Fizyoterapi ve Rehabilitasyon Bölümü Koleksiyonu

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https://hdl.handle.net/20.500.14034/40

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Primer monosemptomatik noktürnal enirezisli çocuklar ve ebeveynlerinin yaşam kalitelerinin incelenmesi
(Bolu Abant İzzet Baysal Üniversitesi, 2021) İnal, Büşra; Bakar, Yeşim; Amkaralı, Handan; Öztürk, Yusuf; Özengin, Nuriye
Bu çalışma, primer monosemptomatik noktürnal enürezisli çocuklar ile sağlıklı çocukların yaşam kalitelerini ve primer monosemptomatik noktürnal enürezisli çocukların ebeveynleri ile sağlıklı çocukların ebeveynlerinin yaşam kalitelerini karşılaştırmayı amaçladı. Araştırmaya primer monosemptomatik noktürnal enürezisli 35, sağlıklı 34 çocuk ve ebeveynleri dahil edildi. Çocukların fiziksel ve sosyodemografik özellikleri kaydedildi. Çocukların yaşam kaliteleri Üriner İnkontinanslı Çocuklarda Yaşam Kalitesi Ölçeği ile değerlendirildi. Ebeveynlerin yaşam kaliteleri Kısa Form- 36 ile belirlendi. Primer monosemptomatik noktürnal enürezisli çocukların sağlıklı çocuklara göre yaşam kalitelerinin (p=0,001) daha düşük olduğu bulundu. Sağlıklı grubun ebeveynlerinin yaşam kalitelerinin primer monosemptomatik noktürnal enürezisli grubun ebeveynlerine göre genel sağlık alt parametresinde daha kötü (p=0,034), diğer parametrelerde ise benzer olduğu saptandı (p>0,05). Bu çalışmanın sonucunda primer monosemptomatik noktürnal enürezisli çocukların yaşam kalitelerinin sağlıklı çocuklara göre daha kötü olduğu saptandı. Ebeveynlerin ise yaşam kalitelerinin genel sağlık alt parametresi hariç benzer olduğu bulundu.
Investigation of the relationship between the levels of functional independence and gross motor function of physically disabled children and the psychological status of their parents’
(İzmir Katip Çelebi Üniversitesi, 2021) Seçer, Erhan; Körtelli, Onur; Korucu, Tuğçe Şirin; Kaya, Derya Özer
Objective: This study was conducted to investigate the relationship between the functional independence and gross motor function levels of physically disabled children and the psychological status of their parents. Material and Method: Eighty-three volunteer parents and their physically disabled children were included in this study. The functional independence and gross motor function levels of physically disabled children were assessed by Functional Independence Measure for Children and Gross Motor Functional Classification System; anxiety and depression levels of parents were assessed by Beck Anxiety Inventory and Beck Depression Inventory. Results: No significant correlation was found between Functional Independence Measure for Children, Gross Motor Functional Classification System scores of physically disabled children and the age of the parents and Beck Anxiety Inventory and Beck Depression Inventory scores of the parents (r=0.029, p=0.795; r=0.108, p=0.332; r=-0.014, p=0.896; r=-0.091, p=0.411, r=-0.017, p=0.880; r=0.010, p=0.926 respectively). However, a low positive correlation was found between the age of disability and the parents' Beck Anxiety Inventory scores (r=0.297, p=0.006, respectively). Also, significant difference was found between the anxiety and depression levels of the parents who had children who could walk and could not walk with or without support (p=0.021, p=0.032, respectively). Conclusion: It was concluded that parents who have a physically disabled child have an increased anxiety level as the age of the child's disability increases. Also, it was observed that parents who had children who could not walk had higher levels of anxiety and depression as compared to parents who had children who could walk.
Embracing life again: Basic body awareness therapy in the management of post-traumatic stress disorder due to earthquake
(İzmir Katip Çelebi Üniversitesi, 2023) Korucu, Tuğçe Şirin; Kaya, Derya Özer
Earthquakes are an unavoidable natural disaster that affects a large population in a wide geography and has medical, economic and social consequences. The earthquake that affected approximately 15 million citizens in Turkey in 11 provinces on 06.02.2023 was among the two biggest earthquakes of the century. Although some of the survivors of the earthquake are injured physically, majority of them are psychologically. Unusual situations such as earthquakes can be the cause of many mental disorders such as temporary acute stress disorder or life-long post-traumatic stress disorder, depression, and various anxiety disorders. Post-traumatic stress disorder that develops as a result of an earthquake is a mental disorder that occurs after exposure to a traumatic event and causes reactions of anxiety, distress tolerance and helplessness in the individual. Traumatic events are defined as events that threaten the integrity of an individual's life. The perception of the body may be impaired due to trauma and the balance of mind and body may be disturbed. Therefore, it is thought that improving the interaction of the body and the mind is an important necessity, especially in such a process. In this direction, it is thought that basic body awareness therapy, which aims to increase physical and emotional balance, is an important alternative method. In this review, it is aimed to give information about basic body awareness therapy in the management of post-traumatic stress disorder developed as a result of earthquake, with its application methods and results.
I think then I will: The function of the cortex in the process of decision making and initiating action
(İzmir Katip Çelebi Üniversitesi, 2021) Korucu, Tuğçe Şirin; Kaya, Derya Özer
Decision-making is a complex orientation that is focused on solving the current problem, and act of decision-making is a complex function that consists of specific activities such as evaluating available options, analyzing and tracking their results. The ability to make decisions includes cognitive processes such as mental analysis, planning, higher-order thinking (such as the ability to change the response to changes in circumstances), initiating and executing action. This process is divided into various components, including associative learning, emotional and social aspects, within the scope of action selection. These different aspects of decision-making have been the focus of investigation in recent studies. Especially in recent years, the fact that the ventromedial prefrontal cortex and related structures have a key role in decision making has led to progress in our understanding of the cortex basis, which is thought to be a very complex aspect of cognition. This work has provided fresh perspectives on poorly understood brain regions, such as orbitofrontal cortex and ventral striatum. In particular, it is increasingly clear that decision-making is tightly interlinked with learning and memory. Indeed, decision-making can be seen as the link between memory of the past and future actions. This study reviews these structures in the decision-making process, with a particular focus on learning and memory connections and with a special emphasis on regions within the prefrontal cortex.
Fatigue and assessment methods in neurological disease
(İzmir Katip Çelebi Üniversitesi, 2021) Kaya, Gözde; Ergin, Gülbin
Fatigue, 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.
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.
Obezitede ‘The Laval Quality of Life’ anketi Türkçe versiyonu güvenilirlik ve geçerlilik
(Sakarya University of Applied Sciences, 2024) Vatansever, Ayşe Kayalı; Hanlıoğlu, Furkan; Karadibak, Didem
Obezite 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.
Mekanik bel ağrısı olan hastalarda tamamlayıcı alternatif tedavi yöntemlerinin kullanımının değerlendirilmesi
(University of Health Sciences, 2025) Mutlu, Gözde; Gök, Umut; Sertpoyraz, Filiz Meryem
Bel ağrısı sık görülür ve fonksiyonel kısıtlılık, yaşam kalitesinin azalması iş gücü kaybı ve ekonomik yük nedenidir. Amaç: Amacımız kronik mekanik bel ağrısı olan hastaların Tamamlayıcı Alternatif Tedavi yöntemlerine ne oranda başvurdukları, sıklıkla hangi yöntemleri kullandıkları, bu yöntemlere hangi kanallarla başvurdukları ve sosyodemografik özelliklerle ilişkisinin değerlendirmektir. Gereç Yöntem: Kesitsel tanımlayıcı nitelikteki araştırmaya kronik mekanik bel ağrısı olan rastgele seçilen 500, kadın ve erkek hasta alındı. Bilgilendirilmiş onamları imzalayan hastaların sosyodemografik özellikleri, tanıları kaydedildi.Bel ağrısı şiddeti vizuel analog skalayla değerlendirildi, tamamlayıcı alternatif tedavi kullanımları sorgulandı. Sonuç :Bel ağrısında tamamlayıcı alternatif tedavilere başvuru sıktır. Bu nedenle hekimler tarafından bu konuda kapsamlı, yüksek hasta katılımlı bilimsel araştırmaların yapılması gerekliliğini ortaya koymuştur. Anahtar Kelimeler: Bel Ağrısı , Fizyoterapi, Alternatif Tıp
Dysmenorrhea severity and affecting factors according to life periods of women
(Fenerbahçe Üniversitesi, 2024) Çetin, Serpil; Yürekdeler Şahin, Nilay
The aim of this study was to examine the severity of dysmenorrhea and the affecting factors according to the life periods of women. The universe of this descriptive, cross-sectional and retrospective study consisted of women who experienced childbirth and were members of relevant social media groups, and the sample consisted of women who agreed to participate in the study (n=305). Data were collected with an electronic form created by the researchers. In the form, the lives of the women were divided into 3 as the period before marriage/first sexual intercourse, the period before pregnancy and the period after the postpartum 12th month, and dysmenorrhea stories specific to each period were questioned. More than half (60.7%) of women with a mean age of 38.00±6.32 stated that dysmenorrhea was affected by their life stages (p>0.05). When the severity of dysmenorrhea was analyzed according to the life periods of the women, it was determined that the severity of dysmenorrhea was 6.32±2.36 in the premarital period, 5.59±2.40 in the pre-pregnancy period and 4.53±2.30 in the postpartum period (p=0.000). Giving birth, bleeding severity, and experiencing menstrual stress were the factors affecting the severity of dysmenorrhea in all life periods of the woman, while smoking, experiencing curettage and problems in the reproductive organs were associated only with dysmenorrhea in the postpartum period (p
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.
Investigation of the relationship between academic self-efficacy, problem solving skills and self-esteem in decision making and decision-making styles of university students studying in the field of health
(Hacettepe Üniversitesi, 2022) Seçer, Erhan; Korucu, Tuğçe Şirin; Uzunlar, Hilal; Dinç, Güldane; Kaya, Derya Özer
Objective: This study was conducted to examine the relationship between academic self-efficacy and problem-solving skills with self-esteem in decision-making and decision-making styles of university students studying in the field of health. Material and Method: Two hundred and thirty one university students (mean age 21.45±1.67 years) studying in the field of health were included in the study. Students' academic self-efficacy levels were evaluated by the Academic Self-Efficacy Scale; problem-solving skills were evaluated by the Problem Solving Inventory; self-esteem in decision making and decision-making styles (careful, avoidant, postponer and panic decision making) were evaluated by the Melbourne Decision-Making Scale.Results: There was a low positive correlation was found between students' Academic Self-Efficacy Scale total scores and self-esteem and careful decision making; a low negative correlation was found between avoidant, postponer and panic decision making (r=.321, p<.001; r=.276, p<.001; r=-.234, p<.001; r=-.234, p<.001; r=-.203, p<.001, respectively). Also, there was a moderate negative correlation was found between students' Problem Solving Inventory total scores and self-esteem and careful decision making; a moderate positive correlation was found between avoidant, postponer and panic decision making (r=-.565, p<.001; r=-.569, p<.001; r=.416, p<.001; r=.507, p<.001; r=.444, p<.001, respectively). Conclusion: It was observed that academic self-efficacy and problem-solving skills were associated with self-esteem in decision making and decision-making styles of university students studying in the field of health. Accordingly, it is recommended to examine the effects of these characteristics of students on each other in prospective studies with a high level of evidence.
Quality of life and somatic physical function of patients with colorectal cancer who underwent oxaliplatin-based systemic chemotherapy: a prospective study
(Springer, 2024) Tuğral, Alper; Kebabçı, Eyup; Aribas, Zeynep; Akyol, Murat; Can, Aysegul; Bakar, Yeşim
introductionThis study aimed to study the potential effects of oxaliplatin-based chemotherapy on cardiorespiratory fitness, handgrip strength (HGS), body composition, and quality of life (QoL) of stages III-IV colorectal cancer (CRC) patients before the first cycle (T0) and after the last cycle of systemic adjuvant/neoadjuvant chemotherapy (T1).MethodsCardiorespiratory fitness, HGS, body composition, and QoL were evaluated with the six-minute walk test (6MWT), hydraulic hand dynamometer, body composition analyzer, and Functional Assessment of Cancer Therapy-Colon (FACT-C) questionnaire in both T0 and T1, respectively.ResultsTwenty-eight CRC patients were included in this study. The total walked distance (TWD) was found to be decreased from T0 to T1 (499.72 m vs. 488.56 m); however, this change was not significant (z = -.706, p = 0.48). Type of chemotherapy whether adjuvant or neoadjuvant also showed no significant effect on TWD (z = -.1.372, p = .17 vs z = -1.180, p = .238, respectively). The QoL was significantly decreased (T0 = 118.35 vs T1 = 110.77, t = 2.176,p = 0.05). The TWD was significantly correlated with the physical well-being (PWB) subscale of FACT-C (r = .64, p = 0.001) as well as with HGS (r = .46, p = .018) in T0. After controlling for age, type of chemotherapy, and type of regimen, the HGS did not show a significant difference from T0 to T1 (F(1,23) = 1.557, p = .22, eta p2 = .06). However, the effect of time x gender showed significant difference from T0 to T1 (F(1,23) = 4.906, p = .037, eta p2 = .17).ConclusionThis study showed the decreased QoL and physical well-being of CRC patients who underwent oxaliplatin-based treatment. In addition, the gender effect of decreased HGS should be considered further when planning an oncological rehabilitation program.
The effect of computerized wobble board and core stabilization exercises on balance performance and exercise capacity in patients with heart failure: A randomized controlled trial
(W B Saunders Co-Elsevier Inc, 2024) Durdu, Habibe; Demir, Rengin; Zeren, Melih; Aydin, Ertan; Gunaydin, Zeki Yuksel; Yigit, Zerrin
Objective: To investigate the effects of computerized wobble board exercise training (CWBET) and core stabilization exercise training (CSET) on balance performance, and exercise capacity in patients with heart failure (HF). Desing: Single-blind randomized controlled prospective study. Setting: Cardiology department of a local university hospital. Participants: Fifty-one patients with HF with reduced ejection fraction, whose clinical status and medication had been stable for the previous 3 months, were included (N=51). Nine patients could not complete the follow-up period due to personal reasons. No patient experienced any adverse events during exercise training. Interventions: Patients were randomized to CWBET, CSET, and control group. CWBET and CSET groups participated in their own exercise programs, 3 days a week for 8 weeks. The control group received no exercise program. Main Outcome Measures: All patients were evaluated at baseline and after 8 weeks. Postural stability, static and functional balance, and exercise capacity were evaluated with the Sensamove Balance Test Pro with Miniboard, the one-leg stance test (OLS), the Berg Balance Scale (BBS), and the six-minute walk distance (6MWD), respectively. Core stabilization and health-related quality of life (HRQOL) were assessed with OCTOcore app, and Minnesota Living with Heart Failure Questionnaire, respectively. Results: A mixed model repeated-measures ANOVA revealed significant group x time interaction effect for static postural stability performance (P<.001, eta(2)(p)=0.472), vertical (P<.001, eta(2)(p)=0.513), horizontal performance (P<.001, eta(2)(p)=0.467), OLS (P<.001, eta(2)(p)=0.474), BBS (P<.001, eta(2)(p)=0.440) scores, 6MWD (P<.001, eta(2)(p)=0.706), and HRQOL. Post hoc analysis revealed CWBET and CSET groups had similar improvements balance performance, exercise capacity, and HRQOL and both groups significantly improved compared with control group (P<.001). Core stabilization was significantly improved only in CSET group after 8 weeks. Conclusion: CWBET and CSET programs were equally effective and safe for improving balance performance and exercise capacity in patients with HF. (c) 2024 by the American Congress of Rehabilitation Medicine
Risk profiling of breast cancer-related lymphedema (BCRL) in patients with breast cancer via using body composition and tissue dielectric constant (TDC) method: A cross-sectional study
(Cig Media Group, Lp, 2024) Tuğral, Alper; Akyol, Murat; Colakoglu, Oyku; Bakar, Yeşim
Breast cancer-related lymphedema (BCRL) is one of the most fearsome side effects of breast cancer treatment. Higher body mass index (BMI) is a well-known risk factor for BCRL. A total of 72 patients were included. The fat mass was significantly and linearly correlated with dielectric ratios which might be indicative of preclinical Background: Breast Cancer-Related Lymphedema (BCRL) is one of the most prominent long-term side effects of breast cancer (BC) treatment. Although an increased BMI is a well-recognized risk factor for BCRL, there is a lack of knowledge regarding the potential associations between body composition and the risk of BCRL. Therefore, this study aimed to analyze the BCRL risk profiles of surgically operated BC patients via body composition and the Tissue Dielectric Constant (TDC) method, respectively. Methods: A total of 72 patients were included. Patients' risk for BCRL was assessed with Moisture MeterD (Delfin, Finland) in 4 different probes each has unique penetration depths from 0.5 (10 mm) to 5.0 (55 mm) at both upper extremities. The body composition was analyzed with Tanita-BC-420 (TANITA, Japan). Comparing the dielectric values of extremities and proportioning to one another as TDC ratio (at-risk side/unaffected side) was used to profile BCRL risk. Results: TDC values of the thorax reference point were significantly higher in all four probes on the at-risk side ( P < .05). TDC ratios in the forearm and Thorax points were significantly correlated with fat mass (r = 0.256, P = .030; r = 0.269, P = .022) as well as with visceral fat rating (VFR) (r = 0.340, P = .003; r = 0.466, P < .001). Conclusion: This study highlights the need for further care and investigation in the assessment and prediction of BCRL by considering body composition. Since the risk reduction of BCRL can be maximized by considering the individual features, we can conclude that patients with higher body fat irrespective of the BMI should be followed up regularly.
Comparative analysis of postural stability and risk of falling and developing disability among overweight and obese women over 40 years
(Elsevier, 2024) Ucurum, Sevtap Gunay; Uzunlar, Hilal; Kirmizi, Muge; Altaş, Elif Umay; Kaya, Derya Ozer
Background: Increased body mass index (BMI) adversely affects the mechanics of the musculoskeletal system. It is known that obese people have poorer postural stability and mobility -related outcomes compared to normal weight people, but there is limited research comparing overweight and class 1 obese people, two consecutive and prevalent BMI categories. Aims: To compare postural stability, functional mobility, and risk of falling and developing disability between overweight and obese women, and to investigate the relationship of BMI and body weight with the outcomes. Methods: Thirty women with class 1 obesity and 30 overweight women were included. Standing postural stability with eyes -open and eyes -closed and stability limits were assessed using the Prokin system. The Timed Up and Go Test (TUG) was used to assess functional mobility and risk of falling ( >= 11 s) and developing disability ( >= 9 s). Results: The average center of pressure displacements on the y-axis (COPY) obtained during quiet standing with both eyes -open and eyes -closed were higher in obese women than overweight women (p < 0.05) and the effect sizes were moderate for the results. The COPY values in the eyes -open and eyes -closed conditions were correlated with BMI (r = 0.295 and r = 0.285, p < 0.05). Furthermore, the COPX value in the eyes -open condition and the TUG score were correlated with body weight (r = 0.274 and r = 0.257, p < 0.05). Conclusions: Obese women had poorer static standing stability in the anteroposterior direction than overweight women, while functional mobility and risk of falling and developing disability did not differ. Furthermore, BMI and body weight were related to poorer static standing stability.
More neck pain, less spinal mobility, altered sitting posture: Sagittal spinal alignment and mobility in women with chronic neck pain
(Elsevier, 2024) Unal, Nur Efsan; Ucurum, Sevtap Gunay; Kirmizi, Muge; Altaş, Elif Umay
Background: Increasing evidence suggests that people with chronic neck pain (CNP) may display altered biomechanics beyond the cervical spine. However, whether spinal alignment and mobility are associated with neck pain is not clarified. Objectives: To investigate whether there is a significant association between neck pain intensity and sagittal spinal alignment and mobility in people with CNP, and to examine whether sagittal spinal alignment and mobility differ according to pain intensity. Design: A cross-sectional study. Method: Forty-four women with CNP were included. The neck pain intensity at rest and during neck movements was assessed with the visual analogue scale (VAS). A skin-surface measurement device was used to assess sagittal alignment and mobility while sitting and standing. Linear regression analysis was used to assess associations. Participants were divided into two groups according to the pain intensity as group with mild pain (VAS <= 4.4 cm) and group with moderate to severe pain (VAS>4.4 cm) and compared using the analysis of covariance. Results: Greater resting pain was associated with a more forward trunk during sitting (Beta = 0.433, p < 0.05). Greater pain during neck movements was associated with increased lumbar lordosis during sitting (Beta = -0.376, p < 0.05). Classified by pain intensity at rest, trunk mobility while sitting was lower and forward trunk inclination and sacral kyphosis while sitting were higher in those with moderate/severe pain (eta(2)(p) = 0.093-0.119, p < 0.05). By pain intensity during neck movements, women with moderate/severe pain exhibited lower sacral mobility while sitting (eta(2)(p) = 0.129, p < 0.05). Conclusions: Addressing the entire spine in the assessment and management of CNP may help reduce pain.
The associations of physical parameters with the closed kinetic chain upper extremity stability test, the upper quarter y balance test, and the upper limb rotation test in professional overhead athletes
(Churchill Livingstone, 2024) Kara, Firat; Gedik, Gülbin Ergin; Sahinoglu, Ertan
Objective: To investigate the associations of glenohumeral internal (IR) and external rotation (ER), horizontal adduction (HA), and thoracic spine rotation ranges of motion (ROM), isometric muscle strength of the shoulder rotators, and trunk muscle endurance with the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST), the Upper Quarter Y Balance Test (YBT-UQ), and the Upper Limb Rotation Test (ULRT) in overhead athletes. Design: Cross-sectional study. Settings: Laboratory. Participants: One hundred twenty-one athletes were enrolled. Main outcome measures: Independent variables were: IR, ER, HA, and thoracic spine rotation ROMs, isometric muscle strength of glenohumeral IR and ER muscles, and trunk muscle endurance. Dependent variables were: CKCUEST, YBT-UQ, ULRT. Results: IR ROM of the nondominant side was associated with the CKCUEST, the YBT-UQ, and the ULRT. IR muscle strength of the dominant side was associated with the CKCUEST and the ULRT. Trunk flexor and lateral endurance of the dominant side were associated with the CKCUEST and the YBT-UQ, respectively. Conclusions: Many of the physical parameters influencing scores on the CKCUEST and the YBT-UQ are different. Common parameters influence the CKCUEST and ULRT scores, yet more parameters influence the CKCUEST score. We suggest the combined use of the CKCUEST and the YBT-UQ in overhead athletes.
Can lymphatic transport impaired by total knee arthroplasty be managed with manual lymphatic drainage?
(Mary Ann Liebert, Inc, 2024) Cihan, Emine; Yildirim, Necmiye Un; Bakar, Yeşim; Bilge, Onur
Objective: It is known that particles released from the prosthesis due to wear after joint replacement surgery affect the lymphatic system. This study aimed to investigate the effect of the manual lymphatic drainage (MLD) technique on pain, edema, and blood lactate dehydrogenase (LDH) levels in the early period of lymphatic transport affected by total knee arthroplasty (TKA). Method: Twenty-four patients who underwent TKA were randomly allocated (control: 12; MLD: 12). Both groups received postoperative rehabilitation. The MLD group also received MLD in the first 3 days after surgery. Clinical assessment was undertaken on the third day and at the sixth week postoperatively. The Visual Analog Scale (VAS) was used for pain during activity, algometer measurements for pain threshold levels, and the Frustum method for leg volumes. The LDH was recorded using laboratory measurements. Results: A significant difference was found in the VAS activity-related pain scores of the groups according to the assessment time (MLD: chi(2) = 47.175; p = 0.000; control; chi(2) = 30.995; p < 0.000). The pain threshold significantly increased in the MLD group from postoperative day 2 (2nd day, 3rd day, 6th week, respectively; p = 0.015; p = 0.001; p < 0.000). Leg volume significantly decreased over time in both groups after surgery (p < 0.001); however, there was no significant difference between the groups (first-third postoperative days and sixth week; p = 0.192; p = 0.343; p = 0.453; p = 0.908, respectively). While the LDH significantly decreased after drainage in the MLD group (first-third postoperative days; p = 0.002; p = 0.005; p = 0.006, respectively), it increased with exercise in the control group, first day (p = 0.004) and second day (p = 0.019). Conclusions: MLD added to exercise therapy is more effective than exercise therapy alone in reducing the LDH level, a marker of pain and muscle damage, but is not effective for edema due to surgery.
Does muscle oxygenation during the 6-minute walk test in fibrosing lung disease?
(European Respiratory Soc Journals Ltd, 2024) Karaahmetoglu, Fulya Senem; Pehlivan, Esra; Zeren, Melih; Ozcan, Zeynep Betul; Demirkol, Baris; Cetinkaya, Erdogan
[No abstract available]
Effects of eccentric versus concentric strengthening in patients with Subacromial pain syndrome: A randomized controlled trial
(Sage Publications Inc, 2025) Karabay, Damla; Yeşilyaprak, Sevgi Sevi; Erduran, Mehmet; Ozcan, Cem
Background: Subacromial pain syndrome (SPS) is the most common cause of shoulder pain. Therapeutic exercise is the first-line treatment for SPS; however, the ideal exercise type remains unclear. Here, we compared the effects of eccentric and concentric strengthening in patients with SPS. Hypothesis: Adding isolated eccentric strengthening to a multimodal physiotherapy program (MPP) would lead to greater improvements in outcomes compared with either MPP alone or adding isolated concentric strengthening to the MPP. Study Design: Randomized controlled trial. Level of Evidence: Level 2. Methods: A total of 45 patients were randomized to eccentric strengthening (ESG), concentric strengthening (CSG), and control (CG) groups; all groups received the MPP. The strengthening groups also performed group-specific strengthening. Shoulder pain, abduction and external rotation (ER) strength, joint position sense (JPS), the Constant-Murley Score (CMS), and the Disabilities of the Arm, Shoulder and Hand score were collected at baseline, after 12 weeks of treatment, and at week 24. Results: For CMS, ESG exhibited a greater, but not clinically meaningful, improvement than CSG and CG (P < 0.05). Eccentric abduction strength increased in ESG compared with CG. From baseline to follow-up, abduction strength increased in ESG compared with CSG and CG. Eccentric abduction strength increased in CSG compared with CG. JPS at abduction improved in the ESG compared with CG. Other between-group comparisons were not significant (P > 0.05). Conclusion: In SPS, eccentric strengthening provided added benefits, improving shoulder abduction strength and JPS at abduction, and was superior to concentric strengthening for improving shoulder abduction strength. Neither strengthening approach had an additional effect on shoulder function, pain, ER strength, or rotational JPS. Clinical Relevance: Clinicians could implement eccentric strengthening as a motor control retraining for strength and proprioception gain rather than for pain relief and reducing disability.

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