Metin Karataş - Academia.edu (original) (raw)

Papers by Metin Karataş

Research paper thumbnail of Sıradışı Bir Supraskapular Nöropati Olgusu: Olgu Sunumu ve Literatürün Gözden Geçirilmesi

Address for Correspondence/Yaz›flma Adresi: Sevgi İkbali Afşar MD, Başkent University Faculty of ... more Address for Correspondence/Yaz›flma Adresi: Sevgi İkbali Afşar MD, Başkent University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Ankara, Turkey Phone: +90 312 212 66 50 E-mail: ikbaliafsar@hotmail.com ORCID ID: orcid.org/0000-0002-4003-3646 Received/Geliş Tarihi: 08.06.2016 Accepted/Kabul Tarihi: 26.06.2018 ©Copyright 2018 by the Turkish Osteoporosis Society Turkish Journal Of Osteoporosis published by Publishing House. Öz

Research paper thumbnail of Case of an Unusual Suprascapular Neuropathy: Case Report and Literature Review

Türk Osteoporoz Dergisi, 2018

Supraskapular sinir nöropatisi omuzda ağrı ve kas zayıflığının nadir görülen bir nedenidir. Yaygı... more Supraskapular sinir nöropatisi omuzda ağrı ve kas zayıflığının nadir görülen bir nedenidir. Yaygın görülen nedenler arasında; para-labral kist, yumuşak doku veya kemik tümörleri gibi yer kaplayan lezyonlar, sporcularda tekrarlayan baş üstü aktiviteler, direkt travma, skapula kırığı ve iyatrojenik nedenler yer almaktadır. Supraskapular sinir nöropatisinin klinik prezentasyonu, servikal bölge ve omuz ile ilgili diğer patolojilerle çakışabileceğinden tanısı zor olabilir. Burada; 8 ay önce başlayan sol omuzda ağrı ve kolda güçsüzlük şikayetleri ile kliniğimize başvuran 33 yaşındaki erkek hasta sunulmaktadır. Yapılan klinik ve elektrofizyolojik değerlendirmeler supraskapular çentik düzeyinde sol supraskapular sinir lezyonunu doğrulamıştır. Bu olguyu, omuz ağrısının ayırıcı tanısında, nöropatiye neden olabilecek kitle, travma veya aşırı fiziksel aktivitenin olmadığı durumlarda da supraskapular sinir nöropatisinin akılda tutulması gerektiğini vurgulamak için hazırladık.

Research paper thumbnail of Initial effects of kinesio® taping in patients with patellofemoral pain syndrome: A randomized, double-blind study

Isokinetics and Exercise Science, 2011

The purpose of this randomized, double-blind study was to determine the acute effects of kinesio ... more The purpose of this randomized, double-blind study was to determine the acute effects of kinesio taping on pain, strength, joint position sense and balance in patients with patellofemoral pain syndrome (PFPS). Twenty-two subjects with PFPS participated in the study. Subjects were separated into two groups; kinesio taping (KT) and placebo kinesiotaping (PKT). All subjects were assessed before and 45-min after the applications. Muscle strength, joint position sense, static and dynamic balance and pain intensity were used as the main outcome measures. Among all outcome parameters significant differences were found between strength of quadriceps muscle at 60 and 180 • /s, and static and dynamic balance scores before and 45-min after application of KT. There was also a significant difference between strength of quadriceps muscle at 60 • /s and static balance scores before and 45 minutes after application of the PKT. Therefore KT application does not seem to be an effective treatment method for both decreasing pain and improving joint position sense for patients with PFPS.

Research paper thumbnail of Effectiveness of Client-Centered Occupational Therapy in Patients With Rheumatoid Arthritis: Exploratory Randomized Controlled Trial

Archives of Rheumatology, 2016

Objectives: This study aims to examine the effectiveness of client-centered occupational therapy ... more Objectives: This study aims to examine the effectiveness of client-centered occupational therapy in patients with rheumatoid arthritis (RA). Patients and methods: The study included 40 patients (2 males, 38 females; range 39 to 60 years) with RA. Patients were divided into two groups as intervention group (n=20) and control group (n=20) by random sampling method. Each group was given 10 sessions of physical therapy program. In addition, the intervention group received client-centered occupational therapy. Patients were evaluated with Turkish versions of Short-Form McGill Pain Questionnaire, Health Assessment Questionnaire, The Arthritis Impact Measurement Scales 2, RA Quality of Life Questionnaire, and Canadian Occupational Performance Measurement. Results: Pain, activity limitation, and participation restriction scores decreased significantly more in the intervention group compared to the control group. Also, quality of life increased significantly in the intervention group (p<0.05). Conclusion: Our findings suggest that occupational therapy intervention reduces activity limitation and participation restrictions in patients with RA. Therefore, such interventions may be generalized for this patient group.

Research paper thumbnail of Effects of Chair-Based Exercises for Older People on Physical Fitness, Physical Activity, Sleep Problems and Quality of Life: A Randomized Controlled Trial

Turkiye Klinikleri Journal of Health Sciences, 2016

or older population there is clear evidence to support exercise training in developing health and... more or older population there is clear evidence to support exercise training in developing health and well being. Exercise training has also a significant impact on diminishing risk of falls, costs to health and so

Research paper thumbnail of Comparison of Physical Activity Levels in Rheumatic Diseases

Aktuelle Rheumatologie, 2016

Objectives: The aim of this study was to evaluate levels of physical activity in patients with rh... more Objectives: The aim of this study was to evaluate levels of physical activity in patients with rheumatoid arthritis, osteoarthritis and fibromyalgia and to compare the results with both healthy subjects and each other. Methods: A group of 50 rheumatoid arthritis patients, 95 osteoarthritis patients, 82 fibromyalgia patients and 110 healthy subjects were included in this study. Physical activity levels were assessed by the International Physical Activity Questionnaire (IPAQ). Results: There were significant differences in walking and total physical activity scores in IPAQ between the rheumatoid arthritis (RA), osteoarthritis (OA), fibromyalgia (FMS) patients and the control group (p<0.05). 36.6% of the fibromyalgia group, 28.4% of the osteoarthritis group, 38% of the rheumatoid arthritis group and 22.7% of the healthy subjects were found to be inactive. 45.1% of the fibromyalgia group, 42.1% of the osteoarthritis group, 46% of the rheumatoid arthritis group and 36.4% of the health...

Research paper thumbnail of Activity performance problems of patients with cardiac diseases and their impact on quality of life

Journal of Physical Therapy Science, 2015

To describe the functional consequences of patients with cardiac diseases and analyze association... more To describe the functional consequences of patients with cardiac diseases and analyze associations between activity limitations and quality of life. [Subjects and Methods] Seventy subjects (mean age: 60.1±12.0 years) were being treated by Physical Medicine and Rehabilitation and Cardiology Departments were included in the study. Activity limitations and participation restrictions as perceived by the individual were measured by the Canadian Occupational Performance Measure (COPM). The Nottingham Extended Activities of Daily Living (NEADL) Scale was used to describe limitations in daily living activities. To detect the impact of activity limitations on quality of life the Nottingham Health Profile (NHP) was used. [Results] The subjects described 46 different types of problematic activities. The five most identified problems were walking (45.7%), climbing up the stairs (41.4%), bathing (30%), dressing (28.6%) and outings (27.1%). The associations between COPM performance score with all subgroups of NEADL and NHP; total, energy, physical abilities subgroups, were statistically significant. [Conclusion] Our results showed that patients with cardiac diseases reported problems with a wide range of activities, and that also quality of life may be affected by activities of daily living. COPM can be provided as a patient-focused outcome measure, and it may be a useful tool for identifying those problems.

Research paper thumbnail of Sexuality and sexual dysfunction in spinal cord-injured men in Turkey

TURKISH JOURNAL OF MEDICAL SCIENCES, 2015

Background/aim: To provide a comprehensive evaluation of sexual function and dysfunction in spina... more Background/aim: To provide a comprehensive evaluation of sexual function and dysfunction in spinal cord-injured men based on self-reports of patients. Materials and methods: Forty-seven spinal cord-injured men who completed the spinal shock and rehabilitation period were included. Patients were asked to complete a questionnaire developed to assess social status, sexual activities, abilities, and sexuality education after injury. Neurologic levels of patients were classified according to American Spinal Cord Injury Association protocol. Erectile function was evaluated by International Index of Erectile Function-5 (IIEF-5) questionnaire. Results: Patients were aged between 20 and 62 years (mean: 35.2). Twenty-eight patients had T10 and above, 15 between T11 and L2, and 4 cauda conus injury. While 61.7% of the patients declared sexual activity, 93.6% declared some degree of erection. Mean IIEF-5 score was 5.3 and 87.3% of the patients had moderate to severe erectile dysfunction. Conclusion: Continuation of sexual activity after injury is very important and has a great impact on quality of life and interpersonal relationships for spinal cord-injured men. More attention must be given to sexuality after spinal cord injury. A very high rate of sexual dysfunction in spinal cord-injured patients was found and the importance of sexual education was emphasized in this study.

Research paper thumbnail of Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial

Turkish Journal of Rheumatology, 2013

Bu çalışmada diz osteoartritli (OA) hastalarda ağrı şiddeti, performans, kas kuvveti, fiziksel fo... more Bu çalışmada diz osteoartritli (OA) hastalarda ağrı şiddeti, performans, kas kuvveti, fiziksel fonksiyon ve denge üzerine düz bacak kaldırma egzersizi (DBKE) ve mini çömelme egzersizinin (MÇE) etkinliği karşılaştırıldı. Hastalar ve yöntemler: Şubat 2009-Şubat 2010 tarihleri arasında iki taraflı diz OA yakınması ile Başkent Üniversitesi Hastanesi'ne başvuran, 40 kadın hasta (ort. yaş 59.93±10.61 yıl; dağılım 30-65 yıl) bu randomize kontrollü, çift-kör klinik çalışmaya dahil edildi. Hastalar DBKE ve MÇE olmak üzere iki gruba ayrıldı. Her iki egzersiz grubu haftada beş seanstan oluşan toplam üç haftalık bir programa dahil edildi. İki grup da her seansta elektroterapi programı aldı. Görsel analog ölçeği (GAÖ) ile diz ağrısı, Zamanlı Kalk-Yürü (ZKY) testi ile fiziksel performans, Cybex II ile izokinetik kuadriseps ve hamstring kas kuvveti, Spor KAT 3.0 ile statik denge, Diz İncinme ve Osteoartrit Sonuç Skoru-Fiziksel Fonksiyon Kısa Formu (KOOS-PS) ile fiziksel fonksiyon başlangıçta, tedavi sonrasında ve tedaviden bir ay sonra değerlendirildi. Bulgular: Statik denge parametreleri göz önünde bulundurulduğunda egzersiz programı (EP) sonrası (p=0.659) ve takip döneminde (p=0.327) gruplar arası anlamlı fark bulunmadı. Egzersiz programı sonrası (p=0.398) ve takip döneminde (p=0.201) DBKE ve MÇE grupları arasında KOOS-PS skorları açısından anlamlı fark bulunmadı. Ayrıca GAÖ skorları açısından EP sonrasında (p=0.149) DBKE ve MÇE grupları arası anlamlı fark bulunmamasına rağmen takip döneminde (p=0.030) anlamlı fark bulundu. Mini çömelme egzersiz grubu, DBKE grubuna kıyasla, EP sonunda anlamlı düzeyde yüksek ZKY testi skorları ve 60°/sn (p=0.024), 90°/ sn (p=0.003), 120°/sn (p=0.005) ve 180°/sn'de (p=0.017) daha yüksek sağ izokinetik diz ekstansör kas kuvvetine sahipti. Sonuç: Uzun dönemli takipleri içeren ve bu periyottan sonra DBKE ve MÇE'nin etkinliğini değerlendirebilecek kriterleri kapsayan başka çalışmalara gereksinim vardır. Anahtar sözcükler: Diz; mini çömelme egzersizi; osteoartrit; düz bacak kaldırma egzersizi. Objectives: In this study, we aimed to compare the effects of the straight leg raise exercise (SLRE) and mini squat exercise (MSE) on pain intensity, performance, muscle strength, physical function and balance in patients with knee osteoarthritis (OA). Patients and methods: Forty female patients (mean age 59.93±10.61 years; range 30-65 years) who were admitted to Başkent University Hospital between February 2009 and February 2010 with bilateral knee OA were included in this randomized controlled double-blind clinical trial. The patients were assigned into two groups, including SLRE and MSE. Both exercise groups were scheduled for a threeweek program of five sessions per week. Both groups also received an electrotherapy program in each session. Knee pain using the visual analog scale (VAS), physical performance using Timed Up and Go (TUG) Test, isokinetic quadriceps and hamstring muscle strengths using Cybex II, static balance using SportKAT 3000, physical function using Knee Injury and Osteoarhtritis Outcome Score-Physical Function Short Form (KOOS-PS) were assessed at baseline, at treatment end, and one month after treatment end. Results: No significant difference was found in static balance testing parameters after exercise program (EP) (p=0.659) and during follow-up period (p=0.327) between the groups. There was no significant difference in KOOS-PS scores after EP (p=0.398) and during follow-up (p=0.201) between SLRE and MSE groups. There was no significant difference in VAS scores after EP (p=0.149), however significant difference was found during follow-up (p=0.030) between SLRE and MSE groups. Mini squat exercise group had significantly higher TUG scores and higher right knee extensor torque at 60°/sec (p=0.024), 90°/sec (p=0.003), 120°/sec (p=0.005) and 180°/sec (p=0.017) compared to the SLRE group at the end of EP. Conclusion: Further studies are required including long-term follow-up and the evaluation criteria of the effectiveness of SLRE and MSE after this period.

Research paper thumbnail of Intraoperative monitoring of a patient with craniovertebral junction meningioma

Turkish neurosurgery, 2007

Intraoperative monitoring is considered as a useful tool to prevent neurological damage during di... more Intraoperative monitoring is considered as a useful tool to prevent neurological damage during different neurosurgical procedures. Somatosensory evoked potentials (SEP) allow simultaneous assessment of several cortical and sub cortical centers. In this case presentation, we report intraoperative monitoring of an elderly patient with craniovertebral junction meningioma. Tibial SEP responses were elicited by stimulation of the tibial nerve; the recordings were visually analyzed for the presence of the main peaks P40-N50, peak to peak amplitudes, peak latencies and compared to baseline recordings throughout the procedure. During decompression from the medial aspect of the medulla SEP responses were lost for a brief period of time. Surgeons achieved total tumor removal and the patient left the operating room without any neurological deficit.

Research paper thumbnail of Unrecognized peripheral nerve lesions in a traumatic brain injury patient

Turkish neurosurgery, 2007

Patients with traumatic brain injury constitute a diagnostic challenge since peripheral nerve inj... more Patients with traumatic brain injury constitute a diagnostic challenge since peripheral nerve injuries may be overlooked due to cognitive dysfunction and priority given to life-sustaining measures. Electromyography may be helpful in the differential diagnosis of weakness and atrophy. Problems specific for the traumatic brain injury patients, namely heterotopic ossification, hypertrophic callus formation and myositis ossificans should be considered by the physician. We report a 15-year-old patient involved in a pedestrian motor vehicle accident with traumatic brain injury. He had weakness and atrophy of the left upper extremity. Electromyographic examination revealed axillary nerve injury and carpal tunnel syndrome. Differential diagnosis of atrophy and weakness in traumatic brain injury patients is discussed.

Research paper thumbnail of The upper extremity functional index (UEFI): Cross-cultural adaptation, reliability, and validity of the Turkish version

Journal of back and musculoskeletal rehabilitation, Jan 15, 2014

Turkish version of the Upper Extremity Functional Index (UEFI) may help to assess shoulder functi... more Turkish version of the Upper Extremity Functional Index (UEFI) may help to assess shoulder function in patients with shoulder impingement syndrome (SAIS). To translate and cross-culturally adapted UEFI into Turkish and to assess its acceptability, reliability, validity in patients with SAIS. This study conducted with 93 SAIS participants. UEFI, the short version of the Disability of the Arm, Shoulder and Hand scale (Quick DASH), the Shoulder Pain and Disability Index, and the Short Form-36 Health Survey (SF-36) were administered. Acceptability was assessed in terms of refusal rate, rates of missing responses, and administration time. Test-retest reliability was assessed with intra class correlation coefficient (ICC), internal consistency was assessed with Cronbach's alpha coefficient. Validity was assessed by floor and ceiling effects, skew of distributions and Pearson's correlation coefficients. Cronbach's alpha coefficients for the UEFI at Time 1 and Time 2 were as fol...

Research paper thumbnail of The relationship between scapular dyskinesia, pain, range of motion and flexibility in patients with neck and shoulder problems

Ağrı - The Journal of The Turkish Society of Algology, 2014

Objectives: To investigate the relationship between scapular dyskinesia, pain, and flexibility in... more Objectives: To investigate the relationship between scapular dyskinesia, pain, and flexibility in patients with neck, shoulder, or both injuries.

Research paper thumbnail of Unilateral RS3PE Syndrome

Turkish Journal of Rheumatology, 2013

Research paper thumbnail of Sexual problems of women with spinal cord injury in Turkey

Spinal Cord, 2014

Objectives: Spinal cord injury (SCI) is a traumatic event that affects many facets of the injured... more Objectives: Spinal cord injury (SCI) is a traumatic event that affects many facets of the injured people's lives. One aspect is sexual functioning. The purpose of this study is to identify the sexual problems of women with SCI and determine their level of knowledge about sexuality. Methods: Twenty-six women with SCI for longer than 6 months were evaluated. Demographic information, sexual experiences were surveyed. Patients were also asked if and how they received sexual health consultation after SCI. Female Sexual Function Index (FSFI) and Beck Depression Inventory were evaluated. Results: In this study, average age of the women with SCI was 32.96±8.23 years (22-50 years). Eight patients had regular sexual intercourse while one married woman did not have any sexual relationship after SCI. Twenty-four of the patients in the study received no information about pregnancy or sexual health after SCI. All women were willing to receive information about sexuality after SCI. These patients expected the doctors to start the conversation about sexuality rather than asking about it. FSFI survey revealed that all the patients had sexual dysfunction. Conclusion: Sexual rehabilitation should thus be fully addressed in all spinal units and rehabilitation centers, along with other aspects of rehabilitation.

Research paper thumbnail of Double spinal cord injury in a patient with ankylosing spondylitis

Spinal Cord, 1999

Ankylosing spondylitis patients are more prone to spinal fractures and these fractures commonly r... more Ankylosing spondylitis patients are more prone to spinal fractures and these fractures commonly result in mobile nonunion. We report a patient with a 30-year history of ankylosing spondylitis who sustained double spinal cord injuries following minor trauma. The ®rst injury occurred at the lumbar level due to pseudoarthrosis of an old fracture, and the second at the thoracic level following cardiopulmonary arrest and an episode of hypotension. The possible mechanisms of the injuries are discussed and maintaining normal blood pressure in these patients is emphasized.

Research paper thumbnail of Assessment of spasticity using isokinetic dynamometry in patients with spinal cord injury

Spinal Cord, 1999

Objectives: To determine the value of isokinetic dynamometric measurement of passive resistance i... more Objectives: To determine the value of isokinetic dynamometric measurement of passive resistance in quantifying spasticity. Setting: Turkey. Methods: Thirty-three spastic spinal cord-injured patients and 14 age-matched normal individuals were studied. Five consecutive¯exion-extensions of the knee, abductionadductions of the hip, and dorsal-plantar¯exions of the ankle were performed at speci®c velocities (15, 30, 60, 90 and 1208/s) using a computerized isokinetic dynamometer set at the continuous passive motion mode. We recorded maximum torque and the sum of torque amplitudes for ®ve repetitions of each type of joint motion at all velocities. Results: Maximum torque values and the sum of torque amplitudes were both signi®cantly higher in spastic patients than in controls, and there was a positive correlation between torque values and Ashworth scores. There was no signi®cant linear increase in torque values associated with increasing velocity for any of the motions in either controls or patients. Conclusion: Isokinetic dynamometric measurement of passive resistance appeared to be a valuable tool for assessing and quantifying spasticity, as well as other types of hypertonus.

Research paper thumbnail of Single-Photon Emission Computerized Tomography (SPECT) in Neuropsychiatry: A Review

Behavioural Neurology, 1992

Cranial single-photon emission computerized tomography (SPECT or SPET) can now give regional cere... more Cranial single-photon emission computerized tomography (SPECT or SPET) can now give regional cerebral blood flow images with a resolution approaching that of positron emission tomography (PET). In this paper, the use of high resolution SPECT neuroimaging in neuropsychiatric disorders, including Alzheimer's disease, multi-infarct dementia, Pick's disease, progressive supranuclear palsy, Korsakoff's psychosis, Creutzfeld-Jakob disease, Parkinson's disease, Huntington's disease, schizophrenia, mood disorders, obsessive–compulsive disorder, HIV infection and AIDS is reviewed. Finally, further potential research and clinical uses, based on ligand studies, are outlined.

Research paper thumbnail of Diffuse idiopathic skeletal hyperostosis in a patient with situs inversus

Arthritis & Rheumatism, 1983

Research paper thumbnail of Effects of peripheral neuropathy on exercise capacity and quality of life in patients with chronic obstructive pulmonary diseases

Archives of Medical Science, 2012

Introduction: Chronic obstructive pulmonary diseases (COPD) have some systemic effects including ... more Introduction: Chronic obstructive pulmonary diseases (COPD) have some systemic effects including systemic inflammation, nutritional abnormalities, skeletal muscle dysfunction, and cardiovascular, skeletal and neurological disorders. Some studies have reported the presence of peripheral neuropathy (PNP) at an incidence of 28-94% in patients with COPD. Our study aimed to identify whether PNP affects exercise performance and quality of life in COPD patients. Material and methods: Thirty mild-very severe patients with COPD (male/female = 29/1, mean age = 64 ±10 years) and 14 normal subjects (male/female = 11/5, mean age = 61 ±8 years) were included in the present study. All subjects underwent pulmonary function testing (PFT), cardiopulmonary exercise testing, electroneuromyography and short form 36 (SF-36). Results: Peak oxygen uptake (PeakVO 2) was lower in COPD patients (1.15 ±0.53 l/min) than healthy subjects (2.02 ±0.46 l/min) (p = 0.0001). There was no PNP in healthy subjects while 16 (53%) of the COPD patients had PNP. Forced expiratory volume in 1 s (FEV 1) and PeakVO 2 were significantly different between patients with PNP and those without (p = 0.009, p = 0.03 respectively). Quality of life of patients with PNP was lower than that of patients without PNP (p < 0.05). Conclusions: The present study demonstrates the exercise limitation in COPD patients with PNP. Thus, presence of PNP has a poor effect on exercise capacity and quality of life in patients with COPD. Furthermore, treatment modalities for PNP can be recommended to these patients in order to improve exercise capacity and quality of life.

Research paper thumbnail of Sıradışı Bir Supraskapular Nöropati Olgusu: Olgu Sunumu ve Literatürün Gözden Geçirilmesi

Address for Correspondence/Yaz›flma Adresi: Sevgi İkbali Afşar MD, Başkent University Faculty of ... more Address for Correspondence/Yaz›flma Adresi: Sevgi İkbali Afşar MD, Başkent University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Ankara, Turkey Phone: +90 312 212 66 50 E-mail: ikbaliafsar@hotmail.com ORCID ID: orcid.org/0000-0002-4003-3646 Received/Geliş Tarihi: 08.06.2016 Accepted/Kabul Tarihi: 26.06.2018 ©Copyright 2018 by the Turkish Osteoporosis Society Turkish Journal Of Osteoporosis published by Publishing House. Öz

Research paper thumbnail of Case of an Unusual Suprascapular Neuropathy: Case Report and Literature Review

Türk Osteoporoz Dergisi, 2018

Supraskapular sinir nöropatisi omuzda ağrı ve kas zayıflığının nadir görülen bir nedenidir. Yaygı... more Supraskapular sinir nöropatisi omuzda ağrı ve kas zayıflığının nadir görülen bir nedenidir. Yaygın görülen nedenler arasında; para-labral kist, yumuşak doku veya kemik tümörleri gibi yer kaplayan lezyonlar, sporcularda tekrarlayan baş üstü aktiviteler, direkt travma, skapula kırığı ve iyatrojenik nedenler yer almaktadır. Supraskapular sinir nöropatisinin klinik prezentasyonu, servikal bölge ve omuz ile ilgili diğer patolojilerle çakışabileceğinden tanısı zor olabilir. Burada; 8 ay önce başlayan sol omuzda ağrı ve kolda güçsüzlük şikayetleri ile kliniğimize başvuran 33 yaşındaki erkek hasta sunulmaktadır. Yapılan klinik ve elektrofizyolojik değerlendirmeler supraskapular çentik düzeyinde sol supraskapular sinir lezyonunu doğrulamıştır. Bu olguyu, omuz ağrısının ayırıcı tanısında, nöropatiye neden olabilecek kitle, travma veya aşırı fiziksel aktivitenin olmadığı durumlarda da supraskapular sinir nöropatisinin akılda tutulması gerektiğini vurgulamak için hazırladık.

Research paper thumbnail of Initial effects of kinesio® taping in patients with patellofemoral pain syndrome: A randomized, double-blind study

Isokinetics and Exercise Science, 2011

The purpose of this randomized, double-blind study was to determine the acute effects of kinesio ... more The purpose of this randomized, double-blind study was to determine the acute effects of kinesio taping on pain, strength, joint position sense and balance in patients with patellofemoral pain syndrome (PFPS). Twenty-two subjects with PFPS participated in the study. Subjects were separated into two groups; kinesio taping (KT) and placebo kinesiotaping (PKT). All subjects were assessed before and 45-min after the applications. Muscle strength, joint position sense, static and dynamic balance and pain intensity were used as the main outcome measures. Among all outcome parameters significant differences were found between strength of quadriceps muscle at 60 and 180 • /s, and static and dynamic balance scores before and 45-min after application of KT. There was also a significant difference between strength of quadriceps muscle at 60 • /s and static balance scores before and 45 minutes after application of the PKT. Therefore KT application does not seem to be an effective treatment method for both decreasing pain and improving joint position sense for patients with PFPS.

Research paper thumbnail of Effectiveness of Client-Centered Occupational Therapy in Patients With Rheumatoid Arthritis: Exploratory Randomized Controlled Trial

Archives of Rheumatology, 2016

Objectives: This study aims to examine the effectiveness of client-centered occupational therapy ... more Objectives: This study aims to examine the effectiveness of client-centered occupational therapy in patients with rheumatoid arthritis (RA). Patients and methods: The study included 40 patients (2 males, 38 females; range 39 to 60 years) with RA. Patients were divided into two groups as intervention group (n=20) and control group (n=20) by random sampling method. Each group was given 10 sessions of physical therapy program. In addition, the intervention group received client-centered occupational therapy. Patients were evaluated with Turkish versions of Short-Form McGill Pain Questionnaire, Health Assessment Questionnaire, The Arthritis Impact Measurement Scales 2, RA Quality of Life Questionnaire, and Canadian Occupational Performance Measurement. Results: Pain, activity limitation, and participation restriction scores decreased significantly more in the intervention group compared to the control group. Also, quality of life increased significantly in the intervention group (p<0.05). Conclusion: Our findings suggest that occupational therapy intervention reduces activity limitation and participation restrictions in patients with RA. Therefore, such interventions may be generalized for this patient group.

Research paper thumbnail of Effects of Chair-Based Exercises for Older People on Physical Fitness, Physical Activity, Sleep Problems and Quality of Life: A Randomized Controlled Trial

Turkiye Klinikleri Journal of Health Sciences, 2016

or older population there is clear evidence to support exercise training in developing health and... more or older population there is clear evidence to support exercise training in developing health and well being. Exercise training has also a significant impact on diminishing risk of falls, costs to health and so

Research paper thumbnail of Comparison of Physical Activity Levels in Rheumatic Diseases

Aktuelle Rheumatologie, 2016

Objectives: The aim of this study was to evaluate levels of physical activity in patients with rh... more Objectives: The aim of this study was to evaluate levels of physical activity in patients with rheumatoid arthritis, osteoarthritis and fibromyalgia and to compare the results with both healthy subjects and each other. Methods: A group of 50 rheumatoid arthritis patients, 95 osteoarthritis patients, 82 fibromyalgia patients and 110 healthy subjects were included in this study. Physical activity levels were assessed by the International Physical Activity Questionnaire (IPAQ). Results: There were significant differences in walking and total physical activity scores in IPAQ between the rheumatoid arthritis (RA), osteoarthritis (OA), fibromyalgia (FMS) patients and the control group (p<0.05). 36.6% of the fibromyalgia group, 28.4% of the osteoarthritis group, 38% of the rheumatoid arthritis group and 22.7% of the healthy subjects were found to be inactive. 45.1% of the fibromyalgia group, 42.1% of the osteoarthritis group, 46% of the rheumatoid arthritis group and 36.4% of the health...

Research paper thumbnail of Activity performance problems of patients with cardiac diseases and their impact on quality of life

Journal of Physical Therapy Science, 2015

To describe the functional consequences of patients with cardiac diseases and analyze association... more To describe the functional consequences of patients with cardiac diseases and analyze associations between activity limitations and quality of life. [Subjects and Methods] Seventy subjects (mean age: 60.1±12.0 years) were being treated by Physical Medicine and Rehabilitation and Cardiology Departments were included in the study. Activity limitations and participation restrictions as perceived by the individual were measured by the Canadian Occupational Performance Measure (COPM). The Nottingham Extended Activities of Daily Living (NEADL) Scale was used to describe limitations in daily living activities. To detect the impact of activity limitations on quality of life the Nottingham Health Profile (NHP) was used. [Results] The subjects described 46 different types of problematic activities. The five most identified problems were walking (45.7%), climbing up the stairs (41.4%), bathing (30%), dressing (28.6%) and outings (27.1%). The associations between COPM performance score with all subgroups of NEADL and NHP; total, energy, physical abilities subgroups, were statistically significant. [Conclusion] Our results showed that patients with cardiac diseases reported problems with a wide range of activities, and that also quality of life may be affected by activities of daily living. COPM can be provided as a patient-focused outcome measure, and it may be a useful tool for identifying those problems.

Research paper thumbnail of Sexuality and sexual dysfunction in spinal cord-injured men in Turkey

TURKISH JOURNAL OF MEDICAL SCIENCES, 2015

Background/aim: To provide a comprehensive evaluation of sexual function and dysfunction in spina... more Background/aim: To provide a comprehensive evaluation of sexual function and dysfunction in spinal cord-injured men based on self-reports of patients. Materials and methods: Forty-seven spinal cord-injured men who completed the spinal shock and rehabilitation period were included. Patients were asked to complete a questionnaire developed to assess social status, sexual activities, abilities, and sexuality education after injury. Neurologic levels of patients were classified according to American Spinal Cord Injury Association protocol. Erectile function was evaluated by International Index of Erectile Function-5 (IIEF-5) questionnaire. Results: Patients were aged between 20 and 62 years (mean: 35.2). Twenty-eight patients had T10 and above, 15 between T11 and L2, and 4 cauda conus injury. While 61.7% of the patients declared sexual activity, 93.6% declared some degree of erection. Mean IIEF-5 score was 5.3 and 87.3% of the patients had moderate to severe erectile dysfunction. Conclusion: Continuation of sexual activity after injury is very important and has a great impact on quality of life and interpersonal relationships for spinal cord-injured men. More attention must be given to sexuality after spinal cord injury. A very high rate of sexual dysfunction in spinal cord-injured patients was found and the importance of sexual education was emphasized in this study.

Research paper thumbnail of Comparison of Mini-squats and Straight Leg Raises in Patients with Knee Osteoarthritis: A Randomized Controlled Clinical Trial

Turkish Journal of Rheumatology, 2013

Bu çalışmada diz osteoartritli (OA) hastalarda ağrı şiddeti, performans, kas kuvveti, fiziksel fo... more Bu çalışmada diz osteoartritli (OA) hastalarda ağrı şiddeti, performans, kas kuvveti, fiziksel fonksiyon ve denge üzerine düz bacak kaldırma egzersizi (DBKE) ve mini çömelme egzersizinin (MÇE) etkinliği karşılaştırıldı. Hastalar ve yöntemler: Şubat 2009-Şubat 2010 tarihleri arasında iki taraflı diz OA yakınması ile Başkent Üniversitesi Hastanesi'ne başvuran, 40 kadın hasta (ort. yaş 59.93±10.61 yıl; dağılım 30-65 yıl) bu randomize kontrollü, çift-kör klinik çalışmaya dahil edildi. Hastalar DBKE ve MÇE olmak üzere iki gruba ayrıldı. Her iki egzersiz grubu haftada beş seanstan oluşan toplam üç haftalık bir programa dahil edildi. İki grup da her seansta elektroterapi programı aldı. Görsel analog ölçeği (GAÖ) ile diz ağrısı, Zamanlı Kalk-Yürü (ZKY) testi ile fiziksel performans, Cybex II ile izokinetik kuadriseps ve hamstring kas kuvveti, Spor KAT 3.0 ile statik denge, Diz İncinme ve Osteoartrit Sonuç Skoru-Fiziksel Fonksiyon Kısa Formu (KOOS-PS) ile fiziksel fonksiyon başlangıçta, tedavi sonrasında ve tedaviden bir ay sonra değerlendirildi. Bulgular: Statik denge parametreleri göz önünde bulundurulduğunda egzersiz programı (EP) sonrası (p=0.659) ve takip döneminde (p=0.327) gruplar arası anlamlı fark bulunmadı. Egzersiz programı sonrası (p=0.398) ve takip döneminde (p=0.201) DBKE ve MÇE grupları arasında KOOS-PS skorları açısından anlamlı fark bulunmadı. Ayrıca GAÖ skorları açısından EP sonrasında (p=0.149) DBKE ve MÇE grupları arası anlamlı fark bulunmamasına rağmen takip döneminde (p=0.030) anlamlı fark bulundu. Mini çömelme egzersiz grubu, DBKE grubuna kıyasla, EP sonunda anlamlı düzeyde yüksek ZKY testi skorları ve 60°/sn (p=0.024), 90°/ sn (p=0.003), 120°/sn (p=0.005) ve 180°/sn'de (p=0.017) daha yüksek sağ izokinetik diz ekstansör kas kuvvetine sahipti. Sonuç: Uzun dönemli takipleri içeren ve bu periyottan sonra DBKE ve MÇE'nin etkinliğini değerlendirebilecek kriterleri kapsayan başka çalışmalara gereksinim vardır. Anahtar sözcükler: Diz; mini çömelme egzersizi; osteoartrit; düz bacak kaldırma egzersizi. Objectives: In this study, we aimed to compare the effects of the straight leg raise exercise (SLRE) and mini squat exercise (MSE) on pain intensity, performance, muscle strength, physical function and balance in patients with knee osteoarthritis (OA). Patients and methods: Forty female patients (mean age 59.93±10.61 years; range 30-65 years) who were admitted to Başkent University Hospital between February 2009 and February 2010 with bilateral knee OA were included in this randomized controlled double-blind clinical trial. The patients were assigned into two groups, including SLRE and MSE. Both exercise groups were scheduled for a threeweek program of five sessions per week. Both groups also received an electrotherapy program in each session. Knee pain using the visual analog scale (VAS), physical performance using Timed Up and Go (TUG) Test, isokinetic quadriceps and hamstring muscle strengths using Cybex II, static balance using SportKAT 3000, physical function using Knee Injury and Osteoarhtritis Outcome Score-Physical Function Short Form (KOOS-PS) were assessed at baseline, at treatment end, and one month after treatment end. Results: No significant difference was found in static balance testing parameters after exercise program (EP) (p=0.659) and during follow-up period (p=0.327) between the groups. There was no significant difference in KOOS-PS scores after EP (p=0.398) and during follow-up (p=0.201) between SLRE and MSE groups. There was no significant difference in VAS scores after EP (p=0.149), however significant difference was found during follow-up (p=0.030) between SLRE and MSE groups. Mini squat exercise group had significantly higher TUG scores and higher right knee extensor torque at 60°/sec (p=0.024), 90°/sec (p=0.003), 120°/sec (p=0.005) and 180°/sec (p=0.017) compared to the SLRE group at the end of EP. Conclusion: Further studies are required including long-term follow-up and the evaluation criteria of the effectiveness of SLRE and MSE after this period.

Research paper thumbnail of Intraoperative monitoring of a patient with craniovertebral junction meningioma

Turkish neurosurgery, 2007

Intraoperative monitoring is considered as a useful tool to prevent neurological damage during di... more Intraoperative monitoring is considered as a useful tool to prevent neurological damage during different neurosurgical procedures. Somatosensory evoked potentials (SEP) allow simultaneous assessment of several cortical and sub cortical centers. In this case presentation, we report intraoperative monitoring of an elderly patient with craniovertebral junction meningioma. Tibial SEP responses were elicited by stimulation of the tibial nerve; the recordings were visually analyzed for the presence of the main peaks P40-N50, peak to peak amplitudes, peak latencies and compared to baseline recordings throughout the procedure. During decompression from the medial aspect of the medulla SEP responses were lost for a brief period of time. Surgeons achieved total tumor removal and the patient left the operating room without any neurological deficit.

Research paper thumbnail of Unrecognized peripheral nerve lesions in a traumatic brain injury patient

Turkish neurosurgery, 2007

Patients with traumatic brain injury constitute a diagnostic challenge since peripheral nerve inj... more Patients with traumatic brain injury constitute a diagnostic challenge since peripheral nerve injuries may be overlooked due to cognitive dysfunction and priority given to life-sustaining measures. Electromyography may be helpful in the differential diagnosis of weakness and atrophy. Problems specific for the traumatic brain injury patients, namely heterotopic ossification, hypertrophic callus formation and myositis ossificans should be considered by the physician. We report a 15-year-old patient involved in a pedestrian motor vehicle accident with traumatic brain injury. He had weakness and atrophy of the left upper extremity. Electromyographic examination revealed axillary nerve injury and carpal tunnel syndrome. Differential diagnosis of atrophy and weakness in traumatic brain injury patients is discussed.

Research paper thumbnail of The upper extremity functional index (UEFI): Cross-cultural adaptation, reliability, and validity of the Turkish version

Journal of back and musculoskeletal rehabilitation, Jan 15, 2014

Turkish version of the Upper Extremity Functional Index (UEFI) may help to assess shoulder functi... more Turkish version of the Upper Extremity Functional Index (UEFI) may help to assess shoulder function in patients with shoulder impingement syndrome (SAIS). To translate and cross-culturally adapted UEFI into Turkish and to assess its acceptability, reliability, validity in patients with SAIS. This study conducted with 93 SAIS participants. UEFI, the short version of the Disability of the Arm, Shoulder and Hand scale (Quick DASH), the Shoulder Pain and Disability Index, and the Short Form-36 Health Survey (SF-36) were administered. Acceptability was assessed in terms of refusal rate, rates of missing responses, and administration time. Test-retest reliability was assessed with intra class correlation coefficient (ICC), internal consistency was assessed with Cronbach's alpha coefficient. Validity was assessed by floor and ceiling effects, skew of distributions and Pearson's correlation coefficients. Cronbach's alpha coefficients for the UEFI at Time 1 and Time 2 were as fol...

Research paper thumbnail of The relationship between scapular dyskinesia, pain, range of motion and flexibility in patients with neck and shoulder problems

Ağrı - The Journal of The Turkish Society of Algology, 2014

Objectives: To investigate the relationship between scapular dyskinesia, pain, and flexibility in... more Objectives: To investigate the relationship between scapular dyskinesia, pain, and flexibility in patients with neck, shoulder, or both injuries.

Research paper thumbnail of Unilateral RS3PE Syndrome

Turkish Journal of Rheumatology, 2013

Research paper thumbnail of Sexual problems of women with spinal cord injury in Turkey

Spinal Cord, 2014

Objectives: Spinal cord injury (SCI) is a traumatic event that affects many facets of the injured... more Objectives: Spinal cord injury (SCI) is a traumatic event that affects many facets of the injured people's lives. One aspect is sexual functioning. The purpose of this study is to identify the sexual problems of women with SCI and determine their level of knowledge about sexuality. Methods: Twenty-six women with SCI for longer than 6 months were evaluated. Demographic information, sexual experiences were surveyed. Patients were also asked if and how they received sexual health consultation after SCI. Female Sexual Function Index (FSFI) and Beck Depression Inventory were evaluated. Results: In this study, average age of the women with SCI was 32.96±8.23 years (22-50 years). Eight patients had regular sexual intercourse while one married woman did not have any sexual relationship after SCI. Twenty-four of the patients in the study received no information about pregnancy or sexual health after SCI. All women were willing to receive information about sexuality after SCI. These patients expected the doctors to start the conversation about sexuality rather than asking about it. FSFI survey revealed that all the patients had sexual dysfunction. Conclusion: Sexual rehabilitation should thus be fully addressed in all spinal units and rehabilitation centers, along with other aspects of rehabilitation.

Research paper thumbnail of Double spinal cord injury in a patient with ankylosing spondylitis

Spinal Cord, 1999

Ankylosing spondylitis patients are more prone to spinal fractures and these fractures commonly r... more Ankylosing spondylitis patients are more prone to spinal fractures and these fractures commonly result in mobile nonunion. We report a patient with a 30-year history of ankylosing spondylitis who sustained double spinal cord injuries following minor trauma. The ®rst injury occurred at the lumbar level due to pseudoarthrosis of an old fracture, and the second at the thoracic level following cardiopulmonary arrest and an episode of hypotension. The possible mechanisms of the injuries are discussed and maintaining normal blood pressure in these patients is emphasized.

Research paper thumbnail of Assessment of spasticity using isokinetic dynamometry in patients with spinal cord injury

Spinal Cord, 1999

Objectives: To determine the value of isokinetic dynamometric measurement of passive resistance i... more Objectives: To determine the value of isokinetic dynamometric measurement of passive resistance in quantifying spasticity. Setting: Turkey. Methods: Thirty-three spastic spinal cord-injured patients and 14 age-matched normal individuals were studied. Five consecutive¯exion-extensions of the knee, abductionadductions of the hip, and dorsal-plantar¯exions of the ankle were performed at speci®c velocities (15, 30, 60, 90 and 1208/s) using a computerized isokinetic dynamometer set at the continuous passive motion mode. We recorded maximum torque and the sum of torque amplitudes for ®ve repetitions of each type of joint motion at all velocities. Results: Maximum torque values and the sum of torque amplitudes were both signi®cantly higher in spastic patients than in controls, and there was a positive correlation between torque values and Ashworth scores. There was no signi®cant linear increase in torque values associated with increasing velocity for any of the motions in either controls or patients. Conclusion: Isokinetic dynamometric measurement of passive resistance appeared to be a valuable tool for assessing and quantifying spasticity, as well as other types of hypertonus.

Research paper thumbnail of Single-Photon Emission Computerized Tomography (SPECT) in Neuropsychiatry: A Review

Behavioural Neurology, 1992

Cranial single-photon emission computerized tomography (SPECT or SPET) can now give regional cere... more Cranial single-photon emission computerized tomography (SPECT or SPET) can now give regional cerebral blood flow images with a resolution approaching that of positron emission tomography (PET). In this paper, the use of high resolution SPECT neuroimaging in neuropsychiatric disorders, including Alzheimer's disease, multi-infarct dementia, Pick's disease, progressive supranuclear palsy, Korsakoff's psychosis, Creutzfeld-Jakob disease, Parkinson's disease, Huntington's disease, schizophrenia, mood disorders, obsessive–compulsive disorder, HIV infection and AIDS is reviewed. Finally, further potential research and clinical uses, based on ligand studies, are outlined.

Research paper thumbnail of Diffuse idiopathic skeletal hyperostosis in a patient with situs inversus

Arthritis & Rheumatism, 1983

Research paper thumbnail of Effects of peripheral neuropathy on exercise capacity and quality of life in patients with chronic obstructive pulmonary diseases

Archives of Medical Science, 2012

Introduction: Chronic obstructive pulmonary diseases (COPD) have some systemic effects including ... more Introduction: Chronic obstructive pulmonary diseases (COPD) have some systemic effects including systemic inflammation, nutritional abnormalities, skeletal muscle dysfunction, and cardiovascular, skeletal and neurological disorders. Some studies have reported the presence of peripheral neuropathy (PNP) at an incidence of 28-94% in patients with COPD. Our study aimed to identify whether PNP affects exercise performance and quality of life in COPD patients. Material and methods: Thirty mild-very severe patients with COPD (male/female = 29/1, mean age = 64 ±10 years) and 14 normal subjects (male/female = 11/5, mean age = 61 ±8 years) were included in the present study. All subjects underwent pulmonary function testing (PFT), cardiopulmonary exercise testing, electroneuromyography and short form 36 (SF-36). Results: Peak oxygen uptake (PeakVO 2) was lower in COPD patients (1.15 ±0.53 l/min) than healthy subjects (2.02 ±0.46 l/min) (p = 0.0001). There was no PNP in healthy subjects while 16 (53%) of the COPD patients had PNP. Forced expiratory volume in 1 s (FEV 1) and PeakVO 2 were significantly different between patients with PNP and those without (p = 0.009, p = 0.03 respectively). Quality of life of patients with PNP was lower than that of patients without PNP (p < 0.05). Conclusions: The present study demonstrates the exercise limitation in COPD patients with PNP. Thus, presence of PNP has a poor effect on exercise capacity and quality of life in patients with COPD. Furthermore, treatment modalities for PNP can be recommended to these patients in order to improve exercise capacity and quality of life.