Person: ÖZÇAKIR, ŞÜHEDA
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ÖZÇAKIR
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ŞÜHEDA
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Publication Youtube as a source of information on piriformis syndrome exercises(Bayçınar Medikal Yayın, 2022-07-27) Ertem, Uğur; Özçakır, Şüheda; İrdesel, Fatma Jale; Günay, Selim Mahmut; ERTEM, UĞUR; ÖZÇAKIR, ŞÜHEDA; İRDESEL, FATMA JALE; Günay, Selim Mahmut; Tıp Fakültesi; Fizik Tedavi ve Rehabilitasyon Bölümü; 0000-0003-2142-2264; 0000-0002-1456-9121; AAD-2089-2021; AAH-5375-2021; DVJ-8547-2022; JJQ-6978-2023Objectives: This study aimed to evaluate the quality and reliability of the most viewed YouTube videos on piriformis syndrome (PS) exercises and identify criteria that may be important for selecting high-quality and reliable videos. Materials and methods: We searched for the keywords "piriformis syndrome exercise," "piriformis syndrome rehabilitation," "piriformis syndrome physical therapy," and "piriformis syndrome physiotherapy" on November 28, 2021. The modified DISCERN (mDISCERN), and the Global Quality Score were used to evaluate the quality and reliability of the videos. Results: Of the 92 videos evaluated, most (58.7%) of the videos were shared by healthcare professionals. The median mDISCERN score was 3, and most of the videos were found to be medium or low quality. Videos with more subscribers (p=0.001), a shorter upload duration (p=0.001), videos uploaded by physicians (p=0.004), and videos uploaded by other healthcare professionals (p=0.001) were found to have high reliability. Conversely, videos uploaded by independent users were found to have low reliability (p<0.001). When the parameters of the videos were compared among the quality groups, significant differences were found in all video features (p<0.05), some upload sources (other healthcare professionals and independent users; p=0.001), and mDISCERN scores (p<0.001). Conclusion: It is beneficial for physicians and other health professionals to upload more videos about health to increase the amount of reliable and high-quality information.Publication Enteral and parenteral nutrition at home(Galenos Yayıncılık, 2008-09-01) Özcakir, Şuheda; Küçükoğlu, Selçuk; ÖZÇAKIR, ŞÜHEDA; Küçükoğlu, Selçuk; Tıp Fakültesi; Fiziksel Tıp ve Rehabilitasyon Ana Bilim Dalı; AAH-5375-2021; JRI-4026-2023The evolution of Intensive Care Medicine and integrated team management has greatly improved the survival of critically ill patients. But, chronic critical illness is associated with prolonged immobility, intubation and intensive care unit stay and as a consequence of these problems deconditioning, muscle weakness, depression and reduced quality of life are the main complications. The recovery from these complications are very slow, in order to reduce the detrimental effect of these problems rehabilitation should begin as soon as possible and must continue after discharge from the hospital.Publication The relationship between mri findings, pain and disability in the patients with cervical osteoarthritis(Springer, 2018-04-01) Altan, Lale; Ökmen, B. Metin; Tuncer, T.; Akarırmak, U.; Ayhan, F.; Bal, A.; Bozbaş, G.; Cerrahoğlu, L.; Çevik, R.; Durmaz, B.; Duruöz, T.; Dülgeroğlu, D.; Gürer, G.; Gürsoy, S.; Hepgüler, S.; Hizmetli, S.; Kaçar, C.; Kaptanoğlu, E.; Kocabaş, H.; Nas, K.; Nur, H.; Özçakır, Şuheda; Özdolap, S.; Sindel, D.; Şahin, O.; Sendur, F.; Tikiz, C.; Uğurlu, H.; ALTAN İNCEOĞLU, LALE; ÖZÇAKIR, ŞÜHEDA; Tıp Fakültesi; 0000-0003-0851-3620; AAH-1652-2021; AAH-5375-2021Publication Youtube as a source of information on piriformis syndrome exercises(Bayçınar Tıbbı Yayıncılık, 2023-01-01) Ertem, Uğur; Özçakır, Sueheda; İrdesel, Fatma Jale; Günay, Selim Mahmut; ERTEM, UĞUR; ÖZÇAKIR, ŞÜHEDA; İRDESEL, FATMA JALE; Günay, Selim Mahmut; Tıp Fakültesi; Fiziksel Tıp ve Rehabilitasyon Ana Bilim Dalı; 0000-0003-2142-2264; 0000-0002-1456-9121; 0000-0002-7550-5244; AAD-2089-2021; JVA-8378-2023; DVJ-8547-2022; EZL-5296-2022Objectives: This study aimed to evaluate the quality and reliability of the most viewed YouTube videos on piriformis syndrome (PS) exercises and identify criteria that may be important for selecting high-quality and reliable videos. Materials and methods: We searched for the keywords "piriformis syndrome exercise," "piriformis syndrome rehabilitation," "piriformis syndrome physical therapy," and "piriformis syndrome physiotherapy" on November 28, 2021. The modified DISCERN (mDISCERN), and the Global Quality Score were used to evaluate the quality and reliability of the videos. Results: Of the 92 videos evaluated, most (58.7%) of the videos were shared by healthcare professionals. The median mDISCERN score was 3, and most of the videos were found to be medium or low quality. Videos with more subscribers (p=0.001), a shorter upload duration (p=0.001), videos uploaded by physicians (p=0.004), and videos uploaded by other healthcare professionals (p=0.001) were found to have high reliability. Conversely, videos uploaded by independent users were found to have low reliability (p<0.001). When the parameters of the videos were compared among the quality groups, significant differences were found in all video features (p<0.05), some upload sources (other healthcare professionals and independent users; p=0.001), and mDISCERN scores (p<0.001). Conclusion: It is beneficial for physicians and other health professionals to upload more videos about health to increase the amount of reliable and high-quality information.Publication The frequency and association of knee, hip, hand and spine osteoarthritis in turkish population: A preliminary re port of multicenter longitudinal study(Springer, 2018-04-01) Tuncer, T.; Uğur, S.; Nur, H.; Kaçar, C.; Akarımak, U.; Altan, Lale; Ayhan, F.; Bal, A.; Başaran, S.; Bilgilisoy, M.; Bozbaş, G.; Cerrahoğlu, L.; Çevik, R.; Coşkun, N.; Dağlı, Z.; Durmaz, B.; Duruöz, T.; Dülgeroğlu, D.; Gürer, G.; Gürsoy, S.; Hepgüler, S.; Hizmetli, S.; Kaplanoğlu, E.; Kaya, T.; Kocabaş, H.; Kuran, B.; Melikoğlu, M.; Nas, K.; Öncü, J.; Özçakır, Şüheda; Özdolap, S.; Sarıdoğan, M.; Sarıkaya, S.; Sindel, D.; Şahin, O.; Sendur, O. F.; Tikiz, C.; Uğurlu, H.; Yılmaz, F.; ALTAN İNCEOĞLU, LALE; ÖZÇAKIR, ŞÜHEDA; Bursa Uludağ Üniversitesi; 0000-0003-0851-3620; AAH-5375-2021; AAH-1652-2021Publication Effects of anthropometric measurements on treatment outcomes in patients with carpal tunnel syndrome(World Scientific Publ Co Pte Ltd, 2018-12-01) Avşaroğlu, Hazım; Özçakır, Şüheda; ÖZÇAKIR, ŞÜHEDA; Tıp Fakültesi; Fiziksel Tıp ve Rehabilitasyon Ana Bilim Dalı; AAH-5375-2021Background: The purpose of this study was to investigate the relationship between anthropometric hand/wrist measurements and outcomes following static wrist splintage in patients with mild-to-moderate carpal tunnel syndrome (CTS).Methods: Thirty nine patients with mild-to-moderate CTS were enrolled in this study. Anthropometric measurements of hand and wrist including wrist width, wrist depth, palm length, hand length, wrist ratio (wrist depth/wrist width) and wrist/palm ratio (wrist depth/palm length) were recorded as well as body mass index and ultrasonographic cross sectional area of median nerve. Patients were treated with static wrist splints and evaluated at 2rd, 4th and 12th weeks with Boston Carpal Tunnel Questionnaire, median nerve nerve conduction studies, Visual Analog Scale for pain and Likert Scale for numbness.Results: Following treatment with a static wrist splint, the wrist ratio was correlated significantly with improvements in Boston Functional Status Scale at the second and forth weeks (r = -0.354, p = 0.027 and r = -0.320, p = 0.050 respectively) and Visual Analog Scale at the forth and 12th weeks (r = -0.352, p = 0,030 and r = -0.360, p = 0.029 respectively).Conclusions: Splinting provides symptomatic improvement in mild-to-moderate CTS and this study suggests that the wrist anthropometric measurements may influence treatment outcomes.Publication Frequency of fibromyalgianess in patients with rheumatoid arthritis and ankylosing spondylitis: A multicenter study of Turkish league against rheumatism (tlar) network(Turkish League Against Rheumatism, 2023-06-19) Kozanoğlu, Erkan; Kelle, Bayram; Alaylı, Gamze; Kuru,Ömer; Firat, Sibel Çubukçu; Demir, Ali Nail; Karakoç, Mehmet; Altay, Zuhal; Aktaş, İlknur; Özkan, Feyza Ünlü; Ayhan, Fikriye Figen; Çapkın, Erhan; Karkucak, Murat; Kaya, Taciser; Uçar, Ulku; Erdal, Akın; Taştekin, Nurettin; Koyuncu, Esra Gizem; Aydın, Elif; Şendur, Ömer Faruk; Ünal, Ilker; Akıncı, Ayşen; Özçakır, Şuheda; ÖZÇAKIR, ŞÜHEDA; Tıp Fakültesi; Fizik Tedavi ve Rehabilitasyon Ana Bilim Dalı; JMV-7747-2023Objectives: This study aimed to evaluate the frequency of fibromyalgianess, fibromyalgia syndrome (FS), and widespread pain in patients with rheumatoid arthritis (RA) and ankylosing spondylitis (AS) and their relationship with clinical and demographic parameters.Patients and methods: This cross-sectional multicenter trial was performed in 14 centers across Turkiye between June 2018 and November 2019. Out of 685 patients recruited from the accessible population, 661 patients (342 RA, 319 AS; 264 males, 397 females; mean age: 48.1 +/- 12.9 years; range, 17 to 88 years) met the selection criteria. In these cohorts, those who did not meet the criteria for FS and had widespread pain (widespread pain index >= 7) were evaluated as a separate group. Clinical status and demographic parameters of patients in both cohorts were evaluated as well as the evaluations of RA and AS patients with widespread pain (widespread pain index >= 7) and RA and AS patients with FS groups. In addition, correlations between polysymptomatic distress scale (PSD) scores and Visual Analog Scale (VAS), Simplified Disease Activity Index (SDAI), Clinical Disease Activity Index (CDAI), and Disease Activity Score using 28 joint counts for RA patients and VAS, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), and Ankylosing Spondylitis Disease Activity Score (ASDAS) for AS patients were analyzed.Results: Frequencies of patients with FS and patients who had PSD scores >= 12 were 34.1% and 44.4% in all RA patients, respectively. Moreover, FS and PSD scores >= 12 were found in 29.2% and 36.9% of all AS patients, respectively. PSD scores of RA patients with FS were higher than all RA patients and RA patients with widespread pain. SDAI and CDAI scores of RA patients with FS were higher than all RA patients and RA patients with widespread pain. Similarly, PSD scores of AS patients with FS were higher than all AS patients and AS patients with widespread pain. ASDAS-erythrocyte sedimentation rate and BASDAI scores of AS patients with FS were found higher than all AS patients and AS patients with widespread pain.Conclusion: Disease activity scores, including pain in RA and AS, were higher in the presence of FS or fibromyalgianess. It may be related to clinical parameters, but cohort studies with long-term follow-up are needed to reveal causality. Additionally, to avoid overtreatment, coexistence of fibromyalgianess should be kept in mind in patients who have inflammatory diseases such as RA and AS, particularly with intractable widespread pain.Publication Botulinum toxin in poststroke spasticity(Marshfield Clinic, 2007-06-01) Özçakır, Şüheda; Sivrioğlu, Koncuy; ÖZÇAKIR, ŞÜHEDA; SİVRİOĞLU, KONÇUY; Tıp Fakültesi; Fiziksel Tıp ve Rehabilitasyon Ana Bilim Dalı; 0000-0002-4296-9480; AAH-5375-2021; AAG-8211-2021Poststroke hemiparesis, together with abnormal muscle tone, is a major cause of morbidity and disability. Although most hemiparetic patients are able to reach different ambulatory levels with rehabilitation efforts, upper and lower limb spasticity can impede activities of daily living, personal hygiene, ambulation and, in some cases, functional improvement. The goals of spasticity management include increasing mobility and range of motion, attaining better hygiene, improving splint wear and other functional activities. Conservative measures, such as positioning, stretching and exercise are essential in spasticity management, but alone often are inadequate to effectively control it. Oral antispastic medications often provide limited effects with short duration and frequent unwanted systemic side effects, such as weakness, sedation and dry mouth. Therefore, neuromuscular blockade by local injections have become the first choice for the treatment of focal spasticity, particularly in stroke patients. Botulinum toxin (BTX), being one of the most potent biological toxins, acts by blocking neuromuscular transmission via inhibiting acetylcholine release. Currently, focal spasticity is being treated successfully with BTX via injecting in the spastic muscles. Two antigenically distinct serotypes of BTX are available on the market as type A and B. Clinical studies of BTX used for spastic hemiplegic patients are reviewed in this article in two major categories, upper and lower limb applications. This review addresses efficacy in terms of outcome measures, such as muscle tone reduction and functional outcome, as well as safety issues. Application modifications of dose, dilutions, site of injections and combination therapies with BTX injections are also discussed.