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Öğe The effect of linear polarized polychromatic light therapies applied according to biochemical values on pressure ulcers(2007) Özdemir F.; Rodoplu M.; Oymak F.; Süt N.Objective: Pressure ulcer is an important health problem of immobile and especially bedridden patients. In the study we assessed the effect of linear polarized polychromatic light therapies on pressure ulcers according toto albumin level, anemia and diabetes mellitus presence. Materials and Methods: Twenty patients were included in this study who were hospitalized in departments of physical therapy and rehabilitation, neurology and plastic and reconstructive surgery. Patients included in the study had stage II or stage III pressure ulcers. Albumin and hemoglobin levels and presence of diabetes mellitus of all subjects were recorded at the beginning of the study. Routine wound care were applied to all subjects. In addition, linear polarized polychromatic light was applied directly through the skin with 1.3 J/cm2 energy dosage of Biolamp device for 6 minutes daily from a distance of 10 cm. Ulcer area measurements were made using a scaled paper at 1st, 7th and 15th days of treatment and expressed as square centimeters. Results: We did not find statistically significant difference between groups in wound area at 1st, 7th and 15th days when compared groups according to albumin and hemoglobin levels and presence of diabetes mellitus (p>0.05). When investigated the correlation between wound improvement and hemoglobin and albumin levels we found negative correlation between albumin level and wound improvement. Conclusion: These results suggest that the effect of linear polarized polychromatic light therapy was not affected by biochemical parameters. These results may reflect the positive biomodular effect of linear polarized polychromatic light. We concluded that although the biochemical parameters did not effect the treatment, we have to attach importance the biochemical parameters or the addition problems.Öğe The effect of neuromuscular electrical stimulation on gait speed and distance in patients with stroke(2007) Mesci N.; Özdemir F.; Kabayel D.D.; Tokuç B.Objective: In the present study, the effectiveness of neuromuscular electrical stimulation (NMES) on gait speed and distance in lower extremity rehabilitation in patients with stroke was evaluated. Materials and Methods: The study included 35 patients who had hemiplegia following stroke. 17 patients were assigned as the treatment group and 18 patients as the control group. All patients received a conventional rehabilitation program for a 4-week period. Patients in the treatment group, in addition to this rehabilitation program, received NMES treatment on hemiplegic foot dorsiflexor muscles. Clinical parameters were evaluated before and after the treatment. The treatment and the control groups were compared to each other and comparison was also done within the groups. Results: The pre-treatment and post-treatment evaluations showed a significant increase in the ankle dorsiflexion range of motion (ROM), lower extremity Brunnstrom stage, 20-m walking test, 6-min walking test and Functional Ambulation Categories (FAC) in both treatment and control groups. There was a significant decrease in the level of Modified Ashworth Scale (MAS) in NMES group; however there was no significant difference in the control group. When an intergroup comparison was conducted for the post-treatment clinical evaluation parameters, the ankle dorsiflexion ROM degree, lower extremity Brunnstrom Stage and the level of MAS in NMES group were significantly higher than the control group. There was no significant difference between the two groups for the parameters of 20-m walking test, 6-min walking test and FAC. Conclusion: We suggest that NMES application on hemiplegic foot dorsiflexors in addition to conventional rehabilitation program was not superior than rehabilitation program without NMES according to the measures of gait speed and walking distance in stroke patients.Öğe The effect on bone-mineral density of perindopril as an antihypertensive drug in osteoporosis patients(Turkiye Klinikleri, 2006) Özdemir F.; Taştekin N.; Zateri C.Objective: The purpose of this study was to investigate the effect on bone-mineral density (BMD) of perindopril as an antihypertensive treatment in conjunction with osteoporosis treatment in hypertensive postmenopausal women. Material and Methods: Seventy postmenopausal women treated with alendronate were enrolled in this study. Menopausal women with osteoporosis and mild or moderate hypertension were administered perindopril 4 mg/day, alendronate 70 mg/week and calcium 1000 mg/day (group 1; n= 36 patients). The other group consisted of postmenopausal women without hypertension treated by alendronate 70 mg/week and calcium 1000 mg/day (group 2; n= 34 patients). BMD of patients was evaluated before and after 1 year of treatment. Results: BMD results suggested significant improvements in L2-L4, L2 and L4 scores in both groups after 1 year of treatment. For the L3 score, although there was no difference in group 1, improvement was detected in group 2. In the trochanter region, we did not observe a significant improvement in any group; however, significant improvement was detected in the femur neck only in group 2. There was no significant difference in BMD values between the two groups after treatment (p> 0.05). Conclusion: In conclusion, according to the results of 1-year treatment, the use of perindopril for concurrent hypertension in patients using alendronate for postmenopausal osteoporosis does not have a clear negative effect on BMD values. Copyright © 2006 by Türkiye Klinikleri.Öğe The effects of raloxifene and salmon calcitonin treatments on serum lipoprotein levels and bone mineral density in postmenopausal osteoporosis(2004) Kokino S.; Özdemir F.; Demirba? D.Postmenopausal osteoporosis may lead an increased incidence of fractures in spine and hip joint. Several medications are currently available for prevention and treatment of osteoporosis. The purpose of the present study was to assess and compare the effects of raloxifene 60 mg/day and intranasal salmon calcitonin 200 IU/day on bone mineral density (BMD) and serum lipid profile. The salmon calcitonin study group and the raloxifene study group consisted of 29 and 30 patients, respectively. Serum levels of triglycerides and cholesterol were evaluated and BMD of lumbar vertebrae and femoral neck were measured by dual energy X-ray absorpsiometry (DEXA) at the baseline and at the end of 12 months of treatment. Although we found a decrease in value of triglycerides (t=0.591, p=0,560) and cholesterol (t=1.208, p=0.237) in the calcitonin group after the treatment with respect to pre-treatment values, the difference was not statistically significant. We determined statistically significant difference in values of triglycerides (t=3.123, p=0.004) and cholesterol (t=2.582, p=0.015) in raloxifene group after the treatment. We found statistically significant differences between pre and post treatment values of BMD of L2-L4 region in both of the groups (calcitonin group; t=-3.498, p=0.002, raloxifene group; t=-7.163, p=0.000). In BMD of femur neck, while the difference between pre and post treatment values were not significant in salmon calcitonin group (t=-0.673, p=0.507), we determined statistically significant difference in raloxifene group (t=-4.264, p=0.000).Öğe Heterotopic ossification related to akinetic - Rigidity syndrome: A case report(2003) Özdemir F.; Uzunca K.; Özdemir Tükenmez O.The differential diagnosis of the restriction in a patient with shoulder, elbow and hip joint limitations who had mental retardation and bipolar psychiatric disorder was evaluated. Development of heterotopic ossification (HO) due to akinetic rigidity syndrome in a patient with mental retardation and bipolar psychiatric disorder will be discussed. The reason of pain, swelling, warmth and motion limitation in the shoulder, elbow and hip joints, based on clinical observations, laboratory results and bone scintigraphic data was in accordance with HO. Bone scintigraphy showed that the reason of excessive activity increase in these areas was due to HO, which developed as a result of rigidity and immobility. Treatment of extrapyramidal signs lessened rigidity but continuation of motion limitation due to ossification was observed although there was a decrease compared to previous findings. Shoulder, elbow and hip are the sites where HO frequently develops and periarticular ossification due to immobilization can explain the reason of such clinical presentation.Öğe Neuromuscular electrical stimulation and functional electrical stimulation in patients with cerebrovascular accident(2007) Özdemir F.; Demirba? Kabayel D.Neuromuscular electrical stimulation (NMES) is one of the therapeutic strategies that are applied to improve impaired extremity function. NMES has been claimed to have a positive effect on spasticity, range of motion (ROM), and muscle strength. There are no clear knowledge about the efficacy and optimal stimulation strategy of NMES. The term functional electrical stimulation (FES) has been used casually to describe various applications of NMES. While NMES generally is considered to have therapeutic applications, such as increasing ROM, facilitation of muscle activation, and muscle strengthening, the key to application of FES is to enhance or facilitate functional control. It is used with clients with spinal cord injury, traumatic brain injury, cerebrovascular accident, and other central nervous system dysfunction, which have intact peripheral innervation.Öğe Psychiatric disorders in outpatient physical therapy and rehabilitation patients(2003) Özdemir F.; Çaliyurt O.; Uzunca K.; Vardar E.; Demirba? D.; Kokino S.Physical therapy and rehabilitation patients are generally older and have chronic complaints. Co-morbidity with psychiatric disorders is a frequent problem in this group of patients. The purpose of this study was to investigate the prevalence of the psychiatric disorders in outpatient clinic of Trakya University School of Medicine Physical Therapy and Rehabilitation Department. Study was limited to a one-month period. 152 patients were included in the study and Prime MD screening form was used to detect disorders. Disorder groups were depression, anxiety disorders and somatoform disorders. 98 of 152 patients (64.5%) were identified to have psychiatric disorder. Majority of these patients (49.3%) were diagnosed with major depression. Mean age was lower in psychiatric disordered group. As a result, high rates of psychiatric disorders were shown in physical therapy and rehabilitation patients. Psychiatric disorders must be identified and treated earlier for both differential diagnosis problems and good prognosis.Öğe Psychotropic drug use in inpatient physical therapy and rehabilitation patients(2003) Çaliyurt O.; Özdemir F.; Demirba? D.; Kokino S.; Vardar E.Psychotropic drugs are widely used in non-psychiatric areas. Psychotropic drugs are also frequently choosen for therapies of physical hherapy and rehabilitation (PTR) patients. In this paper, to determine the rate of psychotropic drug use and their classes were aimed in the population of inpatient PTR patients in Traya University School of Medicine PTR department, during the one year period. Two-hundred and fifteen cases were reached retrospectively and their inpatient diagnosis, diesease durations and sociodemographic data were collected. Seventeen point two percent of patients were using psychotropic drugs. Most frequently used medication were antidepressants. Anxiolytics and antipsychotics followed the antidepressants. Psychotropic drug use was higher in women. Chronic cases were using psychotropic drugs more frequent than the group of patients' with disease duration shorter than 6 months. These differences were statistically significant. As a result, roughly 20% of inpatient PTR patients are prescribed psychotropics but this patient group is generally aged and chronic in nature. So, sensitivity to the side effects of the psychotropic drugs are expected to be high and side effects in psychotropic drug therapy must be carefully controlled. Psychotropics must be used in optimum dosage and duration.Öğe A rare cause of shoulder pain: Radiation induced plexopathy: A case report(2007) Kabayel D.D.; Özdemir F.; Ünlü E.; Balci K.; Bilgili N.Brachial plexopathy (BP) is a rare cause of the shoulder pain. The radiation-induced brachial plexopathy that it is a type of BP may be occured after supraclavicular and upper thoracal region irradiation. We describe a unique case with right shoulder pain of the RP that occurred after treated for carcinoma of the breast. A 48-year-old woman has right shoulder pain and weakness. The breast canser patient who diagnosed four years ago was treated with postoperative radiation therapy for five weeks after radical mastectomy by a standardized. At physical examination manual assessment of shoulder muscle strength was found 2/5. Pain measured by the Visual Analog Scale (VAS) value was 9. Electromyographic study and magnetic resonance imaging (MRI) revealed BP. In this case, MRI could not distinguish between a delayed radiation injury and tumor infiltration. The diagnosis was clarified with an PET and tumor infiltration was not detected. The VAS value improved from 9 before the medical treatment to 3 after gabapentin and amitriptilin treatment. The risk of BP after supraclavicular lymph node irradiation in breast cancer patients with shoulder pain remains constant for a considerable portion of the patient's life. Gabapentin and amitriptilin were a really useful treatment of pain due to BP.Öğe The relation of functional independent measurement and ambulation with bone mineral density in patients with stroke(2011) Murat S.; Özdemir F.; Kabayel D.D.; Kasapo?lu M.; Kokino S.; Berkarda S.Objective: The aim of this study was to investigate the relationship between loss of functions and bone mineral density (BMD) in hemiplegic patients after stroke. Material and Method: 41 patients were evaluated. The Brunnstrom values, the Functional Independent Measurement (FIM) and the Functional Ambulation Categories (FAC) values were recorded. BMD measurements were evaluated with dual-energy X-ray absorbtiometry (DXA). Results: BMD decrease was significantly greater on the paretic side compared with the nonparetic side. Patients who had not ambulated lost of their BMD in the paretic side and the loss was significantly higher than those who had ambulated. There was a positive correlation between FIM score and BMD values in the affected side. Conclusion: Our results suggest that the rapidity of the BMD loss is correlated to the functional independent and ambulation categories in poststroke hemiplegic patients.Öğe The relationship between the results of osteoporosis risk test and bone mineral density(2009) Özdemir F.; Kabayel D.D.; Süt N.; Koçan D.K.; Yazici Ş.D.; Uzunali M.Aim: The importance of questions for determining osteoporosis (OP) and T score; and the relation between bone mineral density (BMD) and the one-minute OP risk test which is used for evaluating the risk factors of patients for OP, were examined. Material and Methods: 206 postmenopausal women, who applied to OP clinic for the first time, were recruited. One-minute OP risk test was carried out to all patients. The answers of the questions were 'Yes' or 'No'. Having recorded from lumbar spine and femur neck by dual energy x-ray absorptiometry (DXA) the BMD values, and T scores were evaluated. Spearman correlation test. Logistic and Linear regression tests were used for the statistical analyses. Results: The question 4 (has your height shortened over 3 cm?) was statistically significant for determining the OP in femur neck (Odds ratio 3.14, %95 Cl, 62-6.11). The questions 3 (have you ever taken corticosteroids over 3 months?) and 4 were significant for T score in femur neck (p<0.011, Std ?=181 and p=0.027, Std ?=0.157, respectively). A statistically significant negative correlation between the number of 'Yes' in the risk test and BMD in the femur neck was seen (p<0.001). No correlation was found between the result of risk test and BMD value of lumbar spine and T scores. Conclusion: The results of the one-minute OP risk test were particularly related to DXA results of femur neck.
