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Öğe CAN FOOT PAIN AND MUSCULOSKELETAL DISORDERS BE COUNTED AS RISK FACTORS FOR FALLS IN THE ELDERLY?(Gunes Kitabevi Ltd Sti, 2010) Turhanoglu, Ayse Dicle; Guler, Hayal; Kalici, Aydiner; Inanoglu, Deniz; Ozer, CahitIntroduction: In this study, it was aimed to determine whether musculoskeletal disorders (FMDs) and/or foot pain (FP) were risk factors for falls and deteriorating health status in the elderly. Materials and Method: Two hundred fifty five patients aged over 60 years were enrolled in the study. The elderly filled the questionnaire about FP and falling. The FMDs in the study included hallux valgus (HV), hammer toe (HT), mallet toe (MT), claw toe (CT), overlapping toe (OT), pes cavus (PC), pes planus (PP), metatarsalgia (MA) and plantar fasciitis (PF). Participants' risk of falling was assessed using The Performance-Oriented-Mobility-Assessment and the health status was measured using The Short-Form (SF)-36. Results: A total of 255 patients with a mean age of 67.90 +/- 6.15 were examined; 175(69%) were female and 78 (31%) were male. Ninety-seven (38%) of the subjects reported FP and 103 (43.8%) patients were diagnosed as having FMDs. The most common FMD was HV (18.4%), followed by PF (15.9%), PP (13.3%), MA (12.9%), HT (7.8%), MT (4.3%), OT (3.5%), CT (1.6%) and PC (1.9%). FP, HV, PP, MA, PF, CT and OT were associated with risk of falling (p<0.05). There was a relationship between falls and the presence of FMD (p<0.01) and foot pain (p<0.01). PCSs of the patients with FP were lower than that of those without FP (p<0.05) Conclusion: FMDs and FP should be considered as risk factors for falling in the elderly.Öğe Comparison of Ketoprofen Phonophoresis with Ketoprofen and Lidocaine-Prilocaine Phonophoresis in Patients with Subacromial Impingement Syndrome(Turkish League Against Rheumatism, 2009) Guler, Hayal; Turhanoglu, Ayse Dicle; Inanoglu, Kerem; Inanoglu, Deniz; Ozer, CahitObjective: The aim of the present study was to compare ketoprofen phonophoresis with ketoprofen and lidocaine-prilocaine phonophoresis in patients with subacromial impingement syndrome (SIS). Material and Methods: Seventy patients (39 female, 31 male) with SIS were included in this study. The patients were divided into two groups and a 15-session physical therapy and rehabilitation program was performed in each group. Ketoprofen and lidocaine-prilocaine phonophoresis were performed in the first group and ketoprofen phonophoresis alone in the second group. Hot pack, transcutaneous electrical nerve stimulation (TENS) and exercises were applied in all patients. Severity of shoulder pain was determined by visual analogue scale (VAS). Range of motion (ROM) was measured by goniometer. Functional capacity of patients was evaluated by UCLA (The University of California-Los Angeles) score. All of the measurements were performed before treatment and in the 1st and 3rd months after treatment. Results: There was no significant difference between the two groups in VAS and UCLA scores before treatment initiation (p>0.05). VAS scores of Group 1 were lower than of Group 2 (p=0.020) in the 3rd month follow-up. ROMs and flexion, abduction and internal rotation were higher in Group 2 than Group 1 (p=0.009, p=0.001, p=0.019, respectively) before treatment. Abduction measurements in Group 2 were higher than in Group 1 in the 1st month after treatment (p=0.024). However, there was no significant difference between the two groups in UCLA and ROM values in the 3rd month (p>0.05). There was also no significant difference between the two groups in external rotation values before and after treatment (p>0.05). Conclusion: Our study showed that ketoprofen and lidocaine-prilocaine phonophoresis were more effective on pain and ROM than ketoprofen phonophoresis alone in the 3rd month after treatment in patients with SIS. (Turk J Rheumatol 2009; 24: 88-93)Öğe Effects of exercise and Kinesio taping on abdominal recovery in women with cesarean section: a pilot randomized controlled trial(Springer Heidelberg, 2016) Gursen, Ceren; Inanoglu, Deniz; Kaya, Serap; Akbayrak, Turkan; Baltaci, GulPurpose Abdominal muscle strength decreases and fat ratio in the waist region increases following cesarean section. Kinesio taping (KT) is an easily applicable method and stimulates muscle activation. The aim of this pilot randomized controlled trial (RCT) was to investigate the effects of KT combined with exercise in women with cesarean section on abdominal recovery compared to the exercise alone. Methods Twenty-four women in between the fourth and sixth postnatal months who had cesarean section were randomly assigned to KT + exercise (n = 12) group or exercise group (n = 12). KT was applied twice a week for 4 weeks on rectus abdominis, oblique abdominal muscles and cesarean incision. All women were instructed to carry out posterior pelvic tilt, core stabilization and abdominal correction exercises. Outcome measures were evaluated with the manual muscle test, sit-up test, abdominal endurance test, Visual Analog Scale (VAS), circumference measurements and Roland Morris Disability Questionnaire (RMDQ). Mann-Whitney U and Wilcoxon tests were used to analyze data. p< 0.05 was considered as statistically significant. Results The improvement observed in the KT + exercise group was significantly greater compared to the exercise group in terms of the strength of the rectus abdominis muscle, sit-up test, VAS, measurements of the waist circumference and RMDQ (p< 0.05). Conclusions It appears that the addition of KT to abdominal exercises in the postnatal physiotherapy program provides greater benefit for the abdominal recovery in women with cesarean section. Further studies with larger sample sizes and long-term follow-up are needed to verify these results.Öğe Efficacy of EMLA cream phonophoresis comparison with ultrasound therapy on myofascial pain syndrome of the trapezius: a single-blind, randomized clinical study(Springer Heidelberg, 2014) Ustun, Nilgun; Arslan, Fatma; Mansuroglu, Ayhan; Inanoglu, Deniz; Yagiz, Abdullah Erman; Guler, Hayal; Turhanoglu, Ayse DicleThe aim of this study is to investigate whether eutectic mixture of local anesthetics (EMLA) cream phonophoresis superior to conventional US over the trigger points (TPs) in terms of improvements of pain, range of motion and disability in myofascial pain syndrome (MPS). Fifty patients (42 female, 8 male) diagnosed with MPS were included in the study. Patients were randomly assigned into two treatment groups including phonophoresis (PH) group (n = 25) and ultrasound (US) group (n = 25). PH group received EMLA cream phonophoresis (2.5 % lidocaine, 2.5 % prilocaine); US group received conventional ultrasound therapy over the all active TPs on trapezius muscle for 10 min a day for 15 sessions. Outcome measures were performed before the treatment course and at the end of a 15-session course of treatment. Student T, Mann-Whitney U, chi-square and Wilcoxon tests were used for statistical analysis. At the end of the therapy, there was statistically significant decrease in both PH group and US group in terms of number of trigger point (NTP) (p = 0.001, p = 0.029), pain intensity on movement (p = 0.001 vs. 0.002) and right/left cervical lateral ROMs (p = 0.001/p = 0.001, p = 0.009/p = 0.020) relative to baseline. The NTP decrease in PH group was significantly higher than that in US group (1.84 +/- A 1.46 vs. 0.72 +/- A 1.45; p = 0.01). Pain intensity at rest (p = 0.001) and NPDI scores (p = 0.001) were statistically improvement in only PH group. EMLA cream phonophoresis is more effective than conventional ultrasound therapy in terms of pain and associated neck disability, and it seems the complementary treatment option for MPS.
