Mufit Akyuz - Academia.edu (original) (raw)
Papers by Mufit Akyuz
Türkiye fiziksel tıp ve rehabilitasyon dergisi, 2012
PubMed, Mar 1, 1998
... Re: Functional Reconstruction of Total Lower Lip Defects with a Radial Forearm Free Flap Comb... more ... Re: Functional Reconstruction of Total Lower Lip Defects with a Radial Forearm Free Flap Combined with a Depressor Anguli Oris Muscle Transfer. Tellioclu, Ali Teoman MD; Akyüz, Müfit MD. Collapse Box Abstract. An abstract is unavailable. ...
Spinal Cord, Jun 3, 2014
Background: In our clinical training program, which includes probable American Spinal Injury Asso... more Background: In our clinical training program, which includes probable American Spinal Injury Association impairment scale (AIS) grade changes in the event of recovery, we have noticed some confounding results regarding the AIS grading in spinal cord injury (SCI) patient case examples who are expected to recover. We also observed an individual case that showed a conflict between AIS grade conversion and neurological changes in European Multicenter Study on Human Spinal Cord Injury study. Study design: The analysis of SCI case examples for the probable AIS grade changes in the event of recovery. Objectives: To demonstrate the possible problems with AIS classification in SCI cases involving presumed motor and sensory changes, and to clarify the possible causes of the inverse relationship between the motor/sensory changes and AIS conversion in certain conditions. Setting: Ankara, Turkey. Methods: We studied the case examples of reference from the 2011 revision of International Standards for the Neurological Classification of Spinal Cord Injury. Results: We encountered the same unique problem of deteriorating AIS grades within the critical zones of conversion when presumed neurological improvement took place, and vice versa. Conclusion: When recovery occurs without observing any motor or sensory changes while taking only the AIS into account, it would be possible to make an incorrect conclusion. This is most likely an indication of a limitation of the AIS. To enlighten this paradox, the large amount of data in SCI databases should be reanalyzed.
Cerebrovascular Diseases, 2005
Türkiye fiziksel tıp ve rehabilitasyon dergisi, 2003
Turkish journal of physical medicine and rehabilitation, Dec 1, 2021
Objectives: This study aims to evaluate the predictors of standard nerve conduction study (NCS) p... more Objectives: This study aims to evaluate the predictors of standard nerve conduction study (NCS) parameters in determining the presence of axonal loss by means of spontaneous activity in patients with mild and moderate carpal tunnel syndrome (CTS). Patients and methods: Between May 2015 and April 2018, a total of 118 patients (11 males, 107 females; mean age: 52.3±10.6 years; range, 27 to 79 years) who underwent electrophysiological studies and were diagnosed with CTS were included. Demographic data of the patients including age, sex, and symptom duration were recorded. Electrodiagnostic studies were performed in all patients. All the needle electromyography (EMG) findings were recorded, but only the presence or absence of spontaneous EMG activities was used as the indicator of axonal injury. Results: In 37 (31.4%) of the patients, spontaneous activity was detected at the thenar muscle needle EMG. No spontaneous activity was observed in any of 43 (36.4%) patients with normal distal motor latency (DML). There were significant differences in DMLs, compound muscle action potential (CMAP) amplitudes, sensory nerve action potentials amplitudes, and sensory nerve conduction velocities between the groups with and without spontaneous activity (p<0.05). The multiple logistic regression analysis revealed that DML was a significant independent risk variable in determining presence of spontaneous activity. The most optimal cutoff value for median DML was calculated as 4.9 ms. If the median DML was >4.9 ms, the relative risk of finding spontaneous activity on thenar muscle needle EMG was 13.5 (95% CI: 3.6-51.2). Conclusion: Distal motor latency is the main parameter for predicting the presence of spontaneous activity in mild and moderate CTS patients with normal CMAP. Performing needle EMG of the thenar muscle in CTS patients with a DML of >4.9 ms may be beneficial to detect axonal degeneration in early stages.
American Journal of Physical Medicine & Rehabilitation, Sep 1, 2007
Objectives: On completion of this article, the reader should be able to (1) identify stroke patie... more Objectives: On completion of this article, the reader should be able to (1) identify stroke patients with high risk for developing urinary tract infection, (2) develop strategies for lowering urinary tract infection rate in stroke patients, and (3) treat stroke patients with urinary tract infection more effectively. Level: Advanced.
Spinal Cord, Feb 1, 2004
Study design: Investigation of bladder-filling sensation in 73 consecutive traumatic spinal cord ... more Study design: Investigation of bladder-filling sensation in 73 consecutive traumatic spinal cord injury (SCI) patients during laboratory cystometry. Objectives: To determine the frequencies of bladder-filling sensation in SCI patients with complete lesions above T11 and below T10 and with incomplete lesions, to examine the quality of the preserved sensation, as well as to determine the potential for sensation-dependent bladder emptying in this patient group.
Annals of medical research, 2020
Clinical Neurophysiology, Jul 1, 2006
Archives of Physical Medicine and Rehabilitation, Mar 1, 1999
Flora infeksiyon hastalıkları ve klinik mikrobiyoloji dergisi, 2004
Romatoloji ve Tıbbi Rehabilitasyon Dergisi, 2001
Romatoloji ve Tıbbi Rehabilitasyon Dergisi, 1998
Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 2013
Sum mary Objective: To investigate the effect of functional electrical stimulation on wrist funct... more Sum mary Objective: To investigate the effect of functional electrical stimulation on wrist function and spasticity in individuals with subacute/chronic stroke. Materials and Methods: Randomized, controlled and prospective study. Twenty-eight patients with a mean age of 58.9±12.3 years and with a mean stroke duration of 100±62 days were randomly assigned to a functional electrical stimulation group or a control group. A standard rehabilitation program was applied to control group (n=14), and a standard rehabilitation program plus functional electrical stimulation of wrist and finger extensors were applied to the other group (n=14). Upper limb function was assessed by the Motricity index and spasticity was assessed by the Ashworth scale at the beginning and two weeks after the treatment. Resistance to passive wrist flexion and extension at 60, 90 and 120 degrees/sec velocities were measured by using an isokinetic dynamometer. Results: Total upper extremity Motricity index scores were not different between the groups at the beginning (p=0.142). Intragroup analyses of the Motricity index showed that there was a statistically significant improvement in total Motricity index score in functional electrical stimulation group (n=14) (p=0.027), however, other studied parameters did not improve significantly (p>0.05). None of the studied parameters statistically significantly improved in the standard rehabilitation group (n=14) (p>0.05). Conclusion: Adding functional electrical stimulation to standard rehabilitation program has a positive improving effect on the upper limb motor function in patients with post-stroke hemiplegia.
Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 2012
© Tür ki ye Fi zik sel Tıp ve Re ha bi li tas yon Der gi si, Ga le nos Ya yı ne vi ta ra fın dan ... more © Tür ki ye Fi zik sel Tıp ve Re ha bi li tas yon Der gi si, Ga le nos Ya yı ne vi ta ra fın dan ba sıl mış tır. / © Tur kish Jo ur nal of Physi cal Me di ci ne and Re ha bi li ta ti on, pub lis hed by Ga le nos Pub lis hing.
Fiziksel tıp ve rehabilitasyon bilimleri dergisi, 2010
Türkiye fiziksel tıp ve rehabilitasyon dergisi, 2012
PubMed, Mar 1, 1998
... Re: Functional Reconstruction of Total Lower Lip Defects with a Radial Forearm Free Flap Comb... more ... Re: Functional Reconstruction of Total Lower Lip Defects with a Radial Forearm Free Flap Combined with a Depressor Anguli Oris Muscle Transfer. Tellioclu, Ali Teoman MD; Akyüz, Müfit MD. Collapse Box Abstract. An abstract is unavailable. ...
Spinal Cord, Jun 3, 2014
Background: In our clinical training program, which includes probable American Spinal Injury Asso... more Background: In our clinical training program, which includes probable American Spinal Injury Association impairment scale (AIS) grade changes in the event of recovery, we have noticed some confounding results regarding the AIS grading in spinal cord injury (SCI) patient case examples who are expected to recover. We also observed an individual case that showed a conflict between AIS grade conversion and neurological changes in European Multicenter Study on Human Spinal Cord Injury study. Study design: The analysis of SCI case examples for the probable AIS grade changes in the event of recovery. Objectives: To demonstrate the possible problems with AIS classification in SCI cases involving presumed motor and sensory changes, and to clarify the possible causes of the inverse relationship between the motor/sensory changes and AIS conversion in certain conditions. Setting: Ankara, Turkey. Methods: We studied the case examples of reference from the 2011 revision of International Standards for the Neurological Classification of Spinal Cord Injury. Results: We encountered the same unique problem of deteriorating AIS grades within the critical zones of conversion when presumed neurological improvement took place, and vice versa. Conclusion: When recovery occurs without observing any motor or sensory changes while taking only the AIS into account, it would be possible to make an incorrect conclusion. This is most likely an indication of a limitation of the AIS. To enlighten this paradox, the large amount of data in SCI databases should be reanalyzed.
Cerebrovascular Diseases, 2005
Türkiye fiziksel tıp ve rehabilitasyon dergisi, 2003
Turkish journal of physical medicine and rehabilitation, Dec 1, 2021
Objectives: This study aims to evaluate the predictors of standard nerve conduction study (NCS) p... more Objectives: This study aims to evaluate the predictors of standard nerve conduction study (NCS) parameters in determining the presence of axonal loss by means of spontaneous activity in patients with mild and moderate carpal tunnel syndrome (CTS). Patients and methods: Between May 2015 and April 2018, a total of 118 patients (11 males, 107 females; mean age: 52.3±10.6 years; range, 27 to 79 years) who underwent electrophysiological studies and were diagnosed with CTS were included. Demographic data of the patients including age, sex, and symptom duration were recorded. Electrodiagnostic studies were performed in all patients. All the needle electromyography (EMG) findings were recorded, but only the presence or absence of spontaneous EMG activities was used as the indicator of axonal injury. Results: In 37 (31.4%) of the patients, spontaneous activity was detected at the thenar muscle needle EMG. No spontaneous activity was observed in any of 43 (36.4%) patients with normal distal motor latency (DML). There were significant differences in DMLs, compound muscle action potential (CMAP) amplitudes, sensory nerve action potentials amplitudes, and sensory nerve conduction velocities between the groups with and without spontaneous activity (p<0.05). The multiple logistic regression analysis revealed that DML was a significant independent risk variable in determining presence of spontaneous activity. The most optimal cutoff value for median DML was calculated as 4.9 ms. If the median DML was >4.9 ms, the relative risk of finding spontaneous activity on thenar muscle needle EMG was 13.5 (95% CI: 3.6-51.2). Conclusion: Distal motor latency is the main parameter for predicting the presence of spontaneous activity in mild and moderate CTS patients with normal CMAP. Performing needle EMG of the thenar muscle in CTS patients with a DML of >4.9 ms may be beneficial to detect axonal degeneration in early stages.
American Journal of Physical Medicine & Rehabilitation, Sep 1, 2007
Objectives: On completion of this article, the reader should be able to (1) identify stroke patie... more Objectives: On completion of this article, the reader should be able to (1) identify stroke patients with high risk for developing urinary tract infection, (2) develop strategies for lowering urinary tract infection rate in stroke patients, and (3) treat stroke patients with urinary tract infection more effectively. Level: Advanced.
Spinal Cord, Feb 1, 2004
Study design: Investigation of bladder-filling sensation in 73 consecutive traumatic spinal cord ... more Study design: Investigation of bladder-filling sensation in 73 consecutive traumatic spinal cord injury (SCI) patients during laboratory cystometry. Objectives: To determine the frequencies of bladder-filling sensation in SCI patients with complete lesions above T11 and below T10 and with incomplete lesions, to examine the quality of the preserved sensation, as well as to determine the potential for sensation-dependent bladder emptying in this patient group.
Annals of medical research, 2020
Clinical Neurophysiology, Jul 1, 2006
Archives of Physical Medicine and Rehabilitation, Mar 1, 1999
Flora infeksiyon hastalıkları ve klinik mikrobiyoloji dergisi, 2004
Romatoloji ve Tıbbi Rehabilitasyon Dergisi, 2001
Romatoloji ve Tıbbi Rehabilitasyon Dergisi, 1998
Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 2013
Sum mary Objective: To investigate the effect of functional electrical stimulation on wrist funct... more Sum mary Objective: To investigate the effect of functional electrical stimulation on wrist function and spasticity in individuals with subacute/chronic stroke. Materials and Methods: Randomized, controlled and prospective study. Twenty-eight patients with a mean age of 58.9±12.3 years and with a mean stroke duration of 100±62 days were randomly assigned to a functional electrical stimulation group or a control group. A standard rehabilitation program was applied to control group (n=14), and a standard rehabilitation program plus functional electrical stimulation of wrist and finger extensors were applied to the other group (n=14). Upper limb function was assessed by the Motricity index and spasticity was assessed by the Ashworth scale at the beginning and two weeks after the treatment. Resistance to passive wrist flexion and extension at 60, 90 and 120 degrees/sec velocities were measured by using an isokinetic dynamometer. Results: Total upper extremity Motricity index scores were not different between the groups at the beginning (p=0.142). Intragroup analyses of the Motricity index showed that there was a statistically significant improvement in total Motricity index score in functional electrical stimulation group (n=14) (p=0.027), however, other studied parameters did not improve significantly (p>0.05). None of the studied parameters statistically significantly improved in the standard rehabilitation group (n=14) (p>0.05). Conclusion: Adding functional electrical stimulation to standard rehabilitation program has a positive improving effect on the upper limb motor function in patients with post-stroke hemiplegia.
Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 2012
© Tür ki ye Fi zik sel Tıp ve Re ha bi li tas yon Der gi si, Ga le nos Ya yı ne vi ta ra fın dan ... more © Tür ki ye Fi zik sel Tıp ve Re ha bi li tas yon Der gi si, Ga le nos Ya yı ne vi ta ra fın dan ba sıl mış tır. / © Tur kish Jo ur nal of Physi cal Me di ci ne and Re ha bi li ta ti on, pub lis hed by Ga le nos Pub lis hing.
Fiziksel tıp ve rehabilitasyon bilimleri dergisi, 2010