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Öğe Assessment of pain, scapulothoracic muscle strength, endurance and scapular dyskinesis in individuals with and without nonspecific chronic neck pain: A cross-sectional study(Elsevier, 2023) Karaağaç, Ali; Arslan, Saniye Aydoğan; Keskin, Esra DilekIntroduction: This study is aimed to evaluate pain, muscle strength, scapular muscular endurance and scapular kinesis in individuals with Nonspecific Chronic Neck Pain and to compare them with asymptomatic individuals. In addition, to investigate the effect of mechanical changes in the scapular region on neck pain. Method: 40 individuals who applied to Kirikkale University Faculty of Medicine Hospital Physical Therapy and Rehabilitation Center and diagnosed with NSCNP and 40 asymptomatic individuals for the control group were included the study. Pain was evaluated with Visual Analogue Scale, pain threshold and pain tolerance with algometer, cervical deep flexor group muscle strength with Stabilizer Pressure Biofeedback device, and neck and scapulothoracic muscle strength with Hand Held Dynamometer. Scapular Dyskinesia Test, Scapular Depression Test and Lateral Scapular Slide Test were used to evaluate scapular kinesis. A timer was used to evaluate scapular muscular endurance. Result: Pain threshold and pain tolerance values of the NSCNP group were lower (p < 0.05). Muscle strength around neck and scapulothoracic region of the NSCNP group were lower than the asymptomatic individuals (p < 0.05). NSCNP group had more scapular dyskinesia (p < 0.05). Scapular muscular endurance values of the NSCNP group were lower (p < 0.05). Conclusion: As a result, pain threshold and pain tolerance decreased, muscle strength of the neck region and the scapular region decreased, scapular endurance values decreased and the incidence of scapular dyskinesia increased in the individuals with NSCNP compared to the asymptomatic individuals. It is thought that our study will provide a different perspective in the evaluation of neck pain and including the scapular region to the evaluations.Öğe Bel Ağrısında Farklı Fizyoterapi Programlarının Ağrı, Endurans ve Yaşam Kalitesi Üzerine Etkinliği(2016) Arslan, Saniye Aydoğan; Erbahçeci, FatihAmaç: Çalışmamız, bel ağrısında farklı fizyoterapi programlarının ağrı, kas kuvveti, endurans ve yaşam kalitesi üzerine etkinliğini belirlemek amacıyla yapıldı. Gereç ve Yöntem: Çalışmaya 18-65 yaş arası, klinik ve radyolojik incelemeler sonucunda MBA tanısı konan 40 kadın olgu alındı. Çalışmamıza alınan olgular basit rastgele örnekleme yöntemi ile 20 kişilik 2 gruba ayrıldı. Çalışmaya dahil edilen olguların sosyo demografik verileri kaydedildi. Kas kuvveti (manuel kas testi), kassal endurans (curl-up ve modifiye sorenson testi), ağrı (VAS) ile fonksiyonel yetersizlik (Oswestry Bel Ağrısı Anketi), yaşam kalitesi (SF-36) değerlendirildi. Gruplar tedavi öncesi ve sonrası değerlendirildi. Birinci gruba ilk 2 hafta haftada 5 gün 10 seans, hotpack (HP), ultrason ve Proprioseptif Nöromuskuler Fasilitasyon (PNF) egzersizleri ve endurans eğitimi uygulandı. Devamında haftada 3 gün 4 hafta PNF egzersizlerine ve endurans eğitimine devam edildi. İkinci gruba ilk 2 hafta haftada 5 gün 10 seans, hotpack(HP), ultrason uygulandı ve PNF egzersizleri yaptırıldı. Devamında haftada 3 gün 4 hafta PNF egzersizlerine devam edildi. Bulgular: Tedavi sonrası iki grupta da ağrı şiddeti, kas kuvveti, gövde enduransı, fonksiyonel düzey ve yaşam kalitesi değerlendirmelerinde düzelme olduğu görüldü (p0,05). Gruplar karşılaştırıldığında ise anlamlı bir fark bulunamadı (p0,05). Sonuç: Bu çalışmamızda her iki fizyoterapi programının ağrıyı azalttığı, esnekliği, lumbal bölge hareket genişliği, kas kuvveti, gövde enduransını arttırdığı, yaşam kalitesinde iyileşme sağladığı ve fonksiyonel kapasiteyi arttırdığı görüldüÖğe Clinical effectiveness of rigid or kinesio taping and manual therapy on pain and function in patients with shoulder impingement syndrome(2021) Arslan, Saniye Aydoğan; Erbahçeci, Fatih; Yorulmaz, Elem; Baltacı, Yaşar GülPurpose: The purpose of the study was to compare the effect of two taping techniques and manual therapy, applied in additionto the conventional physiotherapy program, on pain and function in patient with subacromial impingement syndrome.Methods: A total of 55 patients participated in this study. Patients were divided into four groups; Kinesio taping group,McConnell taping group, manual therapy group, and control group. Conventional physiotherapy (5 days a week for four weeks)was applied to the patients in all groups. The level of pain was assessed by the Visual Analogue Scale, and the functional activitylevel was assessed by the Disabilities of the Arm, Shoulder, and Hand-DASH Questionnaire. The patients were assessed beforetreatment and after treatment.Results: There was a significant difference in terms of pain severity and functional activity levels after treatment when comparedto the pre-treatment period in all groups (p<0.05). When the treatment groups were compared with the control group, asignificant difference was observed in terms of pain severity and functional activity levels after treatment when compared to thepre-treatment period (p<0.05). However, when the treatment groups were compared with each other, it was observed that therewas no difference in terms of changes in pain severity and functional activity levels after treatment when compared to the pretreatment period (p>0.05).Conclusions: There was a significantly greater decrease in pain intensity after all three applications than the control group. Itwas observed that they did not have significant superiorities over one another in terms of pain and functionality parameters.Öğe The effect of aerobic exercise training on postmenopausal patients with knee osteoarthritis(IOS PRESS, 2020) Kılıç, Filiz; Demirgüç, Arzu; Arslan, Saniye Aydoğan; Keskin, Esra Dilek; Aras, MüyesserBACKGROUND: Knee osteoarthritis (OA) is a common musculoskeletal problem encountered in the postmenopausal period. OBJECTIVE: This study aimed to determine the impact of aerobic exercise on functional limitation, exercise tolerance, and performance tests in postmenopausal women with knee OA. METHODS: A total of 50 women (aged between 48-78) with grade 2-3 knee OA according to the Kellgren-Lawrence radiographic scale were enrolled. OA-specific physical performance tests (40 m Fast-Paced Walk Test (40mFPWT), 30 s Chair Stand Test (30sCST), Stair Climb Test (9-step SCT)), six-minute walk test (6MWT), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Visual Analogue Scale (VAS) were performed. Fifty patients were randomized to either the treatment or control groups. The treatment group received an additional aerobic exercise training along with a combined physiotherapy program for six weeks. The aerobic exercise program was carried out by the same physiotherapist every weekday (five days) for six weeks. The control group only received a combined physiotherapy program for six weeks. RESULTS: The post-treatment comparisons of the two groups yielded similar SCT results (p > 0.05), while VAS scores, the results of all performance tests, WOMAC scores, and the distance covered in 6MWT were significantly higher in the treatment group (p < 0.05). CONCLUSIONS: Consequently, this study provides an insight into the efficacy of the aerobic exercise program applied along with a combined physiotherapy program in postmenopausal women with knee OA.Öğe Effects of Kinesio Taping Applied to Diaphragm Muscle on Aerobic Exercise Capacity and Pulmonary Function in Sedentary Individuals(2018) Arslan, Saniye Aydoğan; Daşkapan, Arzu; Pekyavas, Nihan Ozunlu; Sakizli, ElifAim: In this study, we aimed to determine the short-term effects of diaphragmatic Kinesio taping (KT) on aerobic exercise capacity and pulmonary function in sedentary individuals. Materials and Methods: Sedentary volunteers were included in the study. Participants were randomly divided into two groups: KT group (n =17), and sham KT group (n=19). In order to evaluate submaximal functional capacity and aerobic performance, shuttle run and pulmonary function tests were performed for each participant both prior to and four days after KT. Chest circumference measurement was made for the flexibility of the rib cage. The KT muscle facilitation technique was applied to the diaphragm muscle. Results: Pulmonary function test values showed an increase in FEV1 four days after KT, compared to the values prior to KT (p=0.002). There was statistically significant difference between shuttle run test results (p=0.001) and axillar chest circumference measurements (p=0.045) before and 1 week after KT. Statistically significant difference was also observed concerning FEV1 (p=0.014), FEV1/FVC (p=0.035) results and shuttle run test distance (p=0.009). Discussion and Conclusion: KT applied to the diaphragm muscle improves aerobic performance and pulmonary functions in the short term and when compared to the sham KT group.Öğe Examination of the Relationship Between Exercise Barriers and Physical Activity, Sleep, and Fatigue in Older Individuals(AVES, 2020) Sertel, Meral; Kocaman, Ayşe Abit; Bezgin, Sabiha; Sahan, Tezel Yıldırım; Arslan, Saniye Aydoğan; Demirci, Cevher Savcun; Oral, M. AyhanBACKGROUND/AIMS This study aimed to determine exercise barriers in older individuals and to examine their relationship with physical activity, sleep, and fatigue. MATERIAL and METHODS A total of 100 older individuals aged more than 65 years who were staying in a private nursing home and elderly care center were involved in this study. The sociodemographic information of the individuals and the used scales were recorded through face-to-face interviews held by a physiotherapist. Their exercise barriers, physical activity levels, sleep conditions, and fatigue were evaluated by the Exercise Benefits/Barriers Scale, Physical Activity Scale for the Elderly (PASE), Pittsburgh Sleep Quality Index (PSQI), and Fatigue Severity Scale. RESULTS The mean age of older individuals was 71.32 +/- 6.33 years. There were significant positive and low relationships between exercise barriers in older individuals and the PSQI's sleep quality and day dysfunction owing to sleepiness (DAYDYS) subparameters, the PSQI total score and fatigue. Furthermore, significant negative and low relationships were found between the PASE(Leisure activity) and sleep duration, sleep quality, PSQI(MEDS), PSQI(Total), and fatigue severity, between the PASE(Home activity) and PSQI(Total) score, and between the PASE(Work activity) and sleep duration, sleep latency, and fatigue. CONCLUSION The study results suggest that conditions such as sleep quality and fatigue can be considered an exercise barrier. Regular exercise training planned for older individuals individually or as a group will improve sleep quality and provide improvement in their fatigue level. It is crucial to plan and implement in particular personal exercise and physical activity programs and lifestyle modifications, physiotherapy rehabilitation, and energy conservation techniques for sleep quality to maintain and improve the health of older individuals.Öğe Examination of the Scales and Tests Evaluating the Risk of Falling in Stroke Patients(2021) Arslan, Saniye Aydoğan; Uğurlu, Kübra; Demirci, Cevher Savcun; Keskin, Esra Dilek; Kırmacı, Zekiye İpek KatırcıObjective: The aim of this study was to examine the Berg Balance Scale, Timed Up and Go Test, Functional Reach Test in individuals with stroke and to compare the distinctive sensitivity and specificity of these scales and tests for falling and non-falling individuals. Material and Methods: The 83 stroke individuals participated in the study. The balance level and risk of falling were evaluated with Berg Balance Scale, Timed Up and Go Test and Functional Reach Test. To evaluate the differentiation of Berg Balance Scale, Timed up and Go Test and Functional Reach Test between falling and non-falling individuals with stroke, receiver operating characteristic analysis was used and the area under the curve was calculated. Results: According to the history of falling, we compared values of the Berg Balance Scale, Timed up and Go Test, and Functional Reach Test. It was seen that the individuals with the history of falling had lower Berg Balance Scale and Functional Reach Test values and higher the Timed Up and Go Test score (p?0.05). The clinical cut-off points for the Berg Balance Scale, Timed up and Go Test, Functional Reach Test was calculated as 45.5 points (area under the curve=0.731), 15.22 sec (area under the curve=0.707), 22.25 cm (area under the curve=0.714), respectively. Conclusion: As a result of this study, it was found that all tests identified individuals who fell and did not fall; however, the Berg Balance Scale was more sensitive in determining the risk of falling. Our results are important in terms of showing reference values for clinicians working in neurological rehabilitation.Öğe Investigating the relation between upper extremity function and trunk control, balance and functional mobility in individuals with stroke(2021) Arslan, Saniye Aydoğan; Uğurlu, Kübra; Demirci, Cevher Savcun; Keskin, Esra DilekAim: The purpose of our study was to examine the relation between upper extremity function and trunk control, balance andfunctional mobility and to compare trunk control, balance, and mobility with respect to upper extremity motor function levelin individuals with stroke.Material and Method: This study included a total of 39 stroke patients (age 63.87±9.03 years, post stroke 19.18±16.38 month).Upper extremity motor functions were evaluated with the upper extremity sub-scale of the Stroke Rehabilitation Assessmentof Movement (STREAM) Scale and Brunnstrom stages of motor recovery; trunk control, balance, and functional mobilitywere evaluated with Trunk Impairment Scale (TIS), Berg Balance Scale (BBS), and Timed Up and Go Test (TUG) respectively.Result: A moderate relation was determined between the trunk control, balance and functional mobility and upper extremityfunctions (p<0.05). When the trunk control, balance and mobility performances of the individuals were compared accordingto Brunnstrom arm stages, it was seen that those with worse upper extremity motor recovery had poor trunk control, balanceand mobility (p<0.05)Conclusion: As a result of our study, a relation was detected between upper extremity function and trunk control, balanceand mobility. For this reason, it is important to focus on the upper extremity as well as trunk control to improve balance andmobility in physiotherapy and rehabilitation practices.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 Şehiriçi Toplu Taşıma Araçlarını Kullanan Şoförlerde Kardiyovasküler Risk Faktörleri, Fiziksel Aktivite Düzeyi Ve Anksiyete Durumunun Değerlendirmesi(2017) Arslan, Saniye Aydoğan; Daşkapan, Arzu; Serter, Meral; Kurtoğlu, FatihAmaç: Çalışmamızın amacı; Kırıkkale ilinde şehir içi minibüs şoförlerinde değiştirilebilir Kardiyovasküler hastalık risk faktörlerinin fiziksel aktivite düzeyinin ve anksiyete durumunun belirlenmesiydi. Gereç ve yöntem: Katılımcıların sosyo demografik bilgileri kaydedildi. Sigara, egzersiz alışkanlığı sorgulandı ve vücut kütle indeksi belirlendi. Anksiyete durumu Beck Anksiyete Ölçeği ve fiziksel aktivite düzeyi Uluslararası Fiziksel Aktivite Anketi (UFAA) ile değerlendirildi. Sonuçlar: Çalışmamıza 250 gönüllü minibüs şoförü katıldı (yaş ortalaması, 39.33±10.86 yıl). UFAA puanları dikkate alındığında, bireylerin % 5,2'sinin yeterli fiziksel aktivite düzeyine sahip olduğu görülmüştür. Şoförler % 64,8 i kalp hastalığının önlenebileceğini düzenli egzersiz yapmanın önemini belirtti. Anksiyete durumları ile fiziksel aktivite düzeyleri arasında ilişki saptanmadı. Tartışma: Kardiyovasküler hastalık gelişimi, özellikle tütün kullanımı, sağlıksız beslenme alışkanlıkları, fiziksel inaktivite ve psikososyal stress gibi yaşam tarzını belirleyen faktörler ile yakından ilişkilidir. Katılımcıların genç yaş ortalamasına rağmen, kalp damar hastalıkları, obesite, hipertansiyon gibi sorunlara rastlanmıştır. Tüm bu sağlık sorunlarının önlenebilmesinde sağlıklı yaşam tarzının benimsenmesi en önemli rolü oynamaktadırÖğe THE EVALUATION OF DUAL-TASK ACTIVITIES AND BALANCE IN OLDER ADULTS DURING THE COVID-19 PANDEMIC: A PILOT STUDY(2021) Sertel, Meral; Kocaman, Ayşe Abit; Arslan, Saniye Aydoğan; Ugurlu, KübraAIM: The aim of this study is to evaluate the dual-task activities and balance of older adults during the COVID-19 pandemic. MATERIAL AND METHOD: This study was conducted between August 2020 and November 2020 and included older adults who lived in a house environment in Ankara, met the study criteria, volunteered to participate in the study, and were aged between 65- 80 years. The sociodemographic information of the older adults was recorded. The balance and dual-task performances of the individuals were assessed by the Tinetti Balance and Gait Test, Timed Up and Go Test (TUG), and Dual-Task Questionnaire (DTQ), and their cognitive states were evaluated by the Mini-Mental State Test. The individuals were requested to perform the tests by transferring an object from one hand to the other as an additional motor task and by counting two by two as an additional cognitive task. RESULTS: The mean age of the individuals was 70.35±5.44 years. According to Spearman’s correlation analysis, a moderate-level correlation was identified between the DTQ and the Tinetti Balance and Mobility Scale and its subgroups, and a low-level correlation was observed between the DTQ and TUGMotor (p<0.005). No correlation was detected between the DTQ and TUGCognitive. In terms of sex, TUGCognitive was found to be longer in male individuals. CONCLUSION: It has been demonstrated that there is a correlation between the DTQ and balance and functional states.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.Öğe YAŞ VE VÜCUT KÜTLE İNDEKSİNİN ESNEKLİK VE DENGE PERFORMANSI ÜZERİNE ETKİSİ ARAŞTIRMA MAKALESİ(2017) Arslan, Saniye AydoğanAmaç: Bu çalışma 18-80 yaş arası bireylerde yaş ve vücut kütle indeksinin(VKİ) esneklik ve dinamik denge performansı üzerine etkisini belirlemek amacıyla planlandı.Yöntemler: Çalışmaya 404 birey dahil edildi. Dinamik dengeyi değerlendirmek için zamanlı kalk yürü testi (ZKYT) ve sandalyeden otur kalk testi kullanıldı; Esneklik için Otur ve uzan esneklik testi ile gövde lateral fleksiyon testi kullanıldı.Sonuçlar: Yaş ile ZKYT, sandalyeden otur kalk testi ve esneklik ölçümleri arasında ilişki saptandı (p<0.05). VKİ gövde LF ölçümleri arasında negatif yönde ilişki bulundu (p<0.05). VKİ ile ZKYTve sandalyeden otur kalk testi ölçümleri arasında negatif yönde ilişki bulundu (p<0.05).Tartışma: Yaş ve VKİ'deki artış, bireylerin günlük hayatlarındaki faaliyetlerinde kısıtlamalara sebep olarak denge ve esneklik gibi bireylerin önemli fiziksel yeterlilik parametrelerinde düşüşe neden olmaktadırÖğe Yaş Ve Vücut Kütle İndeksinin Esneklik Ve Denge Performansı Üzerine Etkisi(2017) Arslan, Saniye AydoğanAmaç: Bu çalışma 18-80 yaş arası bireylerde yaş ve vücut kütle indeksinin(VKİ) esneklik ve dinamik denge performansı üzerine etkisini belirlemek amacıyla planlandı.Yöntemler: Çalışmaya 404 birey dahil edildi. Dinamik dengeyi değerlendirmek için zamanlı kalk yürü testi (ZKYT) ve sandalyeden otur kalk testi kullanıldı; Esneklik için Otur ve uzan esneklik testi ile gövde lateral fleksiyon testi kullanıldı.Sonuçlar: Yaş ile ZKYT, sandalyeden otur kalk testi ve esneklik ölçümleri arasında ilişki saptandı (p<0.05). VKİ gövde LF ölçümleri arasında negatif yönde ilişki bulundu (p<0.05). VKİ ile ZKYTve sandalyeden otur kalk testi ölçümleri arasında negatif yönde ilişki bulundu (p<0.05).Tartışma: Yaş ve VKİ'deki artış, bireylerin günlük hayatlarındaki faaliyetlerinde kısıtlamalara sebep olarak denge ve esneklik gibi bireylerin önemli fiziksel yeterlilik parametrelerinde düşüşe neden olmaktadır
