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Öğe Age-related differences in functional capacity, physical activity, life satisfaction, well- being and quality of life in Turkish adult population during Covid-19(Dokuz Eylul Univ Inst Health Sciences, 2022) Kaya, Gözde; Zeren, MelihPurpose: During the COVID-19 pandemic, the physical and mental health of general population has been adversely affected. This study aims to investigate if there are age-related differences in functional capacity, physical activity, life satisfaction, well-being and quality of life among adults of different age groups during this era. Methods: One-hundred fifty participants aged between 18-65 years were included. Participants were divided into 5 age groups, with 30 people in each age group i.e., 18-25, 25-35, 35-45, 45-55, and 55-65 years, using a block randomization. Functional capacity was evaluated with 1-minute sit-to-stand test (1-min STST); level of physical activity with International Physical Activity Questionnaire-Short Form (IPAQ-SF); life satisfaction with The Satisfaction with Life Scale (SWLS); well-being with WHO-5 Well-Being Index (WHO-5); and the quality of life with Short Form-12 (SF-12). All assessments were applied via an online form. Results: Age negatively correlated to 1-min STST (p<0.01, r=-0.214) and IPAQ total score (p<0.01, r=-0.173), whereas positively correlated to SWLS score (p<0.05, r=0.168) and MCS-12 score (p<0.01, r=0.339). There were statistically significant age-related differences in IPAQ total scores (p=0.001; F=5.169), MCS-12 scores (p<0.001; F=8.624) and SWLS scores (p=0.046; F=2.485). Individuals aged 18-25 years had the best IPAQ-SF score, and the worst SWLS and MCS-12 scores among other age groups. Conclusion: Younger individuals seem to have worse impairment in mental aspects of their lives compared to older counterparts, despite having relatively higher functional capacity and physical activity participation during COVID-19. These age-related differences should be taken into account when tailoring rehabilitation and/or counselling programs during this era.Öğe Comparison of trace element (selenium, iron), electrolyte (calcium, sodium), and physical activity levels in COVID-19 patients before and after the treatment(Elsevier Gmbh, 2022) Özdemir, Kadirhan; Saruhan, Ercan; Benli, Tuba Kaya; Kaya, Gözde; Meral, Orhan; Yavuz, Melike Yüksel; Şen, TeomanObjective: Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), a worldwide health problem, is the cause of 2019 coronavirus disease. This study aimed to compare the trace element (selenium and iron), electrolyte (calcium and sodium), and physical activity levels of COVID-19 patients before and after COVID-19 treatment. Method: This prospective study was conducted in patients diagnosed with COVID-19 (n = 15). Trace element (selenium and iron), electrolyte (calcium and sodium), and physical activity levels of the patients were compared before and after the treatment. Result: Most of patients had selenium deficiency (86.7 %), iron deficiency (73.3 %), calcium deficiency (66.7 %) and sodium deficiency (46.7 %) before COVID-19 treatment. The most important improvements were seen in iron deficiency (from 73.3 % to 26.7 %) and sodium deficiency (from 46.7 % to 13.3 %) after the treatment. Selenium, iron, calcium, and sodium levels of the patients were significantly higher after the treatment (p < 0.05). The patients had low physical activity before and after COVID-19 treatment. In addition, no statistically significant difference was found in the comparison of physical activity levels (p > 0.05). Conclusion: This study indicated that selenium, iron, calcium, and sodium levels and deficiencies might improve after treating patients with COVID-19. However, the results of this study showed that the physical activity levels of COVID-19 patients might remain stable and low throughout the treatment process.Öğe Determination of serum trace elements (Se, Fe, Zn), macrominerals (Ca, Na, Cl), and physical activity levels in COVID-19 patients(Dustri-Verlag Dr Karl Feistle, 2022) Özdemir, Kadirhan; Saruhan, Ercan; Meral, Orhan; Kaya, Gözde; Benli, Tuba Kaya; Bakar, Yeşim; Kızıloğlu, İlkerObjective: This study mainly aims to determine serum trace elements, macrominerals, and physical activity levels in COVID-19 patients compared to healthy con-trols. Materials and methods: This prospec-tive study was conducted among COVID-19 patients (group I, n = 20) and healthy con-trols (group II, n = 20). Serum trace element levels (Se, Fe, and Zn), macrominerals (Ca, Na, and Cl), vitamin D, ferritin, and physical activity levels were determined. Results: Of the participants in group I, 90% had Se defi-ciency, 65% had Fe deficiency, and 35% had Zn deficiency. In addition, 45% of the par-ticipants in group II had Se deficiency. There was Ca deficiency (60%), Na deficiency (40%), and Cl deficiency (30%) in COVID-19 patients. Healthy controls did not have any macromineral deficiencies. The trace ele-ment levels including Se, Fe, and Zn were not statistically significant (p > 0.05); how-ever, the micromineral levels including Ca, Na, and Cl were significantly lower between groups (p < 0.05). There were vitamin D de-ficiencies in 90% and 70% of the participants in group I and group II, respectively. Ferritin levels were significantly higher in group I than group II (p < 0.05). All the participants had low physical activity levels in group I, and 40% of the participants had low physi-cal activity levels in group II. Conclusion: This study showed that COVID-19 patients might have lower Ca, Na, and Cl levels than healthy adults. In addition, high rates of Se, Fe, Ca and vitamin D deficiencies, and ferritin lev-els may be seen in COVID-19 patients. More-over, COVID-19 patients may have low levels of physical activity.Öğe Fatigue and Assessment Methods in Neurological Disease(İzmir Katip Çelebi Üniversitesi, 2021) Kaya, Gözde; Ergin, GülbinFatigue, which is frequently seen in neurological diseases, is a symptom that restricts the daily life activities of individuals and leads to a decrease in their quality of life. In the subjective evaluation of fatigue, many scales have been developed to investigate dimensions such as the severity of fatigue, its effects on daily life activities, and its social, cognitive, and psychological effects. Scales developed to measure fatigue specific to neurological diseases are inadequate in number. Most of the scales used to evaluate fatigue in neurological diseases have been developed to evaluate fatigue in different populations. Invasive methods and non-invasive physiological tests are used in the objective evaluation of fatigue. Blood test and muscle biopsy are invasive methods which used in the evaluation of fatigue. The need for good muscle activation in evaluating fatigue with non-invasive physiological tests such as electromyography is a factor limiting the use of these methods in neurological diseases. However, the fact that fatigue is a symptom that can exist independently of activity in neurological diseases and its subjective nature shows that objective assessment methods do not provide sufficient information about fatigue in neurological diseases. For these reasons, it is necessary to develop fatigue assessment tools specially developed for neurological diseases, which take into account the nature of the disease, factors affecting fatigue and pathology, and good psychometric properties. Studies on this subject will benefit clinicians and researchers working in the field of neurological rehabilitation.Öğe İnmede Telerehabilitasyon(Tokat Gaziosmanpasa University, 2021) Kaya, Tuba; Kaya, Gözde; Şahin, Nilay Yürekdeler; Bakar, Yeşimmeli 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.Öğe Reliability and validity of the glittre activities of daily living test in fully ambulatory multiple sclerosis patients(Springer London Ltd, 2022) Kaya, Gözde; Köse, Nezire; Salcı, Yeliz; Armutlu, Kadriye; Karakaya, Jale; Tuncer, Aslı; Karabudak, RanaBackground Evaluation of activities of daily living (ADL) and functional exercise capacity in patients with multiple sclerosis (pwMS) is crucial in demonstrating the effectiveness of interventions. Aims To investigate the reliability and validity of the Glittre ADL Test in pwMS. Methods Twenty-five pwMS and 26 healthy adults were included in this methodological study. The Glittre ADL Test was applied. Six-Minute Walk Test (6MWT) and Nottingham Extended Activities of Daily Living Index (NEADL) were applied for concurrent validity. Expanded Disability Status Scale (EDSS), Fatigue Severity Scale (FSS), Mini Balance Evaluation Systems Test (Mini BESTest), Multiple Sclerosis Quality of Life Scale-54 (MSQoL-54), and Five Times Sit-to-Stand Test (5 STST) were applied for construct validity. The Glittre ADL Test was repeated after 3-6 days for test-retest reliability. Results The test-retest reliability of the Glittre ADL Test was excellent (ICC = 0.941). There was strong correlation of the Glittre ADL Test with 6MWT (rho = - 0.710, p < 0.001), NEADL (rho = - 0.841, p < 0.001), EDSS, (rho = 0.836, p = < 0.001), Mini BESTest (rho = 0.792, p < 0.001), and 5 STST scores (rho = 0.720, p < 0.001). There was a moderate correlation between the Glittre ADL Test and the physical health sub-item score of the MSQoL-54 (rho = - 0.591, p = 0.002). No correlation was found between the Glittre ADL Test and FSS (rho = 0.348, p = 0.096). There was a difference in the Glittre ADL Test results between the pwMS and the healthy adults (p = 0.001). Conclusions The Glittre ADL Test has excellent reliability and strong construct and criterion validity for assessing functional exercise capacity and ADL in fully ambulatory pwMS.
