Person: KAYA UTLU, DEFNE
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Publication Scapular dyskinesis, shoulder joint position sense, and functional level after arthroscopic bankart repair(Sage Publications, 2021-08-01) Unal, Miray; Ozenci, A. Merter; Sayaca, Cetin; SAYACA, ÇETİN; Calik, Mahmut; Eyuboglu, Filiz Erdem; Kaya, Defne; KAYA UTLU, DEFNE; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi.; AAG-7644-2021; GQH-1570-2022; KCY-7189-2024Background: Scapular kinesia is an important component of glenohumeral rhythm and shoulder stability. No studies have evaluated scapular dyskinesis and its relationship to shoulder proprioception in patients who have undergone arthroscopic Bankart repair (ABR). Purpose: To investigate scapular dyskinesis, proprioception, and functional level after ABR. Study Design: Cohort study; Level of evidence, 3. Methods: This study included 13 male patients who underwent ABR (ABR group; mean age, 30 years; range, 24-36 years) and 13 sex- and age-matched healthy individuals (control group). The age, height, weight, and dominant side of all participants were collected. Scapular dyskinesis was evaluated using the lateral scapular slide test and the scapular dyskinesis test; proprioception was measured by the active angle reproduction test using a smartphone goniometer application, and functional level was assessed using the upper-quarter Y-balance test for dynamic stability as well as the Rowe score and Walch-Duplay score for quality of life and return to activities of daily living. Results: The presence of static scapular dyskinesis in the neutral position, at 45 degrees of abduction, and at 90 degrees of abduction as well as the presence of dynamic scapular dyskinesis was higher in the ABR group compared with the control group (P <= .04 for all). Shoulder joint position sense (absolute error) at 40 degrees and 100 degrees of shoulder elevation and shoulder functional level according to the Rowe score were worse in the ABR patients compared with the healthy controls (P <= .02 for all). Dynamic scapular dyskinesis was negatively related to shoulder joint position sense at 40 degrees of shoulder elevation (r = -0.64; P = .01). Static scapular movement as measured on the lateral scapular slide test was moderately related to the Rowe score (r = 0.58; P = .03). Conclusion: Scapular kinematics and proprioception should be evaluated after ABR. Treatment approaches to improve scapular control and proprioceptive sense should be included in the rehabilitation program for patients after ABR.Publication Lower extremity alignment due to patellofemoral syndrome and dynamic postural balance(Sage Publications, 2020-01-01) Erdoğanoglu, Yıldız; Pepe, Murad; Kaya, Defne; Tağrıkulu, Bilgehan; Akşahin, Ertuğrul; Aktekin, Cem Nuri; KAYA UTLU, DEFNE; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Fizyoterapi ve Rehabilitasyon Bölümü.; FGY-6036-2022Study design:This study is a prospective study.Aim:Lower extremity malalignment is an important etiologic factor in patellofemoral pain syndrome (PFPS). We hypothesized that lower limb malalignment may affect dynamic balance and physical function. This prospective study was conducted to investigate the relationship between the lower limb alignment and the dynamic balance and physical function in patients with PFPS.Methods:The study included 62 individuals with unilateral PFPS. Pain severity was assessed by the numerical pain scale and the pain duration was recorded. Lower extremity bone alignment was evaluated by the lateral distal femoral angle (LDFA) and the medial proximal tibia angle. Dynamic postural balance was assessed by the star excursion balance test. The functional status of the patients was evaluated by the 30-second chair stand test.Results:The mean duration of the pain was 24.2 +/- 31.5 months and the mean pain severity was 8.1 +/- 1.4. Although there was a significant difference found between the affected and unaffected LDFA values of lower extremities (p < 0.05), there was no difference found with regard to the dynamic balance values of the lower extremities (p > 0.05). However, significant changes of posterolateral balance were identified at a painful side without causing a postural dynamic imbalance (p < 0.05).Conclusion:In our study, we found a valgus deformity as a deterioration in the lower limb alignment of patients with PFPS which may cause a deterioration of posterolateral balance only. However, no change in postural dynamic balance was observed in the comparison of affected side and unaffected side. Dynamic postural balance has been influenced by many kinematic changes related to lower extremities including pelvis, hip, and ankle. Thus, reciprocal mechanisms in the anatomical structures may compensate the postural balance dynamically.Publication Shoulder joint position sense in thoracic outlet syndrome(Edra Spa, 2021-01-01) Sayaca, C.; Eyuboglu, F.; Calik, M.; Guney-Deniz, H.; Firat, T.; Sayaca, C.; SAYACA, ÇETİN; Kaya, D.; KAYA UTLU, DEFNE; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi.; 0000-0002-6731-1677; AAG-7644-2021Objective. The aim of the study was to analyze joint position sense (JPS), and muscle strength & endurance in patients with Thoracic Outlet Syndrome (TOS).Methods. Eight patients with unilateral TOS and eight healthy controls participated. Pain, symptom duration, JPS, and strength&endurance were evaluated.Results. There was a difference in Absolute Error (AE) of the abduction at 70 degrees (p =0.02). There were differences in AE at 40 degrees (p =0.01) and 130 degrees (p =0.04) abduction between the affected side of patients and the dominant side of the healthy group. Additionally, the pain was related to poor Relative Error at 90 degrees abduction and AE at 130 degrees flexion (p = 0.01). There was no difference in strength and endurance of flexion (p > 0.05) and abduction (p > 0.05) to compare the affected and unaffected side of the patients with TOS. There were differences strength of flexion (at 60 degrees/sec; p = 0.05), strength of abduction (at 60 degrees/sec; p = 0.01), and endurance of abduction (at 180 degrees/sec; p = 0.05) to compare affected side of patients with TOS and healthy person.Conclusions. This study indicated that JPS was decreased at 40 degrees & 70 degrees & 130 degrees abduction, strength in flexion and abduction was also decreased. Proprioceptive and strengthening exercises should be considered to implement in patients with TOS.Publication Is shoulder joint position sense affected in partial and full-thickness supraspinatus tears?(Springer, 2023-01-31) Calik, Mahmut; Utlu, Defne Kaya; Demirtas, Abdullah; Canbora, Mehmet Kerem; Erdil, Mehmet Emin; Duzgun, Irem; KAYA UTLU, DEFNE; Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Fizyoterapi ve Rehabilitasyon Bölümü; 0000-0001-9102-5518; AGX-0638-2022PurposeNeuromuscular control is important for joint stabilization. Supraspinatus muscle plays an essential role in the perception of proprioceptive sense. The aim of this study is to investigate active joint position sense (AJPS) both in patients with partial and full-thickness supraspinatus tears and in healthy participants.MethodsTwenty patients with partial supraspinatus tears, 20 patients with full-thickness supraspinatus tears, and 20 healthy participants, aged 40-65 years, were included in the study. Proprioceptive sense was assessed with AJPS measurement. Absolute error was calculated to evaluate joint position sense.ResultsActive joint position sense was decreased in partial and full-thickness tears on both in affected and contralateral shoulders compared to control group (p < 0.05). There was no difference between groups with partial and full-thickness tears on the affected and contralateral shoulders at 40 degrees and 100 degrees elevation (p > 0.05).ConclusionAJPS was affected after supraspinatus injury. It was seen as proprioceptive deficit in patients with partial and full-thickness tears in both affected and contralateral shoulders.Publication Is plantar foot sensation affected in patients with gonarthrosis(Turkish Assoc Orthopaedics Traumatology, 2021-11-01) Taşcılar, Laçin Naz; Utlu, Defne Kaya; Sayaca, Çetin; Polat, Gökhan; Kuyucu, Ersin; Erdil, Mehmet Emin; KAYA UTLU, DEFNE; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Fizyoterapi ve Rehabilitasyon Bölümü.; 0000-0003-0552-1190 ; AGX-0638-2022Objective: The aim of this study was to compare pain, plantar foot sensation, postural control, fear of movement, and functional level between women patients with early-stage gonarthrosis and those with late-stage gonarthrosis.Methods: A total of 62 women with gonarthrosis were included in the study. Patients were then divided into two groups: early-stage gonarthrosis group (31 women) and late-stage gonarthrosis group (31 women) according to Kellgren Lawrence criteria. Light touch-pressure sensation (Semmes Weinstein Monofilaments), two-point discrimination sensation (esthesiometer), and vibration sensation (128 Hz diapason) were used to evaluate plantar foot sensation. Pain intensity was assessed by the numeric rating scale, postural control by Berg balance scale, fear of movement by the Tampa kinesiophobia scale, functional mobility by the Timed Up and Go test and knee injury and osteoarthritis outcome score.Results: Early-stage patients were found to have higher light-touch pressure sensation on 1st metatarsal head of dominant side, 5th metatarsal head of non-dominant side, heel of non-dominant side than late stage patients. Early-stage patients had a higher sensation of vibration than late stage patients. The patients in the early stage were found to have higher two-point discrimination sensation on middle of dominant side, heel of dominant side, trans-metatarsal of non-dominant side, middle of non-dominant side, heel of non-dominant side than late stage. Postural control of early-stage patients were found to be higher than late-stage patients. Early-stage patients had lower kinesophobia and higher functional levels than late-stage patients.Conclusion: The light touch sensation, vibration sensation, and two-point discrimination deteriorated by the progression of the disease should be important criteria in patients with gonarthrosis.