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Öğe A COMPARISON OF THE MUSCLE ACTIVATION, PROPRIOCEPTION AND ANTHROPOMETRIC CHARACTERISTICS OF THE DOMINANT AND NON-DOMINANT WRISTS(Dokuz Eylul Univ Inst Health Sciences, 2022) Sertel, Meral; Sahan, Tezel Yildirim; Bezgin, Sabiha; Oral, Muhammet Ayhan; Kocaman, Ayse Abit; Arslan, Saniye Aydogan; Demirci, CevherPurpose: Manual asymmetry refers to tendency that is in favor of hand to perform manual tasks requiring skills, it is important in every sensory and motor function. This study aimed to compare the muscle activation, proprioception, and anthropometric characteristics of the dominant and non-dominant wrists. Methods: In the study, forty young individuals aged between 18-25 years, who volunteered to participate, were included. As anthropometric measurements, the upper extremity length measurement forearm length measurement, hand length measurement wrist diameter measurement, hand width, shape and digit index measurements were performed, respectively. The muscle strength of wrist flexor and extensor muscles was measured by a hand dynamometer, while their muscle activations were measured by electromyography. The arm carrying angle was evaluated by a universal goniometer. Results: The mean age of the individuals included in the study was 22.51 +/- 0.35 years. In the right dominant individuals, when the dominant and non-dominant sides were compared, a statistically significant difference was found between flexor muscle activations, muscle strength, and hand width (p<0.05). No difference was detected between the digit and shape indices, proprioception, wrist diameter, forearm length, cubital angles, and upper extremity length (p>0.05). Conclusion: Finding the dominant side's wrist flexor muscle activations, extensor muscle strength, and hand widths better in young individuals showed that the dominant side was frequently used in daily living activities. The difference was seen that the non-dominant side would be weaker and at higher risk of deformity with increasing age and in the presence of any rheumatic, orthopedic, and neurologic diseases.Öğe Akıllı Telefon Bağımlılığı Olan ve Olmayan Genç Erişkinlerde Postür, Üst Ekstremite Fonksiyonelliği, Beden Kitle İndeksi, Boyun Ağrısı ve Uyku Sürelerinin Karşılaştırılması(2021) Şahan, Tezel Yıldırım; Oral, Muhammet Ayhan; Bezgin, Sabiha; Demirci, Cevher SavcunAmaç: Son yıllarda teknolojik gelişmeler sonucu sosyal medya kullanımı, iletişim ve güncel olayların takibi gibi birçok amaçlar için gençler telefonlarından kopamaz hâle gelmiştir. Akıllı telefonlar günlük yaşamımızı kolaylaştırmakla birlikte; fiziksel, sosyal ve kozmetik olarak birçok problemi de beraberinde getirmektedir. Bu çalışmada, akıllı telefon bağımlısı olan ve olmayan genç erişkinlerde postür, üst ekstremite fonksiyonelliği, beden kitle indeksi, boyun ağrısı ve uyku süresinin karşılaştırılması amaçlanmıştır. Gereç ve Yöntemler: Yüz bireyin akıllı telefon bağımlılık düzeyi akıllı telefon bağımlılık ölçeğinin kısa formu ve statik postürleri New York postür analizi ile üst ekstremite fonksiyonelliği kol, omuz ve el sorunları anketi kısa formu ile gece, aktivite ve istirahat boyun ağrıları ise vizüel analog skala ile değerlendirildi. Uyku süreleri bireylere sorularak ve beden kitle indeksleri (BKİ) ise hesaplanarak kaydedildi. Bulgular: Akıllı telefon bağımlısı olan 41 bireyin bağımlılık düzeyi ortalama 40,82±1,10 olarak bulunmuştur. Akıllı telefon bağımlısı olan (n=41) ve olmayan (n=59) bireylerin postür (p=0,710), üst ekstremite fonksiyonelliği (p=0,244), BKİ (p=0,370), boyun ağrısı (pistirahat=0,327, pgece=0,124, paktivite=0,725) ve uyku süreleri (p=0,608) arasında istatistiksel olarak anlamlı fark bulunamamıştır. Sonuç: Bu çalışmada, akıllı telefon bağımlılığının postür, üst ekstremite fonksiyonellikleri, BKİ ile istirahat, aktivite ve gece uykusu sırasındaki boyun ağrıları ile uyku süreleri üzerine etkisinin olmadığı görülmüştür. Gelecekteki çalışmalarda, daha erken yaşlarda telefon kullanımı sırasındaki postürün, telefon kullanım süresinin ve uyku kalitesinin değerlendirildiği araştırmaların yapılabileceğini düşünmekteyiz.Öğe A comparison of sleep, fatigue and quality of life of asymptomatic and schizophrenic individuals(2019) Seyhan, Tezel Yıldırım; Bezgin, Sabiha; Sertel, Meral; Kurtoğlu, Fatih; Şahin, Hande KılıçaslanAim: The aim of this study was to compare the important parameters for life, such as sleep, fatigue and quality of life, between the asymptomatic and schizophrenic individuals.Material and Methods: The study included 38 individuals diagnosed with schizophrenia by the psychiatrist and 39 asymptomatic individuals.All participants of our study applied to the outpatient clinic of Kirikkale High Specialization Hospital, Community Mental Health Center. Sociodemographic information of the individuals was questioned by the evaluation form. Sleep qualities of the individuals were evaluated with Pittsburgh Sleep Quality Index (PSQI), fatigue scores were evaluated with Fatigue Severity Scale (FSS), and quality of life scores were evaluated with World Health Organization Quality of Life Scale Brief Turkish Version (WHOQOL-BREF-TR).Results: A total of 77 individuals aged between 20 and 71 were included in the study. The mean age of the individuals with schizophrenia was 40.07 12.14 years, whereas the mean age of the asymptomatic individuals was 43.61 12.19 years.When the quality of sleep and the sleeping medication use were examined between the two groups, it was found that there was a statistically significant difference (p0.05). When the total scores of the sleep quality questionnaires were evaluated between the two groups, it was detected that there was no statistical difference (p0.05).When the quality of life was evaluated between the two groups, it was seen that the physical and social sub-parameters of the patients with schizophrenia were worse (p0.05).It was detected that there was no statistically significant difference in evaluations of fatigue severity between the two groups (p0.05).Conclusion: It was found that individuals with schizophrenia had a lower quality of life than asymptomatic individuals.We think that the physiotherapy and rehabilitation approaches in addition to medical and psychotherapy should be applied to improve sleep quality and quality of life in individuals with schizophrenia.Öğe Determination of cut-off values of tinetti performance oriented mobility assessment and fall risk questionnaire in older adults individuals with cognitive impairment(2019) Sertel, Meral; Demirci, Cevher Savcun; Sakizli, Elif; Bezgin, SabihaAim: This study was planned to determine cut-off values of the Tinetti Performance Oriented Mobility Assessment (POMA) and the Self-Assessment Fall Risk Questionnaire (FRQ) in older adults with mild cognitive impairment.Material and Methods: This study included a total of 213 individuals aged 65 years and over in the study. These individuals were divided into two groups according to Mini Mental Test (MMT) scores: 116 individuals with an MMT score of 18-23 (mild cognitive impairment) and 97 individuals with an MMT score of 24 or more (normal cognitive function). Balance and gait performance was assessed by the POMA, the fall risk self-assessment by older adult susing a FRQ.Results: In Older Adults with mild cognitive function, the clinical cut-off points for the POMA and FRQ were determined according to ROC curve analysis. The clinical cut-off point for the POMA was determined as 15.5 points; and 15.5 points or more in the POMA were considered normal with a 95% confidence level. The clinical cut-off point for the FRQ was determined as 4.5 points; and 4.5 points or less in the FRQ were considered normal with a 95% confidence level.Conclusions: We think that it is important to take the values obtained in the present study into account in interpreting the above-mentioned commonly used tests when cognitive status is considered related to falling. Therefore, it is suggested that these tests used in the clinic should be examined considering the risk of falling in older adults with mild cognitive function.Öğe Differences in pain, fatigue, and quality of life in patients with chronic venous insufficiency based on physical activity level(2020) Keser, İlke; Özdemir, Kadirhan; Erer, Dilek; Onurlu, İlknur; Bezgin, SabihaBackground: This study aims to compare the effect of different physical activity levels on pain, fatigue, and quality of life in patients with chronic venous insufficiency. Methods: Between October 2018 and February 2019, a total of 69 patients (4 males, 65 females; mean age 50 years; range, 19 to 73 years) who were diagnosed with chronic venous insufficiency and consulted for physiotherapy were included in the study. The physical activity level of the patients was determined using the International Physical Activity Questionnaire in three groups as light, moderate, or vigorous. Fatigue, pain, and QoL were assessed using the Fatigue Severity Scale, visual analog scale (during the night, activity, and rest), and Venous Insufficiency Epidemiological and Economic Study Quality/Symptom Scale, respectively. Results: Of a total of 69 patients, 17 were in the light-intensity physical activity group, 32 in the moderate-intensity physical activity group, and 20 in the vigorous-intensity physical activity group. Perceived pain during activity and fatigue were significantly different between the light- and moderate-intensity physical activity groups (p<0.05). There was no significant difference in pain, fatigue, and quality of life scores between the vigorous-intensity physical activity group and the other two groups (p>0.05). Conclusion: Our study results suggest that a moderate level of physical activity may be helpful to overcome symptoms such as pain and fatigue in patients with chronic venous insufficiency and to improve quality of lifeÖğe The effect of single-tasks and dual-tasks on balance in older adults(Taylor & Francis As, 2017) Sertel, Meral; Sakizli, Elif; Bezgin, Sabiha; Demirci, Cevher Savcun; Sahan, Tezel Yildirim; Kurtoglu, FatihPurpose: This study has been planned to show how the balance is influenced when additional cognitive and motor tasks are given to older people. Methods: 159 older adults (61 Females/98 Males) between 65 and 80 years of age were included in the study. The single and dual task performances of the individuals were evaluated with the Stand on One Foot Test, Time up and Go Test (TUG), and Sit Down-Stand up Test; and the cognitive status was evaluated with the Mini Mental Status Test. The individuals were asked to transfer an object from one hand to the other as an additional motor task during the balance tests; and were asked to count by twos as a cognitive additional task. Results: When the taskless balance performances of the individuals and their dynamic balances during the additional cognitive and motor tasks were compared, it was observed that the duration of completing the test increased at a statistically significant level when both motor and cognitive additional tasks were added in TUG (p < 0.001); and in Sit down-Stand up, Stand on One Foot Tests (right and left), on the other hand, it was observed that the durations of the tests decreased when both additional motor and cognitive tasks were given (p < 0.001). Conclusion: At the end of our study, we observed that the additional tasks given to the older adults decreased the balance performance. We consider that balance trainings must be given together with motor and cognitive tasks to older people.Öğe Effects of yoga on quality of life, fatigue, and dynamic balance in individuals with schizophrenia:a single blind randomized controlled trial(2022) Sertel, Meral; Bezgin, Sabiha; Kurtoğlu, Fatih; Şahin, H. Hande KılıçarlanPurpose: Physical exercising is a reliable method to improve clinical symptoms, the quality of life and depressive symptoms in people with schizophrenia. The aim of this study is to examine the effect of yoga on the quality of life, fatigue and dynamic balance in people with schizophrenia.Methods: Thirty-two outpatient individuals aged 18-65 years, diagnosed with schizophrenia by psychiatrist were included in the study. The individuals were randomly divided into two groups: yoga and control groups. Yoga was applied to the yoga group two times a week for a total of 12 weeks by a physiotherapist trained and experienced in yoga. The individuals were evaluated by researcher who does not know which group the participants are from at beginning and the end of 12 weeks. The fatigue severity was evaluated with the Fatigue Severity Scale, the quality of life was evaluated with the World Health Organization Quality of Life Scale-BREF Turkish version, balance and functional mobility were evaluated with the Timed up and Go Test.Results: The mean ages of yoga and control groups were as 38.11±12.46 and 41.53±11.44 years respectively. As result of statistical analysis, there was a difference in the physical health parameter of the quality of life between the groups before and after treatment (p<0.05). When the groups were compared within themselves, a significant positive change was observed in the yoga group in terms of balance values (p<0.05).Conclusion: It was determined that yoga improved dynamic balance in people with schizophrenia, and increased their physical health, which is a sub-parameter of life quality.Öğe Evaluation of the effects of using a baby walker on trunk control and motor development(Aves, 2021) Bezgin, Sabiha; Akkaya, Kamile Uzun; Celik, Halil Ibrahim; Camurdan, Aysu Duyan; Elbasan, BulentObjective: This study aimed to evaluate the effects of the use of baby walkers on trunk control and motor development in typically developing children. Material and methods: Demonstrating standard developmental steps, 29 children (14 females, 15 males; mean age 10 +/- 1 month) who used a baby walker and 19 children (10 females, 9 males; mean age 10 +/- 1 month) who did not use a baby walker were included. Motor skills were assessed using the Alberta Infant Motor Scale and trunk control using Segmental Assessment of Trunk Control. Results: The motor development scores and trunk balance scores were found significantly lower in infants who used a baby walker compared with those not using a baby walker. Conclusion: It was concluded that the use of baby walkers might adversely affect the motor development of infants and this may be due to impaired trunk control.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 Identifying a cut-off point for Timed Up and Go Test and 30-second Chair Stand Test in dual-task condition: Effects of cognitive status(2021) Demirci, Cevher Savcun; Sertel, Meral; Erdal, Elif Sakizli; Bezgin, SabihaA decline in mental function is a common problem associated with aging. The most commonly used tests for evaluating functional mobility, fall risk, and lower limb strength of older adults in the clinic are ‘Timed Up and Go Test’ and ‘30-second Chair Stand Test’. This study was planned to determine the cut-off point of these tests in cognitive declines. A total of 204 older adults aged 65 years and over participated in this study. To examine the cut-off points of tests for single and dual-tasks, count off by twos was added as a cognitive task. The cut-off points of tests without and with an additional task were determined as 10.54, 12.21 second, 10.5, and 8.5 stands respectively. These results are important to reveal the effects of mental declines should be taken into account when interpreting the results of clinical functional mobility assessments in older adults.Öğe 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 The relationship between balance, trunk muscular endurance, and functional level in individuals with chronic low back pain(2020) Bezgin, Sabiha; Aydoğan, Saniye; Sertel, Meral; Vergili, Özge; Kocaman, Ayşe Abit; Oral, Muhammet Ayhan; Sahan, Tezel YıldırımAim: This study was planned to investigate the relationship between trunk muscular endurance, balance, and functional level in individuals with chronic low back pain. Material and Methods: Sixty-three individuals, aged 18-65 years and having chronic low back pain for the last six months, were included in the study. Sociodemographic data of the individuals were recorded. The static and dynamic endurance of trunk muscles was evaluated by the curl-up test and modified Sorenson test. In order to evaluate the dynamic balance, the Timed Up and Go test was performed. The functionality level related to the low back pain of individuals was evaluated by the Oswestry Low Back Pain Disability Questionnaire. Results: Forty-one female (65%) and twenty-two male (35%) individuals were included in the study. The mean age of the individuals was 40.50 ± 16.75 years, and the mean body mass index was 26.51 ± 5.34 kg/m2 . A moderate negative correlation was found between trunk flexor and extensor muscle endurance with both dynamic balance and functional level (p<0.05). Conclusion: It was determined that there is a significant relationship between balance, trunk muscular endurance, and functional level. The presence of this relationship may guide the planning of exercise therapy in individuals with chronic low back pain.Öğe 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, SabihaAims 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.
