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Evaluation of the upper extremity functions of the non-affected side in hemiplegic patients during one month follow-up

100%

Küçük N., Özden A. V., Alptekin K.

Advances in Rehabilitation

2020

vol. 35

issue 1

17-23

Introduction The aim of this study was to investigate the functional changes in the upper extremity of the intact side of hemiplegic patients within 0-12 months after stroke. Material and methods The study included 32 individuals with Stage 3 and Stage 4 progression according to Brunnstrom stages, whose right side was dominant. The age range of the individuals in the study was 45-80 years. This research was a prospective study planned according to the single group pretest-post test pattern. There was no control group. Results As a result of the study, it was determined that pain increased in the shoulder region of the non-affected side during the one-month follow-up period and therefore, upper extremity functionality decreased. After one month, strength values of grip, shoulder flexion (left intact), shoulder extension, shoulder abduction (right intact), shoulder internal rotation, shoulder external rotation (left intact), elbow flexion, elbow extension, and wrist extension increased. Furthermore, during this follow-up period upper extremity functionality decreased, pain values increased in the shoulder area, and hand grip strength values increased in individuals whose disease duration was 0-6 months and 7-12 months. Conclusions The non-affected upper extremity of a stroke patient plays an important role in helping them throughout the activities of their daily life. This study concluded that, upper extremities of the non-affected side of hemiplegic patients are also affected in terms of muscle strength, pain and functionality.

Study on the effect of TENS, exercise and friction massage on the masseter regarding masseter-derived cervical myofascial pain

100%

Debre E., Alptekin K., Alptekin J. Ö., Giritharan A.

Advances in Rehabilitation

2020

vol. 34

issue 2

1-9

Background This study, investigated the effect of physiotherapy applications around the masseter on neck pain in individuals with masseter-derived cervical myofascial pain. Material and methods The study included 90 participants between the ages of 18-30 who attend Bahçeşehir University. Their average age was 24.5 ± 2.4. The participants were divided into three groups: the transcutaneous electrical nerve stimulation (TENS) group (n = 30), the control group (n = 30), and the friction group (n = 30). A different intervention was applied to each group three times a week for four weeks. The TENS group received conventional TENS application and relaxation exercises. The control group performed exercises for respiration, posture, and range of motion. The friction group received masseter muscle friction massage and performed a relaxation exercise program which included exercises for the mandibular joint. All of the evaluation parameters were repeated at the end of the twelfth session for each group. Results After treatment, scores of the visual analogue scale (VAS), Neck Pain and Disability Inventory, Beck's Depression Inventory, and State-Trait Anxiety Inventory were found to be significantly lower (p 0.05). Conclusions Once again, we found the importance of exercise and described the anatomical relationship between the cervical region and the temporomandibular region. However, TENS, relaxation exercises and friction massage applications have no advantages over one another.

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2 Advances in Rehabilitation

2 2020

2 Alptekin K.

1 Alptekin J. Ö.

1 Debre E.

1 Giritharan A.

1 Küçük N.

1 Özden A. V.

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Evaluation of the upper extremity functions of the non-affected side in hemiplegic patients during one month follow-up

Study on the effect of TENS, exercise and friction massage on the masseter regarding masseter-derived cervical myofascial pain