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    Cut-off values of timed up and go test and 5-repetition sit-to-stand test for predicting fall risk in MS
    (Wiley, 2022) Şahin, Nilay Yürekdeler; Zeren, M.; Dursun, B.; Kabay, Sibel Canbaz
    [Abstract Not Available]
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    Determination of factors affecting the incidence of falls, fear of falling, and functional status in patients after total knee arthroplasty
    (Dokuz Eylul Univ Inst Health Sciences, 2022) Savcı, Aysegül; Bilik, Özlem; Akkan, Hakan; Şahin, Nilay Yürekdeler; Damar, Hale Turhan
    Introduction: This study was conducted to determine the factors affecting the incidence of falls, fear of falling, pain, and functional status in patients after Total Knee Arthroplasty(TKA). Material and Methods: This descriptive cross-sectional study was conducted at a university hospital located in the west of Turkey and included 177 patients who had unilateral or bilateral TKA at least one 1 year ago. Data were collected using a Patient Description Form, the Falls Efficacy Scale-International (FES-I), and the Oxford Knee Score (OKS). Results: The mean age of the patients was 67.81 +/- 7.71 years, and it was found that approximately one-fifth of them had fallen preoperatively and approximately one-fourth had fallen postoperatively. The mean score for fear of falling (FES-I) was 28.59 +/- 7.85 and the mean functional status score (OKS) was 35.73 +/- 7.44. Fear of falling was found to decrease significantly as the postoperative time increased. Conclusion: It was found that falls continued postoperatively in patients who underwent TKA. It was thought that falls adversely affected the functional status of the patients and that physical therapy could be effective in preventing falls. Providing physical therapy support and comprehensive discharge training for all patients, particularly for patients at risk, may be effective in preventing possible falls. In addition, it is recommended to follow up patients postoperatively, evaluate home conditions in terms of fall risks, and establish evidence-based standards for prevention of falls..
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    Does Smart Phone Usage in Young Adults Have an Effect on Static and Dynamic Balance?
    (Hacettepe Üniversitesi, 2024) Özdemir, Kadirhan; Dönmez, Batuhan; Zeren, Melih; Şahin, Nilay Yürekdeler; Karakurum, Eshan; Eroğlu, Rumeysa
    Objectives: This study aimed to investigate the effects of talking and note-taking on a smartphone on static and dynamic balance. Materials and Methods: In the study, healthy young adults (n=36) were asked to maintain postural balance while standing on static and dynamic platforms in different tasks: (Task I) without using a smartphone, (Task II) while taking notes on a smartphone, and (Task III) while talking on a smartphone. Center of pressure (CoP) on mediolateral (CoPx) and anteroposterior (CoPy), CoP path length, CoParea, and trunk deviation length were used to measure static and dynamic postural balance. Results: On a static platform, CoPy and CoParea were different between the tasks (p<0.001, p=0.017). Task II and Task III impaired CoPy more than the task I (p<0.001, p=0.004). Task III affected CoParea more negatively than task II (p=0.027). CoP path length was lower in task II and task III (p<0.001). CoP path length was significantly higher in task III compared to task II (p<0.001). On a dynamic platform, there were differences in CoPy between the tasks (p=0.038). There was a difference in CoPy between task II and task III (p=0.005). The CoParea was significantly different between the tasks (p=0.023). CoParea and CoP path length was higher in task II compared to task I (p=0.035, p<0.001). Conclusion: The study showed that smartphone use during specific tasks, including talking and/or note-taking on a smartphone, could increase the risk of falls and accidents by affecting center of pressure and postural sway.
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    Öğe
    İnmede Telerehabilitasyon
    (Tokat Gaziosmanpasa University, 2021) Kaya, Tuba; Kaya, Gözde; Şahin, Nilay Yürekdeler; Bakar, Yeşim
    meli bireylerde, erken dönemden itibaren başlayan uzun süreli ve yoğun rehabilitasyon ihtiyacının karşılanmasında kullanılan yöntemlerden biri telerehabilitasyondur. Bilgi ve iletişim teknolojilerinin gelişmesi ile telerehabilitasyona olan ilgi her geçen yıl daha da artmaktadır. Egzersiz yaklaşımları, sanal gerçeklik ile kombine rehabilitasyon uygulamaları, robot destekli eğitim ve kognitif rehabilitasyon inmeli bireylerde telerehabilitasyon yoluyla sunulan yöntemlerinden bazılarıdır. Telerehabilitasyonun inmeli bireylerin motor, konuşma ve bilişsel fonksiyonları ile yaşam kalitelerinde gelişme sağladığı bildirilmiştir. Literatürde inmeli bireylerle yapılan çalışmalarda telerehabilitasyonun geleneksel rehabilitasyonla benzer etkileri olduğu bildirilmektedir. Telerehabilitasyon ile rehabilitasyonun önündeki coğrafi, fiziksel ve motivasyonel engeller azaltılarak tedaviye ulaşılabilirlik arttırılabilir. Bununla birlikte standart prosedür ve protokollerin olmaması, teknik imkanların yetersizliği ve teknolojik araçların kullanımına adaptasyondaki zorluklar telerehabilitasyon uygulamalarını sınırlamaktadır. COVID-19 pandemisiyle hastaların rehabilitasyon hizmetlerine erişimlerini mümkün kılmak veya olası ikincil komplikasyonları önlemek amacıyla telerehabilitasyon uygulamaları bu süreçte daha da yaygınlaşmıştır. Telerehabilitasyon yüz yüze rehabilitasyon hizmetlerine ek olarak rehabilitasyon hizmetlerinin geliştirilmesine olanak sağlayan alternatif bir yöntem olarak görülmektedir.