Browsing by Author "Kaplan, Seyhmus"

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Comparative Effects of Focused and Radial Extracorporeal Shock Wave Therapies on Lateral Epicondylitis: a Randomised Sham-Controlled Trial
(Coll Physicians & Surgeons Pakistan, 2023) Kaplan, Seyhmus; Sah, Volkan; Ozkan, Sezai; Adanas, Cihan; Delen, Veysel
Objective: To evaluate and compare the effects of radial and focused types of extracorporeal shock wave therapy (ESWT) on lateral epicondylitis.Study Design: A randomised sham-controlled trial. Place and Duration of the Study: Department of Sports Medicine, Yuzuncu Yil University Hospital, Van, Turkiye, from August 2019 to April 2020. Methodology: Patients with acute lateral epicondylitis were randomised into focused, radial, and sham ESWT groups. The ESWT was applied for three sessions at 2-4 days intervals. All the subjects were evaluated at baseline (week 0), week 5, and 13. Patient-rated tennis elbow evaluation (PRTEE) scores were used as outcome measures. Results: At weeks 5 and 13, all PRTEE scores (pain, function, and total) were remarkably improved in the focused and radial groups (p<0.001), but not in the sham group (p>0.05). Focused ESWT was superior to radial ESWT for the change of pain scores from baseline to week 5 (18.8 +/- 13.9 vs. 11.8 +/- 9.1; p=0.026) and week 13 (17.8 +/- 13.1 vs. 11.7 +/- 10.5, p=0.084). Focused ESWT was more effective than radial ESWT for the change of function scores from baseline to weak 5 (17.9 +/- 12.5 vs. 11.2 +/- 9.5; p=0.025) and week 13 (16.9 +/- 11.6 vs. 10.7 +/- 10.1; p=0.032). Focused ESWT was superior to radial ESWT for the change of total scores from baseline to week 5 (36.7 +/- 25.9 vs. 23.0 +/- 17.2; p=0.021) and week 13 (34.7 +/- 24.3 vs. 22.4 +/- 18.5; p=0.044). Conclusion: Focused and radial ESWT are effective in lateral epicondylitis. The focused ESWT is superior to the radial ESWT. Thus, focused ESWT should be preferred in lateral epicondylitis.
Comparative Effects of Radial and Focused Extracorporeal Shock Wave Therapies in Coccydynia
(Baycinar Medical Publ-baycinar Tibbi Yayincilik, 2023) Sah, Volkan; Elasan, Sadi; Kaplan, Seyhmus
Objectives: This study was conducted to compare the effects of radial and focused extracorporeal shock wave therapy (ESWT) in patients with coccydynia.Patients and methods: In this prospective randomized double-blind study conducted between March 2021 and October 2021, 60 patients with coccydynia (50 males, 10 females; mean age: 35.9 +/- 12.0 years, range 18 to 65 years) were randomized into three groups (n=20) according to different wave types of ESWT: focused, radial, and sham. The Visual Analog Scale (VAS) was used for pain assessment, and the Oswestry Disability Index (ODI) was used for functional assessment in all patients before the treatment (baseline), after the completion of four sessions of treatment (fourth week), one month after the end of the treatment (eighth week), and three months after the end of the treatment (16th week).Results: The mean body mass index of the participants was 26.2 +/- 3.0. Compared to baseline, the VAS scores at four weeks were reduced only in the radial ESWT group (p<0.05). Compared to baseline, the VAS and ODI scores at eight and 16 weeks were significantly reduced in both the focused and radial ESWT groups (p<0.05 for all). The radial ESWT group was significantly superior to the focused ESWT group in the comparisons between the groups at four weeks in the VAS values and at 16 weeks in the ODI scores (p<0.05 for all). Conclusion: Radial and focused ESWT are both effective in treating coccydynia compared to sham ESWT. However, radial ESWT may be more effective in the treatment of coccydynia.
Comparison Between Radial and Focused Types of Extracorporeal Shock-Wave Therapy in Plantar Calcaneal Spur: a Randomized Sham-Controlled Trial
(Taylor & Francis Ltd, 2023) Sah, Volkan; Kaplan, Seyhmus; Ozkan, Sezai; Adanas, Cihan; Toprak, Murat
Objectives Both radial and focused types of extracorporeal shock wave therapy (ESWT) have been used in patients with plantar calcaneal spur (PCS). However, no study has yet addressed the comparative effects of these treatments on the condition. Considering radial and focused waves are different from each other, their effectiveness may also be different in clinical practice. The aim of this study was to compare the effects of radial and focused types of ESWT on PCS. Methods Ninety-nine patients with plantar calcaneal spur were randomised into three groups according to ESWT types: focused, radial, and sham. ESWT was applied as three sessions, with 2-4 days intervals (excluding weekends). All patients were evaluated at baseline (week 0) and weeks 1, 5, and 13. The Foot Function Index (FFI) scores were used as outcome measures. Results Compared with baseline (week 0), at the end of treatment (week 1) and at the follow-up periods (weeks 5, and 13) the FFI scores were significantly reduced in both focused and radial ESWT groups (for all, p < 0.001). When considering the change in data from baseline to follow-up periods (weeks 5, and 13), both focused and radial ESWT groups were significantly superior to the sham group in the all outcome measures (for all, p < 0.05). Importantly, the radial group was significantly superior to focused group based on the changes in the FFI scores (for all, p < 0.05). Conclusion Both focused ESWT and radial ESWT are effective in plantar calcaneal spur. When considering the degree and continuity of the positive effects, radial ESWT is superior to focused ESWT in plantar calcaneal spur.
Decreased Neck Muscle Strength in Patients With the Loss of Cervical Lordosis
(Elsevier Sci Ltd, 2016) Alpayci, Mahmut; Senkoy, Emre; Delen, Veysel; Sah, Volkan; Yazmalar, Levent; Erden, Metin; Kaplan, Seyhmus
Background: The loss of cervical lordosis is associated with some negative clinical outcomes. No previous study has examined cervical muscle strength, specifically in patients with the loss of cervical lordosis. This study aims to investigate whether there is weakness of the cervical muscles or an imbalance between cervical flexor and extensor muscle strength in patients with the loss of cervical lordosis compared with healthy controls matched by age, gender, body mass index (BMI), and employment status. Methods: Thirty-two patients with the loss of cervical lordosis (23 F, 9 M) and 31 healthy volunteers (23 F, 8 M) were included in the study. Maximal isometric neck extension and flexion strength, and the strength ratio between extension and flexion were used as evaluation parameters. All measurements were conducted by a blinded assessor using a digital force gauge. The participants were positioned on a chair in a neutral cervical position and without the trunk inclined during measurements. Findings: Maximal isometric neck extension and flexion strength values were significantly lower in the patients versus healthy controls (P<0.001 and P = 0.040, respectively). The mean (SD) values of the extension/flexion ratio were 1.21 (0.34) in the patients and 1.46 +/- 0.33 in the controls (P = 0.004). Interpretation: According to our results, patients with the loss of cervical lordosis have reduced neck muscle strength, especially in the extensors. These findings may be beneficial for optimizing cervical exercise prescriptions. (C) 2016 Elsevier Ltd. All rights reserved.
The Efficacy of Tens in Patients With Lateral Epicondylitis: a Randomized Controlled Study
(Baycinar Medical Publ-baycinar Tibbi Yayincilik, 2016) Dilekci, Erdal; Alpayci, Mahmut; Bayram, Korhan Baris; Bal, Serpil; Kocyigit, Hikmet; Gurgan, Alev; Kaplan, Seyhmus
Objectives: This single-blind randomized study aims to investigate the benefits of transcutaneous electrical nerve stimulation (TENS) as an adjunct to classical methods to improve pain and function in patients with lateral epicondylitis. Patients and methods: In this single-blind, randomized controlled study 65 patients with lateral epicondylitis were randomized into the TENS group and the control group, for two weeks. Both groups received nonsteroidal antiinflammatory drug, epicondylitis bandage, ice application, information and training on the disease and overuse while only the TENS group additionally received TENS application. The scores of the visual analog scale (VAS) and the Patient-Rated Tenis Elbow Evaluation (PRTEE) questionnaire were evaluated at baseline (pretreatment), one month and three-month follow-up. Results: Demographic findings were similar in the groups (p>0.05). Compared with pre-treatment at one month follow-up, all test scores were significantly improved in the TENS group (p<0.001), while only VAS activity score was improved in the control group (p=0.013). At three-month follow-up, all test scores were significantly improved in both groups (p<0.05). Considering the change from baseline to one month follow-up, TENS group was significantly superior to the control in all test scores (p=0.004). Also, in terms of the change from baseline to three-month follow-up, TENS group was significantly better than the control in the all scores (p<0.001), except VAS rest score (p=0.209). Conclusion: In this study, TENS as an adjunct to classic physical therapy methods was found to be beneficial for the improvement of pain and physical function loss related to lateral epicondylitis.
In Turkey, Factors Which Urge Physically Handicapped Sporters To Start Badminton Sport and Their Expectations
(E D P Sciences, 2017) Arslan, Ersin; Atli, Mustafa; Ozkan, Zekiye; Kaplan, Seyhmus
The purpose of the study is to determine factors, which lead physically handicapped badminton players in Turkey to tend towards badminton sport, and expectations of sporters. 45 (Male: 29 Female: 16) physically handicapped sporters, who participated in Turkey Bandminton Championship for Physically Handicapped, which was arranged in Antalya on 24-26 February, 2017, from different cities, attended the study voluntarily. Developed by Sunay and his colluages [13], tendency to sports and expectation survey was used in badminton branch after expert opinions, firstly, were received and necessary regulations were made for using it in our study. In order to determine whether the difference between opinions of sporters, attending the study, according to their genders, their ages, their best sport degrees, their sport years, their parents' educational backgrounds and jobs, is important or not, one-way analysis of variance was used. To identify resource of the difference, Duncan's multiple range test was used. Kruskal Wallis H test was used when normality and homogeneity of variances were not provided. Value of p for comparisons was taken as 0,05. Consequently, it was determined that, in Turkey, effects of environment, friend-peer group and trainer on sporters playing at elite level as physically handicapped are high in starting badminton firstly while effects of sport complex, parents and siblings, mass media such as television and media organs on tendency to badminton are quite low. It was ascertained that liking badminton sport and delighting in earning success were effective as the reasons of physically handicappeds' playing badminton sport and their expectations were, firstly, to be chosen for national team and to be national team sporters.
Kinesiotaping for Isolated Rib Fractures in Emergency Department
(W B Saunders Co-elsevier inc, 2020) Akca, Ali Haydar; Sasmaz, Muhammed Ikbal; Kaplan, Seyhmus
Introduction: Rib fractures, which are among the most common injuries in blunt thoracic trauma, are usually encountered in Emergency Departments. Kinesiotape (KT) is a drug-free elastic therapeutic tape used for treating various musculoskeletal problems such as injury, dysfunction and pain. We aimed to investigate whether kinesotaping should be used safely and effectively in rib fractures in emergency setting. Materials and methods: This was a prospective, randomized controlled study conducted in an Emergency Department of a University Hospital. Patients diagnosed with isolated rib fractures were included in the study. Pain severity of patients assessed with 0-10 cm visual analog scale (VAS), then patients assigned into 2 treatment groups. One of them received treatment with flurbiprofen 200 mg/day and the other group received kinesiotaping in addition to the same oral therapy. On the 4th day of the procedure, both groups were assessed with VAS in the followup visit. Results: Total of 82 patients presented with rib fractures, 52 of them were excluded. Remaining 30 constituted the study group and randomly allocated to kinesiotaping (n = 16) or control group (n = 14). In both groups, pain intensity on the 4th day was significantly reduced when compared with baseline (p for both<0.01). Additionally, considering the reducing the pain intensity on 4th day, kinesiotaping was significantly superior than the control group (p < 0.01). Conclusion: This study investigated the use of kinesiotaping in emergency departments. When compared to NSAID therapy alone, combined kinesiotaping and NSAID therapy appears to be more effective in terms of pain reduction in rib fractures. (C) 2019 Elsevier Inc. All rights reserved.
Short-Term Effects of Kinesio Taping in Women With Pregnancy-Related Low Back Pain: a Randomized Controlled Clinical Trial
(int Scientific information, inc, 2016) Kaplan, Seyhmus; Alpayci, Mahmut; Karaman, Erbil; Cetin, Orkun; Ozkan, Yasemin; Ilter, Server; Sahin, Hanim Guler
Background: Pregnancy-related low back pain is a common condition during pregnancy. Kinesio tape is a drug-free elastic therapeutic tape used for treating various musculoskeletal problems. The aim of this study was to investigate the short-term effects of lumbar Kinesio taping on pain intensity and disability in women with pregnancy-related low back pain. Material/Methods: A total of 65 patients with pregnancy-related low back pain were randomly allocated into either Kinesio taping (n=33) or control (n=32) groups. The intervention group was treated with paracetamol plus Kinesio taping, while the control group received only paracetamol. Kinesio taping was applied in the lumbar flexion position, and four I-shaped bands were used. Two bands were attached horizontally, with space correction technique. The remaining 2 bands, 1 on each side of the lumbar spine, were placed vertically, with inhibition technique. Low back pain intensity was measured on a 10-cm visual analogue scale (VAS), and the Roland-Morris Disability Questionnaire (RMDQ) was used for evaluation of disability. Results: Pain intensity and RMDQ scores improved significantly in both groups at 5 days compared with baseline. Considering the degree of treatment effect (the change from baseline to day 5), the Kinesio taping group was significantly superior than the control group in all outcome measures (for all, P<0.001). Conclusions: The results of this study indicate that Kinesio taping can be used as a complementary treatment method to achieve effective control of pregnancy-related low back pain.
Static Postural Balance Evaluation and an Investigation of the Relationship With Joint Health in Children With Severe Haemophilia: a Controlled Cross-Sectional Study
(Wiley, 2021) Tat, Necati M.; Tat, Ayse M.; Oner, Ahmet F.; Karaman, Kamuran; Kaplan, Seyhmus; Can, Filiz
Introduction Recurrent hemarthroses disturbing force/movement control are likely to impair postural balance. Aim To investigate the possible changes in static postural balance parameters in children with haemophilia (CwH) and to reveal its relationship with Haemophilia Joint Health Score (HJHS). Methods Twenty-one CwH aged 6-18 who had haemophilic arthropathy in at least one lower limb joint and 21 healthy peers were evaluated by using a force platform. Centre of pressure (CoP) signals were displayed as a map in both anteroposterior direction (APD) and mediolateral direction (MLD) by statokinesigram. Accordingly, the amplitude, velocity and standard deviation of CoP displacements along with the perimeter and ellipse area were measured. Assessments were made under eyes opened and eyes closed in bipedal stance for 60 s. Joint health and muscle strength were evaluated with HJHS and digital dynamometer, respectively. Results Velocity and amplitude of CoP displacements in MLD were increased in CwH (p<0.05). It was also found that these parameters were moderate correlated with the clinical score of the lower limb joints (p<0.05). In CwH, standard deviation of CoP displacements in the APD was significantly higher in eyes closed, while standard deviation in MLD was significantly higher in eyes opened (p<0.05). Conclusion Disturbances during bipedal stance reveal the need for balance evaluation in CwH. Increased mediolateral oscillations may be an early sign of disorders of the musculoskeletal system in CwH. In addition to improving joint health, postural balance exercises that increase MLD stability have to be included in the rehabilitation programme of CwH.