Browsing by Author "Altan, Lale İnceoğlu"
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Item Correlations among enthesitis, clinical, radiographic and quality of life parameters in patients with ankylosing spondylitis(Oxford Univ Press, 2013) Altan, Lale İnceoğlu; Uludağ Üniversitesi/Tıp Fakültesi/Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı.; AAH-1652-2021; 6603281363Objectives. To investigate the relationship between enthesitis and disease activity, functional status, fatigue, joint mobility, radiological damage, laboratory parameter and quality of life in patients with ankylosing spondylitis (AS). Methods. A total of 421 patients with AS (323 male and 98 female) who were included in the Turkish League Against Rheumatism Registry were enrolled in the study. The Bath AS Disease Activity Index (BASDAI), fatigue, the Bath AS Functional Index (BASFI), the Bath AS Metrology Index (BASMI), the Maastricht AS Enthesitis Score (MASES), AS quality of life (ASQoL), the Bath AS Radiology Index (BASRI) and erythrocyte sedimentation rate (ESR) were evaluated. Results. Enthesitis was detected in 27.3% of patients. There were positive correlations between MASES and BASDAI, BASFI and fatigue (p < 0.05). MASES was not correlated with BASRI, BASMI, ASQoL and ESR. The mean MASES score was 1.1 +/- 2.4. The most frequent regions of enthesopathies were right iliac crest, spinous process of L5 and proximal to the insertion of left achilles tendon, respectively. Conclusions. Enthesitis was found to be associated with higher disease activity, higher fatigue, worse functional status and lower disease duration. As enthesitis was correlated with BASDAI, we conclude that enthesitis can reflect the disease activity in patients with AS.Item Effect of supervised exercise program including balance exercises on the balance status and clinical signs in patients with fibromyalgia(Springer Heidelberg, 2013-03) Göçmen, Demir D.; Altan, Lale İnceoğlu; Korkmaz, Nimet; Arabacı, Ramiz; Uludağ Üniversitesi/Tıp Fakültesi/Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı.; Uludağ Üniversitesi/Eğitim Fakültesi/Beden Eğitimi ve Spor Bölümü.; 0000-0001-8403-5742; AAH-1652-2021; ABI-4831-2020; 55958707500; 6603281363; 57212906943; 24448984800The objective of this study is to investigate whether the supervised exercise program including balance exercises was superior to home exercise programs in improving clinical parameters and balance status in patients with FM. Fifty women who were diagnosed with primary FM were assigned into supervised exercise group (Group 1) and home exercise group (Group 2). Evaluation parameters were clinical parameters [pain, number of tender points (NTP), Beck Depression Scale (BDS), Fibromyalgia Impact Questionnaire (FIQ)], and parameters associated with balance [timed up and go test (TUGT), four square step test (FSST), Berg Balance Scale (BBS), Activities-Specific Balance Confidence Scale (ABC), and static balance measurements]. Significant differences were determined between all pre- and post-exercise clinical follow-up parameters at 12th week in Group 1. There was a significant difference only in the BDS score between baseline and at the 24th week. When the changes in balance parameters in Group 1 were investigated, a significant difference was noted at the 12th week in terms of TUGT, FSST, and ABC scale scores compared to baseline; however, the significant change maintained only in ABC scale at the 24th week compared to baseline. Significant differences were noted in all clinical parameters in Group 2 at the 12th week, whereas no difference was observed at the 24th week. Evaluation of balance parameters in Group 2 at the 12th week revealed significant differences in terms of the TUGT, FSST, BBS, and ABC scale scores compared to baseline, whereas 24th week evaluation revealed significant differences only in the BBS and ABC scale scores. When the two groups were compared, a significant difference was observed in favor of Group 2 only for the BBS at the 12th week evaluation. Exercise programs had short-term beneficial effects on either clinical signs or dynamic balance.Item Investigation of the effect of GaAs laser therapy on lateral epicondylitis(Mary Ann Liebert, 2010-06) Emanet, Saniye Konur; Altan, Lale İnceoğlu; Yurtkuran, Merih M.; Uludağ Üniversitesi/Tıp Fakültesi/Fizik Tedavi ve Rehabilitasyon Anabilim Dalı.; AAH-1652-2021; 36140090600; 6603281363; 55408539300Background and Objective: There are conflicting reports regarding the efficacy of low energy laser therapy in treatment of lateral epicondylitis (LE). Contradictory results are considered to be due to different joint treatment protocols regarding variables such as dose, duration, and frequency. The aim of this study was to investigate the efficacy of gallium-arsenide (GaAs) laser therapy, which was performed with the dose regimen recommended by the World Association for Laser Therapy, in relieving pain and improving functional activities in patients with LE. Patients and Methods: Forty-nine patients (50 elbows) evaluated in our outpatient clinic were included in the study. Elbows were randomized into two groups: laser (n = 25) and placebo laser (n = 25). Either laser or placebo laser therapy was applied to patients for 15 sessions (5 d per week for 3 weeks). Main outcome measures were visual analog scale, tenderness, Disability of the Arm Shoulder and Hand (DASH) questionnaire, the Patient-Related Lateral Epicondylitis Evaluation (PRTEE) test, pain-free grip strength, and the Nottingham Health Profile (NHP) questionnaire. Evaluations were performed before treatment, at the end of 3 weeks of treatment, and after the 12th week of treatment ended. Results: Upon post-treatment evaluation, a significant improvement in all parameters was observed for both groups (p < 0.05). No significant difference was found when the laser and placebo groups were compared. At the 12 week evaluation, a significant sustained improvement in all parameters was observed. On intergroup evaluation, a significant improvement was observed in favor of the active treatment group regarding pain with resisted extension of the wrist, tenderness with pressure, and for both the total and subgroup scores of the DASH questionnaire and PRTEE test, as well as for the pain subgroup of the NHP questionnaire (p < 0.05). Conclusion: Although low energy laser therapy had no advantage compared to placebo in patients with LE for the short term, a significant improvement, particularly in functional parameters, was achieved in the long term. Laser, which has relatively no side effects, might be included among long-term treatment options for LE.Item Reliability and validity of Turkish version of the patient rated tennis elbow evaluation(Springer Heidelberg, 2010-06) Altan, Lale İnceoğlu; Ercan, İlker; Konur, Saniye; Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatik Anabilim Dalı.; 0000-0002-2382-290X; ABF-2367-2020; AAH-1652-2021; 6603789069; 6603281363; 16052940600The objective of this study was to test the reliability of the Turkish version of PRTEE (PRTEE-T) as a specific scale for LE, and to investigate the validity of this version by correlating and comparing its outcomes with those of the scales DASH (the Disabilities of the Arm, Shoulder, and Hand questionnaire) and Quick DASH (QDASH), pain (VAS), tenderness, and maximal grip strength (MGS). Fifty patients (14 males and 36 females) with the diagnosis of lateral epicondylitis were included in this study. PRTEE Questionnaire was translated into Turkish according to the guideline for the cross-cultural adaptation process. All patients filled the PRTEE-T questionnaire. Maximal grip strength, pain, and tenderness were measured. Next, the patients filled the DASH forms. The patients were asked to reevaluate PRTEE-T 2 h after they filled the first form. The internal consistency reliability of PRTEE-T was assessed by calculating 'if item deleted' using Cronbach alpha and 'Item-total correction' coefficient for each item of the questionnaire. Consistency of subscales was assessed using Spearman's rho correlation coefficient. In addition to correlation analysis, test-retest values were compared using Wilcoxon test to assess the changes on the basis of the items. Criterion validity of the scale was measured using DASH and QDASH scales, and construct validity was measured using tenderness and maximal grip strength values by Spearman's rho correlation coefficient. For internal reliability; Cronbach alpha coefficient was calculated 0.837 by the overall assessment of the scale. For test-retest reliability; correlation coefficient was found 0.920 (P < 0.001). Comparison of the scores obtained from test-retest measurements showed no significant difference (P > 0.05). The pain sub-scale, the function sub-scales, and the overall score from the PRTEE-T each showed significant correlations with the DASH score (P < 0.001), QDASH score (P < 0.001), and maximal grip strength (P < 0.001). Significant correlation was found between the sub-scales of the scale. The results of our study have shown that the Turkish version of a specific and practical scale developed for LE can be both valid and reliable. PRTEE-T is easy to apply in a relatively short period and may prove to be valuable for evaluation and follow up of the patients in daily clinical practice.