Person: KURU ÇOLAK, TUĞBA
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KURU ÇOLAK
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TUĞBA
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Publication Metadata only The effects of therapeutic exercises on pain, muscle strength, functional capacity, balance and hemodynamic parameters in knee osteoarthritis patients: a randomized controlled study of supervised versus home exercises(SPRINGER HEIDELBERG, 2017) ACAR, GÖNÜL; Colak, Tugba Kuru; Kavlak, Bahar; Aydogdu, Onur; Sahin, Emir; Acar, Gonul; Demirbuken, Ilksan; Sari, Zubeyir; Colak, Ilker; Bulut, Guven; Polat, M. GuldenThe aim of the study was to compare the effects of low-intensity exercise programs for lower extremities, either supervised or at home, on pain, muscle strength, balance and the hemodynamic parameters of knee osteoarthritis (OA) patients. This randomized study included 78 patients with knee OA in 2 groups of supervised and home-based exercise program. Exercises were applied to the first group in the clinic as a group exercise program and were demonstrated to the second group to be performed at home. Before and after the 6-week exercise program, assessment was made of pain, quadriceps and hamstring muscle strengths, 6-min walk test (6MWT), and non-invasive hemodynamic parameters. Results of the 78 patients, 56 completed the study. Pain, muscle strength, and 6MWT scores showed significant improvements in both groups. There were also significant differences in the amount of change in pain and muscle strength (pain: p = 0.041, Rqdc: 0.009, Lqdc: 0.013, Rhms: 0.04) which indicated greater improvements in the supervised group. The balance scores of supervised group showed a significant improvement (p = 0.009). No significant change was determined in hemodynamic parameters of either group. Conclusion according to the results of this study showed that low-intensity lower extremity exercises conducted in a clinic under the supervision of a physiotherapist were more effective than home-based exercises in reducing post-activity pain levels and improving quadriceps and right hamstring muscle strength. Both the supervised and home exercise programs were seen to be effective in reducing rest pain and increasing 6 MW distance in knee osteoarthritis patients.Publication Metadata only Pedobarographic and Radiological Analysis After Treating a Talus Neck Fracture(ELSEVIER SCIENCE INC, 2016) TİMURTAŞ, EREN; Colak, Tugba Kuru; Colak, Ilker; Timurtas, Eren; Bulut, Guven; Polat, M. GuldenMisalignment of the talar neck after surgical repair can redistribute the load among the posterior, middle, and anterior facets of the subtalar joints, which can change the joint biomechanics, cause arthritis, and impair function. However, we found no studies analyzing the plantar pressures after treatment of talus neck fracture. We determined the dynamic plantar pedobarographic and radiographic characteristics and ankle range of motion, function, and pain among patients after surgical repair of talar neck fractures. A total of 19 patients completed the assessments. The median follow-up period was 29 (range 12 to 113) months. At the last visit, the mean pain score was 3.3 on a 10-cm visual analog scale. The mean American Orthopaedic Foot and Ankle Society function scale score was fair (73.5), and the mean range of motion was restricted in 4 planes. The mean maximum force was lower in the hindfoot (p = .002) and midfoot (p = .03) of the injured foot than in the noninjured foot. The mean peak pressure was lower in the hindfoot (p = .05) but higher in the forefoot (p = .03). Radiographic measurements revealed differences between the feet in the talo-first metatarsal angle (p = .002), Meary's angle (p = .001), and the medial cuneiform-fifth metatarsal angle (p = .002). Radiographic and pedobarographic analysis showed an elevated arch in the injured foot. Thus, talar injury and immobilization can affect the stance and the gait cycle in these patients. Pain, range of motion, function, and the weight transfer pattern should be evaluated carefully during the follow-up period to provide the best postoperative results. (C) 2016 by the American College of Foot and Ankle Surgeons. All rights reserved.Publication Open Access THE EFFCET OF ADDING WII FIT (R) GAMES TO TRADITIONAL REHABILITATION ON PAIN, QUALITY OF LIFE AND FUNCTIONALITY AFTER ACL RECONSTRUCTION(BMJ PUBLISHING GROUP, 2017-06) KAPŞİGAY, BAYRAM; Karakoc, Z. B.; Colak, T. Kuru; Kapsigay, B.; Sari, Z.; Polat, M. G.Publication Metadata only Pedobarographic, Clinic, and Radiologic Evaluation after Surgically Treated Lisfranc Injury(TAYLOR & FRANCIS INC, 2021) POLAT, MİNE GÜLDEN; Eceviz, Engin; Cevik, Huseyin Bilgehan; Ozturk, Orhan; Ozen, Tugce; Colak, Tugba Kuru; Colak, Ilker; Polat, Mine GuldenIntroduction Lisfranc injuries are rare, often missed, and may cause permanent structural deterioration of tarsometatarsal joint, despite optimal management. Consequently, a Lisfranc injury may lead to disruption of the biomechanics of the normal foot during walking and may alter the plantar pressure distribution, which is essential for proper gait mechanics. Therefore, the main purpose of the study was to specify the dynamic plantar pressure, radiographic and clinical features, after surgically managed Lisfranc injuries. Methods This study was carried out over a period of 10 years and included 62 patients who were surgically treated for Lisfranc injury, with mean 57-month follow-up. Radiological (intermetatarsal, Kite's, first metatarsophalangeal, Meary's, Hibbs' and calcaneal pitch angles, and medial cuneiform-fifth metatarsal distance), pedobarographical, and clinical results with the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score assessments for both feet were assessed. Results In the radiological assessment, the mean first intermetatarsal (p = 0.006) and Meary's angle (p = 0.000) were decreased on the injured feet compared to the uninjured feet on the anteroposterior and lateral radiographs. In the pedobarographic assessment, the injured feet midfoot contact time increased (p = 0.03), and maximum force (p = 0.001), total peak pressure (p = 0.008), and contact area (p = 0.017) decreased, compared to the uninjured feet. The mean AOFAS score was 75/100 at the final follow-up visit. There was seen to be reduced both contact surface area and time of the midfoot. Conclusion Despite surgical management of Lisfranc injuries, the injured foot does not regain functional, radiological, or pedobarographical levels as compared to the uninjured foot for >= 57 months.Publication Open Access A new device for assessment and training the human balance and coordination: Marmara Balance and Education System (MarBES)(2023-01-01) KURU ÇOLAK, TUĞBA; ÖZEN BERKOL, TUĞÇE; GÜNAY YAZICI, CANAN; SARI, ZÜBEYİR; POLAT, MİNE GÜLDEN; DOĞAN, BARIŞ; TARIM, MEHVEŞ; KURU ÇOLAK T., Özen T., Günay Yazıcı C., Sarı D. M., Karabacak N., SARI Z., POLAT M. G., DOĞAN B., TARIM M.© 2023, The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.Background: Balance and coordination are important for performing activities of daily living. Balance and coordination assessment and training are used by physiotherapists in many different rehabilitation areas. Marmara Balance and Education System (MarBES) is a device developed to evaluate and improve balance and coordination. Aims: To examine the test–retest reliability of the MarBES device. Methods: Double-leg and single-leg (eyes open-closed) tests were applied to healthy young adult participants for balance testing on the MarBES device. Weight data is estimated from pressure sensors located in 4 different corners and a score is calculated with computer software for the individual’s center of gravity (center of pressure X, Y) and the amount of deviation from the center for each axis. Weight transfer to the target surface was measured for assessment of the participants’ coordination performance. Participants rested for 10 min and all measurements were repeated by the same evaluator. The obtained data were recorded and the reliability of the measurements was evaluated with Spearman’s rho correlation analysis. Results: A total of 40 healthy young individuals (28 female) with a mean age of 21 years were included. The balance assessments with MarBES showed moderate to good reliability (ICC: 0.535–0.903). The coordination assessment results showed moderate to good reliability (ICC: 0.575–0.712). Conclusions: Objective evaluation of balance and coordination parameters is very important in rehabilitation. Results of the study showed that the MarBES device developed by the researchers is a reliable method for the evaluation of balance and coordination in healthy young individuals.Publication Metadata only Gelişimsel koordinasyon bozukluğunun taranması(2015-12-31) TİMURTAŞ, EREN; KURU ÇOLAK, TUĞBA; POLAT, MİNE GÜLDEN; ACAR, GÖNÜL; TİMURTAŞ E., KURU ÇOLAK T., ELBASAN B., POLAT M. G., ACAR G.Publication Metadata only The Results of Physical, Radiologic, Pedabarographic, and Quality-of-Life Assessments in Patients with Surgically Treated Intraarticular Calcaneus Fractures(ELSEVIER SCIENCE INC, 2018) TİMURTAŞ, EREN; Colak, Ilker; Colak, Tugbakuru; Polat, M. Gulden; Timurtas, Eren; Bulut, Guven; Gulabi, DenizCalcaneal fractures are complex injuries and have historically had a poor prognosis that results in substantial disability. However, no studies have been performed that analyze both the radiographic and plantar pressure changes after treatment of intraarticular calcaneus fracture. Patients with an intrarticular calcaneus fracture treated at our institution during the study period were identified from computerized hospital records. A total of 36 patients (34 males) completed physical examination and radiographic and dynamic pedobarographic assessments. The follow-up period was from 13 to 82 months (median 38 months). The mean pain score at rest was 3.7 and during activity was 4.0 on a 10-cm visual analogue scale. The mean range of motion of the subtalar joint was restricted. The mean American Orthopaedic Foot and Ankle Society function scale score was 68.1; the mean Short Form-36 physical score was 41.8; and the mental score was 44.9. Pedabarographic results showed that the mean maximum force in the midfoot, forefoot, and toes (p = .001; p = .04; p = .002) and peak pressure in the midfoot, forefoot (p = .001; p = .007), and contact area of the midfoot and toes (p = .038; p = .004) were significantly increased in the injured foot. Radiologic findings showed hindfoot varus, forefoot adductus, and an increase in the medial arch. Even after appropriate anatomic realignment with open reduction and internal fixation of calcaneus fractures, residual differences in plantar pressures and radiographic measures are noted compared to uninjured foot. (C) 2018 by the American College of Foot and Ankle Surgeons. All rights reserved.Publication Open Access The Effect of Virtual Rehabilitation Added to an Accelerated Rehabilitation Program After Anterior Cruciate Ligament Reconstruction: A Randomized Controlled Trial(MARMARA UNIV, INST HEALTH SCIENCES, 2019-06-30) POLAT, MİNE GÜLDEN; Karakoc, Zehra Betul; Colak, Tugba Kuru; Sari, Zubeyir; Polat, Mine GuldenObjective: This study aimed to determine the effectiveness of virtual rehabilitation on balance and functionality in patients with anterior cruciate ligament (ACL) reconstruction. Methods: A total of 22 males who had undergone ACL reconstruction were divided into Nintendo and control groups. Both of the groups received six week accelerated rehabilitation in our department, and the Nintendo Wii(C) (Nintendo, Washington, USA) balance games were added to Nintendo group after three weeks for forty minutes a day, three times a week. Patients were evaluated for pain (visual analog scale), functionality (Lower Extremity Functional Scale), center of gravity (COG) and balance (Nintendo Wii(C)) at the baseline and end of the 3th and 6th week of rehabilitation program. Results: Similar improvements were determined in the pain, functionality, COG and balance scores of the two groups at the end of the treatment program and there were no significant differences between the groups in the amount of change in all parameters (p= 0.256, 0.393, 0.707, 1.000). Conclusion: According to the results of this study the Nintendo Wii(C) balance games applied in the clinic under physiotherapist supervision did not change the outcome of the rehabilitation in early period after ACL reconstruction.