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Öğe Clinical and Radiological Follow-Up Results of Patients with Sequestered Lumbar Disc Herniation: A Prospective Cohort Study(KARGER, ALLSCHWILERSTRASSE 10, CH-4009 BASEL, SWITZERLAND, 2021) Sucuoğlu, Hamza; Barut, Abdullah YükselPurpose: The aim of the study was to assess radiological changes and clinical outcomes of patients with sequestered lumbar disc herniation (LDH) and evaluate the relationship between them. Methods: Patients diagnosed with sequestered LDH were followed up in 2 groups: operated (within the 1st month after diagnosis) and nonoperated. Visual analog scale (VAS) and Oswestry Disability Index (ODI) scores at baseline (V1) and 1st (V2), 3rd (V3), and 6th (V4) month visits were used for clinical evaluation. Radiological evaluation was performed by measuring the sequestered LDH level and herniation volume using magnetic resonance imaging (MRI) at V1 and V4. After the second MRI, patients in the nonoperated group were divided into 3 groups: nonregression (n = 6), partial regression (n = 22), and complete resolution (n = 27); patients were analyzed in 4 groups including the ones in the operated (n = 25) group. Results: Significant improvements were observed in VAS and ODI scores at V2 and V3 in all groups (p = 0.000) and at V4 in partial regression and complete resolution groups (p = 0.000). VAS and ODI score improvements at V2 and V3 were significantly higher in the operated group than in other groups (p = 0.000). At V4, there were no significant differences in VAS and ODI scores (p > 0.05) between the operated group and partial regression and complete resolution groups. Conclusion: Spontaneous regression was observed in the 6th month post-MRI in most of the nonoperated sequestered LDH patients with conservative treatment. Improvements in pain and disability scores were higher among the operated patients at the early stage, whereas they were not significantly different compared to patients with spontaneous regression at the 6th month.Öğe Demographic and Clinical Characteristics of Patients With Cerebral Palsy(İstanbul Eğitim ve Araştırma Hastanesi, 2017-12-22) Sucuoğlu, HamzaObjective: The purpose of this study was to identify the demographic and clinical characteristics of patients with cerebral palsy (CP) who applied to the Physical Therapy and Rehabilitation Center and to increase the awareness of physicians and therapists on this subject. Methods: The data of 224 patients who applied for treatment between July 2015 and August 2017 were retrospectively reviewed. This data included clinical and demographic characteristics, such as age, sex, CP type, additional disorders, and treatments. Results: A total of 204 patients were analyzed. Eighty-six of the patients were women and 118 were men. Average of age and age of diagnosis were 10, 35 years, 14.5 months. Distribution according to CP types was as follows: spastic 167 (81.8%), diplegic 50 (24.5%), tetraplegic 93 (45.6%), hemiplegic 24 (11.8%), and mixed 14 (6.9%) patients. The functional levels of the patients were first rank with 26% grade 4 according to the Gross Motor Function Classification System (GMFCS) and 27.5% grade 1 according to the Manual Ability Classification System (MACS). Of the etiologic risk factors, premature birth was the most common with 41.1% and asphyxia was the second with 25.4%. In the additional problems observed in CP, speech disorder was the most common with 57.8%, followed by mental retardation 44.6% and epilepsy 32.3%. Overall, 78.9% of the patients had previously received physiotherapy, 43.1% had used orthotics, and 30.9% had undergone musculoskeletal surgery. In total, 27.8% of the orthoses used were foot, ankle orthosis. Conclusion: Precautions should be taken to reduce the perinatal causes, which are the most common in CP etiology, such as improvement and dissemination of neonatal care centers, close follow-up of risky babies, and early diagnosis and treatment. The majority of CP patients constitute spastic diplegic and tetraplegic types, and additional problems, such as speech impairment, mental retardation, and epilepsy are more common. This necessitates the continuation of CP treatment with a multidisciplinary approach. Keywords: Cerebral palsy, clinic, demographic, gross motor function classification system, manual ability classification system, spastic, rehabilitationÖğe Does paravertebral ozone injection have efficacy as an additional treatment for acute lumbar disc herniation? A randomized, double-blind, placebo-controlled study(IOS PRESS, NIEUWE HEMWEG 6B, 1013 BG AMSTERDAM, NETHERLANDS, 2021) Sucuoğlu, Hamza; Soydaş, NalanOBJECTIVE: In this study we investigate the effects of paravertebral ozone injections (POI), which have been used as a new treatment approach for lower back pain in recent years, on pain and physical activity in patients with acute lumbar disc herniation (LDH) as an additional treatment. METHODS: Thirty-eight patients were assigned into the ozone therapy (OT) group (n = 20) and placebo control (PC) group (n = 18). Both groups received two sessions per week, a total of 8 sessions of lumbar POI. The ozone concentrations of 20–25 µg/ml (30 ml) and 0.1 µg/ml (30 ml) were administered to the OT and PC groups, respectively. The patients were assessed with the visual analog scale (VAS) and Oswestry Disability Index (ODI) before the treatment (V1), 15 (V2) and 30 (V3) days after the treatment started, and one month (V4) after the treatment ended. RESULTS: A significant improvement was seen in the VAS and ODI scores in the final follow-up (V4) as compared with the baselines scores (V1) in both groups (P < 0.05). The patients in the OT group had lower mean VAS and ODI scores in V2, V3, and V4 follow-ups compared with the patients in the PC group. This significant difference reached its peak in the final follow-up (V4) (P < 0.05). CONCLUSION: As an additional treatment combined with conservative treatment, lumbar POI can lessen pain and disability in patients with acute LDH.Öğe Quality of life of families and mothers of children with cerebral palsy, with or without epilepsy(BAYRAKOL MEDICAL PUBLISHER, EMRAH MAHALLESI, GULGUN CADDESI, NO 62-58, KEÇİÖREN, ANKARA 06010, TURKEY, 2021) Sucuoğlu, HamzaAim: The effects of the presence of epilepsy in Cerebral palsy (CP) on the quality of life (QOL) of mothers and their families are not clear. In this regard, our study aimed to evaluate the effects of the presence of epilepsy in CP on the QOL of mothers and families. Material and Methods: The study was conducted with 61 mothers whose children had CP, and 25 mothers with healthy children as the control group. Mothers whose children had CP were divided into two groups: children with epilepsy (n = 22) and children without epilepsy (n = 39). All mothers assessed their QOL using the Short Form-36 (SF-36) questionnaire, and their family life qualities were assessed with the Beach Center Family Quality of Life (BC-FQOL) scale. Results: Despite the fact that mothers of children with CP had the lowest scores on the SF-36 for the physical component summary (PCS) and for the mental component summary (MCS) scores compared with the epilepsy group, there was no significant difference between the groups (p> 0.05). In the BC-FQOL, emotional well-being and disability-related support scores were significantly lower in the epilepsy group (p <0.05). Discussion: Mothers of epileptic children with CP have a worse QOL tendency in both physical and mental health, but there is no significant difference compared to the other mothers.Öğe Relationship between calcific tendinopathy and rotator cuff tear on shoulder magnetic resonance imaging: case-controlled comparison(INT SCIENTIFIC INFORMATION INC, 361 FOREST LN, SMITHTOWN, NY 11787 USA, 2020) Sucuoğlu, Hamza; Asan, AbdülkadirPurpose: To determine the frequency of rotator cuff tear on the shoulder magnetic resonance imaging (MRI) of patients with rotator cuff calcific tendinopathy and the relationship between rotator cuff tear and calcific tendinopathy. Material and methods: In this retrospective case control study, 137 patients with calcific tendinopathy and 137 control group patients without calcific tendinopathy with shoulder pain, whose age, sex, and shoulder laterality values were matched, were compared in terms of rotator cuff tears on their shoulder MRI images. Results: The frequency of rotator cuff tear was found to be significantly higher in the control group (37.2%) compared to the calcific tendinopathy group (23.4%) (p < 0.01). Partial thickness was 81.3% in the calcific tendinopathy group and 70.6% in the control group, and no significant difference was observed between the two groups in terms of the size of the rotator cuff tear (p > 0.05). In the calcific tendinopathy group, there was no significant relationship between the localisation of calcification and the rotator cuff tear, and only in 4.4% of the participants were calcification and tear at the same location on the same tendon (p > 0.05, r = 0.04). Conclusions: The patients with calcific tendinopathy, who had been admitted with shoulder pain, did not demonstrate an increased risk of rotator cuff tear based on their MRI compared to patients with shoulder pain without calcific tendinopathy. No significant relationship was determined between calcific tendinopathy and rotator cuff tear.Öğe Sacral Stress Fracture in Pregnancy: Case Report and Review of Literature(GALENOS PUBL HOUSE, Kaçamak Sokak 21/1, ISTANBUL, Fındıkzade 34093, TURKEY, 2020) Sucuoğlu, Hamza; Aktürk, AdemSacral stress fractures (SSF) are one of the rare causes of lumbar and hip pain during pregnancy. The purpose of this report is to present a case of SSF diagnosed in the second trimester of pregnancy along with its diagnosis and treatment as wells as the type of birth. A 27-yearold primigravid patient presented with lumbar and hip pain at 25 weeks of gestation. Magnetic resonance imaging revealed SSF. The patient was followed up with conservative treatment. She gave birth by caesarean section at 38 weeks of gestation. Bone mineral density analysis revealed pregnancy-related osteoporosis in the postpartum period. Two months later, the patient’s symptoms were completely resolved. SSF should be considered in the differential diagnosis of lumbar and hip pain during pregnancy, and it should be kept in mind that these fractures may also occur in the prepartum period. Pregnancy-related osteoporosis is a risk factor for SSF. Caesarean section can be recommended as the type of birth in the women with SSF while considering the possible displacement risk for the fracture.Öğe The Short-Term Effect of PRP on Chronic Pain in Knee Osteoarthritis(The Journal of the Turkish Society of Algology, 2019-04-08) Sucuoğlu, Hamza; Üstünsoy, SeyfettinObjectives: The administration of platelet-rich plasma (PRP), which increases the release of growth factors targeting cartilage regeneration, is used in an effort to relieve pain in knee osteoarthritis (OA). This study measured the short-term efficacy of PRP on chronic pain in patients with OA of the knee. Methods: Patients with chronic knee pain and grade 2-4 knee OA based on the Kellgren-Lawrence (K-L) classification were enrolled in the study. A total of 60 knee joints of 42 patients who completed 3 doses of intraarticular PRP injections administered at intervals of 3 weeks were analyzed. The patients’ pain was evaluated using a resting and activity visual analog scale (VAS) on day 0, and at week 3, 6, and 12. Results: Of the 42 patients, 37 were female. The mean age and body mass index was 60.52±10.41 years and 28.5±9.71 kg/ m2. A total of 18 patients had bilateral knee involvement, and 39 of the 60 knee joints were classified as K-L grade 3-4 OA. A significant improvement was observed in the mean resting and activity VAS scores at day 0 and week 12 (pÖğe Spinal dural arteriovenous fistula: A rare cause of progressive myelopathy and bladder and bowel dysfunction(Bayçınar Tıbbi Yayıncılık, 2020) Sucuoğlu, Hamza; Aktürk, AdemSpinal dural arteriovenous fistula (SDAVF) is a rarely seen vascular lesion in the spinal cord and is often overlooked. If left untreated in the early stages, it is associated with severe morbidity and may lead to progressive myelopathy and bladder and bowel dysfunction. A 55-year-old male patient was admitted with complaints of lower extremity weakness, gait disorder, urinary retention, and stool retention. Based on physical examination and magnetic resonance imaging findings, a preliminary diagnosis of SDAVF was made. The diagnosis was confirmed by spinal angiography showing SDAVF on the left T6. Microsurgery was planned, once endovascular embolization failed. Although symptoms of progressive myelopathy and bladder and bowel dysfunction are rarely seen, SDAVF diagnosis should not be overlooked, and it should be kept in mind that early diagnosis and treatment prevent severe morbidities.Öğe The effects of whole-body vibration exercises with and without conventional physical therapy modalities in patients with knee osteoarthritis: A prospective, randomized-controlled study(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, ORNEK MH DR SUPHI EZGI SK SARAY APT NO 11 D 6, ATASEHIR, ISTANBUL 34704, Turkiye, 2024) Gökpınar, Hasan Hüseyin; Of, Nur Selin; Saraçoğlu, İsmail; Sucuoğlu, Hamza; Koyuncu, HalilObjectives: This study aims to examine the effects of whole-body vibration (WBV) therapy + home-based exercise (HBE) therapy; physical therapy modalities (PTMs)+HBE; and WBV+PTM+HBE on pain severity, physical performance, and functional status in patients with knee osteoarthritis (OA). Patients and methods: This single-center, single-blind, three-armed, prospective, randomized-controlled study included a total of 65 patients (3 males, 62 females; mean age: 56.0±6.3 years; range, 45 to 70 years) who were diagnosed with knee OA between February 2014 and July 2014. The participants were randomly divided into three groups. Group 1 (n=22) received WBV+HBE, Group 2 (n=22) received WBV+PTM+HBE, and Group 3 (n=21) received PTM+HBE alone. The primary outcome measure was functional physical performance, while the secondary outcome measures were pain intensity and functional status. All the measurements were evaluated by a single blinded investigator before and after treatment. Results: All the functional physical performance tests (p<0.01), pain intensity (p<0.01), and functional status (p<0.01) showed statistically significant effects in terms of time and group × time interaction, but no significant difference was observed among the groups (p>0.05). We observed statistically and clinically significant improvement in all of the functional physical performance tests, pain, and functional status for Group 2. There was a statistically and clinically significant improvement only in the functional physical performance tests for Group 1. In Group 3, no clinical or statistical significance was achieved in any outcome measurements. Conclusion: Treatment program consisting of WBV+PTM+HBE can yield clinically and statistically favorable results by improving all of the pain, functional status and physical performance parameters of the patients with knee OA, while WBV+HBE can be clinically and statistically effective only in the physical performance parameters of the patients.Öğe The Evaluation of Sleep Hygiene in Subacromial Impingement Syndrome: A Case Control Study(Kare Yayıncılık, 2024) Süzen Özbayrak, Sibel; Sucuoğlu, HamzaIntroduction: The aim of our study is to evaluate the pain, function, and sleep quality of patients with Subacromial Impingement Syndrome (SIS) and to reveal the relationship of this situation with the presence of depression in patients with sleep disorders. Methods: Patients aged between 30-60 years with nocturnal shoulder pain who were diagnosed with SIS (SIS group) and healthy individuals (control group) whose age and gender were matched were included. The presence of SIS was confirmed with clinical evaluation and Subacromial Injection Test (SIT). Visual Analogue Scale (VAS) at rest, during activity, and at night were recorded. Pain and disability of the shoulder were assessed by the Shoulder Disability Questionnaire and American Shoulder and Elbow Surgeons (ASES) Standardized Shoulder Assessment Form. Pittsburgh Sleep Quality Index (PSQI) and Sleep Hygiene Index (SHI) were used to evaluate sleep quality. The diagnosis of depression was made according to the Beck Depression Inventory (BDI). Results: Sleep quality assessed by PSQI total score and SHI were significantly decreased in the SIS group (p=0.010, p=0.017, respectively). The SIS group had significantly higher PSQI sleep latency and sleep disturbances scores (p=0.045, p=0.019, respectively). The SIS group had mild depression according to BDI (p=0.001). In the SIS group, PSQI subscores (sleep latency, sleep disturbances) and SHI score were moderately significantly correlated with BDI score (p<0.05). Discussion and Conclusion: Sleep quality may deteriorate in SIS patients compared to the healthy control group. In these patients, there may be a relationship between some of the subscores showing the deterioration in sleep quality and depression.
