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    Effect of Kinesio taping on elbowmuscle strength in healthy individuals: A randomized trial
    (Ios Press, 2017) Karahan, Ali Y.; Yildirim, Pelin; Kucuksarac, Seher; Ordahan, Banu; Turkoglu, Gozde; Soran, Neslihan; Ozen, Kemal E.
    INTRODUCTION: The effect of the application of kinesiotape on muscle strength is still uncertain. This trial represents the first randomized-controlled trial to investigate the immediate and delayed effects of kinesiotape application on triceps muscle strength in healthy subjects. METHOD: The trial was randomized and placebo-controlled. Young adult (18-35 years of age), healthy men were randomly assigned in a 1: 1 ratio to either a kinesiotape group or a sham tape for the control group. Y-shaped kinesiotape was applied to the triceps muscle in the sitting position. I-shaped tape was used for the control group, and the sham tape was placed horizontally on the triceps muscle. A hand-held digital dynamometer was used to evaluate the peak force of elbow extension and flexion. Assessments were carried out before taping, an hour after taping, and after the first week. RESULTS: The mean ages of the participants in the kinesiotape and control groups were 26.2 +/- 4.8 and 26.7 +/- 4.8, respectively. The mean values of the peak force before taping, after the first hour, and after first week were statistically analyzed using one-way repeated measures. No statistical significance was found for in-group analysis of either the kinesiotape group or the control group (p > 0.05). In addition, there was no statistical significance in the between-group assessments (p > 0.05). CONCLUSION: The triceps muscle is appropriate for studying the effects of kinesiotape on muscle strength because elbow extension is provided by only one fusiform-shaped muscle. The results of this study did not show any significant changes in immediate or delayed muscle strength according to the initial measurements and between-group assessments.
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    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, Pelin
    BACKGROUND: 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.
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    Polypharmacy in Osteoporosis Patients
    (Galenos Yayincilik, 2015) Karahan, Yavuz Ali; Basaran, Aynur; Ordahan, Banu; Yildirim, Pelin; Kucuksarac, Seher; Oktar, Suleyman; Soran, Neslihan
    Objective: In this study, it was aimed to determine the rates of multiple drug use in the patients with osteoporosis as well as the use of drugs affecting bone metabolism and balance. Materials and Methods: We included outpatients from Physical Medicine and Rehabilitation Policlinics diagnosed with primary or secondary osteoporosis between January 2014 and May 2014. Written consent of the participants was obtained. Data of the first 1000 patients who agreed to participate in the study were evaluated. Data regarding age, history, drugs currently being used and newly initiated were recorded. The drugs that affect bone metabolism were determined. The drugs that heva side effects including dizziness, somnolence, distractibility, decrease in the visual acuity, orthostatic hypotension and ototoxicity and were recorded because these can cause a balance disorder. Results: In this study, 64% of the participants were on five or more drugs. The most commonly used drugs were analgesics (65.4%), anti-hypertensives (52.6%), and drugs for digestive system (37.3%). We found that 65.5% of the participants were using drugs that may have side effects on bone metabolism and 93.7% were using drugs that may have side effects on balance. Conclusion: Multi-drug use and drug interactions should be considered during the treatment of osteoporosis and the drugs used should be recorded. Drugs that affect bone metabolism should only be used over the short term. Also, patients should be informed about side effects that might affect visuality, somatosensorial system and vestibular system and their daily activities should be regulated.