Browsing by Author "Gulkesen, Arif"

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Does Arthroscopic Rotator Cuff Repair Improve Kinesiophobia, Depression, and Spatiotemporal Parameters in the Long Term
(Erciyes University School of Medicine, 2023) Deniz, Gulnihal; Bilek, Furkan; Esmez, Omer; Gulkesen, Arif; Gurger, Murat
Objective: This study aimed to investigate the long-term effects on pain, kinesiophobia, depression, functional capacity, balance, mobility, and spatiotemporal parameters in individuals who underwent rotator cuff (RC) surgery.Materials and Methods: Measurements were conducted on 45 individuals recommended for RC arthroscopy. These included bilateral upper extremity range of motion (ROM), muscle strength, bilateral hand grip strength, spatiotemporal parameters, 9-hole peg test (9-HPT), Beck Depression Inventory (BDI), Tampa Scale of Kinesiophobia (Tampa), Shoulder Pain and Disability Index (SPADI), and Constant-Murley Score. All measurements were taken one week before and six months after the arthroscopic intervention.Results: Post-RC arthroscopy results showed significant improvements in upper extremity ROM, muscle strength, hand grip strength, 9-HPT, Tampa, BDI, SPADI, and Constant-Mur-ley Score compared to pre-arthroscopy measurements. Spatiotemporal parameters such as total weight transfer, step cycle duration, double stance duration, step length, gait cycle length, foot angle, and cadence values were highly significant in both operated and non-operated extremities after arthroscopic surgery (p<0.01). However, hindfoot pressure analysis and swing phase values were significant only on the operated side after arthroscopic surgery (p<0.05).Conclusion: Prior to RC arthroscopy, individuals exhibited kinesiophobia, depression, reduced functional capacity, balance asymmetry, decreased mobility, and, consequently, spatiotemporal parameter asymmetry between the extremities. Gait disturbances (lengthened swing phase, decreased step length, increased foot angle), balance loss, and arm sway asymmetry were also evident before RC arthroscopy. Based on these findings, we suggest incorporating balance and gait training into the early rehabilitation program after RC arthroscopy.
The Effect of Complex Decongestive Therapy on Spatio-Temporal Parameters and Balance in Women with Breast Cancer-Related Upper Extremity Unilateral Lymphedema
(Elsevier Sci Ltd, 2023) Bilek, Furkan; Deniz, Gulnihal; Gulkesen, Arif
Background: The aim of this study was to investigate the effect of complex decongestive therapy on spatio-temporal parameters and balance in individuals with breast cancer-related upper extremity unilateral lymphedema.Methods: The study was designed as a prospective, cross-sectional study. Thirty sessions of complex decongestive therapy were applied. Participants' pre-and post-treatment spatio-temporal parameters and balance parameters were evaluated with the Win Track platform. In addition, the Timed Up and Go test was used to evaluate the dynamic balance. Plethysmography, a water displacement method, was used to measure upper extremity volume.Findings: Significant improvement was observed in limb volume asymmetry after complex decongestive therapy. While the stride length of the affected side was 409.93 mm before the treatment, it increased to 500.93 mm after the treatment, and a significant increase was observed (p = 001). Significant improvements were found in the other spatio-temporal parameters of the participants. Compared to the pre-treatment, a significant decrease was detected in the average cadence value, Timed Up and Go value, double stance time, and maximum plantar pressure point of the participants. Significant improvements were found in the participants' balance.Interpretation: Complex decongestive therapy applied to individuals with unilateral upper extremity lymphedema provides significant improvement in both spatio-temporal and balance parameters. However, we recommend complex decongestive therapy as an effective and safe treatment to reduce the volume of lymphedema. Patients with unilateral lymphedema that may cause postural asymmetry should be informed about balance and gait disturbance and should be encouraged to receive lymphedema treatment as soon as possible.
Extracorporeal Shock Wave Therapy with Low-Energy Flux Density Treatment Applied to Hemiplegia Patients on Somatosensory Functions and Spatiotemporal Parameters
(Atatürk Univ, 2024) Deniz, Gulnihal; Bilek, Furkan; Gulkesen, Arif; Cakir, Murteza
Background: We aimed to investigate the effect of Extracorporeal Shock Wave Therapy (ESWT) applied to patients with hemiplegia on somatosensory data, spatiotemporal parameters, posture, and muscle tone. Methods: This was a double-blind, randomised, controlled trial. Patients were randomised within pairs to either the experimental (ESWT) group (n = 20) or the control group (n = 20). All patients participated in the same conventional stroke rehabilitation program for 60 minutes of treatment a day, 5 times a week for 6 weeks (30 sessions). Patients assigned to the ESWT group received additional ESWT over the plantar fascia 3 days/week for 6 weeks. Timed Up and Go (TUG) test, Modified Ashworth Scale (MAS) score, Posture Assessment Scale for Stroke Patients (PASS), spatiotemporal parameters, Semmes-Weinstein monofilament (SWM) test, and vibration sensation test (VST) were performed in all participant before and after treatment. Results: In the ESWT and control groups, statistically, significant differences were obtained in the posttreatment analysis than pre-treatment. Significant differences were found in foot angle, step cycle duration, swing phase, cadence, gait cycle distance, and VST values after ESWT treatment (P < .01). Conclusion: When combined with a neurological rehabilitation program, it was determined that ESWT applied to the plantar face of the foot in individuals with hemiplegia increased somatosensory functions and was more successful in developing postural control and balance.
How Does Kinesiophobia Affect Short- and Long-Term Gait Parameters in Individuals with Total Knee Arthroplasty Surgery
(Acta Medica Belgica, 2022) Deniz, Gulnihal; Bilek, Furkan; Esmez, Omer; Gulkesen, Arif
Delays in weight transfer due to various fears after Total knee arthroplasty (TKA) surgery negatively affect recovery. Therefore, the presence of kinesiophobia is essential for the success of the treatment. This study was planned to investigate the effects of kinesiophobia on Spatio-temporal parameters in patients who underwent unilateral TKA surgery. This study was a prospective and cross-sectional study. Seventy patients with TKA were assessed preoperatively in the 1st week (Pre1W) and postoperatively in the 3rd month (Post3M) and 12th month (Post12M). Spatiotemporal parameters were assessed using the Win-Track platform (Medicapteurs Technology, France). The Tampa kinesiophobia scale and Lequesne index were evaluated in all individuals. A significant relationship was found between the Pre1W, Post3M, and Post12M periods and Lequesne Index scores (p<0.01), and this relationship was in favor of improvement. In the Post3M period, kinesiophobia increased compared to the Pre1W period, and kinesiophobia decreased effectively in the Post12M period (p<0.01). The effect of kine-siophobia was evident in the first postoperative period. In the correlation analyses between spatiotemporal parameters and kinesiophobia, significant negative correlations were observed (p<0.01) in the early postoperative period (Post3M). Evaluating the effectiveness of kinesiophobia on Spatio-temporal parameters at different time intervals before and after TKA surgery may be necessary for the treatment process.