Sürdürülebilir Kalkınma Amaçları
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- MakaleAçık Erişim2024Pain, quality of life, proprioception and physical function in patient with knee osteoarthritis: Comparison of different grades
Yilmaz, Ali Kerim; Kehribar, Lokman; Yılmaz, Coşkun; Genç, Ahmet Serhat; Akdemir, Enes; Anıl, Berna; Yoldaş, Burak; Korkmaz, Esra; Kumru, Dilara; Ermis, Egemen
This study aimed to determine the differences in pain, quality of life and functional status of individuals with Knee Osteoarthritis (KOA) between grades. The study included 90 patients with different grades (Grades 1, 2, and 3) of KOA. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Lower Extremity Functional Scale (LEFS), Berg Balance Scale (BBS), Knee Injury and Osteoarthritis Outcome Score-Physical Function Shortform (KOOS-PS), Short Form Health (SF-12), Oxford Knee Score (OKS) and Visual Analogue Scale (VAS) scales were applied. Timed Up and Go test (TUG), Five Times Sit to Stand Test (5STS), Stair Climb Test (SCT), 6-minute Walking Test (6MWT) and proprioception measurements were performed for functional assessments. Foot Posture Index (FPI-6), Navicular Drop Test (NDT) and Foot Function Index (FFI) tests were used for foot posture evaluations. In the functional tests performed in the study, a significant decrease in test performance was observed in the 6MWT and SCT tests as the grade level increased (P<0.05). In TUG and 5STS tests, a significant decrease in performance was detected only in Grade 3 compared to other grades (P<0.05). Similarly, there were significant differences between the grades in all scales applied (P<0.05). In proprioception evaluations, similar medians were found between sides (P>0.05). In FFI averages, significant differences were found especially in pain (P=0.036) and insufficiency (P=0.008) parameters compared to grade 3. This study revealed noticeable differences in knee scores, pain, quality of life scales and functional tests at different stages of KOA. These differences were generally negative as grade levels increased. However, consistent with previous research, conflicting results were identified, emphasizing the need for a nuanced understanding of KOA.
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İncele - MakaleAçık Erişim2024Scopus SJRQ3Functional outcome and single hop test results of ACL reconstruction in athletes at a follow-up of 6 and 12 months: modified all-inside versus conventional hamstring autograft
Yoldaş, Burak; Yılmaz, Ali Kerim; Yılmaz, Coşkun; Akdemir, Enes; Anıl, Berna; Benli, Merve Demir; Genç, Ahmet Serhat; Kehribar, Lokman
Anterior cruciate ligament (ACL) tears are injuries with a high incidence in athletes, and ACL reconstruction (ACLR) is a surgical treatment orthopedists perform. This study aims to compare the 6 and 12 months post-op results of single leg hop tests (SLHT) performed in multidirectional conventional semitendinosus/gracilis (ST/G) and modified all inside (MAI) ACLR techniques on both sides and the limb symmetry indexes (LSI) of both techniques. This study evaluated a retrospective cohort of 50 male athletes who applied MAI (n = 23) and traditional ACLR ST/G (n = 27) techniques. Functional knee strength of the participants on both sides was measured with different SLHTs at 6 and 12 months postoperatively. The SLHT included medial side (MSTH), triple hop (TH), medial rotation (90◦) (MRH), crossover triple (CH) ve the single hop (SH) hop for distance. Both ACLR techniques showed significant improvement in mean Tegner, International Knee Documentation Committee (IKDC) and Lysholm scores preoperatively and at 6 and 12 months postoperatively (p < 0.05). For MAI and ST/G techniques, there was no significant difference in the results of SLHTs at 6 and 12 months for both the operated and non-operated sides (p < 0.05). Significance was found only in the MRH test of the non-operated side (p < 0.05). There was no significant difference in SLHT scores between the operated and non-operated sides at 6 and 12 months postoperatively (p > 0.05). There was no difference in LSI scores between techniques (p < 0.05). Our study revealed similar LSI rates in ST/G and MAI techniques at 6 and 12 months, suggesting that MAI technique can be used as a functional ACLR technique for athletes.
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İncele - MakaleAçık Erişim2024Scopus SJRQ2Effects of Electro-Muscle Stimulation Exercise Combined with Mat Pilates on Pain, Anxiety, and Strength in Sedentary Females with Fibromyalgia: A Single-Blind Randomized Controlled Trial
Eseoğlu, İsmail; Yılmaz, Ali Kerim; Anıl, Berna; Korkmaz, Esra; Akdemir, Enes; Yılmaz, Coşkun; Kehribar, Lokman; Aydın, Nur Gökçe; Ermiş, Egemen; Yoldaş, Burak
Background and Objectives: Fibromyalgia syndrome (FM) is a chronic pain disorder that is ranked as one of the four most common rheumatological diseases in the world. This study aims to investigate the effects of an eight-week mat Pilates and electro-muscle stimulation (EMS) with combined mat Pilates exercises on pain, depression, anxiety, and strength in sedentary women. Methods: This study is a single-blind randomized controlled trial. A total of 30 sedentary female patients (Pilates (n = 15), EMS (n = 15)) diagnosed with FM were included in the study. The patients were subjected to Beck Depression (BDIs) and Anxiety Inventories (BAIs); a Fibromyalgia Impact Questionnaire (FIQ); five different Single-Leg Hop Tests (SLHTs); modified push-up (MPU), Handgrip Strength (HGS), Deep Squat (DSQ), V-Sit Flexor, bent-arm hang (BA), sit-up and Biering-Sørensen tests; and anthropometric tests before and after the 8-week exercise program. Results: The eight weeks of mat Pilates exercises combined with mat Pilates and EMS revealed significant results (p < 0.05) in anthropometric data (abdomen, lower abdomen, hips) (p < 0.05) except for the results of chest circumference measurements (p > 0.05). In addition, there were statistically significant positive results in BDIs, BAIs, FIQs, lower extremity (all SLHTs and DSQ), upper extremity (MPU, HGS, BA), and core (V-SIT, sit-up, Biering-Sørensen test) strength test findings (p < 0.05). Conclusions: Combining the mat Pilates exercises with EMS is an effective and reliable method to improve the pain, anxiety, depression, and strength of female patients diagnosed with FM.
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