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Tok F.,Iskenderun Military Hospital Physical Medicine and Rehabilitation Service | Ozcakar L.,Hacettepe University | De Muynck M.,Ghent University | Kara M.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Vanderstraeten G.,Ghent University
European Journal of Physical and Rehabilitation Medicine | Year: 2012

Each day, the role of musculoskeletal ultrasound (US) in the management of sports injuries is being consolidated. Yet, there is no doubt that the probe of US is (should be) the stethoscope of musculoskeletal physicians dealing with sports medicine. Not only for the diagnosis, but also for the close follow-up of the athletes and during likely onward interventions for their treatment, would US be of paramount importance. Accordingly, in this review paper on common sports injuries, we tried to shed light into the actual role of US in the clinical practice of sports medicine. Source


Ulasli A.M.,Ankara Nuclear Research And Training Center | Kara M.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Ozcakar L.,Hacettepe University
Journal of Rehabilitation Medicine | Year: 2011

Objective: Interest in the use of musculoskeletal ultrasonography in the field of Physical and Rehabilitation Medicine has increased significantly over recent years. In order to determine to what extent this growing interest among Physical and Rehabilitation Medicine physicians is resulting in publications, we reviewed the trend in publications by physiatrists on musculoskeletal ultrasonography. Methods: We searched retrospectively for all papers indexed in Science Citation Index-Expanded and Index Medicus in which "rehabilitation medicine" was addressed as at least one of the authors' affiliations (up to 2011). All papers were examined individually for the authors' affiliations, document types, publication years, countries, and journal categories. Results: A total of 171 papers was included in the study. After 2004, there appears to be a significant amount of increase in the number of publications. USA Turkey, Taiwan and South Korea were the leading countries in which physiatrists carry out research and publish papers on musculoskeletal ultrasonography. The top 5 journal categories in which these papers were published were: Rehabilitation (44.3%), Orthopaedics (14.1%), Radiology (10.7%), Neurology (8.1%) and Rheumatology (6.7%). Conclusion: The number of scientific publications by physiatrists about musculoskeletal ultrasonography is increasing in parallel with the interest regarding its routine use in Physical and Rehabilitation Medicine clinics. © 2011 Foundation of Rehabilitation Information. Source


Alemdarolu E.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Ucan H.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Topcuolu A.M.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Sivas F.,Ankara Numune Training and Research Hospital
Archives of Physical Medicine and Rehabilitation | Year: 2012

Alemdarolu E, Uçan H, Topçuolu AM, Sivas F. In-hospital predictors of falls in community-dwelling individuals after stroke in the first 6 months after a baseline evaluation: a prospective cohort study. Objective: To determine predictors of falls in stroke patients in the first 6 months after a baseline evaluation before their discharge from inpatient rehabilitation. Design: Prospective cohort study. Setting: Rehabilitation hospital, then home. Participants: Consecutive stroke patients (N=66) were followed at home after discharge from the rehabilitation hospital. Interventions: Not applicable. Main Outcome Measures: Fall occurrence within 6 months after a baseline evaluation. All patients were assessed for baseline data during their inpatient rehabilitation (1.5±1.2wk before discharge). Data regarding cerebrovascular accident (CVA) date, number of attacks, and brain imaging results were obtained; motor function and balance impairment were examined by the Fugl-Meyer Assessment Scale. The FIM and Functional Ambulation Category were also used. Presence of urinary incontinence, drug use, fall history, postural hypotension, neglect, cognitive status, poor vision, and hearing were evaluated. Six months after the baseline evaluation, any fall occurrence was ascertained via telephone calls to the caregivers of each patient. Multivariate logistic regression analysis was used to identify risk factors. Results: The mean age ± SD was 64±10 years. The median time elapsed since CVA at the time of admission was 4 months. Twenty-four (36%) patients fell within the 6-month period. The fall rate was significantly higher in patients with left (47%) versus right (21%) hemispheric stroke. Left hemispheric lesion (vs right) showed a 4 times greater risk of fall within 6 months (odds ratio=4.093; 95% confidence interval, 1.082-15.482). There were no other significant differences between fallers and nonfallers with respect to the other evaluated factors. Conclusions: Our results suggest that the fall risk within 6 months after a baseline evaluation is greater in patients with left hemispheric lesions versus those with right hemispheric lesions. © 2012 American Congress of Rehabilitation Medicine. Source


Akyuz M.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Yalcin E.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Selcuk B.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Onder B.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Zakar L.,Hacettepe University
Archives of Physical Medicine and Rehabilitation | Year: 2011

Reported here is a 46-year-old man who was seen for pain, numbness, and weakness in his left upper limb and hand. Electromyographic studies demonstrated denervation of ulnar-innervated muscle groups except for the flexor carpi ulnaris. A localized nerve conduction block could not be depicted because of severe axonal loss. Ultrasonographic evaluation showed enlargement of the ulnar nerve at 2 sites: at the level of the epicondylar groove and the inside of the flexor carpi ulnaris muscle. Herein, we would like to emphasize the complementary role of an ultrasound in peripheral nerve pathologies, not only does it confirm the entrapment but it also displays the underlying cause(s). © 2011 American Congress of Rehabilitation Medicine. Source


Ekiz T.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Aslan M.D.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Ozgirgin N.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital
Journal of Rehabilitation Research and Development | Year: 2015

The aim of this study was to evaluate the effects of Kinesio Tape (KT) application to quadriceps muscles on isokinetic muscle strength, gait, and functional parameters in patients with stroke. Twenty-four patients were allocated into KT and control groups. All patients participated in the same conventional rehabilitation program 5 times/wk for 4 wk. In addition, KT was applied to quadriceps muscles bilaterally to the patients in the KT group. Compared with baseline, peak torque levels increased significantly in both groups (all p < 0.05). However, change levels were significantly higher in the KT group than the control group at 60 degrees/second angular velocity (AV) in extension (p = 0.04) and 60 and 180 degrees/second AV in flexion (both p = 0.02) on the paretic side. Moreover, the change levels were more prominent in the KT group at 60 and 180 degrees/second AV in extension (p = 0.03 and p = 0.04, respectively) on the nonparetic side. Gait, balance, mobility, and quality of life values improved significantly in both groups (all p < 0.05), yet the change levels between the groups did not reach significance (p > 0.05). KT application to quadriceps muscles in addition to conventional exercises for 4 wk is effective on isokinetic but not functional parameters. © 2015, Rehabilitation Research and Development Service. All rights reserved. Source

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