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Öğe The agreement between three classification systems used to grade the severity of lymphedema in patients with upper and lower extremity lymphedema: A retrospective study(Taylor & Francis Inc, 2022) Sahinoglu, Ertan; Ergin, Gulbin; Karadibak, DidemBackground: Several classification systems are used to grade the severity of lymphedema. Their agreement with each other has not been reported. Objective: To evaluate the agreement between the American Physical Therapy Association (APTA) criteria, the criteria of Ramos et al., and the International Society of Lymphology (ISL) criteria in patients with upper and lower extremity lymphedema. Methods: A total of 156 patients (63 and 93 patients with upper and lower extremity lymphedema, respectively) were included. The circumference measurements and limb volume were measured. The severity of lymphedema of the patients was classified as mild, moderate, and severe lymphedema using the APTA criteria, the criteria of Ramos et al., and the ISL criteria. The agreement between the classification systems was assessed with Krippendorff's alpha. Results: An acceptable and poor agreement were found between the criteria in upper (Krippendorff's alpha > 0.667) and lower extremity lymphedema (Krippendorff's alpha < 0.667), respectively. In pairwise comparisons, an acceptable agreement was found among each comparison in upper extremity lymphedema (Krippendorff's alpha > 0.667), and a poor agreement was found among each comparison in lower extremity lymphedema (Krippendorff's alpha < 0.667) except between the APTA criteria and the criteria of Ramos et al (Krippendorff's alpha > 0.667). Conclusions: Patients with upper extremity lymphedema classified according to these criteria can be assumed to be samples of the same population; however, patients with lower extremity lymphedema graded according to the ISL criteria may be included in a different classification when they grade with the APTA criteria and the criteria of Ramos et al.Öğe Comparison of emotional status and quality of life in women with different physical activity levels during covid-19 pandemic(Dokuz Eylul Univ Inst Health Sciences, 2021) Kahraman, Buse Özcan; Polat, Karya; Ergin, Gülbin; Karadibak, Didem; Savcı, SemaPurpose: It was aimed to compare the effects of the coronavirus disease 19 (COVID-19) pandemic process on physically active and inactive women under general quarantine conditions. And second aim was to compare physical activity and general well-being in women who were employees and non-employees in a non-governmental organization. Methods: A total of 286 women were included in this study. The research was conducted online via the Google Forms web survey platform. The demographic information of the participants and non-governmental organization volunteering were asked before the questionnaires. Individuals' levels of physical activity were assessed by International Physical Activity Questionnaire-Short form (IPAQ), stress level was assessed The Distress Thermometer index, anxiety levels were assessed with Generalized Anxiety Disorder-7 (GAD-7), quality of life was evaluated with the World Health Organization Quality of Life-Bref questionnaire (WHOQOL-Bref). Results: It was found that physically inactive women had significantly higher anxiety and stress levels and lower quality of life (p<0.05). And women who were employees in a non-governmental organization had significantly higher physically activity level and lower anxiety and stress levels and better quality of life (p<0.05). Conclusion: Physical activity has an intensely positive effect on anxiety, stress, and quality of life during COVID-19 pandemic under general quarantine conditions.Öğe Effect of exercise interventions in adults with cancer receiving palliative care: a systematic review and meta-analysis(Springer, 2023) Tanriverdi, Aylin; Kahraman, Buse Ozcan; Ergin, Gulbin; Karadibak, Didem; Savci, SemaPurposePrevious publications showed the effectiveness of exercise in adults with cancer receiving palliative care, but evidence for palliative care research on exercise is lacking. The purpose is to examine the effects of an exercise intervention on exercise capacity, physical function, and patient-reported outcome measures in adults with cancer receiving palliative care.MethodsWe searched databases including EMBASE, PubMed, and Web of Science from inception until 2021. We used the Cochrane criteria to assess the risk of bias within studies. Using RevMan, mean difference (MD) and 95% confidence intervals or standardized mean difference (SMD) and 95% confidence intervals were calculated.ResultsA total of 14 studies and 1034 adults with cancer receiving palliative care are included in this systematic review and meta-analysis. Half of the studies were deemed to have high risk of bias. All of the interventions used aerobic and/or resistance exercises. The results indicated that exercise interventions significantly improved exercise capacity (mean difference: 46.89; 95% confidence interval: 4.51 to 89.26; Z = 2.17; P = 0.03), pain (standardized mean difference: - 0.29; 95% confidence interval: - 0.54 to - 0.03; Z = 2.18; P = 0.03), fatigue (standardized mean difference: - 0.48; 95% confidence interval: - 0.83 to - 0.12; Z = 2.66; P = 0.008), and quality of life (standardized mean difference: 0.23; 95% confidence interval: 0.02 to 0.43; Z = 2.12; P = 0.03).ConclusionExercise training, with aerobic exercise, resistance exercise, or combined aerobic and resistance exercise, helps to maintain or improve exercise capacity, pain, fatigue, and quality of life in adults with cancer receiving palliative care.Öğe Effectiveness of Kinesio Taping on anastomotic regions in patients with breast cancer-related lymphedema: A randomized controlled pilot study(Mary Ann Liebert, Inc, 2019) Ergin, Gülbin; Sahinoğlu, Ertan; Karadibak, Didem; Yavuzşen, TugbaBackground: The purpose of the study was to investigate the effect of using Kinesio Taping (R) (KT) on anastomotic regions along with complex decongestive physiotherapy (CDP) in patients with breast cancer-related lymphedema (BCRL). Methods and Results: Patients with unilateral BCRL were divided into two groups in this randomized controlled study: Group 1 (CDP, n = 14) and Group 2 (CDP+ KT, n = 18). Assessment of limb size was quantified by using circumferential limb measurements and then calculated for each segment by using the frustum formula. CDP included manual lymphatic drainage, compression bandages, exercises, and skin care. KT was applied to lymphatic anastomosis. All patients received treatment for 1 hour per day, 5 days per week for 4 weeks. The outcome measure was difference in the reduction of limb volumes between the groups. There was a significant difference in both groups before and after treatment (p < 0.05), but there was no significant difference between the two groups regarding changes in limb volume (p > 0.05). Conclusion: The results suggest that applying KT to lymphatic anastomotic regions is not effective in reducing limb volume in the management of BCRL.Öğe The efficacy of change in limb volume on functional mobility, health-related quality of life, social appearance anxiety, and depression in patients with lower extremity lymphedema(Sage Publications Inc, 2022) Sahinoglu, Ertan; Ergin, Gulbin; Karadibak, DidemObjectives This study aims to investigate the impact of change in limb volume on the levels of functional mobility, health-related quality of life, social appearance anxiety, and depression before and after complex decongestive physiotherapy in patients with lower extremity lymphedema. Method Twenty-seven patients with unilateral lower extremity lymphedema were included. The treatment period was 20 sessions. The outcome measures were the limb volume, the Timed Up and Go test, the Short Form-36, the Social Appearance Anxiety Scale, and the Beck Depression Inventory. Results A statistically significant decrease in the limb volume (p < 0.001) and statistically significant improvements in the Timed Up and Go test performance (p < 0.001), the Short Form-36 Physical Component Summary score (p < 0.01), the Social Appearance Anxiety Scale score (p < 0.001), and the Beck Depression Inventory score (p < 0.001) were found. No statistically significant difference was found on the Short Form-36 Mental Component Summary score (p > 0.05). Conclusion The decrease in the limb volume improves the functional mobility, physical health-related quality of life, social appearance anxiety, and depression in patients with lower extremity lymphedema, but not the mental health-related quality of life.Öğe Obezitede ‘The Laval Quality of Life’ Anketi Türkçe Versiyonu Güvenilirlik ve Geçerlilik(Sakarya University of Applied Sciences, 2024) Vatansever, Ayşe Kayalı; Hanlıoğlu, Furkan; Karadibak, DidemObezite yaşam kalitesini etkileyen bir hastalıktır. Bu çalışma LAVAL yaşam kalitesi anketinin Türkçe geçerlilik ve güvenilirliğini değerlendirmek amacıyla planlandı. Araştırma İzmir Bayraklı İlçe Sağlık Müdürlüğü 1 No'lu Sağlıklı Hayat Merkezi (1 Ekim 2021-15 Kasım 2021) ve Gaziemir Belediyesi'nde (15 Kasım 2021-15 Mart 2022) yürütülmüştür. Dokuz Eylül Üniversitesi Etik Kurulu 22.12.2021 tarihinde 2021/38-08 karar numarası ile çalışmayı kabul etmiştir. Vücut kitle indeksi ≥ 30 kg/m2 olan ve çalışmaya dahil edilme/dışlanma kriterlerini karşılayan kişiler çalışmaya dahil edilmiştir. Laval Anketi'ne ek olarak SF-12 genel sağlık yaşam kalitesi anketi ve Obezlere Özgü Yaşam Kalitesi Ölçeği kullanılmıştır. Anketin Türkçe versiyonunun uyarlanması için öncelikle geri çeviri yöntemiyle dil geçerliliği sağlanmıştır. Gönüllü 235 katılımcının yaş ortalaması 49,11 ± 13,1'dir. Açıklayıcı faktör analizi için Kaiser-Meyer-Olkin katsayısı 0.92 olarak hesaplanmıştır. RMSEA 0,61'dir (RMESA<0,80). Obez bireylerde Laval Anketi'nin iç tutarlılık katsayısının bir göstergesi olan Cronbach alfa değeri 0,95 olarak hesaplanmıştır. Obeze Özgü Yaşam Kalitesi ve SF-12 Yaşam Kalitesi Ölçeği puanlarının Laval Anketi puanı üzerinde istatistiksel olarak anlamlı bir etkiye sahip olduğu bulunmuştur (p<0,05). Laval Anketi, Türk toplumunda obezite sorunu yaşayan bireylerin yaşam kalitesini ölçmek için geçerli ve güvenilir bir ankettir.