Browsing by Author "Kalkan S."

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    Influence of pectoralis minor muscle and upper trapez muscle tightness in scapular dyskinesis
    (SAGE Publications Ltd, 2014) Yeşilyaprak S.S.; Yüksel E.; Kalkan S.
    Objectives: Alterations in scapular kinematics were found in individuals with shoulder problems compared with healthy individuals. These alterations in scapular kinematics such as changes in the normal position or any abnormal motion of the scapula during active motions are defined as "Scapular Dyskinesis (SD)". Relationship between tight muscles and scapular kinematics has been investigated. Pectoralis Minor Muscle Tightness (PMMT) effects scapular motion and make changes in scapular kinematics. Although there are some studies indicating a possible relationship between PMM or Upper Trapezius Muscle Tightness (UTMT) and SD, this relationship hasn’t been investigated yet. The aim of this study was to evaluate the influence of PMMT and UTMT on SD in an asymptomatic population. Methods: One-hundred-eleven participants (mean age: 22.73±3.45 years old, 222 arms, 42 Female-69 Male) were recruited. Subjects were eligible if they were ≥18 years of age, having active full shoulder motion and who has no health problem to hinder them from participate. Individuals with symptoms produced by cervical spine motion, impingement syndrome, frozen shoulder, shoulder instability and a history of shoulder fracture/surgery were excluded. Scapular Dyskinesis Test (SDT) was used to identify SD. PMMT was determined by Pectoralis Minor Index (PMI), UTMT by UTMT Test. Logistic regression analysis performed to ascertain the effects of PMMT and UTMT on the likelihood that participants have SD. Results: SD was identified in 62 arms (27.9%), PMMT in 32 arms (14.4%), and UTMT in 75 arms (33.8%) in total number of participants. PMMT was determined in 23 arms (37.1%) and UTMT in 39 arms (62.9%) in participants with SD. The logistic regression model was statistically significant, X2=65.472, p<.000, df= 2. The model explained 36.8% (Nagelkerke R2) of the variance in SD and correctly classified 78.4% of cases. The Wald criterion demonstrated that both PMMT and UTMT made a significant contribution to prediction (p<0.000 for PMMT, p<0.000 for PMMT). People who have PMMT were 13.76 times more likely to exhibit SD than people who haven’t. People who have UTMT were 7.59 times more likely to exhibit SD than people who haven’t. Conclusion: It was determined that people with PMMT and UTMT are more likely to exhibit SD than people who have normal muscle length in this asymptomatic population. Assessment of PMMT and UTMT could be included as a routine part of the scapula and scapular dyskinesia examination. This investigation should be repeated in symptomatic population who has shoulder problems. The effects of various interventions for lengthening these muscles in scapular dyskinesia, needs further research. © The Author(s) 2014.
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    Importance of inhaler device use status in the control of asthma in adults: The asthma inhaler treatment study
    (2014) Yildiz F.; Erbagci A.; Demirel Y.S.; Akcali S.D.; Ekici A.; Dursunoglu N.; Ediger D.; Erdinc M.; Cemri S.C.; Kalyoncu A.F.; Guclu S.Z.; Aktogu S.; Bayram G.B.; Bayram M.; Akgun M.; Mirici A.; Akyildiz L.; Celik P.; Guven A.O.; Camsari G.; Ozseker F.; Cimen F.; Kurutepe M.; Senyigit A.; Bektas Y.; Ozbudak O.; Saylan B.; Baslilar S.; Polatli M.; Cagatay T.; Kalkan S.; Ozer A.
    BACKGROUND: Proper education and training in correct inhalation technique has been reported to have a substantial role in the achievement of optimal therapeutic benefit and asthma control. The present study was designed to evaluate inhaler technique and the role of education in relation to asthma control among patients with persistent asthma in Turkey. METHODS: A total of 572 patients with persistent asthma (mean ± SD age 42.7 ± 12.2 y, 76% females) were included in this non-interventional, observational, registry study conducted across Turkey. Data on the effective and correct use of inhaler devices were collected via the Ease of Use for the Inhaler Device Questionnaire to patients and physicians. RESULTS: Asthma control (overall 61.5% at baseline, and increased to 87.3% during follow-up) was better, with significant improvement in technique and decrease in basic errors to the range 0-1, regardless of the inhaler type. Overall, the most common basic error associated with inhalation maneuvers was failure to exhale before inhaling through the device (18.9%). There was concordance between the patients and physicians in the ratio of correct inhaler technique only for spray-type inhalers. CONCLUSIONS: Close follow-up with repeated checking of the patient's inhaler technique and correction of errors each time by a physician seem to be associated with a significant decrease in the percent of patients who make basic errors in inhalation maneuvers and device-independent errors, and with better control of persistent asthma. © 2014 Daedalus Enterprises.