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Öğe Comparing body posture and postural control in children with intellectual disability and dyslexia to typically developing children using technology-based assessments(Mark Allen Group, 2023) Emir, Ahmet; Tarakçı, Devrim; Atılgan, Esra; Tarakçı, ElaBackground/Aims Children with intellectual disability and dyslexia have poor academic and behavioural skills related to social participation, as well as poor motor skills compared to typically developing children. Most training programmes for these children focus on the academic and behavioural aspects of special education, overlooking musculoskeletal and motor development needs. The aim of this study was to investigate body posture and postural control in children with intellectual disability and dyslexia compared to typically developing children using technology.based assessments. Methods A total of 77 children (36 with dyslexia, 21 with intellectual disability and 20 typically developing children) took part in the study. The PostureScreen Mobile app was used to evaluate body posture and the Fizyosoft Balance System was used to assess postural control. Results Significant postural differences were observed in children with intellectual disability when compared to typically developing children. Head, shoulder and knee translations in the sagittal plane were significantly higher in children with intellectual disability than typically developing children. Centre of pressure velocities were significantly higher in children with dyslexia. Centre of pressure displacements showed non-significant differences in the children with dyslexia compared to the children with intellectual disability and typically developing children. Conclusions The present study found that children with dyslexia had poor postural control and children with intellectual disability had poor quality of posture compared to typically developing children. The authors believe that motor and physical assessments with objective outcome measurements should be conducted for children with dyslexia and intellectual disability to help improve their motor development.Öğe Cross-cultural adaptation, validity and reliability of Turkish version of Oxford Ankle Foot Questionnaire for children with congenital talipes equinovarus & nbsp(Elsevier, 2021) Hajebrahimi, Farzin; Tarakçı, Devrim; Arman, Nilay; Emir, Ahmet; Bursalı, Ayşegül; Tarakçı, ElaBackground: The purpose of the study was to evaluate the reliability and validity of the Turkish version of the Oxford Ankle Foot Questionnaire (OxAFQ) to provide cultural adaptation. Methods: This study involved translation, back translation, and cross-cultural adaptation. Forty-nine patients with congenital talipes equinovarus were evaluated using the Turkish version of OxAFQ. Turkish version of the Childhood Health Assessment Questionnaire (CHAQ) was used as a gold standard to validate the Turkish version of the OxAFQ. The validation was assessed with Spearman correlation analysis by using CHAQ. The reliability of the questionnaire was assessed with Cronbach alpha (internal consistency) and exploratory factor analysis. Results: High validity was found between OxAFQ and CHAQ (r =-0.422-0.292) (p < 0.01). Reliability analysis showed that OxAFQ had a high level of Cronbach alpha (alpha = 0.88-0.96) and internal consistency (ICC = 0.90-0.96). Conclusion: The Turkish version of OxAFQ is a valid, reliable and useful quality of life questionnaire in patients with congenital talipes equinovarus and it is proper for use by health professionals and researchers.Öğe Effect of robot assisted gait training on motor performance in cerebral palsy: A pilot study(2019) Tarakçı, Devrim; Emir, Ahmet; Tarakçı, Ela; Avcıl, ErenPurpose: Children with Cerebral Palsy (CP) have significantly impaired motor performance. There are various rehabilitationmethods in rehabilitation in CP. Robot Assisted Gait Training (RAGT) is an alternative rehabilitation system in addition to othertherapies. This study aims to investigate effects of RAGT in children with CP.Methods: Seventeen patients with spastic type CP, mean age 12.83±5.41 years, participated in this study. Muscles’ tone wereassessed with “Modified Ashworth Scale”, motor developmental level was analysed by “Gross Motor Function Scale (GMFM)”,motor performance was assessed by “Gross Motor Performance Measure (GMPM)” balance and coordination was assessedwith “Paediatric Balance Scale (PBS)”. GEO robotic systems designed by Reha-Technology was used in treatment for 10 weeks(45 minutes-3 days a week), which was composed of treadmill and stair training.Results: The level of motor development, motor performance and balance has been detected to change positively at the end ofRAGT (p<0.05).Conclusion: Robotic rehabilitation method such as walking, climbing stairs has a positive effect on the motor performance andthe balance parameters in patients with CP. However, there is not a certain protocol in which to define the level and duration ofapplication of RAGT for these patients.Öğe Video game-based therapy for the non-dominant hand improves manual skills and grip strength(Elsevier, 2020) Bostancı, Hilal; Emir, Ahmet; Tarakçı, Devrim; Tarakçı, ElaThe study was designed to investigate the effect of virtual reality-supported training on manual skills and grip strength in the non-dominant hand in healthy participants. Thirty participants were randomized into two groups: ErgoActive group (n = 15) and control group (n = 15). The ErgoActive study group received 8 weeks of training with leap motion controller-based virtual reality games. The training was done 1 day per week for 30 min. The participants' hand function was evaluated using the Jebsen Taylor Hand Function Test (JTHFT), while grip strength was evaluated with a Jamar Hand Dynamometer and Pinchmeter. After 8 weeks, the ErgoActive and control groups had significantly different JTHFT, Jamar and Pinchmeter results (P < 0.05). When leap motion controller-based virtual reality applications are used, healthy subjects have increased manual skills and grip strength in their non-dominant hand. These virtual reality games are an effective and fun way of improving patients' hand functions.Öğe Zihinsel yetersizliği olan bireylerde postür denge ve üst ekstremite fonksiyonelliğinin araştırılması(İstanbul Medipol Üniversitesi Sağlık Bilimleri Enstitüsü, 2018) Emir, Ahmet; Tarakçı, DevrimÇalışmamızda amaç özel eğitim ve rehabilitasyon merkezlerinde eğitime devam eden Özel Öğrenme Güçlüğü (ÖÖG) ve Zihinsel Engelli (MR) tanılı çocuklarda postür, denge ve el kavrama kuvvetlerinin değerlendirilmesi ve ilişkilerinin incelenmesidir. Çalışmaya 6-18 yaş aralığında 36 ÖÖG, 21 MR tanılı çocuk ile 19 sağlıklı çocuk dahil edildi. Postür değerlendirmesi için "PostureScreen Mobile" uygulaması ile "New York Postür Analizi" kullanıldı. Denge değerlendirmesinde "Fizyosoft Balance System" kullanıldı. Denge değerlendirmesi gözler açık ve kapalı durumda statik olarak değerlendirildi. Elin kaba ve ince kavrama kuvvetleri her iki el için kilogram cinsinden değerlendirildi ve kaydedildi. Yaşam kalitesi değerlendirilmesi amacıyla "Pediatrik Yaşam Kalitesi Envanteri (PEDSQL)" uygulandı. Değerlendirmeler sonucunda postür değerlendirmesinde kontrol grubuna kıyasla iki grupta anlamlı farklılıklar gözlendi (p<0,05). Denge değerlendirmelerinde çocukların ağırlık merkezi değişimlerinde gruplar arası bazı parametrelerde anlamlı farklılıklar görüldü (p<0,05). Kavrama kuvvetleri her üç grupta da benzerdi (p>0,05). Yaşam kalitesinde kontrol grubuna göre hem ÖÖG hem de MR gruplarında anlamlı seviyede düşük skorlar görüldü (p<0,05). Postür değerlendirme parametreleri ile denge parametreleri arasında anlamlı ilişki bulundu (p<0,05). Yaşam kalitesi ile denge ve postür arasında anlamlı ilişki bulundu (p<0,05). Kavrama kuvvetleri ile baş postürü arasında anlamlı ilişki bulundu. Bu çalışma ÖÖG ve MR tanılı çocuklarda bilişsel yeteneklerin yanısıra motor beceri ve fiziksel etkilenim olabileceğini göstermiştir. Bu çocukların eğitim programlarına fizyoterapi eğitimlerinin de eklenmesi gerektiği görüşündeyiz.
