Erkan Kozanoglu

Cukurova University Faculty of Medicine · Department of Physical Medicine and Rehabilitation

[Purpose] There are various treatment modalities for fibromyalgia syndrome (FMS), which is characterized by widespread pain and fatigue. The aim of this study was to investigate the effects of aquatic, aerobic and isometric strength-stretching exercises on the physical and psychological parameters of patients with FMS. [Subjects and Methods] Sevent...

To compare the effectiveness of ibuprofen phonophoresis (PH) with conventional ultrasound (US) therapy in knee osteoarthritis. Sixty patients with a mean age of 59.8 +/- 9.0 years were randomly assigned to PH or US groups. Continuous ultrasonic waves of 1 MHz frequency and 1 watt/cm2 power were applied for 5 minutes to the target knee joint. Acoust...

Background and Objectives: One of the most critical problems regarding sarcopenia is the difficulty of the diagnosis process. This study aimed to determine the prevalence and investigate the role of serum beta-2 microglobulin level as a biomarker for diagnosing sarcopenia. Materials and Methods: This nested case–control study was conducted between...

Aims: Ankylosing spondylitis (AS) and Behçet's disease (BD) are both chronic inflammatory diseases of unknown etiology. It is thought that the development of both diseases is related to several factors such as environmental, genetic predisposition and oxidative stress. To control the flow of reactive oxygen species, aerobic cells have developed the...

Abstract: Uric acid is formed as a consequence of the catabolism of purine nucleotides. The removal of uric acid from the body is mainly carried out by the kidneys via urine and, to a lesser extent, by the intestinal tract via feces. Excretion and reabsorption of uric acid from the intestinal tract, and especially from the kidneys, are carried out...

El osteoartriti (OA), birey ve toplum üzerinde önemli bir yük oluşturan dünya çapında sık görülen bir sağlık problemidir. Hastalık, el eklemlerini etkileyen lokal bir OA formudur. El OA prevalansı yaşla birlikte artmasına rağmen, orta yaşlı insanların çoğunda en az bir el eklemini etkileyen radyografik OA bulunmaktadır. Genel olarak hastaların %3-1...

Purpose: The effect of Hypericum perforatum (HP), which is a medicinal plant, on sciatic nerve injury-induced peripheral neuropathy has been less studied so far. The current experimental study aimed to investigate the neuroprotective and antinociceptive effects of Hypericum perforatum (HP) extract on sciatic nerve injury-induced peripheral neuropat...

Objectives: This study aimed to evaluate the frequency of fibromyalgianess, fibromyalgia syndrome (FS), and widespread pain in patients with rheumatoid arthritis (RA) and ankylosing spondylitis (AS) and their relationship with clinical and demographic parameters. Patients and methods: This cross-sectional multicenter trial was performed in 14 cente...

Metabolic syndrome (MetS); is defined as a life-threatening endocrinopathy in which systemic disorders such as insulin resistance, abdominal obesity, glucose intolerance, diabetes mellitus, dyslipidemia, hypertension, and coronary artery disease are combined. Although, it is generally known as a problem of adults, it emerges as an essential problem...

Objectives: The purpose of the study was to compare low-level laser therapy (LLLT) and local corticosteroid injection in the treatment of plantar fasciitis. Patients and methods: This retrospective study was performed with 56 patients (6 males, 50 females; mean age: 44.7±10.1 years; range, 18 to 65 years) between January 2015 and March 2016. The pa...

Objective: This study is aimed to detect the drug concentration in articular tissues after phonophoresis application in patients with knee osteoarthritis who were planned to undergo total knee arthroplasty. Material and Methods: Seventeen patients with grade 4 knee OA were allocated to 6 groups according to ultrasound parameters and three sessions...

Background: Complex regional pain syndrome (CRPS) has been described as a painful condition with the appearance of trophic, vasomotor, and sudomotor changes. Most of the predisposing factors causing CRPS are classified. However, the definite cause of this syndrome is yet to be clearly specified in some cases. In this report, we presented a case wit...

Introduction/Background The aim of the study was to determine the effect of pregabalin as monotherapy on biochemical markers and bone mineral density. Methods 40 patients diagnosed with neuropathic pain or fibromyalgia syndrome who were using pregabalin for at least 6 months and age and sex matched 40 healthy individuals were recruited for this cr...

Background: Upper limb lymphedema may be revealed after breast cancer and its treatment. Among different treatment approaches, intermittent pneumatic compression (IPC) therapy and low-level laser therapy (LLLT) are reported as effective modalities in the treatment of postmastectomy upper limb lymphedema (PML). The aim of the current study is to inv...

Objectives: This study aims to evaluate the magnetic resonance imaging (MRI) findings of sacroiliac joints in a selected group of patients with systemic sclerosis (SSc). Patients and methods: This retrospective study included 30 patients (2 males, 28 females; mean age 44.1±12.5 years; range, 24 to 70 years) with SSc who underwent MRI of sacroiliac...

AMAÇ: Bu çalışmada, Parsiyel Siyatik Sinir Ligasyon (PSSL) yöntemiyle oluşturulan deneysel periferik nöropati modelinde Hypericum Perforatum ekstresinin, plazma ve siyatik sinirde oksidatif, inflamatuvar, apoptotik yolaklar üzerinden nöroprotektif ve antinosiseptif etkilerinin araştırılması amaçlanmıştır. GEREÇ-YÖNTEM: Çukurova Üniversitesi Hayvan...

Purpose: The purposes of this study were to document the characteristics of ventral neck flexor muscle endurance (NMFE) and compare the endurance time to some anthropometric measurements due to genders in healthy young adult population. Materials and Methods: Measurements were taken from 185 medical students (104 males - 81 females) aged between...

Objectives: The aim of the study was to investigate the effectiveness of electrical stimulation to agonist muscles after injection of Botulinum toxin A (BTX-A) in children with spastic diplegic cerebral palsy (SDCP). Patients and methods: Between October 2009 and October 2010, 38 patients with SDCP (19 males, 19 females; mean age 6.3 years; rang...

Amaç: Bu çalışma bale öğrencilerine uygulanacak alternatif point egzersizlerinde etkinliğin araştırılmasını amaçlamaktadır.Gereç ve Yöntem: Cukurova University Devlet Konservatuvarı Bale Anasanat Dalı’ nda bale eğitimi alan ve point’e başlamamış tam zamanlı bale öğrencileri çalışmaya dahil edilmiştir. Bu öğrencilerin yarısına, altı ay boyunca belir...

Objectives: This study aims to estimate the prevalence of rheumatoid arthritis (RA) and spondyloarthritis (SpA) in Turkey using the same telephone questionnaire developed for screening RA and SpA in France and used in Serbia and Lithuania. Material and methods: The study was performed in two steps. In step I, the French questionnaire was translated...

Erişkin bireylerde en sık artrit sebebi olan gut hastalığı, günümüzde özellikle sanayileşmiş ülkelerde giderek artan sıklıkta görülmektedir. Gut, serum ürat konsantrasyonlarında artışa bağlı olarak, monosodyum ürat kristallerinin eklemler ve bağ dokusu başta olmak üzere birçok organda birikimi ile karakterize kronik inflamatuar bir hastalıktır. 6,8...

Remitting seronegative symmetrical synovitis with pitting edema is a rare rheumatological disorder that presents with symmetrical hand and/or foot edema resembling rheumatoid arthritis. It is generally seen in male patients in older age, but atypical cases in different age groups have been documented. Although no clear mechanism has been described,...

Objective: The aim of this study was to evaluate the natural course of phantom limb complex without any treatment after lower limb amputation. Methods: The study design was consisted of a combination of retrospective review and cross-sectional interview. 101 patients with lower limb amputation were included into the study. Patients were divided int...

Objective To determine the effects of demographic and clinical characteristics on mobility, disability, and activities of daily life of patients with stroke. Methods This cross-sectional clinical study was performed in the Department of Physical Medicine and Rehabilitation in Cukurova University Faculty of Medicine in Adana, Turkey, between Februa...

Charcot’s neuroarthropathy (CNA) is a destructive disease associated with a reduced proprioceptive sensation. Diabetes mellitus (DM) is one of the most common etiological factor for CNA which typically affects ankles and small joints of feet. Neuroarthropathy seen in upper extremity in patients with DM is a rare clinical condition. In this report,...

Fibrous dysplasia is a rare bone disease which has a wide spectrum of symptoms depending on the involvement area such as pain, deformity, fracture, dyspnea or visual loss. One of the rare involvement areas is the bones around the shoulder. Fibrous dysplasia presents in two forms named monostotic or polyostotic. In this article, we present a case wi...

The objective of the present study is to determine whether benign joint hypermobility syndrome (BJHS) modifies the risk of mitral valve prolapse (MVP) in patients with fibromyalgia (FM). Female patients fulfilling the 1990 American College of Rheumatology (ACR) diagnostic criteria for FM were included into the study. Joint hypermobility and BJHS we...

Kinesio taping is one of the elastic bandage methods which has been quite popular in the last 20 years and has been applied in various musculoskeletal conditions. Although the mechanism of action is not clear, many theories have been suggested so far. In this case report, we aimed to present the results of kinesiotape application for back pain of t...

Ulcerative colitis (UC) is a progressive inflammatory disease (IBD) of the bowel which can be accompanied by extra-intestinal findings such as peripheral and axial arthropathies. Patients with UC sometimes display rheumatoid pattern polyarthropathy which is challenging to differ from rheumatoid arthritis. We describe a case with rheumatoid pattern...

Objectives: This study investigates the demographic and clinical characteristics of patients with rheumatoid arthritis (RA) in Turkey, and attempts to identify strategies for the prevention, treatment, and support of RA. Patients and methods: A total of 2,359 patients (1,966 females, 393 males; mean age 51.6±12.5 years; range 18 to 75 years) with R...

Soft-tissue calcification is characterized by the accumulation of calcium in damaged collagen fibrils. The pathogenesis of calcium deposition is not fully understood. Inflammatory changes, trauma, and rheumatological diseases have been reported as possible risk factors. Pellegrini-Stieda syndrome (PSS) is post-traumatic calcification or ossificatio...

Neurofibromatosis Type 1 (NF1) is a common hereditary disease characterized by disorders regarding the skin, neural, and skeletal systems. Osteoporosis is one of the skeletal manifestations of NF1, which is associated with increased fracture risk. The management of NF1-related low bone mass has been less studied in the literature. We present a 19-y...

Objectives: This study investigates the demographic and clinical characteristics of patients with rheumatoid arthritis (RA) in Turkey, and attempts to identify strategies for the prevention, treatment, and support of RA. Patients and methods: A total of 2,359 patients (1,966 females, 393 males; mean age 51.6±12.5 years; range 18 to 75 years) with R...

Ochronosis, an autosomal recessive metabolic disorder, causes an excess of homogentisic acid that results in adverse pigmentation, calcification, and inflammation of cartilaginous and other tissues. Cardiovascular abnormalities are less frequently reported than are other manifestations. In rare cases, ochronosis can cause valvular heart disease. We...

Hypertrophic osteoarthropathy (HOA) is a condition characterized by arthralgia/arthritis, clubbing, and periosteal reaction. Primary form of HOA is observed at early ages of life and is hereditary in nature. Secondary HOA is more frequently seen in clinical setting and occurs as a result of various disorders including inflammatory and malignant dis...

Ülseratif kolit, periferik ve aksiyel artropatiler gibi ekstraintestinal bulguların eşlik ettiği progresif bir inflamatuvar barsak hastalığıdır. Ülseratif kolitli hastalarda bazen romatoid artritten ayırt edilmesi zor olan romatoid paternli poliartropati görülebilmektedir. Bu yazıda, ülseratif koliti komplike eden romatoid paternli bir poliartropat...

Hypertrophic osteoarthropathy (HOA) is a condition characterized by arthralgia/arthritis, clubbing, and periosteal reaction. Primary form of HOA is observed at early ages of life and is hereditary in nature. Secondary HOA is more frequently seen in clinical setting and occurs as a result of various disorders including inflammatory and malignant dis...

Objectives: To investigate the relationship between enthesitis and disease activity, functional status, fatigue, joint mobility, radiological damage, laboratory parameter and quality of life in patients with ankylosing spondylitis (AS). Methods: A total of 421 patients with AS (323 male and 98 female) who were included in the Turkish League Agai...

Objective: To investigate the effectiveness of low-level laser treatment and local corticosteroid injection in patients with subacromial impingement syndrome. Design: Controlled clinical trial. Setting: Physical Medicine and Rehabilitation outpatient clinic. Subjects: One hundred thirty-five patients with subacromial impingement syndrome. I...

A web-based application patient follow-up program was developed to create a registry of patients with ankylosing spondylitis (AS) by the Turkiye Romatizma Arastirma Savas Dernegi (TRASD) AS Study Group. This study describes the methodological background and patient characteristics. The patient follow-up program is a web-based questionnaire, which c...

To evaluate quality of life (QoL) and related variables in patients with ankylosing spondylitis (AS), a chronic inflammatory disease of the spine. Nine-hundred and sixty-two patients with AS from the Turkish League Against Rheumatism AS Registry, who fulfilled the modified New York criteria, were enrolled. The patients were evaluated using the Asse...

Case reports concerning rare complications of human bite injuries are uncommon in the literature. Further, rehabilitation of the resultant dysfunction is also hardly reported. A 41-year-old housewife who had had a human bite during an altercation 6 months ago was referred to the rehabilitation department with a nonfunctioning right hand. Twelve day...

Although the prevalence of low back pain in the general population is 80-90%, it is reported as 1-30% among athletes. General risk factors of low back pain are occupational activities such as repeated heavy lifting, pulling or rotational movements, as well as smoking, alterations in spinal biomechanics and geometry, obesity, physical inactivity. Po...

Although the prevalence of low back pain in the general population is 80-90%, it is reported as 1-30% among athletes. General risk factors of low back pain are occupational activities such as repeated heavy lifting, pulling or rotational movements, as well as smoking, alterations in spinal biomechanics and geometry, obesity, physical inactivity. Po...

This study was aimed to evaluate the seroprevalence of parvovirus B19 in patients with fibromyalgia syndrome (FS). Seventy-five patients with FS (44.3 +/- 8.3) and 75 healthy controls (44.2 +/- 8.1) were evaluated. Serum anti-B19 IgM and IgG antibodies were measured by ELISA technique. Patients were questioned about duration of symptoms, characteri...

To compare the long-term efficacy of pneumatic compression and low-level laser therapies in the management of postmastectomy lymphoedema. Randomized controlled trial. Department of Physical Medicine and Rehabilitation of Cukurova University, Turkey. Forty-seven patients with postmastectomy lymphoedema were enrolled in the study. Patients were rando...

Lymphedema is characterized by generalized or regional accumulation of protein-rich interstitial fluid that occurs as a consequence of congenital or acquired disruption of lymphatic circulation. Cancer-related lymphedema is the most common cause of secondary upper and lower extremity lymphedema. Secondary arm lymphedema is a chronic and disabling c...

Objective: The general opinion is that there is a disparity between symptoms and radiological abnormalities in osteoarthritis (OA), but some recent studies emphasize the potential contribution of underlying joint disease to the degree of pain and disability. Our aim was to assess the relationship between radiographic grading and demographic feature...

A 23-year-old housewife admitted to hospital complained swelling, pain and skin color changes in both hands, and generalized rthralgia and myalgia. She had a butterfly malar rash, puffy hands, arthritis affecting the right second and third proximal interphalangeal and left knee joints. Anti-nuclear antibody was positive, anti-ribosomal nuclear prot...

Macrodystrophia lipomatosa is a rare nonhereditary congenital malformation that mainly affects mesenchymal structures. The pathology is associated with hypertrophic fibro-adipose tissues. One or more of the digits of the extremities are affected. This condition is previously described as macrodactyly, megalodactyly, or localized gigantism. This art...

Yapısal özellikler insan hareketlerini ve dolayısı ile de sportif performansı etkileyen önemli faktörlerden biridir. Bu çalışmada basketbol sporu temel alınarak Deplasmanlı Ligde Çukurova yöresinde basketbol oynayan yaş ortalaması 21 ± 4.44 olan 15 erkek ve yaş ortalaması 19 ± 2.07 olan 25 bayan toplam 40 elit basketbolcunun üst ekstremite morfoloj...

Self-efficacy is defined as; one's belief of that she could cope with the difficulties of life, and positive expectations with the awareness of physical capacity and handicaps. Sports or physical activity is one of the important determinants of the better quality of life. It is important to understand the positive effects of physical exercise and s...

Objective: The assessment of efficacy of injection therapy with local anesthetic and dry needling of myofascial trigger points in the treatment of myofascial pain syndrome. Materials and Methods: 89 patients with active myofascial trigger points in trapezius muscles were randomly distributed to 2% lidocaine injection (LA) and dry needling (DN) grou...

A 37-year-old woman presented with back pain, diffuse musculoskeletal pain, and muscle weakness without marked gastrointestinal symptoms. She complained of difficulty in walking and bilateral hip pain for the preceding year. Clinical examination revealed proximal muscle weakness especially in the lower extremities and a waddling gait pattern. Labor...

A randomised, comparative prospective clinical trial was planned to compare the early response to different rehabilitation methods for adhesive capsulitis taking into consideration the clinical efficacy and the cost effectiveness of the methods. Forty patients with adhesive capsulitis were randomised into two treatment groups. The first group (CYR)...

Fibromyalgia syndrome (FS) is characterized by widespread pain and tenderness at specific anatomic sites. Different theories have been proposed in the etiopathogenesis of this syndrome, and besides genetic, neuroendocrine, psychologic, and traumatic causes, infections have also been reported. The aim of the present study was to evaluate the presenc...

To compare the ability of the medial cortical thickness ratio to the width of the second metacarpal bone at the midshaft (MCR) in discriminating patients as normal, osteopenic or osteoporotic. MCR was calculated from radiographs of 120 postmenopausal women. By dual-energy X-ray absorptiometry, the mineral density was measured in the lumbar spine, t...

There is a tremendous increase in the number of cardiac operations correlating the technical advances in the last years. The aim of this study is to investigate about the musculoskeletal complaints and the health status of patients after open heart surgery. 154 patients enrolled the study, 62.3% had coronary artery by pass grafting, 32.4% had valve...

Diffuse idiopathic skeletal hyperostosis and ankylosing spondylitis are two diseases which are listed in the differential diagnosis of each other. There have been limited numbers of case reports regarding the coexistence of both diseases in the literature. We describe a patient who demonstrated the features of diffuse idiopathic skeletal hyperostos...

The aim of the study is to compare vitamin D status and bone mineral density (BMD) in veiled and unveiled healthy Turkish women of reproductive age. Thirty young to middle-aged volunteer veiled women and 30 age-matched control subjects with western clothing habits were enrolled in the study. The two groups had similar dietary habits, body mass inde...

The aim of the study is to compare vitamin D status and bone mineral density (BMD) in veiled and unveiled healthy Turkish women of reproductive age. Thirty young to middle-aged volunteer veiled women and 30 age-matched control subjects with western clothing habits were enrolled in the study. The two groups had similar dietary habits, body mass inde...

Background Only 5% of gouty patients are women and 90% of them are postmenopausal at the time of onset. Objectives To describe a delayed diagnosis in a young female patient with gouty arthritis and familial nephropathy, to mention about approach to allopurinol cutaneous hypersensitivity. Methods A 35-year-old woman presented with a 8 year history...

Interference currents (IFC) are elicited by intersecting two alternating medium frequency currents; one of which has a constant frequency and the other is modulated rythmically. It has been documented that, IFC promotes positive treatment outcomes in a number of clinical conditions. This electrotherapeutic modalitiy has analgesic and trophic effect...

Double crush syndrome is a general term referring to the coexistence of dual compressive lesions along the course of a nerve. We present 5 cases of double-crush syndrome and discuss the clinical evidence, symptomatoloy, findings of this condition. Persistence of symptoms after initial treatment of a nerve entrapment is an indication to search for a...