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    Evaluation of physical activity level and exercise capacity in patients with varicose veins and chronic venous insufficiency
    (Sage Publications Inc, 2021) Erdal, Elif Sakizli; Demirguc, Arzu; Kabalci, Mehmet; Demirtas, Huseyin
    Objective The clinical indication of chronic venous insufficiency (CVI) is related to functional performance and the benefits of physical activity in patients with CVI are known. Despite its importance, the literature is limited in this regard. This study aimed to determine exercise capacity and physical activity level in patients with varicose veins and CVI. Methods Volunteers who came to the polyclinic with leg pain complaints were enrolled in the study. Individual sociodemographic and clinical information was recorded. Individuals' pain severity was assessed by the visual analog scale (VAS) and exercise capacity was assessed by 6-minute walk test (6MWT). International Physical Activity Questionnaire (IPAQ) was used to assess the level of physical activity. Results The study group consisted of 51 individuals who were diagnosed with varicose veins and CVI. The control group consisted of 51 individuals without varicose veins and CVI diagnosis. In the study group, the VAS during activity was significantly higher compared to the control group. The 6MWT distance, distance %, IPAQ total score and IPAQ walking score of the control group were significantly higher in comparison with the study group (p<0.05). Conclusions We believe that our findings will lead the planning of interventions to increase the level of physical activity in CVI patients.
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    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, Sabiha
    A 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.
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    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, Birsen
    Purpose: 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.