Browsing by Author "Özer M."
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Item Anesthetic management in a patient with osteogenesis imperfecta; [Osteogenezis i̇mperfektali bir olguda anestezi uygulamasi](2008) Topçu I.; Özer M.; Örgü̧ Ş.; Sakarya M.Osteogenesis imperfecta (OI) is a rare autosomal inherited connective tissue disease, characterized by abnormal type 1 collagen production. Anatomical abnormalities may affect the choice of anesthesia technique by causing difficulties for regional anesthesia in the management of the patients with OI. The problems relation with airway control and intubation and the risk of anesthetic agents triggering malignant or non-malignant hyperthermia are seen in these cases. The discussion of the anesthesia choice and the evaluation of total intravenous anesthesia and laryngeal mask management in a patient with OI undergoing an operation for urethral stone are aimed in this presentation.Item Comparison of ankle proprioception between blind and healthy athletes(SAGE Publications Ltd, 2014) Özer M.; Kaynak H.; Atik A.; Şilil M.K.; Altun M.; Akseki D.Objectives: The positive effect of the visual sensation on the proprioceptive quality is well known. Although other senses of the congenital blind individuals have been proven to be increased more than healthy ones, there has been no data about the proprioceptive quality of congenital blind persons. The aim of this study is to determine the quality of ankle proprioception in congenital blind athletes. Methods: 15 congenital blind athletes (10 males and 5 females) with a mean age of 24 ± 2.9 (ranging from 20 to 29), and 15 healthy athletes (10 males and 5 females) with a mean age of 24.6 ± 3.05 (ranging from 20 to 29), from the same athletic department, were included in the study. Proprioception was evaluated by using the technique of joint position sense, and absolut errors during the reproduction of six target angles (plantar flexion 100, dorsiflexion 50, inversion 100 and 200, eversion 100 and 200) were detected in dominant and nondominant ankles of both groups. Athletes were measured both eyes open and closed. Statistical analysis was done by using Mann-Whitney U and Wilcoxon Signed Ranks tests. Results: When dominant extremities were compared while eyes open, there was only a difference in 50 dorsiflexion measurements statistically in favor of blind ones (p<0.05). When dominant extremities were compared while eyes closed, blind athletes got less wrong in four of the six target angles statistically (p<0.01), when non-dominant extremities were compared while eyes closed, blind athletes got less wrong in all angles statistically (p<0.01). The ankle proprioception of the blind athletes were better then the normal athletes. The ankle propriceptions of the normal athletes further deteriorated when their eyes were closed. Conclusion: We found that the ankle proprioceptions of congenital blind athletes were better than the normal athletes. So additional closed-eyes exercises can help to reach a high proprioceptive level of athletes in a normal season which in terms may decrease accidental traumas. © The Author(s) 2014.Item Effect of hot and cold applications on elbow proprioception(Edizioni Minerva Medica, 2019) Kaynak H.; Altun M.; Özer M.; Akseki D.BACKGROUND: Purpose of this study was to investigate the effects of cold application (CA) and hot application (HA) on elbow proprioception in healthy volunteers. CA and HA were applied locally during 15 minutes on the elbow joint and the effect was measured after that. METHODS: A repeated-measure design with 6 (2x3) randomly assigned test conditions: 1) no application on 30° angle; 2) after HA on 30° angle; 3) after CA on 30° angle; 4) no application on 60° angle; 5) after HA on 60o angle and 6) after CA on 60o angle. A total of 82 healthy volunteers (35 women, 47 men) whose ages ranged between 18 and 28 years (20.93±2.13) were included in the study. Proprioception of the elbow was measured by using a digital goniometer with the technique of active joint position sense at the beginning of the study. The tests were repeated at weekly intervals after applying cold or hot in mixed order. Two target angles were defined 30 and 60 degrees of elbow flexion. RESULTS: Reproduction errors were significantly decreased following HA in both target angles (P<0.017). Following CA, significantly increased reproduction error was found only in 30-degree target angle (P<0.017). CONCLUSIONS: We obtained increased elbow proprioception following HA, which means increased proprioceptive acuity of the elbow but a decrease following CA in healthy volunteers. These findings may be useful in prevention and treatment of sports injuries, if supported by future studies. © 2018 EDIZIONI MINERVA MEDICA.Item Is there a synergistic relationship between diaphragm and pelvic floor muscles in pregnant women?(Elsevier Ireland Ltd, 2024) Çiçek S.; Çeliker Tosun Ö.; Parlas M.; Bilgiç D.; Yavuz O.; Kurt S.; Başer Seçer M.; Tosun G.; Özer M.; İleri A.Objective: The aim of this study is to examine whether there is a synergistic relationship between the diaphragm and pelvic floor muscles (PFM) in pregnant women. Material and Methods: Our study was carried out as a cross-sectional study in primigravid pregnants in the second and third trimesters. Superficial electromyography (EMG), 2D/3D ultrasonography (USG), pulmonary function test (PFT), PERFECT, maximum expiratory pressure (MEP) and inspiratory pressure (MIP) measurements were used to evaluate pelvic floor and diaphragm muscle functions during pregnancy. Mann-Whitney U test was used to show the change in the second and third trimesters, and Spearman correlation was used to determine the relationship. Results: No correlation was found between the EMG data of the PFM and diaphragm, or between the USG data of the PFM and diaphragm in all participants, in the second and third trimesters. In the third trimester of the study, diaphragmatic thickness and levator hiatal area (LHA) decreased and both diaphragm and PFM % MVC EMG parameters increased. In the third trimester, FVC, MIP, MEP decreased, and nonsignificant increase in FEV1, FEV1/FVC and peak ekspiratuar flow(PEF) were detected. A significant correlation was found between pelvic floor levator hiatal area USG and FEV1/FVC in both trimesters (r: 0,577p: 0,004). Conclusion: There may be a synergistic relationship between the diaphragm and PFM in pregnant women, the relationship may weaken as pregnancy progresses, and there may be no coactivation relationship between the two muscles. In order to prevent the occurrence of pelvic floor dysfunction during pregnancy and to increase the effect of rehabilitation programs, the relationship between the diaphragm and the PFM should be determined and more studies should be conducted. © 2023 Elsevier B.V.