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    Clinical Characteristics of and Services Provided for Patients with Lymphedema Referred to a Physiotherapy Program During the Years 2009 Through 2019
    (Mary Ann Liebert, Inc, 2021) Keser, Ilke; Ozdemir, Kadirhan; Erturk, Burak; Haspolat, Miray; Duman Ozkan, Tugce; Cam, Yagmur; Sakizli Erdal, Elif
    Background: Lymphedema is a chronic and progressive disease whose diagnosis involves determination of clinical and demographic characteristics. The aim of this retrospective study was to analyze the clinical characteristics of patients with lymphedema and their various diagnoses. We studied patients who were referred for physiotherapy services at any point during the years 2009 through 2019. Methods: Retrospective data were collected from the files of 430 lymphedema patients. The type, cause, localization, stage, and severity of lymphedema and physiotherapy needs were analyzed and reported. Results: Primary and secondary lymphedema were observed in 18 (4.2%) and 412 (95.8%) patients, respectively. The patients' mean body mass index score was 30.66 kg/m(2). The data indicated that the most common cause of secondary lymphedema was breast cancer and its treatments (n = 196, 47.6%). Other causes were chronic venous insufficiency (CVI) (n = 140, 34%), lipolymphedema (n = 11, 2.7%), and other types of cancers (n = 65, 15.7%). According to the affected body regions, 416 patients had unilateral/bilateral upper and lower extremity lymphedema and 14 had head and neck lymphedema. The patients were followed with a home-based physiotherapy program (n = 353, 82.1%) or they underwent treatments through an outpatient program (n = 77, 17.9%). Conclusions: Most patients admitted to the clinic had a diagnosis of breast cancer and CVI. The severity and stages of lymphedema were variable. The data indicated that most patients were followed through a home-based physiotherapy program. These results may set a frame for understanding the treatment and care needs of patients with lymphedema.
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    Rehabilitation strategies and neurological consequences in patients with COVID-19: part I
    (Taylor & Francis Ltd, 2021) Cetisli-Korkmaz, Nilufer; Bilek, Furkan; Can-Akman, Tuba; Baskan, Emre; Keser, Ilke; Dogru-Huzmeli, Esra; Duray, Mehmet
    Background: The 2019 novel coronavirus disease (COVID-19) pandemic has triggered a devastating effect worldwide. In addition to cardiovascular, pulmonary, and musculoskeletal deconditioning, reports of neurological consequences (e.g. stroke, critical illness polyneuropathy, myopathy, vertigo, headaches, facial palsy, and delirium) are growing increasingly common. Objectives: Part I of this review of rehabilitation strategies and neurological consequences in patients with COVID-19 sought to consider potential rehabilitation strategies for managing the emerging neurological consequences of COVID-19. Methods: An exploratory review was conducted that comprised a narrative synthesis in two parts. Part I focused on neurological consequences and physiotherapy and rehabilitation approaches. Part II focused on the general principles of rehabilitation interventions and precautions that should be considered. Literature on the use of the neurorehabilitation approaches was also included in the review. Results: Rehabilitation services include inpatient and outpatient rehabilitation services. With respect to the recovery of mobility and function, an interdisciplinary approach was generally involved. Conclusions: A thorough assessment and the development of an individualized, progressive treatment and rehabilitation plan should be implemented by focusing on existing function, any disabilities, the desire to return to participation in society, and maximizing function and quality of life. It should be noted that neurorehabilitation should not be delayed and be completed for all patients with COVID-19 of all levels in need.
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    Rehabilitation strategies and neurological consequences in patients with COVID-19: part II
    (Taylor & Francis Ltd, 2021) Cetisli-Korkmaz, Nilufer; Bilek, Furkan; Can-Akman, Tuba; Baskan, Emre; Keser, Ilke; Dogru-Huzmeli, Esra; Duray, Mehmet
    Background: The 2019 novel coronavirus disease (COVID-19) pandemic has triggered a devastating effect worldwide. Objectives: This review of rehabilitation strategies and neurological consequences in patients with COVID-19 sought to consider potential neurorehabilitation strategies for managing the emerging neurological consequences of COVID-19. Methods: An exploratory review was conducted that comprised a narrative synthesis in two parts. Part I focused on neurological consequences and physiotherapy and rehabilitation approaches. Part II focused on general principles of rehabilitation interventions and precautions that should be considered. Literature on the use of neurorehabilitation approaches was also included in the review. Results: Rehabilitation should be initiated as quickly as possible. Neurorehabilitation protocols include public health training valid for the whole community and providing intensive care, pulmonary rehabilitation, mobilization, exercise and strengthening, whole-body vibration, neuromuscular electrical stimulation, telerehabilitation, and other rehabilitation interventions. Interventions should be conducted while correctly implementing personal protective equipment (PPE), hand hygiene, sterilization procedures, and other precautions to avoid the risk of contamination. Conclusions: Multidimensional assessment should be followed by development of individualized and progressive treatment and neurorehabilitation plans. These plans should focus on existing potential and recovery of mobility and function in particular. It is important for rehabilitation teams to keep gathering and reporting data on patients with COVID-19 and the neurologic complications of COVID-19 during and after the pandemic.