Makale Koleksiyonu
Bu koleksiyon için kalıcı URI
Güncel Gönderiler
Öğe The profile beyond leg pain: In basis of central sensitization, kinesiophobia, and body awareness in patients with chronic venous disease(Sage Publications Inc, 2024) Bazancir-Apaydin, Zilan; Sakizli Erdal, Elif; Keser, Ilke; Erer, DilekObjective: Leg pain has long been underestimated despite being one of the most important symptoms of chronic venous disease (CVD). Studies investigating leg pain and psychosocial profile in CVD are limited. The study aimed to investigate leg pain, central sensitization, kinesiophobia, and body awareness in patients with CVD. Methods: The ninety-eight patients (80 female, 18 male) diagnosed with CVD were included in the study. The severity of leg pain was evaluated with the Visual Analog Scale (VAS). The patients were assessed with the Central Sensitization Inventory (CSI-A and B) for central sensitization-related symptoms and -positivity, the Body Awareness Questionnaire (BAQ) for body awareness, and the Tampa Kinesiophobia Scale (TKS) for kinesiophobia. The cut-off score was admitted as 41 for TKS. Results: The leg pain (mean (SD) = 4.3 +/- 2) and body awareness (mean (SD) = 82.4 +/- 22) were moderate levels in patients with CVD. Nearly half of the patients (n = 46, 46.9%) had both central sensitization positivity and elevated kinesiophobia (n = 46, 47%). The CSI was correlated with the VAS (r = 0.32, p = .001), TKS (r = 0.40, p < .001), and BAQ (r = 0.20, p = .048). Significant correlations were determined between Body Mass Index and TKS (r = 0.48, p < .001) and BAQ (r = -0.31, p = .002). Also, the patients with a TKS score >= 41-points had higher CSI-A scores (p = .002) than those with a TKS score< 41. Conclusions: Leg pain, central sensitization, and kinesiophobia are commonly seen in patients with CVD, and central sensitization seems to have a negative effect on leg pain, kinesiophobia, and body awareness. The profile beyond pain should be evaluated in detail, and various rehabilitation strategies need to be developed to manage central sensitization, interoception, kinesiophobia, and weight control in patients with CVD.Öğe The effect of single-limb exercises on functional exercise capacity, pulmonary function and dyspnea in patients with COPD(Mosby-Elsevier, 2024) Gürbüz, Alper Kemal; Demirel, AynurBackground: Aeorobic exercise is an essential component of the pulmonary rehabilitation program for patients with chronic obstructive pulmonary disease (COPD). Single-limb exercises are a type of aeorobic exercise that aims to increase patient tolerance by reducing the workload of the respiratory system. Objektives: The aim of our systematic review was to determine the effects of single-limb exercises on pulmonary function, dyspnea, fatigue, and muscle dysfunction in patients with COPD. Methods: Searches were performed using PubMed, Pedro, Google Scholar, MEDLINE, EMBASE, Scopus, Cochrane Library, Web of Science databases. Publications from the beginning to 2023 searched. Studies were selected by two authors by scanning the title, Mesh terms abstract in Rayyan QCRI software. Selected studies were subjected to full -text screening by applying selection criteria. Randomized controlled, case-control, cohort studies were included. Results: In the first screening according to mesh terms, 1011 articles were identified. After the screening criteria and duplicate articles were evaluated, 10 articles were included. This systematic review includes seven case-control, one randomized control trial (RCT), one cross-sectional, and one non-randomized study. A total of 157 patients with COPD received treatment in these studies. According to the Bakker scale, single-limb exercises have been shown to improve pulmonary function with strong evidence. There is strong evidence that single-limb exercises have no effect on dyspnea and fatigue in COPD patients. There is limited evidence that single-limb exercises have an effect on functional exercise capacity. Conclusion: Single-limb exercise can advised in terms of improving pulmonary function in patients with COPD. Current systematic review has found single limb exercise has no effect on dyspnea and fatigue perception. No side effects were reported in the studies and these exercises can be considered safe.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 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 Body Awareness Therapy on Pain, Fatigue and Health-related Quality of Life in Female Patients with Tension-type Headaches and Migraine(Univ West Indies Faculty Medical Sciences, 2021) Sertel, Meral; Şimşek, Tülay T.; Yumin, Eylem T.Objective: To examine the effect of body awareness therapy on pain, fatigue and quality of life in women with tension-type headaches (TTH) and migraine. Methods: Socio-demographic features of patients who are included in the study were recorded. Visual analogue scale was used for pain and fatigue severity scale was used for fatigue, Nottingham health profile (NHP) was used for life quality related to health. Following the first evaluation, body awareness therapy (BAT) was applied to patients for six weeks per 60 minutes in three sessions. Results: Among patients with TTH, there was statistical difference between visual analogue scale, fatigue severity scale and total NHP score before and after BAT (p < 0.05). Among patients with migraine, there was statistical difference between total NHP score before and after BAT (p < 0.05). Conclusion: Body awareness therapy is an effective method that can be used in order to increase life quality related to health among female patients with TTH and migraine.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 Cutoff Value of the Calf-Raise Senior Test for Older Faller(Routledge Journals, Taylor & Francis Ltd, 2020) Abit Kocaman, Ayşe; Demirci, Cevher; Aydogan Arslan, Saniye; Yildirim Sahan, Tezel; Vergili, Özge; Oral, M. Ayhan; Bezgin, SabihaAims The aim of this study is to determine a cutoff value of the calf-raise senior test and dual-calf-raise senior test according to fall history. Methods 150 elderly individuals participated in descriptive study. Berg Balance Scale (BBS), Timed Up and Go Test (TUG), Functional Reach Test (FRT), Calf-Raise Senior Test (CRST) and Calf-Raise Senior Test with additional cognitive task (dual- CRST) were applied. Results It was found to be high correlation between CRST and the BBS ,medium with TUG, and high with FRT . It was found to be high correlation dual-CRST and the BBS,medium with the TUG and high with FRT. According to the fall history, the cutoff value for the CRST was found 18.3 repetitions and 11.5 repetitions for the dual-CRST. Conclusion The present study has contributed significantly to the literature in terms of determining the cutoff value for fall risk in the CRST and dual-CRS.Öğe Readability levels of health education materials used in physical therapy and rehabilitation clinics(Turkey Assoc Physiotherapists, 2013) Eker, Levent; Tüzün, Emine Handan; Aytar, Aydan; Daşkapan, ArzuPurpose: The aim of this study was to determine the readability levels of health education materials used in the physical therapy and rehabilitation clinics. Methods: In the study, the numbers of sentences, words and syllables were identified in the first 100-word sections of the 44 brochures used in the physical therapy and rehabilitation clinics. Atesman and cetinkayaUzun formula were used to determine the readability levels of the brochures. Correlation of the readability scores obtained using the two evaluation methods was also analyzed. Results: Readability scores calculated with Atesman and Eetinkaya-Uzun formula were 65.2 +/- 11.0 (95% BCa; 62.2-68.4), and 38.4 +/- 5.8 (95% BCa; 36.9-40.2), respectively. There was a strong and positive correlation between the readability scores obtained using the two evaluation methods, (r=96.2, 95% BCa; 93.5-98.3). Using Atesman classification approach, 30 brochures (68.2%) were leveling as hard and/or slightly hard-to-read. Thirty-four (77.3%) brochures had been prepared for the people who completed at least an 8-9 grade level of education. To be able to understand and explain the meaning of nine (20.5%) brochures, readers should have completed at least a 10-12 grade level of education. Conclusion: From the results of the study, we may speculate that the brochures used currently in the physical therapy and rehabilitation clinics cannot achieve intended benefits due to their hard-to-read nature. The readability check is necessary for any print material that is given to patients or his/her relatives.Öğe Assessment of pain, scapulothoracic muscle strength, endurance and scapular dyskinesis in individuals with and without nonspecific chronic neck pain: A cross-sectional study(Elsevier, 2023) Karaağaç, Ali; Arslan, Saniye Aydoğan; Keskin, Esra DilekIntroduction: This study is aimed to evaluate pain, muscle strength, scapular muscular endurance and scapular kinesis in individuals with Nonspecific Chronic Neck Pain and to compare them with asymptomatic individuals. In addition, to investigate the effect of mechanical changes in the scapular region on neck pain. Method: 40 individuals who applied to Kirikkale University Faculty of Medicine Hospital Physical Therapy and Rehabilitation Center and diagnosed with NSCNP and 40 asymptomatic individuals for the control group were included the study. Pain was evaluated with Visual Analogue Scale, pain threshold and pain tolerance with algometer, cervical deep flexor group muscle strength with Stabilizer Pressure Biofeedback device, and neck and scapulothoracic muscle strength with Hand Held Dynamometer. Scapular Dyskinesia Test, Scapular Depression Test and Lateral Scapular Slide Test were used to evaluate scapular kinesis. A timer was used to evaluate scapular muscular endurance. Result: Pain threshold and pain tolerance values of the NSCNP group were lower (p < 0.05). Muscle strength around neck and scapulothoracic region of the NSCNP group were lower than the asymptomatic individuals (p < 0.05). NSCNP group had more scapular dyskinesia (p < 0.05). Scapular muscular endurance values of the NSCNP group were lower (p < 0.05). Conclusion: As a result, pain threshold and pain tolerance decreased, muscle strength of the neck region and the scapular region decreased, scapular endurance values decreased and the incidence of scapular dyskinesia increased in the individuals with NSCNP compared to the asymptomatic individuals. It is thought that our study will provide a different perspective in the evaluation of neck pain and including the scapular region to the evaluations.Öğe Acute Effect of Kinesiology Taping on Muscle Activation, Functionality and Proprioception in Patients With Knee Osteoarthritis: A Randomized Controlled Trial(Sage Publications Inc, 2024) Ataş, Aylin; Abit Kocaman, Ayşe; Karaca, Şahika Burcu; Kaşıkcı Çavdar, MerveData on the mechanism of kinesiology taping (KT) for providing mechanical support, facilitating or inhibiting muscles, and increasing functionality in the treatment of knee osteoarthritis (OA) have been contradictory, with no study evaluating acute muscle activation. Our aim in this study was to determine the acute effect of KT applied to the rectus femoris muscle on this muscle's activation, functionality and proprioception in patients with knee osteoarthritis. We divided 40 individuals diagnosed with knee osteoarthritis into two groups: (a) KT group (taping with tension facilitation) and (b) a placebo group (taping with no tension facilitation). We applied taping to the participants' left and right side rectus femoris muscles for 30 minutes, but with muscle facilitation in the KT group and without tension in the placebo group. We assessed participants for muscle activation with surface electromyography (sEMG), for functionality with the Timed Up and Go Test (TUG), and for proprioception/joint sense with the Five Times Sit-to-Stand Test (5TSTS) before and after taping. Demographic and clinical characteristics of the groups before these interventions were similar (p > .05). Muscle activation did not change significantly in either group compared to before taping (p > .05), but there were improvements in both knees for proprioception/joint sense (p < .05). Both groups were similar in terms of functionality (5TSTS, TUG) results (p > .05). We concluded that KT applied bilaterally to the rectus femoris did not affect rectus femoris muscle activation and functionality in patients with knee OA, but it did improve proprioception.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 Evaluation of the effects of using a baby walker on trunk control and motor development(Aves, 2021) Bezgin, Sabiha; Akkaya, Kamile Uzun; Çelik, Halil İbrahim; Çamurdan, Aysu Duyan; Elbasan, BülentObjective: This study aimed to evaluate the effects of the use of baby walkers on trunk control and motor development in typically developing children. Material and methods: Demonstrating standard developmental steps, 29 children (14 females, 15 males; mean age 10 +/- 1 month) who used a baby walker and 19 children (10 females, 9 males; mean age 10 +/- 1 month) who did not use a baby walker were included. Motor skills were assessed using the Alberta Infant Motor Scale and trunk control using Segmental Assessment of Trunk Control. Results: The motor development scores and trunk balance scores were found significantly lower in infants who used a baby walker compared with those not using a baby walker. Conclusion: It was concluded that the use of baby walkers might adversely affect the motor development of infants and this may be due to impaired trunk control.Öğe Perceived exercise benefits and barriers among Turkish women: a pilot study(Turkey Assoc Physiotherapists, 2013) Daşkapan, Arzu; Atalay, Kumru DidemPurpose: Physical activity protects against many chronic diseases such as osteoporosis, diabetes, depression and cardiovascular diseases. Recent Turkish studies have indicated a higher physical activity level in men as compared to women population. The purpose of this study was to determine the perceived benefits and barriers to exercise in Turkish women. Methods: Two hundred and eighty women volunteers aged between 24-63 years participated in the study. Women answered questions related to physical activity and they rated statements related to the benefits and barriers to exercise. Results: 69.7% of study participants did not do any exercise. When ranked from highest to lowest; perceived benefits and barriers of exercise were physical, psychological and social health benefits, environmental and personal barriers and timelessness. Conclusion: Based on the results, Turkish women's attitudes about doing exercise can be understood to some extent. There is a need for further comprehensive studies with larger samples.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 Yaşlı Bireylerde Gövde Esnekliği ve Kısa Fiziksel Performansın Denge ile İlişkisinin İncelenmesi(2017) Sertel, Meral; Yümin, Eylem TütünBu çalışma yaşlı bireylerde esneklik ve kısa fiziksel performansın denge üzerine etkisini incelemek amacıyla plandı. Çalışmaya 65 yaş ve üzeri 188 yaşlı birey dahil edildi. Çalışmaya katılan bireylerin, kognitif fonksiyonları Standardize Mini Mental Test testi ile dengeleri Berg Denge Ölçeği (BDÖ) ile; süreli performansları ise Süreli kalk ve Yürü Testi (SKYT) ile, kısa fiziksel performansları Kısa Fiziksel Performans Testi ile (KFPT) ile değerlendirildi. Yapılan korelasyon analizinde, yaş ile BDÖ arasında negatif bir ilişki, KFPT ile boy arasında pozitif, KFPT ile SKYT arasında negatif, KFPT ile gövde sağ ve sol lateral fleksiyon esneklik testi arasında pozitif ve KFPT ile denge (BDÖ) arasında pozitif yönde bir ilişki bulundu (p<0.05). Çalışmamızın gerçekleştirilebilmesi bakımından oldukça önemli olduğunu göstermiştir. Yaşlılarda mobilite ve fiziksel performansın devamlılığı için, vücut esnekliği ve dengenin korunması ve geliştirilmesine yönelik uygulamaların yaşlı rehabilitasyonunda mutlaka yer alması gerektiği düşüncesindeyiz.Öğe Transtibial amputelerde sanal gerçeklik uygulamasının kinezyofobi, depresyon ve ağırlık aktarma üzerine etkileri(2018) Sahan, Tezel Yıldırım; Erbahçeci, FatihAmaç: Sanal gerçeklik uygulaması; bireylere gerçekmiş hissi veren, bilgisayarlar tarafından yaratılan dinamik bir ortamla karşılıklı iletişim olanağı tanıyan, üç boyutlu bir benzetim modelidir. Bu çalışmanın amacı; sanal gerçeklik uygulamasının transtibial amputasyonu olan bireylerde kinezyofobi, depresyon ve ağırlık aktarma üzerine etkilerini belirlemekti. Yöntem: Bu çalışmaya yaş ortalaması 36.4±7.6 yıl olan 19 transtibial amputasyonu olan birey dâhil edildi. Bireylerin tümü aynı tip protez ve süspansiyon sistemi kullanmaktaydı. Bireyler iki gruba ayrıldı. Birinci gruba sanal gerçeklik uygulamaları yapılırken, diğer gruba standart fizyoterapi yöntemleri uygulandı. Bireyler 4 hafta boyunca haftada 3 gün tedaviye alındı. Tedavi öncesi ve sonrası değerlendirmeler yapıldı. LASAR Postür Cihazı (Ottobock, Almanya, 1997) ile ağırlık aktarma miktarları, Beck Depresyon Anketi ile depresyon durumu ve Tampa Kinezyofobi Skalası ile kinezyofobi düzeyleri belirlendi. Bulgular: Bireylerin grup içinde tedavi öncesi ve tedavi sonrası depresyon, kinezyofobi düzeylerinde her iki grupta da fark bulundu (p<0,05). Sanal gerçeklik uygulamaları ve standart fizyoterapi yöntemleri gruplarında, tedavi öncesi ve sonrası kinezyofobi, depresyon ve ağırlık aktarma farkları açısından fark yoktu (p>0,05). Sonuç: Sanal gerçeklik uygulamaları ve standart fizyoterapi yöntemleri transtibial amputasyonu olan bireylerde hareket korkusu, depresyon ve ağırlık aktarma üzerine etkili bulundu. Sanal gerçeklik uygulamalarının, standart fizyoterapi yöntemlerine ilave olarak rehabilitasyon sürecine dâhil edilebileceği düşünülmektedir.Öğe Kırıkkale İlinde Yaşayan Kadınların Osteoporoz Bilgi Düzeyi(2015) Arslan, Saniye A.; Daşkapan, Arzu; Atalay, Didem K.; Tüzün, Emine H.; Korkem, DuyguAmaç: Osteoporoz postmenopozal kadınlarda sık görülen önemli bir halk sağlığı sorunudur. Çalışmamızın amacı Kırıkkale ilinde yaşayan kadınların osteoporoz bilgi düzeyini ve bilgi düzeyi ile yaş ve eğitim düzeyi arasındaki ilişkiyi araştırmaktır.Yöntem: Çalışmaya 263 kadın katıldı. Katılımcıların özellikle osteoporozla ilişkili olabilecek risk faktörlerine yönelik sosyo-demografik verileri kaydedilmiştir. Literatüre dayanarak, çalışmaya katılanlar genç yetişkin (45 yaş altı) ve orta yaş (45-64 yaş arası) olarak iki gruba ayrılmıştır. Ayrıca katılımcılar, eğitim durumuna göre ilköğretim ile lise ve üstü (8 yıl ve altı, 8 yıl üstü) gruplandırılmıştır. Katılımcıların osteoporoz hakkındaki bilgi düzeyini değerlendirmek Osteoporoz Öz-etkililik/yeterlik Ölçeği Türkçe Formu ve Osteoporoz Genel Bilgi Puanı Ölçeği (OGBP) kullanıldı. Sonuçlar: Katılımcıların yaş ortalaması 38.98±13.81 yıl, vücut kütle indeksi (VKİ) 27.26±0.39 kg/m2, eğitim yılı ortalaması 8.65±5.16 yıl idi. Osteoporoz Egzersiz Öz-etkililik/yeterlik puanı ile eğitim yılı (p=0.001; r=0.326 ) ve Osteoporoz Egzersiz Öz-etkililik/yeterlik puanı ile düzenli egzersiz alışkanlığı (p=0.001) arasında pozitif ilişki vardı. Benzer olarak, Osteoporoz Öz-etkililik/yeterlik Ölçeğinin toplam puanı ile eğitim yılı (p=0.001; r=0.293) ve düzenli egzersiz alışkanlığı arasında pozitif (p=0.001) ilişki saptandı. Osteoporoz Öz-etkililik/yeterlik Ölçeğinin alt bölümü olan Osteoporoz Kalsiyum Öz-etkililik/ yeterlik alt ölçeğinin puanı ile eğitim yılı (p=0.006; r=0.170 ) pozitif ilişki saptandı. Osteoporoz Kalsiyum Öz-etkililik/ yeterlik alt ölçeğinin puanı ile düzenli egzersiz alışkanlığı arasında anlamlı bir ilişki yoktu (p=0.816).Tartışma: Bizim çalışmamızda Kırıkkale'de yaşayan kadınların osteoporoz bilgi düzeyinin eğitim düzeyine paralel olarak arttığı ve genç kadınların osteoporoz konusundaki bilgi düzeylerinin daha yüksek olduğu görüldü.Öğe Tek Taraflı Diz Üstü Amputelerde Uygulanan Egzersiz Programının Protezle İlgili Memnuniyet Düzeyine Etkisi. Türk Fizyoterapi ve Rehabilitasyon(2015) Anaforoğlu, Bahar; Erbahçeci, Fatih; Tüzün, Emine Handan; Sönmezer, EmelAmaç: Fizyoterapist gözlemi altında yaptırılan egzersiz programının tek taraflı diz üstü am- putelerde protezle ilgili memnuniyet düzeyi üzerine etkisinin araştırılmasıydı. Yöntemler: Çalışmaya yaş ortalamaları 39.3±12.8 yıl olan 19 unilateral diz üstü ampute katıldı. Olguların sosyodemografik, klinik ve proteze ait özellikleri kaydedildi. Olgular 10 seans boyunca egzersiz programına katıldı. Olgular, program bittikten sonra da egzersizlere devam ettiler. Protezin rahatlığı, görünüşü, ağırlığı ve protezle yürümeye ilişkin hastaların memnu- niyet düzeyi tedavi öncesi ve tedaviden 2 ay sonra olmak üzere Vizüel Analog Skalası (VAS) ile değerlendirildi. Sonuçlar: Tedavi öncesi ve sonrası değerlendirmeler karşılaştırıldığında protezin rahatlığı (p=0.048), görünüşü (p=0.010) ve protezle yürüme (p=0.033) ile ilgili hastaların memnuniyet düzeyleri arasında istatistiksel olarak anlamlı bulundu. Tartışma: Çalışmamızda, tek taraflı diz üstü amputelere uygulanan egzersiz programı, ampu- telerin protezle ilgili memnuniyet düzeylerini olumlu yönde etkilemiştir.Öğe Temporomandibular Eklem Rahatsızlığı Olan Bireylerde Temporomandibular Eklem Yorgunluğu, Boyun Fonksiyonelliği ve Baş Ağrısının İncelenmesi(2018) Arıkan, Halime; Sertel, Meral; Akkor, Burcu BaşAmaç: Çalışmanın amacı, Temporomandibular Eklem Rahatsızlık- ları/Araştırma Teşhis Kriterleri (TMER/ATK)’ne göre farklı grupla- ra ayrılan ve tek tanılı bireylerde temporomandibular eklem (TME) yorgunluğu, boyun fonksiyonelliği ve baş ağrısını incelemekti. Yöntem: Çalışmaya toplam 77 TMER tanılı birey dahil edildi. Bi- reyler TMER/ATK’ye göre grup 1; kas rahatsızlığı (n=25), grup 2; disk deplasmanı (n=27), grup 3; diğer eklem rahatsızlıkları olan bireyler (n=25) olmak üzere 3 gruba ayrıldı. Bireylerin sosyode- mografik bilgileri alındıktan sonra, TME yorgunluğu sakız çiğneme testiyle, boyun fonksiyonelliği Kopenhag Boyun Fonksiyonel Özür- lülük Skalası (KBFÖS), baş ağrısı Headache Impact Test-6 (HIT-6) ile değerlendirildi. Bulgular: Gruplar arası yapılan istatistiksel analizde; eklem yor- gunluğu, boyun fonksiyonelliği ve baş ağrısı açısından fark bulun- mazken (p>0.05), tüm gruplarda zamana bağlı yorgunluk değişimin- de artış görüldü (p<0.05). Tartışma: TMER’li bireylerde TME’de yorgunluk gelişebilmekte; boyun fonksiyonelliği ve baş ağrısı görülebilmektedir. TMER’nin farklı gruplarında yapılacak bu tür çalışmalara ihtiyaç vardır. Bir- çok faktörle ilişkili TMER’de, ayrıntılı bir değerlendirme ile birlikte, tedavi yöntemleri kapsamlı ve multidisipliner olmalıdır.Öğe Fibromyalji Sendromlu Hastalar ile Sağlıklı Bireylerin Fiziksel Aktivite ve Fiziksel Uygunluk Düzeyi Farkları(2017) Özköslü, Manolya Acar; Tonga, Eda; Daşkapan, Arzu; Karataş, Metin; Tekindal, M. AgahAmaç: Çalışmanın amacı fibromyalji sendromlu (FMS) hastalarda fiziksel aktivite ve fiziksel uygunluk düzeyini belirlemek ve sağlıklı bireylerin verileri ile karşılaştırmaktır. Yöntemler: Çalışmaya 82 fibromyalji hastası ve 110 sağlıklı olgu dahil edildi. Fiziksel aktivite düzeyini karşılaştırmak için tüm olgular Uluslararası Fiziksel Aktivite Anketi'nin (UFAA) uzun formatını cevaplandırdılar. Olguların sağlıkla ilişkili fiziksel uygunluk düzeyini belirlemek için vücut kompozisyonu, kassal endurans, kardiorespiratuar endurans esneklik ve denge ölçümleri değerlendirildi. Vücut kitle indeksi, mekik testi, 6 dakika yürüme testi, otur-uzan test, gövde lateral fleksiyon, KAT 3000 testleri sırasıyla vücut kompozisyonu, kassal endurans, kardiorespiratuar endurans, esneklik ve dengeyi belirlemek için kullanıldı.Bulgular: FMS'li hastaların %36,6'sı aktif, %45,1'i minimal aktif, %18,3'ü aktifti. Sağlıklı olguların %40,9'u aktif, %36,4'ü minimal aktif, %22,7'si inaktifti. Gruplar arasında UFAA yürüme ve toplam skoru arasında istatistiksel olarak anlamlı fark bulundu (p<0,05). Sağlıkla ilişkili fiziksel uygunluk düzeyinde mekik testi (p<0,001) ve her iki gövde lateral fleksiyonu (p<0,001) skorunda fibromyalji ve kontrol grubu arasında istatistiksel olarak anlamlı fark gözlendi. Sonuç: Sonuçlarımız FMS'li hastaların fiziksel aktivite ve fiziksel uygunluk düzeyinin sağlıklı bireylere göre daha düşük olduğunu gösterdi
