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Search Results: 1 - 10 of 486 matches for " Belgin ERHAN "
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Nutrition in Spinal Cord Injured Patients - Education
Belgin Erhan
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2010,
Abstract: In recent years, nutritional support has become very important in patients who sustained maj r trauma such as spinal cord injury (SCI). Some metabolic changes take place immediately after the maj r trauma: hypermetabolism is observed, especially, an increase in the catabolic rate and excessive nitrogen losses occur. This results in depletion of the body energy stores, loss of lean muscle mass, reduction in protein synthesis and deterioration of immune competence. Inherent denervation, immobility, and consequent muscle atrophy are present in SCI. When the above-mentioned posttraumatic metabolic changes are added to these inherent problems, an increase in secondary complications and morbidity is perceived in SCI patients. In this report, the importance of nutritional support in SCI patients will be discussed. Turk J Phys Med Rehab 2010; 56 Suppl 2: 64-6
Urinary Dysfunctions Associated With Spinal Cord Injury
Serdar KO?ER,Belgin ERHAN
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2012,
Abstract: After the Second World War, urinary dysfunctions due to spinal cord injury had gained more importance and the life expectancy and quality of life of the patients had increased due to the improvements in this field. The management and follow-up period of urinary dysfunctions can be examined in three stages: initial stage after the injury, rehabilitation stage and long-term follow-up stage. Urodynamic and videourodynamic evaluations are the gold standards in the diagnosis. Bladder filling pressure, bladder compliance and bladder sphincter dyssynergia are the important prognostic factors during the management of neurogenic bladder. The aim of the treatment is to protect upper urinary tract, to lower the complications in the lower urinary tract and to improve the quality of life of the patient. Recently, botulinum toxin injections and improved surgical techniques become good treatment options besides clean intermittent catheterization and oral medical agents. The success of the treatment is based on long-term follow-up of the patients with appropriate treatment strategy. In this review, the current developments in the diagnosis and management of urinary dysfunctions seen after spinal cord injury will be discussed. Turk J Phys Med Rehab 201;58 Suppl 1: 10-5.
An Approach to Spasticity in Spinal Cord Injured Patients
Belgin ERHAN,Serdar KO?ER
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2012,
Abstract: Spasticity is a very common (53%-78%) complication among spinal cord injured patients that intereferes with their quality of life. It was recorded that the severity and frequency of spasticity is higher in incomplete patients than the complete patients. The spasticity evaluation measurements can be clinical, biomechanical or electrophysiological. Besides, in the literature some spesific measurements (SCATS, SCI-SET) were described only for this group of patients. The management of spasticity can be divided into non pharmacological, pharmacological or surgical treatment. The severity and localization of spasticity are important when deciding the treatment. If the spasticity is generalized oral medical agents, intratechal baclofen or surgical management can be treatment options besides nonpharmacological measures. Local treatments can be taken into consideration if spasticity effects only a few group of muscles locally. Local treatments include botulinum toksin-A injection, phenol block, alcohol and local anesthetic blocks. Turk J Phys Med Re-hab 2012;58 Suppl 1: 21-7.
Editorial
Dil?ad Sindel,Belgin Erhan
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2010,
Abstract: ...
International Standards for Neurological Classification of Spinal Cord Injury Revised 2011: Turkish Translation of Worksheet
Berrin GüNDüZ,Belgin ERHAN
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2012,
Abstract: Performing a standardized physical examination is useful in follow-up of the injury, monitorizing the effects of different treatments and to build a standard terminology among professionals dealing with the disease. The most common used method in assesment of spinal cord injured patient is International Standards for Neurological Classification of Spinal Cord Injury developed by American Spinal Cord Association (ASIA). The purpose of this report is to introduce the Turkish translation of worksheet in 2011 revision of International Standards for Neurological Classification of Spinal Cord Injury. Turk J Phys Med Re-hab 2012;58 Suppl 1: 42-5.
Quality of Life of Stroke Patients' Spouses Living in The Community in Turkey: Controlled Study with Short Form-36 Questionnaire
Berrin GüNDüZ,Belgin ERHAN
Journal of Neurological Sciences , 2008,
Abstract: Background and purpose: Stroke is a disease with severe consequences for patients and their families. We know very little about family caregivers in our country. The aim of this study is to compare the quality of life of spouses of chronic stroke patients with healthy controls residing in Turkey. We will investigate some objective characteristics of patient and spouse that would have a negative effect on quality of life.Methods: Forty seven spouses of first ever stroke patients living in the community and 26 healthy controls of the same age and sex range were included in the study. Demographic characteristics and additional information about the education of all the subjects and patients were recorded. Clinical status of the patients were evaluated using Brunnstrom's stages of motor recovery and Modified Barthel Index. Quality of life was assessed using Short Form-36.Results: The Short Form-36 subscale scores of social functioning, mental health and mental health summary score were significantly lower in the spouses than the healthy controls. Being a female and being less educated were associated with lower physical and mental health summary scores.Conclusions: Being a spouse of a stroke patient can have a negative impact on quality of life. Short Form-36 can be added into routine assessment of spouses of stroke survivors in the stroke follow-up clinics to identify spouses in need of additional education and support.
Autonomic Disfunctions in Pediatric Spinal Cord Injury
Ay?e Nur BARDAK,Belgin ERHAN,Berrin GüNDüZ
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2008,
Abstract: The autonomic nervous system is under supraspinal control,and therefore its function is disturbed by spinal cord injuries. Clinical conditions related to autonomic dysfunction are autonomic dysreflexia, hyperhidrosis, temperature instability and orthostatic hypotension. Autonomic dysreflexia is a complication of spinal cord injuries at or above the T6 level. The clinical manifestations may include elevated blood pressure above baseline value. Autonomic dysreflexia may be difficult to identify in young children because they may not be able to articulate their symptoms. Hyperhydrosis is seen in individuals with cervical and thoracal injuries and hyperhydrotic regions of the body tend to correspond to the level of injury in the spinal cord. Turk J Phys Med Rehab 2008; 54 Suppl 2: 66-9.
Management of Spasticity in Pediatric Spinal Cord Injury
Belgin ERHAN,Berrin GüNDüZ,Ay?e Nur BARDAK
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2008,
Abstract: Spasticity affects approximately 50% of children with spinal cord injury. The objectives of treatment include improvement of function and mobility, prevention of secondary complications such as contracture and pressure sore, alleviation of pain, improvement of quality of life of both the patient and care giver. Spasticity can be beneficial and needs no treatment. Prevention and relief of potential inciting factors are cornerstones of management. Nonpharmacologic interventions, medication and invasive procedures are the alternative management choices that can be applied for the spasiticity in children with spinal cord injury. Turk J Phys Med Rehab 2008; 54 Suppl 2: 81-3.
General Principles in Pediatric Spinal Cord Injury Rehabilitation
Berrin GüNDüZ,Ay?e Nur BARDAK,Belgin ERHAN
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2008,
Abstract: Spinal cord injuries cause many important changes in a person’s life; the result is even more tragic if a child with limited experience of life is affected. Approaches to pediatric rehabilitation are different from those for adults. Rehabilitation principles and goals should change in parallel with the growth and development in children and adolescents. Rehabilitation should be family centered due to the important role of the family in the child’s life. The aim is to have a healthy, happy and productive adult following a healthy childhood and adolescence. The general principles of pediatric spinal cord injury rehabilitation and some medical problems encountered during this period are summarized in this article.Turk J Phys Med Rehab 2008; 54 Suppl 2: 59-61.
Low back pain in athletes: common problems and conservative treatment
Belgin Erhan,Berrin Gündüz,Se?il üstünel,Feride Sava?
Medical Journal of Bakirk?y , 2009,
Abstract: Low back pain is one of the most common reasons for the missing days from sports. Generally low back pain prevalence is reported to be 1-30% among athletes; this broad range depends on type of sports, gender, training frequency and technique. In sports like gymnastics, wrestling, tennis and soccer the prevalence is reported to be much higher. Lumbar strain and sprain, disc herniation, spondylolysis, spondylolisthesis, lumbar facet syndrome and sacral stress fracture are among the most common reasons for low back pain in athletes. Most of the patients resolve with conservative treatment and returning to sports is possible in short time duration. No pain, full range of motion, full strength and endurance, achieving normal function are the required factors for returning to sports.
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