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    Comparison of hand function between children with type 1 diabetes mellitus and children without type 1 diabetes mellitus
    (Lippincott Williams and Wilkins, 2018) Atay, Canan; Kaya Mutlu, Ebru; Taşkıran, Hanifegül; Özgen, İlker Tolga
    Purpose: This study compared the hand function of children between the ages of 8 and 12 years with type 1 diabetes mellitus (T1DM) with that of children without diabetes. Methods: The Modified Jebsen-Taylor Hand Function Test and the Purdue Pegboard Test were used to assess hand function. The Pediatric Quality of Life Inventory 4.0 was used for evaluating health-related quality of life. Results: Duration of writing was found to be significantly longer on the dominant side of the T1DM group compared with the children without T1DM. The durations of card turning, moving large, light objects, and large, heavy objects on the nondominant side of the T1DM group were also found to be significantly longer than those in the children without T1DM. The total scale score of health-related quality of life was significantly lower in the T1DM group compared with the children without T1DM. Conclusions: T1DM affects hand function, particularly the dominant side for writing and nondominant side for card turning and moving large objects.
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    Comparison of mobilization with supervised exercise for patients with subacromial impingement syndrome
    (Bayçınar Medical Publishing, 2020) Pekgöz, Ferit; Taşkıran, Hanifegül; Kaya Mutlu, Ebru; Atalay, Ayçe; Çeliker, Reyhan
    Objectives: This study aims to investigate the effects of joint mobilization with supervised exercise in patients with subacromial impingement syndrome (SAIS).Patients and methods: This prospective, randomized-controlled study included a total of 40 patients (18 males, 22 females; mean age 43.52 years; range, 27 to 67 years) with SAIS of more than six weeks between June 2014 and June 2015. The patients were randomly allocated into two groups: Group 1 (n=20) received joint mobilization and neuromuscular electrical stimulation and Group 2 (n=20) received a supervised exercise program and neuromuscular electrical stimulation. The outcome measures included the range of motion, pain intensity, the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form-patient self-report section, Short Form-36, and Global Rating of Change Questionnaire. Pain was evaluated using the visual analog scale (VAS).Results: In both groups, the mean VAS scores significantly decreased and the range of motion significantly increased after treatment (p<0.05). Both joint mobilization and supervised exercise combined with neuromuscular electrical stimulation led to a significant improvement in function in patients with SAIS (p<0.05), although it did not significantly differ between the groups (p> 0.05). Patient satisfaction with treatment was similar in both groups (p=0.28).Conclusion: Based on our study results, mobilization and supervised exercise yield comparable outcomes in patients with SAIS.