Person: DEMİRBÜKEN, İLKŞAN
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DEMİRBÜKEN
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İLKŞAN
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Publication Metadata only The immediate effect of patellar tendon strap on weight-bearing asymmetry during squatting in patients with unilateral knee osteoarthritis: A pilot study(SAGE PUBLICATIONS LTD, 2016) DEMİRBÜKEN, İLKŞAN; Demirbuken, Ilksan; Ozyurek, Seher; Angin, SalihBackground: Knee osteoarthritis has commonly been associated with a symptom of pain resulting in an inter-limb weight-bearing asymmetry during functional tasks. Patellar tendon strap is one of the non-pharmacologic interventions to alleviate knee pain. Objectives: To investigate the immediate effect of a patellar tendon strap on weight-bearing asymmetry during squatting in people with unilateral knee osteoarthritis. Study design: Cross-sectional study. Methods: Ten patients with unilateral knee osteoarthritis and 10 healthy subjects were included in the study. Weight-bearing asymmetry of patients was assessed using a weight-bearing squat test during squatting at 30 degrees and 60 degrees both with and without patellar tendon strap. Pain intensity was assessed during squatting in unstrapped and strapped conditions with Visual Analog Scale. Results: The decrease in weight-bearing asymmetry values immediately after wearing patellar tendon strap during 30 degrees (p=0.006) and 60 degrees (p=0.011) of squatting tests was significantly higher in knee osteoarthritis patients than in healthy subjects. Reported pain intensity was similar in unstrapped and strapped conditions (p=0.066). Conclusion: The results of this study showed improved inter-limb weight-bearing symmetry during squatting. Further research with larger sample sizes investigating the effect of patellar tendon strap on weight-bearing asymmetry during functional activities in people with knee osteoarthritis is warranted. Clinical relevance Patellar tendon straps (easily fit and cheap unlike knee braces) had more improvements in inter-limb weight-bearing symmetry during squatting in people with knee osteoarthritis compared to healthy subjects. This study is a new insight for future studies to investigate clinical benefits of wearing patellar tendon straps in this population.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 SHORT-TIME EFFECTS OF KINESIOTAPING ON HALLUX VALGUS DEGREE, PAIN INTENSITY AND PLANTAR PRESSURE DISTRIBUTION IN RHEUMATOID FOOT: A PILOT STUDY(BMJ PUBLISHING GROUP, 2016) DEMİRBÜKEN, İLKŞAN; Tonga, E.; Ozgul, B.; Timurtas, E.; Demirbuken, I.; Sen, N.; Tezcan, M. E.; Polat, M. G.Publication Metadata only Fatigue and Physical Activity Levels of Smoking and Non-smoking Healthy Sedentary Individuals(AVES PRESS LTD, 2016) DEMİRBÜKEN, İLKŞAN; Ergin, Cagla; Yurdalan, Saadet Ufuk; Demirbuken, Ilksan; Zengin, OrhanObjective: This study aimed to investigate the fatigue and physical activity levels of smoking and non-smoking healthy sedentary individuals. Methods: The study was conducted with 191 sedentary university students who were informed regarding the study (age of smoking individuals, 21.01 +/- 1.34 years and age of non-smoking individuals, 20.76 +/- 1.65 years). The short form of the International Physical Activity Questionnaire was used to assess the physical activity levels, and the Piper Fatigue Scale was used to assess the fatigue levels. Results: There were no significant differences between the high, moderate, low intensity, and total physical activity levels of smoking and non-smoking healthy sedentary individuals (p>0.05). There was no statistical difference between the emotional fatigue levels of smoking and non-smoking healthy sedentary individuals (p>0.05), while statistically higher cognitive, sensory, behavioral, and total fatigue scores were observed in smoking healthy sedentary individuals than in non-smoking healthy sedentary individuals (p<0.05). Conclusion: Smoking affects cognitive, sensory, behavioral, and total fatigue levels in young sedentary individuals. It may be useful to inform university students regarding the effects of smoking on fatigue levels with respect to public health.Publication Open Access A Better Way to Decrease Knee Swelling in Patients with Knee Osteoarthritis: A Single-Blind Randomised Controlled Trial(HINDAWI LTD, 2019-05-02) DEMİRBÜKEN, İLKŞAN; Sari, Zubeyir; Aydogdu, Onur; Demirbuken, Ilksan; Yurdalan, S. Ufuk; Polat, M. GuldenObjective. In this study, we compared the effects of intermittent pneumatic compression along with conventional treatment with cold-pack treatment along with conventional treatment on clinical outcomes in patients with knee osteoarthritis. Methods. Eighty-nine patients with knee osteoarthritis participated in this study. One group received ultrasound, transcutaneous electrical nerve stimulation, electrical stimulation, exercise, and cold packs. The second group received ultrasound, transcutaneous electrical nerve stimulation, electrical stimulation, exercise, and intermittent pneumatic compression. Range of motion, muscle strength, knee swelling, pain intensity, and functional status were measured at baseline and 4th week. Results. We found significant improvements in range of motion, muscle strength, pain intensity, and functional status after the treatment in both groups (p<0.05). When comparing the effects of these two treatment programs, it was observed that the intermittent pneumatic compression treatment group had a better outcome in terms of knee swelling (p=0.028). Conclusions. According to the results, we could report that intermittent pneumatic compression therapy in addition to conventional treatment has significant positive effects on clinical outcomes in patients with knee osteoarthritis. We could also report that intermittent pneumatic compression therapy along with conventional treatment is superior to cold-pack therapy along with conventional treatment in terms of knee swelling in patients with knee osteoarthritis. This trial is registered with NCT03806322.Publication Open Access A BETTER WAY TO DECREASE KNEE SWELLING IN PATIENTS WITH KNEE OSTEOARTHRITIS: INTERMITTENT PNEUMATIC COMPRESSION - A RANDOMIZED CONTROLLED CLINICAL TRIAL(BMJ PUBLISHING GROUP, 2017-06) DEMİRBÜKEN, İLKŞAN; Sari, Z.; Aydogdu, O.; Demirbuken, I.; Yurdalan, U. S.; Polat, G. M.Publication Open Access Association between the physical activity level and the quality of life of patients with type 2 diabetes mellitus(2015) ÖZGÜL, BAHAR; Çolak, Tuğba Kuru; Acar, Gönül; Dereli, E. Elçin; Özgül, Bahar; Demirbüken, İlkşan; Alkaç, Çiğdem; Polat, M. GüldenPublication Metadata only The relationship between objective balance, perceived sense of balance, and fear of falling in stroke patients(TAYLOR & FRANCIS LTD, 2017) ACAR, GÖNÜL; Oguz, Semra; Demirbuken, Ilksan; Kavlak, Bahar; Acar, Gonul; Yurdalan, Saadet Ufuk; Polat, Mine GuldenObjective: The objective of our study was to investigate the relationship between objective balance, fear of falling, and perceived sense of balance (PSB) in stroke patients. Methods: Seventy patients aged 18-65 years with chronically developed hemiplegia or hemiparesis were enrolled in the study. Patients' objective balance scores, fear of falling, and PSB were obtained using the berg balance scale (BBS), the falls efficacy scale (FES), and a visual analog scale, respectively. The Standard Mini-Mental Examination was performed to exclude patients with mental disorders from the study. Results: There was a moderate negative correlation between PSB and BBS scores (p = 0.001, rho = -0.588); a strong negative correlation between BBS and FES scores (p = 0.001, rho = -0.808); and a strong positive correlation between PSB and FES scores (p = 0.001, rho = 0.714). We found that BBS scores had negative correlation with PBS scores in left hemiplegic patients while there was no any relationship between BBS and PBS scores in right hemiplegic patients. Conclusion: PSB assessment, besides the BBS, should be considered among the routine assessment methods that enable the rehabilitation team to be aware of patients' balance capacities.Publication Open Access Gender and age impact on plantar pressure distribution in early adolescence(TURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY, 2019-05) ÖZGÜL, BAHAR; Demirbuken, Ilksan; Ozgul, Bahar; Timurtas, Eren; Yurdalan, Saadet Ufuk; Cekin, Murat Dincer; Polat, Mine GuldenObjective: The aim of the study was to investigate gender and age effect on dynamic plantar pressure distribution in early adolescence. Methods: A total of 524 adolescents (211 women and 313 men; mean age: 12.58 +/- 1.11 years (range: 11-14 years)) participated in pedobarographic measurements during gait at self-selected speed. Data of peak pressure (PP), maximum force (MaxF-Newton), body weight corrected maximum force (BW_MaxF), contact area (CA-cm(2)) were analyzed for total foot and four plantar regions (hindfoot, midfoot, forefoot and toes). Results: Higher toes PP was found in the ages of 12-14 years in females compared to males (253.79 +/- 104.93 vs 216.00 +/- 81.12 for the age of 12, p = 0.011, 264.40 +/- 65.02 vs 227.21 +/- 83.4 for the age of 13, p = 0.044, 299.75 +/- 140.60 vs 238.75 +/- 103.32 for the age of 14, p = 0.005). Females' higher MaxF especially for toes (136.24 +/- 48.54 vs 115.33 +/- 46.03, p = 0.008) and smaller CA especially for forefoot (50.12 +/- 5.79 vs 54.4893 +/- 6.80, p = 0.001) were considerable in the late of early adolescence. Forefoot (305.66 +/- 82.14 females p = 0.001, 281.35 +/- 79.59 males p < 0.001) and total foot PP (374.08 +/- 113.93 females, p = 0.035, 338.61 +/- 85.85 males p = 0.009) at the age of 14 was significantly higher than in younger ages in both gender groups. Conclusion: The results indicate that especially the age of 14 years in early adolescence is a critical age for alteration in plantar pressure distribution. Interestingly females tended to increase their toe and forefoot plantar pressures compared to males by increasing age. We suggest that gender and age impact on toes plantar pressure alterations in early adolescence may be a possible risk factor for further foot impairments. (C) 2019 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.Publication Metadata only KINESIOPHOBIA AFFECTS RANGE OF KNEE FLEXION AT EARLY STAGE FOLLOWING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION(BMJ PUBLISHING GROUP, 2016) DEMİRBÜKEN, İLKŞAN; Demirbuken, I.; Ozgul, B.; Arikan, E.; Tonga, E.; Polat, M. G.
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