Sağlık Bilimleri Fakültesi

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Browsing Sağlık Bilimleri Fakültesi by Author "CAN, FİLİZ"

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    Comparison of Different Neuromuscular Facilitation Techniques and Conventional Physiotherapy in Knee Osteoarthritis
    (TURKISH JOURNAL OF MEDICAL SCIENCES, 2021) GÖKŞEN, AYŞENUR; CAN, FİLİZ; YILMAZ, SEVAL; KORKUSUZ, FEZA
    Background/aim: This study was conducted to compare the effects of conventional physiotherapy and two different ‘proprioceptive neuromuscular facilitation’ (PNF) techniques on knee muscle strength, knee muscular endurance, and proprioception in knee osteoarthritis (KOA). Materials and methods: The study included 35 patients between the ages of 47 and 62 who were diagnosed with stage 1-2 KOA. The patients were divided into three groups with block randomization method as Repeated Stretching Group (N = 12) With Repeated Stretching Technique, Combined Isotonic Contraction Group (N = 11) With Combined Isotonic Contractions (CIC) Technique, And Conventional Physiotherapy Group (n = 12). PNF was applied to all patterns of the lower extremity in full pattern and patients in all groups were treated for 6 weeks, 3 days a week. Muscle strength, muscle endurance, and proprioception were evaluated with Biodex System Pro3 (Biodex Corp. Shirley NY, USA). Results: Knee extensor muscle strength showed more improvement at CIC group than the other groups, and CIC group showed more improvement compared to the conventional physiotherapy in terms of knee joint position sensation evaluated at 60° (p < 0.05). Conclusion: All methods were effective in patients with early-stage knee osteoarthritis; however, the most effective results were obtained by PNF using CIC technique.
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    Does muscle stiffness predict early-onset knee osteoarthritis?
    (Journal of Surgery and Medicine, 2021) GÖKŞEN, AYŞENUR; CAN, FİLİZ; YILMAZ, SEVAL
    Background/Aim: The precise evaluation of the surrounding soft tissues and documenting it by clinical measurements are extremely important for detecting early-stage knee osteoarthritis (OA). Shear wave ultrasound elastography is the latest technology that directly measures the mechanical properties of a tissue, including muscle stiffness. This study was planned to investigate the relationship between Rectus Femoris (RF) and Biceps Femoris (BF) muscle stiffness and the relevant symptoms observed in OA. Methods: Thirty-one patients including 21 females and 10 males between 45-67 years of age, diagnosed with early-stage knee OA and 10 healthy individuals were included in this prospective case-control study. Both RF and BF muscle stiffness were evaluated by shear wave elastography (SWE), and the knee range of motion was calculated by a goniometer. The pain intensity was measured by the Visual Analogue Scale (VAS), knee function, with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and functional performance, using the 6-minute walk test and the step-climbing test. Results: There was a positive correlation between BF muscle stiffness and WOMAC stiffness (P=0.014, r=0.446). There was no difference in Rectus Femoris and Biceps Femoris muscle stiffness between the osteoarthritis patients and healthy individuals (P=0.11 and P=0.10, respectively). Conclusion: It can be concluded that the symptom of stiffness seen in early-stage knee OA is caused by BF muscle spasm related to the flexor reflex.