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Öğe Assessment of nutritional status and bowel habits in osteoporosis: A cross-sectional, multicenter study of turkish elderly female population(Springer, 2019) Karahan, A. Y.; Bağçacı, S.; Ordahan, B.; Sevinç, B.; Özkük, K.; Kuran, B.; Şahin, N.; Karakoyun, Ahmet; Salbaş, E.; Ketenci, S....Öğe COVID-19 complicated with peripheral facial paralysis(Türkiye Fiziksel ve Tıp ve Rehabilitasyon Uzman Hekimleri Derneği, 2022) Karakoyun, Ahmet; Yıldırım, Adem; Boyraz, İsmailCoronavirus disease-2019 (COVID-19) is a highly contagious disease that first began in Wuhan province of China and rapidly spread all over the world in a short time, affecting millions of people. At the beginning, COVID-19 has been reported as a severe respiratory tract disease. During this period, typical signs and symptoms were those expected from a respiratory virus such as fever, cough and dyspnea, as a result of the rapid spread of the virus, affecting more people and increasing number of studies in the literature, it has been noticed that the symptoms can manifest in many ways. In addition to malaise, fatigue, diffuse muscle-joint pain, neurological symptoms such as dizziness, loss of taste and smell were also reported. Commonly reported neurological symptoms such as loss of taste and smell in COVID-19, suggest that cranial nerves may also be affected. In this context, COVID-19 can cause various neurological symptoms including peripheral facial paralysis. In this report, we aimed to present a young male patient with peripheral facial paralysis who was diagnosed with COVID-19, and to make a contribution to neurological symptoms caused by COVID-19.Öğe Determination of health anxiety and resilience levels in patients with fibromyalgia syndrome and rheumatoid arthritis during SARS-CoV-2 pandemic: a case–control study(Cukurova University, Faculty of Medicine, 2022) Karakoyun, Ahmet; Yüksel, Arzu; Bahadır-Yılmaz, EmelFibromyalgia Syndrome and Rheumatoid Arthritis are chronic diseases associated with pain. These diseases reduce the patient’s quality of life and cause psychological problems. The study aimed to determine health anxiety and resilience levels in patients with fibromyalgia syndrome and rheumatoid arthritis during the severe acute respiratory syndrome coronavirus 2 pandemic. Methods: This case–control study conducted in Central Anatolia Region, Turkey, included 180 participants (60 patients with fibromyalgia syndrome, 60 patients with rheumatoid arthritis, and 60 healthy subjects). Data were collected using the Brief Resilience Scale and Health Anxiety Scale. Pain intensity was assessed using the Visual Analog Scale. Results: Resilience was significantly higher in healthy controls than in the fibromyalgia syndrome and rheumatoid arthritis groups (P < .001). Resilience was also higher in the rheumatoid arthritis group than fibromyalgia syndrome (P < .001) group. Hypersensitivity to somatic symptoms and anxiety, negative results of diseases, and total scores of Health Anxiety Scale were significantly higher in the fibromyalgia syndrome and rheumatoid arthritis groups than healthy controls (P < .001). Also, Health Anxiety Scale scores in the fibromyalgia syndrome group were higher than the rheumatoid arthritis group (P < .001). There was a very strong and negative correlation between the participants’ resilience and health anxiety levels (r =-0.818, P < .001). The most important predictors of resilience were hypersensitivity to somatic symptoms and anxiety (r =-0.335, P < .001), the group (r = 0.302, P = .003), the pain intensity (r =-0.169, P = .043), and the negative consequences of the disease (r =-.149, P = .038). The hypersensitivity to somatic symptoms and anxiety, the Visual Analog Scale, and the negative consequences of the disease were negatively correlated with resilience. But there was a positive correlation between fibromyalgia syndrome and rheumatoid arthritis groups and resilience. Conclusions: Patients with fibromyalgia syndrome and rheumatoid arthritis have low resilience and high health anxiety. The interventions should be planned to increase resilience and decrease the health anxiety of patients with fibromyalgia syndrome and rheu-matoid arthritis.Öğe Does Sjogren's syndrome affect only the lacrimal gland in the eye? Time to replace the missing stones(Wolters Kluwer Medknow Publications, 2021) Gürlevik, Uğur; Karakoyun, Ahmet; Yaşar, ErdoğanPurpose: This study aimed to reveal the cause of meibomian gland disease and meibomian gland loss in patients with Sjogren's syndrome (SS) as the leading factor for dry eyes. Methods: The study included a total of 30 patients with SS and dry eye symptoms and a control group of 50 age- and gender-matched healthy subjects. The dryness parameters of all the participants were evaluated. At first, meibography was performed to measure meibomian gland loss using noninvasive methods. Later, meibomian gland expression and secretion quality were evaluated using silt-lamp biomicroscopy. Correlations between the measurements were analyzed statistically. Results: In patients with SS, MG loss was significantly greater than in the control group (19.7 +/- 71%, 12.7 +/- 9.6%, P < 0.001). All dry eye parameters (tear film breakup time, Schirmer's test score, OSDI, stain score, dry eye disease) were statistically significant in the SS group. There was an extremely negative correlation between upper MB loss and BUT (P = 0.08, r: -0.781). There was an extremely positive correlation between upper MB loss and staining (P = 0.015, r: 0.739). An extremely negative correlation was determined between sub-MB loss and BUT (P = 0.18, r:-0.781), and a moderately positive significant correlation was found between sub-MB loss and staining (P = 0.031, r: 0.659). Conclusion: The results of this study demonstrated that patients with SS were at a higher risk of being exposed to meibomian gland loss, which directly leads to the severe dry eye symptoms associated with SS.Öğe Electrophysiological and clinical evaluation of the effects of transcutaneous electrical nerve stimulation on the spasticity in the hemiplegic stroke patients(Society of Physical Therapy Science (Rigaku Ryoho Kagakugakkai), 2015) Karakoyun, Ahmet; Boyraz, İsmail; Gündüz, Ramazan; Karamercan, Ayşe; Özgırgın, Neşe[Purpose] To investigate whether transcutaneous electrical nerve stimulation (TENS) mitigates the spasticity of hemiplegic stroke patients, as assessed by electrophysiological variables, and the effects, if any, on the clinical appearance of spasticity. [Subjects and Methods] Twenty-seven subjects who had acute hemiplegia and 24 healthy people as the control group, were enrolled in this study. Some of the acute cerebrovascular disease patients could walk. Subjects who did not have spasticity, who were taking antispasticity medicine, or had a previous episode of cerebrovascular disease were excluded. The walking speed of the patients was recorded before and after TENS. EMG examinations were performed on the healthy controls and in the affected side of the patients. A 30-minute single session of TENS was applied to lower extremity. At 10 minutes after TENS, the EMG examinations were repeated. [Results] A statistically significant decrease in the spasticity variables, and increased walking speed were found post-TENS. The lower M amplitude and higher H reflex amplitude, H/M maximum amplitude ratio, H slope, and H slope/M slope ratio on the spastic side were found to be statistically significant. [Conclusion] TENS application for hemiplegic patients with spastic lower extremities due to cerebrovascular disease resulted in marked improvement in clinical scales of spasticity and significant changes in the electrophysiological variables. © 2015 The Society of Physical Therapy Science.Öğe Evaluation of eye findings in fibromyalgia patients(Galenos Yayıncılık, 2019) Karakoyun, Ahmet; Yaşar, Erdoğan; Gürlevik, Uğur; Çalık, YalkınObjective: Fibromyalgia (FM) is a rheumatic disease which exactly unknown etiology, causes widespread body pain. In FM patients, a large variety of ocular findings, especially dry eye, occur with and without other rheumatic diseases. These ocular findings may be the first findings to warn the clinician for diagnosis in rheumatic diseases. The aim of this study is to evaluate the eye findings as clinically in patients with FM. Materials and Methods: The patients of those between the ages of 18-75, who were admitted to the Aksaray University Training and Research Hospital, Physical Medicine and Rehabilitation Polyclinic and diagnosed with FM, and then examined in the Ophthalmology Polyclinic, were included in the study. Patients' files were reviewed retrospectively. The clinical diagnosis, socio-demographic characteristics, ocular examination findings, history, family history and the results of the treatments were recorded. Those who had undergone eye surgery, rheumatologic disease, diabetic retinopathy, glaucoma, systemic infection, autoimmune disease, cerebrovascular disease, major depression, abnormal laboratory values, and history of malignancy, were not included in the study. The diagnosis of FM was determined according to the American College of Rheumatology updated in 2016. Results: The files of 94 patients who met the appropriate criteria were included in the study. The mean age of the patients was 38.2 (18-75), and 80 (85%) were female and 14 (15%) were male. According to the ocular findings, 57 patients (57.4%) had eye pain, 28.2% had redness, 26.9% had burning-stinging, 15.1% had turbidity, 6.3% had burring, and 3.7% had itching. Among the causes of eye pain were 49.1% dry eye, 24.6% refractive failure, 12.3% blepharitis, and 3.5% allergy, while no cause was found in 10.5%. Conclusion: In our study; it was detected that the patients with FM have a large extent of eye pain, and the most important cause of the eye pain was dry eye. The result of study shows that patients with FM may be accompanied by various ocular findings in addition to chronic widespread body pain and multidisciplinary approach is important in chronic diseases such as FM.Öğe Evaluation of inflammation in pathogenesis of osteoporosis with neutrophil lymphocyte and platelet-lymphocyte ratios(Galenos Yayıncılık, 2015) Boyraz, İsmail; Çağlar, Hilal; Karakoyun, Ahmet; Koç, Bünyamin; Özkan, Hilal; Göndöz, Ramazan[No abstract available]Öğe Evaluation of physical medicine and rehabilitation consultations requested for inpatients in a university hospital(Türkiye Fiziksel Tıp ve Rehabilitasyon Uzman Hekimleri Derneği, 2020) Karakoyun, Ahmet; Çalık, Yalkın; Aykut Selçuk, MelekT Objective: The aim of this study was to evaluate the consultations requested from the department of physical medicine and rehabilitation (PM&R) with regard to socio-demographic characteristics, clinics of the patients, reasons for consultation, diagnoses and given treatment. Material and Methods: The study included patients who were hospitalized between January 1 and December 31, 2017 and who were asked for a PM&R consultation. Consultation forms were scanned retrospectively and examination findings and evaluations were recorded. Results: The study included 235 patients who were hospitalized in 13 different clinics. Of the patients, 128 (54.5%) were women and 107 (45.5%) were men. The mean age of the patients was 62 (range: 0-94) years. The departments that most frequently requested PM&R consultation were neurology (48.5%), internal medicine (11.1%), chest diseases (10.6%). The reasons for consultation were cerebrovascular disease (51.5%), walking disorder (13.6%), low back pain (12.2%), knee pain (9.8%), neck pain (6.5%), other causes (3.5%) and respiratory system problems (2.9%), respectively. 23.8% of patients who had PM&R consultation had no history of any additional disease, 40.9% had hypertension, 7.7% had asthma, 6.8% had hypertension and diabetes mellitus and 5.5%.had only diabetes mellitus. As a result of consultations, the most diagnosed disease groups were neurological diseases (59.5%) and musculoskeletal disorders (37%). On the other hand, exercise after consultations 47.6% of the patients were treated only with therapeutic therapy, 31.4% with exercise and medical treatment, 25.5% with exercise and conventional physical therapy, 9.3% with medical and physical therapy and 8% were applied all three treatment modalities.Conclusion: This study shows that all departments are in contact with the PM&R clinic, PM&R consultation is needed especially due to neurological diseases and musculoskeletal pathologies, and also emphasizes the value of consultation requests and the importance of interdepartmental cooperation.Öğe Fibromiyalji hastalarında göz bulgularının değerlendirilmesi(Galenos Yayıncılık, 2019) Karakoyun, Ahmet; Yaşar, Erdoğan; Gürlevik, Uğur; Çalık, YalkınObjective: Fibromyalgia (FM) is a rheumatic disease which exactly unknown etiology, causes widespread body pain. In FM patients, a large variety of ocular findings, especially dry eye, occur with and without other rheumatic diseases. These ocular findings may be the first findings to warn the clinician for diagnosis in rheumatic diseases. The aim of this study is to evaluate the eye findings as clinically in patients with FM. Materials and Methods: The patients of those between the ages of 18-75, who were admitted to the Aksaray University Training and Research Hospital, Physical Medicine and Rehabilitation Polyclinic and diagnosed with FM, and then examined in the Ophthalmology Polyclinic, were included in the study. Patients' files were reviewed retrospectively. The clinical diagnosis, socio-demographic characteristics, ocular examination findings, history, family history and the results of the treatments were recorded. Those who had undergone eye surgery, rheumatologic disease, diabetic retinopathy, glaucoma, systemic infection, autoimmune disease, cerebrovascular disease, major depression, abnormal laboratory values, and history of malignancy, were not included in the study. The diagnosis of FM was determined according to the American College of Rheumatology updated in 2016. Results: The files of 94 patients who met the appropriate criteria were included in the study. The mean age of the patients was 38.2 (18-75), and 80 (85%) were female and 14 (15%) were male. According to the ocular findings, 57 patients (57.4%) had eye pain, 28.2% had redness, 26.9% had burning-stinging, 15.1% had turbidity, 6.3% had burring, and 3.7% had itching. Among the causes of eye pain were 49.1% dry eye, 24.6% refractive failure, 12.3% blepharitis, and 3.5% allergy, while no cause was found in 10.5%. Conclusion: In our study; it was detected that the patients with FM have a large extent of eye pain, and the most important cause of the eye pain was dry eye. The result of study shows that patients with FM may be accompanied by various ocular findings in addition to chronic widespread body pain and multidisciplinary approach is important in chronic diseases such as FM.Öğe Increased PCSK9 associated with cIMT in AS: A useful marker for subclinical atherosclerosis in patients with ankylosing spondylitis(Turkish League Against Rheumatism (TLAR), 2024) Karakoyun, Ahmet; Akkubak, Yasemin; Göktepe, Mevlüt Hakan; Yılmaz, Pınar Diydem; Kadıyoran, Cengiz; Oğul, Mustafa; Kucuk, AdemThis study aims to investigate the relationship between proprotein convertase subtilisin/ kexin type 9 (PCSK9) levels and subclinical atherosclerosis (SA) in patients with ankylosing spondylitis (AS). Patients and methods: Between January 2022 and March 2022, a total of 56 patients (33 males, 23 females; mean age: 37.8±9.3 years; range, 20 to 60 years) who were under regular follow-up in our clinic and fulfilled the criteria of the Modified New York Diagnostic Criteria for AS and American College of Rheumatology (ACR) for AS were included. Age-and sex-matched 56 healthy volunteers (25 males, 31 females; mean age: 38.4±8.2 years; range, 20 to 60 years) were also recruited as the control group. Demographic, clinical, and laboratory data were recorded. The PCSK9 level and carotid intima-media thickness (cIMT) were evaluated using appropriate methods. Results: The mean serum PCSK9 levels in AS patients (609.3±149.9 vs. 136.3±120.8 ng/mL, p<0.001) and the mean cIMT values (0.51±0.19 vs. 0.43±0.08 mm, p=0.003) were higher than healthy controls. In the multivariate stepwise regression analysis, there was an independent relationship between SA and PCSK9 (?=0.324, p=0.001). Additionally, there was an independent relationship between carotid plaque and PCSK9 (?=0.265, p=0.006). Based on the receiver operating characteristic curve analysis, the optimal PCSK9 cut-off value for plaque was 472.0 ng/mL, sensitivity 90.9%, specificity 65.0% (area under the curve [AUC]=0.759; 95% CI: 0.660-0.857, p=0.005). The optimal PCSK9 cut-off value for SA was 459.5 ng/mL, sensitivity 63.2%, specificity 63.0% (AUC=0.625; 95% CI: 0.512-0.739, p=0.031). Conclusion: Our study showed that serum PCSK9 levels in patients with AS were higher than that in healthy individuals and were associated with SA and arterial plaque formation.Öğe Investigation of the efficacy of kinesiological banding in pregnancy-related carpal tunnel syndrome(Necmettin Erbakan Üniversitesi, 2020) Kösehasanoğulları, Meryem; Yılmaz, Nihal; Karakoyun, Ahmet; Şenyuva, İrem; Kösehasanoğulları, Seyfullah GörkemAim: The aim of this study was to investigate the effects of kinesiological banding on symptoms in carpal tunnel syndrome associated with pregnancy.Patients and Methods: Patients who were admitted to the Physical Therapy and Rehabilitation Clinic due to carpal tunnel syndrome and who were diagnosed with carpal tunnel syndrome by electromyography and who were able to reach the visuel analog score, Short Form-36, Boston Carpal Tunnel Questionnaire and Pittsburgh Sleep Quality Index values were included in the study.Results: In both groups, there was a significantly difference between the first visuel analog score day-night and the last visuel analog score day-night and first and last Pittsburgh Sleep Quality Index (p<0,05). While there was a significantly improvement in the Boston Symptom Severity Scale, there was no significantly difference in Boston Functional Capacity Scale. In the comparison between the groups, visuel analog score day, Short Form-36 pain parameter and decrease in Boston Symptom Severity Scale were found statistically significant.Conclusions: In our study, although the superiority of kinesiological banding on hand-wrist rest splint could not be clearly shown, decreased pain and symptoms and an increase in sleep quality were observed.The kinesiological banding should be in mind in patients who have no response to resting splint because of low treatment options during pregnanc.Öğe Is There a Relationship between Kinesiophobia and Physical Activity Level in Patients with Knee Osteoarthritis?(Oxford University Press, 2020) Aykut Selçuk, Melek; Karakoyun, AhmetObjective. To investigate the levels of kinesiophobia, physical activity, depression, disability, and quality of life in patients with knee osteoarthritis. Design. A cross-sectional study. Setting. A tertiary health care center. Subjects. Ninety-six patients with knee osteoarthritis. Methods. Pain intensity was evaluated by the Visual Analog Scale, kinesiophobia by the Tampa Scale of Kinesiophobia and Brief Fear of Movement Scale, depression by the Beck Depression Inventory, disability by the Western Ontario and McMaster Universities Arthritis Index, physical activity level by the International Physical Activity Questionnaire short form, and quality of life by the Short Form 12 Health Survey Questionnaire. Results. Of the patients, 85.7% had high-level kinesiophobia, 70.6% had depression, and 64.4% had low, 27.8% moderate, and 7.8% high physical activity levels. Age, activity-related pain score of the Visual Analog Scale, Tampa Scale of Kinesiophobia and Brief Fear of Movement Scale scores, and Western Ontario and McMaster Universities Arthritis Index and Beck Depression Inventory scores were higher in the group with high-level kinesiophobia, whereas the mental, physical, and total scores obtained from the Short Form 12 Health Survey Questionnaire were higher in the group with low-level kinesiophobia (P < 0.05). Conclusions. As the treatment of pain alone in patients with knee osteoarthritis is not sufficient to reduce fear of movement, we suggest that approaches to increase awareness of fear of movement and physical activity and cognitive behavioral therapy related to fear of movement should be included in the treatment programÖğe Is there a relationship between kinesiophobia, pain, depression, disease activity, functional status and quality of life in patients with ankylosing spondylitis?(İnönü Üniversitesi Tıp Fakültesi, 2023) Karakoyun, Ahmet; Çalık, YalkınTo evaluate the presence of kinesiophobia and its potential effects on pain, depres sion, disease activity and quality of life in patients with ankylosing spondylitis (AS). Materials and Methods: The study included 58 AS patients and 55 healthy controls. Tampa Kinesiophobia Scale (TKS) was used to evaluate the presence of kinesiophobia, Visual Analogue Scale (VAS) for severity of pain, Beck Depression Index (BDI) for de pression level, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) for disease activity, Bath Ankylosing Spondylitis Functional Index (BAS-FI) for functional status, and Ankylosing Spondylitis Functional Index (ASQoL) for Quality of life. Results: In patient group, kinesiophobia rate was statistically significantly higher (68%) compared tothe healthy control subjects (27%) (p<0.001). TKS score, VAS pain level, and BDI levels were significantly higher in patients with AS compared to the healthy controls (for all p<0.001). In the AS group, patients with high kinesiophobia score had higher VAS, BDI, BAS-FI, BASDAI, and ASQoL scores compared to the patients with low kinesiophobia score (p<0.001) and the relationships between kinesiophobia and VAS, BDI, BAS-FI, BASDAI, and ASQoL scores (for all p<0.001) were significant.In addition, there was no significant relationship was found between kinesiophobia and age, and disease duration (p>0.05). Conclusion: Kinesiophobia is more common in patients who had AS than in healthy control subjects, and presence of kinesophobia is related toimpaired quality of life and increased pain. Therefore, we propose that strategies to increase awareness of movement fear, cognitive behavioral therapy and physical activity should be involved in the treatment programs.Öğe Isokinetic analysis of trunk muscles in stroke patients and its association with functional parameters(W.B. Saunders, 2020) Yanartaş, Gamze; Karakoyun, AhmetObjective: The purpose of our study is to investigate the association of balance, motor and functional development parameters with trunk muscles via isokinetic analysis in stroke patients due to cerebrovascular event. Methods: The study included 91 stroke patients and 28 healthy controls. Brunnstroom staging (BS) for motor functions, functional independence measurement (FIM) and Barthel index (BI) for disability, Berg balance scale (BBS) balance test for balance, Rivermead motor evaluation (RMA) for mobility, and mini-mental test (MMT) for cognitive function were used. Strength and proprioception measurements of patients and controls’ trunk extensor and flexor muscles were evaluated via exercise system and isokinetic test. Results: A strong positive correlation was found between FIM total score and lower-extremity Brunnstrom staging (p < 0.001). A strong positive correlation was found between trunk control test (TCT), and FIM total scores (p < 0.001, r = 0.892), BI (p < 0.001, r = 0.799) and BBS (p = 0.01, r = 0.885). Isokinetic muscle strength values of controls were found statistically significantly higher than those in patients with stroke (p < 0.001). Trunk control and proprioception were poor in patients with stroke compared to the control group (p <0.001). Trunk muscles performance measures were significantly associated with balance and functional parameters. However, no significant relationship was found between the angular values of trunk muscle proprioception and clinical parameters in patients with stroke. Conclusions: In stroke patients, trunk muscles were weak and trunk proprioception was impaired. So, inserting exercise programs to strengthen trunk muscles and improve trunk proprioception through isokinetic dynamometers or conventional methods into the rehabilitation programs of patients with muscle weakness and proprioception disorder may provide a better functional development.Öğe May neutrophil lymphocyte ratio and platelet lymphocyte ratio be used as inflammatory markers in patients with epicondylitis? Inflammatory markers in patients with epicondylitis(İnönü Üniversitesi, 2020) Karakoyun, Ahmet; Çalık, YalkınAim: The aim of this study was to determine whether there is any correlation between neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR) and acute phase reactants such as C-reaktive protein (CRP), erythrocyte sedimentation rate (ESR) in patients with epicondylitis.Material and Methods: Our study included 274 patients. 154 patients with epicondylitis constituted the epicondylitis group and 120 healthy individuals constituted the control group. Demographic data such as age, gender, and laboratory values such as NLR and PLR were analyzed retrospectively. Both groups were compared in terms of dermographic data, leukocyte, neutrophil, lymphocyte, platelet count, CRP, ESR, NLR and PLR.Results: There was no significant differences between patient and control groups in term of demographic data such as height and weight, and laboratory values such as nuetrophil, lymphocyte, platelet, ESR and CRP (p>0,05 for all). Besides, no significant difference was found between the two groups in terms of NLR and PLR values (p>0,05 for both). There was a significant positive correlations between NLR or PLR and ESR or CRP values in the patient group (p<0,001 for all).Conclusions: In our study, no significant difference was found between NLR, PLR and other blood paramaters in patients with epicondylitis compared to those of controls. As a result, we determined that it is not meaningful to use these rates to show the presence of inflammation in epicondylitis pathogenesis, and there is no correlation between the severity of epicondylitis and these rates. There is a need for further studies with more patient numbers and clinical evaluation parameters.Öğe The changes of mean platelet volume and platelet distribution width in patients with rheumatoid arthritis and their correlation with disease activity(Editore Carbone, 2015) Yıldırım, Adem; Karabiber, Mehmet; Sürücü, Gülseren Dost; Türkbeyler, İbrahim Halil; Karakoyun, Ahmet; Selkuc, Mustafa Yavuz; Zengin, OrhanAims: The link between inflammation and platelet activation was already proven. Only a few studies have been reported using platelet indices (platelet count (PC), mean platelet volume (MPV) and platelet distribution width (PDW)) as an indicator of acute phase response for assessment of disease activity. The aim of this study was to evaluate the PC, MPV and PDW trends in patients with rheumatoid arthritis (RA) comparing with control group. We also investigated whether these parameters were associated with disease activity score (DAS28-CRP) in RA patients. Materials and methods: Ninety consecutive RA patients fulfilling American College of Rheumatology criteria (RA group) and 52 rheumatic disease free participants (control group) were included this study. PC, MPV and PDW values of RA group compared with controls. Correlation tests were used in order to evaluate the relationship between the DAS28-CRP scores and PC as well as MPV and PDW. Results: We found significantly higher MPV and lower PDW values in the RA group when compared with controls. There were negative correlations between DAS28-CRP and MPV (r=-0,231, p=0,029) also PDW (r=-0,216, p=0,041) while correlation between DAS28-CRP and platelet count was not significant statistically. Conclusion: This study demonstrated that platelet indices such as MPV and PDW may provide helpful information for assessment of disease activity in patients with RA.Öğe The Effect of Distant Reiki Applied to Individuals with Extremity Amputation on Pain Level and Holistic Well-Being: A Quasi-experimental Study(Elsevier, 2024) Kütmeç Yılmaz, Cemile; Karakoyun, Ahmet; Yurtsever, SabireBackground: Pain felt in an amputated limb is quite common. Phantom pain affects the lives of individuals in many ways and can negatively affect the holistic well-being of individuals. Distant Reiki can be used in the management of these problems. Aim: This study was conducted to examine the effect of distant Reiki applied to individuals with extremity amputation on pain level and holistic well-being. Method: This a quasi-experimental single group pre-test. Post-test design research was conducted between September 2022 and April 2023 and included 25 individuals with extremity amputation. Then, according to Classical Usui Reiki, distant Reiki application has been performed for 20 minutes every day for 10 days. Data were collected at the beginning of the study and at the end of the 10th day. The data were obtained using an Introductory Information Form, the Visual Analog Scale for Pain, and Holistic Well-Being Scale. Results: The mean age of the participants was 51.32 ± 16.65 years. There was a significant difference between pre-test and post-test pain levels of the participants (p < .05) and HWBS subscale scores (p < .05). Accordingly, it was determined that after 20-minute distant Reiki sessions for 10 consecutive days, the pain levels of the individuals were significantly reduced and their holistic well-being improved. Conclusion: Distant Reiki has been found to be easy to administer, inexpensive, non-pharmacological, and appropriate for independent nursing practice to be effective in reducing phantom pain levels and increasing holistic well-being in people with limb amputation.Öğe The effect of mindfulness-based therapy on psychiatric symptoms, psychological well-being, and pain beliefs in patients with lumbar disk herniation(Blackwell Publishing Inc., 2021) Yüksel, Arzu; Çetinkaya, Funda; Karakoyun, AhmetPurpose: This study was conducted to determine the impact of mindfulness-based therapy on psychiatric symptoms, psychological well-being, and pain beliefs in patients with lumbar disk hernia. Design and Methods: The study was a nonrandomized pretest-posttest controlled quasi-experimental research and carried out in a total of 64 patients. A personal information form, the Depression Anxiety Stress Scale, the Psychological Well-Being Scale, and the Pain Beliefs Scale were used for data collection. Findings: We observed a statistically significant difference between the intervention and control groups in terms of the posttest mean scores of the psychiatric symptoms, psychological well-being, and pain beliefs. Practice Implications: The results revealed that mindfulness-based therapy has a positive impact on pain beliefs and psychological well-being.Öğe The effects of elastic band exercise on the pain, kinesiophobia, functional, and psychological status after total knee arthroplasty: a randomized controlled trial(Springer Science and Business Media Deutschland GmbH, 2022) Çetinkaya, Funda; Karakoyun, AhmetElastic band exercise not only improves muscle strength and elasticity, increases efficiency, balance, and quality of life but also decreases the injury risk. This study was conducted to determine the effect of elastic band exercise on pain, kinesiophobia, functional, and psychological status after total knee arthroplasty. Methods: This study was conducted out between October 2019 and April 2020 as a randomized controlled experimental study with a total of 60 patients. Data collection tools in this study included a descriptive information form, visual analog scale, Tampa Kinesiophobia, WOMAC Osteoarthritis Index, and Beck Depression Inventory. Results: Before intervention, the total score of VAS, WOMAC, Tampa Kinesiophobia, and Beck Depression showed no statistically significant difference between intervention group and control group. However, 4 weeks after intervention observed a statistically significant difference between the intervention and control groups in terms of VAS (U = 10,000; p < 0.001), WOMAC (U = 0.00; p < 0.001), Tampa Kinesiophobia (U = 221.5; p = 0.001), and Beck Depression means score (U = 112.5; p < 0.001). In addition, 4 weeks after the intervention, joint range and walking test assessments were statistically significant between the intervention and control groups (p < 0.001). Conclusion: The results of the research showed that elastic band exercise had a positive effect on psychological and functional capacity. Trial registration: This study is registered in the Clinical Trial Registry (registration number NCT04981106)Key points• Patients with total knee arthroplasty require rehabilitation exercise to avoid physical function weakness.• Elastic band exercise significantly reduces patients’ fear of movement and depression.• Elastic band exercise activities facilitate significant physical motion function.• Elastic band exercise inspires the will of patients to engage in home rehabilitation exercise patients after total knee arthroplasty.Öğe The impact of extracorporeal shock wave therapy on pain, grip strength and functionality in patients with medial epicondylitis and lateral epicondylitis(İnönü Üniversitesi, 2022) Karakoyun, Ahmet; Çalık, YalkınThe aim of this study was to evaluate the effectiveness of extracorporeal shock wave therapy (ESWT) and conventional physical therapy applications on pain, grip strength and functionality in medial and lateral epicondylitis treatment and to compare the results. Materials and Methods: A total of 116 patients diagnosed with medial and lateral epicondylitis were included in the study. The patients were divided into ESWT group and control group. The patients in the control group received a total of 15 sessions of conventional physical therapy (Hotpack, Transcutaneous electrical nerve stimulation (TENS)) once a day for 30 minutes.Whereas, ESWT was applied to the patients in the ESWT group as 2 sessions per week, for a total of 6 sessions. Pain severity of the patients was measured with Visual Pain Scale (VAS), grip strength with a hand dynamometer and functional level with the Patient Based Forearm Assessment Questionnaire (PFEQ).Measurements were made in all groups before treatment, after treatment and 1 month after treatment. Results: In comparisons between groups, there was a significant decrease in VAS and PFEQ values after treatment compared to the control group in the ESWT group (p <0.05). In the evaluation of the hand tightening force, it was observed that the hand tightening force in the ESWT group after treatment (p: 0.043) and 1st month controls increased significantly compared to the control group (p: 0.038). Conclusions: Based on these results, our study demonstrated that the combination of conventional physical therapy and ESWT produced clinically positive effects in patients with epicondylitis.
