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Öğe 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, DevrimPurpose: 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.Öğe Comparison of the effects of orthoses on hallux valgus angle and plantar pressure in individuals with hallux valgus(2025) Çamur, Hüsnanur; Özdemir Görgü, SenaBackground:Hallux valgus (HV) is a condition characterized by the lateral deviation of the first phalanx and medial deviation of the first metatarsal, leading to subluxation of the first metatarsophalangeal joint. Various orthotic applications are employed in the treatment of HV deformity. This study aimed to compare the effects of a toe separator (TS) and dynamic orthosis (DO) on hallux valgus angle (HVA), plantar pressure (PP), and quality of life (QoL).Methods:Thirty individuals aged between 18 and 65 years who had mild to moderate HV deformity were included in our study. Participants were randomized into TS and DO groups. Pretest and post-test evaluations at 4 weeks included goniometric measurement for HVA, PP measurement using the Sensor Medica device, QoL assessment using the American Orthopaedic Foot & Ankle Society-Hallux MTP-IP Scale and Manchester-Oxford Foot Questionnaire, and numerical evaluation scale for orthosis satisfaction.Results:No statistically significant changes were observed in HVA measurements (p > 0.05). In the DO group, significant differences were observed in PP assessment for right rearfoot loading (p = 0.048) and total average pressure measurement of the right foot (p = 0.025). QoL assessments were observed significant differences in the DO group compared with the TS group (p < 0.05).Conclusions:After a 4-week period of wearing the TS and DO orthoses, no change in HVA was observed. In the DO group, a more balanced load distribution between the right and left foot (50.2% left, 49.8% right) and a more pronounced effect in reducing deformity-related pain and improving QoL by increasing functionality were noted.Öğe Effect of yoga-based exercise program in female patients with myofacial pain of temporomandibular disorders(2024) Atılgan, Esra; Kurt, Hanefi; Algun, Zeliha CandanObjectives: 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.Öğe Effect of short-term spinal orthosis and insoles application on cobb angle, plantar pressure and balance in individuals with adolescent idiopathic scoliosis(Elsevier Ltd, 2023) Arslan, Merve; Özdemir Görgü, SenaBackground: Spinal orthosis applications are preferred for conservative treatment of adolescent idiopathic scoliosis, and holistic biomechanical approaches are recommended. Methods: This was single-blind, prospective, randomized, controlled study. It included 42 patients (29 females/13 males) aged 10–18 years with adolescent idiopathic scoliosis, Cobb angle of 20°–45°, who were deemed suitable for spinal orthosis use. Patients were randomly divided into two groups: control, spinal orthosis group (n = 21), and insoles and spinal orthosis group (n = 21). All participants used spinal orthoses for 3 months. This study evaluated the functional capacities, quality of life, balance, and plantar pressures of the participants. The evaluations were repeated after 1 week, and 3 months following spinal orthosis application. Findings: Statistically significant difference and positive effect were observed in Cobb angle (p = 0.008; p = 0.878, respectively), right total (p = 0.037; p = 0.193, respectively), left total (p = 0.037; p = 0.193, respectively), left rearfoot (p = 0.002; p = 0.708, respectively), and right forefoot plantar pressure (p = 0.001; p = 0.739, respectively) in participants in insoles and spinal orthosis group compared with those in the control group. Statistically significant differences and positive effects were observed in swing length (p = 0.001; p = 0.053, respectively) and functional capacity (p = 0.005; p = 0.220, respectively), which are parameters related to postural balance. No change was found in quality of life of either group (p > 0.05). Interpretation: Insoles may have positive impact on functional capacity, balance, and plantar pressure during long-term follow-up in individuals with scoliosis. Therefore, the evaluation of foot plantar pressure in individuals with scoliosis is recommended, and personalized insoles may be a beneficial option.Öğe A randomized controlled study of the effect of functional exercises on postural kyphosis: Schroth-based three-dimensional exercises versus postural corrective exercises(Taylor and Francis Ltd., 2023) Özdemir Görgü, Sena; Algun, Zeliha CandanPurpose: To compare the effects of postural corrective and Schroth-based three-dimensional exercises on thoracic kyphosis angle (TKA), lumbar lordosis angle (LLA), balance and quality of life (QoL) in individuals with postural kyphosis. Methods: This was a single-blind randomized controlled clinical trial with a total of 63 subjects (57 women, 6 men) with TKA of (Formula presented.) 40°. Subjects were separated into three groups: postural corrective exercise group (PCEG), Schroth-based three-dimensional exercise group (SBEG) and control group (CG). Participants in the exercise groups participated in the exercise program twice a week for eight weeks under the supervision of a physiotherapist: CG performed no exercise but was generally informed. The primary outcome variable was TKA. Secondary outcome variables were LLA, balance and QoL. Results: After the functional exercise programs, TKA (mean change for PCEG, SBEG: ?9.71, ?14.76, p < 0.001), static postural stability index overall (?0.22, ?0.40, p < 0.05), and QoL (?0.41, ?0.37, p < 0.001) significantly improved in both training groups compared with CG. The LLA (?3.95, p = 0.003) was significantly lower in the SBEG group than in CG. Conclusion: This study demonstrated that Schroth-based three-dimensional exercises are an effective treatment for individuals with postural kyphosis and have a large effect size that improves TKA, LLA, balance and QoL. Clinical trial registration number: NCT03706495 Implications for rehabilitation Eight weeks of postural corrective or Schroth-based three-dimensional functional exercise programs are effective in addressing thoracic kyphosis angle (TKA), balance, and quality of life in individuals with postural kyphosis. An eight-week Schroth-based three-dimensional exercise program was more effective than postural corrective exercises in improving TKA, lumbar lordosis angle, and balance for patients with postural kyphosis. Schroth-based three-dimensional exercise programs could promote balance and spinal health in young adults with thoracic kyphosis.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 Evaluation of the effect of different height heel wedges on postural stability and plantar pressure in women with genu recurvatum(AVES, 2022) Yazıcı, Naile Hande; Atılgan, EsraObjective: In mild cases of genu recurvatum, normal alignment can be achieved by using orthotic heel wedges, as a conservative treatment. The aim of this study is to analyze the instant effects of heel wedges of different heights on postural stability and plantar pressure by changing the angle of hyperextension in healthy women with genu recurvatum. Methods: Twenty-eight healthy women between the ages of 20 and 35 were included into the study. Recurvatum angles were measured by using standard goniometer and College des Jeunes Orthopedistes application. Individuals with a hyperextension angle between 10° and 15° were included in the study. Static and stabilometric data were recorded by the Sensor Medica baropedography device. Analyses were carried out on barefoot and wedges of 1 cm, 2.5 cm, and 5 cm. Results: In the static analysis, a positive significant difference was found between barefoot and 2.5 cm wedge in the parameters of left and right forefoot and rearfoot load, forefoot weight ratio, rearfoot surface, total surface, average pressure, maximum pressure, left forefoot surface (P < .05). In the stabilometric analysis, a positive significant difference was found between the barefoot and 2.5 cm wedge, and swing length was decreased in both eyes open and closed conditions (P < .05). Conclusion: In our study, the 2.5 cm wedge brings the knee angle closer to the anatomical angle than the 1 cm and 5 cm wedges and has positive effects on plantar pressure and stability. According to the findings, we recommend that individuals with 10°-15° recurvatum use a 2.5 cm wedge in their shoes.Öğe Yoga temelli egzersizlerin plantar basınç dağılımı, vücut farkındalığı ve duygudurumu üzerindeki etkisi(Türkiye Klinikleri, 2019) Atılgan, Esra; Ergezen, Gizem; Demircan, Ali; Algun, Zeliha CandanAmaç: Sağlıklı kadınlarda, 12 hafta süren yoga temelli egzersizlerin plantar basınç dağılımı, beden farkındalığı ve duygudurum üzerindeki etkisinin varlığını araştırmaktır. Gereç ve Yöntemler: Yaş ortalaması 20,20±1,65 yıl olan 30 sağlıklı kadın 12 hafta, haftada bir gün, 60 dk’lık yoga temelli egzersiz programından oluşan prospektif deneysel araştırmamıza dâhil edildi. “Vücut farkındalık anketi, boyun ağrısı ve dizabilite skoru, Beck Anksiyete Ölçeği ve Beck Depresyon Ölçeği” katılımcılara uygulandı ve plantar basınç analizleri pedobarogram ile yapıldı. Bütün ölçümler 12 hafta sonunda tekrarlandı. Çalışma genelinde istatistiksel anlamlılık sınırı %5 olarak belirlendi ve analizler SPSS 22.0 (inc. Chicaggo, IL, ABD) yazılımı kullanarak gerçekleştirildi. Bulgular: Yoga öncesi ve sonrası skorlarda “Vücut farkındalık anketi, boyun ağrısı ve dizabilite skoru, Beck Anksiyete ve Beck Depresyon Ölçeği” ortalama farkları arasında anlamlı istatistiksel farklılık bulunamadı. Toplam yüzdelik ağırlık dağılımlarının sağ ve sol ayakta, sağ/sol ayak ön-arka kısmına düşen yüzdelik kısımlarında, program öncesi ve sonrası ölçümleri anlamlı farklılık göstermedi. Sonuç: Haftada bir yapılan yoga temelli egzersizlerin, genç kadınlarda boyun ağrısı ve dizabilite skorlarında, vücut farkındalığı, plantar basınç dağılımı ve duygudurumu yönünden fark yaratmadığı sonucuna varıldı. Sağlıklı bireylerde daha etkin sonuçlara ulaşmak amacıyla, seans sayısının ve süresinin artırılması önerilmektedir.Öğe EEG alpha activity increased in response to transcutaneous electrical nervous stimulation in young healthy subjects but not in the healthy elderly(PeerJ Inc, 2020) Yıldırım, Ebru; Güntekin, Bahar; Hanoğlu, Lütfü; Algun, Zeliha CandanTranscutaneous Electrical Nerve Stimulation (TENS) is used not only in the treatment of pain but also in the examination of sensory functions. With aging, there is decreased sensitivity to somatosensory stimuli. It is essential to examine the effect of TENS application on the sensory functions in the brain by recording the spontaneous electroencephalogram (EEG) activity and the effect of aging on the sensory functions of the brain during the application. The present study aimed to investigate the effect of the application of TENS on the brain's electrical activity and the effect of aging on the sensory functions of the brain during application of TENS. A total of 15 young (24.2 +/- 3.59) and 14 elderly (65.64 +/- 4.92) subjects were included in the study. Spontaneous EEG was recorded from 32 channels during TENS application. Power spectrum analysis was performed by Fast Fourier Transform in the alpha frequency band (8-13 Hz) for all subjects. Repeated measures of analysis of variance was used for statistical analysis (p < 0.05). Young subjects had increased alpha power during the TENS application and had gradually increased alpha power by increasing the current intensity of TENS (p = 0.035). Young subjects had higher alpha power than elderly subjects in the occipital and parietal locations (p = 0.073). We can, therefore, conclude that TENS indicated increased alpha activity in young subjects. Young subjects had higher alpha activity than elderly subjects in the occipital and somatosensory areas. To our knowledge, the present study is one of the first studies examining the effect of TENS on spontaneous EEG in healthy subjects. Based on the results of the present study, TENS may be used as an objective method for the examination of sensory impairments, and in the evaluative efficiency of the treatment of pain conditions.
