Person: AKYÜZ, GÜLSEREN DERYA
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AKYÜZ
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GÜLSEREN DERYA
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Publication Metadata only The Effectiveness of Kinesiotaping, Sham Taping or Exercises Only in Lateral Epicondylitis Treatment: A Randomized Controlled Study(WILEY, 2019) AKYÜZ, GÜLSEREN DERYA; Giray, Esra; Karali-Bingul, Duygu; Akyuz, GulserenBackground: Lateral epicondylitis is a common musculoskeletal condition presenting with pain and tenderness over the lateral epicondyle and dorsal forearm, pain and weakness in gripping and limitations in daily activities. It is proposed that kinesiotaping, a new application of adhesive taping, reduces pain and improves muscle function. Objective: To compare efficacy of kinesiotaping, sham taping, or exercises only in the treatment of lateral epicondylitis. Design: Double-blind, randomized, controlled trial. Setting: Tertiary medical center, university hospital. Participants: Thirty patients with lateral epicondylitis for less than 12weeks. Methods or Interventions: Patients were randomized into three groups: kinesiotaping plus exercises (n = 10), sham taping plus exercises (n = 10), and control (exercises only) (n = 10) groups. All recipients were provided a home exercise program including strengthening and stretching exercises. In kinesiotaping and sham taping groups, tapings were performed and changed every 3-4 d for 2 weeks. Main Outcome Measure(s): The primary outcome was the patient-rated tennis elbow evaluation (PRTEE). Pain visual analogue scale (VAS), grip strength, and the disabilities of the arm, shoulder and hand (QuickDASH) scales were secondary outcomes. Evaluations were done at baseline, posttreatment, and at 4 weeks after treatment. The immediate effect was also assessed by VAS and grip strength immediately after real and sham tapings. Results: PRTEE total scores at posttreatment and at 4 weeks after treatment were statistically significantly lower in kinesiotaping plus exercises group compared to sham taping plus exercises group and exercises only group. The effects of kinesiotaping were larger than sham taping and only exercises at posttreatment (d = -1.21, d = -1.33) and at 4 weeks after treatment (d = -1.39, d = -1.34). Repeated-measures anova showed a significant interaction between the time and the groups (F 2950 = 4849; P = .006). Significant between-group differences were found in QuickDASH score and VAS at rest at 4 weeks after treatment, VAS at daily activity at posttreatment and 4 weeks after treatment when kinesiotaping plus exercises and sham taping plus exercises groups and kinesiotaping plus exercises and exercises only groups were compared. Real taping but not sham taping immediately led to an increase in grip strength, decrease in VAS at rest and VAS at daily activity (P = .0017, P = .041, P = .028; respectively). Conclusions: Kinesiotaping in addition to exercises is more effective than sham taping and exercises only in improving pain in daily activities and arm disability due to lateral epicondylitis.Publication Metadata only Comparison of Conventional Pulmonary Rehabilitation and High-Frequency Chest Wall Oscillation In Primary Ciliary Dyskinesia(WILEY-BLACKWELL, 2014) KARADAĞ, BÜLENT TANER; Gokdemir, Yasemin; Karadag-Saygi, Evrim; Erdem, Ela; Bayindir, Ozun; Ersu, Refika; Karadag, Bulent; Sekban, Nimet; Akyuz, Gulseren; Karakoc, FaziletBackgroundEnhancement of mucociliary clearance by pulmonary rehabilitation (PR) is advocated in primary ciliary dyskinesia (PCD). Our primary aim was to compare the efficacy and safety of postural drainage, percussion and vibration [conventional PR (CPR)], and high frequency chest wall oscillation (HFCWO) by studying change in pulmonary function. Our secondary aim was to evaluate patient preferences regarding the two methods. MethodsThis was a controlled randomized crossover study. PCD patients between the ages of 7 and 18 years were assigned to two groups, first group performed airway clearance with CPR at hospital for 5 days and after a 2-day washout period HFCWO was applied to the same group at home. HFCWO was applied first to the other group and then these patients were hospitalized for CPR. The primary outcome measure of the study was pulmonary function test (PFT). The secondary outcomes were pulse arterial oxygen saturation (SpO(2)) and the perceived efficiency and comfort level. ResultsPFT values of patients increased significantly after both PR methods (before/after): CPR: FVC: 77.014.1/81.8 +/- 13.0 (P=0.002); FEV1: 72.9 +/- 14.8/78.7 +/- 13.5 (P=0.001); PEF: 73.8 +/- 14.5/82.5 +/- 14.5 (P=0.001); FEF25-75: 68.6 +/- 27.6/74.9 +/- 29.3 (P=0.007). HFCWO: FVC: 75.1 +/- 15.3/80.3 +/- 13.9 (P=0.002); FEV1: 71.4 +/- 16/77.4 +/- 14.6 (P=0.001); PEF: 70.9 +/- 18.0/78.3 +/- 17.7 (P=0.002); FEF25-75: 70.5 +/- 23.4/76.4 +/- 25.6 (P=0.006). There were no significant differences in % predicted FVC, FEV1, PEF, and FEF25-75 increased values with CPR and HFCWO. HFCWO was found more comfortable (P=0.04). Two PR methods were found efficient and no desaturation occurred during PR. ConclusionsPFTs were significantly increased after both PR methods. There were no differences in PFTs and SpO(2) between the CPR and HFCWO groups. Both PR methods were found efficient. HFCWO was found more comfortable. HFCWO may be an option in patients with chronic pulmonary disease and low adherence to PR. Pediatr Pulmonol. 2014; 49:611-616. (c) 2013 Wiley Periodicals, Inc.Publication Open Access Congenital Muscular Torticollis: Diagnosis and Treatment Options(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2012-03-15) AKYÜZ, GÜLSEREN DERYA; Akyuz, Gulseren; Eren, BeyhanCongenital muscular torticollis (CMT) is the most frequent reason of torticollis in children. Children with CMT should be examined for revealing concomitant deformities. Preferred use of one upper extremity, delayed acquisition of gross motor skills, decreased cognitive function below normal levels, abnormal postural patterns and balance control may also be seen in these children. Therefore, an early rehabilitation program should be initiated. Full recovery may be expected to be more than 98%, if treatment begins within the first month of life. Surgery should be considered for children, who do not benefit from conservative therapy within six months and who have craniofacial deformity. Turk J Phys Med Rehab 2012;58:52-7.Publication Open Access Short-Term Effects of Interferential Currents on Chronic Myofascial Pain Syndrome(GALENOS YAYINCILIK, 2013-02-20) AKYÜZ, GÜLSEREN DERYA; Ofluoglu, Demet; Bulak, Elif Aydin; Kablan, Nilufer; Akyuz, GulserenObjective: Myofascial pain syndrome (MPS) is a local or regional pain syndrome that causes chronic muscle pain characterized by the presence of trigger points. Standard treatment includes oral medicines, injections, physical therapy modalities and exercises. The aim of this study was to investigate the short-term effects of interferential current, which is a physical treatment modality, on chronic myofascial pain syndrome. Materials and Methods: In this prospective, randomized-controlled study, we included 40 patients with back pain due to chronic myofascial pain syndrome. The patients were divided into two groups. The first group was treated with vacuum and interferential current (VIC) while the second group was given only vacuum treatment (VT). At the same time, range of motion and stretching exercises were suggested as home training. Pain assessment was done at the beginning and on the 15th day of treatment by using a visual analogue scale (VAS) and the disease activity was measured by patients' and physicians' global assessment scale. Mood assessment was performed using the Beck Depression Inventory. Results: The mean age in the VIC and VT groups was 38.2 +/- 13.2 and 48.2 +/- 14.4 years, respectively. There was a statistical difference between before and after treatment VAS scores, and patients' and physicians' global assessment in both groups (p<0.05). Although algometric measurements were statistically significantly improved at the end of the study in group I (p<0.05), those improvements were not observed in group II (p>0.05). The Beck Depression Inventory scores were within normal range in both groups before treatment, however, a significant decrease was found after treatment (p<0.05). Conclusion: Interferential current therapy is an effective treatment method in chronic MPS. When combined with other treatment methods such as exercise, additional benefits may be obtained.Publication Open Access Effectiveness of Low Level Laser Therapy on Pain and Functional Status in Ankylosing Spondylitis(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2012-01-23) AKYÜZ, GÜLSEREN DERYA; Aydin, Elif; Gunduz, Osman Hakan; Akcan, Eylem; Akyuz, GulserenObjective: The aim of this study was to evaluate the effects of low-level laser therapy (LLLT) on pain, functional status and disease activity in patients with ankylosing spondylitis (AS). Materials and Methods: A randomized, double-blind, placebo-controlled trial was performed on 37 patients. Group 1 (n=19) was treated with LLLT for 10 sessions (1.2J, 30 mW), group 2 received placebo laser. LLLT was applied on the L3 to S1 supraspinous ligaments and sacroiliac joints bilaterally with a skin-contact method. Evaluation parameters were Visual Analogue Scale (VAS), at rest and during movements, the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), and the Ankylosing Spondylitis Quality of Life (ASQoL) questionnaire. Results: Compared with the pre-therapy, LLLT group showed significant improvement in VAS (p<0.05), ASQoL (p<0.01) and BASDAI (p<0.001) scores during movement at the end of the treatment and at the second month (p<0.05). However, there was no statistically significant difference between treatment and placebo groups. Conclusion: This is the first study to assess the effects of LLLT in patients with AS. The results show LLLT seemed to improve pain and functional status in patients with AS.