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    Evaluation of minimum pinch force while holding in fbromyalgia patients
    (SPRINGER LONDON LTD, 236 GRAYS INN RD, 6TH FLOOR, LONDON WC1X 8HL, ENGLAND, 2025) Zincirci, Dilara Ekici; İlbeği, Sultan; Çakır, Esin; Atar, Sevgi; Demirhan, Esma; Aydın, Tuğrul; Türker, Kemal Sıtkı; Karacan, İlhan; Kuru, Ömer
    Objective This study aimed to investigate the relationship between the minimum pinch force applied during object carrying and physical fatigue in patients with fbromyalgia. For this purpose, the study evaluated the association between the minimum and maximum pinch forces exerted while carrying a weight and both isokinetic muscle strength and the isokinetic fatigue index. Methods One hundred eight (54 FMS/54 healthy) women participated. Pinch force was measured with a force sensor, and wrist fexor/extensor strength and fatigue index were evaluated using an isokinetic dynamometer at 180°/s. Results Minimum pinch force did not difer signifcantly between groups, but maximum pinch force was higher in healthy subjects (p=0.011). Wrist fexor and extensor strength were substantially lower in FMS (p<0.001 for both). Fatigue index was lower in FMS, but diferences were not statistically signifcant (p=0.05, p=0.06). In FMS patients, the minimum pinch force correlated with wrist fexor and extensor fatigue, but no correlation was found in controls. Conclusions Our research shows that the minimum pinch force exerted by women with FMS is not diferent from that exerted by healthy women, but the maximum pinch force is lower. Muscle performance tests measured by isokinetic dynamometry may help assess physical fatigue in FMS patients. Signifcance Although women with FMS can match their healthy peers in minimum pinch force, their lower maximum force may be the main cause of the fatigue they experience during daily activities.
  • Küçük Resim
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    Inhibitory kinesiotaping has no effect on post-stroke spasticity: Prospective, randomised, controlled study
    (Elsevier, 2024) Zincirci, Dilara Ekici; Yurttutmus, Zeynep; Türker, Kemal Sıtkı; Karacan, İlhan
    Objective: Motor neuron pool activity is high in spasticity. The effect of inhibitory kinesiotaping (KT) on spasticity is unclear. The aim of this study is to investigate the effect of inhibitory KT on spasticity after stroke. Methods: Fifty stroke patients with ankle plantarflexor spasticity were randomised to intervention (27) and control (23) groups. Inhibitory KT was applied to the triceps surae muscle in the intervention group and sham KT to the Achilles tendon in the control group. Inhibitory and sham KT were applied for 72 h with a combined conventional rehabilitation programme. Spasticity was assessed at baseline and 72 h after KT using three instruments: Modified Ashworth Scale (MAS), Homosynaptic Post -Activation Depression (HPAD) reflecting the level of motor neuron pool activity, and joint torque as a measure of resistance to passive ankle dorsiflexion. Results: The baseline MAS score, HPAD levels and dorsiflexion torque of the two groups were not significantly different. The change in MAS score was -3.7 +/- 17.5 (p = 0.180) in the intervention group and 3.6 +/- 33.3 (p = 0.655) in the control group. The change in dorsiflexion torque was -0.3 +/- 16.1 kg m (p = 0.539) in the intervention group and 8.0 +/- 24.1 kg m (p = 0.167) in the control group. The change in mean HPAD was 8.7 +/- 34.7 (p = 0.911) in the intervention group and 10.1 +/- 41.6 (p = 0.609) in the control group. Conclusions: The present study showed that inhibitory KT has no antispastic effect in stroke patients.