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Öğe Acute effects of myofascial release technique on flexibility and pain: outcome for chronic low back pain(2025) Çetinyol, Ozan; Saka, Seda; Çetinkaya, AyşenurBackground: Myofascial release technique (MFR) is frequently used in the treatment of patients with chronic low back pain (CLBP), but there are limited studies on the acute effects of this technique. It was aimed to determine the acute effect of MFR technique on pain and flexibility in CLBP. Methods: Forty CLBP patients (19 female; 21 male) with an average age of 40 years were randomized as MFR technique and classical massage groups. A single session of technique was applied to each group. Outcome measurements consisted of the Visual Analogue Scale (VAS), Sit and Reach Test (SRT), Straight Leg Raise Test (SLRT), and Modified Schober Test. Results: In within-group comparisons, all outcome measures (except right-SLRT) improved statistically significantly in both groups after interventions (p˂0.05). ANCOVA was conducted to determine whether there were significant differences in between groups after intervention while controlling for age. The analysis showed that VAS, SRT and left-SLRT results were significantly more improved after the MFR technique compared with classical massage (p˂0.05). Conclusion: In conclusion, the MFR technique is a safe and effective method for the immediate relief of pain and the enhancement of flexibility. Furthermore, it demonstrates superior efficacy in pain relief and flexibility improvement compared to classical massage, which is another manual therapy technique.Öğe Effect of inspiratory muscle training on dyspnea-related kinesiophobia in chronic obstructive pulmonary disease: A randomized controlled trial(Elsevier Ltd, 2021) Saka, Seda; Gürses, Hülya Nilgün; Bayram, MehmetBackground: The major symptom of chronic obstructive pulmonary disease (COPD) is dyspnea, which causes dyspnea-related kinesiophobia resulting in avoidance of activities associated with dyspnea or compensation by reducing the rate of activity. The aim of this study was to assess dyspnea-related kinesiophobia and determine the effect of inspiratory muscle training (IMT) on dyspnea-related kinesiophobia in COPD. Methods: Forty COPD subjects were randomly allocated to either the IMT or sham group. Both groups' maximal inspiratory pressure (MIP) was assessed weekly. All patients were instructed to perform the training exercises for 15 min twice a day, 5 days a week for a total of 8 weeks. In the IMT group, intensity was set at 30% of MIP and adjusted according to weekly MIP value. In the sham group, intensity remained constant at 15% of initial MIP. Pulmonary function test (PFT), respiratory muscle strength, 6-min walk test (6 MWT), Breathlessness Beliefs Questionnaire (BBQ), Modified Medical Research Council scale (MMRC), modified Borg scale, Hospital Anxiety and Depression Scale (HADS), Saint George's Respiratory Questionnaire (SGRQ), and COPD Assessment Test (CAT) were assessed before and after the intervention. Results: BBQ scores ranged from 18 to 51, with mean values in the IMT and sham groups of 39.80 +/- 7.62 and 43.00 +/- 6.58, respectively. When between-group differences of all outcome scores were compared, there was a statistically significant improvement in the IMT group than in the sham group (p < 0.05). After IMT, statistically significant decreases in BBQ and modified Borg scores were observed in within groups (p < 0.001). These decreases were significantly greater in the IMT group (p < 0.001). MMRC decreased significantly only in the IMT group (p < 0.001). There was a statistically significant increase in PFT values in the IMT group (p = 0.007-0.045), but no difference in the sham group (p = 0.129-0.886). Both groups showed statistically significant improvement in respiratory muscle strength, 6 MWT distance, and CAT score after 8 weeks (p < 0.05). All HADS and SGRQ scores decreased significantly in the IMT group (p < 0.001), whereas only the SGRQ activity score decreased significantly in the sham group (p = 0.017). Conclusions: Our study provides data on the presence and level of dyspnea-related kinesiophobia in COPD patients. All patients had BBQ scores higher than 11, indicating dyspnea-related kinesiophobia. IMT reduced BBQ score and improved respiratory function, and exercise capacity. Our results also support the other known benefits of IMT such as reduced dyspnea and symptom perception, decreased anxiety and depression, and improved quality of life.Öğe Effects of core stabilization exercises in patients with non-specifiic low back pain: Huber Motion Lab versus conventional(Gdansk University Physical Education & Sport, 2024) Koyuncu, Ebru; Tunalı, Nur; Saka, Seda; Ural, Ertuğrul; Yavuzer, Melek GüneşIntroduction: This study aimed to determine the effects of core stabilization exercises with Huber (R) Motion Lab on pain, depression, and activity levels in patients with non-specific low back pain (LBP). Materials and methods: In this study, 30 patients with non-specific LBP were allocated either to an experimental or to a control group. Both groups received a conventional physiotherapy program for 15 sessions. In addition, the control group performed 30 minutes of core stabilization exercises on the floor, whereas the experimental group used the Huber (R) Motion Lab device. The main outcome measures were pain severity (Visual Analogue Scale VAS), depression (Beck Depression Inventory BDI), and disability level (Oswestry Disability Index ODI) that were performed on the first and the last day of the program. Results: At the end of the program, all outcome measures improved significantly in both groups (p < 0.001). Between-group comparison of mean change score revealed significantly greater improvements regarding VAS (7.40vs4.23), BDI (29.52vs13.81), and ODI score (51.78vs25.29) for the experimental group compared to the control group (p < 0.001). Conclusions: For patients in this study with non-specific LBP, both with and without Huber (R) Motion Lab, core stabilization exercises in addition to a physiotherapy program were beneficial in terms of pain severity, depression, and disability level in favor of Huber (R) Motion Lab.Öğe Kinesiophobia and related factors in adult patients with familial mediterranean fever(Georg Thieme Verlag, 2023) Saka, Seda; Çetinkaya, İrem; Günaydın, Elif İrem; Çetinkaya, Ayşenur; Yavuzer, Melek GüneşObjective Kinesiophobia is a common problem in patients with rheumatic diseases and can cause physical inactivity, social isolation, disability, and poor quality of life. This study aimed to evaluate kinesiophobia and associated factors in patients with familial Mediterranean fever (FMF). Methods A total of 38 patients diagnosed with FMF volunteered to participate in the study. All patients were assessed using the Tampa Kinesiophobia Scale (TKS), the International Physical Activity Questionnaire (IPAQ), the Fatigue Severity Scale (FSS), and the Hospital Anxiety and Depression Scale (HADS). Results Thirty-three (86.8%) of the patients had TKS scores over 37, indicating high levels of kinesiophobia. The TKS score was positively correlated with the HADS depression score (r=0.530; p=0.001) and the FSS score (r=0.340; p=0.035) but was not significantly associated with age (r=0.102; p=0.543), disease duration (r=-0.110; p=0.511), body mass index (r=0.283; p=0.085), the HADS anxiety score (r=0.306; p=0.061), or the IPAQ score (r=-0.097; p=0.563). Conclusions Our sample of adult FMF patients showed high levels of kinesiophobia associated with fatigue and depression. Treatments focusing on kinesiophobia in FMF patients could help to increase the effectiveness of rehabilitation.Öğe Obstacle of physical activity and activities of daily living in patients with COPD: Dyspnea related kinesiophobia(European Respiratory Society, 2019) Gürses, Hülya Nilgün; Saka, Seda; Üçgün, Hikmet; Zeren, Melih; Bayram, Mehmet[Abstract Not Available]Öğe The effects of inspiratory muscle training on exercise capacity, dyspnea and lung functions in lung transplantation candidates(European Respiratory Society Journals Ltd, 2018) Pehlivan, Esra; Mutluay, Fatma; Saka, Seda; Balcı, Arif; Kılıç, Lütfiye; Yazar, EsraBackground: This study was planned with the consideration that Inspiratory Muscle Training (IMT) would contribute to the improvement of exercise capacity, dyspnea perception and lung functions by increasing respiratory muscle strength. Methods: This was designed as a prospective, randomized, double-blind study, and included 34 LTx candidates. The patients were randomly divided into two groups (PR plus IMT Group=PRIMT; Standard PR Group=SPR). All patients underwent a 3-month hospital based PR with or without IMT. Study outcomes: exercise capacity (6MWD), respiratory muscle strength (MIP, MEP), dyspnea perception (mMRC), Pulmonary Functions (FEV1, FVC, DLCO, DLCO/VA). Results: It was found that PRIMT group had much more significant increase in 6MWD (104m, p=0,03) and MIP (p=0,001) than the SPR group. Although both groups demonstrated a statistically significant decrease in the mMRC dyspnea score, no significant differences were found between the groups (p = 0.075). In all pulmonary functions, there was a slight increase in the PRIMT group (not statistically significant) and a decrease tendency in the SPR group after treatment. When comparing the delta values of the groups, a significant difference was found in favor of the PRIMT in DLCO / VA (%) (p = 0.02). Conclusion: A greater increase in exercise capacity and respiratory muscle strength was observed in the PRIMT group. The normally expected decline in respiratory function due to advanced lung disease was prevented. Our study showed that the IMT increased the benefits provided by PR. These gains obtained in the preoperative period will also be an advantage in the postoperative period.Öğe Validity and reliability of the Turkish version of breathlessness beliefs questionnaire(Taylor and Francis Ltd., 2023) 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.
