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Akkaya N - One of the best experts on this subject based on the ideXlab platform.

  • arthroscopic-assisted mini-open rotator cuff repair
    TURKISH JOINT DISEASES FOUNDATION, 2011
    Co-Authors: Buker N, Kitis A, Akkaya S, Akkaya N
    Abstract:

    Objectives: This study aims to compare the results of supervised exercise program versus standardized home-based exercise program after rotator cuff repair with respect to severity of pain, functional status, quality of life, and depression.Patients and methods: Twenty-eight patients (5 males, 23 females; mean age 59.8 +/- 9.1 years; range 40 to 83 years) who had rotator cuff repair were evaluated. Patients were divided into two groups and the first group was treated with supervised physiotherapy (n=15) and the second group was treated with home-based exercise program (n=13). Pendulum exercises and passive exercises within pain limits were performed by all patients in the six-week immobilization period with Shoulder Sling with abduction pillow after rotator cuff repair. After this period, the patients in home-based exercise program were taught to perform active exercises and the patients in supervised physiotherapy group were treated with active Shoulder range of motion exercises under the supervision of the physiotherapist. When patients reached to active full range of motion, strengthening exercises were added to exercise program. Patients were assessed preoperatively and at the end of the postoperative third month. Pain was evaluated with visual analog scale (VAS), functional status with Constant Shoulder score, quality of life with short form-36 (SF-36), and depressive symptoms with Beck depression inventory (BDI).Results: There were significant improvements in all evaluation parameters in both groups after rotator cuff repair.Conclusion: There were no statistical differences between the patients who received exercise program under the supervision of the physiotherapist and the patients who were treated with standardized home-based exercise program for the efficacy of treatment in the evaluation of pain, functional status, quality of life, and depression status. When the rehabilitation programs were analyzed for cost effectiveness, the supervised physiotherapy group was found to have higher costs

Chi Simon - One of the best experts on this subject based on the ideXlab platform.

  • Clinical Reasoning in the use of Slings for Patients with Shoulder Subluxation After Stroke: A Glimpse of the Practice Phenomenon in California
    Dominican Scholar, 2013
    Co-Authors: Li Kitsum, Murai Naoko, Chi Simon
    Abstract:

    Literature reports the frequent use of Shoulder Slings by occupational therapists for the management of post-stroke Shoulder subluxation despite the low evidence for its efficacy. To understand the clinical context that defies current research evidence, a survey was distributed among California occupational therapists. One hundred and sixty-eight participants responded to the survey, answering questions regarding the occurrences and clinical reasoning in the use of Shoulder Sling with patients post stroke. 81.5% of the respondents reported the use of Shoulder Sling. However, the actual Sling prescription was limited to 28.4% of their patients. Slings were primarily prescribed for upper extremity management during functional mobility and for pain reduction. The orthopedic Sling was the most frequently used Sling. Reasons to use the orthopedic Sling were largely based on pragmatic reasoning such as convenience and cost factors. On the contrary, therapists with advanced training were found to be more likely to apply procedural reasoning when choosing the proper Sling for their patients

  • Clinical Reasoning in the Use of Slings for Stroke Patients with Shoulder Subluxation: A Practice Phenomenon in California
    Dominican Scholar, 2013
    Co-Authors: Chi Simon, Murai Naoko
    Abstract:

    Purpose: The literature reported the frequent use of Shoulder Slings by occupational therapy practitioners for the management of post-stroke Shoulder subluxation despite the low evidence for its efficacy. We investigated the prevalence and clinical reasoning in the use of Shoulder Sling in order to understand the clinical context that defies the current research evidence. Methodology: The study is a quantitative descriptive design using self-report survey questionnaire. Online and on-site surveys were distributed among the members of Occupational Therapy Association of California (OTAC) between January and April, 2012, and attendees to OTAC Spring Symposium on March 31 and April 1, 2012. Findings: 168 occupational therapy practitioners responded to the survey. 81.5% of the California occupational therapy practitioners reported the use of Shoulder Sling. However, the actual Sling prescription was limited to only 28.4% of their patients. The common clinical reasoning in the use of Sling was for specific clinical management, such as functional mobility and pain reduction. The orthopedic Sling was the most frequently used Sling, followed by the GivMohr Sling. The pragmatic reasoning pattern was prominent in choosing orthopedic Sling, such as high availability in facility’s stock and low cost. The procedural reasoning pattern was prominent in choosing GivMohr Sling, such as better support and alignment for the glenohumeral joint. The results implicated that the clinical management of Shoulder subluxation in post-stroke rehabilitation might be compromised by convenience and cost factors. On the other hand, occupational therapy practitioners with advanced trainings were less likely to use the orthopedic Sling and more likely to choose Sling based on the procedural reasoning

Murai Naoko - One of the best experts on this subject based on the ideXlab platform.

  • Clinical Reasoning in the use of Slings for Patients with Shoulder Subluxation After Stroke: A Glimpse of the Practice Phenomenon in California
    Dominican Scholar, 2013
    Co-Authors: Li Kitsum, Murai Naoko, Chi Simon
    Abstract:

    Literature reports the frequent use of Shoulder Slings by occupational therapists for the management of post-stroke Shoulder subluxation despite the low evidence for its efficacy. To understand the clinical context that defies current research evidence, a survey was distributed among California occupational therapists. One hundred and sixty-eight participants responded to the survey, answering questions regarding the occurrences and clinical reasoning in the use of Shoulder Sling with patients post stroke. 81.5% of the respondents reported the use of Shoulder Sling. However, the actual Sling prescription was limited to 28.4% of their patients. Slings were primarily prescribed for upper extremity management during functional mobility and for pain reduction. The orthopedic Sling was the most frequently used Sling. Reasons to use the orthopedic Sling were largely based on pragmatic reasoning such as convenience and cost factors. On the contrary, therapists with advanced training were found to be more likely to apply procedural reasoning when choosing the proper Sling for their patients

  • Clinical Reasoning in the Use of Slings for Stroke Patients with Shoulder Subluxation: A Practice Phenomenon in California
    Dominican Scholar, 2013
    Co-Authors: Chi Simon, Murai Naoko
    Abstract:

    Purpose: The literature reported the frequent use of Shoulder Slings by occupational therapy practitioners for the management of post-stroke Shoulder subluxation despite the low evidence for its efficacy. We investigated the prevalence and clinical reasoning in the use of Shoulder Sling in order to understand the clinical context that defies the current research evidence. Methodology: The study is a quantitative descriptive design using self-report survey questionnaire. Online and on-site surveys were distributed among the members of Occupational Therapy Association of California (OTAC) between January and April, 2012, and attendees to OTAC Spring Symposium on March 31 and April 1, 2012. Findings: 168 occupational therapy practitioners responded to the survey. 81.5% of the California occupational therapy practitioners reported the use of Shoulder Sling. However, the actual Sling prescription was limited to only 28.4% of their patients. The common clinical reasoning in the use of Sling was for specific clinical management, such as functional mobility and pain reduction. The orthopedic Sling was the most frequently used Sling, followed by the GivMohr Sling. The pragmatic reasoning pattern was prominent in choosing orthopedic Sling, such as high availability in facility’s stock and low cost. The procedural reasoning pattern was prominent in choosing GivMohr Sling, such as better support and alignment for the glenohumeral joint. The results implicated that the clinical management of Shoulder subluxation in post-stroke rehabilitation might be compromised by convenience and cost factors. On the other hand, occupational therapy practitioners with advanced trainings were less likely to use the orthopedic Sling and more likely to choose Sling based on the procedural reasoning

Nuray Akkaya - One of the best experts on this subject based on the ideXlab platform.

  • comparison of the results of supervised physiotherapy program and home based exercise program in patients treated with arthroscopic assisted mini open rotator cuff repair
    Eklem Hastaliklari Ve Cerrahisi-joint Diseases and Related Surgery, 2011
    Co-Authors: Nihal Buker, Ali Kitis, Semih Akkaya, Nuray Akkaya
    Abstract:

    OBJECTIVES: This study aims to compare the results of supervised exercise program versus standardized home based exercise program after rotator cuff repair with respect to severity of pain, functional status, quality of life, and depression. PATIENTS AND METHODS: Twenty-eight patients (5 males, 23 females; mean age 59.8±9.1 years; range 40 to 83 years) who had rotator cuff repair were evaluated. Patients were divided into two groups and the first group was treated with supervised physiotherapy (n=15) and the second group was treated with home-based exercise program (n=13). Pendulum exercises and passive exercises within pain limits were performed by all patients in the six-week immobilization period with Shoulder Sling with abduction pillow after rotator cuff repair. After this period, the patients in home-based exercise program were taught to perform active exercises and the patients in supervised physiotherapy group were treated with active Shoulder range of motion exercises under the supervision of the physiotherapist. When patients reached to active full range of motion, strengthening exercises were added to exercise program. Patients were assessed preoperatively and at the end of the postoperative third month. Pain was evaluated with visual analog scale (VAS), functional status with Constant Shoulder score, quality of life with short form-36 (SF-36), and depressive symptoms with Beck depression inventory (BDI). RESULTS: There were significant improvements in all evaluation parameters in both groups after rotator cuff repair. CONCLUSION: There were no statistical differences between the patients who received exercise program under the supervision of the physiotherapist and the patients who were treated with standardized home-based exercise program for the efficacy of treatment in the evaluation of pain, functional status, quality of life, and depression status. When the rehabilitation programs were analyzed for cost effectiveness, the supervised physiotherapy group was found to have higher costs.

Buker N - One of the best experts on this subject based on the ideXlab platform.

  • arthroscopic-assisted mini-open rotator cuff repair
    TURKISH JOINT DISEASES FOUNDATION, 2011
    Co-Authors: Buker N, Kitis A, Akkaya S, Akkaya N
    Abstract:

    Objectives: This study aims to compare the results of supervised exercise program versus standardized home-based exercise program after rotator cuff repair with respect to severity of pain, functional status, quality of life, and depression.Patients and methods: Twenty-eight patients (5 males, 23 females; mean age 59.8 +/- 9.1 years; range 40 to 83 years) who had rotator cuff repair were evaluated. Patients were divided into two groups and the first group was treated with supervised physiotherapy (n=15) and the second group was treated with home-based exercise program (n=13). Pendulum exercises and passive exercises within pain limits were performed by all patients in the six-week immobilization period with Shoulder Sling with abduction pillow after rotator cuff repair. After this period, the patients in home-based exercise program were taught to perform active exercises and the patients in supervised physiotherapy group were treated with active Shoulder range of motion exercises under the supervision of the physiotherapist. When patients reached to active full range of motion, strengthening exercises were added to exercise program. Patients were assessed preoperatively and at the end of the postoperative third month. Pain was evaluated with visual analog scale (VAS), functional status with Constant Shoulder score, quality of life with short form-36 (SF-36), and depressive symptoms with Beck depression inventory (BDI).Results: There were significant improvements in all evaluation parameters in both groups after rotator cuff repair.Conclusion: There were no statistical differences between the patients who received exercise program under the supervision of the physiotherapist and the patients who were treated with standardized home-based exercise program for the efficacy of treatment in the evaluation of pain, functional status, quality of life, and depression status. When the rehabilitation programs were analyzed for cost effectiveness, the supervised physiotherapy group was found to have higher costs