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    Does active eating influence dyspnea and pulmonary function tests in COPD?
    (2024) Özgören, Çağla; Hacıömeroğlu, Osman; Muammer, Rasmi
    Active eating is considered an effortful activity for patients with chronic obstructive pulmonary disease (COPD). Aim of study was to determine the effect of active eating on pulmonary functional capacity, dyspnea level and oxygen saturation (SpO2) in COPD patients. 40 clinically stable COPD patients who were hospitalized in Süreyyapaşa Chest Diseases and Thoracic Surgery Education and Research Hospital were enrolled. All patients were in group D according to 2016 GOLD guide. Demographic data, smoking status, body mass index, medications and additional diseases of patients were noted. The degree of dyspnea was assessed using the Modified BORG scale before and after active eating for all participants and was also measured in obese and non-obese subgroups. Spirometric parameters and SpO2 were analyzed one hour before and after active eating. In general, there was no statistically significant difference in FVC, FEV1, FEV1/FVC and SpO2 values compared to initial measurements (p>0.05). However, significant difference was observed in BORG scale evaluations for all participants (p<0.05). According to subgroups, there was no significant difference in FEV1/FVC and SpO2 results (p<0.05), but difference was found in FEV1, FVC and BORG values in non-obese group (p<0.05). In obese group, we found no difference in any of evaluated parameters (p <0.05). In conclusion, we observed no change in spirometric parameters and SpO2 level in total but there was a change in FEV1, FVC and dypnea level in non-obese goup.
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    Effects of connective tissue massage and kinesiotaping in patients with fibromyalgia
    (2024) Türksen, Gizem; Kısa, Eylül Pınar; Kara Kaya, Begüm; Muammer, Kıymet; Muammer, Rasmi
    Background: Fibromyalgia (FM) is a common soft tissue rheumatic disease. There is no established treatment plan for FM. Current treatments primarily focus on controlling symptoms and improving the quality of life. The aim of our study was to determine how connective tissue massage (CTM) and kinesiotaping (KT) affect pain and depression in patients with fibromyalgia, and to compare their effects on quality of life. Methods: Thirty-four patients diagnosed with fibromyalgia were included. Participants divided into two groups. Group 1: CTM (n = 17, mean age = 35.47 ± 6.84 years), Group 2: KT (n = 17, mean age = 34.00 ± 5.46 years). This study was initiated by obtaining sociodemographic information. Pain (Visual Analogue Scale (VAS)), pain characteristics (McGill Pain Questionnaire), disease impact on patients (Fibromyalgia Impact Questionnaire (FIQ)), depression (Beck's Depression Inventory (BDI)), and quality of life (Short Form-36 (SF-36)) were evaluated. All participants received electrotherapy (TENS and infrared treatment) for 25 min, 5 days a week for 4 weeks. CTM was applied 3 days a week, KT was applied 2 days a week for 4 weeks. Results: A significant improvement with very large effect size was found in VAS, McGill, FIQ, BDI, and SF-36 variables in both groups (p < 0.05). The change after 4 weeks of treatment was similar between groups in terms of all parameters (p > 0.05). Conclusion: Both CTM and KT improved pain, disease effects depression, and quality of life. These two interventions, which are not superior, can be added to the treatment program for patients with fibromyalgia.