Browsing by Author "KORKUSUZ, FEZA"
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Item 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, FEZABackground/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.Item Do Plantar Pressure and Loading Patterns Vary with Joint Hypermobility in Young Females?(Journal of the American Podiatric Medical Association, 2021) TORGUTALP, ŞERİ; BABAYEVA, NAİLA; ÖZKAN, ÖMER; YILMAZ, SEVAL; DÖNMEZ, GÜRHAN; KORKUSUZ, FEZABackground: Joint hypermobility is a connective tissue disorder that increases joint range of motion. Plantar pressure and foot loading patterns may change with joint hypermobility. We aimed to analyze static plantar pressure in young females with and without joint hypermobility. Methods: Joint laxity in 27 young females was assessed cross sectionally using the Beighton and Horan Joint Mobility Index. Participants were divided into the hypermobility (score, 4–9) and no hypermobility (score, 0–3) groups according to their scores. Static plantar pressure and forces were recorded using a pedobarographic mat system. Results: Higher peak pressures (P ¼ .01) and peak pressure gradients (P ¼ .025) were observed in the nondominant foot in the hypermobility group. According to the comparison of dominant and nondominant feet in each group, the hypermobility group showed significantly higher peak pressures (P ¼ .046), peak pressure gradients (P ¼ .041), and total force values (P ¼ .028) in the nondominant foot. Conclusions: The plantar pressure and loading patterns vary in young females with joint hypermobility. Evaluation of plantar loading as an injury prevention tool in individuals with joint hypermobility syndrome can be suggestedItem Patellar tendon mechanical properties change with gender, body mass index and quadriceps femoris muscle strength(Acta Orthopaedica et Traumatologica Turcica, 2017) TAŞ, SERKAN; YILMAZ, SEVAL; ONUR, MEHMET RUHİ; SOYLU, ABDULLAH RUHİ; ALTUNTAŞ, ONUR; KORKUSUZ, FEZAObjective: The purpose of this study is to assess the effect and correlation of gender, body mass index (BMI) and quadriceps femoris (QF) muscle strength on patellar tendon (PT) thickness and stiffness in healthy sedentary individuals. Methods: This study was carried out with 67 (36 female, 31 male) healthy sedentary individuals between the ages of 18e44 (28.0 ± 7.5 years). The individuals included in the study were divided into two groups according to their gender and BMI (18.5 < BMI < 25 and 25 < BMI). The body composition was determined with Tanita Body Composition Analyser. PT thickness and stiffness was measured with ACUSON S3000 Ultrasonography Device using 9L4 ultrasonography probe. QF concentric muscle strength of the individuals was measured with Biodex® System 4 Dynamometer at 60 /sec angular speed. Results: It was found that PT stiffness was higher in males compared to females (p < 0.001). It was found that PT stiffness was lower in obese individuals compared to individuals with normal weight (p ¼ 0.017). A negative and weak correlation was found between BMI and PT stiffness (r¼ 0.26, p ¼ 0.032), whereas a negative and moderate correlation was found between fat percentage and PT stiffness (r ¼ 0.50, p < 0.001). A moderate correlation was found between BMI and PT thickness (r ¼ 0.54, p < 0.001). It was found that peak torque at 60 /sec angular speed had a moderate correlation with PT stiffness (r ¼ 0.44, p < 0.001) and PT thickness (r ¼ 0.45, p < 0.001). Conclusions: PT stiffness is correlated and affected by gender, BMI and QF muscle strength whereas PT thickness is correlated and affected only to BMI and QF muscle strength.