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    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 Katırcı
    Objective: 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.
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    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 Dilek
    Aim: 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.
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    The effect of pes planus on the biomechanics of the lower extremity, balance, fall risk, and performance
    (University School of Physical Education in Wroclaw, 2023) Şahan, Tezel Yildirim; Uğurlu, Kübra; Önal, Birol; Sertel, Meral
    Introduction. The study aim was to compare lower extremity dominance, subtalar angle, balance, fall risk, and performance in younger adults with and without pes planus. Methods. A total of 80 physically active subjects participated in the study: 39 patients with flexible pes planus and 41 asymptomatic individuals. Arch height was assessed with the navicular drop test, the subtalar joint angles were determined with a goniometer, balance assessments were performed with the Biodex Balance System, and performance was evaluated with the single-leg jump and vertical jump tests. Furthermore, the strength of the gluteus medius muscles was measured with a dynamometer. Results. A significant difference was demonstrated for the subtalar angles (right and left), as well as the single-leg jump and vertical jump test results between asymptomatic subjects and those with pes planus (p < 0.05). Conclusions. it can be concluded that there was a decrease in the subtalar angle and performance in young adults with pes planus compared with asymptomatic participants. This finding suggests that prophylactic measures should be taken before the effects are seen in young adults. © Wroclaw University of Health and Sport Sciences.