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Çetinkaya İ, Kuru Çolak T, Saka S, Korkmaz MF. Respiratory function and respiratory muscle strength in adolescent idiopathic scoliosis. Spine Deform 2024; 12:635-641. [PMID: 38329601 DOI: 10.1007/s43390-024-00819-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Accepted: 12/30/2023] [Indexed: 02/09/2024]
Abstract
PURPOSE It was aimed to analyze the relationship of the respiratory functions, respiratory muscle strength, magnitude of the curvature, angle of trunk rotation (ATR) and brace-wearing duration in patients with adolescent idiopathic scoliosis (AIS). METHODS Sixty patients with AIS (43 females), with maximum Cobb angles between 20° and 66° were included in the study. ATR values were measured with a scoliometer. Respiratory function parameters (forced vital capacity [FVC], forced expiratory volume in one second [FEV1], FEV1/FVC ratio, peak expiratory flow [PEF]) and respiratory muscle strengths (maximum inspiratory pressure [MIP] and maximum expiratory pressure [MEP]) were measured by combined spirometry. RESULTS There was a negative significant correlation between maximum Cobb angle and ATR with respiratory function parameters except for PEF and FEV1/FVC (r = -0.258-0.441; p = <0.001-0.047). There was a moderate negative correlation between ATR with MIP (cmH2O) (r = -0.377; p = 0.003) and MEP (cmH2O) (r = -0.362; p = 0.005). On the other hand, no correlation was found between brace-wearing duration with respiratory functions, maximum Cobb angle and brace-wearing duration with respiratory muscle results. CONCLUSION The results of this study showed that, respiratory functions were normal or mildly affected, and respiratory muscle strengths were weak in AIS. Increased Cobb angle and ATR negatively affected respiratory function; increased ATR was associated with decreased inspiratory and expiratory muscle strength. It is extremely important to carefully evaluate the respiratory system and to know the variables that affect respiratory functions and respiratory muscle strength in achieving optimum recovery in the holistic treatment of individuals with scoliosis.
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Affiliation(s)
- İrem Çetinkaya
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Haliç University, 5. Levent Mahallesi, 15 Temmuz Şehitler Caddesi, No: 14/12, 34060, Eyüpsultan, Istanbul, Turkey.
| | - Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul, Turkey
| | - Seda Saka
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Haliç University, 5. Levent Mahallesi, 15 Temmuz Şehitler Caddesi, No: 14/12, 34060, Eyüpsultan, Istanbul, Turkey
| | - Mehmet Fatih Korkmaz
- Department of Orthopedics and Traumatology, Prof. Dr. Süleyman Yalçın City Hospital, İstanbul Medeniyet University, Istanbul, Turkey
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Akçay B, Çolak TK, Apti A, Çolak İ. The Immediate Effect of Hanging Exercise and Muscle Cylinder Exercise on the Angle of Trunk Rotation in Adolescent Idiopathic Scoliosis. Healthcare (Basel) 2024; 12:305. [PMID: 38338189 PMCID: PMC10855408 DOI: 10.3390/healthcare12030305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 01/18/2024] [Accepted: 01/23/2024] [Indexed: 02/12/2024] Open
Abstract
(1) Background: Semi-hanging and muscle cylinder exercises have been defined as scoliosis-specific corrective exercises. The aim of this study was to evaluate the immediate effect of muscle cylinder and semi-hanging exercises on the angle of trunk rotation in patients with adolescent idiopathic scoliosis (AIS). (2) Methods: Twenty-seven patients with AIS with a mean age of 18.6 years were retrospectively analyzed. The angle of trunk rotation (ATR) values were measured before and after performing semi-hanging and standing muscle cylinder exercises. Both exercises were performed for three to five respiratory cycles. The semi-hanging exercise was performed first, followed by the muscle cylinder exercise, in this order, in all participants. For statistical analysis, the Wilcoxon signed-rank test was used to analyze ATR changes after the exercises, and the Kruskal-Wallis test was used to compare ATR changes according to the main curve location. (3) Results: The thoracic, thoracolumbar and lumbar maximum ATR values were significantly increased after the semi-hanging exercise (p < 0.001) and decreased after the muscle cylinder exercise (p < 0.001). The ATR change was greater in the lumbar region than in the thoracic and thoracolumbar regions. (4) Conclusion: The results of this study of a small group of patients emphasized that one of the scoliosis-specific corrective exercises, the standing muscle cylinder exercise, improved ATR, while the other, the semi-hanging exercise, worsened ATR in patients with AIS. It is recommended that each scoliosis-specific corrective exercise be evaluated and redesigned to maximize the three-dimensional corrective effect, considering the biomechanics of the spine and the pathomechanics of scoliosis.
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Affiliation(s)
- Burçin Akçay
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bandırma Onyedi Eylül University, Balıkesir 10200, Turkey
| | - Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul 34854, Turkey;
| | - Adnan Apti
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, İstanbul Kültür University, Istanbul 34191, Turkey;
| | - İlker Çolak
- VM Medical Park Maltepe, Istanbul 34846, Turkey;
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Nan X, Kuru Çolak T, Akçay B, Xie H, Zhao L, Borysov M. Results of Gensingen Bracing in Patients With Adolescent Idiopathic Scoliosis: Retrospective Cross-Sectional Feasibility Study. JMIR Rehabil Assist Technol 2024; 11:e50299. [PMID: 38198197 PMCID: PMC10809064 DOI: 10.2196/50299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 10/10/2023] [Accepted: 12/11/2023] [Indexed: 01/11/2024] Open
Abstract
BACKGROUND Bracing is an essential part of scoliosis treatment. The standard of brace treatment for patients with scoliosis today is still very variable in terms of brace quality and outcome. The Gensingen brace is a further developed Chêneau brace derivative with individual design, which can be adapted through computer-aided design. OBJECTIVE This study aims to generate a template to obtain a database for prospective multicenter studies study to analyze the results of high-corrective asymmetric Gensingen brace treatment for patients with adolescent idiopathic scoliosis (AIS). METHODS A template for the database was created, which contains the patients' basic data (age, menarcheal status, Risser Sign, curve pattern, and daily brace wearing time), the Cobb angles of curvature, and the cosmetically relevant angles of trunk rotation (ATR). A retrospective review of medical records of patients with AIS, who met the Scoliosis Research Society's inclusion criteria for brace studies, was performed to test the feasibility of the template. Template items were filled in by the researchers. RESULTS Out of 115 patients between 2014 and 2018, the complete data of 33 patients followed up at least 3 months after complete Gensingen brace weaning could be analyzed. The mean age was 12 years, the mean Cobb angle was 33.6°, and the mean Risser value was 0.7 at the beginning of the treatment. The mean improvement in the Cobb angle on in-brace x-ray imaging was -26.1० (80% of in-brace correction). The Cobb angle of the major curvature changed as follows: curve stabilization was achieved in 7 (21.2%) cases, and curve improvement was achieved in 26 (78.8%) cases. None of the patients showed a curve progression. The Cobb angle was significantly reduced in the brace at the end of treatment and at follow-up evaluation (P<.001). ATR improved significantly for thoracic (P<.001) and lumbar curves (P<.001). CONCLUSIONS The database proved to be informative in the assessment of radiological and clinical outcome parameters. The example data set we have generated can be a helpful tool for professionals who work in clinics but do not store regular patient data. Especially with regard to different patient collectives worldwide, different results may be achieved with the same standards of care. In addition, the results of this study suggest that above-average correction effects with a full-time brace application lead to significant improvements in the Cobb angle after brace treatment has been completed.
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Affiliation(s)
- Xiaofeng Nan
- Nan Xiaofeng's Spinal Orthopedic Workshop, Xi'an Shaanxi, China
| | - Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, İstanbul, Turkey
| | - Burçin Akçay
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bandırma Onyedi Eylül University, Balıkesir, Turkey
| | - Hua Xie
- Schroth Health Technology, Chongqing, China
| | - Liwei Zhao
- National Research Centre for Rehabilitation Technical Aids, Schroth Health Technology, Beijing, China
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Çetinkaya İ, Kuru Çolak T, Korkmaz MF, Aydoğan M. The effect of spinal range of motion on functional balance, quality of life, and perception of appearance in adolescent idiopathic scoliosis after posterior spinal fusion surgery. Ir J Med Sci 2023:10.1007/s11845-023-03563-8. [PMID: 37943401 DOI: 10.1007/s11845-023-03563-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Accepted: 10/30/2023] [Indexed: 11/10/2023]
Abstract
OBJECTIVE Spinal fusion, which is widely used in the surgical treatment of adolescent idiopathic scoliosis (AIS), limits the movements of the vertebral column. In this study, it was aimed to investigate the relationship between spinal mobility in the postoperative period with functional balance, quality of life, and perception of appearance in individuals with AIS. METHODS Thirty patients with AIS who underwent posterior spinal fusion surgery 1 to 3 years ago were included in the study. A universal goniometer was used to measure a spinal range of motion (ROM), functional reach test for functional balance, Scoliosis Research Society-30 (SRS-30) for quality of life, and Spinal Appearance Questionnaire (SAQ) for perception of appearance. RESULTS Surgical fusion length was significantly correlated with movements in the sagittal and transverse planes (r = - 0.383-[- 0.608]; p = < 0.001-0.037). Except for spinal left rotation, there was a significant positive correlation between functional balance level and ROM results (r = 0.374-0.523; p = 0.003-0.42). The SRS-30 total score correlated significantly with all other ROM measures except for rotations (r = 0.434-0.574; p = 0.00-0.016). SAQ total data correlated significantly with all ROM measurements (r = - 0.553-[- 0.395]; p = 0.002-0.031). CONCLUSIONS In AIS, limitation of movement in the coronal, sagittal, and transverse planes is observed after fusion surgery. Spinal ROM is affected by the level of fusion performed at surgery. Postoperative spinal limitation of motion adversely affected functional balance, quality of life, and perception of appearance. We believe that comprehensive rehabilitation approaches that improve postoperative range of motion and increase functionality are important for optimal postoperative recovery.
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Affiliation(s)
- İrem Çetinkaya
- Department of Physiotherapy and Rehabilitation, Institute of Health Sciences, Marmara University, Istanbul, Turkey.
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Haliç University, 5. Levent Mahallesi, 15 Temmuz Şehitler Cd. No: 14 / 12, Istanbul, Eyüpsultan, 34060, Turkey.
| | - Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul, Turkey
| | - Mehmet Fatih Korkmaz
- Department of Orthopedics and Traumatology, Prof. Dr Süleyman Yalçın City Hospital, Istanbul Medeniyet University, Istanbul, Turkey
| | - Mehmet Aydoğan
- Advanced Spine Surgery Center, Department of Orthopedic Surgery and Traumatology, Emsey Hospital, Istanbul, Turkey
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Akçay B, Kuru Çolak T, Apti A. Adaptation, reliability, and validation of the Turkish version of the Bad Sobernheim Stress Questionnaire-Deformity in patients with adolescent idiopathic scoliosis. Prosthet Orthot Int 2023; 47:558-563. [PMID: 36723412 DOI: 10.1097/pxr.0000000000000212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Accepted: 11/27/2022] [Indexed: 02/02/2023]
Abstract
BACKGROUND There is a limited number of disease-specific outcome measurement scales in Turkish, which can be used for individuals with adolescent idiopathic scoliosis (AIS). The aim of this study was to translate, adapt, and evaluate the validity and reliability of the Turkish version of the Bad Sobernheim Stress Questionnaire-Deformity (TRv.BSSQD) questionnaire in Turkish patients with AIS. OBJECTIVES After the translation and back-translation process, the TRv.BSSQD and Scoliosis Research Society-22 questionnaires were completed in face-to-face interviews with 49 patients with AIS. The TRv.BSSQD questionnaire was readministered to the same patients 2 weeks later to assess test-retest reliability. RESULTS The Cronbach alpha value calculated for internal reliability was 0.806. The intraclass correlation coefficient values of the items of the TRv.BSSQD ranged from 0.809 ( P < 0.001) (question 8) to 0.955 ( P < 0.001) (question 7). The test-retest correlation coefficient for the item-total score was 0.960 ( P < 0.001). Validity analysis showed a significantly positive correlation between the TRv.BSSQD total score and pain, self-image, and mental subgroup and the total scores of the SRS-22r scale ( P < 0.05). CONCLUSIONS This patient-reported outcome instrument, the TRv.BSSQD, showed good internal consistency, good reliability with test-retest analysis, and construct validity, suggesting that it is an appropriate assessment instrument for Turkish patients with AIS.
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Affiliation(s)
- Burçin Akçay
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bandırma Onyedi Eylül University, Bandırma, Turkey
| | - Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul, Turkey
| | - Adnan Apti
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, İstanbul Kültür University, Istanbul, Turkey
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Kuru Çolak T, Özen T, Günay Yazıcı C, Sarı DM, Karabacak N, Sarı Z, Polat MG, Doğan B, Tarım M. A new device for assessment and training the human balance and coordination: Marmara Balance and Education System (MarBES). Ir J Med Sci 2023; 192:2409-2416. [PMID: 36752948 DOI: 10.1007/s11845-023-03299-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 01/28/2023] [Indexed: 02/09/2023]
Abstract
BACKGROUND Balance and coordination are important for performing activities of daily living. Balance and coordination assessment and training are used by physiotherapists in many different rehabilitation areas. Marmara Balance and Education System (MarBES) is a device developed to evaluate and improve balance and coordination. AIMS To examine the test-retest reliability of the MarBES device. METHODS Double-leg and single-leg (eyes open-closed) tests were applied to healthy young adult participants for balance testing on the MarBES device. Weight data is estimated from pressure sensors located in 4 different corners and a score is calculated with computer software for the individual's center of gravity (center of pressure X, Y) and the amount of deviation from the center for each axis. Weight transfer to the target surface was measured for assessment of the participants' coordination performance. Participants rested for 10 min and all measurements were repeated by the same evaluator. The obtained data were recorded and the reliability of the measurements was evaluated with Spearman's rho correlation analysis. RESULTS A total of 40 healthy young individuals (28 female) with a mean age of 21 years were included. The balance assessments with MarBES showed moderate to good reliability (ICC: 0.535-0.903). The coordination assessment results showed moderate to good reliability (ICC: 0.575-0.712). CONCLUSIONS Objective evaluation of balance and coordination parameters is very important in rehabilitation. Results of the study showed that the MarBES device developed by the researchers is a reliable method for the evaluation of balance and coordination in healthy young individuals.
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Affiliation(s)
- Tuğba Kuru Çolak
- Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, Marmara University, Başıbüyük Mahallesi, Başıbüyük Cd. No:9, Maltepe, Istanbul, 34854, Turkey.
| | - Tuğçe Özen
- Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, Marmara University, Başıbüyük Mahallesi, Başıbüyük Cd. No:9, Maltepe, Istanbul, 34854, Turkey
| | - Canan Günay Yazıcı
- Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, Marmara University, Başıbüyük Mahallesi, Başıbüyük Cd. No:9, Maltepe, Istanbul, 34854, Turkey
| | - Dilara Merve Sarı
- Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, Marmara University, Başıbüyük Mahallesi, Başıbüyük Cd. No:9, Maltepe, Istanbul, 34854, Turkey
| | - Neslihan Karabacak
- Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, Nuh Naci Yazgan University, Kayseri, Turkey
| | - Zübeyir Sarı
- Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, Marmara University, Başıbüyük Mahallesi, Başıbüyük Cd. No:9, Maltepe, Istanbul, 34854, Turkey
| | - Mine Gülden Polat
- Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, Marmara University, Başıbüyük Mahallesi, Başıbüyük Cd. No:9, Maltepe, Istanbul, 34854, Turkey
| | - Barış Doğan
- Mechatronics Engineering Department, Faculty of Technology, Marmara Üniversitesi, Istanbul, Turkey
| | - Mehveş Tarım
- Health Management Department, Faculty of Health Sciences, Marmara University, Istanbul, Turkey
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Kuru Çolak T, Apti A, Çolak İ, Akçay B, Dereli EE. Translation, reliability and validity of the Turkish version of Scoliosis Japanese Questionnaire-27 in adolescent idiopathic scoliosis. Spine Deform 2023; 11:1049-1055. [PMID: 37171703 DOI: 10.1007/s43390-023-00701-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 04/29/2023] [Indexed: 05/13/2023]
Abstract
PURPOSE Disease-specific scales which evaluate QoL are needed to evaluate treatment outcomes, and to compare the effects of different treatments. The outcome measures evaluating quality of life in adolescent idiopathic scoliosis are limited. The purpose of this study was to examine the validity and reliability of the Turkish version of the Scoliosis Japanese Questionnaire-27 (SJ-27) in adolescent idiopathic scoliosis. METHODS The SJ-27 questionnaire was translated into Turkish and 61 female patients filled out the translated version (TRv.SJ-27) twice to measure the test-retest reliability of the scale. Internal reliability of the questionnaire was estimated using Cronbach's α coefficient. The intraclass correlation coefficient was analysed for each item. Discriminant validity and convergent validity were determined by correlations with Cobb angle, ATR and the SRS-22r scale. RESULTS The mean Cobb angle was 25.8° and the ATR angle was 8.8°. Cronbach's α value was estimated as 0.935. The test-retest correlation coefficient for the item-total score was 0.877 (p = 0.000). Validity analysis showed a significantly positive correlation between the TRv.SJ-27 total score and Cobb and ATR angles, and a significantly negative relationship was found between the TRv.SJ-27 and SRS-22r scores. CONCLUSIONS It would be useful to use different outcome measures to assess the scoliosis-specific quality of life in clinical practice and research. The findings suggest that the Turkish version of Scoliosis Japanese Questionnaire-27 is a valid and reliable measure to assess Turkish patients with AIS.
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Affiliation(s)
- Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Başıbüyük Mahallesi, Başıbüyük Cd. No: 9, Maltepe, 34854, Istanbul, Turkey.
| | - Adnan Apti
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, İstanbul Kültür University, Istanbul, Turkey
| | | | - Burçin Akçay
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bandırma Onyedi Eylül University, Bandırma, Turkey
| | - Elif Elçin Dereli
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, İstanbul Bilgi University, Istanbul, Turkey
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Kuru Çolak T, Akçay B, Apti A. Effects of Pilates exercises on idiopathic scoliosis: a scoping review of the literature. Spine Deform 2023; 11:797-804. [PMID: 36811704 DOI: 10.1007/s43390-023-00668-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 02/12/2023] [Indexed: 02/24/2023]
Abstract
PURPOSE Scoliosis is a deformity involving changes in three planes. These changes include lateral curvature in the frontal plane, changes in physiological thoracic kyphosis and lumbar lordosis angles in the sagittal plane, and rotation of the vertebrae in the transverse plane. The aim of this scoping review was to review and summarize the available literature to determine whether Pilates exercises are an effective treatment for scoliosis. METHODS The Cochrane Library (reviews, protocols, trials), PubMed, Web of Science, Ovid, Scopus, PEDro, Medline, CINAHL (EBSCO), ProQuest, and Google Scholar electronic databases were used to search for published articles from inception to February 2022. All the searches included English language studies. Keywords were determined as "scoliosis and Pilates" or "idiopathic scoliosis and Pilates", "curve and Pilates", "spinal deformity and Pilates." RESULTS Seven studies were included; one study was a meta-analysis study, three studies compared Pilates and Schroth exercises, and three applied Pilates exercises in combined therapy. The studies included in this review used outcome measurements of Cobb angle, ATR, chest expansion, SRS-22r, posture assessment, weight distribution, and psychological factors such as depression. CONCLUSIONS The results of this review suggest that the level of evidence regarding the effect of Pilates exercises on scoliosis-related deformity is very limited. Pilates exercises can be applied to reduce asymmetrical posture in individuals with mild scoliosis with reduced growth potential and progression risk.
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Affiliation(s)
- Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Başıbüyük Mahallesi, Başıbüyük Cd. No:9, Maltepe, 34854, Istanbul, Turkey.
| | - Burçin Akçay
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bandırma Onyedi Eylül University, Bandırma, Turkey
| | - Adnan Apti
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, İstanbul Kültür University, Istanbul, Turkey
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Hekim Ö, Çolak TK, Bonab MAR. The effect of mirror therapy in patients with frozen shoulder. Shoulder Elbow 2023; 15:218-227. [PMID: 37035611 PMCID: PMC10078819 DOI: 10.1177/17585732221089181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Revised: 11/10/2021] [Accepted: 02/23/2022] [Indexed: 11/15/2022]
Abstract
Introduction This study was designed to compare mirror therapy and visual feedback with the control group in adhesive capsulitis patients. Methods Thirty-six patients, divided into three groups as mirror therapy, visual feedback and control for 15 sessions of treatment. Evaluations were made before treatment, at 6th and 10th weeks. Bilateral glenohumeral exercise was performed at the end of each session with the affected extremity behind the mirror in the mirror group, with both upper extremities in front of the mirror in the visual feedback group, and without the mirror in the control group. Results There were statistically significant differences between the mirror therapy and visual feedback in terms of pain severity change, and the visual feedback was superior to the change in pain severity compared to the control. Visual feedback showed significant improvement in mean change from baseline to week 10 in shoulder pain and disability index scores compared to control (p = 0.012). There was no significant difference between the groups in terms of modified constant score, proprioception and shoulder range of motion. Conclusion It was determined that the exercises performed by seeing the affected extremity in the mirror were more effective than mirror therapy and control group.
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Affiliation(s)
- Ömer Hekim
- Physiotherapy and Rehabilitation Department, University of Health Sciences, Hamidiye Institute of Health Sciences, Istanbul, Turkey
| | - Tuğba Kuru Çolak
- Physiotherapy and Rehabilitation Department, Marmara University, Faculty of Health Sciences, Istanbul, Turkey
| | - Masoud Amir Rashedi Bonab
- Physiotherapy and Rehabilitation Department, Marmara University, Faculty of Health Sciences, Istanbul, Turkey
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Kuru Çolak T, Akçay B, Apti A, Çolak İ. The Effectiveness of the Schroth Best Practice Program and Chêneau-Type Brace Treatment in Adolescent Idiopathic Scoliosis: Long-Term Follow-Up Evaluation Results. Children (Basel) 2023; 10:children10020386. [PMID: 36832515 PMCID: PMC9955048 DOI: 10.3390/children10020386] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 02/08/2023] [Accepted: 02/13/2023] [Indexed: 02/18/2023]
Abstract
BACKGROUND Although the number of studies showing the efficacy of conservative treatment in adolescent idiopathic scoliosis has increased, studies with long-term follow-up are very limited. The aim of this study was to present the long-term effects of a conservative management method including exercise and brace in adolescent idiopathic scoliosis patients. METHODS This retrospective cohort study included patients with idiopathic scoliosis who presented at our department and were followed up for at least 2 years after completing the treatment. The main outcome measurements were the Cobb angle and angle of trunk rotation (ATR). RESULTS The cohort participants were 90.4% female, with a mean age of 11 years and the maximum Cobb angle was mean 32.1°. The mean post-treatment follow-up period was 27.8 months (range 24-71 months). The improvements after treatment in mean maximum Cobb angle (p < 0.001) and ATR (p = 0.001) were statistically significant. At the end of treatment, the maximum Cobb angle was improved in 88.1% of the patients and worsened in 11.9% compared to baseline. In the long-term follow-up evaluations, 83.3% of the curvatures remained stable. CONCLUSIONS The results of this study showed that moderate idiopathic scoliosis in growing adolescents can be successfully halted with appropriate conservative treatment and that long-term improvement is largely maintained.
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Affiliation(s)
- Tuğba Kuru Çolak
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Marmara University, 34854 Istanbul, Turkey
- Correspondence: ; Tel.: +90-216-7775700; Fax: +90-216-7775701
| | - Burçin Akçay
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Bandırma Onyedi Eylül University, 10200 Bandirma, Turkey
| | - Adnan Apti
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Istanbul Kültür University, 34191 Istanbul, Turkey
| | - İlker Çolak
- Department of Orthopaedics and Traumatology, VM Medical Park Maltepe Hospital, 34846 Istanbul, Turkey
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Tournavitis N, Çolak TK, Voutsas C. Effect of Chêneau style braces on vertebral wedging amongst individuals with adolescent idiopathic scoliosis. S Afr J Physiother 2021; 77:1617. [PMID: 34966856 PMCID: PMC8689379 DOI: 10.4102/sajp.v77i2.1617] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Accepted: 11/15/2021] [Indexed: 11/05/2022] Open
Abstract
Background It is generally accepted that braces can stop curve progression but little evidence exists regarding structural improvement in the spine using spinal bracing. Our study aimed to investigate the possible structural improvements of vertebral wedging with high correction bracing. Objectives The aim of our study was to assess whether spinal brace treatment may influence vertebral wedging in adolescent idiopathic scoliosis (AIS). Method We reviewed our database according to the following inclusion criteria: girls with a diagnosis of AIS, Risser 0–2, age 10–14 years with Cobb angles greater than 35°. Our study cohort consisted of 27 patients fulfilling the inclusion criteria with an average brace wearing time of 16.6 h per day and Cobb angles between 36° and 79°. The target value for our study was the apical vertebra wedging, measured twice before brace treatment commenced and twice after the average follow-up period of 20.5 months of treatment. Results The average apex wedging noted before brace wearing started was 9.8° (median: 9) and after a period of 20.5 months of brace wearing, it had reduced to an average of 5.8° (median: 4.9), (p < 0.001). This would indicate a structural correction of 44%. Conclusions Our study supports the hypothesis that spinal high correction braces improve the degree of vertebral wedging in skeletally immature girls with AIS. Clinical implications Structural corrections of the apical vertebra seem possible when high correction asymmetric braces are used in the treatment of patients with AIS.
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Affiliation(s)
| | - Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Science, Marmara University, Istanbul, Turkey
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Çolak TK, Weiss HR. Spinal deformities: Evidence and patient safety in management. S Afr J Physiother 2021; 77:1757. [PMID: 34966857 PMCID: PMC8689376 DOI: 10.4102/sajp.v77i2.1757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul, Turkey
| | - Hans-Rudolf Weiss
- Schroth Best Practice Academy, Neu-Bamberg, Germany.,Koob Scolitech GmbH, Neu-Bamberg, Germany
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Dereli EE, Gong S, Çolak TK, Turnbull D. Guidelines for the conservative treatment of spinal deformities - Questionnaire for a Delphi consensus. S Afr J Physiother 2021; 77:1587. [PMID: 34957343 PMCID: PMC8678962 DOI: 10.4102/sajp.v77i2.1587] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2021] [Accepted: 10/29/2021] [Indexed: 11/11/2022] Open
Abstract
Background Spinal deformity is the oldest disease known to humankind. Many types of treatment methods, including both conservative and surgical, are in use. Objective We aimed to validate a published guideline protocol based on the conservative treatment of spinal deformities. Method A modified Delphi technique was used with a questionnaire sent out to professionals worldwide regarding the conservative treatment of spinal deformities. Results Our study was completed after two rounds. A strong level of agreement of 80% and more (consensus cut-off point) was achieved in most questions in the first round. Some statements were below this margin, and they were sent to the participants via email in the second round for re-evaluation. Consensus was achieved in almost all of the statements in the second round. Only two items did not reach the cut-off point but were close to this value. Conclusion This proposed Guideline Protocol was approved by the participants using the Delphi method and can be used as a valid tool for the conservative treatment of spinal deformities. Clinical implications A conservative treatment guideline in spinal deformity management, will provide consistency in treatment and will facilitate comparability with surgery. It will be useful in determining the cost-effectiveness of treatment and in choosing the right patient for the right method of treatment. This guideline might help in this context, and may also create a systematic method for clinicians to use as a reference in both research and clinical practice.
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Affiliation(s)
- Elif E Dereli
- Faculty of Health Sciences, Physiotherapy and Rehabilitation Program, Istanbul Bilgi University, Istanbul, Turkey
| | - Shaopeng Gong
- Wuhan Schroth Scoliosis Service Center, Wuhan, Hubei, China
| | - Tuğba Kuru Çolak
- Faculty of Health Sciences, Physiotherapy and Rehabilitation, Marmara University, Istanbul, Turkey
| | - Deborah Turnbull
- School of Health and Social Care, University of Teesside, Middleborough, MA, United States of America.,The London Orthotic Consultancy, Kingston upon Thames, United Kingdom
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Akçay B, Çolak TK, Apti A, Çolak İ, Kızıltaş Ö. The reliability of the augmented Lehnert-Schroth and Rigo classification in scoliosis management. S Afr J Physiother 2021; 77:1568. [PMID: 34859160 PMCID: PMC8603105 DOI: 10.4102/sajp.v77i2.1568] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Accepted: 09/01/2021] [Indexed: 11/11/2022] Open
Abstract
Background In pattern-specific scoliosis exercises and bracing, the corrective treatment plan differs according to different curve patterns. There are a limited number of studies investigating the reliability of the commonly used classifications systems. Objective To test the reliability of the augmented Lehnert-Schroth (ALS) classification and the Rigo classification. Methods X-rays and posterior photographs of 45 patients with scoliosis were sent by the first author to three clinicians twice at 1-week intervals. The clinicians classified images according to the ALS and Rigo classifications, and the data were analysed using SPSS V-16. Intraclass correlation coefficients (ICCs) and standard error measurement (SEM) were calculated to evaluate the inter- and intra-observer reliability. Results The inter-observer ICC values were 0.552 (ALS), 0.452 (Rigo) for X-ray images and 0.494 (ALS), 0.518 (Rigo) for the photographs. The average intra-observer ICC value was 0.720 (ALS), 0.581 (Rigo) for the X-ray images and 0.726 (ALS) and 0.467 (Rigo) for the photographs. Conclusions The results of our study indicate moderate inter-observer reliability for X-ray images using the ALS classification and clinical photographs using the Rigo classification. Intra-observer reliability was moderate to good for X-ray images and clinical photographs using the ALS classification and poor to moderate for X-ray and clinical photographs using the Rigo classification. Clinical implications Pattern classifications assist in creating a plan and indication of correction in specific scoliosis physiotherapy and pattern-specific brace applications and surgical treatment. More sub-types are needed to address the individual patterns of curvature. The optimisation of curve classification will likely reduce failures in diagnosis and treatment.
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Affiliation(s)
- Burçin Akçay
- Department of Physiotherapy and Rehabilitation, Faculty of Healthy Sciences, Bandırma Onyedi Eylül University, Balıkesir, Turkey
| | - Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul, Turkey
| | - Adnan Apti
- Department of Physiotherapy and Rehabilitation, Faculty of Healthy Sciences, İstanbul Kültür University, Istanbul, Turkey
| | - İlker Çolak
- Department of Orthopaedics and Traumatology, Kartal Dr. Lütfi Kırdar Education and Research Hospital, Istanbul, Turkey
| | - Önder Kızıltaş
- Department of Orthotics and prosthetics, Denge Ortopedi, Istanbul, Turkey
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15
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Abstract
Background Physiotherapy, brace applications or surgery are the treatment options utilised to manage patients with scoliosis. Many different brace applications are used, and the success rates of orthoses vary. Objectives Brace applications can have detrimental impacts on the patient leading to physical discomfort, psychological discomfort, and in some instance the use of braces may even be painful. Therefore, future developments in this field should be aimed at improving the success rate and reducing physical distress experienced by the patient while using brace applications. The purpose of this article is to provide recommendations with respect to the most appropriate bracing approach in general. Method A narrative review of the scientific literature was carried out to substantiate the statements made in this article. Results The most important braces provided for the treatment of patients with scoliosis and the treatment results that can be achieved are presented and discussed, taking into account the most recent systematic reviews. A wide range of success rates have been found for the different brace applications. Conclusion Given that brace application may impact the patient leading to physical discomfort and psychological distress, good quality management in brace application for patients with scoliosis is needed to ensure the best possible outcome and the least stressful management. Clinical implications Safety in brace application for patients with scoliosis needs improvement. The use of standardised and reliable computer aided design (CAD) libraries and appropriate patient information based on published guidelines is suggested.
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Affiliation(s)
| | - Tuğba Kuru Çolak
- Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, Marmara University, Istanbul, Turkey
| | - Manuel Lay
- Institution of Orthopädie-Technik Lay GmbH, Zell-Barl, Mosel, Germany
| | - Maksym Borysov
- Institution of Orttech-plus Rehabilitation Service, Charkiv, Ukraine
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Eceviz E, Çevik HB, Öztürk O, Özen T, Çolak TK, Çolak İ, Polat MG. Pedobarographic, Clinic, and Radiologic Evaluation after Surgically Treated Lisfranc Injury. J INVEST SURG 2020; 34:1191-1197. [PMID: 32654544 DOI: 10.1080/08941939.2020.1790700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Lisfranc injuries are rare, often missed, and may cause permanent structural deterioration of tarsometatarsal joint, despite optimal management. Consequently, a Lisfranc injury may lead to disruption of the biomechanics of the normal foot during walking and may alter the plantar pressure distribution, which is essential for proper gait mechanics. Therefore, the main purpose of the study was to specify the dynamic plantar pressure, radiographic and clinical features, after surgically managed Lisfranc injuries. METHODS This study was carried out over a period of 10 years and included 62 patients who were surgically treated for Lisfranc injury, with mean 57-month follow-up. Radiological (intermetatarsal, Kite's, first metatarsophalangeal, Meary's, Hibbs' and calcaneal pitch angles, and medial cuneiform-fifth metatarsal distance), pedobarographical, and clinical results with the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score assessments for both feet were assessed. RESULTS In the radiological assessment, the mean first intermetatarsal (p = 0.006) and Meary's angle (p = 0.000) were decreased on the injured feet compared to the uninjured feet on the anteroposterior and lateral radiographs. In the pedobarographic assessment, the injured feet midfoot contact time increased (p = 0.03), and maximum force (p = 0.001), total peak pressure (p = 0.008), and contact area (p = 0.017) decreased, compared to the uninjured feet. The mean AOFAS score was 75/100 at the final follow-up visit. There was seen to be reduced both contact surface area and time of the midfoot. CONCLUSION Despite surgical management of Lisfranc injuries, the injured foot does not regain functional, radiological, or pedobarographical levels as compared to the uninjured foot for ≥ 57 months.
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Affiliation(s)
- Engin Eceviz
- Department of Orthopaedics and Traumatology, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Istanbul, Turkey
| | - Hüseyin Bilgehan Çevik
- Department of Orthopaedics and Traumatology, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Orhan Öztürk
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Marmara University, Istanbul, Turkey
| | - Tuğçe Özen
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Marmara University, Istanbul, Turkey
| | - Tuğba Kuru Çolak
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Marmara University, Istanbul, Turkey
| | - İlker Çolak
- Department of Orthopaedics and Traumatology, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Istanbul, Turkey
| | - Mine Gülden Polat
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Marmara University, Istanbul, Turkey
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Çolak İ, Mete E, Kristensen MT, Kuru Çolak T. Translation, reliability, agreement and validity of the Turkish version of Cumulated Ambulation Score in patients with hip fracture. Jt Dis Relat Surg 2020; 31:346-352. [PMID: 32584736 PMCID: PMC7489148 DOI: 10.5606/ehc.2020.75526] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Accepted: 05/05/2020] [Indexed: 01/13/2023] Open
Abstract
OBJECTIVES This study aims to translate and investigate the inter- rater reliability, agreement and validity of the Turkish version of the Cumulated Ambulation Score (CAS-TR) in patients with hip fracture. PATIENTS AND METHODS This study included patients with a hip fracture of the femoral neck between July 2019 and March 2020 at the Dr. Lütfi Kırdar Kartal Training and Education Hospital, Department of Orthopedics and Traumatology, Istanbul. The CAS manual and score-sheet were translated into Turkish. An orthopedician and a physiotherapist independently administered the CAS-TR to 36 patients (12 males, 24 females; mean age 78.7 years; range, 65 to 90 years) at postoperative days one, two, three and 30. Weighted Cohen's kappa coefficient was used to measure inter-rater reliability. Turkish version of modified Barthel Index was used for analysis of validity. RESULTS The majority of the patients had type III fracture (72.2%) according to Garden's classification. The kappa value was ≥0.90 for days one-three, the total and 30th day score of CAS-TR. The observed agreement ranged between 91.6% and 100% for all assessments. Validity analysis showed a significantly positive correlation between day two and day 30 CAS-TR and Barthel scores. CONCLUSION We found almost perfect reliability, high percentage agreement and acceptable convergent validity of the CAS-TR. We recommend the CAS to be used as an easily applicable instrument to assess basic mobility status in Turkish patients with hip fracture. Orthopedic and geriatric patients and patients undergoing any type of surgery can be assessed with CAS for early evaluation of mobility status.
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Affiliation(s)
- İlker Çolak
- Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği 34890 Kartal, İstanbul, Türkiye.
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Çolak TK, Akgül T, Çolak I, Dereli EE, Chodza M, Dikici F. Health related quality of life and perception of deformity in patients with adolescent idiopathic scoliosis. J Back Musculoskelet Rehabil 2017; 30:597-602. [PMID: 27858697 DOI: 10.3233/bmr-160564] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Quality of life and cosmethic appearance have gained importance as outcomes in AIS treatment. Improving aesthetic appearance and quality of life are defined as the primary aims of scoliosis treatment by health professionals. Studies that assess and compare the different treatment results in the field of quality of life and cosmethics are some what limited. OBJECTIVE A cross-sectional study was designed to compare quality of life and deformity perception in patients with adolescent idiopathic scoliosis (AIS) received conservative (exercise or exercise + brace) or surgical treatment. METHODS A total of 68 (58 females) patients aged 10-18 years with AIS received conservative (exercise or exercise+brace) or surgical treatment were invited to participate in the study. Quality of life (Scoliosis Research Society-23 (SRS-23)) and perception of deformity (Walter Reed Visual Assessment (WRVAS)) were assessed. RESULTS Conservatively treated patients had significantly superior scores in function domain of SRS-23 than surgically treated patients (exercise/surgery, exercise+brace/surgery; p= 0.009, 0.004). Otherwise, surgically treated patients had significantly superior scores in self-image (p= 0.000, 0.000), and satisfaction with management (p= 0.001, 0.006) domains of SRS-23, and WRVAS (p= 0.000, 0.000) than conservative groups. CONCLUSION In addition to radiographic assessments, quality of life, aesthetic perception, functionality, satisfaction with management, psycho-social status should carefully be taken into consideration by health professionals in the teratment of AIS.
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Affiliation(s)
- Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul, Turkey
| | - Turgut Akgül
- Department of Orthopaedics and Traumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Ilker Çolak
- Department of Orthopaedics and Traumatology, Dr Lütfi Kırdar Kartal Education and Research Hospital, Istanbul, Turkey
| | - Elif Elçin Dereli
- Department of Physiotherapy and Rehabilitation, School of Health Sciences, Istanbul Bilgi University, Istanbul, Turkey
| | - Mehmet Chodza
- Department of Orthopaedics and Traumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Fatih Dikici
- Department of Orthopaedics and Traumatology, School of Medicine, Acıbadem University, Istanbul, Turkey
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Abstract
BACKGROUND AND OBJECTIVE Low back pain is a common problem during pregnancy. Although the pain usually occurs in the third trimester, it might be seen in the first trimester, too. There are various types of applications for the treatment of low back pain during pregnancy. However, there is a lack of evidence for the effectiveness of each method. If there is not an obvious deficit, bed rest, exercise, conventional physiotherapy, using protective principles for the lumbar area are recommended, since the main and the only complaint is low back pain. It is aimed in the current review to investigate the use of Kinesio tape in the low back pain seen during pregnancy and to review the literature related to this subject. CONCLUSION There are only a few studies investigating the effect of Kinesio tape during pregnancy in the literature and they mostly did not aim to study the low back pain, further evidence and studies are needed to investigate the use of Kinesio tape for the low back pain seen during pregnancy as there is not evidence strong enough. Kinesiotape application aims to increase circulation and mobility, and regarding these gains decreased pain and increased performance are expected.
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Affiliation(s)
- Aycan Çakmak Reyhan
- Department of Ergotherapy, Faculty of Health Sciences, İstanbul Bilgi University, Istanbul, Turkey
| | - Elif Elçin Dereli
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, İstanbul Bilgi University, Istanbul, Turkey
| | - Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Turkey
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20
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Köroğlu F, Çolak TK, Polat MG. The effect of Kinesio® taping on pain, functionality, mobility and endurance in the treatment of chronic low back pain: A randomized controlled study. J Back Musculoskelet Rehabil 2017; 30:1087-1093. [PMID: 28968232 DOI: 10.3233/bmr-169705] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Low back pain is one of the most important causes of morbidity. OBJECTIVE This study was designed to evaluate the effect of Kinesio® taping on pain, functionality, mobility and endurance in chronic low back pain treatment. METHODS Patients with chronic low back pain were randomly divided into three groups. Therapeutic ultrasound, hot packs, and transcutaneous electrical nerve stimulation were applied to each group for ten sessions during two weeks, and therapeutic exercises were applied in the clinic under physiotherapist supervision starting from the sixth session. Kinesio® tape was applied to the patients in the first group after each treatment session, and placebo tape was applied to the patients in the second group. No taping was applied to the third group, which constituted the control group. All the patients were evaluated pre and post-treatment in respect of pain, functional status (Oswestry scale), flexibility and endurance. RESULTS The study included 60 patients (32 females). When the initial demographic and clinical characteristics of the groups were evaluated, all assessment results, except the Oswestry scores, were similar (p= 0.000). When the average changes in the clinical evaluations were evaluated after the treatment, a statistically significant improvement demonstrating the superiority of the taping group was observed in pain, functionality, flexibility and endurance values (p= 0.000, 0.000, 0.000, 0.000). CONCLUSIONS Kinesio® taping in chronic low back pain is an easy and effective method which increases the effectiveness of the treatment significantly in a short period when applied in addition to exercise and electrotherapy methods.
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Affiliation(s)
- Fahri Köroğlu
- Termal Vocational School, Yalova University, Yalova, Turkey
| | - Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul, Turkey
| | - M Gülden Polat
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul, Turkey
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21
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Kuru Çolak T, Kavlak B, Aydoğdu O, Şahin E, Acar G, Demirbüken İ, Sarı Z, Çolak İ, Bulut G, Polat MG. The effects of therapeutic exercises on pain, muscle strength, functional capacity, balance and hemodynamic parameters in knee osteoarthritis patients: a randomized controlled study of supervised versus home exercises. Rheumatol Int 2017; 37:399-407. [DOI: 10.1007/s00296-016-3646-5] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2016] [Accepted: 12/21/2016] [Indexed: 10/20/2022]
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Abstract
BACKGROUND Little research is available concerning physical activity and its determinants in people with chronic neck pain. OBJECTIVE To explore the relation between kinesiophobia and physical activity and gender effect on these relations in people with chronic neck pain. METHODS Ninety-nine subjects (34 men and 65 women) with chronic neck pain were participated in the study. Pain intensity was assessed with Visual Analog Scale and kinesiophobia degree was determined by using Tampa Scale of Kinesiophobia. Level of physical activity was assessed with short form of the International Physical Activity Questionnaire. RESULTS There was no statistically correlation between neck pain intensity and kinesiophobia degree (p= 0.246, r= 0.123) and physical activity level (p= 0.432, r= -0.083). It was also found that kinesiophobia degree was not correlated to physical activity level (p= 0.148, r= -0.153). There was a negative correlation between kinesiophobia degree and physical activity level only for women, not for men (p= 0.011, r= -0.318). CONCLUSIONS Our results showed that although people with chronic neck pain reported higher pain intensity and fear of movement, pain intensity and kinesiophobia degree did not associate to their physical activity levels. It can be speculated that high kinesiophobia degrees cause low physical activity levels for women, but not for men.
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Abstract
Misalignment of the talar neck after surgical repair can redistribute the load among the posterior, middle, and anterior facets of the subtalar joints, which can change the joint biomechanics, cause arthritis, and impair function. However, we found no studies analyzing the plantar pressures after treatment of talus neck fracture. We determined the dynamic plantar pedobarographic and radiographic characteristics and ankle range of motion, function, and pain among patients after surgical repair of talar neck fractures. A total of 19 patients completed the assessments. The median follow-up period was 29 (range 12 to 113) months. At the last visit, the mean pain score was 3.3 on a 10-cm visual analog scale. The mean American Orthopaedic Foot and Ankle Society function scale score was fair (73.5), and the mean range of motion was restricted in 4 planes. The mean maximum force was lower in the hindfoot (p = .002) and midfoot (p = .03) of the injured foot than in the noninjured foot. The mean peak pressure was lower in the hindfoot (p = .05) but higher in the forefoot (p = .03). Radiographic measurements revealed differences between the feet in the talo-first metatarsal angle (p = .002), Meary's angle (p = .001), and the medial cuneiform-fifth metatarsal angle (p = .002). Radiographic and pedobarographic analysis showed an elevated arch in the injured foot. Thus, talar injury and immobilization can affect the stance and the gait cycle in these patients. Pain, range of motion, function, and the weight transfer pattern should be evaluated carefully during the follow-up period to provide the best postoperative results.
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Affiliation(s)
- Tuğba Kuru Çolak
- Asstistant Professor, Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul, Turkey.
| | - İlker Çolak
- Department of Orthopaedics and Traumatology, Dr Lütfi Kırdar Kartal Education and Research Hospital, Istanbul, Turkey
| | - Eren Timurtaş
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul, Turkey
| | - Güven Bulut
- Associate Professor, Department of Orthopaedics and Traumatology, Dr Lütfi Kırdar Kartal Education and Research Hospital, Istanbul, Turkey
| | - M Gülden Polat
- Professor, Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul, Turkey
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Çolak TK, Acar G, Dereli EE, Özgül B, Demirbüken İ, Alkaç Ç, Polat MG. Association between the physical activity level and the quality of life of patients with type 2 diabetes mellitus. J Phys Ther Sci 2016; 28:142-7. [PMID: 26957746 PMCID: PMC4755992 DOI: 10.1589/jpts.28.142] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2015] [Accepted: 10/14/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] Physical activity and regular exercise play an important role in glycemic
control, which is considered an important part of the treatment of type 2 diabetes
mellitus. This study evaluated physical activity level and its relationship with quality
of life in patients with type 2 diabetes mellitus. [Subjects and Methods] We evaluated 129
subjects with type 2 diabetes mellitus through a face-to-face interview using the short
version of the International Physical Activity Questionnaire and Diabetes-39. Demographic
data, diabetes symptoms, time of initial diagnosis, and treatment procedure/approaches
were recorded. [Results] Of the study subjects, 51 (39.5%) had low, 67 had moderate
(51.9%), and 11 (8.5%) had high activity levels. The mean weekly sitting duration was 302
minutes. The mean weekly walking time was 231.7 minutes. Except for the “diabetes control”
domain, scores for all the subgroups and the total score in the quality-of-life assessment
had a statistically significant negative correlation with physical activity level.
[Discussion] Physical inactivity negatively affects the quality of life of diabetic
patients. A planned exercise education program and incorporation of exercise into the
lifestyle can improve the quality of life of patients with type 2 diabetes mellitus.
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Affiliation(s)
- Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Turkey
| | - Gönül Acar
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Turkey
| | - E Elçin Dereli
- Department of Physiotherapy and Rehabilitation, School of Health Sciences, Istanbul Bilgi University, Turkey
| | - Bahar Özgül
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Turkey
| | - İlkşan Demirbüken
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Turkey
| | - Çiğdem Alkaç
- Department of Internal Medicine, Istanbul Haydarpaşa Numune Training and Research Hospital, Turkey
| | - M Gülden Polat
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Turkey
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Çolak TK, Apti A, Dereli EE, Özdinçler AR, Çolak İ. Scoliosis screening results of primary school students (11-15 years old group) in the west side of Istanbul. J Phys Ther Sci 2015; 27:2797-801. [PMID: 26504296 PMCID: PMC4616097 DOI: 10.1589/jpts.27.2797] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2015] [Accepted: 06/03/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The present study aimed to find out the scoliosis prevalence 11–15 years old
children and to create awareness about scoliosis. [Subjects and Methods] All of the
children were assessed using the Adams Forward Bendings Test and a scoliometer. Sagittal
plane changes such as kyphosis, lordosis, hypokyphosis, hypolordosis and anterior head
tilt were screened. Children with trunk rotation angles (ATR) of 4 degrees or more were
suspected of having scoliosis, and were evaluated for a second time for gibbosity height,
arm-trunk distance, and ATR. [Results] A total of 2,207 children were screened and the
evaluation revealed there were 11 girls (0.49%) with a Cobb angle of 10 degrees and more.
The maximum Cobb angle was 43° (right thoracic-left lumbar) and the maximum ATR was 12°.
Two children had kyphosis and lordosis, and one had hypokyphosis and was diagnosed as
having idiopathic scoliosis. [Conclusion] Families should regularly check their children,
even if they are not diagnosed as having scoliosis in school screenings. It is our opinion
that our study increased the awareness of the families about scoliosis by screening,
brochures and posters. In the future, if school screenings were performed as a routine
procedure and scoliotic students were followed over the long term, the actual
effectiveness of screening would be able to be detected.
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Affiliation(s)
- Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Turkey
| | - Adnan Apti
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University, Turkey
| | - E Elçin Dereli
- Department of Physiotherapy and Rehabilitation, School of Health Sciences, Istanbul Bilgi University, Turkey
| | - Arzu Razak Özdinçler
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University, Turkey
| | - İlker Çolak
- Department of Orthopedics and Traumatology, Dr Lütfi Kırdar Kartal Education and Research Hospital, Turkey
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Dereli EE, Yalıman A, Kuru Çolak T, Çakmak A, Razak Özdinçler A, Badıllı Demirbaş Ş. Parkinson Hastalığı Yaşam Kalitesi Sorgulama Formu (PDQL-TR)' nun Türkçe versiyon çalışması. Noro Psikiyatr Ars 2014. [DOI: 10.4274/npa.y7359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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