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AKYÜZ, GÜLSEREN DERYA

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AKYÜZ

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GÜLSEREN DERYA

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Now showing 1 - 2 of 2
  • Publication
    Comparison of the effectiveness of orthotic intervention, kinesiotaping, and paraffin treatments in patients with carpal tunnel syndrome: A single-blind and randomized controlled study
    (HANLEY & BELFUS-ELSEVIER INC, 2019) AKYÜZ, GÜLSEREN DERYA; Kaplan, Basak Mansiz; Akyuz, Gulseren; Kokar, Serdar; Yagci, Ilker
    Purpose: The aim of the study was to compare different conservative treatments in patients with carpal tunnel syndrome (CTS). Study Design: A single-blind randomized controlled study. Methods: Patients (n = 169) diagnosed with mild or moderate CTS were screened; 110 met study requirements. The patients were randomized into 3 groups. The control (CON) comparison provided to all patients was a fabricated night orthotic which held the wrist in a neutral position. The second group received adjunctive kinesiotaping (KIN) and the third group received paraffin (PARA). All patients were evaluated clinically, electrophysiologically, and ultrasonographically before treatment and at 3 weeks, 3 months, and 6 months. Results: There were 36 patients in CON, 37 in KIN, and 37 in PARA. Pain reduction in KIN was better than the other groups at 3 weeks (mean difference [MD] in CON 2.4 +/- 2.5, KIN 3.7 +/- 2.0, PARA 2.7 +/- 2.3; P < .01) and 6 months (MD in CON 3.4 +/- 3.0, KIN 4.9 +/- 3.1, PARA 3.7 +/- 2.9: P < .05). KIN pain reduction was better than CON at 3 months (MD in CON 3.8 +/- 2.8, KIN 5.0 +/- 2.5: P <.05). Reduction of the cross-sectional area of median nerve at the level of radioulnar joint was greater for KIN than CON at 3 weeks (MD in CON 0.0 +/- 0.5, KIN 0.3 +/- 0.7; P < .01) than PARA at 3 months (MD in KIN 0.3 +/- 0.8, PARA 0.0 +/- 0.8; P < .05) and both groups at 6 months (MD in CON 0.1 +/- 0.8, KIN 0.5 +/- 0.9, PARA 0.0 +/- 1.0 P < .05). Conclusion: Adding KIN to night use of an orthotic was more effective in achieving symptomatic and structural improvements than either the orthotic alone or adjunctive use of paraffin in patients with mild and moderate CTS. (C) 2018 Hanley & Belfus, an imprint of Elsevier Inc. All rights reserved.
  • Publication
    Comparative electrophysiological techniques in the diagnosis of carpal tunnel syndrome in patients with diabetic polyneuropathy
    (ELSEVIER IRELAND LTD, 2010) AKYÜZ, GÜLSEREN DERYA; Yagci, Ilker; Gunduz, Osman Hakan; Sancak, Seda; Agirman, Mehmet; Mesci, Erkan; Akyuz, Gulseren
    Objective: To determine utility of comparative electrophysiological techniques in differentiating carpal tunnel syndrome (CTS) in the background of diabetic polyneuropathy (DPN). Design: Ninety diabetic patients were classified into three groups: normal, CTS, and DPN according to nerve conduction studies (NCSs). The patients in the DPN group were divided into two subgroups of DPN and DPN-CTS according to clinical criteria. The comparative electrophysiological parameters including median-radial sensory distal latency difference (M-RSLD), median-ulnar sensory distal latency difference (M-USLD) and lumbrical-interosseous median-ulnar distal latency difference (LIMULD) were compared in subgroups of DPN, DPN-CTS and CTS. Results: Thirty-five (38.8%), 47(52.3%), and 8(8.9%) patients were diagnosed as CTS, DPN, and normal, respectively, according to NCS. After clinical stratification, 25 patients were diagnosed as DPN and 22 patients were diagnosed as DPN-CTS. The mean M-USLD and LIMULD values were similar in CTS and DPN-CTS groups, but larger than DPN statistically (p < 0.05 for all). LIMULD, M-RSLD and M-USLD were positive in 88.4, 73 and 54% in the DPN-CTS group, respectively. Conclusions: Electrophysiological abnormalities were common in diabetic patients and LIMULD can identify CTS in diabetic DPN patients better than M-RSLD and M-USLD. (C) 2010 Elsevier Ireland Ltd. All rights reserved.