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    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, Cevher
    Purpose: 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.
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    Aging, Body Weight, and Their Effects on Body Satisfaction and Quality of Life
    (Kowsar Publ, 2018) Simsek, Tulay Tarsuslu; Yumin, Eylem Tutun; Sertel, Meral
    Background: Changes in body composition in advanced ages (i.e., physical, physiological, and social changes) may influence the perception of body image in the elderly population. In some studies, it is stated that negative body image is associated with the consequences of unhealthy physical and mental health status. Objectives: The purpose of the study is to examine changes in body weight, body satisfaction, and quality of life in the elderly. Methods: This descriptive analytical study was performed from July 2015 to April 2016 on individuals aged 45 years and above who lived in Kirikkale, Turkey. The participants were divided into four age groups of 45 - 59 years (group 1), 60 - 69 years (group 2), 70 -79 years (group 3), and 80 years and above (group 4). Body satisfaction was evaluated using Body-Cathexis Scale (BCS), and the quality of life was evaluated using the Nottingham Health Profile (NHP). Results: the highest body mass index (BMI) was found in the 60 -69 years age group (29 +/- 4.72 kg/cm(2)), whereas the lowest score was found to be in the individuals pertaining to the 80 years and above age group (26.53 +/- 4.53 kg/cm(2)). BCS total scores were 85.95 +/- 22.09 in group 1, 94.78 +/- 26.68 in group 2, 103.29 +/- 31.41 in group 3, and 107.28.35.84 in group 4. A significant difference was found between the groups in terms of quality of life and body satisfaction (P < 0.05). There was a positive correlation between BCS and NHP in groups 1, 2, and 3 (P < 0.05). However, there was no correlation between BCS and NHP in group 4 (P > 0.05). Conclusions: Evaluations and practices performed for body weight control in middle-aged and older adults are of importance in terms of increasing the quality of life.
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    Comparison of Lung Function and Respiratory Muscle Strength in Geriatric Individuals with and without Metabolic Syndrome
    (European Respiratory Soc Journals Ltd, 2024) Gürbüz, Alper Kemal; Sırakaya, Funda; Demirel, Aynur; Sertel, Meral
    [Abstract No tAvailable]
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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.
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    Comparison Of Short-Term Effects Of Virtual Reality and Short Foot Exercises In Pes Planus
    (Churchill Livingstone, 2021) Yıldırım Şahan, Tezel; Aydoğan Arslan, Saniye; Demirci, Cevher; Oktaş, Birhan; Sertel, Meral
    Background: Virtual reality exercises (VRE) offers functional, multipurpose usage with a motivational approach. This study aimed to compare VRE and short foot exercises (SFE) in individuals with flexible pes planus. Methods: Forty participants with pes planus were assigned to the SFE group (n = 20) or VR exercise group (n = 20). Both groups performed exercises three times a week for four weeks. The groups were assessed with a navicular drop test for the height of the medial longitudinal arch, craig Test for femoral anteversion, Star Excursion Test for balance,10 step test for performance. Results: For two groups there is a statistically significant difference between before and after treatments(p < 0.05). There is no difference between VRE and SFE groups after treatments for all parameters(p > 0.05). Conclusions: Two different 4-week-exercise programs for pes planus have a similar effect on performance, balance, and navicular drop values in both groups. It was considered that the practice of VR exercises like short foot exercises could also address rehabilitation goals, which included improving balance, performance, and foot posture. ClinicalTrials.gov Identifier: NCT04283357. © 2021 Elsevier Ltd
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    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 Kılıçaslan
    Aim: 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.
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    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, Sabiha
    Aim: 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.
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    The effect of foot plantar massage on balance and functional reach in patients with type II diabetes
    (Taylor & Francis Inc, 2017) Yumin, Eylem Tutun; Simsek, Tulay Tarsuslu; Sertel, Meral; Ankarali, Handan; Yumin, Murat
    Objective: The aim of this study was to investigate the effect of manual foot plantar massage ( classic and friction massage) on functional mobility level, balance, and functional reach in patients with type II diabetes mellitus ( T2 DM). Methods: A total of 38 subjects diagnosed with T2 DM were included in the study. A healthy control group could not be formed in this study. After the subjects' socio-demographic data were obtained, Timed Up & Go ( TUG) Test, functional reach test ( FRT), one-leg standing test with eyes open-closed, and Visual Analogue Scale ( VAS) to measure foot pain intensity were performed. The results were also divided and assessed in three groups according to the ages of the individuals ( 40-54, 55-64, and 65 and over). Results: As a result of statistical analysis, a difference was found in the values obtained from TUG, FRT, and one-leg standing test with eyes open and closed ( p < 0.05). Following the massage, TUG values significantly decreased comparison with those before the massage, whereas the values of FRT and one-leg standing test with eyes open and closed significantly increased compared with those before the massage ( p > 0.05). According to age groups, there were statistical differences ( p < 0.05) between the TUG, one-leg standing test with eyes open and closed test values of the individuals before and after the massage. Conclusions: The results of our study indicated that application of plantar massage to patients with T2 DM caused an improvement in balance, functional mobility, and functional reach values. An increase in body balance and functional mobility may explain the improvement in TUG. Foot massage to be added to rehabilitation exercise programs of DM patients will be important in improving balance and mobility of patients.
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    Effect of plantar vibration on static and dynamic balance in stroke patients: a randomised controlled study
    (Elsevier Ltd, 2022) Önal, Birol; Sertel, Meral; Karaca, Gülten
    Objective: To investigate the effects of local vibration applied to the plantar region of the foot on static and dynamic balance in stroke patients. Design: Randomised, controlled trial. Setting: Inpatient. Participants: Thirty patients with stroke were randomised equally to the vibration and control groups. Intervention: The control group underwent conventional physical therapy (CPT) for 4 weeks. The vibration group underwent local vibration therapy at a frequency of 80 Hz and CPT for 4 weeks. Outcome measures: The primary outcome measure was the Overall Stability Index (OSI). The secondary outcome measures were: the Anteroposterior Stability Index, Mediolateral Stability Index, fall risk, Berg Balance Scale, Functional Reach Test (FRT), and Timed Up and Go Test (TUG) to assess balance; the Trunk Impairment Scale to measure trunk function; and the 10-m Walk Test (10MWT) to measure walking speed. Results: Participants receiving plantar vibration experienced greater improvements in static and dynamic balance assessments compared with participants in the control group. The mean change in OSI score between baseline and 4 weeks was 0.8 [standard deviation (SD) 0.8] for the vibration group and 0.02 (SD 0.6) for the control group [mean difference 0.4, 95% confidence interval (CI) 0.1 to 0.7]. The median change in fall risk score was 0.7 [interquartile range (IQR) 0.4 to 1.4] for the vibration group and 0.1 (IQR -0.1 to 0.6) for the control group (median difference 0.5, 95% CI 0.2 to 0.7). The median change in TUG time was 4 (IQR 1 to 7) seconds for the vibration group and 4 (IQR 0 to 2) seconds for the control group (median difference 2.5, 95% CI 1.5 to 3.5). Conclusion: These findings suggest that plantar vibration is useful in stroke patients. Plantar vibration can be applied to support CPT. Clinicaltrials.gov registration number: NCT03784768. © 2022 Chartered Society of Physiotherapy
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    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, Fatih
    Purpose: 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.
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    The Effect of Virtual Reality Applications on Balance and Gait Speed in Individuals With Alzheimer Dementia A Pilot Study
    (LIPPINCOTT WILLIAMS & WILKINS, 2020) Ugur, Fatma; Sertel, Meral
    Objective: The aim of the study is to investigate the effect of virtual reality applications on balance and gait speed in individuals with Alzheimer dementia. Method: The study consisted of 32 individuals diagnosed as mild or moderate Alzheimer dementia by the neurologist. The balance, fall risks, and gait speed were assessed. The training group was trained with games selected from different categories such as balance and aerobic exercises with Nintendo Wii virtual reality device for 6 weeks, 1 session of 30 minutes, 2 times a week. Results: The values of the 5-time sit-to-stand test and gait speed scores resulted that the training group had significantly lower scores than the control group. Tinetti balance score was decreased in the control group and increased in the training group. Conclusion: It is appropriate to add virtual reality applications to routine rehabilitation programs in order to increase patient's balance and gait speed in people with dementia. Clinical Identifier: NCT03928405
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    The Effects Of Age And Body Mass Index On Flexibility And Balance Performance
    (Turkey Assoc Physiotherapists, 2017) Aydogan Aslan, Saniye; Sertel, Meral; Sahan, Tezel Yildirim; Kurtoglu, Fatih
    Purpose: This study was conducted to examine the effects of age and Body Mass Index (BMI) on flexibility and balance in individuals aged between 18-80. Methods: Four hundred and four (n=404) individuals were included in the study. Timed Up and Go Test (TUG) and Sit to Stand Test (SST) were used in order to evaluate dynamic balance; Sit and Reach Flexibility Test as well as Lateral Trunk Flexion test were used for flexibility. Results: A correlation was found between age, TUG, SST and flexibility values (p<0.05). There was a correlation in a negative direction between BMI, and right-left trunk flexibility tests. There was a correlation in a positive direction between TUG and SST. Conclusion: The increase in age and BMI causes restrictions in daily life activities of individuals by leading to decrease in important parameters that affect their physical fitness such as balance and flexibility.
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    The Effects of Body Mass Index on Balance, Mobility, and Functional Capacity in Older Adults
    (Lippincott Williams & Wilkins, 2017) Sertel, Meral; Simsek, Tulay Tarsuslu; Yumin, Eylem Tutun
    Objective: The aim of this study was to study the effects of body mass index (BMI) on balance, mobility, and physical capacity in the older adults. Methods: A total of 149 elderly individuals aged 65 to 85 years were recruited into the study. They were divided into 3 groups, including normal weight (n = 35), overweight (n = 67), and obese (n = 47), by their BMI values. Sociodemographic characteristics of the subjects were recorded, and their BMI values (body weight/height(2) [kg/m(2)]) were calculated using height and body weight values. Balance was assessed by the Berg Balance Scale (BBS) and the tandem test, mobility by the Rivermead Mobility Index (RMI), and physical capacity by the Timed Up and Go (TUG) test. Results: The mean age of the subjects was 69.64 6.60 years. Statistical analysis revealed that there is no statistically significant difference between the BBS, RMI, and TUG values of normal, obese, and overweight elderly subjects (P > .05). A statistically significant difference was found in tandem test values of the right and left feet (P < .05). A correlation was identified between the BMI and balance (BBS) values for the subjects with a high mean age (P < .05), whereas there was no such correlation for the subjects with a lower mean age (P > .05). Conclusion: Although increased weight affects balance and mobility in the older adults, it is an important factor that affects balance and physical mobility in advanced age.
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    Effects of Quadriceps Muscle Strength and Kinesiophobia on Health Related Quality of Life in Elderly Women and Men with Chronic Obstructive Pulmonary Disease
    (Duzce Univ, 2018) Ozel, Alp; Yumin, Eylem Tutun; Tug, Tuncer; Sertel, Meral
    Objective: The aim of this study was to investigate the effects of quadriceps muscle strength and kinesiophobia on health-related quality of life in elderly women and men with chronic obstructive pulmonary disease. Methods: After recording the socio -demographic information of individuals, the Visual Analogue Scale (VAS) for pain status, the modified Medical Research Council Scale (mMRCS) for dyspnea, TAMPA Scale for Kinesiophobia (TSK), Saint George Respiratory Questionnaire (SGRQ) for health-related quality of life, and manual dynamometer were used to measure for muscle strength of quadriceps. Results: Seventeen (37.8%) of the 45 participants were female. The mean age and body mass index of females were 71.59 +/- 4.84 years and 28.75 +/- 6.71 kg/m(2), respectively. Kinesiophobia averages were 47.47 +/- 7.40 and 41.89 +/- 7.65 in women and men, respectively, and SGRQ((Symptom)) scores were 75.97 +/- 15.87 and 63.89 +/- 18.54 in women and men, respectively. Statistical analysis showed that there was a significant difference between men and women between kinesiophobia and SGRQ((symptom)) (p<0.05). There was a correlation between kinesiophobia and SGRQ((Activity)), SGRQ((symptom)) and SGRQ((Total)) in females and kinesiophobia and SGRQ((Activity)), SGRQ((Impact)) and SGRQ((Total)) in males (p<0.05). The TSK score was found to affect the quality of life, more in women (p<0.05). There was no correlation between pain and quadriceps muscle strength and SGRQ parameters in both men and women (p>0.05). Conclusion: In elderly individuals with COPD, kinesiophobia is an important factor affecting the quality of life and is recommended to increase physical activity, and monitor the physiological, emotional well-being in order to improve quality of life.
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    The effects of worksite exercises on physical capabilities of workers in an industry of a developing country: A randomized controlled study
    (Ios Press, 2016) Sertel, Meral; Ucsular, Ferda Dokurtug; Ugurlu, Umit
    BACKGROUND: Worksite exercise to promote health is a relatively new concept in the industries of developing countries. OBJECTIVES: The aim of this study was to investigate the first-time feasibilities and effects of worksite exercises on physical capabilities of workers in an industry with limited sport facilities. METHODS: A randomized controlled-study was conducted. Ninety-one female workers were randomly assigned to one of the three study groups: two exercise groups and a control group. The workers in the exercise groups participated in group exercises 3 times per week. Maximal oxygen consumption (VO(2)max), the level of hand skill, and hand grip strengths of the workers were measured before and after the 8-week intervention. RESULTS: Approximately 75% of the workers (n = 68) completed the study. Adherence was higher in the exercise groups. Overall, no improvement was observed in the control group. VO(2)max increased in both exercise groups (p < 0.05) but no difference was recorded between the groups. The level of hand skill was the least affected in all groups. Strengthening exercises conducted with elastic bands were superior to the repetitive movements in terms of strength gains. CONCLUSION: Exercises capable of improving physical fitness and strength can be integrated into the usual workflow of an industrial workplace with minimal cost. Ensuring sport facilities and instruments during all working hours may improve adherence to worksite exercises.
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    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 Kılıçarlan
    Purpose: 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.
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    Evaluation of the Musculuskeletal Systems and Kinesiophobia of the Individuals with Temporomandibular Disorders
    (2019) Arıkan, Halime; Sertel, Meral; Baş, Burcu
    Objectives: The aim of this study was to investigate the temporomandibular joint mobility, cervical mobility, head position, and kinesiophobia in individuals who were seperated into different groups according to the Research DiagnosticCriteria for Temporomandibular Disorders, and were diagnosed with only one.Methods: Individuals with temporomandibular disorders were divided into 3 groups according to the Research Diagnostic Criteria for Temporomandibular Disorders. After obtaining sociodemographic information of individuals, cervical mobility and head position with a goniometer, temporomandibular joint mobility with a ruler, and kinesiophobiawith a Tampa Scale for Kinesiophobia were assessed.Results: In the statistical analysis among the groups; values for the Tampa Scale for Kinesiophobia of individuals ingroup 3 were higher than the others with temporomandibular disorders (p0.002); while head position, temporomandibular joint mobility and cervical mobility values did not differ (p0.05).Conclusion: It is considered that craniocervical symptoms can different in subgroups of temporomandibular disordersat the beginning. However, these symptoms were same in all groups, except kinesiophobia. On this basis, it is need forfurther study with high level of evidence.
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    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. Ayhan
    BACKGROUND/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.
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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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    Immediate effects of kinesio taping and vibration therapy on manual dexterity in children with unilateral spastic cerebral palsy: a randomised controlled trial
    (Ma Healthcare Ltd, 2023) Hosbas, Beyzanur Dikmen; Sertel, Meral
    Background/Aims In children with unilateral spastic cerebral palsy, the upper extremity is usually more affected than the lower extremity. Somatosensory, functional and developmental disorders cause difficulties in hand function. The aim of this study was to assess the immediate effects of kinesio tape and vibration therapy in addition to conventional physiotherapy on gross and fine manual dexterity in children with unilateral spastic cerebral palsy. Methods A total of 45 children aged 4-18 years with mild to moderate spasticity (at levels 0, 1, 1+, 2 according to the Modified Ashworth Scale) who could grip and release an object, and those who had hand function at levels 1, 2 and 3 according to the Manual Ability Classification System and were diagnosed with unilateral spastic cerebral palsy, were included in the study. The children were randomised into three groups: vibration therapy, kinesio taping and control, with 15 children in each group. While conventional physiotherapy was regularly continued in all three groups, the kinesio taping group had kinesio tape applied to the wrist extensors, with 50% tension on the wrist and thumb and 25% tension on the fingers at the beginning of the session. The vibration therapy group received vibration to the forearm extensor muscle group at the end of the session. Vibration was applied to the widest part of the forearm extensor muscles with a 7 cm tip at a frequency of 80 Hz, amplitude of 1 mm, vibration for 10 seconds and rest for 5 seconds, for a total of 10 minutes. Gross and fine dexterity were assessed by Box and Block Test and Nine-Hole Peg Test before and after treatment. Results When the groups were compared before and after the intervention, a significant improvement was found in the Nine-Hole Peg Test scores of the kinesio taping (105.11 +/- 66.99 vs 86.22 +/- 51.88, P<0.05) and vibration therapy (61.70 +/- 35.54 vs 57.29 +/- 38.05, P<0.05) groups and in the Box and Block Test scores of all three groups: kinesio taping group (25.13 +/- 14.33 vs 28.40 +/- 14.23, P<0.05), vibration therapy group (35.00 +/- 11.69 vs 39.07 +/- 12.43, P<0.05), control group (34.60 +/- 11.74 vs 37.80 +/- 11.22, P<0.05). There was no significant difference in the Nine-Hole Peg Test scores between the groups, while a significant improvement was found in the Box-Block Test scores of the kinesio taping group compared to the vibration therapy and control groups (P<0.05). Conclusions Kinesio taping and vibration have positive immediate effects on gross and fine manual dexterity in children with unilateral spastic cerebral palsy and can be used by physiotherapists to support conventional physiotherapy and rehabilitation programmes.