Karagözoğlu Coşkunsu, Dilber
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Coskunsu, Dilber Karagozoglu
Coskunsu, D.K.
Coskunsu, Dilber Karagoezoglu
Coskunsu, D. Karagozoglu
Karagozoglu Coskunsu, Dilber
Coskunsu, D.K.
Coskunsu, Dilber Karagoezoglu
Coskunsu, D. Karagozoglu
Karagozoglu Coskunsu, Dilber
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14
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13
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29
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Scholarly Output Search Results
Now showing 1 - 10 of 14
Article Citation Count: 0Extracorporeal Shockwave Therapy Versus Graston Instrument-Assisted Soft-Tissue Mobilization in Chronic Plantar Heel Pain a Randomized Controlled Trial(Amer Podiatric Med Assoc, 2022) Karagözoğlu Coşkunsu, Dilber; Cil, Elif Tugce; Coskunsu, Dilber Karagozoglu; Sayli, Ugur; Subasi, Feryal; Fizyoterapi Ve Rehabilitasyon BölümüBackground: 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 com-pared 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.Article Citation Count: 9Effects of Robotic Rehabilitation on Recovery of Hand Functions in Acute Stroke: a Preliminary Randomized Controlled Study(Wiley, 2022) Karagözoğlu Coşkunsu, Dilber; Akcay, Sumeyye; Ogul, Ozden Erkan; Akyol, D. Kubra; Ozturk, Necla; Zileli, Fusun; Krespi, Yakup; Fizyoterapi Ve Rehabilitasyon BölümüObjective The aim of this study was to investigate the effects of EMG-driven robotic rehabilitation on hand motor functions and daily living activities of patients with acute ischemic stroke. Materials & Method A preliminary randomized-controlled, single-blind trial rectuited twenty-four patients with acute ischemic stroke (<1 month after cerebrovascular accident) and randomly allocated to experimental group (EG) and control group (CG). Neurophysiological rehabilitation program was performed to both EG and CG for 5 days a week and totally 15 sessions. The EG also received robotic rehabilitation with the EMG-driven exoskeleton hand robot (Hand of Hope (R), Rehab-Robotics Company) 15 sessions over 3 weeks. Hand motor functions (Fugl-Meyer Assessment-Upper Extremity (FMA-UE) and Action Research Arm Test (ARAT)), activities of daily living (Motor Activity Log (MAL)), force and EMG activities of extensor and flexor muscles for the cup test were evaluated before treatment (pretreatment) and after the 15th session (posttreatment). Results Eleven patients (59.91 +/- 14.20 yr) in the EG and 9 patients (70 +/- 14.06 yr) in the CG completed the study. EG did not provide a significant advantage compared with the CG in FMA-UE, ARAT and MAL scores and cup-force and EMG activities (p > .05 for all). Conclusion In this preliminary study, improvement in motor functions, daily living activities and force were found in both groups. However, addition of the EMG-driven robotic treatment to the neurophysiological rehabilitation program did not provide an additional benefit to the clinical outcomes in 3 weeks in acute stroke patients.Article Citation Count: 0Relationship Between Coronaphobia, Cognitive Functions, Sleep Quality, and Diet Quality in Older Adults During Covid-19(Galenos Publ House, 2024) Karagözoğlu Coşkunsu, Dilber; Polat, Selda; Coskunsu, Dilber Karagoezoglu; Altuncevahir, Ilayda; Koc, Bilge Meral; Ozkul, Ecenur; Fizyoterapi Ve Rehabilitasyon BölümüObjective: The relationship between the quality of diet and sleep, cognitive function, and fear related to coronavirus disease-2019 (COVID-19) among older adults in Turkey during the pandemic remains unclear. This study aimed to investigate the correlation between diet quality, cognitive function, sleep quality, and levels of coronaphobia in individuals aged 65 and above, to understand the impact of COVID-19. Materials and Methods: Sleep quality, diet quality, coronaphobia, and cognitive status of 72 older individuals were evaluated using the Pittsburgh sleep quality index, healthy eating index 2010, Montreal cognitive assessment scale, and coronavirus-19 phobia scale, respectively. Results: The participants had poor diet quality (54.2%), poor sleep quality (62.5%), obesity (41.7%), higher levels of coronaphobia, and cognitive impairment. There was a moderate negative relationship between sleep quality and coronaphobia and between cognitive status and coronaphobia (p <= 0.00); and a weak positive relationship between diet quality and cognitive status (p<0.05). However, no relationship was found between sleep quality and diet quality, and between coronaphobia and diet quality (p>0.05). Conclusion: Our study highlights the significant challenges faced by older adults during the COVID-19 pandemic, including poor nutrition quality, sleep disturbances, coronaphobia, and cognitive impairment. Our findings suggest a potential interplay between nutrition quality, sleep patterns, and cognitive function among older adults, with those experiencing coronaphobia exhibiting additional cognitive and sleep-related concerns. We advocate the implementation of targeted interventions aimed at mitigating cognitive impairment, addressing nutritional deficiencies, and improving sleep quality among older adults, irrespective of COVID-19 infection status, to enhance overall well-being during these challenging times.Conference Object Citation Count: 0Effect of Diafragmatic Breathing Exercises on Individual With Premature Ejaculation(Oxford Univ Press, 2024) Karagözoğlu Coşkunsu, Dilber; Coskunsu, D. Karagozoglu; Erkut, K.; Ozden, A., V; Fizyoterapi Ve Rehabilitasyon Bölümü[No Abstract Available]Article Citation Count: 1Time Difference Between Onsets of Lateral and Medial Hamstring Muscles During Gait in Patients With Patellofemoral Pain: a Preliminary Study(Marmara Univ, inst Health Sciences, 2022) Karagözoğlu Coşkunsu, Dilber; Can, Filiz; Kuchimovs, Shavkat; Akalan, Nazif Ekin; Kilicoglu, I. Onder; Ozturk, Necla; Fizyoterapi Ve Rehabilitasyon BölümüObjective: Early activation of lateral hamstrings (LH) relative to medial hamstrings (MH) has been thought to be the cause of abnormal knee abduction and external rotation of the tibia, which affects the orientation of patellar tendon and increases lateral patellofemoral compression. Therefore, early activation of LH relative to MH is considered to have a role in the patellofemoral pain (PFP). The aim of this study was to investigate the time difference between MH and LH onsets in patients with PFP during gait. Methods: Thirteen patients with bilateral PFP (mean age 28.73 +/- 7.44 years) and 13 asymptomatic subjects (mean age 30.47 +/- 6.22 years) were recruited in the study. Gait analysis was performed using the ELITE system (BTS, Milano-Italy) with video cameras (TVC, BTS, Milano-Italy). Participants were requested to walk at a self-selected speed on a force platform, and EMG data were recorded from MH and LH muscles for 10 initial contacts by using TELEEMG (BTS, Milano-Italy). Time difference between the onsets of the MH and LH was calculated for each initial contact by using moving averaging method, then their mean was obtained for each participant. Results: The time difference between onsets of MH and LH was - 26.9 +/- 22.2 ms for PFP subjects and - 11.2 +/- 14.2 ms for control subjects, and LH mainly became activated earlier compared to MH in most of the subjects in both groups. There was a statistically significant difference between the time differences of the groups (p=0.041). Conclusion: Our findings suggest that LH displayed an earlier activation in subjects with PFP compared to control subjects during gait.Article Citation Count: 0E-Health Literacy Status of Individuals With Multiple Sclerosis in Turkey(Mary Ann Liebert, inc, 2024) Işıklar, Çağdaş; Karagözoğlu Coşkunsu, Dilber; Yildirim, Merve; Coskunsu, Dilber Karagozoglu; Fizyoterapi Ve Rehabilitasyon BölümüBackground: This research aims to compare e-health literacy of technology users and nonusers in people with multiple sclerosis (MS) and to investigate whether there are correlations between age, duration of MS, gender, marital status, and e-health total scores.Methods: This descriptive study was carried out with a web-based questionnaire. The questionnaire was sent to 300 patients with MS who were registered at Istanbul University-Cerrahpasa Medical Faculty Neurology Department.Results: A total of 156 people (mean age: 35.33 +/- 10.47 years) participated in the survey. Smartphone 98.1% (n = 153) was the mostly used device. Rate of using Google and recommended websites about MS was 94.25% (n = 145) and 73.9% (n = 113), respectively. e-Health literacy of both the tablet and recommended websites users significantly differed from that of nonusers (p = 0.007 for both). Participants' e-health literacy total score was found to weakly, but significantly, correlate with their age, marital status, and education level (rho: -0.161, p = 0.044; rho: 0.172, p = 0.032; rho: -0.192, p = 0.016, respectively).Conclusions: With developments in digital technologies, it is important to identify the access status of people with MS to improve daily clinical management and implement further motor and cognitive rehabilitation. Therefore, determining the health literacy of individuals with MS and providing education on this subject will reduce the information pollution.Article Citation Count: 2Proprioceptive 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 BölümüIntroduction. 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 SciencesArticle Citation Count: 5The Effect of Electromyography (emg)-Driven Robotic Treatment on the Recovery of the Hand Nine Years After Stroke(Hanley & Belfus-elsevier inc, 2023) Karagözoğlu Coşkunsu, Dilber; Coskunsu, Dilber Karagozoglu; Akcay, Sumeyye; Akyol, Kubra; Hanoglu, Lutfu; Ozturk, Necla; Fizyoterapi Ve Rehabilitasyon BölümüObjective: To investigate the effect of electromyography (EMG)-driven robotic therapy on the recovery of the hand in a stroke case lasting 9 years.Case: An 18-year-old patient with hemiparesis due to the ischemic lesion was admitted to our clinic with hand impairment. Fifteen sessions (5 weeks x 3 times) of robotic rehabilitation were applied with the Hand of Hope. Average EMG (mV) of flexor digitorum superficialis (FDS) muscle, average force (N) and the rate of force development (RFD)(N/s) were also assessed before and after the treatment following the 5th and 10th sessions and at the end of treatment. Also, Fugl-Meyer Assessment of Upper Extremity Scale (FMU-UE), Motor Activity Log (MAL), Canadian Occupational Performance Score (COPM) and Visual Analog Scale (VAS) were used for assessment before and after the treatment.Results: The average EMG measured from FDS increased from 0.093-0.133 mV. The average force and average RFD increased from 45.6-97.7 and from 135.6-172.6 respectively. While affected and/or unaffected side force ratio increased dramatically from 54%-82%, the FMA-UE score increased from 56-59. The MAL quality of use score increased from 3.93-4.13. Performance and satisfaction scores of COPM changed from 5.25-7.25 and 4.5-8.25 respectively. VAS score for fatigue changed from 6 to 4.Discussion: The improvement achieved 9 years later with 15 sessions of rehabilitation suggests that im-provement may be possible for chronic stroke patients.(c) 2021 Elsevier Inc. All rights reserved.Article Citation Count: 1Effects of Manual Versus Instrumental Spinal Manipulation on Blood Flow of the Vertebral and Internal Carotid Arteries in Participants With Chronic Nonspecific Neck Pain: a Single-Blind, Randomized Study(Elsevier inc, 2023) Karagözoğlu Coşkunsu, Dilber; Coskunsu, Dilber Karagozoglu; Guven, Koray; Agaoglu, Mustafa H.; Yuce, Selvi; Fizyoterapi Ve Rehabilitasyon BölümüObjective: The aim of this study was to compare the hemodynamic effects of manual spinal manipulation (MSM) and instrumental spinal manipulation (ISM) on the vertebral artery (VA) and internal carotid artery (ICA) in participants with chronic nonspecific neck pain (NNP). Methods: Thirty volunteers aged 20 to 40 years old with NNP over 3 months duration were included. Participants were randomly divided into the following 2 groups: (1) MSM group (n = 15) and (2) ISM group (n = 15). Ipsilateral (intervention side) and contralateral (opposite side of intervention) VAs and ICAs were evaluated using spectral color Doppler ultrasound before and immediately after manipulation. Measurements were recorded by visualizing the ICA carotid sinus (C4 level) and the VA at the V3 segment (C1-C2 level). The blood flow parameters of peak systolic velocity (PSV), end-diastolic velocity, resistive index, and volume flow (only for VA) were evaluated. The spinal segment, in which biomechanical aberrant movement was detected by palpation in the upper cervical spine, was manually manipulated in the MSM group. The same methodology was performed for the ISM group using an Activator V instrument (Activator Methods). Results: Intragroup analysis exhibited no statistically significant difference between the MSM and ISM groups in terms of PSV, end-diastolic velocity, resistive index of ipsilateral and contralateral ICA and VA, in addition to volume flow of both VAs preintervention and postintervention (P > .05). Within the intergroup analysis, there was a significant difference in ipsilateral ICA PSV (P = .031) (preintervention vs postintervention difference was -7.9 & PLUSMN; 17.2 cm/s [95% confidence interval, -17.4 to 1.6] in the ISM group and 8.7 & PLUSMN; 22.5 cm/s [95% confidence interval, -3.6 to 21.2]) in the MSM group (P < .05). Other parameters did not show any significant difference (P > .05). Conclusion: Manual and instrumental spinal manipulations applied to the upper cervical spine in participants with chronic NNP did not appear to alter blood flow parameters of the VAs and ICAs.Article Citation Count: 0Does Neuromuscular Electrical Stimulation Have an Additive Effect on Disability, Pain and Abdominal and Lumbar Muscle Thickness in Chronic Low Back Pain? - a Randomized Controlled Double-Blind Study(Georg Thieme verlag Kg, 2022) Karagözoğlu Coşkunsu, Dilber; Coskunsu, Dilber Karagozoglu; Turan, Zeynep; Taskiran, Ozden Ozyemisci; Fizyoterapi Ve Rehabilitasyon BölümüZusammenfassung
