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  • Küçük Resim
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    Comparison of the effects of physiotherapy and ergotherapy applications on independent movement in hip fracture patients with hemiarthroplasty and PFN-A
    (İnönü Üniversitesi Tıp Fakültesi, 2022) Bildik, Celaleddin; Çağlayan Kahraman, Hamit; Avsever, Nur Seren; Altın Demirbağ, Sinem; Koçak, Aslı; Yılmaz, Barış
    Aim: In this study, our aim is to compare the effects of post-hip fracture hemiarthroplasty or PFN-A applications on the post-operative hip joint to provide enough range of motion to assist in daily activities, helping to regain lost muscle strength and to compare the effects on independent movement. Materials and Methods: 15 patients who underwent hemiarthroplasty (Group 1) and 15 patients who underwent PFN-A (Group 2) were included in this study. These patients were aged between 50-80 who had operated at least 3 months ago, had no other lower extremity operation or trauma in the last 6 months, did not have any other physical and mental problems that prevented physiotherapy and occupational therapy due to the hip fracture. Physical therapy and occupational therapy methods were applied to both groups after surgery. These two groups were evaluated with the early postoperative period, after physical therapy and after occupational therapy, the Lower Extremity Functional Scale, Functional Independence Scale, Barthel Daily Living Activities Index, Harris Hip Assessment Scale and Timed Get Up and Go tests. Results: After physical therapy applied according to the early postoperative period; a significant difference was obtained for all patients in the evaluations made with lower extremity function scale, Functional independence scale, timed up and go test, and Harris hip assessment scale. In addition to this treatment, a significant difference was achieved for all patients after the ergotherapy methods. Statistically significant differences were not found for Barthel’s daily life activities test. Conclusion: The negative thoughts created by the limitations in the functions of the elderly people is reduced with the ergotherapy application plan and providing support both physically and psychologically. The emotional changes that vary on according to the level of dependency of the patients, the use of auxiliary devices is taught in elderly individuals, especially considering their desire to be independent, their functions were restored with the multiple working method and the quality of life is increased.
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    The effect of auricular vagus nerve stimulation on electroencephalography and electromyography measurements in healthy persons
    (Frontiers Media Sa, 2023) Konakoglu, Gulsah; Ozden, Ali Veysel; Solmaz, Hakan; Bildik, Celaleddin
    Objectives: Auricular vagus nerve stimulation (VNS) is a non-invasive treatment modality. Opinions that it can be used in the treatment of various clinical problems have gained importance in recent years. In this study, it was aimed to lay the groundwork for the use of the auricular VNS in different ears. Methods: Healthy individuals (n = 90) were divided into three groups: unilateral left (n = 30), unilateral right (n = 30), and bilateral (n = 30) auricular VNS. Electroencephalography (EEG) and electromyography (EMG) measurements were performed before and after auricular VNS (10 Hz, 300 mu s, 20 min) for a single session. Results: An increase in wrist extensor muscles activation was detected on the contralateral side of the auricular VNS application side. It has been observed that there is a general decrease in the power of high-frequency waves and an increase in the power of lower-medium frequency waves in various parts of the brain. Conclusion: Our findings suggest that the projection of the auricular VNS in the central nervous system may also affect the corticospinal tracts.