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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Fizyoterapi ve Rehabilitasyon Bölümü
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14
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13
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29
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0
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Now showing 1 - 10 of 14
Article Citation - WoS: 1Citation - Scopus: 2Effects 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 - WoS: 0Citation - Scopus: 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 BölümüZusammenfassungArticle Citation - WoS: 0Citation - Scopus: 0Evaluation of Immediate Effect of Sacroiliac Joint Manipulation on Balance and Muscle Strength(Edizioni Minerva Medica, 2021) Karagözoğlu Coşkunsu, Dilber; Karagozoglu Coskunsu, Dilber; Alptekin, Hasan K.; Inal, Habibe S.; Fizyoterapi Ve Rehabilitasyon BölümüBACKGROUND: The aim of this study was to investigate the immediate effect of chiropractic high velocity low amplitude (HVLA) sacroiliac manipulation on muscle strength and balance in healthy individuals with asymptomatic dysfunction of the sacroiliac joint. METHODS: Quadriceps and hamstring muscle strength and balance were measured before and after the application in healthy individuals, using the Biodex Balance System and MicroFet 2 Hand Dynamometer (Biodex Medical Systems, Inc., Shirley, NY, USA). Balance was measured when the patients stood on their feet eyes open, and eyes closed. In total, 60 individuals were included in the study. They were divided into two groups and the experimental group had 40 individuals in total. No application was made to the control group. One-time chiropractic HVLA sacroiliac manipulation was applied to the experimental group. RESULTS: In the control group, the quadriceps muscle strength of the right leg was 58.51 kg in the first measurement and 52.95 kg in the second measurement. The left leg yielded 57.62 kg in the first measurement and 51.06 kg in the second measurement. The Hamstring Muscle Strength of the right leg in the control group was 41.77 kg in the first measurement and 38.28 kg in the second measurement. In the left leg, it was 41.96 kg in the first measurement and 39.36 kg in the second measurement. For balance measurement, there was a significant improvement in balance in the second measurement in both eyes-closed and eyes-open positions. In the experimental group, the Quadriceps Muscle Strength of the right leg was 58.05 kg in the first measurement and 67.43 kg in the second measurement. In the left leg, it was 56.23 kg in the first measurement and 64.97 kg in the second measurement. Hamstring muscle strength increased significantly in both right and left legs after chiropractic HVLA manipulation (P<0.05). In the experimental group, the hamstring muscle strength of the right leg was 34.68 kg in the first measurement and 43.29 kg in the second measurement. In the left leg, it was 35.96 kg in the first measurement and 43.64 kg in the second measurement. CONCLUSIONS: There was no significant improvement in balance of both legs in eyes-closed and eyes-open position after chiropractic HVLA manipulation.Article Citation - Scopus: 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 - WoS: 6Citation - Scopus: 5RELATIONSHIP OF DAILY TIME SPENT OUTDOORS WITH SLEEP QUALITY AND EMOTIONAL WELL-BEING AMONG COMMUNITY-DWELLING OLDER ADULTS DURING COVID-19 RESTRICTIONS(Gunes Kitabevi Ltd Sti, 2021) Karagözoğlu Coşkunsu, Dilber; Balci, Leyla Atas; Cinar, Fadime; Coskunsu, Dilber Karagozoglu; Tanriover, Sezin Hatice; Uluengin, Mehmet Bengu; Fizyoterapi Ve Rehabilitasyon BölümüIntroduction: Given the recent constraints imposed due to the ongoing COVID-19 pandemic and the importance of the daily light-dark cycle for entraining the human circadian system, it is possible to state that the elderly are likely to be at serious risk of experiencing sleep-related problems. Whilst reduced or limited time outdoors, and thus, exposure to diurnal bright light appear to be detrimental to sleep and emotional well-being in old age, further research is required to confirm this relationship. Materials and Method: To build on earlier work, a two-week study was conducted in a sample of 79 community-dwelling older adults recruited by using snowball sampling method. Throughout the study, the participants were allowed to be outdoors from 10.00 a.m. to 1.00 p.m. on weekdays. Whilst the participants were performing their daily habitual activities, they were asked to keep an activity diary and report on their sleep quality and emotional wellbeing using two questionnaires. Results: The results demonstrated that participants' daily time spent outdoors (49.13 minutes on average) positively correlated with their perceived sleep quality and emotional well-being at various - but significant - levels (p<0.05). Moreover, significant negative correlations were identified between participants' sleep quality and experienced emotional disturbances (p<0.001). Conclusion: Based on the research findings, it is reasonable to conclude that spending momentary periods outdoors may have adverse consequences for the elderly. To maintain a healthy sleep-wake cycle and alleviate related emotional problems in old age, increasing outdoor time and diurnal bright light exposure should be encouraged.Article Citation - WoS: 3Citation - Scopus: 3Validity and Reliability of a New Method To Measure Cervical Proprioception(Georg Thieme verlag Kg, 2022) Köseoğlu, Aygül; Karagözoğlu Coşkunsu, Dilber; Mutlu, Ebru Kaya; Eczane Hizmetleri Bölümü; Fizyoterapi Ve Rehabilitasyon BölümüObjective An accurate and reliable measurement of proprioception is important in the evaluation of the cervical. The aim of this study is to investigate the validity and reliability of a new method using Horizontal Plane Target Platform (HPTP) to assess Head Repositioning Accuracy (HRA) for Cervical Proprioception (CP). Methods HRA values of 86 healthy volunteers (21.01 +/- 2.16 yrs.) were measured through AOS PropPoint laser apparatus device on HPTP, Frontal Plane Target Platform (FPTP), and also CROM device to assess test-retest reliability and validity. Results The test-retest measurements of HPTP reliability was (ICC (left) =0.69, ICC (right) =0.74; SEM (left) =0.28, SEM (right=) 0.36; MDC (left) =1.85, MDC (right) =2.02 95%CI) were moderate for both side. Correlation with the CROM device results was moderate for both side (r=0.75 for left size, r=0.83 for right side), and the absolute values demonstrate concordance between results using the Bland-Altman method. Conclusions HRA measurements performed with a laser apparatus on HPTP which we developed can be used as an alternative method in CP evaluation.Article Citation - Scopus: 3Extracorporeal 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 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 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.Article Citation - WoS: 5Citation - Scopus: 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 - WoS: 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 - WoS: 8Citation - Scopus: 10Effects 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.
