Person: ŞANAL TOPRAK, CANAN
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ŞANAL TOPRAK
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Publication Metadata only The evaluation of the static and dynamic balance disorders in patients with psoriatic arthritis(SPRINGER HEIDELBERG, 2018) ŞANAL TOPRAK, CANAN; Duruoz, Mehmet Tuncay; Baklacioglu, Hatice Sule; Toprak, Canan Sanal; Atalay, Kardelen Gencer; Atagunduz, Mehmet PamirTo evaluate the static and dynamic balances in psoriatic arthritis (PsA) and to investigate their relationship with clinical and functional parameters. Patients diagnosed with PsA and healthy controls were recruited consecutively into the study. The demographic variables such as age, sex, body mass index of the subjects were noted. Radiographic images were examined for the detection of foot deformities. Foot and Ankle Outcome Score' (FAOS) was used to assess foot function. The dynamic and static balance of the patients was evaluated by Berg Balance Scale' (BBS) and Neurocom Balance Master' device. The fatigue (Multidimensional Assessment of Fatigue: MAF), depression (Beck Depression Inventory: BDI) and sleep disorders (Pittsburgh Sleep Quality Index: PSQI) of all patients were evaluated. This study included 50 PsA patients and 50 healthy controls with mean ages of 45.02 (SD 12.81) and 45.12 (SD 10.56), respectively. Demographic data of both groups were similar. Concerning the balance tests, there were significant differences (p<0.05) between patient and control groups about the all tests of sway velocity (except on foam surface eyes closed test), end sway of tandem walk test, movement time of bilateral step up over test and lift up index of left step up over test. There was no significant correlation between static and dynamic balance parameters with MAF, BDI, PSQI, foot deformities and FAOS. The static and dynamic balance impairments are seen in PsA. As the balance parameters had no significant correlation with functional and clinical data, they are acceptable as independent parameters during the course of the disease.Publication Open Access Effectiveness of dry needling in the treatment of neck pain and disability associated with myofascial trigger points(MARMARA UNIV, FAC MEDICINE, 2021-01-22) ŞANAL TOPRAK, CANAN; Sanal Toprak, Canan; Ozsoy Unubo, TugbaObjective: The aim of this study is to evaluate the effectiveness of dry needling (DN) with fast-in and fast-out technique for myofascial trigger points (MTrPs) in the upper trapezius muscle associated with neck pain. Patients and Methods: Patients aged 18-70 years, who have had neck pain at least one active MTrP in the upper trapezius muscle treated with DN, were included in the study. Pain and disability were assessed with Numeric Rating Scale (NRS) and Neck Disability Index (NDI) before treatment (T0), after first session (T1) and after last session (T2). Number of MTrPs where DN was performed and the number of DN sessions were recorded. Patients were evaluated based on the minimal clinically important change (MCIC) scores for NRS and NDI. Results: A total of 76 patients (Female: 67, Male: 9) were included in the study. Median number of DN sessions was 3 and median of MTrPs that DN performed was 4. Both NRS and NM showed significant improvement at T1 and T2. More than 90% of patients had MCIC at T1 and T2. Conclusion: Dry needling with fast-in and fast-out technique is effective for pain and disability management in patients with neck pain due to MTrPs.Publication Metadata only Duruoz Hand Index: Is it valid and reliable in children with unilateral cerebral palsy?(TAYLOR & FRANCIS INC, 2019) ŞANAL TOPRAK, CANAN; Sanal-Top, Canan; Karadag-Saygi, Evrim; Sacaklidir, Rekib; Duruoz, Mehmet TuncayPurpose: To investigate the validity and reliability of the Duruoz Hand Index (DHI) in patients with unilateral cerebral palsy (CP). Methods: Assessments of patients (n = 23) were performed using the Modified Ashworth Scale (MAS), the Manual Ability Classification System (MACS), the grip and pinch strength tests, and DHI. Following the data collection, retest of DHI was administered telephonically within a 2-week period. Results: Test-retest reliability and internal consistency of DHI were found to be excellent with a Cronbach's alpha value of 0.93 and an intraclass correlation coefficient value of 0.94. The correlation between the DHI and MACS was detected significantly high (r = 0.840, p = < 0.010). The DHI also correlated with grip and pinch strength in the affected side (r = -0.459, p = r = -0.509, p = < 0.050). Conclusions: DHI is a valid and reliable questionnaire for patients with unilateral CP.