Browsing by Author "Coskunsu, D.K."

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    Article
    Citation Count: 3
    Extracorporeal Shockwave Therapy Versus Graston Instrument-Assisted Soft-Tissue Mobilization in Chronic Plantar Heel Pain a Randomized Controlled Trial
    (American Podiatric Medical Association, 2022) Karagözoğlu Coşkunsu, Dilber; Cil, E.T.; Coskunsu, D.K.; Saylı, U.; Subasi, F.; Fizyoterapi Ve Rehabilitasyon Bölümü
    Background: Although there are studies showing that extracorporeal shockwave therapy (ESWT) and instrument-assisted soft-tissue mobilization methods are effective in chronic plantar heel pain (CPHP) treatment, there is a need for studies comparing these techniques. We compared the effectiveness of ESWT versus instrument-assisted soft-tissue mobilization using Graston Technique (GT) instruments in addition to stretching exercises (SEs) in CPHP. Methods: Sixty-nine patients were randomly assigned to three groups: ESWT+SEs (group 1), GT+SEs (group 2), and SEs only (control group) (ratio, 1:1:1). The SEs, twice daily for 8 weeks, were standard for all. Group 1 received low-intensity ESWT; in group 2, GT was the selected method. Visual analog scales (for initial step and activity pain), the Foot Function Index (FFI), the 12-item Short-Form Health Survey (SF-12), and the Tampa Scale for Kinesiophobia were used pretreatment, posttreatment, and at 8-week and 6-month follow-up. Results: Visual analog scale and FFI scores improved posttreatment and during follow-up in all groups (P < .001). Although effect sizes were greater in groups 1 and 2 than in the control group in initial step pain posttreatment and at 8-week follow-up, group 2 had the highest effect size at 6 months. Mean SF-12 scores in groups 1 and 2 improved on the post-treatment assessment. Furthermore, group 2 showed significant improvements in FFI scores compared with the other groups at 6-month follow-up (F = 6.33; P = .003). Conclusions: Although ESWT+SEs and GT+SEs seem to have similar effects on initial step pain posttreatment and at 8-week follow-up, GT+SEs was found most effective for improving functional status at 6 months in the management of CPHP. © 2022, American Podiatric Medical Association. All rights reserved.
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    Article
    Citation Count: 2
    Proprioceptive Neuromuscular Facilitation Stretching Combined With Kinesio Taping for Hamstring Flexibility in Amateur Athletes: a Single-Blind, Randomized, Controlled Trial
    (University School of Physical Education in Wroclaw, 2021) Karagözoğlu Coşkunsu, Dilber; Özdinçler, Arzu; Ozdincler, A.R.; Fizyoterapi Ve Rehabilitasyon Bölümü
    Introduction. This study investigated the effect of proprioceptive neuromuscular facilitation (PNF), Kinesio® tape (KT), and PNF combined with KT (PNF + KT) for hamstring flexibility and jumping performance in amateur athletes with hamstring tightness. Methods. overall, 128 amateur athletes were randomly assigned to the PNF (n = 32), KT (n = 32), PNF + KT (n = 32) or control group (n = 32). Flexibility was assessed with active straight leg raise (ASLR) test with a digital goniometer. Performance was evaluated by vertical jump (VJ) and triple hop distance (THd) tests. All measurements were performed by a blinded assessor 3 times: at baseline, immediately after the interventions, and 30 minutes after the interventions. Results. Amateur athletes receiving PNF or KT or PNF + KT demonstrated a greater increase in ASLR and THd tests from baseline to post-intervention scores (p = 0.001, p = 0.002, p = 0.001 for ASLR; p = 0.001 in all groups for THd, respectively) and from baseline to 30 minutes after intervention (p = 0.001 in all groups for ASLR; p = 0.001 in all groups for THd, respectively). Nevertheless, only the PNF + KT group presented a greater increase in VJ test from baseline to post-intervention scores (p = 0.02). Besides, the effect sizes for the PNF + KT group were higher than in the other groups in all parameters. Conclusions. PNF + KT might be more effective in increasing hamstring flexibility and jumping performance in amateur athletes with hamstring tightness than each method alone. © Wroclaw University of Health and Sport Sciences