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KAYA UTLU, DEFNE

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KAYA UTLU

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    Scapular dyskinesis, shoulder joint position sense, and functional level after arthroscopic bankart repair
    (Sage Publications, 2021-08-01) Unal, Miray; Ozenci, A. Merter; Sayaca, Cetin; SAYACA, ÇETİN; Calik, Mahmut; Eyuboglu, Filiz Erdem; Kaya, Defne; KAYA UTLU, DEFNE; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi.; AAG-7644-2021; GQH-1570-2022; KCY-7189-2024
    Background: Scapular kinesia is an important component of glenohumeral rhythm and shoulder stability. No studies have evaluated scapular dyskinesis and its relationship to shoulder proprioception in patients who have undergone arthroscopic Bankart repair (ABR). Purpose: To investigate scapular dyskinesis, proprioception, and functional level after ABR. Study Design: Cohort study; Level of evidence, 3. Methods: This study included 13 male patients who underwent ABR (ABR group; mean age, 30 years; range, 24-36 years) and 13 sex- and age-matched healthy individuals (control group). The age, height, weight, and dominant side of all participants were collected. Scapular dyskinesis was evaluated using the lateral scapular slide test and the scapular dyskinesis test; proprioception was measured by the active angle reproduction test using a smartphone goniometer application, and functional level was assessed using the upper-quarter Y-balance test for dynamic stability as well as the Rowe score and Walch-Duplay score for quality of life and return to activities of daily living. Results: The presence of static scapular dyskinesis in the neutral position, at 45 degrees of abduction, and at 90 degrees of abduction as well as the presence of dynamic scapular dyskinesis was higher in the ABR group compared with the control group (P <= .04 for all). Shoulder joint position sense (absolute error) at 40 degrees and 100 degrees of shoulder elevation and shoulder functional level according to the Rowe score were worse in the ABR patients compared with the healthy controls (P <= .02 for all). Dynamic scapular dyskinesis was negatively related to shoulder joint position sense at 40 degrees of shoulder elevation (r = -0.64; P = .01). Static scapular movement as measured on the lateral scapular slide test was moderately related to the Rowe score (r = 0.58; P = .03). Conclusion: Scapular kinematics and proprioception should be evaluated after ABR. Treatment approaches to improve scapular control and proprioceptive sense should be included in the rehabilitation program for patients after ABR.
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    Publication
    Lower extremity alignment due to patellofemoral syndrome and dynamic postural balance
    (Sage Publications, 2020-01-01) Erdoğanoglu, Yıldız; Pepe, Murad; Kaya, Defne; Tağrıkulu, Bilgehan; Akşahin, Ertuğrul; Aktekin, Cem Nuri; KAYA UTLU, DEFNE; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Fizyoterapi ve Rehabilitasyon Bölümü.; FGY-6036-2022
    Study design:This study is a prospective study.Aim:Lower extremity malalignment is an important etiologic factor in patellofemoral pain syndrome (PFPS). We hypothesized that lower limb malalignment may affect dynamic balance and physical function. This prospective study was conducted to investigate the relationship between the lower limb alignment and the dynamic balance and physical function in patients with PFPS.Methods:The study included 62 individuals with unilateral PFPS. Pain severity was assessed by the numerical pain scale and the pain duration was recorded. Lower extremity bone alignment was evaluated by the lateral distal femoral angle (LDFA) and the medial proximal tibia angle. Dynamic postural balance was assessed by the star excursion balance test. The functional status of the patients was evaluated by the 30-second chair stand test.Results:The mean duration of the pain was 24.2 +/- 31.5 months and the mean pain severity was 8.1 +/- 1.4. Although there was a significant difference found between the affected and unaffected LDFA values of lower extremities (p < 0.05), there was no difference found with regard to the dynamic balance values of the lower extremities (p > 0.05). However, significant changes of posterolateral balance were identified at a painful side without causing a postural dynamic imbalance (p < 0.05).Conclusion:In our study, we found a valgus deformity as a deterioration in the lower limb alignment of patients with PFPS which may cause a deterioration of posterolateral balance only. However, no change in postural dynamic balance was observed in the comparison of affected side and unaffected side. Dynamic postural balance has been influenced by many kinematic changes related to lower extremities including pelvis, hip, and ankle. Thus, reciprocal mechanisms in the anatomical structures may compensate the postural balance dynamically.
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    Publication
    Shoulder joint position sense in thoracic outlet syndrome
    (Edra Spa, 2021-01-01) Sayaca, C.; Eyuboglu, F.; Calik, M.; Guney-Deniz, H.; Firat, T.; Sayaca, C.; SAYACA, ÇETİN; Kaya, D.; KAYA UTLU, DEFNE; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi.; 0000-0002-6731-1677; AAG-7644-2021
    Objective. The aim of the study was to analyze joint position sense (JPS), and muscle strength & endurance in patients with Thoracic Outlet Syndrome (TOS).Methods. Eight patients with unilateral TOS and eight healthy controls participated. Pain, symptom duration, JPS, and strength&endurance were evaluated.Results. There was a difference in Absolute Error (AE) of the abduction at 70 degrees (p =0.02). There were differences in AE at 40 degrees (p =0.01) and 130 degrees (p =0.04) abduction between the affected side of patients and the dominant side of the healthy group. Additionally, the pain was related to poor Relative Error at 90 degrees abduction and AE at 130 degrees flexion (p = 0.01). There was no difference in strength and endurance of flexion (p > 0.05) and abduction (p > 0.05) to compare the affected and unaffected side of the patients with TOS. There were differences strength of flexion (at 60 degrees/sec; p = 0.05), strength of abduction (at 60 degrees/sec; p = 0.01), and endurance of abduction (at 180 degrees/sec; p = 0.05) to compare affected side of patients with TOS and healthy person.Conclusions. This study indicated that JPS was decreased at 40 degrees & 70 degrees & 130 degrees abduction, strength in flexion and abduction was also decreased. Proprioceptive and strengthening exercises should be considered to implement in patients with TOS.