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Öğe Effect of plantar vibration on static and dynamic balance in stroke patients: a randomised controlled study(Elsevier Ltd, 2022) Önal, Birol; Sertel, Meral; Karaca, GültenObjective: To investigate the effects of local vibration applied to the plantar region of the foot on static and dynamic balance in stroke patients. Design: Randomised, controlled trial. Setting: Inpatient. Participants: Thirty patients with stroke were randomised equally to the vibration and control groups. Intervention: The control group underwent conventional physical therapy (CPT) for 4 weeks. The vibration group underwent local vibration therapy at a frequency of 80 Hz and CPT for 4 weeks. Outcome measures: The primary outcome measure was the Overall Stability Index (OSI). The secondary outcome measures were: the Anteroposterior Stability Index, Mediolateral Stability Index, fall risk, Berg Balance Scale, Functional Reach Test (FRT), and Timed Up and Go Test (TUG) to assess balance; the Trunk Impairment Scale to measure trunk function; and the 10-m Walk Test (10MWT) to measure walking speed. Results: Participants receiving plantar vibration experienced greater improvements in static and dynamic balance assessments compared with participants in the control group. The mean change in OSI score between baseline and 4 weeks was 0.8 [standard deviation (SD) 0.8] for the vibration group and 0.02 (SD 0.6) for the control group [mean difference 0.4, 95% confidence interval (CI) 0.1 to 0.7]. The median change in fall risk score was 0.7 [interquartile range (IQR) 0.4 to 1.4] for the vibration group and 0.1 (IQR -0.1 to 0.6) for the control group (median difference 0.5, 95% CI 0.2 to 0.7). The median change in TUG time was 4 (IQR 1 to 7) seconds for the vibration group and 4 (IQR 0 to 2) seconds for the control group (median difference 2.5, 95% CI 1.5 to 3.5). Conclusion: These findings suggest that plantar vibration is useful in stroke patients. Plantar vibration can be applied to support CPT. Clinicaltrials.gov registration number: NCT03784768. © 2022 Chartered Society of PhysiotherapyÖğe Immediate Effects of Plantar Vibration on Fall Risk and Postural Stability in Stroke Patients: A Randomized Controlled Trial(ELSEVIER, 2020) Önal, Birol; Karaca, Gülten; Sertel, MeralBackground: Local vibration can improve balance problems of individuals with stroke when applied to the plantar region. Aims: This study aimed to determine the immediate effect of local vibration applied to the plantar region on fall risk and postural stability in patients with stroke. Study Design: Randomized controlled study. Methods: 30 patients (23 male,7 female) with stroke were randomized to either vibration (n = 15; 58.47 +/- 8.23 years) or control (n = 15; 58.27 +/- 9.50 years) groups. Before and after the intervention, the patients were evaluated using a Biodex Balance System. Local vibration was applied to the plantar region of two feet in the supine position using a vibration device for a total of 15 min to the individuals in the vibration group. While the patients in the placebo group were in the supine position, the device was brought into contact and no vibration was applied to the plantar region of two feet for 15 min. Results: While significant improvements were observed in the postural stability and fall risk of the vibration group (p < 0.05), no significant change was observed in the placebo group (p 0.05). Furthermore, significant improvements occurred in the SD values of the postural stability expressing postural oscillation in the vibration group (p < 0.05). Conclusion: As a result of local vibration applied to the plantar region, immediate (within 5 min) significant improvements in postural stability and fall risk values were detected.Öğe İnmeli bireylerde ayak taban altına uygulanan vibrasyonun statik ve dinamik denge üzerine etkisi(Kırıkkale Üniversitesi, 2019) Önal, Birol; Sertel, MeralBu çalışma inmeli bireylerde konvansiyonel rehabilitasyon programına ek olarak her iki ayak tabanına uygulanan lokal vibrasyonun denge üzerine etkisini incelemek amacıyla planlandı. Çalışmaya 30 inmeli birey dahil edildi. Bireyler randomize olarak eğitim grubu (15 birey) ve kontrol grubu (15 birey) olacak şekilde 2 gruba ayrıldı. Her iki gruptaki bireylere 4 hafta süre ile haftada 5 gün, her bir seans 60 dakika olmak üzere 20 seans konvansiyonel inme rehabilitasyon programı uygulandı. Ayrıca eğitim grubundaki bireylerin ayak tabanına 4 hafta süre ile haftada 3 gün, her bir seans 15 dakika olmak üzere toplam 12 seans lokal vibrasyon uygulandı. Bireylerin demografik bilgileri kaydedildikten sonra, bireylerin fonksiyonel denge ölçümü için Süreli Kalk Yürü Testi (SKYT), Berg Denge Ölçeği (BDÖ), Fonksiyonel Uzanma Testi (FUT), Tandem Duruş Testi, yürüme hızını değerlendirmek için 10 metre Yürüme Testi (10mYT), gövde kontrolü için Gövde Bozukluk Ölçeği (GBÖ), postüral stabilite ve düşme riskini değerlendirmek için Biodex Denge Sistemi (BDS) kullanıldı. Eğitim grubunun yaş ortalaması 60,40±9,46 yıl, kontrol grubunun yaş ortalaması 58,53±9,38 yıldı. Her iki grupta da 10mYT, BDÖ ve SKYT değerlerinde anlamlı gelişmeler sağlandı (p<0.05). Tandem duruş testi, BDS ve FUT değerleri yalnızca eğitim grubunda anlamlı gelişim gösterdi (p<0.05). Eğitim grubu ile kontrol grubunun iyileşme oranları arasında BDÖ, FUT, 10mYT, SKYT, BDS parametrelerinden genel stabilite indeks, mediolateral stabilite indeks ve düşme riskinde anlamlı fark olduğu görüldü (p<0.05). Çalışmanın sonucunda ayak tabanına uygulanan lokal vibrasyonun denge üzerine etkili olduğu ve rehabilitasyon programını destekleyici bir uygulama olarak kullanılabileceği sonucuna varıldı. Anahtar Sözcükler: İnme, ayak tabanı, vibrasyon, denge, rehabilitasyonÖğe Omuz Ağrılı Bireylerde Skapular Diskinezi, Kavrama Kuvveti, Servikal Bölge Hareketliliği ve Temporomandibular Eklem Bozukluğu Arasındaki İlişkinin İncelenmesi(2021) Şahan, Tezel Yıldırım; Kocaman, Ayse Abit; Aydoğan, Saniye; Demirci, Cevher; Bezgin, Sabiha; Oral, Muhammet Ayhan; Önal, BirolAmaç: Omuz ağrılı bireylerde skapular diskinezi, kavrama kuvveti, servikal bölge hareketliliği vetemporomandibular eklem bozukluğu arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Çalışmaya omuzproblemi olan 40 birey (28 kadın,12 erkek) alındı. Çalışmaya katılan tüm bireylerin sosyodemografik verilerikaydedildi. Bireylerin skapular diskinezileri, Skapular Yardım Testi (SYT) ile, boyun normal eklem hareketigonyometrik ölçümlerle, kavrama kuvveti el dinamometresi ile, Temporomandibular eklem bozukluğu (TMB)Fonseca Anamnestik Anketi ile değerlendirildi. Bulgular: Omuz ağrısı olan bireylerde skapular diskinezininvarlığı ile kavrama kuvvetinin (r=0.366, p=0.020), etkilenmiş taraf omuz yönünde boyun rotasyonunun (r=0.401,p=0.010) ve lateral fleksiyonunun (r=-0.358, p=0.023), sağlam taraf omuz yönünde boyun rotasyonunun azaldığı(r=0.145, p> 0.05), Fonseca Anamnestik Anketi (r=-0.501, p=0.001) sonuçlarının arttığı belirlendi. Sonuç:Çalışmamızda omuz ağrısının skapular diskinezi ile boyun hareketleri, temporomandibular eklem ve kavramakuvvetiyle ilişkili olduğu belirlenmiştir. Omuz ağrısı olan bireylerin değerlendirmeleri ve tedavileri sırasındaboyun, skapula, temporomandibular eklem ile kavrama kuvveti etkilenimi olabileceği de düşünülmelidir.Öğe Reliability and validity of the Turkish version of the Lasa Physical Activity Questionnaire (LAPAQ)(2021) Arslan, Saniye Aydoğan; Kocaman, Ayşe Abit; Sertel, Meral; Önal, Birol; Düger, Tülin; Demirgüç, ArzuLASA Physical Activity Questionnaire (LAPAQ) is frequently used for the elderly population in the literatüre, and its validity-reliability studies have been carried out.There are also comparative studies with other physical activity questionnaires. This study’s aim is to investigate the reliability and validity of the Turkish version of the LAPAQ (LAPAQ-T) for elderly individuals. One hundred and seven elderly were included in the study. LAPAQ-T and Physical Activity Scale for the Elderly (PASE) were administered to the individuals participating in the study on the first day. LAPAQ-T was re-applied by the same physiotherapist 1 week after the first evaluation to measure test-retest reliability. The test-retest took place with the participation of 27 people. The intra-class correlation coefficient (ICC) was used to evaluate test-retest reliability. The ICC value for test-retest reliability was found to be 0.977, which suggests excellent test-retest reliability. A high correlation was found between the LAPAQ-T total score and the PASE total score (r=0.703, p<0.001). The results of our study show that the LAPAQ-T is a reproducible, reliable and valid questionnaire that evaluates the level of physical activity for elderly individuals. Therefore the questionnaire will be useful for clinicians in evaluating physical activity.Öğe The effect of pes planus on the biomechanics of the lower extremity, balance, fall risk, and performance(University School of Physical Education in Wroclaw, 2023) Şahan, Tezel Yildirim; Uğurlu, Kübra; Önal, Birol; Sertel, MeralIntroduction. The study aim was to compare lower extremity dominance, subtalar angle, balance, fall risk, and performance in younger adults with and without pes planus. Methods. A total of 80 physically active subjects participated in the study: 39 patients with flexible pes planus and 41 asymptomatic individuals. Arch height was assessed with the navicular drop test, the subtalar joint angles were determined with a goniometer, balance assessments were performed with the Biodex Balance System, and performance was evaluated with the single-leg jump and vertical jump tests. Furthermore, the strength of the gluteus medius muscles was measured with a dynamometer. Results. A significant difference was demonstrated for the subtalar angles (right and left), as well as the single-leg jump and vertical jump test results between asymptomatic subjects and those with pes planus (p < 0.05). Conclusions. it can be concluded that there was a decrease in the subtalar angle and performance in young adults with pes planus compared with asymptomatic participants. This finding suggests that prophylactic measures should be taken before the effects are seen in young adults. © Wroclaw University of Health and Sport Sciences.Öğe The Relationship Between Fear of Movement, Balance and Fear of Falling in Stroke Patients with Shoulder Pain(2021) Demirci, Cevher Savcun; Sertel, Meral; Önal, Birol; Arslan, Saniye Aydoğan; Yümin, Eylem Tütün; Okumuş, MüyesserObjective: Shoulder pain is a common problem after stroke and causes functional limitations in patients. Pain leads to keep away from the movement and physical activities. The aim of this study was to evaluate the fear of movement in stroke patients with shoulder pain and to investigate its relationship with balance and fear of falling. Material and Methods: Forty six stroke patients were included in the study and divided into two groups, with and without shoulder pain. Fear of movement was evaluated by the Tampa Scale for Kinesiophobia, functional balance was by the Berg Balance Scale and fear of falling was by the Tinetti’s Falls Efficacy Scale. Results: The mean age of patients with and without pain were 65.60±11.37 years and 60.56±14.18 years respectively. In the shoulder painful group, it was determined that there was a negative correlation between balance and the fear of movement (r=-0.417; p=0.048) and that there was a positive correlation between the fear of falling and the fear of movement (r=0.429; p=0.041). In the shoulder painless group, there was no significant correlation (p>0.05). There was a statistically significant difference between the kinesiophobia values of two groups (p?0.05). Conclusion: When balance problems and falls observed in stroke patients are combined with pain and fear of movement, it becomes important to take into account and evaluate the fear of movement in rehabilitation practices.
