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 The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis: a randomised controlled clinical trial(SAGE PUBLICATIONS LTD, 2016) KURU ÇOLAK, TUĞBA; Kuru, Tugba; Yeldan, Ipek; Dereli, E. Elcin; Ozdincler, Arzu R.; Dikici, Fatih; Colak, IlkerObjective: To compare the efficacy of three-dimensional (3D) Schroth exercises in patients with adolescent idiopathic scoliosis. Design: A randomised-controlled study. Setting: An outpatient exercise-unit and in a home setting. Subjects: Fifty-one patients with adolescent idiopathic scoliosis. Interventions: Forty-five patients with adolescent idiopathic scoliosis meeting the inclusion criteria were divided into three groups. Schroth's 3D exercises were applied to the first group in the clinic and were given as a home program for the second group; the third group was the control. Main Measures: Scoliosis angle (Cobb method), angle of rotation (scoliometer), waist asymmetry (waist - elbow distance), maximum hump height of the patients and quality of life (QoL) (SRS-23) were assessed pre-treatment and, at the 6(th), 12(th) and 24(th) weeks. Results: The Cobb (-2.53 degrees; P=0.003) and rotation angles (-4.23 degrees; P=0.000) significantly decreased, which indicated an improvement in the clinic exercise group compared to the other groups. The gibbosity (-68.66mm; P=0.000) and waist asymmetry improved only in the clinic exercise group, whereas the results of the other groups worsened. QoL did not change significantly in either group. Conclusion: According to the results of this study the Schroth exercise program applied in the clinic under physiotherapist supervision was superior to the home exercise and control groups; additionally, we observed that scoliosis progressed in the control group, which received no treatment.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 Metadata only Are Clinical Pilates Exercises an Effective Treatment for Scoliosis? A Randomized Clinical Trial(2022-10-01) KURU ÇOLAK, TUĞBA; BAŞARAN ÖZDEN C., KURU ÇOLAK T.Objectives The aim of the study was to investigate the effectiveness of clinical Pilates exercises in patients with idiopathic scoliosis. Materials and Methods The study included patients aged 15 to 30 years with adolescent idiopathic scoliosis. Patients were randomly separated into the following two groups: the clinical Pilates exercise group (n ¼ 16) and the control group (n ¼ 18). The clinical Pilates exercise group received 16 sessions of exercise. Angle of trunk rotation (scoliometer), sagittal plane alignment of the spine (inclinometer), posture (PostureScreen Mobile program), quality of life (Scoliosis Research Society-23), pain (Numerical Pain scale), and cosmetic deformity perceptions (spinal appearance questionnaire) were assessed twice. Statistical Analysis Data obtained in the study were analyzed statistically using IBM, SPSS v. 22 software. The Shapiro–Wilks test was used to assess the conformity of data to normal distribution. In the group comparisons of angle of rotation, kyphosis and lordosis angle, and anterior shift values obtained at baseline and in the 8th week, the independent sample t-test were applied to variables with normal distribution, and the Mann–Whitney U test to variables not showing normal distribution. Results The change in the pain score from baseline to 8 weeks was determined to be significantly superior in the Pilates group (p < 0.001). A statistically significant difference was determined between the groups in respect of the amount of change in the side shift and tilt measurements in the posture evaluation, with superior improvement seen in the Pilates exercise group(p < 0.005). Conclusions The results of this study showed that Pilates exercises did not have a significant effect on deformity, quality of life, and perception of deformity in scoliosis, but significantly reduced back and low back pain and contributed to improvements in posture.Publication Metadata only The effect of mirror therapy in patients with frozen shoulder(2022-01-01) KURU ÇOLAK, TUĞBA; Hekim Ö., KURU ÇOLAK T., Bonab M. A. R.This study was designed to compare mirror therapy and visual feedback with the control group in adhesive capsulitis patients. Methods Thirty-six patients, divided into three groups as mirror therapy, visual feedback and control for 15 sessions of treatment. Evaluations were made before treatment, at 6th and 10th weeks. Bilateral glenohumeral exercise was performed at the end of each session with the affected extremity behind the mirror in the mirror group, with both upper extremities in front of the mirror in the visual feedback group, and without the mirror in the control group. Results There were statistically significant differences between the mirror therapy and visual feedback in terms of pain severity change, and the visual feedback was superior to the change in pain severity compared to the control. Visual feedback showed significant improvement in mean change from baseline to week 10 in shoulder pain and disability index scores compared to control (p = 0.012). There was no significant difference between the groups in terms of modified constant score, proprioception and shoulder range of motion. Conclusion It was determined that the exercises performed by seeing the affected extremity in the mirror were more effective than mirror therapy and control group.Publication Metadata only Translation, reliability, agreement and validity of the Turkish version of Cumulated Ambulation Score in patients with hip fracture(TURKISH JOINT DISEASES FOUNDATION, 2020) KURU ÇOLAK, TUĞBA; Colak, Ilker; Mete, Emel; Kristensen, Morten Tange; Colak, Tugba KuruObjectives: This study aims to translate and investigate the inter-rater reliability, agreement and validity of the Turkish version of the Cumulated Ambulation Score (CAS-TR) in patients with hip fracture. Patients and methods: This study included patients with a hip fracture of the femoral neck between July 2019 and March 2020 at the Dr. Lutfi Kirdar Kartal Training and Education Hospital, Department of Orthopedics and Traumatology, Istanbul. The CAS manual and score-sheet were translated into Turkish. An orthopedician and a physiotherapist independently administered the CAS-TR to 36 patients (12 males, 24 females; mean age 78.7 years; range, 65 to 90 years) at postoperative days one, two, three and 30. Weighted Cohen's kappa coefficient was used to measure inter-rater reliability. Turkish version of modified Barthel Index was used for analysis of validity. Results: The majority of the patients had type III fracture (72.2%) according to Garden's classification. The kappa value was >= 0.90 for days one-three, the total and 30th day score of CAS-TR. The observed agreement ranged between 91.6% and 100% for all assessments. Validity analysis showed a significantly positive correlation between day two and day 30 CAS-TR and Barthel scores. Conclusion: We found almost perfect reliability, high percentage agreement and acceptable convergent validity of the CAS-TR. We recommend the CAS to be used as an easily applicable instrument to assess basic mobility status in Turkish patients with hip fracture. Orthopedic and geriatric patients and patients undergoing any type of surgery can be assessed with CAS for early evaluation of mobility status.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 Metadata only LUMBOPELVIC STABILITY, LUMBOPELVIC MOBILITY AND SPINOPELVIC PARAMETERS IN PATIENTS WITH LUMBAR DISC HERNIATION(2022-01-01) KURU ÇOLAK, TUĞBA; ÖZALP B., KURU ÇOLAK T.Objective: This study aimed to evaluate lumbopelvic stability, lumbopelvic mobility, and spinopelvic parameters in patients with lumbar disc hernia (LDH). Materials and Methods: The study included 20 patients with LDH who met the study inclusion criteria and 20 age and gender-matched healthy volunteers. All the subjects were evaluated using a visual analog scale for pain intensity assessment, trunk flexor, and right/left lateral trunk flexor muscle endurance tests and Sorensen tests for lumbopelvic stability, Schober and sit-and-reach tests for lumbopelvic mobility, lateral radiography for spinopelvic parameters and the Oswestry Disability Index for physical functionality. Results: There was a significant difference between the groups with respect to lumbopelvic stability, lumbopelvic mobility, lumbosacral angle, pain, and physical functionality (p<0.05). A highly significant moderate to good negative correlation was obtained between endurance tests and pain and functionality scores. A highly statistically significant moderate to good negative correlation was found between pain scores, Oswestry functionality questionnaire results and Schober test values. Conclusion: The results of this study showed that lumbopelvic stability, lumbopelvic mobility and lumbosacral angle values were decreased in patients with LDH compared with healthy individuals. Therefore, lumbopelvic stability and mobility exercises, and postural control exercises to correct the protective mechanisms that will improve spinopelvic parameters as well as optimal posture, should be included in rehabilitation programs for patients with LDH.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.