Browsing by Author "Senkoy, Emre"

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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.
Decreased Vertebral Artery Hemodynamics in Patients With Loss of Cervical Lordosis
(int Scientific information, inc, 2016) Bulut, Mehmet Deniz; Alpayci, Mahmut; Senkoy, Emre; Bora, Aydin; Yazmalar, Levent; Yavuz, Alpaslan; Gulsen, Ismail
Background: Because loss of cervical lordosis leads to disrupted biomechanics, the natural lordotic curvature is considered to be an ideal posture for the cervical spine. The vertebral arteries proceed in the transverse foramen of each cervical vertebra. Considering that the vertebral arteries travel in close anatomical relationship to the cervical spine, we speculated that the loss of cervical lordosis may affect vertebral artery hemodynamics. The aim of this study was to compare the vertebral artery values between subjects with and without loss of cervical lordosis. Material/Methods: Thirty patients with loss of cervical lordosis and 30 controls matched for age, sex, and body mass index were included in the study. Sixty vertebral arteries in patients with loss of cervical lordosis and 60 in controls without loss of cervical lordosis were evaluated by Doppler ultrasonography. Vertebral artery hemodynamics, including lumen diameter, flow volume, peak systolic velocity, end-diastolic velocity, and resistive index, were measured, and determined values were statistically compared between the patient and the control groups. Results: The means of diameter (p=0.003), flow volume (p=0.002), and peak systolic velocity (p=0.014) in patients were significantly lower as compared to controls. However, there was no significant difference between the 2 groups in terms of the end-diastolic velocity (p=0.276) and resistive index (p=0.536) parameters. Conclusions: The present study revealed a significant association between loss of cervical lordosis and decreased vertebral artery hemodynamics, including diameter, flow volume, and peak systolic velocity. Further studies are required to confirm these findings and to investigate their possible clinical implications.
Evaluation of Common Carotid and Vertebral Arteries Flow Volumes in Patients With Ankylosing Spondylitis
(Bayrakol Medical Publisher, 2020) Orak, Suat; Bora, Aydin; Yokus, Adem; Ozkacmaz, Sercan; Senkoy, Emre
Aim: The aim of this study was to compare carotid intima-media thickness (IMT) and common carotid artery-vertebral artery flow volumes in ankylosing spondylitis patients with age and sex-matched healthy controls. Materials and Methods: Fifty patients with ankylosing spondylitis (study group) and 50 healthy volunteers (control group) were included in the study. At first, carotid intima-media thickness (IMT) measurements were performed in supine-neutral position by B-mode ultrasonography (US). Afterwards, common carotid and vertebral artery flow volumes were calculated by Doppler US in the neutral, right rotational, and left rotational positions. Results: Carotid IMT was significantly higher in the study group according to the control group (p=0.001). The common carotid artery (CCA) and vertebral artery (VA) flow volumes in the neutral position were similar between the two groups. There was no significant difference in CCA flow volumes between the groups in right and left rotational positions (p>0.05). Right vertebral artery and total vertebral artery flow volumes in the right rotational position were significantly lower in the study group (p=0.022 and p=0.005 respectively). In the left rotational position, left vertebral artery and total vertebral artery flow volumes were significantly lower in the study group when compared with the control group (p=0.001). Discussion: In our study, carotid IMT was significantly higher in patients with AS compared to healthy controls. Besides, significant volume decreases in vertebral artery flow volumes were detected in the study group in rotational positions.