal cord injury (SCI) face performing intermittent catheterization (IC), also their worries and level of satisfaction.Methods:Two hundred sixty-nine patients performing IC for at least 3 months were asked to fill-out a questionnaire about their opinions on IC.Results:In total, 69.5% of patients performed IC themselves, 10.4% had performed by their mothers, 7.8% by another caregiver and 7.4% by their spouse. For the 72 (26%) patients unable to apply IC, reasons were insufficient hand function (56.1%), being unable to sit appropriately (35.4%) and spasticity (8.5%). In all, 70% of male patients had insufficient hand function, 20% could not sit and 10% had spasticity while 56.3% of female patients could not sit, 37.5% had insufficient hand function and 63% had spasticity. Difference between sexes was found to be statistically significant (P<0.05). Worries patients had when starting IC were fear of being dependent on IC (50.2%), accidentally injuring self (43.8%), embarrassment (43.2%), causing an infection (40.2%), bleeding (32.7%), fear of feeling pain (30.2%) and hygiene (24.7%). More women felt embarrassment; other items were similar in both sexes. In all, 46.9% of patients had urinary incontinence in intervals.Conclusion:In total, 69.5% of patients performed IC themselves. Men's most common obstacle was insufficient hand function while women's was being unable to sit appropriately. Patients' most common worries were being dependent on IC for life. In all, 46.9% had incontinence in intervals; 47.9% said IC improved their life quality; and 97.4% preferred IC over continuous catheterization.Spinal Cord advance online publication, 12 August 2014; doi:10.1038/sc.2014.134.

Turkish Journal of Rheumatology, 2010

Objective: To evaluate the relationship between lumbar position sense and trunk muscle strength, ... more Objective: To evaluate the relationship between lumbar position sense and trunk muscle strength, to investigate the effect of fatigue on this relationship, and the effect of fatigue on proprioception in patients with chronic low back pain (CLBP). Materials and Methods: A cross-sectional study was conducted to determine lumbar position sense and trunk muscle strength in 19 males with low back pain and in 20 healthy controls. After neurological examination every subject was evaluated for repositioning error (RE) with Cybex Norm isokinetic dynamometer using the trunk extension-flexion modular component. Then, every subject underwent a concentric/concentric exercise program including extension and flexion exercises performed actively for 15 times with the velocity of 60° / second. Finally, the RE test was repeated. Results: Differences in RE between the groups were significant before and after fatiguing exercise procedure. After fatigue, changes in RE were found significant in both groups. Differences in flexion peak torque and total work between the groups were significant. Second RE measurement was found to be correlated with flexion peak torque and total work in control group. Conclusion: The results of this study reveals that flexor muscle strength is significantly lower in patients with CLBP. RE was significantly higher in patients compared to the healthy controls. We found that abdominal muscle strength was moderately correlated with position sense in healthy population after fatigue, whereas there was no correlation in patient group. (Turk J Rheumatol 2010; 25: 68-71) Özet Amaç: Kronik bel ağrılı erkek hastalarda lomber pozisyon hissi ve paravertebral kas gücü arasındaki ilişkiyi tanımlamak ve yorgunluğun propriyosepsiyon üzerindeki etkisini ortaya koymak Yöntem ve Gereçler: Lomber pozisyon hissini (LPH) tanımlamak ve paravertebral kas gücü ile arasındaki ilişkiyi ortaya koymak üzere kronik bel ağrılı 19 erkek hasta ve sağlıklı 20 erkek değerlendirilmeye alındı. Hastaların nörolojik muayenelerini takiben, Cybex Norm İzometrik Dinamometresinin gövde aparatı kullanılarak lomber pozisyon hissi değerlendirildi. Tüm hastalar 60°/sn hızda 15 kez fleksiyon ve ekstansiyon egzersizleri konsantrik/ konsantrik modda uygulandı. Bu uygulamadan hemen sonra lomber pozisyon hissi tekrar değerlendirildi. Bulgular: LPH, yorgunluk öncesi ve sonrasında gruplararasında istatistiksel olarak anlamlı ölçüde farklıydı. Yorgunluk sonrasında, LPH'deki değişim her iki grupta da anlamlı ölçüde farklıydı. Fleksiyon pik tork ve total work değerlendirilmelerinde anlamlı farklılık bulundu. Kontrol grubunda, 2. LPH ölçümleri ile total work ve fleksiyon pik tork arasında anlamlı bir korelasyon bulundu. Sonuç: Bu çalışmanın sonuçları kronik bel ağrılı erkek hastalarda fleksör kas gücünün anlamlı ölçüde düşük olduğunu ortaya koydu. LPH, hasta grubunda kontrol grubuna oranla önemli ölçüde azdı. Yorgunluk sonrasında sağlıklı bireylerde pozisyon hissi ile abdominal kas gücü arasında orta derecede bir korelasyon var iken hasta grubunda bu ilişkinin olmadığını bulduk. (Turk J Rheumatol 2010; 25: 68-71) Anah tar söz cük ler: Kronik bel ağrısı, propriyosepsiyon, kas gücü, yorgunluk Al›n d› ¤› Ta rih: 26.08.2008 Ka bul Ta ri hi: 05

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 2010