Makale Koleksiyonu

Bu koleksiyon için kalıcı URI

https://hdl.handle.net/20.500.12511/4265

Listeleniyor 1 - 20 / 154

Are stabilisation exercises effective after epidural steroid injection in patients with cervical radiculopathy? a prospective randomised controlled trial
(2025) Tayboğa, Umut İslam; Olgun, Yücel; Gündüz, Osman Hakan; Şencan, Savaş
Background: Cervical radiculopathy is caused by dysfunction of nerve roots in the cervical spine. While many studies have assessed the effectiveness of interlaminar epidural steroid injection (ILESI) and stabilisation exercises separately for this condition, our study aims to evaluate the impact of different stabilisation exercise programmes following ILESI on treatment outcomes in radiculopathy patients. Methods: Sixty-two patients with cervical radiculopathy were randomised into three groups: cervical ILESI-only (CO), neck stabilisation group (NSG) and scapular stabilisation group (SSG). The CO group received only ILESI, while NSG and SSG underwent stabilisation exercises following ILESI. Outcomes were assessed using the Numerical Rating Scale (NRS) for neck and arm pain, the Neck Disability Index (NDI) for functionality and the Short Form-12 (SF-12) for quality of life at baseline, 1 and 3 months posttreatment. Results: When NRS, NDI and SF-12 parameters were analysed in all groups, a statistically significant improvement was observed in the 1st and 3rd months compared to the pretreatment period. While the improvement in SF-12 physical parameters was significant in SSG and NSG in the 1st month compared to the pretreatment period, no significant difference was found in the CO group in the posttreatment periods. When the 1st and 3rd month results were analysed in NSG, a greater improvement was observed in terms of NRSNECK parameter in both evaluations compared to the other groups. Conclusions: Stabilisation exercise programme, especially neck stabilisation, should be included after ILESI treatment due to positive effects on treatment outcomes. Significance: To the best of our knowledge, our study is the first to investigate the effect of a stabilisation exercise programme after ILESI on treatment outcomes in patients with radiculopathy due to cervical disc herniation. It is a valuable study in terms of its prospective design, its specific and homogeneous patient population and its results. Our study will help clinicians when prescribing exercise programmes for these patients. Trial Registration: NCT05307211.
Evaluation of family impact of children with cerebral palsy and family caregiver's quality of life, sleep quality and individual physical education satisfaction: a mixed study
(2024) Hüsrevoğlu, Sare; Özdemi̇r Görgü, Sena; Tarakçı, Devrim
Purpose: Cerebral Palsy (CP) is a disease that has significant effects on both the child and the family. The objective of this study is to examine the influence of the family, quality of life, sleep quality and individual physical education (IPE) of family caregivers of children with CP. In addition, it is planned to detail the factors affecting their satisfaction through semi-structured individual interviews. Methods: Family caregivers of 55 children diagnosed with CP between the ages of 1 and 15 were included in the study. Demographic information with “Demographic Information Survey”, the functional status of the child's with “Gross Motor Function Classification System (GMFCS)” the impact of the child on the family with “Impact on Family Scale (IoFS)”, caregiver's quality of life with “World Health Organization Quality of Life Scale - Short Form (WHOQOL-BREF)”, caregiver's sleep quality was evaluated with “Pittsburgh Sleep Quality Index (PSQI)” and the satisfaction with IPE was questioned with the “Pediatric Quality of Life Healthcare Parental Satisfaction Scale (PedsQL)”. Qualitative data were obtained through semi-structured individual interviews. Results: In our study, GMFCS level was negatively correlated with WHOQOL-BREF (p=0.028) and positively correlated with PSQI (p=0.002). In addition, the IoFS scale correlated negatively (p=0.000) with WHOQoL-BREF and positively (p=0.016) with PSQI. Conclusion: The findings of this study indicate that the physical dependence of the child has a negative impact on the quality of life and sleep quality of caregivers, and that the number of siblings affects their satisfaction with the treatment. It is recommended that further information be obtained regarding caregivers’ perceptions of the disease and their individual physical education needs, as a result of semi-structured individual interviews.
Design of balansens: functional evaluation in ankle preparation phase
(2024) Ersoy, Tuğçe; Hocaoğlu, Elif; Kaya, Pınar; Ünal, Ramazan
In this study, we present the design and development evaluation of BalanSENS toward the realization of the Integrated Balance Rehabilitation (I-BaR) framework. BalanSENS is designed to encourage active participation by integrating multi-sensory information with the co-improvement of sensory and motor functions. Moreover, it can offer individual rehabilitation design with the integration of three phases. The first phase provides foot-ankle muscle activation and movement sensation development. In the second phase, sensory weighting skills and upper extremities independence can be improved by using multi-sensory input. In the last/stepping phase, walking parameters are aimed to be improved with modulated distance. The parallel manipulator is designed through simulations to determine actuation properties and analyze the load-bearing capacity and feasibility of the materials. Drawing from simulation outcomes, an operational 3 DoF platform is constructed to demonstrate their design suitability for the I-BaR framework. Furthermore, design evaluations demonstrated promising results in quantifying force and real-time data monitoring during the passive ankle preparation phase.
Effect of yoga-based exercise program in female patients with myofacial pain of temporomandibular disorders
(2024) Atılgan, Esra; Kurt, Hanefi; Algun, Zeliha Candan
Objectives: The study was conducted to investigate the effect of Yoga-based exercise program on pain, range of motion (ROM), quality of sleep, depression and quality of life in female patients with myofacial pain of temporomandibular disorders (TMD). Materials and methods: 39 Female patients with myofacial pain of TMD were included in the study. Yoga based exercise program was performed to the first group and second group was control group. Visual Analog Scale (VAS), Neck Pain and Disability Scale (NPDS), neck and jaw ROM, Pittsburg Sleep Quality Index (PUQI), Beck Depression Inventory (BDI) and Short Form 36 (SF36) were evaluated. Evaluations were repeated before treatment and 6 weeks later. Results: From the measurements, a decrease in Temporomandibular Joint (TMJ) (p = 0.005) and neck pain (p = 0.031) was found to be significant in favor of Yoga Group. It was also observed that the increase in ROM in the neck right lateral flexion (p = 0.001) in favor of Yoga Group. The sleep quality did not change. In yoga group, a decrease in depression level (p = 0,023) and increase Quality of life in parameters of physical function (p = 0.023), vital capacity (p = 0.026), emotional health (p = 0.002), mental health (p = 0.080) were found as significant, statistically. Conclusions: It was concluded that yoga-based exercise program can be used as an alternative program in patients with myofacial pain of TMD. Further study on myofascial pain of TMD is recommended. Clinical relevance: Yoga-based exercise program can be used in patients with myofascial pain due to TMD.
Design of balansens: functional evaluation in ankle preparation phase
(2024) Ersoy, Tuğçe; Hocaoğlu, Elif; Kaya, Pınar; Ünal, Ramazan
In this study, we present the design and development evaluation of BalanSENS toward the realization of the Integrated Balance Rehabilitation (I-BaR) framework. BalanSENS is designed to encourage active participation by integrating multi-sensory information with the co-improvement of sensory and motor functions. Moreover, it can offer individual rehabilitation design with the integration of three phases. The first phase provides foot-ankle muscle activation and movement sensation development. In the second phase, sensory weighting skills and upper extremities independence can be improved by using multi-sensory input. In the last/stepping phase, walking parameters are aimed to be improved with modulated distance. The parallel manipulator is designed through simulations to determine actuation properties and analyze the load-bearing capacity and feasibility of the materials. Drawing from simulation outcomes, an operational 3 DoF platform is constructed to demonstrate their design suitability for the I-BaR framework. Furthermore, design evaluations demonstrated promising results in quantifying force and real-time data monitoring during the passive ankle preparation phase.
The effect of yoga on dyspnea, sleep, and quality of life in patients with bronchiectasis: a randomized controlled trial
(2024) Tan, Mehmet Salih; Algun, Zeliha Candan; Düger, Mustafa; Aslan Keleş, Yasemin
Background and purpose: Bronchiectasis is characterized by chronic cough, acute exacerbations, and excessive sputum production, along with symptoms such as shortness of breath and fatigue, which impair respiratory functions and quality of life. This study aims to investigate the effects of yoga on dyspnea, sleep quality, and overall quality of life in patients with bronchiectasis. Materials and methods: Forty-eight participants with bronchiectasis were included in the study. The patients were randomly divided into two groups, the yoga group (n = 24) or control group (no placebo or sham intervention) (n = 24). The yoga group participated in a total of 24 sessions over 8 weeks, with three sessions per week. No intervention was performed on the patients in the control group. The Modified Medical Research Council (mMRC) questionnaire was used to assess patients' dyspnea level, and the Pittsburgh Sleep Quality Index (PSQI) and St. George's Respiratory Questionnaire (SGRQ) were used to assess sleep quality and health-related quality of life, respectively. Results: It was observed that the yoga intervention affected the intergroup change in dyspnea severity score over time (p < 0.05) (x̄yoga = 2.64-1.50 = 1.14; x̄control2.24-1.95 = 0.29). The decrease in the mean PSQI score of the yoga practice group (16.41-13.18 = 3.23) was significantly higher compared with the control group (14.90-14.57 = 0.33). Post-practice SGRQ activity scores were significantly different from pre-practice SGRQ activity scores. Similar to the change in SGRQ activity and symptom scores, the impact score also changed significantly over time (x̄yoga12.55-9.09 = 3.46; x̄control12–11.52 = 0.48). Conclusion: The results indicate that yoga may have a positive effect on dyspnea, sleep, and quality of life in patients with bronchiectasis.
Treatment of trigger finger with metacarpophalangeal joint blocking orthosis vs relative motion extension orthosis: a randomized clinical trial
(2024) Yendi, Burcu; Atılgan, Esra; Namaldi, Seda; Ayhan Kuru, Çiğdem
Background: The metacarpophalangeal joint blocking orthosis (MCPJ-BO) is one of the first-line orthotic treatment for patients with trigger finger (TF). Relative motion extension orthosis (RME-O) has recently emerged as a treatment option for various hand disorders involving TF. Purpose: The primary objective of this study was to compare the effectiveness of 6 weeks of orthotic treatment with the MCPJ-BO and the RME-O for pain relief. Function and satisfaction with the orthosis were assessed as secondary objectives. Study design: Randomized clinical study. Methods: Thirty patients with an average age of 50 years with Froimson stage 1-3 A1 pulley triggering participated in the study. They were randomly assigned to either the MCPJ-BO (n = 15; 10 females, five males) or the RME-O group (n = 15; 12 females, three males). The orthoses were worn full time for 6 weeks. All patients received patient education, activity modification, and flexor tendon gliding exercises as part of the rehabilitation program. Pre- and post-assessments included Numeric Pain Rating Scale, Disability of the Arm, Shoulder, and Hand questionnaire, and Quebec User Evaluation of Satisfaction with Assistive Technology questionnaire. The Mann-Whitney U test was conducted to analyze the difference between the two groups. Results: There were no significant differences between the two groups in pain and function before treatment (p < 0.05). Within-group comparisons indicated that both orthoses relieved pain, but the MCPJ-BO group achieved greater pain relief (p = 0.001). There was a significant improvement in function in the MCPJ-BO group, with a mean change of 12.7 (p = 0.0001). The overall success rates for the MCPJ-BO group and RME-O group were 60% and 27%, respectively. Patients in both groups had high satisfaction with the orthosis. Conclusions: MCPJ-BO and RME-O could be used for pain relief in the treatment of TF. The MCPJ-BO appears to be more effective than the RME-O in improving function.
The effectiveness of telerehabilitation-based structured exercise therapy for chronic nonspecific neck pain: a randomized controlled trial
(2024) Özel, Merve; Kaya Ciddi, Pınar
Introduction: The aim of this research was to investigate the effects of telerehabilitation-based remote supervised or unsupervised structured exercise therapy on pain, disability, and quality of life related to chronic nonspecific neck pain. Method: The study was designed as a single-blinded randomized controlled trial. Sixty-six eligible chronic nonspecific neck pain patients were randomized across three groups: remote supervised group (RSG, n = 22), unsupervised group (UG, n = 22), and waitlist control group (CG, n = 22). Progressive structured exercise therapy program was delivered weekly to patients in remote supervised group and unsupervised group to perform four days a week for four weeks. Remote supervised group was supervised by videoconference and text message. Pain, disability, and quality of life of participants were assessed at baseline, week 2, and post-therapy. Results: Post-therapy pain and disability total change scores were ?3.64 (95% CI ?4.85 to ?2.42) and ?7.27 (95% CI ?11.05 to ?3.50) for remote supervised group compared with a change of ?2.44 (95% CI ?3.46 to ?1.43) and ?5.77 (95% CI ?8.54 to ?3.01) for unsupervised group, respectively. Post-therapy, quality of life improvements were greater for remote supervised group than unsupervised group overall (general health; remote supervised group: 19.01 (95% CI 6.86 to 31.16), unsupervised group: 12.50 (95% CI 4.79 to 20.21), and physical health; remote supervised group: 18.35 (95% CI 10.35 to 26.35), unsupervised group: 7.31 (95% CI 0.01 to 14.60)). Significant improvements in psychological health and environment-telerehabilitation for remote supervised group were not seen for unsupervised group and outcomes differences did not reach significance for control group (p > 0.05) post-therapy, except environment-telerehabilitation. Discussion: Structured exercise therapy can improve chronic nonspecific neck pain outcomes when remotely supervised or unsupervised. Structured exercise therapy content and frequent communication are important for remote chronic nonspecific neck pain management.
Effect of local vibration therapy on pain, joint position sense, kinesiophobia, and disability in cervical disc herniation: a randomized controlled trial
(2024) Yılmaz Menek, Merve; Dansuk, Emre; Tayboğa, Umut İslam
Background/Objectives: Vibration therapy approaches are an effective and safe treatment option for musculoskeletal disorders. This study examines the effects of vibration therapy using a percussion massage gun (PMG) on joint position sense, range of motion, pain, functionality, and kinesiophobia in individuals with cervical disc herniation (CDH). Methods: This single-blind randomized controlled trial involved 44 CDH patients divided into a Vibration Group (VG) and a Conventional Group (CG). The CG underwent a standard physiotherapy treatment heat application, Transcutaneous Electrical Nerve Stimulation (TENS), and exercises for range of motion and strengthening. VG received conventional therapy augmented with vibration therapy (VT) via a PMG. Joint position sense (JPS) using the Laser Pointer Assisted Angle Repetition Test; pain intensity with the Visual Analog Scale, kinesiophobia with the Tampa Scale for Kinesiophobia, and cervical dysfunction with the Neck Disability Index were assessed. Results: Both groups showed statistically significant improvements in pain, kinesiophobia, disability, and proprioception after treatment (p < 0.05). When comparing the difference values between groups, the VG was found to be more effective than the CG in the parameters of VAS activity (p = 0.013). The CG had more improvement in JPS neck left rotation than the VG (p = 0.000). Conclusions: VT, when combined with conventional physiotherapy, is effective in improving pain, proprioception, and functionality in individuals with CDH. These findings support the inclusion of VT as a beneficial adjunct therapy. Further research with larger sample sizes and longer follow-ups is recommended to validate these results and explore the long-term effects of VT on CDH.
I-BaR: integrated balance rehabilitation framework
(2024) Ersoy, Tuğçe; Kaya, Pınar; Hocaoğlu, Elif; Ünal, Ramazan
Neurological diseases are observed in approximately 1 billion people worldwide. A further increase is foreseen at the global level as a result of population growth and aging. Individuals with neurological disorders often experience cognitive, motor, sensory, and lower extremity dysfunctions. Thus, the possibility of falling and balance problems arise due to the postural control deficiencies that occur as a result of the deterioration in the integration of multi-sensory information. We propose a novel rehabilitation framework, Integrated Balance Rehabilitation (I-BaR), to improve the effectiveness of the rehabilitation with objective assessment, individualized therapy, convenience with different disability levels and adoption of assist-as-needed paradigm and, with integrated rehabilitation process as whole, that is, ankle-foot preparation, balance, and stepping phases, respectively. Integrated Balance Rehabilitation allows patients to improve their balance ability by providing multi-modal feedback: visual via utilization of virtual reality; vestibular via anteroposterior and mediolateral perturbations with the robotic platform; proprioceptive via haptic feedback.
Effects of myofascial release technique in patients with unilateral cervical radiculopathy: A single blind-randomized clinical trial
(2024) Bali, Fatih; Aras Bayram, Gülay
Objective: The aim of this study was to investigate the effectiveness of the myofascial release technique in individuals diagnosed with unilateral cervical radiculopathy. Materials and methods: Thirty-four cervical radiculopathy patients were randomly assigned to either the myofascial release group or the exercise group. Both groups received conventional treatment. Additionally, the exercise group performed stretching and strengthening exercises while the myofascial release group received the myofascial release technique. The pain pressure threshold, muscle strength, cervical range of motion, pain, and disability variables were assessed for all patients. Results: The myofascial release group demonstrated significantly larger improvements in flexion (p = 0.001), extension (p = 0.037), left rotation (p = 0.012), and left lateral flexion (p = 0.001) range of motions compared to the exercise group. Muscle strength in the wrist flexors (p < 0.001), wrist extensors (p < 0.010), biceps (p < 0.001) and triceps (p < 0.001) were significantly higher in the myofascial release group compared to the exercise group. And, again, the myofascial release group demonstrated significantly larger improvements in wrist flexors (p < 0.001), wrist extensors (p < 0.001), biceps (p < 0.001), triceps (p < 0.001), pectorals (p < 0.001), subscapularis (p < 0.001), upper trapezius (p = 0.002), and the pain pressure threshold. Finally, the myofascial release group demonstrated statistically significant improvements in pain (p < 0.001) and disability (p < 0.001) scales compared to the exercise group. Conclusion: Evaluation of the arm muscle strength and pain pressure threshold variables in patients with cervical radiculopathy may benefit clinicians in the preparation of treatments. Cervical radiculopathy symptoms may improve after the application of myofascial release techniques. A customized cervical exercise program and conventional treatment could be added to the non-surgical treatment of cervical radiculopathy.
Information received and usefulness of the sources of information to cancer patients at an oncology hospital in Turkey
(2024) İnce, Büşra; Atak Çakır, Pınar; Eti, Serkan; Mutluay, Fatma
Aim: Cancer treatment typically involves a combination of approaches like surgery, chemotherapy, and radiation therapy. Offering accurate and valuable information about cancer plays a crucial role in helping patients prepare for their treatment and improves their adherence to it. To assess the information received by cancer patients, the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life (QL) Group has developed the EORTC INFO module. The objective of this study is to examine the reliability and validity of the Turkish version of the EORTC QLQ-INFO25 system. Specifically, it aims to evaluate how patients perceive the benefits of the information they receive and the duration for which the information remains useful to them. Material and Methods: We administered the Turkish versions of three questionnaires to 197 patients at various stages of their illness: the EORTC QLQINFO25, the EORTC Quality of Life Questionnaire -Core 30 (QLQ-C30), and the EORTC Cancer In -Patient Satisfaction with Care Questionnaire (IN-PATSAT32). These stages included chemotherapy, radiotherapy, and surgery. To ensure the questionnaire's reliability and validity, we utilized Cronbach's alpha, inter -scale correlation, and factor analysis. Results: The validity analysis revealed that the scale had a sufficient level of explained variance, with 66.68% accounted for by the factor analysis findings. Furthermore, the reliability analysis indicated a high level of reliability for the entire questionnaire, with a Cronbach's alpha coefficient of 0.92. The selected questions from the EORTC IN-PATSAT32 and their correlation with the 4 identified areas and 2 items of the EORTC QLQ-INFO25 demonstrated strong convergent validity. On the other hand, there was a low correlation between the EORTC-QLQ-C30 questionnaire and the different areas of the EORTC QLQINFO25 questionnaire, suggesting that these two questionnaires measured distinct concepts. Discussion: The study found that the Turkish version of the EORTC QLQ-INFO25 scale is a valid and reliable instrument for assessing the knowledge level of cancer patients. These findings suggest that the scale can be effectively utilized within the Turkish society to evaluate the information and understanding of cancer patients.
Examining acute impacts of soft tissue mobilization, percussion massage, and dynamic stretching on hamstring tightness
(2024) Menek, Burak; Tayboğa, Umut İslam
BACKGROUND: Hamstring muscle tightness is a factor that causes sports injuries. To investigate the instantaneous effects of Percussion Massage Therapy (PMT), Dynamic Stretching (DS) exercises, and Instrument Assisted Soft Tissue Mobilization (IASTM) on jumping, agility, and flexibility parameters. METHODS: Included 45 young adults with hamstring muscle tightness. The DS exercises, PMT, and IASTM were applied to both hamstrings. Before and after the intervention, the participants were evaluated with the Sit and Reach Test (S&R), Horizontal Jumping (HJ), Y Balance Test (YBT), and Illinois Test. DS exercises were performed with 10 repetitions, waiting for 2 seconds at the end of the movement. PMT, and IASTM were applied along the origo insertion line both hamstrings for 5 minutes. RESULTS: S&R and Illinois tests both showed significant changes between the pre-and post-treatment values of the PMT group (P<0.05). Negative effects on balance were observed in Y Balance anterior right leg (P<0.05). HJ and other Y Balance characteristics did not change. (P>0.05). Before and after the application of the IASTM group, there was no difference in the values of the Y Balance posteromedial left leg, Y Balance anterior left leg, Illinois, and S&R (P>0.05). HJ and other Y Balance parameters showed statistically significant improvements (P<0.05). All metrics in the pre-and post-treatment values of the DS group showed significant differences (P<0.05). CONCLUSIONS: We recommend that individuals include DS exercises and IASTM in their warm-up protocols as they positively impact athletic performance.
Closed kinetic chain exercises therapy versus wii-based exergame therapy in the treatment of knee osteoarthritis: randomized controlled trial
(2024) Büyükyılmaz, Güler; Menek, Burak; Tarakçı, Devrim
Objective: One of the most prevalent musculoskeletal conditions that impair function and cause discomfort is osteoarthritis in the knee. The purpose of this study was to examine the effects of closed kinetic chain exercises and Wii-based exergame treatment on knee osteoarthritis (OA) patients’ pain, joint range of motion, muscle strength, joint position sense, functioning, and motor performance. Methods: This study included 56 patients diagnosed with knee OA. Participants were randomly divided into 2 groups: a Wii-based exercises (WBE) group and a closed kinetic chain exercise (CKCE) group. Exercises continued 5 days a week for 3 weeks. Participants were examined before the therapy, afterward, and in the eighth week. Pain threshold, joint range of motion, muscle strength, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Timed Up & Go test (TUG), and joint position sense were alternately examined. Results: A statistically significant difference was obtained in pain threshold results after treatment compared to before treatment (P < .05) in the intra-group comparison and at the eighth week (P < .05). After treatment, joint position sense was significantly better in the CKCE group than in the WBE group (P < .05). Statistical significance was achieved in the WOMAC values after treatment in both groups (P < .05). Intragroup comparisons revealed that the improvements in the WOMAC and TUG tests in the WBE group were statistically better than those in the CKCE group (P < .05). In the analysis of the difference between groups after treatment and at week 8, the results were significantly better in the WBE group than in the CKCE group in terms of the TUG test values (P < .05). Conclusion: We concluded that, among patients with knee OA, WBE programs can be of great use for pain reduction and for functionality and balance exercises in rehabilitation.
Efficiency of a structured squat-based program in knee osteoarthritis rehabilitation
(2024) Genç, Hazal; Atılgan, Esra
BACKGROUND: Squat exercise, in which eccentric and concentric contractions are present simultaneously in different muscle groups, is one of the closed kinetic chain exercises commonly used in knee rehabilitation. OBJECTIVE: In the scope of the study, our objective is to determine the effectiveness of a structured squat-based exercise approach in patients with knee osteoarthritis. METHODS: In this study, 75 patients diagnosed with knee osteoarthritis were randomly assigned to three distinct groups: isoinertial exercise, a combination of home exercise and electrotherapy, and exercise solely. The assessment encompassed the application of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Time Up and Go test, evaluation of quadriceps and hamstring muscle strength and activation levels, along with pain threshold assessment. The treatment program was administered three days a week over a span of eight weeks and was assessed both prior to and following the intervention. RESULTS: Across all groups, considerable enhancements were noted in the majority of parameters. Particularly noteworthy were the substantial improvements observed in the first group, specifically concerning WOMAC total score (p = 0.001), muscle strength, activation levels (p = 0.001), and pain tolerance (p = 0.05). CONCLUSIONS: In the group in which we applied isoinertial exercise, a positive increase was observed in most of the parameters.We suggest that isoinertial exercise applications, which are generally encountered in sports fields, should be used in different fields in future studies.
The effects of mechanical hippotherapy riding on postural control, balance, and quality of life (QoL) in patients with stroke
(2024) Çoban, Osman; Mutluay, Fatma
PurposeD: This study aimed to investigate the effects of exercises by mechanical hippotherapy devices on postural control, balance, mobility, and Quality of Life in patients with stroke. Material and methods: This was a randomized controlled clinical trial with a total of 30 which were randomly divided into two groups. The participants in the mechanical hippotherapy group (MHG) (n = 15) were given exercises with a mechanical hippotherapy device for 15 min in addition to intensive conventional treatments (45 min), while the control group (CG) (n = 15) received additional 15 min of postural control and balance exercises for five days per week for four consecutive weeks. The primary outcome was The Berg Balance Scale (BBS). Secondary outcomes were the Fugl–Meyer (FM) Rating Scale, Biodex Balance Measurement (BBM), Trunk Impairment Scale (TIS), the Timed Up and Go Test (TUG) and quality of Life Short Form (SF-36). Results: In the MHG, FM-Lower extremity score (?6.4, p = 0.024), FM-Upper extremity score (?12.87, p = 0.013), TIS (?5.87, p = 0.04) and TUG (5.73, p = 0.027) improved statistically significant compared to CG. Conclusion: Exercises using mechanical hippotherapy devices could improve postural control, functional mobility and balance in patients with stroke. It may also improve the quality of life. Clinical Trial Registration Number: NCT03528993IMPLICATIONS FOR REHABILITATION NCT03528993 It was concluded from our results that mechanical hippotherapy could be included in the treatment programs of stroke patients.
The relationship between segmental trunk control and gross motor performance in low birth weight born infants
(2024) Kutlutürk Yıkılmaz, Seval; Yurdalan, Saadet Ufuk; Kaya Narter, Fatma
Objective: Trunk control is associated with gross motor development. This study examines the relationship between segmental trunk control and gross motor performance in low birth weight (LBW) infants Methods: A total of 42 LBW infants and 43 normal birth weight (NBW) infants aged 3–9 months were sampled for this cross-sectional study. All infants were evaluated one time by the Segmental Assessment Trunk Control (SATCo) and the Alberta Infant Motor Scale (AIMS) Results: Statistically high and significant correlations were found between gross motor performance and segmental trunk control in all sample populations (r = 0.835; p = .001). No statistically significant difference was found regarding the segmental trunk control between the groups (p = .119). The LBW infants with atypical motor development had poorer trunk control than the LBW infants with typical development (f = 5.480; p = .001). Conclusion: Our results show that LBW infants with atypical motor development had poorer trunk control than LBW infants with typical motor development. It was found that the segmental trunk controls of LBW infants were 0.398 times lower than in NBW infants.
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.
Long-term outcomes of visual motor integration and motor development children with retinopathy of prematurity
(2024) Kutlutürk Yıkılmaz, Seval; Çelik, Gökhan; Günay, Murat; Kızılay, Osman; Algün, Zeliha Candan
Premature infants have a risk of neurodevelopmental deficits. Little is known, however, about how retinopathy of prematurity (ROP) affects visual motor integration (VMI), which is necessary for both fine motor skills and further school abilities. Due to the systemic escape of bevacizumab in the treatment of ROP, concerns regarding the long-Term neurodevelopmental effect of the drug have arisen. The aim is to evaluate VMI and motor development long-Term outcomes after intravitreal bevacizumab (IVB) injection and laser treatment for ROP. Two groups of premature children were included: Bevacizumab group-16 premature children who received IVB treatment and laser group-23 premature children who underwent laser photocoagulation treatment in this single center cross-sectional study. At 2-6 years of age, VMI (Beery-Buktenica Developmental Test), motor development (Peabody Developmental Motor Scales-2), visual acuity, and refractive status were assessed. The incidence of abnormal visual function was significantly higher in bevacizumab group than in laser group (p = 0.022). The incidence of abnormal VMI skill was significantly higher in bevacizumab group than in laser group (p = 0.024). Incidences of abnormal gross, fine, and total motor skills were significantly higher in bevacizumab group compared to laser group (p < 0.05). Premature children who received bevacizumab for ROP demonstrated significantly lower VMI and motor development features than those with laser treatment at preschool age. Although our results suggest the relevance of bevacizumab injection in impaired VMI and motor development outcomes, general level of sickness rather than treatment might be the cause of delayed motor development.
The validity and reliability of a smartphone application for measuring wrist and metacarpophalangeal joint motion
(2024) Özçelep, Ömer Faruk; Yavuzer, Melek Güneş; Tunalı, Ayşe Nur
Background Accurate measurement of the range of motion (ROM) is crucial for guiding upper extremity rehabilitation. Inaccurate measurements can mislead clinicians and harm patient compliance. This study aimed to evaluate the validity and reliability of a smartphone application (Angulus) for measuring wrist and metacarpophalangeal (MCP) joint ROM. Methodology This study included 64 volunteers with no prior wrist injuries. The wrist flexion/extension, radial/ulnar deviation, and MCP joint flexion/extension ROM were assessed by an experienced physiotherapist (Assessor 1) using the Angulus and a standard two -arm goniometer. The validity of Angulus was evaluated by correlating it with the goniometer measurements using the Pearson correlation coefficient. For the reliability analysis, an inexperienced biomedical engineer (Assessor 2) performed the same measurements using Angulus twice in different sessions, in addition to Assessor 1. The intra-rater and inter -rater reliability were tested using the intraclass correlation coefficient. Results The mean age of the participants was 29.5 +/- 8.2 years, with 62% being female. The validity of the Angulus app measurements was indicated by the adequate to excellent correlation between the Angulus and goniometer measurements (ranging from 0.44 to 0.81). The intra-rater reliability of the Angulus app was excellent for Assessor 1 (ranging from 0.76 to 0.90) and adequate to excellent for Assessor 2 (ranging from 0.71 to 0.88). The inter -rater reliability of Angulus was excellent (ranging from 0.91 to 0.96). Conclusions Angulus is a valid and reliable method to measure the wrist and MCP joint ROM.

Güncel Gönderiler