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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 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 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 Effect of taping on scapular kinematics of patients with facioscapulohumeral muscular dystrophy(Springer-Verlag Italia Srl, 2019) Demirci, Cevher Savcun; Kilinc, Ozge Onursal; Yildiz, Taha Ibrahim; Ayvat, Ender; Ayvat, Fatma; Turgut, Elif; Kilinc, MuhammedThe aim of this study is to investigate the effects of scapular taping on scapular kinematics by three-dimensional electromagnetic system during shoulder elevation in facioscapulohumeral muscular dystrophy patients. A total of 11 patients with facioscapulohumeral muscular dystrophy were included in the study. Scapular anterior-posterior tilt, upward-downward rotation, and internal-external rotations were evaluated using the three-dimensional electromagnetic system during the elevation of the upper limbs in the scapular plane before and after kinesio taping. For maximum humerothoracic elevation, there were no differences between the patients before and after taping on both dominant (p=0.72) and non-dominant sides (p=0.64). For scapular internal rotation, upward rotation, and posterior tilt, there were no differences between patients before and after taping during humerothoracic elevation on both dominant and non-dominant sides (p>0.05). These results showed us that the excessive and abnormal movements of the scapula observed during the humeral elevation in facioscapulohumeral muscular dystrophy patients cannot be supported with flexible methods like kinesio taping. Therefore, we recommend to evaluate the scapula position by applying flexible and rigid taping to the patients who can reach over 90(o) in humerothoracic elevation in future studies.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 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 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 Investigation of the relationship between physical activity, kinesiophobia and fear of falling in older adults with chronic pain(Taylor & Francis Ltd, 2021) Sertel, Meral; Arslan, Saniye Aydogan; Yumin, Eylem Tutun; Demirci, Cevher Savcun; Simsek, Tulay TarsusluAims This study aims to investigate the relationship between physical activity, fear of movement and fear of falling in older adults with chronic pain. Materials and methods The study includes 163 older adults aged 65 years and over, who live in a private nursing home. The cognitive functions of the individuals who participated in the study were evaluated with the mini-mental examination scale (MMES), fears of movement with the Tampa Scale of Kinesiophobia (TSK), fear-avoidance behaviour with the Fear-avoidance Beliefs Questionnaire (FABQ), physical activity levels with the Physical Activity Scale for Older (PASE), and the fears of falling were assessed with Tinetti's Falls Efficacy Scale (FES). Results In the correlation analysis, there was a weak correlation between age and fall risk (r = 0.349, p < 0.001), and PASE(Total) score (r = -0.020, p = 0.011). There was a weak positive correlation between Tinetti FES and FABQ scores (r = 0.349, p < 0.001), and kinesiophobia value (r = 0.259, p < 0.001), there was a weak negative correlation between Tinetti FES and PASE(Total) (r = -0.241, p = 0.002). A positive mid correlation was determined between kinesiophobia and the FABQ scores (r = 0.41, p < 0.001). The established regression model was found to be significant (F = 12.175; p < 0.001). Among the independent variables included in the model, FABQ(Total) (t = 3.589; p < 0.0001) and PASE(Total) (t = -3.325; p < 0.0001) significantly affected the fear of falling. Conclusion The presence of chronic pain in older adults who have problems related to physical activity, fear of falling, and kinesiophobia due to advancing age may affect social participation, functional level, and quality of life significantly. Therefore, pain should be addressed in older adults and should be considered as an important issue in rehabilitation programs.Öğe The Reliability and Validity of the Turkish Version of Community Balance and Mobility Scale (CB&M-T) in Older Adults(DOKUZ EYLUL UNIV INST HEALTH SCIENCES, 2020) Arslan, Saniye Aydogan; Sertel, Meral; Demirci, Cevher Savcun; Erdal, Elif Sakizli; Muci, BirsenPurpose: The aim of our study is to evaluate the reliability and validity of the Turkish version of the Community Balance and Mobility Scale (CB&M-T) on older adults of Turkish population. Methods: The study included 145 older adults. Test-retest reliability, internal consistency was used for reliability. Berg Balance Scale was used to test the concurrent validity of the CB&M-T. The ceiling and floor effect were calculated for content validity. To measure the test-retest reliability, the older adults were assessed again with CB&M-T one week after the first assessment. ROC (Receiver Operating Characteristic) analysis was performed determine the cut-off scores and the area under the curve ( AUC) was calculated. Results: Very high relationship was found between the 1st and 2nd evaluation total CB&M-T score. Cronbach's alpha coefficient was excellent. There were no floor and ceiling effects. High correlations were found between CB&M-T and BBS. The optimum cut-off value is calculated as 38.5 points. AUC value of 0.90 is found to be highly acceptable for individuals at fall risk. Conclusion: This study indicates that the Turkish version of the CB&M-T scale is a reliable and valid balance and mobility scale that can be used in the rehabilitation of older adults with a high functional level. According to these results, Turkish clinicians have been brought a new scale that can be used in clinics We think that older adults with high functional levels will bring a new perspective to the literature to evaluate the fall risk, balance and mobility and to plan rehabilitation programs.Öğe 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 SavcunBackground: 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.Öğe 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 DilekBackground 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.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 Validity and reliability of the Turkish version of the Ottawa Sitting Scale in patients with acute stroke(Taylor & Francis Ltd, 2024) Yasa, Mustafa Ertugrul; Arslan, Saniye Aydogan; Sahan, Tezel Yildirim; Caglar, Derya; Demirci, Cevher Savcun; Demir, PervinPurpose: To investigate the validity and reliability of the Turkish version of the Ottawa Sitting Scale (OSS-T) in patients with acute stroke.Materials and methods: The Berg Balance Scale (BBS) and Trunk Impairment Scale (TIS) were used to determine the validity of the OSS-T. The OSS-T was re-applied by the same rater after an interval of 7 days to determine the reliability. To test inter-rater reliability, the evaluation was repeated by a second rater 1 day after the first evaluation. Reliability was quantified using intraclass correlation coefficients (ICC), and validity was assessed by correlating the OSS-T scores with the results of the other measures.Results: The ICC of the total OSS-T score for inter-rater reliability was 0.996 and for intra-rater reliability, it was 0.951. The Cronbach's a coefficient used to determine internal consistency was 0.980, which indicates excellent reliability. A strong positive correlation was found between OSS-T and TIS (rho = 0.861, p < 0.001), and between OSS-T and BBS (rho = 0.875, p < 0.001). An evident 2-factor structure was shown by the results of the factor analysis.Conclusions: The results of this study indicated that the OSS-T has strong measurement properties, making it a valid and reliable tool for research and clinical practice in patients with acute stroke.
