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ISSN 1300-8757

Publications in this journal

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    ABSTRACT: Aim: In Turkey, prostheses and orthoses have been manufactured early nineteenth century. The aim of this study is to analyse prosthetics and orthotics, which have been manufactured in Turkey over the last five years and create the infrastructure for scientific studies on this issue and to determine resource consumption. Material and Methods: In the last five years with applied prosthetic and orthotic manufactures were analysed based on the data achieved from Social Security Administration of Turkey. Results: 26236 prostheses and orthoses were manufactured during the last five years. 19381 of them were orthoses and 6755 were prostheses. 9588 lower limb orthoses, 8214 spinal orthoses, and 1579 upper limb orthoses, constitutes orthotics manufacturing and fitting. 6062 lower limb prostheses and 693 upper limb prostheses constitute all prosthetic manufacturing and fitting. According to the results, Knee-Ankle-Foot orthosis (KAFOs) are the most widely applied in the lower extremity orthotics. KAFOs constitute 74% of lower limb orthotics, 37% of orthotics and 27% of all prosthetic-orthotic applications. In addition to that, the most widely applied lower limb prostheses are modular transtibial (TT) prostheses. Modular TT prostheses constitute 63% of lower limb orthotic applications, 57% of prosthetic applications and 15% of prosthetic-orthotic applications. Conclusion: The numbers of KAFOs and modular TT prostheses are 10969 which is nearly 40% of 26236 prosthetic-orthotic applications.
    Fizyoterapi Rehabilitasyon 04/2013; 24(1):99-103.
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    ABSTRACT: Purpose: The aim of this study was to investigate the effectiveness of High Voltage Pulsed Galvanic Stimulation (HVPGS) in conjunction with patellar taping on pain and functional levels of patients with Patellofemoral Pain Syndrome (PFPS). Methods: This study was designed as a prospective randomized controlled study. Forty-five female patients with unilateral symptomatic PFPS were randomly allocated into three groups. All patients were treated with a standard rehabilitation program. In addition, Group-1 received HVPGS in conjunction with patellar taping, Group-2 received HVPGS, and Group-3 received patellar taping. All treatments were applied for six weeks. Pain levels during step-up and step-down activities were measured. Lower Extremity Functional Scale (LEFS) was utilized to determine functional level. All tests were done before and after the treatment. Results: There were differences in pain levels during step-down (p=0.01) and during step-up (p=0.02) between Group-1 and 3 and during the step-up activities (p=0.02) between Group-2 and 3 after the treatment. There were no significant differences in functional level between the groups after the treatment (p>0.05). The groups that included HVPGS (Group-1 and 2) had better pain scores during step-up and down activities as compared to Group-3. Conclusion: Additional HVPGS application in PFPS rehabilitation may decrease in pain levels during activities including step up and down while functional status remains the same.
    Fizyoterapi Rehabilitasyon 04/2013; 24(1):1-8.
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    ABSTRACT: Purpose: The purpose of this study were to design a new functional splint which supports and controls the position of the trapeziometacarpal (TMC) joint during activities of daily living in patients with TMC osteoarthritis (TMCOA) and to investigate the effectiveness of the splint on pain and function. Methods: Eleven patients with a clinical and radiological diagnosis of TMCOA were included into the study. Information about the progress of TMCOA, principles of joint protection and rationale of splinting was given at the first visit. Patients received the splint at the second visit. The splint held the TMC joint in slight traction and medial rotation, and permitted activities of daily living. Patients used it during activities of daily living for six weeks. Other physiotherapy approaches were not implemented within that period. Assessments were performed at baseline and six weeks later without splint. Pain was assessed with Visual Analogue Scale, grip and pinch strengths were assessed using dynamometer and pinchmeter, functional level was assessed using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire and Michigan Hand Outcome Questionnaire and splint use was assessed using splint diary. Results: Adherence to splint use was high. Pain was significantly decreased after having used the splint for 6 weeks (p<0.05). There was an improvement in functional level (p<0.05). No significant differences were found for grip and pinch strength (p>0.05). Conclusion: We designed a new splint, which can be comfortably used during activities of daily living for patients with TMCOA. The splint was effective in terms of reducing pain and improving function.
    Fizyoterapi Rehabilitasyon 12/2012; 23(3):144-150.
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    ABSTRACT: Purpose: The goal of this study was to assess the effects of three different physiotherapy approaches on rehabilitation of amputees with thromboangiitis obliterans. Material and methods: This study was conducted on 34 lower-limb amputees. Amputees were divided into three groups after their prosthetic fitting. Connective tissue manipulation (CTM) and interferential therapy (IT) were applied to the first and second groups besides exercise programs and prosthetic training. The third group consisted of amputees who had received exercises and prosthetic training. Sensory state, skin temperature, Intermittent Claudicatio (IC) distance and time, gait parameters and ambulatory activities were evaluated in the pre and post treatment period. Results: Important differences were found between pre and post treatment values in all groups (p<0.05). When the groups were evaluated for the skin temperature of both extremities, no difference was found between Group 1 and 2, and between Group 1 and 3 (p>0.05), however a statistical difference between Group 2 and 3 was observed in the post-treatment values (p<0.05). When the groups were compared according to IC treatment results, in both distance and time, there were statistically important differences between Group 1 and 2, and Group 2 and 3 (p>0.05), but no differences were detected between group I and group III (p>0.05). Weight bearing and gait data showed no differences among the groups (p>0.05). Conclusion: Consequently, it can be said that CTM, IT and exercise programs were all effective in the rehabilitation of amputees with thromboangiitis obliterans.
    Fizyoterapi Rehabilitasyon 08/2011; 22(2):65-73.
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    ABSTRACT: Purpose: The aim of this study was to determine the effect of balance training and postural exercises on the functional level in individuals with mild mental retardation. Material and methods: Twenty-eight mildly mentally retarded (IQ=50-70) students who were attending the Special Education Elementary School were included for this study. Participants were randomly assigned to exercise (N=14) and control (N=14) groups. The exercise group participated in a balance training and postural exercise program with a Swiss ball for 8 weeks at a frequency of three times per week, in addition to the physical education program at the school. The control group followed only the physical education program at the school. Muscle endurance (Sit-Ups Test), flexibility (Sit and Reach Test), muscle strength and coordination (Chair Rising Test), functional mobility (Timed Up and Go Test and 50 Foot Walking Test) and balance (Pediatric Balance Scale) tests were performed to assess those variables. Assessments were performed prior to commencing the exercise program and after completion of the exercise program. Results: There was no statistically significant difference when the two groups were compared (p>0.05). A statistically significant difference was found in all parameters except flexibility in the exercise group (p<0.05). Conclusions: It was concluded that balance training and postural exercises were effective in improving the functional level in individuals with mental retardation.
    Fizyoterapi Rehabilitasyon 08/2011; 22(2):55-64.
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    ABSTRACT: Purpose: To compare functional status and quality of life (QoL) of patients with early and late stages of rheumatoid arthritis (RA) and to investigate the effects of some clinical symptoms on functional status and QoL. Material and methods: The subjects consisted of 78 Norwegian patients with early (0-3 years) and late (>3 and <20 years) stages of RA from outpatient clinics of Thermal Spa Center. Clinical symptoms (pain, stiffness, fatigue, etc.), functional status (Health Assessment Questionnaire, HAQ) and QoL (SF-36) were assessed. Results: In early stage RA, HAQ and physical components summary score of the QoL (SF-PCS) were significantly higher than scores of late stage RA patients (p<0.05). Mental component summary scores (SF-MCS) were similar in both stages (p>0.05). There was no correlation between clinical symptoms and HQA and QoL scores in early stage RA (p>0.05). However, SF-PCS strongly correlated with pain, morning stiffness and fatigue in late stage RA (p<0.05). Conclusion: The results of study showed that clinical symptoms affect physical dimensions of QoL and functional status in the late stage. Pain, morning stiffness and fatigue are important factors for QoL. Mental dimensions of QoL were not influenced from clinical symptoms in both stages. Mental dimension of QoL cannot be influenced by clinical symptoms in both stage in patients with RA.
    Fizyoterapi Rehabilitasyon 08/2011; 22(2):93-99.

  • Fizyoterapi Rehabilitasyon 01/2011; 22(3):240-244.
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    ABSTRACT: Purpose: Studies on the relative efficacy of Interferential Current (IFC) and Transcutaneous Electrical Nerve Stimulation (TENS) is still inconclusive. This study compared the pain threshold of IFC and TENS on experimental cold induced pain among apparently healthy volunteers. Materials and methods: The subjects were 60 consented apparently healthy individuals (30 males, 30 females). Their age ranged between 20 and 25 years with mean age of 23.1±1.49. Subjects were randomly assigned into any of the 3 groups (IFC, TENS or Placebo). An Enraf- Nonius Endomed 582 ID electrical stimulator was used to generate TENS or IFC. The placebo group did not receive stimulation via a connected dummy stimulator. Stimulation was done on the forearm of the subjects while the hand was deep into cold water maintained at 0ºC. The duration of time that the subjects could tolerate the pain and self reported pain intensity were outcome measures. Results: The results revealed no statistical significance in pain intensity among the three groups (F=1.18; p>0.05). Similarly, the pain threshold among the three groups showed no significant difference (F=1.36; p>0.05). Conclusion: No significant difference was found in the pain threshold and pain intensity using either TENS or IFC or placebo on cold induced pain among apparently normal volunteers. Key words: Transcutaneous electric nerve stimulation, Interferential current, Pain threshold, Pain intensity.
    Fizyoterapi Rehabilitasyon 04/2009; 20(1):33-38.
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    Fizyoterapi Rehabilitasyon 01/2009; 20(3):184-189.