Browsing by Author "Cerrahoglu L."

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    Efficacy of collar treatment for patients with cervical spondylatrosis complaining of vertigo
    (Society of Physical Therapy Science (Rigaku Ryoho Kagakugakkai), 2001) Unlu Z.; Cerrahoglu L.; Aslan A.; Tarhan S.
    Objective: Efficacy of collar treatment on clinical symptoms and vertebral blood flow was examined in 23 patients with cervical spondylartrosis complaining of vertigo. Methods: In pretreatment and posttreatment periods, the following parameters were studied: 1) frequency of cervicocephalic symptoms, 2) influence of severity of the vertigo on daily life activity, 3) range of active cervical joint movement, 4) pain in cervical palpation, 5) vertebral blood flow by Doppler ultrasonography, and audiologic and brainstem auditory evoked potential (BAEP) examinations for hearing. Results: Following 1 month of collar treatment, vertigo and amnesia were the only symptoms which were significantly relieved (p=0.01, p=0.03). In addition, the severity of the symptoms were noticeably decreased. Range of cervical joint movements on extention, lateral flexion and rotation were increased. Cervical palpation was reduced and the pain was less. However, no change was observed in vertebral blood flow, audiometric and BAEP examinations. Conclusion: It was concluded that vertigo in cervical spondylartrosis was not a consequence of vertebrobasillar insufficiency. Hypertonicity in cervical muscles was the primary reason for vertigo in these patients.
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    Lumbar stiffness but not thoracic radiographic changes relate to alteration of lung function tests in ankylosing spondylitis
    (2002) Cerrahoglu L.; Unlu Z.; Can M.; Goktan C.; Celik P.
    Involvement of the costovertebral (CV) and costotransverse (CT) as well as the sacroiliac (SI) joints is known to occur in patients with ankylosing spondylitis (AS). The functional significance of these changes is not clear. We have performed clinical and radiological evaluations and assessed the effect of joint involvement on pulmonary function. We detected radiologic evidence of involvement of the CV joint in 80% of patients and of the CT joint in 60 %. We found a direct relation between the severity of CV, CT and SI joint affliction, and the severity of CV and SI joints were related to time of evolution of the disease. Pulmonary function tests revealed neither restrictive nor obstructive defects. No relation was found between pulmonary function and CV and CT joint affliction. Patients with stiffer spines had a tendency to have pulmonary function tests within the lower limit of the normal range. In patients with AS diaphragmatic breathing might compensate the chest respiration to some extent.
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    Hand function assessment in patients receiving haemodialysis
    (SMW supporting association, 2003) Duruöz M.T.; Cerrahoglu L.; Dincer-Turan Y.; Kürsat S.
    Objective: To assess the usefulness of Duruöz's Hand Index (DHI) in patients undergoing haemodialysis. Methods: Patients receiving haemodialysis for more than 2 months were recruited randomly. Demographic, clinical and functional characteristics of patients were evaluated. Functional assessment was performed with DHI, Hand Functional Index (HFI), Health Assessment Questionnaire (HAQ), Purdue Pegboard, grip strength and 3 kinds of pinch strengths. DHI was correlated (Spearman's) with the other functional parameters in assessing the convergent validity and with non-functional parameters in assessing the divergent validity. Results: Sixty patients with a mean age of 50.05 were recruited. The average duration of haemodialysis was 55.02 months. DHI is significantly correlated with HAQ, HFI, Purdue Pegboard scores, grip strength and 3 types of pinch strengths while no significant correlation was found with non-functional parameters. Conclusions: DHI is a practical scale which is efficient in assessing accurately the functional disability of the hand in patients receiving haemodialysis.
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    Assessment of fatigue in patients with ankylosing spondylitis
    (2007) Turan Y.; Duruöz M.T.; Bal S.; Guvenc A.; Cerrahoglu L.; Gurgan A.
    In this study, we evaluated fatigue by using the multidimensional assessment of fatigue (MAF) index in 68 ankylosing spondylitis (AS) patients. To determine the disease activity, functional status and quality of life, bath ankylosing spondylitis disease activity index (BASDAI), bath ankylosing spondylitis functional index (BASFI) and Short Form 36 (SF36) were used respectively. Mander enthesis index (MEI) was used for evaluation of enthesitis. The mean age of the patients was 37.7 (11.1) years. The prevalence of fatigue was 76.5%. There were significant correlations between MAF and BASDAI (P < 0.001), BASFI (P < 0.001), MEI (P = 0.048), pain (P = 0.001), hemoglobin (P = 0.001), ESR (P = 0.035), dorsal Schober's (P = 0.009), occiput-wall distance (P = 0.048). Also MAF was correlated with all dimensions of SF36 except for social function and emotional role. BASFI was found to be the most significant correlated (P = 0.002) parameter with MAF. This study suggests that fatigue is an important symptom in AS and it seemed to occur in severe AS patients. It should appropriately be measured with respect to its intensity with appropriate measures, such as MAF. Moreover, fatigue may increase functional disability, which is already present as a feature of the disease. © 2007 Springer-Verlag.
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    Quality of life in patients with ankylosing spondylitis: A pilot study
    (2007) Turan Y.; Duruöz M.T.; Cerrahoglu L.
    The aims of this study were to evaluate quality of life (QOL) in patients with ankylosing spondylitis (AS) and to determine the relationship between QOL and clinical condition/functional status. Forty-six AS patients (37 males) were included in the study. The demographic data of the patients were recorded. Disease activity Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), enthesitis involvement Mander Ehthesis Index (MEI), functional evaluation Bath Ankylosing Spondylitis Functional Index (BASFI), and quality of life Short-Form 36 (SF-36) were assessed. The mean age of the patients was 39.2 (SD: 11. 46) years. Most MEI was found related to physical function (P = 0.014), physical role (P = 0. 01), pain (P = 0.002) and vitality (P = 0.004) in SF-36 subgroups. Among the subgroups, the best correlations with the general health was found in BASDAI (P = 0.014) and secondly in MEI (P = 0.038). None of the mental health and social function subgroups had any significant correlation with any of the parameters (P > 0.05). A significant relationship was found between the emotional role and BASFI, and chest expansion (P = 0.004). Clinical and functional state were affecting QOL of patients with AS. It has been found out that in patients with AS, the QOL subgroups are mostly related with enthesis involvement. © 2007 Springer-Verlag.
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    Serum hyaluronic acid levels in patients with ankylosing spondylitis
    (2008) Duruöz M.T.; Turan Y.; Cerrahoglu L.; Isbilen B.
    Our aim in this study was to investigate serum hyaluronic acid (HA) levels and the relationship between clinical parameters in ankylosing spondylitis (AS). Approximately 30 patients with AS and 30 healthy individuals were recruited in this study consecutively. Cross-sectional study was planned, and demographic, clinical, functional, radiological, and laboratory data of patients were evaluated. Disease activity, functional status, and quality of life were assessed, respectively, with Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), and Short-Form 36 (SF-36). Mander Enthesis Index (MEI) was used for evaluation of enthesis involvement. We examined serum concentrations of HA (ng/ml) in patients with AS and controls. The mean ages of patients and control group were 38.3 (SD = 10.8) and 42.7 (SD = 10.6) years, respectively. The mean of serum HA levels in AS patients was 40.4 (SD = 34.8) ng/ml and in controls was 24.9 (SD = 20.2). There was significant difference of HA levels between two groups (p = 0.04). Furthermore, there was a significant correlation between HA level and distance of hand-floor (r = 0.444, p = 0.014), modified lumbar Schober's (r = 0.413, p = 0.023), distance of chin to chest (r = 0.436, p = 0.016), right sacroiliit grade (r = 0.601, p <0.001), left sacroiliit grade (r = 0.610, p <0.001), C reactive protein level (r = 0.404, p = 0.027), albumin (r = 0.464, p = 0.010), C3 (p = 0.449, p = 0.013), and IgA levels (r = 0.369, p = 0.045). However, there was no significant correlation between HA levels with MEI, BASFI, BASDAI, and SF-36 (p ≥0.05). Serum HA level was significantly higher in AS patients than controls. However, there was no significant correlation between serum HA level and disease-specific measures as BASFI and BASDAI; it had significant relation with spinal mobility limitation, sacroiliitis, and laboratory parameters related with acute inflammation. The serum HA level may be a potential biomarker of axial inflammation and disease severity in AS. © Clinical Rheumatology 2007.
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    Relationship between enthesitis, clinical parameters and quality of life in spondyloarthritis
    (2009) Turan Y.; Duruöz M.T.; Cerrahoglu L.
    Objective: To investigate the involvement of enthesis and its correlation with clinical and quality of life parameters in patients with spondyloarthritis (SpA). Methods: One hundred and eighteen patients who comply with the SpA classification criteria of the European Spondylarthropathy Study Group (ESSG) were included into the study. Clinical parameters such as morning stiffness, rest pain, activity pain, tender joints and swollen joints were evaluated. Enthesitis were assessed by Mander Enthesis Index (MEI). The quality of life was assessed by Short Form-36 (SF-36). Results: The incidence of enthesitis in patient with SpA was found at a rate of 84.9%. There was a significant correlation between MEI and morning stiffness, disease duration, tender joints and six subgroups of SF-36. The highest correlation was found between MEI and number of tender joint (p < 0.001). Conclusion: Enthesitis is commonly seen among patients with SpA. Enthesitis also affects the life quality of patients negatively. © 2009 Société française de rhumatologie.
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    Translation and validation of the Turkish version of the Ankylosing Spondylitis Quality of Life (ASQOL) questionnaire
    (2013) Duruöz M.T.; Doward L.; Turan Y.; Cerrahoglu L.; Yurtkuran M.; Calis M.; Tas N.; Ozgocmen S.; Yoleri O.; Durmaz B.; Oncel S.; Tuncer T.; Sendur O.; Birtane M.; Tuzun F.; Bingol U.; Kirnap M.; Celik Erturk G.; Ardicoglu O.; Memis A.; Atamaz F.; Kizil R.; Kacar C.; Gurer G.; Uzunca K.; Sari H.
    The Ankylosing Spondylitis Quality of Life (ASQoL) questionnaire is a disease-specific measure of needs-based quality of life developed in the UK and the Netherlands. This study describes translation, validation, and reliability of the scale into Turkish population. The ASQoL was translated into Turkish using the dual-panel process. Content validity was assessed via cognitive debriefing interviews with ankylosing spondylitis (AS) patients. Patients with AS according to modified New York criteria were recruited into the study from 12 hospitals of all part of Turkey. Psychometric and scaling properties were assessed via a two administration survey involving the ASQoL, the Nottingham Health Profile (NHP), Bath AS Functional Index (BASFI), and Bath AS Disease Activity Index (BASDAI). Classical psychometrics assessed reliability, convergent validity (correlation of ASQoL with NHP, BASFI, and BASDAI) and discriminative validity (correlation of ASQoL with perceived AS-severity and general health). Cognitive debriefing showed the new Turkish ASQoL to be clear, relevant, and comprehensive. Completed survey questionnaires were received from 277 AS patients (80 % Male, mean age 42.2/SD 11.6, mean AS duration 9.4 years/SD 9.4). Test-retest reliability was excellent (0.96), indicating low random measurement error for the scale. Correlations of ASQoL with NHP sections were low to moderate (NHP Sleep 0.34; NHP Emotional Reactions 0.83) suggesting the measures assess related but distinct constructs. The measure was able to discriminate between patients based on their perceived disease severity (p < 0.0001) and self-reported general health (p < 0.0001). The Turkish version of ASQoL has good reliability and validity properties. It is practical and useful scale to assess the quality of life in AS patients in Turkish population. © 2013 Springer-Verlag Berlin Heidelberg.
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    Range of motion and plantar pressure evaluation for the effects of self-care foot exercises on diabetic patients with and without neuropathy
    (American Podiatric Medical Association, 2016) Cerrahoglu L.; Koşan U.; Sirin T.C.; Ulusoy A.
    Background: We aimed to investigate whether a home exercise for self-care program that consists of range of motion (ROM), stretching, and strengthening exercises could improve ROM for foot joints and plantar pressure distribution during walking in diabetic patients to prevent diabetic foot complications. Methods: Seventy-six diabetic patients were recruited (38 with neuropathy and 38 without neuropathy). Neuropathy and nonneuropathy groups were randomly divided into a home exercise group (n ¼19) and a control group (n ¼ 19). Exercise groups performed their own respective training programs for 4 weeks, whereas no training was done in the control group. Total contact area and plantar pressure under six foot areas before and after the exercise program were measured. Ankle and first metatarsophalangeal joint ROM were measured before and after the exercise program. Results: In the exercise group, there were significant improvements in ROM for the ankle and first metatarsophalangeal joints (P <.001); static pedobarographic values showed significant reduction in right forefoot-medial pressure (P ¼.010); and significant decreases were seen in dynamic pedobarographic values of peak plantar pressure at the left forefoot medial (P ¼.007), right forefoot lateral (P ¼.018), left midfoot (P <.001), and right hindfoot (P ¼.021) after exercise. No significant positive or negative correlation was found between the neuropathy and nonneuropathy groups (P >.05). Conclusions: A home exercise program could be an effective preventive method for improving ROM for foot joints and plantar pressure distribution in diabetic patients independent of the presence of neuropathy. © 2016, American Podiatric Medical Association. All rights reserved.
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    Magnetic Resonance Imaging and Clinical Outcomes of Laser Therapy, Ultrasound Therapy, and Extracorporeal Shock Wave Therapy for Treatment of Plantar Fasciitis: A Randomized Controlled Trial
    (Academic Press Inc., 2017) Ulusoy A.; Cerrahoglu L.; Orguc S.
    We determined and compared the effectiveness of low-level laser therapy (LLLT), therapeutic ultrasound (US) therapy, and extracorporeal shock wave therapy (ESWT) using magnetic resonance imaging (MRI). We performed a randomized, prospective, comparative clinical study. A total of 60 patients with a diagnosis of chronic plantar fasciitis were divided randomly into 3 treatment groups: group 1 underwent 15 sessions of LLLT (8 J/cm2; 830 nm); group 2 underwent 15 sessions of continuous US (1 mHz; 2 W/cm2); and group 3 underwent 3 sessions of ESWT (2000 shocks). All patients were assessed using the visual analog scale (VAS), heel tenderness index (HTI), American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale, Roles–Maudsley score, and MRI before and 1 month after treatment. The primary efficacy success criterion was the percentage of decrease in heel pain of >60% from baseline at 1 month after treatment for ≥2 of the 3 heel pain (VAS) measurements. Significant improvement was measured using the mean VAS, AOFAS scale, and HTI scores for all 3 groups. The thickness of the plantar fascia had decreased significantly on MRI in all 3 groups. The treatment success rate was 70.6% in the LLLT group, 65% in the ESWT group, and 23.5% in the US group. LLLT and ESWT proved significantly superior to US therapy using the primary efficacy criterion (p =.006 and p =.012, respectively), with no significant difference between the LLLT and ESWT groups (p >.05). The treatment of chronic plantar fasciitis with LLLT and ESWT resulted in similar outcomes and both were more successful than US therapy in pain improvement and functional outcomes. © 2017 American College of Foot and Ankle Surgeons
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    Idiopathic brachial neuritis in a patient with multiple myeloma
    (Journal of Clinical and Diagnostic Research, 2017) Cerrahoglu L.; Erol O.; Sirin T.C.
    Idiopathic Brachial Neuritis (IBN), is a rare brachial plexopathy with an unknown aetiology. Multiple myeloma is a neoplastic plasma cell disease characterised by bone lesions. In this article, we present the case of a 59-year-old male patient with IBN associated with multiple myeloma, who was admitted to our clinic with right shoulder pain and right arm weakness. He experienced muscle weakness and atrophy in his right arm after a sudden onset of pain attack in the shoulder. Plexus and cervical vertebral MRI showed no pathology. Electrodiagnostic studies showed upper and middle trunk plexopathies. Laboratory analysis revealed anaemia, hypercalcaemia, renal dysfunction and monoclonal gammopathy in immunoglobulin electrophoresis. A bone marrow biopsy established the diagnosis of IgG kappa multiple myeloma. This is the first case report that presents the association of multiple myeloma and IBN. © 2017, Journal of Clinical and Diagnostic Research. All rights reserved.
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    The relationship of the foot and ankle structure with overuse injuries in licensed footballers: a prospective cohort study
    (Edizioni Minerva Medica, 2021) Sahillioglu A.; Cerrahoglu L.
    BacKGrouNd: foot and ankle are some of the most frequently injured places in football players’ bodies. overuse injuries have an insidious onset and can restrain athletes from sports temporary or even permanently. This study aimed to investigate the relationship between the clinical evaluation of the foot and ankle and findings obtained from foot plantar pressure measurements with the development of overuse injury, during the one-year follow-up. MeThodS: one hundred licensed football players were included in the study. presence of joint hypermobility, foot posture assessment, ankle and first metatarsophalangeal joint range of motion measurements, pedobarographic plantar pressure assessment of foot was carried out. Then, the footballers were followed for 12 months for the development of new foot and ankle overuse injuries, and the clinical and pedobarographic data of the footballers with at least one injury were compared with the group without injury. reSulTS: We found asymmetric pressure distribution between the preferred and non-preferred foot in the group who had an injury in the pedobarographic static foot plantar pressure measurements (P=0.040). A statistically significant limitation was found in the ankle eversion, first metatarsophalangeal joint dorsiflexion and ankle plantar flexion degrees in the injured group compared to the uninjured group (P=0.029, p=0.023, p=0.044, respectively). CONCLUSIONS: These findings suggest that impairments in foot plantar pressure distribution and limitations in ankle and foot joint range of motion may be risk factors for the development of foot and ankle overuse injury. © 2020 Edizioni Minerva Medica.