Fizyoterapi ve Rehabilitasyon Bölümü Koleksiyonu
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Öğe Sağlık alanında öğrenim gören üniversite öğrencilerinin akademik öz-yeterlik düzeyleri ve problem çözme becerileri ile karar vermede öz-saygı ve karar verme stilleri arasındaki ilişkinin incelenmesi(2022) Kaya, Derya Özer; Uzunlar, Hilal; Secer, Erhan; Dinç, Güldane; Korucu, Tuğçe ŞirinAmaç: Bu çalışma, sağlık alanında öğrenim gören üniversite öğrencilerinin akademik öz-yeterlik düzeyleri ve problem çözme becerileri ile karar vermede öz-saygı ve karar verme stilleri arasındaki ilişkiyi incelemek amacıyla gerçekleştirildi.Gereç ve Yöntem: Çalışmaya sağlık alanında öğrenim gören 231 üniversite öğrencisi (yaş ortalaması 21,45±1,67 yıl) dâhil edildi. Öğrencilerin akademik öz-yeterlik düzeyleri, Akademik Öz-Yeterlik Ölçeği ile; problem çözme becerileri, Problem Çözme Envanteri ile; karar vermede öz-saygı ve karar verme stilleri (dikkatli, kaçıngan, erteleyici ve panik karar verme) ise Melbourne Karar Verme Ölçeği ile değerlendirildi. Bulgular: Öğrencilerin Akademik Öz-Yeterlik Ölçeği toplam puanları ile karar vermede öz-saygı ve dikkatli karar verme arasında pozitif yönde düşük derecede; kaçıngan, erteleyici ve panik karar verme arasında ise negatif yönde düşük derecede bir korelasyon bulundu (sırasıyla, r=,321, p<,001; r=,276, p<,001; r=-,234, p<,001; r=-,234, p<,001; r=-,203, p<,001). Ayrıca, öğrencilerin Problem Çözme Envanteri toplam puanları ile karar vermede öz-saygı ve dikkatli karar verme arasında negatif yönde orta derecede; kaçıngan, erteleyici ve panik karar verme arasında ise pozitif yönde orta derecede bir korelasyon bulundu (sırasıyla; r=-,565, p<,001; r=-,569, p<,001; r=,416, p<,001; r=,507, p<,001; r=,444, p<,001).Sonuç: Sağlık alanında öğrenim gören üniversite öğrencilerinin akademik öz-yeterlik düzeyleri ve problem çözme becerileri ile karar vermede öz-saygı ve karar verme stillerinin ilişkili olduğu görüldü. Bu doğrultuda, öğrencilerin bu özelliklerinin birbirleri üzerine olan etkilerinin kanıt düzeyi yüksek prospektif çalışmalarla incelenmesi önerilmektedir.Öğe Geriatrik yaş grubunda osteoporoz bilgi ve farkındalık düzeyi(2021) Altaş, Elif Umay; Bayram, Korhan BarışAmaç:Çalışmamızın amacı, geriatrik kadınlarda Osteoporoz (OP) farkındalık ve bilgi düzeyini değerlendirmektir. Gereç ve Yöntem:Kesitsel ve prospektif olarak planlanan çalışmaya 65 yaş üstü, anket sorularını cevaplayabilecek kognitif düzeye sahip, 50 postmenopozal kadın dahil edildi. Katılımcıların sosyo-demografik özellikleri kaydedilerek, Osteoporoz Bilgi testi (OBT), Osteoporoz Sağlık İnanç ölçeği (OSİÖ) dolduruldu. OP bilgisine yönelik sorular sorularak, risk faktörleri değerlendirildi. Bulgular:Yaş ortalaması 71.18± 4.8 olan hastaların, OBTsonucunda total skor ortalaması 12.1 olup, egzersiz bilgisi daha düşük saptanmıştır. OSİÖ skorlarına bakıldığında duyarlılık ve kalsiyum faydaları alt başlık puanları daha düşük bulunmuştur. Ayrıca OBT total skor ile yaş arasında negatif yönde, OBT total skor ile eğitim düzeyi, süt ürün kullanımı, egzersiz arasında pozitif yönde istatistiksel olarak anlamlı korelasyon saptanmıştır. Sonuç: Çalışmamız geriatrik kadınların OP farkındalık düzeyini göstermesi açısından kıymetlidir. Özellikle ileri yaş ve eğitim düzeyinin düşük olması geriatrik yaş grubundaki kadınlarda, OP bilgi ve farkındalığını olumsuz etkilemektedir. Geriatrik bireyler için OP hakkında eğitim programları oluşturulmalı, diyet ve özellikle de egzersizin faydaları hakkında hastalar bilgilendirilmelidir.Öğe Outcomes with additional manual lymphatic drainage to rehabilitation protocol in primary total knee arthroplasty patients: preliminary clinical results(2021) Bilge, Onur; Cihan, Emine; Doral, Mahmut Nedim; Bakar, Yeşim; Yıldırım, Necmiye ÜnObjective: This study was carried out to evaluate the clinical outcomes such as pain, kinesiophobia and quality of life of additional manual lymph drainage (MLD) technique in theafter total knee arthroplasty (TKA) surgery.Methods: Twenty-one TKA patients were randomly allocated to a control group (n:10) and MLD group (n:11). Both groups received routine postoperative rehabilitation. MLD group also received MLD in the first three days after surgery. Clinical assessment was undertaken on postoperative 3rd day and at 6th week. This included knee pain using Visual Analog Scale (VAS), kinesiophobia using Tampa Kinesiophobia Scale (TKS) and quality of life using Nottingham Health Profile (NHP).Results: VAS and TKS values of the MLD group on the 3rd day and at the 6th week were found to be significantly lower than the control group (p<0.05). The 6th week NHP values of the MLD group were found to be significantly lower than the control group (p<0.05). For all three values, within-group, and between-group according to processes the effect size of the MLD group is greater than the control group.Conclusion: The results of the present study demonstrated that addition of MLD application to the standard rehabilitation protocol of TKA positively affected the healing process and it also improved the quality of life by reducing postoperative kinesiophobia and pain level. Adding this special technique to the rehabilitation program in TKA surgeries will provide patient satisfaction and contribute positively to the improvement in clinical outcomes.Öğe Multipl skleroz tanılı ve sağlıklı kadınların alt üriner sistem semptomlarının karşılaştırılması(2021) Özengin, Nuriye; Türkoğlu, Şule Aydın; Bakar, Yeşim; Tekin, Gözde; Ankaralı, HandanAmaç: Bu çalışmada, multipl skleroz (MS) tanılı kadınların ve sağlıklı gönüllülerin alt üriner sistem semptomlarını karşılaştırmak amaçlanmıştır. Yöntem: Çalışmaya MS’li 48 kadın (ortalama yaş 41,13±10,93 yıl) ile sağlıklı 51 kadın (38,88±10,26 yıl) dahil edildi. Sosyodemografik özellikler kaydedildikten sonra alt üriner sistem semptomları Bristol Kadın Alt Üriner Sistem Semptomları İndeksi (BKAÜSSİ) ile, pelvik taban prob¬lemleri Pelvik Taban Distres Envanteri-20 (PTDE-20) ve Global Pelvik Taban Rahatsızlık Anketi (GPTRA) ile, aşırı aktif mesane semptomları Aşırı Aktif Mesane Anketi-V8 (AAM-V8) ile, yaşam kali¬tesi Multipl Skleroz Yaşam Kalitesi Anketi-54 (MSYKA-54) ile değerlendirildi. Bulgular: İki grubun BKAÜSSİ depolama, inkontinans ve yaşam kalitesi alt boyut ve toplam puan¬ları arasında anlamlı fark saptandı (p?0,05). Üriner inkontinans şikayetleri, mikst üriner inkontinans sıklığı, pelvik taban problemleri ve aşırı aktif mesane semptomları MS’li kadınlarda sağlıklı kadınlara kıyasla daha yaygındı (p?0,05). MS’li kadınların ortalama MSYKA-54 bileşik fiziksel ve mental sağ¬lık puanları sırasıyla 58,65±19,08 ve 63,68±20,48 idi, ortalama MSYKA-54 total sağlık puanları ise 122,33±36,2 olarak tespit edildi. Sonuç: MS’li kadınlarda alt üriner sistem semptomları daha yaygındır ve yaşam kalitesi olumsuz etkilenmektedir. Klinik değerlendirmelerde üriner inkontinans problemleri göz ardı edilme¬meli, alt üriner sistem semptomları da incelenmelidirÖğe What do lymphedema patients expect from a treatment and what do they achieve? A descriptive study(Elsevier Science Inc, 2022) Yıldız, Elif Duygu; Bakar, Yeşim; Keser, İlkePurpose: Lymphedema is characterized by swelling and fibroadipose tissue deposition that is a physically, psychologically, and socially debilitating condition due to chronic and progressive nature of the disease. Treatment benefit evaluation from the patient's perspective is important for medical decision-making. The aim of this study is to investigate important treatment goals and benefits of treatment from the patients' perspective. Method: Eighty-one patients with lymphedema, lipoedema, or lipolymphoedema who are currenlty treated or who underwent previous treatment were included in the study. Socio-demographic data was recorded. Important goals and benefit from treatment were assessed with Patients Needs Questionnaire and Patient Benefit Questionnaire which are sub-questionnaires of Patient Benefit Index-Lymphedema. Results: The most important expectation and needed item was To find a clear diagnosis and therapy (n:59, 72%). The least important item for the lymphedema patients was To feel more attractive (n:9, 11%). Most beneficial effect of treatment was To have no fear that the disease will become worse (n:37, 45.7%). To have fewer out of pocket treatment expenses was rated as the least beneficial effect of treatment (n:24, 29.6%). Conclusions: It is important to identify patients' needs and expectations. Patients should be referred for treatment according to their needs. The effectiveness of the treatment should be evaluated objectively. Patient education should be considered as a part of the effective treatment to teach patients how to control their lymphedema. A clear diagnosis and access to treatment should be ensured for lymphedema patients. Regulations for health insurance benefit coverage are needed to cover cost of compression garments.(c) 2022 Society for Vascular Nursing, Inc. Published by Elsevier Inc. All rights reserved.Öğe Validity and reliability of the Turkish version of breathlessness beliefs questionnaire(Taylor & Francis Inc, 2022) Gürses, Hülya Nilgün; Saka, Seda; Zeren, Melih; Bayram, MehmetBackground Dyspnea is often the main symptom that limits exercise; however, the vicious cycle of dyspnea limiting exercise participation is also an important contributor to the reduced exercise capacity. Objective The aim of our study was to investigate the reliability and validity of Turkish Breathlessness Beliefs Questionnaire (BBQ) in patients with Chronic Obstructive Pulmonary Diseases (COPD). Methods Seventy-seven COPD patients were included in the study. Sociodemographic and physical characteristics were recorded. Turkish version of BBQ, Saint George Respiratory Questionnaire (SGRQ) and Hospital Anxiety and Depression Scale (HADS) were applied. Second evaluation of BBQ was conducted via telephone calls with no drop-outs. Reliability of the questionnaire was explored by calculating the internal consistency and test-retest analysis. Construct validity was assessed calculating correlation coefficients of BBQ with HADS and SGRQ scores. Known group validity was also explored. Results Cronbach alpha coefficients for total score of BBQ were 0.78, indicating that the questionnaire has 'good' internal consistency. Initial and test-retest BBQ total scores were 41.42 +/- 6.47 and 41.18 +/- 6.24, respectively. Intra-class correlation coefficients (ICC2,1) values of BBQ and its sub-scales varied between 0.973 and 0.983, indicating strong test-retest reliability. Correlation coefficient between BBQ total and SGRQ-Activity (0.619) was highest among the variables of interest, followed by BBQ total and SGRQ total (0.611). There was a significant correlation between BBQ total and HADS (0.390). One-way analysis of variance revealed that BBQ total and BBQ-Activity Avoidance scores were significantly differ in disease stages. Conclusion Turkish version of BBQ was found to be a valid and reliable tool for measuring dysfunctional beliefs related to the dyspnea in patients with COPD.Öğe The effect of adjuvant radiotherapy on skin biophysical properties in patients with breast cancer at risk for breast lymphedema: A prospective study(Wiley, 2023) Tuğral, Alper; Akyol, Murat; Bakar, YeşimBreast cancer (BC) is the most common type of cancer among women. Radiotherapy (RT) is one of the main and primary treatment options for BC, especially in breast-conserving surgery (BCS). BC patients who underwent RT experience a wide range of symptoms, in which breast oedema and irritation of the skin take the lion's share. Breast oedema/lymphedema, which is also a prominent side effect after RT should be well determined in earlier settings due to the chronicity of lymphedema. Therefore, this study aimed to analyze the biophysical parameters of skin on the ipsilateral (IL) and contralateral (CL) sites via Tissue dielectric constant (TDC) and Transepidermal water loss (TEWL) methods in terms of oedema and skin barrier function (SBF). The following reference points before and after the RT were measured: (R1: Pectoralis muscle, R2: Upper breast, R3: Lower breast, R4: Lateral site of the thorax). A total of 24 BC patients (mean age and BMI: 52.78 +/- 9.85 years and 28.42 +/- 5.64 kg/m(2)) were evaluated. In the IL site, the SBF was not found significant in R1-R3, whereas significantly lower SBF was observed in R4 after RT (t = -3.361, p = 0.003). A significant increase in TDC was observed in R2 at the 5.0 mm depth (t = -2.500, p = 0.02). We suggest that a longer period of follow-up should be carefully carried out to track changes in terms of SBF and oedema in the irradiated breast. The increased need for early detection of changes associated with breast lymphedema can be achievable via noninvasive, safe, cheap, and easily repeatable devices.Öğe The effect of hypermobility on pain and quality of life in young adults Genç yetişkinlerde hipermobilitenin ağrıve yaşam kalitesi üzerine etkisi(Galenos Publ House, 2022) Arifoğlu Karaman, Ciğdem; Zeren, Elif; Maral, Fatih; Parlak, Muhammed; Kirazlı, Özlem; Boracı, Hatice; Zeren, MelihObjective: Hypermobility is the excessive range of motion of joints, and related to various musculoskeletal and extra-articular problems that may significantly impair quality of life (QoL) by causing pain. The aim of the study is to examine the prevalence of hypermobility in young adults, and its relationship with pain in various regions of body and QoL. Methods: Two hundred and twenty five volunteers, aged between 17 and 23, were classified as subjects-with-hypermobility or subjects-without-hypermobility according to the Beighton Criteria. Chronic pain was identified by using Nordic Pain Questionnaire, QoL was identified by Short Form-36 (SF-36) Questionnaire. Pain presence in 9 body regions and SF-36 scores were compared between groups using chi-square test and Independent Samples T-test, respectively. Results: Of the participants, 164 (64%) were female, 91 (36%) were male, 119 (46.7%) had hypermobility. Upper back was the body region with the highest pain prevalence where 79% of hypermobile and 74% of non-hypermobile subjects reported pain at least once in past 12 months. Pain prevalence in body regions did not differ between groups (p>0.05). In terms of QoL, physical and mental component scores of SF-36, as well as all subgroup scores except social function were significantly lower in hypermobile subjects (p<0.05). Conclusion: Pain prevalence in different body regions did not differ between subjects with and without hypermobility whereas the QoL was significantly impaired in hypermobile subjects. Hypermobility is a substantial anatomical finding in young adults that should not be disregarded. Education, emotional support and encouraging about strengthening and proprioception exercises may contribute to their quality of life.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.Öğe Prevalence of musculoskeletal pain and its impact on quality of life and functional exercise capacity in patients with pulmonary arterial hypertension(W B Saunders Co Ltd, 2022) Zeren, Melih; Demir, Rengin; Sinan, Ümit Yaşar; Mustafaoğlu, Rüstem; Yıldız, Abdurrahim; Küçükoğlu, Mehmet SerdarBackground: In pulmonary arterial hypertension (PAH), pathophysiological consequences of the disease and the drugs used to treat PAH may adversely affect musculoskeletal system. Aim of the study was to evaluate musculoskeletal pain prevalence and its impact on quality of life (QoL) and exercise capacity in PAH patients. Methods: 61 PAH patients were evaluated with Nordic Musculoskeletal Questionnaire (NMQ) for musculoskeletal pain presence, EmPHasis-10 and Minnesota Living with Heart Failure Questionnaire (MLHFQ) for QoL, 6-min walk test (6MWT) for functional exercise capacity and International Physical Activity Questionnaire-Short Form (IPAQ-SF) for physical activity participation. Results: 77% of PAH patients reported musculoskeletal pain. Pain prevalence was highest at low back (38%), followed by knees (36%), shoulders (36%) and neck (33%). Hemodynamic indicators of PAH severity were associated with pain presence in various parts of the body. Patients receiving any PAH-specific drug were more likely to experience pain compared to the patients whose drug therapy has not yet been initiated (RR = 1.6-2.0). Pain presence in neck, shoulder, low back and knees significantly correlated to worse QoL scores in both EmPHasis-10 and MLHFQ (p < 0.05). Pain presence in knees had the strongest influence on QoL, and it was the only significant correlate of 6MWT (r =-0.424) and IPAQ-SF (r =-0.264) (p < 0.05). Conclusions: Musculoskeletal pain is a common complaint in PAH patients, which significantly impairs QoL and physical functioning. Treatment strategies should include a more comprehensive assessment for musculoskeletal pain complaints of these patients and address pain presence accordingly, which may help providing a better management for PAH.Öğe Investigation of dynamic hyperinflation and its relationship with exercise capacity in children with bronchiectasis(Wiley, 2022) Tosun, Beyza Nur Caglar; Zeren, Melih; Barlık, Meral; Demir, Esen; Gülen, FigenBackground and Aim Dynamic hyperinflation (DH) is a major contributor to exercise intolerance in patients with obstructive lung diseases. However, it has not been investigated in children with bronchiectasis (BE). We aimed to investigate dynamic ventilatory responses and their influence on functional exercise capacity in children with BE. Methods Forty children with BE (mean forced expiratory volume in 1 s [FEV1] = 78 +/- 19%pred) were included. Six-minute walk test (6MWT) was conducted using Spiropalm 6MWT (R) for evaluating dynamic ventilatory responses including inspiratory capacity (IC), minute ventilation (VE), breathing reserve (BR) and respiratory rate (RR). A decrease of >= 100 ml in IC during exertion was defined as DH. Also, spirometry was performed, and peripheral muscle strength were measured. Results Twenty patients (50%) developed DH, and four patients (10%) were ventilatory limited (BR < %30) during 6MWT. There was a 176 [100-590] ml decrease in IC after exertion in patients with DH. DH did not correlate to clinical or functional indicators of the disease, except for an increase in RR ( increment RR) during exertion. High increment RR was associated with presence of DH (r(pb)= 0.390; p < 0.05). Clinical features, peripheral muscle strength, and Spiropalm 6MWT metrics including 6MWT distance did not differ between patients with and without DH. Univariate analysis revealed FVC% (R = 0.340), VEpeak (R = 0.565), quadriceps strength (R = 0.698) and handgrip strength (R = 0.711) were the only predictors of 6MWT distance (p < 0.05). Conclusion Although DH is common in children with BE, the severity of DH is rather low and may not seem to affect functional exercise capacity. However, peripheral muscle strength was a major contributor to functional exercise capacity.Öğe Does the effect of comprehensive respiratory physiotherapy home-program differ in children with cystic fibrosis and non-cystic fibrosis bronchiectasis?(Springer, 2022) Gürses, Hülya Nilgün; Üçgün, Hikmet; Zeren, Melih; Denizoğlu Külli, Hilal; Çakır, ErkanBronchiectasis is a form of airway damage as a consequence of endobronchial infection and inflammation and may be present in different diseases. The underlying aetiologies include both cystic fibrosis (CF) and a group of non-cystic fibrosis diseases (NCFB) such as immunodeficiency, primary ciliary dyskinesia, or severe pulmonary infection. Although children with CF and non-cystic fibrosis bronchiectasis (NCFB) have many similar clinical features, their responses to exercise may be different. The aim of this study was to compare the efficacy of a comprehensive respiratory physiotherapy (CRP) home-program in children with CF and NCFB. Thirty children with CF and thirty children with NCFB were included in the study. Both groups performed the CRP home-program twice daily for 8 weeks. Pulmonary function, exercise capacity, and respiratory and peripheral muscle strength were assessed at baseline and after 8 weeks of training. Both groups experienced significant improvements in pulmonary function, exercise capacity, and respiratory and peripheral muscle strength (p < 0.001). Maximum expiratory pressure, exercise capacity, and peripheral muscle strength were further improved in NCFB group compared to CF (p < 0.05); however, there was a great variability in the improvements for each variable. Conclusion: CRP is beneficial both for children with CF and NCFB and adherence to the program was high in both groups.Öğe Does venipuncture increase lymphedema by triggering inflammation or infection? An experimental rabbit ear lymphedema model study(Mary Ann Liebert, Inc, 2022) Özdemir, Kadirhan; Çıtaker, Seyit; Diker, Şeyda; Keser, İlke; Kurukahvecioglu, Osman; Uyar Göçün, Pinar; Gülbahar, ÖzlemBackground: Recent guidelines recommend avoiding venipuncture to prevent lymphedema for breast cancer patients. This study investigated whether single or multiple sterile venipuncture procedures develop a systemic inflammation or infection and increase lymphedema in the rabbit ear lymphedema model.Methods and Results: Eighteen New Zealand white female rabbits were included. The right ear lymphedema model was created by surgical procedure; then, rabbits were divided into three randomized groups. Single and multiple venipuncture procedures were applied at least the 60th day after surgery for Group I and II, respectively. Group III was a control group. C-reactive protein (CRP) and procalcitonin (PCT) levels were analyzed to determine inflammation and infection. Ear thickness measurements were applied using a vernier caliper to assess the differences in lymphedema between the ears. All rabbits were euthanized on the 90th day after surgery. Histopathological analysis was performed to evaluate lymphedema by measuring tissue thicknesses. Ear thickness measurements showed that ear lymphedema was developed and maintained with surgical operation in all groups (p < 0.05). There was no difference in the ear thickness measurements between and within-groups results (p > 0.05). CRP and PCT levels were below the lower detection levels in all groups. According to the differences of histopathological ear distances, there were significant differences within-groups for all groups (p < 0.05), and no differences were identified between groups (p > 0.05).Conclusion: This experimental study demonstrated that single or multiple sterile venipuncture procedures did not trigger infection or inflammation and did not exacerbate ear lymphedema in the rabbit ear lymphedema model.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 Cut-off values of 6-min walk test and sit-to-stand test for determining symptom burden in atrial fibrillation(Springer London Ltd, 2022) Zeren, Melih; Karcı, Makbule; Demir, Rengin; Gürses, Hülya Nilgün; Oktay, Veysel; Uzunhasan, Işıl; Yiğit, ZerrinBackground Since symptomatology is a major predictor of quality of life and an endpoint for the management of atrial fibrillation (AF), practical approaches for objectively interpreting symptom burden and functional impairment are needed. Aims We aimed to provide cut-off values for two frequently used field tests to be able to objectively interpret symptom burden in atrial fibrillation. Methods One hundred twenty-five patients with AF were evaluated with European Heart Rhythm Association (EHRA) score, 6-min walk test (6MWT), 30 s sit-to-stand test (30 s-STST), Short-Form 36 (SF-36), International Physical Activity Questionnaire-Short Form (IPAQ-SF), and spirometry. Patients with EHRA 1 were classified as asymptomatic, and those with EHRA 2-4 as symptomatic. Cut-off values of 6MWT and 30 s-STST for discriminating between these patients were calculated. Results The optimal cut-off value was 450 m for 6MWT (sensitivity: 0.71; specificity of 0.79) and 11 repetitions for 30 s-STST (sensitivity 0.77; specificity of 0.70). Area under ROC curve was 0.75 for both tests (p < 0.001). Discriminative properties of the two tests were similar, and they were significantly correlated (r = 0.58; p < 0.001). Subgroup analysis revealed patients below cut-off values also had worse outcomes in SF-36, IPAQ-SF, and spirometry. Conclusions In patients with AF, walking < 450 m in 6MWT or performing < 11 repetitions in 30 s-STST indicates increased symptom burden, as well as impaired exercise capacity, quality of life, physical activity participation, and pulmonary function. These cut-off values may help identifying patients who may require adjustments in their routine treatment or who may benefit from additional rehabilitative approaches.Öğe 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 TurhanIntroduction: 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..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 Breathing and relaxation exercises help improving fear of Covid-19, anxiety, and sleep quality: A randomized controlled trial(Mary Ann Liebert, Inc, 2022) Kepenek-Varol, Büşra; Zeren, Melih; Dinçer, Rukiye; Erkaya, SevalObjective: To investigate the effects of breathing and relaxation exercises performed via telerehabilitation on fear, anxiety, sleep quality, and quality of life of individuals without coronavirus disease 2019 (COVID-19) during the ongoing pandemic.Design: A prospective, randomized, controlled single-blind study.Methods: Fifty participants who had not been exposed to the COVID-19 virus earlier were randomly divided into experimental (n = 25) and control groups (n = 25). Both groups received an information session about COVID-19 once at the start of the study via a mobile phone video application. The experimental group also performed a breathing and relaxation exercise program twice daily (morning and evening), 7 days per week, for 4 weeks; one session of the program was conducted under the remote supervision of a physiotherapist as telerehabilitation, and the remaining sessions were performed as a home program. The Fear of COVID-19 Scale (FCV-19S), which was the primary outcome measure, The Hamilton Anxiety Rating Scale (HAMA), Pittsburgh Sleep Quality Index (PSQI), and EQ-5D-3L were administered to both groups.Results: The FCV-19S, HAMA, and PSQI were statistically significantly improved to compare the controls, with a large effect size (eta(2)(p) = 0.135, 0.313, and 0.200, respectively). The EQ-5D-3L index and EQ-5D-3L visual analog scale were not statistically significantly different compared with the controls; however, a small effect size was detected for the differences between the two groups (eta(2)(p) = 0.056 and 0.013, respectively).Conclusion: Breathing and relaxation exercises appear to be an effective and feasible approach to support mental health and sleep quality during the COVID-19 pandemic. Especially in highly contagious diseases such as COVID-19, telerehabilitation approaches may be useful for safely reaching individuals by eliminating human-to-human contact.Clinical Trial Registration number: NCT04910932.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 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]
