Ankara Physical Medicine and Rehabilitation Training and Research Hospital of the Ministry of Health

Ankara, Turkey

Ankara Physical Medicine and Rehabilitation Training and Research Hospital of the Ministry of Health

Ankara, Turkey
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Yalcin E.,Ankara Physical Medicine and Rehabilitation Training and Research Hospital of the Ministry of Health | Kurtaran A.,Ankara Physical Medicine and Rehabilitation Training and Research Hospital of the Ministry of Health | Selcuk B.,Ankara Physical Medicine and Rehabilitation Training and Research Hospital of the Ministry of Health | Onder B.,Ankara Physical Medicine and Rehabilitation Training and Research Hospital of the Ministry of Health | And 2 more authors.
Isokinetics and Exercise Science | Year: 2012

Background: Flexible flatfoot deformity is likely to be caused by ligamentous laxity of the medial longitudinal arch, and this deformity could change the mechanics of other joints, ligaments and tendons as well as foot alignment. Aim: We hypothesized that position sense and muscle strength could be impaired in patients with flatfoot compared to normal controls, therefore we investigated position sense and ankle eversion inversion strengths of individuals with flexible flatfoot. Design: Cross sectional study. Setting: A rehabilitation center. Population: Twenty-six individuals with flexible flatfoot and 27 healthy control subjects were evaluated. Methods: Absolute error (in degrees) for passive reproduction of joint position tests and peak isokinetic strength of ankle muscles for eversion and inversion were tested using the Biodex isokinetic dynamometer. Results: For individuals with flatfoot, passive reproduction of joint position error scores in eversion were significantly higher for the dominant side compared with the control group. No significant differences in eversion and inversion muscle strength between flexible flatfoot and control groups were found. Conclusion: We suggest that flexible flatfoot deformity may cause deficits in proprioception accuracy. Clinical Rehabilitation Impact: In our opinion, clinicians must be aware and should take into account this possible deficit in the management of these patients. © 2012 - IOS Press and the authors. All rights reserved.


Yalcin E.,Ankara Physical Medicine and Rehabilitation Training and Research Hospital of the Ministry of Health | Demir S.O.,Ankara Physical Medicine and Rehabilitation Training and Research Hospital of the Ministry of Health | Dizdar D.,Ankara Physical Medicine and Rehabilitation Training and Research Hospital of the Ministry of Health | Buyukvural S.,Ankara Physical Medicine and Rehabilitation Training and Research Hospital of the Ministry of Health | Akyuz M.,Ankara Physical Medicine and Rehabilitation Training and Research Hospital of the Ministry of Health
Journal of Back and Musculoskeletal Rehabilitation | Year: 2013

We report herein a 35-year-old man who suffered from pain at his left elbow and numbness in his left hand. Electromyographic studies demonstrated a localized nerve conduction block in the left elbow region. Ultrasonographic evaluation revealed enlargement of the ulnar nerve at the level of the medial epicondyle as well as bilateral anconeus epitrochlearis muscles, one of which was hypertrophic, causing the ulnar neuropathy at the symptomatic site. We emphasize with this case report the complementary role of ultrasound in peripheral nerve pathologies, as it confirmed the entrapment and determined the underlying cause. © 2013 - IOS Press and the authors. All rights reserved.


PubMed | Ankara Physical Medicine and Rehabilitation Training and Research Hospital of the Ministry of Health
Type: Journal Article | Journal: Spinal cord | Year: 2011

Retrospective case survey.To examine incidence and clinical characteristics of hepatitis B infection in individuals with spinal cord injury (SCI).Inpatient clinic within a physical medicine and rehabilitation hospital specialized in rehabilitation.A total of 161 patients with SCI.Patients records were investigated and the status of hepatitis B surface antigen (HBsAg), anti-hepatitis C virus (HCV), anti-hepatitis B surface antigen positivity, alanine aminotransferase levels, duration of hospitalization and cost were recorded.Incidence of acute hepatitis B.Six patients were diagnosed with acute hepatitis B on the first hospitalization for rehabilitation. A total of 11 patients (4.2%) were HBsAg positive with a previously established diagnosis of hepatitis B virus infection, 1 patient (0.4%) was anti-HCV positive. After a follow-up of 6 months, three of the acute hepatitis B patients progressed into chronic hepatitis B stage. In acute hepatitis B patients initiation of the rehabilitation was delayed, duration of hospitalization was increased.After SCI, patients are at high risk of acute hepatitis B infection. A high rate of chronicity may be associated with impaired immune response, secondary to neurological deficit. Screening and vaccination protocols may prevent the spread of the hepatitis B infection, healthcare losses and financial loss.


PubMed | Ankara Physical Medicine and Rehabilitation Training and Research Hospital of the Ministry of Health
Type: Journal Article | Journal: European neurology | Year: 2012

Researchers have shown an increased interest in proprioception deficits of the paretic side in hemiplegic patients. However, far too little attention has been paid to the proprioception sense of the non-hemiparetic side. The objective of this research was to determine whether the position sense of the ankles, especially of the non-paretic side, is affected in stroke patients.20 inpatients with stroke and 10 healthy control subjects were evaluated using an isokinetic dynamometer. Proprioceptive error scores (in degrees) for passive reproduction of joint position tests (PRJPTs) were measured.Error values of PRJPT for 5 plantarflexion, 10 plantarflexion, and 15 dorsiflexion were significantly higher in patients on both the paretic and non-paretic side compared with the control group dominant side.The impaired results of PRJPT in both the paretic and non-paretic ankles of stroke patients are surprising when one expects that the non-paretic side would be preserved under the control of the healthy hemisphere.

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