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Öğe Are YouTube videos claiming to describe lumbar spinal manipulation techniques adequate?(Routledge Journals, Taylor & Francis Ltd, 2023) Arslan, Serdar; Dinc, Engin; Arslan, TugbaBackground and objectiveYouTube has become a digital visual library in almost all fields of life, including medicine. Healthcare professionals and students frequently use YouTube to gain new skills and knowledge; however, the content of these videos has not been scientifically evaluated. Therefore, this study aimed to determine the descriptive adequacy and quality of YouTube videos on lumbar spine manipulation techniques (LSMTs) prepared by different healthcare professionals.MethodsThe first 50 most relevant videos retrieved on searching YouTube for the keyword 'lumbar spinal manipulation techniques' were included in the study. The video metrics (total duration, number of views, time since upload, number of comments, number of likes, and number of dislikes) that could be accessed from video descriptions were recorded. However the videos were scored according to manipulation definition criteria proposed by the American Academy of Orthopedic Manual Physical Therapists (AAOMPT manipulation description score - AAOMPT-MDS) and benchmark criteria for quality of digital content by the Journal of American Medical Association's (JAMA). The video metrics, AAOMPT-MDS and JAMA scores of the videos prepared by medical doctors, chiropractors, osteopaths, and physiotherapists were compared.ResultsVideo metrics of groups were similar. The mean AAOMPT-MDS of the videos was 2.40 & PLUSMN; 1.57 out of 6.00 (higher score was better), and the mean JAMA score was 2.14 & PLUSMN; 1.05 out of 4.00 (higher score was better). Videos created by all professional groups had statistically comparable AAOMPT-MDS and JAMA scores (p > 0.05).ConclusionAlthough YouTube videos on LSMTs offer valuable information for professionals and students, creators should follow the proposed recommendations when producing these videos to ensure quality content and systematic presentation.Öğe Diagnostic Performance of Superb Microvascular Imaging and Other Sonographic Modalities in the Assessment of Lateral Epicondylosis(Wiley, 2018) Arslan, Serdar; Karahan, Ali Yavuz; Oncu, Fatih; Bakdik, Suleyman; Durmaz, Mehmet Sedat; Tolu, IsmetObjectives-The aim of this study was to compare the diagnostic performance of different sonographic modalities for diagnosing lateral epicondylosis. Methods-A total of 50 symptomatic and 50 asymptomatic common extensor tendons in 44 patients with lateral epicondylosis, and 25 healthy participants were prospectively examined by B-mode sonography, color Doppler imaging, power Doppler imaging, Superb Microvascular Imaging (SMI; Toshiba Medical Systems Corporation, Tokyo, Japan), and strain elastography. We evaluated blood flow in common extensor tendons by using a grading system with color Doppler imaging, power Doppler imaging, and SMI. The diagnostic performance of the modalities was compared. Results-When a cutoff value of hypoechogenicity was used for the mean strain ratio, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy rates were 92.0%, 94%.0, 93.9%, 92.2%, and 93.0%, respectively. When a cutoff point of grade 1 was used, the sensitivity, specificity, PPV, NPV, and accuracy rates were 26.0%, 10.0%, 10.0%, 57.5%, and 63.0, for color Doppler imaging; 40.0%, 10.0%, 10.0%, 62.5%, and 70.0% for power Doppler imaging; and 84.0%, 94.0%, 93.0%, 85.5%, and 89.0% for SMI. When a cutoff value of 3.94 was used for the mean strain ratio, the sensitivity, specificity, PPV, NPV, and accuracy rates were 78.0%, 92.0%, 90.7%, 80.7%, and 85.0%, respectively. A statistically significant correlation was detected between SMI, strain elastography, and visual analog scale scores (P < .001). Conclusions-The combination of SMI and B-mode sonography was found to have excellent diagnostic performance for lateral epicondylosis. Neovascularzation in patients' tendons with lateral epicondylosis was identified much better with SMI compared to color or power Doppler imaging.Öğe Effect of body composition on Functional Movement Screen scores in elite youth male soccer players(Ios Press, 2021) Arslan, Serdar; Dinc, EnginBACKGROUND: The Functional Movement Screen (FMS) is a clinical assessment tool used to determine musculoskeletal dysfunctions and asymmetries in athletes. OBJECTIVE: The aim of this study was to investigate whether FMS scores differed between elite youth male soccer players with low body fat percentage and those with normal body fat percentage and between those with and without a history of soccer injury. METHODS: Fifty-three elite youth male soccer players were included in the study. The participants' injury histories were recorded, followed by body composition assessment and FMS tests. The participants were grouped according to body fat percentage and injury history for data analysis. RESULTS: The mean age, weight and height of the participants were 17.11 +/- 0.91 years, 68.78 +/- 7.41 kg and 1.77 +/- 0.57 meters, respectively. Comparisons of the groups according to body fat percentage and injury history revealed no differences in FMS scores (p > 0.05). CONCLUSION: Lower body fat percentage did not confer an advantage or disadvantage to elite youth male soccer players in terms of FMS scores FMS scores provide limited information to predict injuries in elite youth male players.Öğe The Effect of cam and pincer morphology on hamstring injury rates and return to play in elite young male football players(Turkish Assoc Orthopaedics Traumatology, 2023) Dinc, Engin; Arslan, Serdar; Akikol, MahsumObjective: This study aimed to conduct a systematic review and meta-analysis of randomized controlled trials (RCTs) on the comparative effects of different types or parameters of lumbar traction in low back pain (LBP). Methods: CENTRAL, CINAHL, ISI Web of Science, PEDro, PubMed, and Scopus databases were searched from their inception to March 31, 2021. We considered all RCTs comparing different types or parameters of lumbar traction on adults who complained of LBP with or without lumbar radiculopathy (LR). Any restriction regarding publication time or language was applied. Two reviewers independently selected the studies, performed the quality assessment, and extracted the results. Meta- analysis employed a random-effects model. Results: Sixteen studies met the inclusion criteria for qualitative analysis, and five were pooled. Meta-analyses of results from five studies on LBP with LR showed no significant difference between diverse tractions modalities at short-term follow-up. Very low to low-quality evidence supports these results. High-force and low-force traction demonstrated clinically significant improvements in pain. Conclusion: The literature suggests the short-term effectiveness of traction on pain in LBP with LR, regardless of the type or the dosage employed. Different effects of traction other the mechanical ones can be hypothesized. This systematic review may be relevant for clinical practice due to the similar effects of different traction types or dosages. Level of Evidence: Level I, Therapeutic StudyÖğe The Effect of Chair-Based Exercises on Exercise Perception and Risk of Falling in Inactive Older Adults Who Live at Nursing Home A Single-Blind, Controlled Clinical Trial(Lippincott Williams & Wilkins, 2023) Arslan, Tuğba; Aslan Telci, Emine; Arslan, SerdarThe purpose of this study was to investigate the effect of chair-based exercises on exercise perception, fall risk, and health-related quality of life in inactive older adults. The study was carried out on nursing home residents older than 65 years with an inactive lifestyle. The Exercise Benefits/Barriers Scale, Tinetti Assessment Battery, and Nottingham Health Profile were used in the assessments. The Exercise Benefits/Barriers Scale score and Tinetti Balance and Gait Test scores of the participants in the exercise group were higher than those of the control group. The study concluded that chair-based exercises are beneficial for sedentary older adults in respect of the perception of exercise and risk of falling.Öğe The effect of the palmaris longus muscle on wrist flexion and extension strength(Ios Press, 2017) Karahan, Ali Yavuz; Bakdik, Suleyman; Ozen, Kemal Emre; Arslan, Serdar; Karpuz, Savas; Yilmaz, Nihal; Yildirim, PelinBACKGROUND: The palmaris longus (PLM) is a fusiform-shaped muscle that appears in the superficial flexor compartment of the forearm. It has been suggested that PLM is a phylogenetically degenerate metacarpophalangeal joint flexor. OBJECTIVE: The aim of this study was to compare the strength of wrist flexion and extension in healthy volunteers with and without the PLM. METHODS: Sixty-four healthy subjects, 30 men and 34 women, 18-22 years old were enrolled in this study. The database consisted of 128 wrist tests. The inclusion criteria were as follows: sedentary lifestyle, unknown musculoskeletal disorders and right-handedness. Musculoskeletal ultrasound imaging was used for assessing the presence of PLM. A hand-held digital dynamometer was used to assess the peak force of wrist extension and flexion. Data were analyzed separately for women and men RESULTS: The existence of right-sided PLM was 73.3% in male subjects and 55.9% in female subjects. For men, the strength of wrist flexion was 36.03 +/- 13.92 N and 34.24 +/- 12.23 N for the right and left side, respectively. For women, the respective strengths were 16.20 +/- 7.29 N and 15.26 +/- 6.79 N. For both sexes, there was no statistically significant difference between those with and without a PLM (p > 0.05). There was also no significant difference in the agonist/antagonist (flexion/extension) ratio of the wrist between those with and without a PLM in both sexes and sides. CONCLUSIONS: The existence or absence of PLM plays no role in the strength of either the flexors or extensors of the wrist.Öğe Effectiveness of Superb Microvascular Imaging for the differentiation of intraductal breast lesions(Soc Romana Ultrasonografe Medicina Biologie-Srumb, 2018) Bakdik, Suleyman; Arslan, Serdar; Oncu, Fatih; Durmaz, Mehmet Sedat; Altunkeser, Aysegul; Eryilmaz, Mehmet Ali; Unlu, YasarAims: The aim of this study was to compare the diagnostic performance of superb microvascular imaging (SMI) and power Doppler imaging (PDI) for the differentiation of intraductal breast lesions. Materials and methods: A total of 54 intraductal breast lesions (39 benign, 10 atypical, and 5 malignant) in 53 patients were examined using B-mode ultrasonography, PDI, and SMI. Vascularity grading, distribution of microvessels, and penetrating vessels were evaluated using each Doppler technique. The diagnostic performances of both methods were compared. Results: SMI was more efficient in detecting flow signals than PDI (p=0.004). The highest diagnostic accuracy rates were achieved with SMI using vascular grading. When hypervascularity was used as a cut-off value to differentiate malignant and atypical lesions from benign lesions, the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were 66.6%, 80.7%, 66.6%, 80.7%, and 75.6% for PDI, and 86.6%, 76.9%, 68.4%, 90.9%, and 80.4% for SMI, respectively. Conclusions: SMI is more sensitive than PDI for detecting subtle blood flow in intraductal breast lesions with statistical significance. This novel and promising vascular imaging technique may be helpful in B-mode ultrasonography to distinguish intraductal breast lesions.Öğe Incidence and anatomical variability of accessory and sesamoid bones of the foot(2018) Bakdık, Süleyman; Çiçekcibaşı, Aynur Emine; Arslan, Serdar; Öncü, Fatih; Karahan, Ali Yavuz; Durmaz, Mehmet Sedat; Özen, Kemal EmreAim: We aimed to assess the incidence, mean size, patterns, and types of accessory and sesamoid bones of the foot using computed tomography.Material and Methods: A total of 814 non-contrast-enhanced computed tomography images of the foot obtained from 717 patients between October 2015 and January 2018 were investigated retrospectively. Images acquired in the original axial plane were used to perform multiplanar reconstruction in the coronal or sagittal planes. Incidence, mean size, patterns, and types of accessory and sesamoid bones were evaluated in all images.Results: Accessory bones were detected in 387 (47.5%) non-contrast-enhanced computed tomography scans from 326 patients (45.4%). Sixty-seven patients (9.3%) showed accessory bones on both sides; 133 patients (18.5%), only on the right side; and 126 patients (17.5%), only on the left side. The most common accessory bones of the foot were the os naviculare accessorium (24.8%), os trigonum, (20.3%), os peroneum (14.6%), os intermetatarseum (10.6%), os supranaviculare (3.1%), os supratalare (1.9%), and osvesalianum (1.5%). The hallucal sesamoid bone was observed in all patients, while the interphalangeal sesamoid bone was observed in 34.6% of the patients.Conclusions: The computed tomography scans provided a detailed overview of the characteristics of accessory and sesamoid bones, and the incidence of these bones in our patients was higher than those reported in previous radiographic studies. Our findings can facilitate the diagnosis and management of disorders involving these bones.Öğe Long-term results of percutaneously treated multiple hepatic and splenic hydatid cysts in a pregnant woman(J Infection Developing Countries, 2018) Bakdik, Suleyman; Arslan, Serdar; Oncu, FatihHydatid disease is caused by Echinococcus granulosus, which is endemic worldwide. This parasitic tapeworm can produce cysts in almost every organ of the body; however, the liver and lungs are the most frequently targeted. 37-year-old multigravida woman with a 10-week pregnancy in whom multiple splenic and liver hydatid cysts were detected by ultrasound. All splenic and liver hydatid cysts were treated percutaneously under US guidance during the 14th week of pregnancy. The catheterization method was used in the treatment of all hydatid cysts. Alcohol was also used as scolicidal and sclerosing agent in all procedures. There were no major complications. A cystobiliary fistula developed in a hydatid cyst treated in the liver. A healthy baby was delivered vaginally at term.Öğe Morphometric risk factors effects on anterior cruciate ligament injury(Turkish Joint Diseases Foundation, 2023) Gultekin, Muhammet Zeki; Dincel, Yasar Mahsut; Keskin, Zeynep; Arslan, Serdar; Yildirim, AhmetObjectives: This study aims to compare the morphometric differences between patients with and without an anterior cruciate ligament (ACL) injury and to investigate the anatomical risk factors associated with ACL injury. Patients and methods: Between February 2020 and February 2022, a total of 100 patients (57 males, 43 females; mean age: 36.2 +/- 6.8 years; range, 18 to 45 years) who were operated for isolated non-contact ACL tear as the patient group and a total of 100 healthy individuals (58 males, 42 females; mean age: 35.0 +/- 6.9 years; range, 18 to 45 years) without an ACL tear as the control group were included. Magnetic resonance imaging scans of the knee joint were included in the study. Morphological variables of the ACL, distal femur, proximal tibia, and menisci were measured. Results: The mean ACL inclination angle and medial meniscus bone angle were 37.7 +/- 3.8 and 20.2 +/- 2.9 in the patient group and 48.1 +/- 3.3 and 25.0 +/- 2.9 in the control group. According to the results of multivariate analysis, those with small ACL inclination angle and medial meniscus bone angle were more likely to have ACL tear (odds ratio: 0.128, intraclass correlation coefficient: 0.038-0.430, p= 0.001). Conclusion: Small ACL inclination angle and medial meniscus bone angle can be a risk factor for ACL tear.Öğe Percutaneous treatment of hepatic cystic echinococcosis: the success of alcohol as a single endocavitary agent in PAIR, catheterization, and modified catheterization techniques(Springer-Verlag Italia Srl, 2018) Bakdik, Suleyman; Arslan, Serdar; Oncu, Fatih; Tolu, Ismet; Eryilmaz, Mehmet AliThis retrospective study aims at demonstrating the success rate, effectiveness, and advantages of alcohol as a scolicidal and sclerosing agent for the percutaneous treatment of liver hydatid cysts. A total of 554 liver hydatid cysts obtained from 347 patients admitted between January 2008 and February 2016 were retrospectively investigated. Of these, 435 (78.5%), 91 (16.4%), and 28 (5%) were classified as Gharbi type 1, 2, and 3, respectively. Type 1 and 2 cysts were treated using PAIR (puncture, aspiration, injection, respiration) and single puncture catheterization methods; type 3 lesions were treated using a modified catheterization technique. Alcohol was used as a scolicidal and sclerosing agent in all procedures. After excluding three lesions (0.5%) because of lack of parenchymal support during catheterization, 274 (49.7%), 250 (45.3%), and 27 (4.9%) of 551 lesions were treated with PAIR, single puncture catheterization, and modified catheterization techniques, respectively. Therefore, a 99.5% of technical success rate was obtained. Major complications in 2 patients (0.5%) and minor complications were observed in 36 patients (10.3%). Mean hospital stay was 1.55 +/- 2.3 days (range: 0-23 days). Patients were followed-up for mean 19.6 months (range: 6-83 months), during which recurrences were detected in 19 patients (5.4%). The use of alcohol as a scolicidal and sclerosing agent during the percutaneous treatment of liver hydatid cysts is associated with a high success rate and low rates of recurrence and complications, and should be considered an important alternative to surgical procedures.Öğe Relationship Between Functional Movement Screen Scores and Musculoskeletal Injuries in Youth Male Soccer Players: One-year Retrospective Observation(Dokuz Eylul Univ Inst Health Sciences, 2020) Dinc, Engin; Arslan, SerdarObjective: The aim of this study is to examine the success of functional movement screening (FMS) tests performed at the beginning of the season in youth male players for predicting musculoskeletal injuries (MSI) that occurred in the same season. Methods: Fifty seven elite youth male soccer players were included in the study. Age, height and body weight of the participants were 15.95 +/- 2.44 years, 170.87 +/- 12.67 cm and 61.28 +/- 13.69 kg, respectively. Medical records of the participants for the 2016-2017 season were investigated retrospectively. FMS tests results conducted at the beginning of the season and MSIs encountered in the relevant season were recorded. Results: Inline lunge, active straight leg raises, and composite FMS scores were statistically different (0.05>p) according to age groups. The composite FMS score increased with increasing age. The results revealed that no FMS test score can predict the rate of MSI that may occur during the season (p>0.05). Conclusion: It has been observed that composite FMS score increases with age. It can be said that FMS test scores at the beginning of the season provides useful information in determining musculoskeletal system asymmetries and dysfunctions but it cannot be used to predict injuries that occur during the season in youth male soccer players. In addition, the study results indicated that the composite FMS score is not a factor that increases the time loss, but that asymmetries can be a factor that increases the time loss.Öğe Two-Dimensional Shear Wave Elastography in the Assessment of Salivary Gland Involvement in Primary Sjogren's Syndrome(Wiley, 2020) Arslan, Serdar; Durmaz, Mehmet Sedat; Erdogan, Hasan; Esmen, Serpil Ergulu; Turgut, Bekir; Iyisoy, Mehmet SinanObjectives The aim of this study was to investigate the diagnostic performance of two-dimensional (2D) shear wave elastography (SWE) in the assessment of salivary gland involvement in primary Sjogren's syndrome (pSS). Methods Fifty-three patients with pSS and 30 healthy volunteers were included. The echogenicity of all submandibular and parotid glands was evaluated with B-mode ultrasound, and their elasticity was assessed with 2D SWE. The mean and standard deviation of the shear wave speed and elasticity modes on 2D SWE were calculated. Results The mean shear wave speed and elasticity mode values for the submandibular and parotid glands were significantly higher in the patients with pSS (P < .05). The mean elasticity of the shear wave speed mode was best able to differentiate the parotid glands of patients with pSS from those of healthy volunteers at a cutoff value of 2.48 m/s, whereas the mean elasticity of the elasticity mode was best able to differentiate the submandibular glands of patients with pSS from those of healthy volunteers at a cutoff value of 21 kPa. Conclusions Two-dimensional SWE is an effective technique for assessment of the parenchyma of the salivary glands in patients with pSS and predicts interstitial fibrosis and the severity of histologic damage.
