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    Comparison of gait speed, dynamic balance, and dual-task balance performance according to kinesiophobia level in older adults
    (Taylor & Francis Ltd, 2023) Kocaman, Ayse Abit; Arslan, Saniye Aydogan
    PurposeThe presence of kinesiophobia was identified in older adults. Studies have examined the effects of kinesiophobia in older adults with chronic pain. Studies examining the effect of kinesiophobia on gait and balance performance in older adults without pain are insufficient. The aim of this study was to compare gait speed, dynamic balance, dual-task balance performance according to kinesiophobia level in community dwelling older adults without pain.Materials and methodsSeventy-five older adults were included. The socio-demographic data (age, height, weight, fall history, etc.) was recorded. Older adults were divided into two groups based on Tampa Kinesiophobia Scale scores. Scores below 37 were grouped as low level, scores above 37 were grouped as high level. The mini-mental state examination (MMSE), gait speed test, modified Four Square Step Test (mFSST), Five Times Sit-to-Stand Test, dual-mFSSt test (additional cognitive and motor task) were applied for dual-task balance performance.ResultsThirty-six participants(mean age 70.58 +/- 5.59 years) had low kinesiophobia, the other 39 individuals(mean age70.94 +/- 7.45 years) had high kinesiophobia. The age, gender, body mass index, cognitive status, and fall history were similar between groups (p > 0.05). The participants with low kinesiophobia were found to have better gait speed, dynamic balance, dual-task balance performance (p < 0.001).ConclusionThis study results showed that the presence of high level of kinesiophobia affects gait speed, dynamic balance, dual-task balance performance, and dual-task cost in older adults. Therefore, a high level of kinesiophobia can lead to falls. It may be important to investigate the effects of kinesiophobia in older adults.
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    Comparison of Physical Activity, Exercise Barriers, Physical Performance, and Fall Risks in Frail and Nonfrail Older Adults
    (Lippincott Williams & Wilkins, 2023) Karabulut, Demet Gozacan; Sertel, Meral; Yumin, Eylem Tutun; Kocaman, Ayse Abit; Tarsuslu, Tulay
    Objectives:The present research aimed to identify the difference between physical activity, physical performance, balance, fall risk, and exercise barriers in frail and nonfrail older adults. Methods:One hundred nineteen voluntary individuals older than 65 years and living in Kirikkale were enrolled in the research. The Clinical Frailty Scale was employed to evaluate the frailty level of the individuals included in the study. In line with the data obtained after the evaluation, individuals were separated into 2 groups as frail and nonfrail individuals. Exercise barriers were evaluated with the Exercise Benefits/Barriers Scale (EBBS), physical activity level was evaluated with the Physical Activity Scale for the Elderly (PASE), lower extremity physical performance was assessed with the Short Physical Performance Battery (SPPB) test, and fall risk was assessed with the Self-Rated Fall Risk Questionnaire (FRQ). Results:Ninety-three of the individuals enrolled in the study were found to be nonfrail and 26 to be frail older adults. The mean age of the individuals in the nonfrail group was 70.36 +/- 6.10 years, and the mean age of the individuals in the frail group was 76.53 +/- 7.37 years. In the statistical analysis, the difference was revealed between the groups in terms of the exercise barriers subscore, EBBS total score, PASE leisure activity score, PASE total score, FRQ total score, and SPPB total result (P < .05). In the correlation analysis, there was a negative correlation between the frailty scale score and SPPB and a positive correlation between the frailty scale score and FRQ in nonfrail older adults (P < .05). However, there was a positive correlation between the frailty scale score and exercise barriers subscore, EBBS and FRQ total scores, and a negative correlation between the PASE leisure activities, work activities and PASE total score, and SPPB score in frail individuals (P < .05). Conclusions:Our results demonstrated that the physical activity levels of frail older adults were poorer, they had a higher fall risk, and their activity performance, including the lower extremity, was poorer than that of nonfrail older adults.
  • Küçük Resim
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    Difference and relation between balance, physical fitness and quality of life in retired people living in different geographical regions of Turkey
    (2019) Kocaman, Ayse Abit; Meriç, Aydın; Kırdı, Nuray
    Aim: The aim of this study was to investigate the relationship and difference between balance, physical fitness and the quality of lifein retired people living in different geographical regions of Turkey.Material and Methods: For balance evaluation Berg Balance Scale, for physical fitness evaluation Senior Fitness Test (Chair StandTest, Arm Curl Test, 2-Minute Step Test, Chair Sit-and-Reach Test, Back Scratch Test and 8-foot Up-and-Go Test) for quality of lifeevaluation Short Form (36) Health Survey were administered to 155 retired individuals from seven geographical regions of Turkey(Antalya, Gaziantep, Elazığ, Eskişehir, İstanbul, İzmir, Samsun) For statistical analysis, one-way analysis of variance and Spearman’scorrelation analysis were used.Results: A total of 155 individuals aged between 55 and over were included in the study. The mean age of the individuals was64.235.86 years. The results of Berg Balance Scale showed statistically significant differences (p0.05) both between balancescore and 8-foot Up-and-Go Test scores in Eskişehir and between the balance score and the results of the Arm Curl Test in Antalya(p0.05). There were no significant differences between regions in the results of the SF-36 assessment of quality of life. A significantpositive correlation between Berg Balance Scale score and the scores of Chair Stand, Arm Curl and 2-Minute Step Tests was recorded.Furthermore, Berg Balance Score and 8-foot Up-and-Go score were found to present a negative correlation.Conclusion: Aging and differences between geographic regions in which individuals live cause deterioration in balance and thissituation effects physical fitness. Although participants had different lifestyles, the fact that our evaluation indicated a lack ofdifference in the quality of life assessment results was pleasing.
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    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, Birol
    Amaç: 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.
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    The Dubousset Functional Test: a reliable and valid test in early stage Parkinson's disease patients
    (Springer-Verlag Italia Srl, 2024) Kocaman, Ayse Abit; Arslan, Saniye Aydogan; Bozkurt, Yusuf Emre; Coskun, Erdal
    Introduction 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.
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    The Effect of Different Exercise Training Types on Functionality in Older Fallers A Pilot Randomized Controlled Trial
    (Lippincott Williams & Wilkins, 2021) Kocaman, Ayse Abit; Kirdi, Nuray; Aksoy, Songul; Elmas, Ozgun; Dogu, Burcu Balam
    Background: 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.
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    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, Ayse Abit; Onal, Birol; Sertel, Meral; Karaca, Gulten
    ObjectiveThis 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.
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    Validity and Reliability of The 3-Meter Backward Walk Test in Individuals with Stroke
    (ELSEVIER, 2021) Kocaman, Ayse Abit; Arslan, Saniye Aydogan; Ugurlu, Kubra; Kirmaci, Zekiye Ipek Katirci; Keskin, E. Dilek
    Objectives: The 3-m backward walk test (3MBWT) is used to evaluate neuromuscular control, proprioception, protective reflexes, fall risk and balance. The aim of our study was to reveal the test-retest reliability and validity of the 3MBWT in stroke patients. Materials and Methods: This study included a total of 41 stroke patients [age 59 (35-78) years]. 3MBWT, Berg Balance Scale (BBS), Timed Up and Go test (TUG) were applied to the patients. The second evaluation (retest) was carried out by the same physiotherapist two days following the first evaluation (test) in order to measure test-retest reliability. Results: Cronbach's alpha coefficient was found to be 0.974 (excellent). For intra-rater agreement, the ICC values in the individual test were 0.985. The SEM value was 1.11 sec, the MDC value was found to be 1.57 sec. A moderate correlation was revealed between the 3 m-backward walking speed and BBS (r: -0.691, p: 0.001) and TUG (r: 0.849, p: 0.001). Conclusions: The 3MBWT was observed to be valid and reliable in stroke individuals. It is an effecive and reliable tool for measuring dynamic balance and falls in stroke.
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    Validity, Reliability, and Responsiveness of the Dubousset Functional Test in Older Adults
    (Lippincott Williams & Wilkins, 2023) Kocaman, Ayse Abit; Sertel, Meral; Arslan, Saniye Aydogan
    Objective:The aim of our study was to examine the test-retest reliability and validity of the Dubousset Functional Test (DFT) in older adults. Methods:The DFT, 3-m Backward Walk Test (3MBWT), Timed Up and Go (TUG) test, and Tinetti Performance-Oriented Mobility Assessment (POMA) were administered to 80 older adults. Results:Intraclass correlation coefficient (ICC) values were between 0.819 and 0.965 (excellent agreement). A correlation was found between DFT parameters and the TUG test, 3MBWT, and POMA scores. A low correlation was found between the TUG test and 3MBWT with the dual-task test; no correlation was determined between the POMA scores with the dual-task test. Conclusion:It was concluded that the DFT is a valid and reliable test for older adults.