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    Diabetic Radiculoplexus Neuropathy Involving the Upper Extremity: A Case Report
    (Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2010) Turhanoglu, Ayse Dicle; Guler, Hayal; Okuyucu, Esra; Kizil, Nurhan
    Diabetic radiculoplexus neuropathy is a relatively rare condition, in which unilateral or bilateral muscular weakness that acutely or subacutely develops mainly around the hip in type 2 diabetes patients. A 71-year-old man with diabetes mellitus presented with asymmetrical weakness and atrophy of the right shoulder girdle muscles for the last 3 months. He had limitation of right shoulder range of motions and could not raise his right arm. Our patient, who fulfilled the criteria for the diagnosis of diabetic radiculoplexus neuropathy based on clinical and electrodiagnostic features, is reported and discussed in the light of the literature. Turk J Phys Med Rehab 2010;56:148-51.
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    Effects of a rehabilitation program for Parkinson's patients on reaction and movement time: an electromyographic study
    (Cukurova Univ, Fac Medicine, 2022) Kizil, Nurhan; Ogut, Halil; Okuyucu, Esra; Guler, Hayal; Ozer, Cahit; Turhanoglu, Ayse Dicle
    Purpose: The aim of the study was to investigate the effects of a rehabilitation program consisting of specific exercises for Parkinson's Disease (PD) patients on reaction time (RT), movement time (MT), quality of life and disease activity. Materials and Methods: A total of 26 idiopathic PD patients were included in the study. The exercises specific to Parkinson's were applied to the patients for 16 weeks. The evaluation of the patients were done before and after the treatment. The disease severity was measured with Unified Parkinson's Disease Rating Scale (UPDRS), quality of life was measured with Short Form-36 (SF-36). RT and MT measurements were done electromyographically. Results: There was no statistically significant difference in UPDRS total and sub-section values and SF-36 quality of life evaluation before and after the exercise program. While a significant decrease was observed in the RT values of the patients after the 16 week exercise program compared to prior to the program (Deltoid RT 370.46 +/- 25 to 219.58 +/- 17, biceps RT 370.42 +/- 27 to 216.49 +/- 14 and triceps RT 445.21 +/- 31 to 247.53 +/- 23, respectively). Conclusion: In PD, the rehabilitation program specific to the disease leads to a significant decrease in RT. Although the exercise has no statistically significant effect on disease activity, quality of life and MT values, it was seen that it still led to improvement.
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    Ultrasound-Guided vs. Blind Steroid Injections in Carpal Tunnel Syndrome A Single-Blind Randomized Prospective Study
    (Lippincott Williams & Wilkins, 2013) Ustun, Nilgun; Tok, Fatih; Yagiz, Abdullah Erman; Kizil, Nurhan; Korkmaz, Inan; Karazincir, Sinem; Okuyucu, Esra
    Objective: The aim of this study was to compare the efficacy and the safety of ultrasound (US)-guided vs. blind steroid injections in patients with carpal tunnel syndrome (CTS). Design: This prospective randomized single-blind clinical trial included 46 patients with CTS (46 affected median nerves). The subjects were randomized-to either the US-guided or the blind injection group-before they received 40 mg of methylprednisolone. They were evaluated using the Boston Carpal Tunnel Questionnaire symptom/function at baseline and at 6 wks and 12 wks after injection, and the side effects were noted. Results: The symptom severity and functional status scores improved significantly in both groups at 6 wks after treatment, and these improvements persisted at 12 wks after treatment (all P < 0.05). The improvement in symptom severity scores in the US-guided group at 12 wks was higher than in the palpation-guided group (P < 0.05). Average time to symptom relief was shorter in the US-guided group (P < 0.05). There was no significant difference between the two groups in terms of side effects (P > 0.05). Conclusions: Although both US-guided and blind steroid injections were effective in reducing the symptoms of CTS and improving the function, an earlier onset/better improvement of symptom relief suggests that US-guided steroid injection may be more effective than are blind injections in CTS.