Yazar "Alkan, Halil" seçeneğine göre listele
Listeleniyor 1 - 10 / 10
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe COMPARISON OF THE EFFECTS OF MULLIGAN MOBILIZATION TECHNIQUE COMBINED WITH CERVICAL STABILIZATION EXERCISES WITH THE EFFECTS OF CERVICAL STABILIZATION EXERCISES ALONE IN CHRONIC NECK PAIN: RANDOMIZED CONTROLLED STUDY(2023) Kocaman, Hikmet; Yıldız, Nazım Tolgahan; Canlı, Mehmet; Alkan, HalilObjective: The aim of the study was to compare the effects of Mulligan mobilization techniques applied in addition to cervical stabilization exercises on pain intensity, range of motion (ROM), cervical muscle endurance, pressure pain threshold (PPT), and quality of life compared to cervical stabilization exercises alone in individuals with chronic neck pain (CNP). Method: Forty individuals with CNP were included in the study and randomly divided into two groups: the cervical stabilization group (SG, n=20) and the cervical stabilization-Mulligan mobilization group (SMG, n=20). The SG group only received cervical stabilization exercises for four weeks, while the SMG received Mulligan mobilization techniques for four weeks in addition to cervical stabilization exercises. Before and after the treatment programs, the subjects were evaluated in terms of pain intensity (visual analogue scale), ROM (goniometric measurement), cervical muscle endurance (endurance tests), PPT (algometric measurement), and quality of life (Short Form-36, SF-36). Results: Significant improvements were found in all parameters in both groups after the treatment programs (p<0.05). In addition, there were more improvements in ROM, PPT, and SF-36 scores in SMG compared to SG (p<0.05). Conclusion: The application of cervical stabilization exercises in CNP may improve pain intensity, ROM, cervical muscle endurance, PPT, and quality of life. However, it can be said that Mulligan mobilization techniques applied in addition to cervical stabilization exercises are more effective in improving ROM, PPT, and quality of life compared to cervical stabilization exercises alone in individuals with CNP.Öğe Determination of predictors associated with pain in non-surgically treated adults with idiopathic scoliosis(Bmc, 2024) Yetiş, Mehmet; Yıldız, Nazım Tolgahan; Canlı, Mehmet; Kocaman, Hikmet; Yıldırım, Hasan; Alkan, Halil; Valamur, IremBackground It is recognized that pain related to adult individuals with idiopathic scoliosis (IS) substantially impacts individuals' daily activities and quality of life. The objective of this study was to identify the possible predictors of pain intensity in non-surgically treated adults with IS. Methods This cross-sectional study included 58 adults individuals with Lenke type 1 IS. Participants' sociodemographic characteristics were recorded, and pain severity, curvature severity, trunk rotation angle, disability, spinal mobility, cosmetic deformity perception, and quality of life were assessed. Regression analyses with various models were performed to determine the predictors of pain severity and the best model was selected based on performance criteria. Results Strong associations were found between pain severity with curvature severity, spinal mobility, trunk rotation angle, perception of cosmetic deformity, disability, and quality of life (p < 0.05). It was observed that Lasso regression was the best model based on the performance criteria considered. According to this model, the primary predictors of pain intensity in adult IS were determined as curvature severity, spinal mobility, trunk rotation angle, cosmetic deformity perception, back-related disability and quality of life, in order of importance. Conclusion In accordance with the findings of this study, which examined for the first time the determinants of pain intensity in adult individuals with Lenke type 1 IS, we suggest that mentioned possible factors affecting and determining pain should be taken into consideration when establishing evaluation and treatment programs.Öğe Factors influencing of quality of life in adolescent idiopathic scoliosis(Elsevier, 2022) Kaya, Mehmet Hanifi; Erbahçeci, Fatih; Alkan, Halil; Kocaman, Hikmet; Büyükturan, Buket; Canlı, Mehmet; Büyükturan, ÖznurBackground: Adolescent idiopathic scoliosis (AIS) is the lateral and horizontal deformity of the vertebral column which occurs idiopathically during adolescence. The aim of this study is to identify independent predictors of quality of life in AIS patients. Methods: In total, 31 adolescent patients diagnosed with AIS aged between 10 and 18 years old were included in the study. The scoliosis severity was determined for each patient according to the Cobb method, and their scoliosis perception using the Walter Reed Visual Assessment Scale, a pain assessment was conducted based on the Visual Analog Scale, quality of life using the Scoliosis Research Society-22 questionnaire, and depression level according to the Children's Depression Scale. Multiple Linear Regression analysis was then performed in order to determine the independent determinants of health-related quality of life. Findings: According to the Linear Regression analysis results, children's depression scale, walter reed visual assessment scale, cobb, and anterior trunk rotation explained 52.7% of the variance as independent determinants of SRS-22. Interpretation: The study examined the determinants affecting the quality of life in AIS patients. The results of the study showed that scoliosis severity, perception of cosmetic deformity, degree of rotation, and depression level to be predictors of quality of life in AIS patients. "This trail registered with NCT05242601."Öğe Five-times sit-to-stand test following anterior cruciate ligament surgery: a cross-sectional reliability study(Kamuzu Univ Health Sciences - Kuhes, 2023) Kocaman, Hikmet; Alkan, Halil; Yetis, Mehmet; Canli, Mehmet; Kuzu, Safak; Ozudogru, AnilAims Patients who have had anterior cruciate ligament reconstruction (ACL-R) should periodically have their muscle strength assessed. The five-times sit-to-stand test (FTSST) can evaluate the muscle strength and balance of the lower extremities. This study's primary purpose was to assess the validity and reliability of the FTSST in patients who have undergone ACL-R. Material and Methods Forty-three people who had undergone ACL-R surgery were included in the study. The study's primary outcome measure, the FTSST, was assessed by two different investigators. Secondary outcome measures were body balance, quadriceps muscle strength, Tegner activity score (TAS), and Lysholm score. Results The FTSST's test-retest and inter-rater reliability were both high (ICC: 0.99). The FTSST also showed a strong statistically significant correlation with all secondary outcome measures, including balance, quadriceps muscle strength, TAS, and Lysholm score (p<0.05). Conclusions According to the study results, the FTSST is a tool-free, simple method for assessing muscle strength and the body balance level, mobility level, and functional status of the knee in patients who have undergone ACL-R surgery.Öğe Investigation of Factors Associated with Pain Level in Individuals with Chronic Non-Specific Low Back Pain(2023) Kocaman, Hikmet; Alkan, Halil; Ceylan, İsmail; Canlı, Mehmet; Kuzu, ŞafakObjectives: The aim of this study was to investigate the factors associated with pain levels in individuals with chronic non-specific low back pain (CSLBP). Material and Methods: A total of 90 patients (44 males and 46 females) diagnosed with CS LBP were included in the study. Pain level was assessed by the Visual Analogue Scale (VAS), body balance was assessed statically and dynamically by the Biodex Stability System, quadriceps femoris muscle strength was assessed by an isometric dynamometer, and disability level was assessed by the Oswestry Disability Index (ODI). A linear regression analysis was performed to determine the factors affecting pain level. Results: According to the results of linear regression analysis, static balance (anteroposterior, mediolateral, and general), dynamic balance (anteroposterior, mediolateral, and general), ODI, and quadriceps femoris muscle strength (left, right) explained 98.1% of the variance. In addition, all sub-parameters of dynamic balance (general p=0.000, anteroposterior p=0.001, mediolateral p=0.008) and ODI (p=0.000) were independent predictors of pain level. Conclusion: It was determined that pain level was associated with balance, muscle strength (quadriceps femoris), and disability level in individuals with CSBP. It was also observed that dynamic balance and ODI were factors affecting the pain level.Öğe Kronik boyun ağrısı olan bireylerde ağrı şiddeti, servikal kas kuvveti, propriosepsiyon ve denge arasındaki ilişkilerin incelenmesi(2024) Kocaman, Hikmet; Yıldız, Nazım Tolgahan; Canlı, Mehmet; Alkan, HalilAmaç: Çalışmanın amacı, kronik boyun ağrısı (KBA) olan bireylerde ağrı şiddeti, servikal kas kuvveti, propriosepsiyon ve denge arasındaki ilişkileri incelemekti. Gereç ve Yöntem: Çalışmaya 45 KBA’lı birey ve 46 boyun ağrısı olmayan sağlıklı birey dahil edildi. KBA’lı bireylerde istirahat ve aktivite sırasındaki boyun ağrısı şiddetleri görsel analog skala ile, her iki gruptaki bireylerin servikal fleksör ve ekstansör kas kuvveti izometrik dinamometre ile, servikal bölge propriosepsiyon duyusu servikal eklem pozisyon hata testi ile ve statik ve dinamik denge Biodex denge sistemi ile değerlendirildi. Sonuçlar: Sağlıklı bireylerle karşılaştırıldığında KBA’lı bireylerin servikal fleksör ve ekstansör kas kuvvetlerinin daha düşük, servikal bölgepropriosepsiyonunun ve statik ve dinamik dengelerinin daha kötü olduğu bulundu (p<0,05). KBA’lı bireylerde, ağrı şiddeti ile, servikal kas kuvvetleri, servikal bölge propriosepsiyonu ve statik-dinamik denge ilişkiliydi (p<0,05). Ayrıca, KBA’lı bireylerde, servikal bölge propriosepsiyonu, servikal kas kuvvetleri ve statik-dinamik denge ile ilişkiliydi (p<0,05). Tartışma: KBA’da ağrı şiddetinin artmasıyla servikal kas kuvveti, propriosepsiyon ve denge zayıflayabilir, propriosepsiyonun zayıflaması dengeyi olumsuz etkileyebilir.Öğe The Reliability and Validity of the Modified Four Square Step Test in Individuals with Anterior Cruciate Ligament Reconstruction(Springer Heidelberg, 2023) Kocaman, Hikmet; Canli, Mehmet; Alkan, Halil; Yildirim, Hasan; Yildiz, Nazim TolgahanBackgroundThe modified four square step test (mFSST) is frequently used in the evaluation of dynamic balance in individuals with balance problems. However, the reliability of the mFSST has not been examined in individuals undergoing anterior cruciate ligament reconstruction (ACLR) surgery.PurposeThe aim of this study was to examine the test-retest reliability of the mFSST in individuals undergoing ACLR surgery.MethodsForty-eight patients who had ACLR surgery were included in this study. Patients performed a total of four mFSSTs, two times each, by two different raters over seven days.ResultsIn the current study, the mFSST demonstrated excellent test-retest and inter-rater reliability. The intraclass correlation coefficient for mFSST was 0.92. The standard error of measurement and minimal detectable change for mFSST were 0.15 and 0.41, respectively.ConclusionThe mFSST has excellent test-retest and inter-rater reliability in patients with ACLR. It is a valid and reliable tool for evaluating dynamic balance in patients with ACLR. We think that mFSST, which is a clinical evaluation test, can be preferred because it is easy to score and does not require special equipment.Öğe The effectiveness of kinesio taping in addition to conventional treatment in patients with chronic low back pain: A randomized controlled trial(2024) Yıldız, Nazım Tolgahan; Canlı, Mehmet; Kocaman, Hikmet; Alkan, HalilAims: This study aimed to compare the effects of kinesio taping in combination with conventional treatment on pain intensity, lumbar range of motion (ROM) and flexibility, disability, and depression levels in patients with chronic low back pain (CLBP) with conventional treatment alone. Methods: The 48 individuals with CLBP included in the trial were randomized into the control group (CG, n=24) and the kinesio taping group (KTG, n=24). The CG received only conventional treatment for four weeks, while the KTG received kinesio taping for four weeks in addition to conventional treatment. Before and after the four-week treatment periods, patients were assessed with respect to pain intensity (visual analogue scale), lumbar ROM (goniometric measurement), flexibility (hand-ground distance), disability (Oswestry disability index), and depression (Beck depression inventory). Results: After the treatment programs, there were significant improvements in pain intensity, lumbar ROM and flexibility, disability, and depression levels in both the CG and KTG groups (p<0.05). Furthermore, improvements in pain intensity, lumbar ROM and flexibility, disability, and depression levels were significantly higher in CTG compared to CG (p<0.05). Conclusion: Conventional treatment of CLBP is effective in improving pain, lumbar ROM and flexibility, disability, and depression levels, but further improvement can be achieved with the additional application of kinesio taping.Öğe Timed 360° turn test following anterior cruciate ligament reconstruction: A cross-sectional reliability and validity study(Erciyes University, 2024) Kocaman, Hikmet; Canlı, Mehmet; Alkan, Halil; Yıldırım, Hasan; Yıldız, Nazım TolgahanObjective: This study aims to evaluate the validity and reliability of the Timed 360 degrees Turn Test (360 degrees-TTT) in measuring dynamic balance in patients who have undergone anterior cruciate ligament reconstruction (ACL-R) surgery. Materials and Methods: Forty patients who underwent ACL-R surgery were included in this study. The reliability analysis involved evaluating the inter -rater and test -retest reliability of the test duration and number of steps of the 360 degrees-TTT by calculating intraclass correlation coefficients (ICCs). To assess the concurrent validity of the 360 degrees-TTT, correlations between the test duration and number of steps of the 360 degrees-TTT and the Berg Balance Scale (BBS) and Time Up and Go (TUG) test were examined. Additionally, standard error of measurement(95 )(SEM95) and minimal detectable change(95) (MDC95) values were computed for the test duration and number of steps of the 360 degrees-TTT. Results: The inter -rater and test -retest reliability for both the test duration and the number of steps within the 360 degrees-TTT demonstrated excellence, with ICCs of 0.83, 0.91, 0.88, and 0.87, respectively. A statistically significant correlation was observed between the 360 degrees-TTT and both the BBS and the TUG (p<0.001). The inter -rater and test -retest reliability of the raters was visually confirmed using Bland -Altman plots, further affirming the consistency of outcomes. The SEM95 and MDC95 values for the test duration and number of steps of the 360 degrees-TTT were 0.09, 0.24, 0.18, and 0.49, respectively. Conclusion: The 360 degrees-TTT is a reliable and valid method for evaluating dynamic balance in patients undergoing ACL-R surgery.Öğe Validity and Reliability of the Timed 360° Turn Test in Individuals with Ankle Sprain(Springer Heidelberg, 2024) Yildiz, Nazim Tolgahan; Canli, Mehmet; Kocaman, Hikmet; Kuzu, Safak; Valamur, Irem; Yildirim, Hasan; Alkan, HalilBackground The Timed 360 degrees turn test (T-360 degrees TT) was developed to assess balance and turning ability. Although validity and reliability have been performed in different diseases, validity and reliability have not been performed in individuals with ankle sprain (AS). Purpose The purpose of this study was to investigate the validity and reliability of the T-360 degrees TT in individuals with AS. Methods The study included 54 individuals with AS. Participants were initially evaluated with T-360 degrees TT, Timed Up and Go (TUG) test and Biodex Balance System (BBS). To assess test-retest reliability, the T-360 degrees TT was performed again 5 days after the first measurement by the same assessor. Results At the end of the study, strong positive correlations were found between T-360 degrees TT with TUG test and BBS (p < 0.05). In addition, T-360 degrees TT had excellent test-retest reliability (Intraclass correlation coefficient = 0.87). Conclusion The T-360 degrees TT is a valid and reliable tool for the evaluation of balance and turning ability in individuals with AS. We also think that it can be used practically in clinical settings because it is a test that can be easily and quickly performed.
