Researcher:
Mısırlıoğlu, Tuğçe Özekli

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Doctor

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Tuğçe Özekli

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Mısırlıoğlu

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Mısırlıoğlu, Tuğçe Özekli

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2015 - 201912

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    Dynamic ultrasound imaging for the assessment of extensor tendon adhesion after fifth metacarpal intraarticular head fracture: a case report
    (Hanley & Belfus-Elsevier Inc, 2019) N/A; N/A; Mısırlıoğlu, Tuğçe Özekli; Özben, Hakan; Doctor; Faculty Member; N/A; School of Medicine; Koç University Hospital; N/A; 175999; N/A
    Study Design: Case report. Introduction: Development of extensor tendon adhesions is a common complication after intra-articular metacarpal head fracture. Whenever these adhesions cannot be mobilized by rehabilitation, tenolysis should be considered. However, the decision for tenolysis is often delayed. When the rehabilitation program comes to a plateau and clinical examination may not be sufficient to find out the cause, dynamic ultrasound (US) can show where the gliding mechanism is disrupted and help clinicians to give an accurate decision for determining the next steps. Purpose of the Study: To determine the role of dynamic US during hand rehabilitation. Methods: A 22-year-old woman presented with a fifth metacarpal intra-articular head fracture. Ten days after the surgery (open reduction and internal fixation) the hand rehabilitation program was commenced. After the third week, the metacarpophalangeal (MP) joint range of motion (ROM) gradually diminished. Dynamic US near the level of fifth MP joint revealed diminished extensor tendon excursion and capsular thickening. Results: Considering physical and sonographic findings, surgical tenolysis and capsular release was planned. After surgery, the DIP, PIP and MP joints reached full passive ROM. Conclusion(s): Ultrasound is a quick and practical way to diagnose tendon adhesions. With this report, the authors suggest that clinicians may use dynamic US, especially in times when the patient comes to plateau during hand rehabilitation.
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    Recovery features in ulnar neuropathy at the elbow
    (Soc Physical Therapy Science, 2015) Yildirim, Pelin; Yildirim, Apdullah; Evcili, Gokhan; Karahan, Ali Yavuz; Gunduz, Osman Hakan; N/A; Mısırlıoğlu, Tuğçe Özekli; Doctor; N/A; Koç University Hospital; 175999
    [Purpose] This study evaluated the effect of age, sex, and entrapment localization on recovery time in patients treated conservatively for ulnar neuropathy at the elbow. [Subjects] Thirty-five patients (16 women and 15 men) who were diagnosed with ulnar neuropathy at the elbow using short segment conduction studies were evaluated retrospectively. [Methods] Definition of recovey was made based on patient satisfaction. The absence of symptoms was considered as the marker of recovery. Patients who recovered within 0-4 weeks were in Group 1, and patients who recovered within 4 weeks to 6 months were in Group 2. The differences between Group 1 and Group 2 in terms of age, sex and entrapment localization were investigated. [Results] Entrapment was most frequent in the retroepicondylar groove (54.3%). No significant difference was found in terms of age and entrapment localizations between Groups 1 and 2. There was a statistically significant difference between the groups for the male sex. [Conclusion] In ulnar neuropathy at the elbow, age and entrapment localization do not affect recovery time. However, male sex appears to be associated with longer recovery time.
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    A case of drop foot due to piriformis syndrome
    (Springer Heidelberg, 2015) Yıldırım, Pelin; Güler, Tuba; Özer, Tülay; Gündüz, Osman Hakan; N/A; Mısırlıoğlu, Tuğçe Özekli; Doctor; N/A; Koç University Hospital; 175999
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    Comment on "Piriformis muscle syndrome: diagnostic criteria and treatment of a monocentric series of 250 patients'' by F. Michel et al. Ann Phys Rehabil Med 2013; 56:371-83
    (Elsevier France-Editions Scientifiques Medicales Elsevier, 2015) Palamar, Deniz; Akgun, Kenan; N/A; Mısırlıoğlu, Tuğçe Özekli; Doctor; N/A; Koç University Hospital; 175999
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    Does a core stabilization exercise program have a role on shoulder rehabilitation? a comparative study in young females
    (Bayçınar Medical Publ-Bayçınar Tibbi Yayıncılık, 2018) N/A; N/A; Mısırlıoğlu, Tuğçe Özekli; Eren, İlker; Canbulat, Nazan; Çobanoğlu, Erim; Günerbüyük, Caner; Demirhan, Mehmet; Doctor; Faculty Member; Faculty Member; Undergraduate Student; Teaching Faculty; Faculty Member; N/A; School of Medicine; School of Medicine; School of Medicine; School of Medicine; School of Medicine; Koç University Hospital; N/A; N/A; N/A; N/A; N/A; 175999; 168021; 58534; N/A; N/A; 380939; 9882
    Objectives: This study aims to evaluate the effect of core stabilization exercises and to explore the immediate effect of core muscles-activated posture on shoulder maximal voluntary isometric contraction (MVIC) strength. Patients and methods: Between November 2016 and January 2015, a total of 75 healthy female volunteers (mean age 25.36 years; range, 18 to 30 years) were included. of these, 42 consecutive volunteers were assigned as the study group, while the remaining 33 volunteers were assigned as the control group. The study group completed a six-week core stabilization home-based exercise program. Two measurements were performed with six-week interval. A set of three repetitions for each shoulder side was performed by an electronic dynamometer under two conditions: core muscles relaxed and activated. Measurements were monitored real-time with a connected computer and recorded in Newton. Results: The activation of core muscles during the measurement significantly decreased the MVIC values in both groups (p<0.05). The MVIC values significantly increased after home-based exercise program in both conditions (p<0.05). Conclusion: Our study showed that six-week core stabilization exercise program had a significant positive effect on the shoulder MVIC strength. This result may support the use of core stabilization exercises in the early periods of shoulder rehabilitation when the shoulder muscle strengthening exercises are painful.
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    Piriformis syndrome: comparison of the effectiveness of local anesthetic and corticosteroid injections: a double-blinded, randomized controlled study
    (American Society of Interventional Pain Physicians, 2015) Akgün, Kenan; Palamar, Deniz; Erden, Meryem Gül; Erbilir, Tuba; N/A; Mısırlıoğlu, Tuğçe Özekli; Doctor; N/A; Koç University Hospital; 175999
    Background: piriformis syndrome (PS), which is characterized by pain radiating to the gluteal region and posterior leg, is accepted as one of the causes of sciatalgia. Although the importance of local piriformis muscle injections whenever PS is clinically suspected has been shown in many studies, there are not enough studies considering the clinical efficacy of these injections. Objective: to investigate the differences between local anesthetic (LA) and LA + corticosteroid (CS) injections in the treatment of PS. Study design: a prospective, double-blinded, randomized controlled trial. Setting: physical medicine and rehabilitation department of a university hospital. Methods: fifty-seven patients having unilateral hip and/or leg pain with positive FAIR test and tenderness and/or trigger point at the piriformis muscle were evaluated. Out of 50 patients randomly assigned to 2 groups, 47 patients whose pain resolved at least 50% from the baseline after the injection were diagnosed as having PS. The first group (n = 22) received 5 mL of lidocaine 2% while the second group (n = 25) received 4 mL of lidocaine 2% + 1 mL of betametazone under the guidance of ultrasound. Outcome assessment: Numeric Rating Scale (NRS) and Likert Analogue Scale (LAS). Results: no statistically significant difference (P > 0.05) was detected between the groups in NRS score values at resting (P = 0.814), night (P = 0.830), and in motion (P = 0.145), and LAS values with long duration of sitting (P = 0.547), standing (P = 0.898), and lying (P = 0.326) with evaluations at baseline, first week, and first and third months after the injection. A statistically highly significant (P < 0.005) reduction of pain was evaluated through NRS scores at resting (P = 0.001), in motion (P = 0.001), and at night (P = 0.001) and LAS values with long duration of sitting (P = 0.001), standing (P = 0.001), and lying (P = 0.001) in both of the groups. Limitations: presumed limitations of this study include having a relatively small sample. Conclusion: LA injections for the PS were found to be clinically effective. However, addition of CS to LA did not give an additional benefit. This gives us the idea that PS is mostly muscular in origin and responds well to both LA and LA+CS injections.
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    Piriformis syndrome in an incomplete paraplegic patient: a case report
    (Springer Nature, 2015) Akgün, Katja; Palamar, Deniz; N/A; Mısırlıoğlu, Tuğçe Özekli; Doctor; N/A; Koç University Hospital; 175999
    Objectives: we present an incomplete paraplegic patient with lower back and hip pain, diagnosed and treated as the piriformis syndrome (PS). Setting: University hospital, Turkey. Case: a 62-year-old woman with T3 paraplegia of American Spinal Injury Association Impairment Scale grade D presented with lower back and right hip pain accompanied by pain and numbness radiating to her right leg. After detailed anamnesis and physical examination, she was pre-diagnosed as having PS. The marked relief of pain following the ultrasound-guided piriformis muscle injection of 4 cc of lidocaine 2%+1 cc of betametazone confirmed the diagnosis. Conclusion: although the compressive neuropathies and musculoskeletal injuries of the upper limb leading to neuropathic and musculoskeletal pain in persons with spinal cord injury (SCI) are well described in literature, there is limited information regarding those of lower limbs. To the best of our knowledge, this is the first reported case of PS in a patient with SCI. PS should be kept in mind as a pain generator, especially in active and ambulatory SCI patients.
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    Kinesio taping has no immediate effect on shoulder isometric scapation strength: a study of healthy participants
    (Ios Press, 2019) N/A; N/A; N/A; N/A; N/A; N/A; N/A; Eren, İlker; Canbulat, Nazan; Çobanoğlu, Erim; Sevinç, Tolga Evrim; Mısırlıoğlu, Tuğçe Özekli; Seyahi, Aksel; Demirhan, Mehmet; Faculty Member; Faculty Member; Undergraduate Student; Undergraduate Student; Doctor; Faculty Member; Faculty Member; School of Medicine; School of Medicine; School of Medicine; School of Medicine; N/A; School of Medicine; School of Medicine; Koç University Hospital; 168021; 58534; N/A; N/A; 175999; 52082; 9882
    Background: Shoulder function is directly related to scapular kinematics and the scapula has always been a part of shoulder rehabilitation. Kinesio Taping (KT) is a specific taping technique where flexible tapes indirectly stabilize underlying soft tissues to modify their behavior. KT has been utilized for scapular stabilization in shoulder rehabilitation but its effect on shoulder strength was not examined before. Objectives: The aim of this self-controlled therapeutic study was to assess the effect of KT on shoulder scapation (arm elevation in scapular plane) strength in healthy individuals. Methods: This study was conducted on 160 shoulders of 80 healthy volunteers (34 males, 46 females; mean age: 23.8 [18-30]). The shoulder scaption strength was recorded, using an electronic dynamometer, as the maximal value of 3 consecutive measurements in two different forearm positions: 'palm down' and 'empty can'. Two sets of measurements, 3 days apart, were taken. The results of untaped and taped measurements were compared. Scapular taping, dominant side, forearm position, sex, and body mass index (BMI) were analyzed. Results: The test-retest findings of both forearm positions were highly correlated with ICCs ranging 0.978-0.990. There was no significant difference in strength between 'without KT' and 'with KT', 69.46 +/- 26.94 N vs 70.33 +/- 28.01 N, respectively (p = 0.126). In both experimental conditions, forearm position did not affect strength There was no significant difference between the results without and with Kinesio Taping in both forearm positions: p = 0.458 (without), p = 0.141 (with). Dominant side and male sex resulted in superior scores (p = 0.0001) while a positive correlation was calculated between BMI and shoulder strength (p = 0.0001, r = 0.4). CONCLUSIONS: Based on our comparisons, scapular KT does not appear to influence scaption strength in healthy individuals.
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    Validation of Duruöz Hand Index in patients with tetraplegia
    (Hanley & Belfus-Elsevier Inc, 2016) Unalan, Halil; Karamehmetoglu, Safak Sahir; N/A; Mısırlıoğlu, Tuğçe Özekli; Doctor; N/A; Koç University Hospital; 175999
    Study design: Cross-sectional, clinical measurement. Purpose: To investigate the validity of the Duruliz Hand Index (DHI) in the assessment of hand function in patients with tetraplegia. Methods: A total of 40 patients with tetraplegia participated. Patients' upper extremities were assessed on the level of 'body function and structure' [The American Spinal Cord Injury Association (ASIA) Impairment Scale (AIS) 2000 revised criteria, upper extremity motor score (UEMS), neurologic level of injury and visual analogue scale of hand function (VAS-HF)], 'activity' [DHI and Quadriplegia index of function-short form (QIF-SF)] and 'body function and structure, activity and participation' [Health Survey Short Form-36 (SF-36)] according to International Classification of Function. Results: The DHI showed significant correlations with UEMS, AIS, QIF-SF, VAS-HF, physical functioning and physical compound summary scores of SF-36. Conclusions: The DHI was found a valid method in the assessment of hand functions in patients with tetraplegia.
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    Reliability of sonographic muscle thickness measurements of the thenar and hypothenar muscles
    (Wiley, 2018) N/A; N/A; Mısırlıoğlu, Tuğçe Özekli; Taşkıran, Özden Özyemişçi; Doctor; Faculty Member; N/A; School of Medicine; Koç University Hospital; N/A; 175999; 133091
    Introduction This study was undertaken to assess the intra-and interrater reliability of sonographic thickness measurements of the thenar and hypothenar muscles. Methods: The thickness of the thenar and hypothenar muscles of both hands of 15 volunteers (7 male, 8 female) were evaluated with a 4-13-MHZ linear probe by 2 examiners who were blinded to each other's measurements. Interrater reliability was then evaluated. To assess intrarater reliability, the first examiner also performed a second measurement after an interval of at least 1 day. Results: Mean age of the subjects was 31.169.0 years. Test-retest reliability showed excellent intrarater reliability (intraclass correlation coefficient range: 0.889-0.963) and substantial to excellent results for interrater reliability (intraclass correlation coefficient range: 0.692-0.937). Discussion: We found that ultrasound is a reliable method for thickness measurements of the thenar and hypothenar muscles.