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    Effects of Inspiratory Muscle Training on Respiratory Muscle Strength, Trunk Control, Balance and Functional Capacity in Stroke Patients: A single-blinded randomized controlled study
    (Taylor & Francis Ltd, 2022) Aydogan Arslan, Saniye; Ugurlu, Kubra; Sakizli Erdal, Elif; Keskin, Esra Dilek; Demirguc, Arzu
    Objective: Aim of the study was to examine the effects of inspiratory muscle training (IMT) on respiratory function, respiratory muscle strength, trunk control, balance, and functional capacity in stroke patients. Methods: 21 stroke individuals were randomly divided into two groups as control group and treatment group. Maximal Inspiratory Pressure (MIP) and Maximal Expiratory Pressure (MEP) were evaluated. Also, Trunk Impairment Scale (TIS), Timed Up and Go Test (TUG) and Berg Balance Scale (BBS), and Six-Minute Walk Test (6MWT) were performed. Neurodevelopmental treatment program was performed in both groups for 5 days a week for 6 weeks, and IMT was given to the treatment group. IMT was started from 40% of MIP. Results: After treatment, respiratory functions, respiratory muscle strength, and trunk control and balance improved in the treatment group. In the control group; however, only the balance level was improved. When the changes in the evaluation parameters between the groups were compared, there were only statistically significant differences in the TIS, PEF and MIP in the treatment group (p<0.05), the change amounts in other evaluation parameters were similar (p>0.05). When the effect size of the groups was compared, the effect size of the variables in the treatment group was found to be higher. Conclusions: As a conclusion, the IMT, which was given in addition to the neurological physiotherapy and rehabilitation program to our patients, improved inspiratory muscle strength and trunk control. We believe that this result will raise awareness for physiotherapists working in the field of neurological rehabilitation about including respiratory muscle training in the rehabilitation program of stroke patients.
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    Investigation of the reliability and validity of the Turkish version of the Sitting Balance Scale in individuals with stroke
    (Springer Heidelberg, 2024) capraz, Kuebra; Aydogan Arslan, Saniye; colak, Teoman
    ObjectiveThe purpose of the study was to investigate the reliability and validity of the Turkish version of the Sitting Balance Scale (SBS-T).MethodsSBS-T was tested with 60 individuals with stroke. Test-retest reliability was calculated with the Intraclass Correlation Coefficient (ICC). The Trunk Impairment Scale (TIS), Function in Sitting Test (FIST), The Berg Balance Scale (BBS), and Barthel Index (BI) were used to test the validity of SBS-T. The internal consistency of the SBS-T items was calculated with the Cronbach Alpha Analysis. Factor analysis and hypothesis testing were used for construct validity. Ceiling and floor effects were calculated for reliability.ResultsThe intra-observer ICC was found to be 0.970 and the inter-observer ICC value was 0.999. The Cronbach's Alpha Coefficient was detected to be 0.955. A high correlation was detected between SBS-T and TIS, BBS, FIST, and BI (r = 0.861, p = 0.001; r = 0.849, p = 0.001; r = 0.906, p = 0.001; r = 0.848, p = 0.001, respectively).ConclusionAs a result of the factor analysis, it was found that the scale was determined by one single factor. No ceiling and floor effects were detected. The Turkish version of the SBS is a valid and reliable scale for predicting mobility and functionality in stroke for use in clinical and scientific studies.ClinicalTrials.gov identifierNCT04801927.
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    Investigation of the validity and reliability of the 3-meter backward walk test in high functional level adults with lower limb amputation
    (Wolters Kluwer Health, 2024) Yildirim Sahan, Tezel; Aydogan Arslan, Saniye; Soyler, Osman
    Background: Backward walk training has an important place in the rehabilitation programs of lower extremity amputees. Objective: This study aimed to investigate the test-retest validity and reliability of the 3-meter backward walk test (3MBWT), minimal detectable change, and the cutoff time in high functional level adults with lower limb amputations (LLAs). Adults with LLA (n = 30) and healthy adults (n = 29) were included in the study. Study design: This is a randomized cross-sectional study. Methods: The Modified Fall Efficacy Score, Rivermead Mobility Index, and Timed Up and Go test with the 3MBWT were used to evaluate the concurrent validity of the test. The second evaluation (retest) was performed by the same physiotherapist 1 week following the first evaluation (test). The validity was assessed by correlating the 3MBWT times with the scores of other measures and by comparing the 3MBWT times between adults with LLA and healthy adults. Results: Test-retest reliability of the 3MBWT was excellent. The intraclass correlation coefficient for the 3MBWT was 0.950. The standard error of measurement and minimal detectable change values were 0.38 and 0.53, respectively. A moderate correlation was found between the 3MBWT, Modified Fall Efficacy Score, Timed Up and Go test, and Rivermead Mobility Index (p < 0.001). Significant differences in the 3MBWT times were found between adults with LLA and healthy controls (p < 0.001). The cutoff time of 3.11 s discriminates healthy adults from high functional level adults with LLA. Conclusions: The 3MBWT was determined to be valid, reliable, and easy-to-apply tool in high functional level adults with LLA. This assessment is a useful and practical measurement for dynamic balance in high functional level adults with LLA.
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    Reliability and validity of the Turkish version of Function in Sitting Test (FIST-T) in stroke
    (Taylor & Francis Ltd, 2022) Erol, Busra Nur; Aydogan Arslan, Saniye; Yasar, Evren; Keskin, Esra Dilek; Demirci, Cevher Savcun
    Background: Trunk control in sitting position after stroke is one of the most important determinants of independence in daily living activities and there is no gold standard assessment used to measure sitting postural control. Objectives: The aim of this study is to determine the reliability and validity of the Turkish version of Function in Sitting Test (FIST-T). Methods: After translation was conducted, Function in Sitting Test, Berg Balance Scale, Functional Independent Measure and Trunk Impairment Scale were applied to 72 stroke patients (mean age was 59.26 +/- 16.38 years; post-stroke time was 95.93 +/- 59.64 days). For reliability and validity analysis the spearman correlation analysis was used. Results: A positive, high correlation was found between the first application and repetition of Function in Sitting Test-T (ICC = 0.97, r = 0.95, p = .001). The internal consistency was high (Cronbach Alpha = 0.97), interrater correlation was high (Cronbach Alpha = 0.98) and a positive, high correlation was found with the scores obtained from the Berg Balance Scale (r = 0.82, p = .001), Functional Independent Measure (r = 0.84, p = .001) and Trunk Impairment Scale (r = 0.80, p = .001). Conclusions: It is concluded that the Turkish version of Function in Sitting Test is a valid and reliable scale for use in stroke patients, in clinical and scientific researches.
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    RELIABILITY AND VALIDITY OF TURKISH VERSION OF THE BRIEF-BESTEST -T IN STROKE PATIENTS
    (TAYLOR & FRANCIS LTD, 2020) Aydogan Arslan, Saniye; Demirci, Cevher Savcun; Katirci Kirmaci, Zekiye Ipek; Ugurlu, Kubra; Keskin, Esra Dilek
    Background The Brief-BESTest is the short version of the BESTest used to evaluate balance and fall risk in a multiple disease populations. The clinicians need practical, short application scales to evaluate the risk of falling, balance and rehabilitation results. Objective This study aims to investigate the validity and reliability of the Turkish version of the Brief-BESTest (Brief-BESTest-T) in stroke patients. Methods This study included a total of 40 subacute and chronic stroke patients (mean age of 60.28 +/- 9.96 years). The Brief-BESTest, Berg Balance Scale (BBS), Timed Up and Go Test (TUG), Functional Reach Test (FRT), Falls Efficacy Scale (FES) and 10 m walking test were applied to the patients. Results A strong correlation was observed between the1st and 2nd evaluation Brief-BESTest-T total scores (r = 0.933). Cronbach's alpha coefficient was excellent. According to the correlation analysis performed to test the inter-rater reliability, a very high correlation (r = 0.906) was observed between the Brief-BESTest-T total scores. A high correlation was found between the Brief-BESTest-T and BBS and TUG, while a moderate correlation was found between the FRT, FES, and 10 m walking test. The clinical cutoff point for the Brief-BESTest - T was determined to be 9 points with an AUC of 0.872. There were no floor and ceiling effects found. Conclusions This study showed that the Brief-BESTest-T had excellent internal consistency, intra-rater, and inter-rater reliability. Its concurrent, discriminant, and known-groups validity were also good and had no substantial floor and ceiling effects.
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    The Cutoff Value of the Calf-Raise Senior Test for Older Faller
    (Routledge Journals, Taylor & Francis Ltd, 2020) Abit Kocaman, Ayse; Demirci, Cevher; Aydogan Arslan, Saniye; Yildirim Sahan, Tezel; Vergili, Ozge; Oral, M. Ayhan; Bezgin, Sabiha
    Aims The aim of this study is to determine a cutoff value of the calf-raise senior test and dual-calf-raise senior test according to fall history. Methods 150 elderly individuals participated in descriptive study. Berg Balance Scale (BBS), Timed Up and Go Test (TUG), Functional Reach Test (FRT), Calf-Raise Senior Test (CRST) and Calf-Raise Senior Test with additional cognitive task (dual- CRST) were applied. Results It was found to be high correlation between CRST and the BBS ,medium with TUG, and high with FRT . It was found to be high correlation dual-CRST and the BBS,medium with the TUG and high with FRT. According to the fall history, the cutoff value for the CRST was found 18.3 repetitions and 11.5 repetitions for the dual-CRST. Conclusion The present study has contributed significantly to the literature in terms of determining the cutoff value for fall risk in the CRST and dual-CRS.