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Öğe Efficacy of therapeutic ultrasound in the treatment of spasticity: A randomized controlled study(IOS PRESS, 2011) Sahin, Nilay; Ugurlu, Hatice; Karahan, Ali YavuzThe purpose of this study was to investigate the effect of ultrasound (US) on the spasticity occurring in the ankle plantar flexor muscles after a cerebrovascular event. According to the modified Ashworth scale (MAS), the hemiplegic patients with stage 2-3 spasticity on the ankle plantar flexor muscles were enrolled in the study and divided into two groups. Passive stretching exercise was applied to both groups. Additionally, 10-minute US was applied to one of the groups, using the mode of continuous wave of 1.5w/cm(2) to the calf muscles before stretching. In order to monitor the efficacy of the treatment in the patients, MAS, Hmax/Mmax ratio, the ankle range of motion (ROM), Functional Independence Measure and Brunnstrom Motor Recovery Stage were evaluated. While a significant recovery was monitored in the MAS and ankle ROM measurements after treatment in both groups, no change was obtained in the other parameters. No significant difference was detected in any of the measurements between the groups. In this study, US treatment applied in combination with the ankle plantar flexor muscles passive stretching exercise was determined to have no effect on the stretching treatment in minimizing the spasticity.Öğe Evaluation of knee proprioception and effects of proprioception exercise in patients with benign joint hypermobility syndrome(SPRINGER HEIDELBERG, 2008) Sahin, Nilay; Baskent, Akin; Cakmak, Aysegul; Salli, Ali; Ugurlu, Hatice; Berker, EnderThe first aim is to show if there is a disorder in proprioception in cases with benign joint hypermobility syndrome (BJHS) when compared to healthy subjects. The second aim is to evaluate the effect of proprioception exercise in BJHS cases. To evaluate the proprioceptive sensibility of the knee joint with 40 BJHS and 30 healthy subjects enrolled in the study. Then, cases with BJHS were randomized into two groups; proprioceptive exercises were applied to 15 patients for 8 weeks in clinic and 25 patients were taken as controls. Outcome measures included proprioceptive sensation, AIMS2 and VAS. Proprioception is significantly impaired in cases with BJHS. In BJHS group, significant decreases in VAS levels were detected in cases who did exercise compared with cases who did not, and statistically significant improvements were detected in occupational activity. For this reason proprioception exercises cause decrease in pain and improvement of functional status in BJHS group.Öğe Isokinetic evaluation of knee extensor/flexor muscle strength in patients with hypermobility syndrome(SPRINGER, 2008) Sahin, Nilay; Baskent, Akin; Ugurlu, Hatice; Berker, EnderBenign joint hypermobility syndrome (BJHS) is a syndrome with musculoskeletal pain originating from the increased laxity of the joints and the ligaments. The study was to compare the isokinetic strength of knee extensor/flexor muscles of BJHS patients with healthy controls. Forty patients diagnosed as having BJHS with Brighton criteria and 45 years of age, height and weight-matched healthy controls were recruited for the study. Isokinetic testing was performed with isokinetic dynamometry of Biodex System 3Pro and measurements were recorded at knee extension/flexion pattern concentrically at 60, 180, and 240/s angular velocities. The study group was also evaluated for functional impairment and pain by HAQ and VAS respectively. Knee extensor muscle strength was significantly lower in the patient group compared with the controls. It was hypothesized that the muscle weakness in the study group was related to lengthening of the quadriceps muscle and pain-related inactivity as well as joint instability and proprioception defect.Öğe Isokinetic strength of the trunk flexors and extensors in ankylosing spondylitis(IOS PRESS, 2013) Durmus, Bekir; Sahin, Nilay; Baysal, Ozlem; Ersoy, Yuksel; Baysal, Tamer; Koca, Tuba Tulay; Altay, ZuhalBACKGROUND: Objective measurement of trunk muscles strength in ankylosing spondylitis (AS) may provide clinical information that can be used to evaluate functional disability. OBJECTIVE: To compare the isokinetic strength of trunk muscles in AS patients with healthy subjects. METHODS: Thirty-four patients with AS and thirty-one healthy subjects were enrolled. Patients with spinal ankylosis and bridged syndesmophytes in the lumbar and dorsal vertebrae were excluded. Trunk flexor and extensor strength was measured at: 60 and 90 degrees/sec. RESULTS: When compared with the control group, AS patients demonstrated 38% and 24% decrease in the extensor and flexor strength, respectively (p < 0.05). In addition, the flexor/extensor strength ratio was 1.0 and 0.8 in the patients and control subjects, respectively. CONCLUSIONS: In view of the relatively selective extensor weakness we recommend assessment of trunk muscle strength in these patients for guiding clinicians regarding possible reconditioning exercises in the early period of AS.Öğe MUSCULAR KINETICS AND FATIGUE EVALUATION OF KNEE USING BY ISOKINETIC DYNAMOMETER IN PATIENTS WITH ANKYLOSING SPONDYLITIS(PUBLISAUDE-EDICOES MEDICAS LDA, 2011) Sahin, Nilay; Ozcan, Emel; Baskent, Akin; Karan, Ayse; Kasikcioglu, ErdemObjective: Ankylosing Spondylitis (AS) is an inflammatory disease that is observed with arthritis, sacroiliitis and disability The aim of the study was to compare the strength and fatigue of knee extensor/flexor muscle group usage by isokinetic in patients with AS with controls. Methods: Twenty-six AS diagnosed patients and twenty-six healthy volunteers with similar age, height, body weight and gender were included in this study. In both groups the isokinetic tests are conducted by isokinetic dynamometer for every subject. Knee extension/flexion patterns;peak torque, agonist/antagonist ratio and work fatigue isokinetic parameters were evaluated during the knee 60 degrees/s, 180 degrees/s and 240 degrees/s angular velocities. Results: Knee extension/flexion muscle strength in patient group was significantly lower compared to the control group in all angular velocities (p<0.05). Conclusions: The study showed knee muscle weakness and fatigue in patients with AS compared to the control group.Öğe Reactive arthritis following tetanus vaccination: a case report(SPRINGER, 2009) Sahin, Nilay; Salli, Ali; Enginar, Ayse Unal; Ugurlu, HaticeWe report a case of reactive arthritis following tetanus vaccination. A healthy 55-year-old woman presented with pain and acute swelling of the right knee two days after receiving a tetanus vaccination. Erythrocyte sedimentation rate and C-reactive protein were elevated. Rheumatoid factor and human leukocyte antigen B-27 were negative. Her arthritis improved with the administration of nonsteroidal anti-inflammatory drugs. One week later the knee swelling and pain had settled. Reactive arthritis may occur after tetanus vaccination.Öğe The Role of Electromyography in Temporomandibular Joint Diseases(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2010) Sahin, NilayTemporomandibular Joint Diseases (TMJD) is a term used for disorders involving temporomandibular joint, mastication muscles and structures related with them and for various clinical problems coexisting together. Anamnesis, physical examination, radiology, biochemistry and electromyography (EMG) helps in diagnosing and making the differential diagnosis for all these problems. Among these useful methods, EMG is especially effective in examining muscle and nerve functioning and in the differential diagnosis in such locations. Turk J Phys Med Rehab 2010;56 Suppl 1:7-10.Öğe Treatment of Periodontoid Pannus With Infliximab in a Patient With Rheumatoid Arthritis(LIPPINCOTT WILLIAMS & WILKINS, 2009) Salli, Ali; Sahin, Nilay; Paksoy, Yahya; Kucuksarac, Seher; Ugurlu, Hatice[Abstract not Available]
