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Öğe Comparison of aerobic and combined aerobic and whole-body vibration training effects on physical fitness in non-alcoholic fatty liver patients(Wageningen Academic Publishers, 2021) Çevik Saldıran, ?Tülay; Karantay Mutluay, Fatma; Yağcı, İlker; Yılmaz, YusufThe aim of this study was to evaluate the effectiveness of exercises with whole-body vibration which was added to aerobic training on the physical fitness of patients with non-alcoholic fatty liver disease. Thirty-two patients diagnosed with non-alcoholic fatty liver (age 44.39 +/- 8.74 years) were randomly divided into an aerobic training + vibration group and an aerobic training + sham vibration group. The aerobic training was continued at 60-80% heart rate workload, 40 min per day during 3 days per week, for 8 weeks. Vibration were performed with dynamic and static exercises at 30 Hz, with a 2 mm amplitude, for 15 min. The energy expenditure responses were carried out by an exercise tolerance test system. Lower limb isometric muscle strength assessment was made with a calibrated handheld dynamometer from bilaterally knee extensors. The sit to stand test, and the time up and go test were used for physical performance evaluation. At eight weeks, both groups showed a significant reduction in the sit to stand (-1.62 +/- 1.00 vs -0.37 +/- 1.52), the time up and go test (-1.43 +/- 0.99 vs -1.39 +/- 1.06), the right lower extremity muscle strength (1.01 +/- 1.61 vs 1.22 +/- 2.82), and the energy expenditure scores (MET; 1.88 ml/kg/min, 95% confidence interval (CI) 1.19; 2.57, d=0.55, minimal clinically important difference (McID) = 0.69 vs 2.01 ml/kg/min, 95% CI 0.76; 3.24, d=0.26, McID = 1.54, respectively), however no significant differences emerged between groups (P >= 0.05). The addition of vibration exercises to an aerobic program did not provide additional benefits to physical fitness in patients with non-alcoholic fatty liver.Öğe Diabetes-induced adhesive capsulitis: the role of radial extracorporeal shock wave therapy on pain and the shoulder muscles strength(Mary Ann Liebert, Inc., 2020) Çevik Saldıran, Tülay; Akgöl, Ahmet Cüneyt; Yazgan, Pelin; Özdemir, Asena; Karantay Mutluay, FatmaBackground and Aims: The study aimed to determine thechanges in the shoulder pain and muscle strength in patients with diabetes-induced adhesive capsulitis (DIAC) when the differentdose of Radial Extracorporeal Shock Wave Therapies (rESWT)applied.Methods: This double-blind randomized clinical trial conductedat Okan University Research Hospital (Istanbul) with patients referredfrom multiple centers. Participants were ‡45years (mean53.49 – 5.81 years), had T2D for ‡3years (meanduration9.92–5.70years), had DIAC, had HbA1c£ 9.0% (mean 7.38 – 0.76%); werebeing treated with inadequately basal insulin (20.5%) and oral antidiabeticdrugs (79.5%) were enrolled. The rESWT was appliedwith Enraf Nonius Endoplus device with a 25mm applicator, at 8Hz,and with 2000 beats. The participants were randomly assigned tothree groups as follows: high dose rESWT (hrESWT, n = 13),moderate dose rESWT(mrESWT, n =13) or placebo rESWT group(prESWT, n = 13). The primary outcomes were Visual Analog Scale(VAS) for pain and dynamometer evaluations for shoulder musclestrength for over the 4th and 6th week of the trial.Results: Without the group differences (p>0.05) pain decreasedin 4th and 6th week in all three treatment groups(p < 0.001). Increased strength of shoulder flexor, extensor androtator muscles were observed in both groups receiving activerESWT(p < 0.05). Strength of abductor’s muscles did not changein all three groups (p>0.05). There was no increase in the strengthof the evaluated muscles of the prESWT group (p>0.05).Conclusions: Different doses of rESWT were effective inimproving muscle strength in the diabetes-induced adhesivecapsulitis. In pain reduction, rESWT was effective without beingdifferent from placebo application.Öğe Diabetes-induced adhesive capsulitis: the role of radial extracorporeal shock wave therapy on the shoulder muscles mechanical properties(Mary Ann Liebert, Inc., 2020) Çevik Saldıran, Tülay; Akgöl, Ahmet Cüneyt; Yazgan, Pelin; Karantay Mutluay, FatmaBackground and Aims: The study aimed to determine thechanges in the shoulder muscle mechanical properties in patientswith diabetes-induced adhesive capsulitis when the different doseof Radial Extracorporeal Shock Wave Therapies (rESWT) applied.Methods: The randomized clinical trial conducted at OkanUniversity Research Hospital (Istanbul). Participants were ‡45years(mean 53.49 – 5.81 years), had T2D for ‡3 years (mean duration9.92 – 5.70 years), and had HbA1c£9.0% (mean 7.38 – 0.76%);were being treated with inadequately basal insulin (20.5%) and oralantidiabetic drugs (79.5%) were enrolled. The rESWT was appliedwith Enraf Nonius Endoplus device with a 25mm applicator, at 8Hz,and with 2000 beats. The participants were randomly assigned tothree groups as follows: high dose rESWT (n = 13), moderate doserESWT (n = 13) or placebo rESWT group (n = 13). The primaryoutcome was biceps brachialis, infraspinatus, deltoideus, trapeziusupper muscle properties evaluations with calibrated, MyotonProdevice for over the 4th, and 6th week of the trial. Analyses wereperformed according to intention to treat.Results: In the hrESWT group biceps brachialis, infraspinatusmuscles tone and stiffness decreased together and the trapeziusupper only has reduced tone at 4th week (p < 0.05). Only bicepsbrachialis muscle tone decreased (mean change:1.38 – 0.38,p < 0.001) in hrESWT group at the 6th week. In the mrESWTgroup, the tone of the deltoideus muscle decreased and bicepsbrachialis and deltoideus muscle stiffness decreased in the sixthweek (p < 0.001).Conclusions: In the diabetes-induced adhesive capsulitis therESWT seems like an effective treatment intervention because ofreduces the tone of the muscles around the shoulder joint andcauses increased muscle compliance.Öğe Efficacy of a virtual reality-based intervention in children with medulloblastoma: Case series(Asociacion Espanola de Pediatria, 2023) Tanrıverdi, Müberra; Çakır, Fatma Betül; Karantay Mutluay, Fatma[Abstract Not Available]Öğe Immediate effects of whole-body vibration exposure on perceived exertion and peripheral hemodynamics in overweight and obese individuals(Routledge, 2020) Çevik Saldıran, Tülay; Karantay Mutluay, FatmaObjective: The study aim was to investigate the immediate effects of whole-body vibration (WBV) exposure in combination with physical exercises on perceived exertion and peripheral hemodynamic responses in overweight and obese individuals.Methods: Thirty-six individuals who were overweight or obese (44% males, mean age = 44.17 (9.43) years, mean BMI = 33.29 (3.19) kg/m(2)) were recruited. Participants were randomly allocated to two groups: control (n = 17) and the WBV (n = 19) group with vibration at 30 Hz and amplitude of 2 mm for a 20min single vibration session. All participants completed static and dynamic exercises on the sinusoidal-vertical vibration plate but without vibration exposure in the control group. The Borg Rating of Perceived Exertion Scale (RPE) was used to evaluate perceived exertion. Hemodynamic responses were measured with heart rate (HR), arterial blood pressure (aBP) and peripheral capillary oxygen saturation (SpO(2)) in the pre-WBV, post-WBV, and the recovery period.Results: A prolonged increase in perceived exertion was observed in the WBV group (ES = 0.48, p = 0.025), as compared to the control group (ES = 0.10, p = 0.668) in the recovery period. However, the Borg RPE between-groups comparison showed no significant differences in the pre-WBV, post-WBV, and recovery periods. No significant differences in group-time interaction were found for HR, aBP, and SpO2 hemodynamics.Conclusions: WBV exposure had no significant positive effect on perceived exertion and hemodynamic responses in overweight and obese individuals.Öğe Impact of aerobic training with and without whole-body vibration training on metabolic features and quality of life in non-alcoholic fatty liver disease patients(Masson Editeur, 2020) Çevik Saldıran, Tülay; Karantay Mutluay, Fatma; Yağcı, İlker; Yılmaz, YusufThe present study examined the effectiveness of adding exercises with whole-body vibration (WBV) to aerobic training in terms of metabolic features and quality of life. Patients with non-alcoholic fatty liver disease (NAFLD), confirmed on imaging, underwent an 8-week individualized exercise program randomized between aerobic training with and without WBV. Training was performed at 60-80% heart rate workload for 165 min/week. The WBV amplitude was 2-4 mm and the training frequency was 30 Hz, for 15 min. Assessments were carried out on surrogate scores of steatosis and fibrosis including transient elastography (FibroScan), metabolic features (biochemical analysis) and quality of life (SF-36). Insulin resistance was markedly reduced ( -2.36; 95% CI: -4.96 to -0.24; P: 0.049) in aerobic training with WBV. The decrease in serum aspartate transaminase was significantly greater in aerobic training without WBV ( -14.81; 95% CI: -23.36 to -6.25; P: 0.029). There were no significant differences between groups for the other metabolic features (P< 0.05). All quality of life well-being domains improved in both groups (P< 0.05). Given this reduction in insulin resistance, WBV can usefully be added to aerobic training. However, WBV did not provide further benefits in improving metabolic properties or quality of life.Öğe Quality of life assessment of Turkish stroke patients(Wiley-Blackwell, 2014) Karantay Mutluay, Fatma; Zileli, İsmail[Abstract Not Available]Öğe Radial shock-wave therapy for frozen shoulder patients with type 2 diabetes mellitus: A pilot trial comparing two different energy levels(NLM (Medline), 2022) Çevik Saldıran, Tülay; Yazgan, Pelin; Akgöl, Ahmet Cüneyt; Karantay Mutluay, FatmaBACKGROUND: Extracorporeal shock-wave therapy (ESWT) is highly recommended for the management of orthopedic shoulder pathologies. Yet, the clinical relevance of the dose difference effect of radial ESWT approaches in the management of frozen shoulder patients with type 2 diabetes mellitus remains uncertain. AIM: The aim was to examine the short-term effects of medium-and high-energy levels of radial ESWT (rESWT) in the treatment of frozen shoulder patients with type 2 diabetes mellitus. DESIGN: Prospective clinical pilot study. SETTING: This study was conducted in an outpatient clinic. POPULATION: Thirty-nine patients who had frozen shoulder untreated for at least 3 months, diagnosed with type 2 diabetes mellitus for ?3 years were included. METHODS: The patients were randomly allocated to receive either high-energy rESWT (hrESWT), or medium-energy rESWT (mrESWT) or placebo at 8 Hz twice a week for six weeks. The primary outcome measure was pain, evaluated by the Visual Analog Scale (VAS) Score. Secondary outcome measures were function evaluated by the Shoulder Pain and Disability Index (SPADI) Score, and shoulder active range of motion (AROM). The mechanical properties of the deltoid and trapezius muscles were assessed using the MyotonPRO (Myoton AS, Tallinn, Estonia). RESULTS: The mrESWT resulted in statistically significant reductions in night pain at 6 weeks (?p2=0.27, P=0.003). Significantly improved function (SPADI scores: -35.42±21.29 vs.-29.59±22.60; ?p2=0.39, P?0.001) was found in both hrESWT and mrESWT group by 6 weeks. Significantly higher mean shoulder AROM values were recorded for external rotation (?p2=0.53, P<0.001), and internal rotation (?p2=0.21, P=0.020), in the hrESWT group at the 6th week. A significantly improved resting tone (?p2=0.58) and stiffness of deltoid muscle (?p2=0.62) were found in the mrESWT group (P<0.001). The trapezius muscle resting tone reduced with hrESWT (?p2=0.17, P=0.033). CONCLUSIONS: Regardless of the energy levels, rESWT appears to be an effective therapeutic intervention for frozen shoulder patients with type 2 diabetes mellitus in the short-term results. CLINICAL REHABILITATION IMPACT: Our results suggest that this rESWT can be a useful strategy for the rehabilitation of frozen shoulder patients with type 2 diabetes mellitus. This is the first study on dose difference effectiveness in terms of the clinical significance of rESWT which is key to transfer research evidence into practice.Öğe Reliability and validity 'impact of pediatric epilepsy scale' of Turkish version in children with epilepsy(Wiley, 2017) Tanrıverdi, Müberra; Karantay Mutluay, Fatma[Abstract Not Available]Öğe Reliability and validity of the Turkish version of the impact of childhood neurological disability scale in children with epilepsy(2017) Tanrıverdi, Müberra; Karantay Mutluay, FatmaObjectives: The Impact of Childhood Neurological Disability Scale (ICNDS) was developed by Carol Camfield in 1999. The assessment evalu-ates the effects of various conditions on overall health, relationships, social life, academic success, the child’s self-esteem, hopes for the child and caregiver, and family activities in children with epilepsy. At the end of the assessment, a visual scale is provided to orally score quality of life between 1 (very poor) and 6 (excellent). The aim of this study was to translate and adjust the ICNDS scale for use in Turkey, and to ensure the validity and reliability of the tool. Methods: The scale was translated into Turkish using the appropriate translation methods. Internal structure consistency and test-retest reli-ability were measured. Cronbach’s alpha coefficient was calculated for all of the subscales, and scale and item-total correlations were deter-mined. Test-retest reliability was assessed statistically using the Pearson correlation test for validity. The demographic data of 80 young patients with epilepsy were recorded. The scale was administered twice. Results: A total of 28 girls (35%) and 52 boys (65%) were included in the study. The mean age was 6.94±1.45 years, and the mean birth weight was 3049±520 g. A 95% confidence interval for Cronbach’s coefficient alpha ranged from 0.973 to 0.989 in the different sections of the tool, and the intraclass correlation coefficient was 0.983 (r=0.966; p=0.000). Conclusion: The Turkish version of the ICNDS is a valid and reliable measurement to assess the impact of epilepsy in children.Öğe SF-36 metric as a diagnostic aid for conversion disorder(Springer Heidelberg, 2014) Karantay Mutluay, Fatma; Yeni, N.[Abstract Not Available]Öğe SF-36 metric as a diagnostic aid for conversion disorder(Wiley-Blackwell, 2014) Karantay Mutluay, Fatma; Yeni, N.[Abstract Not Available]Öğe The effect of virtual reality exercises on balance in children with brain tumors(Oxford University Press Inc, 2018) Tanrıverdi, Müberra; Karantay Mutluay, Fatma; Çakır, Fatma BetülBalance disorders has seen in children with brain tumors. Purpose of our study is to examine the effects of balance education and compare the efficiency of video game exercise systems to conventional methods. 30 patients between 6-18 years of age included in the study and they are randomized into two groups; Wii Fit and conventional. Both groups received their exercises under supervision of a physiotherapist for 8 weeks total, twice a week 1 hour per session. Assessments performed at the beginning of the exercise program and at the end of the 8th week including disease affect, timed performance, functional capacity, balance and daily living activities. There was no significant difference between two groups and in group assessment of disease affect (p>0,05). There were significant differences in groups for timed performance (p<0,05) and functional capacity (p<0,05) but there was no difference between the two groups. Both groups results for balance improved and there was no significant difference between groups even though the Wii Fit group improved more statistically (p?0). There was no difference between total scores of daily living activities but only social communication score was better in favor of Wii Fit group. Treatment program has no effect on the disease affect instruments yet timed performance tests, functional capacity and balance skills of the patients improved. These improvements were even better for the Wii Fit group. These results show that physiotherapy and rehabilitation is beneficial for children with brain tumor even though it doesn’t have any effects on the disease itself.Öğe The effects of fatigue on daily living activities and quality of life in children with brain tumor(Oxford University Press Inc, 2018) Tanrıverdi, Müberra; Karantay Mutluay, Fatma; Çakır, Fatma Betül[Abstract Not Available]Öğe The results of differences between mothers self and researcher reading for "impact of pediatric epilepsy scale"(Wiley, 2017) Tanrıverdi, Müberra; Karantay Mutluay, Fatma[Abstract Not Available]Öğe Video-based exergaming versus conventional rehabilitation on balance in pediatric brain tumor survivors: a randomized clinical trial(2024) Tanrıverdi, Müberra; Karantay Mutluay, Fatma; Çak?r, Fatma BetülBalance problems are widely reported in Pediatric Brain Tumor Survivors (PBTS) due to tumor localization and the side effects of medical treatment. This study investigates the effects of conventional versus video-based games exercise training (exergaming) on balance in PBTS. The present study was a randomized controlled trial. The study included 23 PBTS who were randomized to a Video-Based balance exergaming Group (VBG) or Conventional balance exercise training Group (CG). In both groups, the interventions were targeted to the balance function and balance exercise training was administered twice a week for 8 weeks. VBG exercised using selected Nintendo Wii Fit Plus® balance games while CG received a specially designed balance training using conventional physiotherapy methods. The primary outcome was the balance tests (Timed Up and Go and Nintendo® Wii™ Center of Gravity: COG), and the secondary outcomes were the functional tests (10-m walking, 2-min walking, 5-step climb/descent/times), and disease effect test (PedsQL Brain Tumor Module). The outcomes were assessed before and after the intervention. At baseline, no significant clinical and outcome assessment differences existed between both groups except for COG (p = 0.0495). After training, overall scores for balance, functional, disease effect tests significantly improved in VBG (p < 0.05) while progress observed in CG was not significant (p > 0.05). Video-based balance exergaming was found effective and more so than conventional balance exercise training in PBTS. Greater effectiveness of exergaming is thought to be due to increased motivation and effort of the children who are more attracted to gaming than conventional exercising. Exergaming could be beneficial both in clinical and home settings with physiotherapist supervision and may reduce the costs of treatment while improving their health-related quality of life.Öğe Video-based exergaming versus conventional rehabilitation on balance in pediatric brain tumor survivors: a randomized clinical trial(2024) Tanrıverdi, Müberra; Karantay Mutluay, Fatma; Çak?r, Fatma BetülBalance problems are widely reported in Pediatric Brain Tumor Survivors (PBTS) due to tumor localization and the side effects of medical treatment. This study investigates the effects of conventional versus video-based games exercise training (exergaming) on balance in PBTS. The present study was a randomized controlled trial. The study included 23 PBTS who were randomized to a Video-Based balance exergaming Group (VBG) or Conventional balance exercise training Group (CG). In both groups, the interventions were targeted to the balance function and balance exercise training was administered twice a week for 8 weeks. VBG exercised using selected Nintendo Wii Fit Plus® balance games while CG received a specially designed balance training using conventional physiotherapy methods. The primary outcome was the balance tests (Timed Up and Go and Nintendo® Wii™ Center of Gravity: COG), and the secondary outcomes were the functional tests (10-m walking, 2-min walking, 5-step climb/descent/times), and disease effect test (PedsQL Brain Tumor Module). The outcomes were assessed before and after the intervention. At baseline, no significant clinical and outcome assessment differences existed between both groups except for COG (p = 0.0495). After training, overall scores for balance, functional, disease effect tests significantly improved in VBG (p < 0.05) while progress observed in CG was not significant (p > 0.05). Video-based balance exergaming was found effective and more so than conventional balance exercise training in PBTS. Greater effectiveness of exergaming is thought to be due to increased motivation and effort of the children who are more attracted to gaming than conventional exercising. Exergaming could be beneficial both in clinical and home settings with physiotherapist supervision and may reduce the costs of treatment while improving their health-related quality of life.Öğe Walking training augments the effects of expiratory muscle training in Parkinson's disease(Wiley, 2022) Oğuz, Semra; Gürses, Hülya Nilgün; Kuran Aslan, Gökşen; Demir, Rengin; Özyılmaz, Semiramis; Karantay Mutluay, Fatma; Apaydın, HülyaObjectives To investigate the effects of walking training combined with respiratory muscle training (RMT) on pulmonary function, respiratory muscle strength, and functional exercise capacity in patients with Parkinson's disease. Materials & Methods Thirty patients with Parkinson's disease were included in the study. Patients were randomly divided into two groups: the walking and RMT group (W + RMT, n = 15) and the RMT (n = 15) group. Spirometry, respiratory muscle strength, and a 6-min walking test were measured before and after the eighth week of the study. RMT was performed using inspiratory and expiratory threshold loading methods. Walking training intensity was adjusted according to the 6-min walking test. Patients performed 15 min of inspiratory muscle training and 15 min of expiratory muscle training in both groups, and 15 min of walking training in the W + RMT group in addition to RMT, twice per day, 5 days/week, for a total of 8 weeks at home. Training intensity was adjusted once per week for the groups at the hospital. Results Respiratory muscle strength and 6-min walking distance were significantly increased (p = .001), and UPDRS-III scores were significantly improved (W + RMT: p = .008 and RMT: p = .01) in the two groups. The increase in maximal expiratory pressure was significantly higher in the W + RMT group than in the RMT group (p = .007). Conclusion Walking training increases the effect of expiratory muscle training in patients with Parkinson's disease.
