Ankara Physical Medicine and Rehabilitation Education and Research Hospital

Ankara, Turkey

Ankara Physical Medicine and Rehabilitation Education and Research Hospital

Ankara, Turkey

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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.


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.


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.


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.


Erkin G.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Culha C.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Ozel S.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Kirbiyik E.G.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital
International Journal of Rehabilitation Research | Year: 2010

The aim of our study was to identify feeding and gastrointestinal system (GIS) problems in children with cerebral palsy (CP), and to evaluate the relationship between these problems and the severity of CP. A total of 120 children with CP were enrolled consecutively into the study (67 males, 53 females; mean age: 6.0±2.4 years; range: 2-12 years). The children were classified according to the Swedish classification as diplegic, hemiplegic, or quadriplegic. Severity of CP was classified based on the Gross Motor Function Classification System. The amount of time that the caregiver allocated to mealtimes, modifications of the food, as well as feeding and GIS problems was evaluated. Feeding dysfunction was classified as mild, moderate, or severe. Comparisons of GIS and feeding disorders and the severity of CP were carried out using χ test. The results indicated lack of appetite in 46 of the 120 children (38.3%), sialorrhea in 37 (30.8%), constipation in 30 (25%), difficulty in swallowing in 23 (19.2%), and feeding dysfunction in 26 (21.7%). On the basis of the Gross Motor Function Classification System (GMFCS), the incidence of GIS problems and feeding dysfunction was found to be significantly higher in the children classified in the severe group. The time taken to consume meals was significantly longer among children with feeding dysfunction. Feeding and GIS problems are frequent in children with CP, and more marked in those with severe CP. Approximately one fourth of children with CP suffer from feeding dysfunction, and more time has to be allocated to consume meals. © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.


Karabay I.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Dogan A.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Arslan M.D.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Dost G.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Ozgirgin N.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital
Disability and Rehabilitation | Year: 2012

Purpose: This study aimed to investigate the efficiency of FES application on the abdomen-posterior back muscles in children with CP that were enrolled into physical therapy and rehabilitation (PTR) program. Method: The study included 55 spastic diplegic children that were hospitalized for rehabilitation. Those with deformities that could disrupt the balance in sitting and cause problems in evaluations were excluded. The patients were randomly divided into two equal groups according to their time of presentation. Thirty-two children completed the study. The control group received PTR program only for 4 weeks. The children in the FES group received PTR in addition to electrical stimulation. Electrical stimulation was applied 5 days a week for 4 weeks to abdomen-posterior back muscles in 30-minute-long sessions. To evaluate the balance in sitting, sitting score of gross motor function measurement (GMFM) and to evaluate the trunk asymmetry in sitting, radiographic measurements were used. Thus, kyphosis, Cobb and sacral angles were measured. Results: The comparisons of the measurements of the two groups before and after the treatment showed that the GMFM sitting score and the sacral angle were statistically significantly increased, and the kyphotic and Cobb angles were statistically significantly decreased. After the treatment, both groups demonstrated an increase in the GMFM score, but the increase in the FES group was statistically significantly higher than that in the control group. With respect to radiological measurements, the changes observed in both the kyphotic and Cobb angles after the treatment were statistically significantly higher in the FES group than in the control group. The rates of the changes in the sacral angle did not differ among the groups. Conclusion: We believe to provide balance in sitting for children with CP, FES applied on abdomen-back muscles along with conventional therapy to maintain trunk control is more effective than conventional therapy alone. Implications for Rehabilitation FES is used to increase the muscle strength and improve functions. When used in children with CP, FES application on the abdomen-posterior muscles reduces cobb and kyphosis angles and increases sitting balance. It is well-tolerated by children with CP and offers positive contributions to rehabilitation program. © 2012 Informa UK, Ltd.


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.


Nakipoglu-Yuzer G.F.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Atci N.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Ozgirgin N.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital
Pain Physician | Year: 2013

Background: Several studies have described pain prevalence, risk factors, pain and medical variables in spinal cord injury (SCI) populations. In this study on traumatic SCI in Turkey, we surveyed the neuropathic pain experiences during in-patient rehabilitation and defined the relationships between neuropathic pain and demographic and SCI characteristics of patients. Objectives: To survey the neuropathic pain experiences during in-patient rehabilitation in traumatic SCI and to define the relationships between neuropathic pain and demographic and SCI-related characteristics of patients. Study Design: Descriptive study. Setting: Physicial Medicine and Rehabilitation inpatient clinic, Ankara, TUrkey Methods: Sixty-nine SCI patients as inpatients were included in this descriptive study. All patients demographic and SCI-related characteristics were enrolled. The diagnosis of neuropathic pain was made with the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) Pain Scale. Location of pain and pain description, relation to time and severity according to McGill Pain Questionnaire (MPQ) were enrolled. Results: The neuropathic pain localization was below the lesion level in 67 (97.1%) and at the lesion level in 2 (2.9%) patients. The pain was at the hip and leg regions in 36 (52.2%) patients. The neuropathic pain was defined as burning in 27 (39.1%), aching in 26 (37.7%), sharp in 4 (5.8%), stinging in 3 (4.3%), and cramping in 3 (4.3%). We did not find a significant difference between demographic and SCI-related characteristics and the localization of neuropathic pain for the patients (P > 0.05). There was no significant difference according to pain description by MPQ and pain localization (P > 0.05). We found a significant relationship between the patient's lesion level and the region of pain (P < 0.05). Conclusion: We found the neuropathic pain due to SCI to be mostly below the lesion level with a burning or aching character and we did not find a significant relationship between the demographic and SCI-related characteristics of the patient and the pain characteristics.


Koyuncu E.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Nakipoglu-Yuzer G.F.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Dogan A.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Ozgirgin N.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital
Disability and Rehabilitation | Year: 2010

Purpose. To investigate the effect of functional electrical stimulation (FES) for the treatment of shoulder subluxation and shoulder pain in hemiplegic patients. Method. A total of 50 hemiplegic patients with shoulder subluxation and shoulder pain were included in the study. The patients were randomly divided into the study and control groups. All patients were put on a rehabilitation program using conventional methods while the study group patients were additionally applied FES to supraspinatus and posterior deltoid muscles. The shoulder pain of all patients during resting, passive range of motion (PROM) and active range of motion (AROM) was measured with the visual analog scale (VAS) while the shoulder subluxation levels were evaluated with the classification developed by Van Langenberghe and by using the millimetric measurements on anteroposterior shoulder X-ray before and after the physical treatment and rehabilitation program and compared. Results. Comparison of the resting AROM vs. PROM VAS value changes showed no significant difference between the groups. There was a significant difference between the two groups for the amount of change in shoulder subluxation in favor of the study group. Conclusions. The results of our study have shown that applying FES treatment to the supraspinatus and posterior deltoid muscles in addition to conventional treatment when treating the subluxation in hemiplegic patients is more beneficial than conventional treatment by itself. © 2010 Informa UK Ltd.


Ataoglu E.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Tiftik T.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Kara M.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | Tunc H.,Ankara Physical Medicine and Rehabilitation Education and Research Hospital | And 2 more authors.
Spinal Cord | Year: 2013

Design:A cross-sectional study.Objective:To assess the effects of pain on quality of life (QoL), functional independence and depression in patients with spinal cord injury (SCI).Setting:An inpatient rehabilitation center.Methods:A total of 140 patients (104 M, 36 F) with SCI who underwent inpatient rehabilitation treatment were examined. A questionnaire including clinical variables was applied. Motor score of Functional Independence Measure was used to assess daily-life activities, the 36-Item Medical Outcomes Short-Form Health (SF-36) for QoL and Beck Depression Inventory (BDI) for depression. Patients were then divided into those having chronic pain (Group I) and those without any pain (Group II), and groups were compared according to demographic and clinical variables.Results:The most common causes of SCI were falls (35.0%) and motor vehicle accidents (34.2%). Chronic pain was present in 78% of patients. Patients employed before injury and patients who had complete injury had lower Numerical Rating Scale scores (P<0.05). SCI patients with chronic pain had higher depression ratings and their BDI scores were correlated with some of the SF-36 domains (general health, vitality, social functioning and mental health). Only bodily pain and social functioning (P<0.05) scores were found to be lower in Group I (P<0.05) when compared with Group II.Conclusion:As mood and QoL are negatively affected with pain in SCI patients, we suggest that chronic pain should always be treated in a multidisciplinary setting where pharmacological, physical and psychological therapies are combined. © 2013 International Spinal Cord Society All rights reserved.

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