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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, Ayşe 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 A new instrument to assess physical function in stroke patients: the Dubousset function test and its validity, reliability, responsiveness(Taylor & Francis Ltd, 2023) Bozkurt, Yusuf Emre; Kocaman, Ayşe Abit; Çavdar, Merve Kaşıkçı; Keskin, E. DilekAim: The Dubousset Functional Test (DFT) ia a practical four-component assessment test to assess the physical function and balance capacities. The study aimed to examine the reliability, validity, responsiveness of the DFT in stroke survivors. Methods: This study included a total of 57 post-stroke patients (age 60.16 +/- 15.08 years). The participants were divided into two groups according to the duration of stroke (6-12 months, 12 months and more). Reliability of DFT test was evaluated with Intraclass Correlation Coefficient (ICC). The correlation between the DFT and The Timed Up and Go test (TUG), dualtask TUG, Functional Reach Test (FRT), 3- meter backward walk test (3MBWT), Tinetti Performance Oriented Mobility Assessment (POMA) was used for the validity. Results: For total post-stroke patients, ICC values were between 0.899 and 0.984 (excellent agreement). For stroke patients have 6-12 months stroke duration ICC values were between 0.831 and 0.988 (excellent agreement). For post-stroke patients have 6-12 months stroke duration ICC values were between 0.858 and 0.992 (excellent agreement). For total stroke postpatients the correlation with four component of DFT and TUG, dual-task TUG, FRT, 3MBWT and POMA was found to be statistically significant (p < 0.001). Conclusion: The DFT has excellent reliability and validity in post-stroke patients. Therefore, it may be a clinically suitable test for detecting balance and physical function.Öğe Comparison of the timed limb coordination according to comorbidity level in community dwelling older adults(2021) Kocaman, Ayşe Abit; Karapınar, MerveAim: The prevalence of chronic disease increases with aging. It is very important to examine the effects of comorbidity in older adults. The aim of this study is to compare the timed limb coordination according to comorbidity level in community dwelling older adults. Material and Method: Ninety six older adult were included. The socio-demographic data (age, height, weight, educational level, etc) recorded. Modified Charlson comorbidity (mCCI) index assessed comorbidity levels of older adults. The older adults performed timed limb coordination tests for upper and lower limb. The participants were divided into two groups in terms of their comorbidity (low comorbidity; mCCI<3, high comorbidity; mCCI ?3). Result: Forty-eight participants (26 females, 22 males, mean age 69.40±2.64 ) had low comorbidity level, the other 48 individuals (32 females, 16 males, mean age 72.26±6.04) had high comorbidity level. The age, gender, body mass index, cognitive status and education status were similar between groups (p>0.05). The participants with low comorbidity were found to have better timed limb coordination (p<0.001). Conclusion: We determined that the presence of chronic disease affects timed limb coordination in Turkish older adults. It may be important to investigate the effects of comorbidity, balance and coordination exercise programs were included physiotherapy programs in reducing the negative features of comorbidity 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 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 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 The Dubousset Functional Test: a reliable and valid test in early stage Parkinson's disease patients(Springer-Verlag Italia Srl, 2024) Kocaman, Ayşe Abit; Arslan, Saniye Aydoğan; Bozkurt, Yusuf Emre; Coşkun, ErdalIntroduction Dubousset Functional Test (DFT) is an assessment test evaluating the functional capacity and dynamic balance. The study aimed to examine the reliability, validity, and responsiveness of the DFT in early stage Parkinson's disease (PD) patients. Methods This was a cross-sectional study. Thirty-three early stage PD patients were recruited. The DFT was performed along with the Timed Up and Go (TUG) test, dual-task TUG, Functional Reach Test (FRT), 3-m backward walk test (3MBWT), Tinetti Performance-Oriented Mobility Assessment (POMA), and Berg Balance Scale (BBS). Results The test-retest reliability of the subcomponents of the DFT was excellent. The ICCs were as follows: 0.952, 0.955, 0.917, and 0.919, respectively. The correlation with subcomponents of DFT and TUG, dual-task TUG, FRT, 3MBWT, BBS, and POMA was found to be statistically significant (p < 0.05). The standard measurement errors of the subcomponents of the DFT were 1.45, 1.39, 1.70, and 1.57, respectively. The minimal clinically important difference (MCID) of the subcomponents was 2.05, 1.97, 2.41, and 2.22, respectively. Conclusion The DFT is a reliable, valid, and easy-to-administer tool in assessing the balance and physical function of early stage PD patients.Öğe The Effect of Different Exercise Training Types on Functionality in Older Fallers A Pilot Randomized Controlled Trial(Lippincott Williams & Wilkins, 2021) Kocaman, Ayşe Abit; Kırdı, Nuray; Aksoy, Songül; Elmas, Özgün; Doğu, Burcu BalamBackground: Fall is one of the most common geriatric syndromes in the elderly population. It is important to determine the most effective exercise training in elderly individuals who are at risk of falling. Aim: To investigate the effects of different exercise trainings on functionality in older fallers. Method: A total of 30 older adults, 16 females and 14 males, were enrolled in this randomized controlled trial. The older adults were divided into 3 groups: vestibular exercise (VE), posturography balance exercise (PBE), and square step exercise (SSE) groups. All groups received VE training. Sensory Organization Test (SOT), Adaptation Test (ADT), Fall Efficacy Scale (FES), Montreal Cognitive Assessment (MoCA), Vestibular Disorders Activities of Daily Life Scale (VADL), and the World Health Organization Quality of Life Scale-Older Adults Module (WHOQOL-Old) were administered before and at the end of the 24 training sessions. Results: The MoCA and the composite balance score of the SOT were improved in the PBE and SSE groups and the FES in all groups. According to multiple comparison analyses, toes up in the VE and PBE groups, toes down of the ADT in the PBE group, VADL in the PBE and SSE groups, the WHOQOL-Old in all groups significantly improved (P < .010). Conclusion: VE training alone is not sufficient for older fallers. A combination of PBE and SSE training, which was applied 3 times a week for 8 weeks, was more effective in improving functionality in older fallers.Öğe The effect of local vibration applied to the forearm extensor muscles on hand function and muscle activation in stroke patients: a randomized controlled study(Springer Heidelberg, 2023) Kocaman, Ayşe Abit; Onal, Birol; Sertel, Meral; Karaca, GültenObjectiveThis study aims to reveal the effect of low-frequency local vibration applied to the forearm extensor muscles on stroke patients' muscle activation and hand functions.MethodsTwenty-four stroke patients were randomized to the vibration group (n = 12) or control group (n = 12). The vibration was applied at a 30 Hz frequency to the forearm extensor muscles with a local vibration device three days a week after the routine, conventional physical therapy sessions for four weeks. Six vibration sets were applied, including one vibration for one minute and a rest for 2 min. Routine, traditional physical therapy was used for the control group in 60-min sessions for 4 weeks. Patients were assessed for muscle activation with surface electromyography (MVC) and The Wolf Motor Function Test (WMFT), Functional Independent Test (FIM) was applied to all patients before and after treatment.ResultsAs a result of our study, MVC measurement, WMFT and FIM scores of the vibration group showed more improvement than the control group. Measurement results of vibration group; While MVC measurement increased from 10.21 to 13.79, WMFT-Functional Ability score increased from 42 to 50, WMFT-Performance Time duration increased from 68.78 to 61.83, and FIM score increased from 74.5 to 83. and the measurement results of the control group; MVC measurement increased from 12.28 to 12.22, WMFT-Functional Ability score increased from 48.5 to 51, WMFT-Performance Time duration increased from 70.39 to 70.61, and FIM score increased from 72.5 to 80.5.ConclusionIt was concluded that low-frequency local vibration applied to the forearm extensor muscles improve forearm extensor muscle activation and hand motor function.Öğe 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.
