Makale Koleksiyonu

Bu koleksiyon için kalıcı URI

https://hdl.handle.net/20.500.12511/4260

Listeleniyor 1 - 20 / 49

Exploring medium- and long-term respiratory and functional sequelae in young adults post-covid-19
(2025) Ülker Ekşi, Büşra; Kısa, Eylül Pınar; Ertan Harputlu, Özge; Kara Kaya, Begüm; Hoşbay, Zeynep; Akıncı, Buket
Background and Objectives: Long COVID-19 syndrome may cause difficulties in functionality during daily life in young people. Our objective was to investigate the respiratory and functional sequelae in young adults with asymptomatic or mild COVID-19 compared with healthy peers 3–6 months and 6–12 months after COVID-19 infection. Materials and Methods: Participants aged 18–25 who had COVID-19 within the last 3–6 months (Post-COVID Group 1, n = 25) and 6–12 months (Post-COVID Group 2, n = 25) and age–gender-matched healthy controls (n = 25) were included in this study. Respiratory functions and muscle strength were measured. Physical function was assessed with 6 min walking test (6MWT) and an Incremental Shuttle Walk Test (ISWT). The 1 min sit-to-stand test (1-MSTST) and hand grip strength (HGS) were used to assess muscle performance. Fatigue and dyspnea severity were questioned. Results: The FVC%pred (p = 0.023) and MEP (p = 0.034) were higher, and 1-MSTST repetitions were lower in Post-COVID Group-1 compared to Post-COVID Group-2 (p = 0.029). The PEF%pred (p = 0.025), MEP (p = 0.001), and ISWT distance were lower in Post-COVID Group-2 compared to healthy controls. The number of 1-MSTST repetitions and 6MWT distance were lower in Post-COVID Group-1 (p = 0.003, p = 0.001) and Post-COVID Group-2 (p = 0.003, p = 0.017) than in healthy controls. Exercise-induced blood lactate change during the ISWT, HGS, fatigue, and dyspnea were not significantly different between post-COVID groups and healthy controls. Conclusions: Young adults who pass asymptomatic or mild SARS-CoV-2 infection exhibit a decline in FVC%pred, PEF%pred, lower extremity muscle performance, and physical function within 3–6 months. In addition, the deterioration in respiratory and physical functions becomes apparent within 6–12 months.
Visuoperceptual rehabilitation with repetitive transcranial magnetic stimulation in chronic cortical blindness: a case report
(2024) Erkan Oğul, Özden; Yılmaz, Suat; Arıcı Düz, Özge; Şentürk, Fevzi; Hanoğlu, Lütfü
This study aims to reveal the effect of visuoperceptual rehabilitation combined with neuromodulation on visual impairment recovery in chronic cortical blindness. A 71-year-old patient with cortical blindness was assessed using perimetry, pattern electroretinogram (pERG), Canadian Occupational Performance Measurement (COPM), and Montreal Cognitive Assessment (MoCA) at baseline and after treatment. After 12 rTMS sessions and 50 visual perceptual rehabilitation sessions, perimetry, pERG, COPM, and MoCA significantly improved the visual field and daily functioning. Both COPM-MoCA scores exceeded clinical significance. The results indicate that combining vision therapy with rTMS may improve vision field, daily function, and satisfaction in a chronic blindness case.
Investigating the impact of various insole applications on balance and postural stability in the elderly
(2025) Öztürk, Başar; Özdinçler, Arzu Razak; Koçyiğit, Ahmet; Kara Kaya, Begüm; Kısa, Eylül Pınar
Objectives: Aging leads to physical and cognitive declines, notably affecting balance and motor skills, making falls a prevalent health concern among the elderly. Falls, a significant health issue among the elderly, often stem from these impairments. This study aims to investigate the impact of different insole materials, specifically cork and silicone, on balance and postural stability in the elderly. Methods: A randomized controlled trial was conducted at the Istanbul Barinyurt Elderly Care Center with 24 participants, divided into two groups to test cork and silicone insoles. Balance parameters, plantar pressure, the Timed Up and Go (TUG) test, and the Five Times Sit-to-Stand Test were used as measures. Data analysis was performed using the Mann-Whitney U and Wilcoxon tests. Results: Post-intervention, the cork insole group showed significant improvements in balance, maximum plantar pressure, and functional mobility tests compared to the silicone insole group. While both insoles enhanced certain balance parameters and walking performance, cork insoles proved more effective in key outcomes. Additionally, maximum plantar pressure for the cork insoles group decreased significantly, indicating better pressure distribution and potentially enhanced balance. Conclusion: Cork insoles are superior to silicone insoles in improving balance and postural stability among the elderly. This study supports using cork insoles as part of fall prevention strategies, emphasizing the importance of material properties in orthopedic insole design. Future research should explore long-term effects and integrate insoles with other postural stability methods for comprehensive elderly care.
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.
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.
Effects of structured exercise program on severity of dizziness, kinesiophobia, balance, quality of sleep, activities of daily living and quality of life in bilateral vestibular hypofunction: Case study
(DJ Studio, 2024) Arslan, Sena Gizem; Budak, Miray; Yılmaz, Mahmut Sinan
Background and Purpose. The vestibular rehabilitation is an exercise-based method, aiming to maximize central nervous system(CNS) compensation at vestibular nuclear and other CNS levels for vestibular pathology. A minimal number of studies have documented the impact of Vestibular rehabilitation on the recovery rate of patients with Bilateral Vestibular Hypofunction(BVH). The purpose of this study was to investigate the effectiveness of structured vestibular rehabilitation (VR) programs on severity of dizziness, kinesiophobia, balance, quality of sleep, activities of daily living(ADL) and quality of life(QoL) in subjects with chronic BVH. Case Description. Three participants diagnosed with BVH who suffered from severity of dizziness, kinesiophobia, balance, quality of sleep, ADL and QoL were included in the study. Intervention. A structured VR program was applied in 50-minute sessions once a week and as a home exercise program 3 days a week over 8 weeks. Outcomes. Participants were evaluated for severity of dizziness with the Visual Analog Scale (VAS), for kinesiophobia with the Tampa Scale of Kinesiophobia (TSK), for balance with the Semitandem, tandem, and standing tests, for quality of sleep with the Pittsburgh Sleep Quality Index (PSQI), for ADL with the Vestibular Disorders Activities of Daily Life (VADL) and for QoL with Dizziness Handicap Inventory (DHI) at the baseline (TO), at 4th week (T1), 8th week (T2), and 20th week (T3) after study started. Conclusion. In conclusion, a twelve-week structured VR program may enhance severity of dizziness, kinesiophobia, balance, quality of sleep, ADL and QoL in participants with chronic BVH.
Functional neural networks stratify Parkinson's disease patients across the spectrum of cognitive impairment
(Wiley, 2024) Hajebrahimi, Farzin; Budak, Miray; Sarıcaoğlu, Mevhibe; Temel, Zeynep; Kahraman Demir, Tuğçe; Hanoğlu, Lütfü; Yıldırım, Süleyman; Bayraktaroğlu, Zübeyir
Introduction Cognitive impairment (CI) is a significant non-motor symptoms in Parkinson's disease (PD) that often precedes the emergence of motor symptoms by several years. Patients with PD hypothetically progress from stages without CI (PD-normal cognition [NC]) to stages with Mild CI (PD-MCI) and PD dementia (PDD). CI symptoms in PD are linked to different brain regions and neural pathways, in addition to being the result of dysfunctional subcortical regions. However, it is still unknown how functional dysregulation correlates to progression during the CI. Neuroimaging techniques hold promise in discriminating CI stages of PD and further contribute to the biomarker formation of CI in PD. In this study, we explore disparities in the clinical assessments and resting-state functional connectivity (FC) among three CI stages of PD.Methods We enrolled 88 patients with PD and 26 healthy controls (HC) for a cross sectional clinical study and performed intra- and inter-network FC analysis in conjunction with comprehensive clinical cognitive assessment.Results Our findings underscore the significance of several neural networks, namely, the default mode network (DMN), frontoparietal network (FPN), dorsal attention network, and visual network (VN) and their inter-intra-network FC in differentiating between PD-MCI and PDD. Additionally, our results showed the importance of sensory motor network, VN, DMN, and salience network (SN) in the discriminating PD-NC from PDD. Finally, in comparison to HC, we found DMN, FPN, VN, and SN as pivotal networks for further differential diagnosis of CI stages of PD.Conclusion We propose that resting-state networks (RSN) can be a discriminating factor in distinguishing the CI stages of PD and progressing from PD-NC to MCI or PDD. The integration of clinical and neuroimaging data may enhance the early detection of PD in clinical settings and potentially prevent the disease from advancing to more severe stages.
Effect of custom design insole applications with 3D modelling on baropodometric parameters in individuals with pes planus
(Nevzat Demirci, 2023) Aydoğan, Özgür; Yazıcı, Naile Hande; Tarakçı, Devrim; Atılgan, Esra
It was aimed to investigate the effect of custom made insoles on baropodometric analysis parameters in individuals with pes planus, using objective measurement and production methods. 100 individuals with pes planus, aged between 4-18 years in the study. Individuals who met the inclusion criteria and the medial longitudinal arch index were included in the study. Valgus angles of individuals, plantar measurements of the feet before the use of insoles and after 6 months of the use of insoles were evaluated with the Sensor Medica® device. When the measurement results of the ankle valgus angles of the individuals before and after the insoles were examined, it was observed that there was a statistical decrease in the mean results in both feet (p[removed].
The effectiveness of video-based game exercise therapy applications in pes planus rehabilitation: Protocol for a randomized controlled trial
(JMIR Publications Inc., 2023) Erten, Ayşe Büşra; Tarakçı, Devrim; Çaçan, Mehmet Akif
Background: Pes planus is one of the most common foot deformities. Although there are many studies on the effectiveness of various exercise methods in pes planus rehabilitation, the number of studies on video-based game exercise therapy applications is very limited. Objective: This study aims to evaluate the effectiveness of 2 video-based game exercise therapies and structured exercise practices in pes planus rehabilitation. Methods: This study is a 3-arm, parallel-group, single-blinded randomized controlled trial. The study will include 69 patients with flexible pes planus aged between 18 and 25 years who attend the orthopedics and traumatology clinic and meet the inclusion criteria. The primary outcomes are measures of navicular drop and pedobarographic analysis before and after the intervention, and the secondary outcomes include balance, femoral anteversion, and lower extremity muscle strength. Participants will be evaluated with a navicular drop test for medial longitudinal arch height, a pedobarographic analysis system for plantar pressure analysis, a Craig test for femoral anteversion, the Becure Balance System for balance measurement, and a myometer device for lower extremity muscle strength measurement. Participants will be randomly assigned to a structured exercise group, an exergame group, or a serious game group according to their order of arrival. The structured exercise group will use a short foot exercise, a towel-picking exercise, and various walking and balance exercises. Patients in the serious play group will play the lower extremity games in the Becure Balance System. Patients in the exergame group will play balance games on the Nintendo Wii game console. All participants will participate in 18 exercise sessions (3 days a week for 6 weeks). After the treatment, the initial measurements will be repeated. Results: The study started in January 2023. It is expected to be completed in June 2024. Conclusions: This study will be the first randomized controlled study to evaluate the effectiveness of 2 different video-based game exercise therapy applications in pes planus rehabilitation. Through this study, the use of video-based game exercise therapy in pes planus rehabilitation, together with the developing technology, will be a guide. In addition, a new exercise protocol, including serious game exercises, will be added to the literature. In the future, it is expected that our study on the development of different game systems, especially for the ankle, will provide pioneering feedback.
The effect of leap motion controller based exergame therapy on hand function, cognitive function and quality of life in older adults. A randomised trial
(Pacini Editore S.p.A./AU-CNS, 2023) Akdemir, Simay; Tarakçı, Devrim; Budak, Miray; Hajebrahimi, Farzin
Objective. To evaluate the effect of leap motion controller based exergame therapy (LMCBET) on hand function, cognitive function and quality of life (QoL) in older adults. Design. A parallel, double-blind trial with participants allocated (1:1) to one of two groups as the structured exercise (SE) and LMCBET. Setting. The study was conducted in “Barınyurt Nursing Home and Elderly Care Center” in Istanbul. Participants. Thirty-two older adults who had adequate hand function, ability to follow commands, 24 points or more in the mini mental state examination (MMSE) were included and 30 were analyzed. Interventions. SE Group performed a Structured Hand Exercise program while LMCBET group performed “ErgoActive’’ and “HandROM” exercise apps focusing on hand exercises and fine motor skills along 30-45 minute sessions, 2 days a week, over 8 weeks. Main outcome measures. Participants were evaluated with box and block test (BBT), Purdue Pegboard test (PPT), hand dynamometer, Duruöz hand index (DHI), stroop test (ST), digit span test (DST), and World Health Organization QoL instrument-older adults module (WHOQOL-OLD) at the beginning (T0), at 8 (T1), and 16 (T2) weeks after the study started. Results. There were significant differences in BBT, PPT, DHI, and WHOQOL-OLD in the SE group (p < 0.05). BBT, right, left, couple, total scores of PPT, DHI and WHOQOL-OLD were found significant in the LMCBET group (p < 0.05). In Time*Group evaluations, there were no differences (p > 0.05). Conclusions. SE and LMCBET were effective on hand function and QoL in healthy older adults.
Evaluation of cognitive functions in adult individuals with COVID-19
(Springer-Verlag Italia s.r.l., 2023) Akıncı, Büşra; Erkan Oğul, Özden; Hanoğlu, Lütfü; Kulaç, Betül; Ören, Damla; Ulu, Oğulcan; Basançelebi, Berkan
Background and Purpose: Cognitive deficits that are associated with coronavirus disease 2019 (COVID-19) and occur in the acute period are gaining importance. While most studies have focused on the elderly severely affected during acute infection, it remains unclear whether mild to moderate COVID-19 results in cognitive deficits in young patients. This study aims to evaluate the post-infection cognitive functions of young adults with mild to moderate symptoms of COVID-19. Methods: A total of 100 adults with similar age and educational background were included in the study. Half of those had been infected with COVID-19 in the last 60 days (N = 50), and the other half had not (N = 50). Global cognitive skills of the participants were evaluated through Montreal Cognitive Assessment Scale (MoCA) and Clock-Drawing Test; memory functions with Öktem Verbal Memory Processes Test (Ö-VMPT); attention span with Digit Span Test; executive functions with Fluency Tests, Stroop Test, and Trail Making Test; visual perceptual skills with Rey Osterrieth Complex Figure Test (ROCF); and neuropsychiatric status with Neuropsychiatric Inventory (NPI). Evaluations were performed in the experimental group for 21 to 60 days from the onset of the disease, and throughout the study, in the control group. Results: It was found that global cognitive skills, verbal memory, visual memory, executive function, and neuropsychiatric status were affected during COVID-19 (p < 0.05). Conclusion: When the cases were analyzed according to disease severity, no relationship was found between cognitive deficits and disease severity.
The effects of repetitive transcranial magnetic stimulation and aerobic exercise on cognition, balance and functional brain networks in patients with Alzheimer's disease
(Springer, 2023) Budak, Miray; Bayraktaroğlu, Zübeyir; Hanoğlu, Lütfü
The purpose of this study was to investigate the effects of high-frequency repetitive Transcranial Magnetic Stimulation (rTMS) and aerobic exercises (AE) in addition to the pharmacological therapy (PT) in Alzheimer's Disease (AD). Twenty-seven patients with AD aged >= 60 years were included in the study and divided into 3 groups (rTMS, AE and control). All groups received PT. rTMS group (n = 10) received 20 Hz rTMS over dorsolateral prefrontal cortex (dlPFC) bilaterally and AE group (n = 9) received the structured moderate-intensity AE for 5 consecutive days/week over 2 weeks. Control group (n = 8) only received PT. Cognition, balance, mobility, quality of life (QoL), and resting state functional brain activity were evaluated one week before and one week after the interventions. (ClinicalTrials.gov ID:NCT05102045). Significant improvements were found in executive functions, behavior, and QoL in the rTMS group, in balance and mobility in the AE group, and in the visual memory and behavior in the control group (p < 0.05). Significant differences were found in the behavior in favor of the rTMS group, and balance in favor of the AE group (p < 0.05). There was a significant increase in activation on middle temporal gyrus, intra calcarine, central opercular cortex, superior parietal lobule, and paracingulate cortex in Default Mode Network (DMN) in the rTMS group (p < 0.05). High-frequency rTMS over bilateral dlPFC may improve executive functions and behavior and lead to increased activation in DMN, structured moderate-intensity AE may improve balance and mobility, and PT may improve memory and behaviour compared to pretreatment in AD.
Effects of structured exercise program on severity of dizziness, kinesiophobia, balance, fatigue, quality of sleep, activities of daily living, and quality of life in bilateral vestibular hypofunction
(NLM (Medline), 2023) Genç, Sena Gizem; Budak, Miray; Yılmaz, Mahmut Sinan; Algun, Zeliha Candan
BACKGROUND: A minimal number of studies have documented the impact of Vestibular rehabilitation (VR) on the recovery rate of patients with bilateral vestibular hypofunction (BVH). OBJECTIVE: The purpose of this study was to investigate the effectiveness of structured VR programs on severity of dizziness, kinesiophobia, balance, fatigue, quality of sleep, activities of daily living (ADL) and quality of life (QoL) in subjects with chronic BVH. METHOD: Twenty-five participants diagnosed with BVH were included in the study. A structured VR program was applied in 50-minute sessions once a week and as a home exercise program 3 times a day over 8 weeks. Participants were evaluated for severity of dizziness with the visual analog scale, for kinesiophobia with the tampa scale of kinesiophobia, for balance with the Semitandem, tandem, and standing tests, for quality of sleep with the Pittsburgh sleep quality index, for ADL with the vestibular disorders activities of daily life, for QoL with dizziness handicap inventory and for fatigue with the fatigue severity scale at the baseline (T1), at 4th week (T2), 8th week (T3), and 20th week (T4) after study started. RESULTS: Significant difference in terms of Tandem Test and 1 Leg Stand Test was found in favor of T3-T4 Period (P < .05). There were significant improvements in terms of vestibular disorders activities of daily life, tampa scale of kinesiophobia, Pittsburgh sleep quality index and dizziness handicap inventory in favor of the T3 to T4 Period (P < .05). Significant difference in terms of visual analog scale was found in favor of T2 Period (P < .05). CONCLUSIONS: A twelve-week structured VR program may enhance severity of dizziness, kinesiophobia, balance, quality of sleep, ADL and QoL in participants with chronic BVH.
The effect of Electromyography (EMG)-driven Robotic Treatment on the recovery of the hand Nine years after stroke
(Hanley and Belfus Inc., 2023) Oğul, Özden Erkan; Karagözoğlu Coşkunsu, Dilber; Akçay, Sümeyye; Akyol, Kübra; Hanoğlu, Lütfü; Öztürk, Necla
Objective: To investigate the effect of electromyography (EMG)-driven robotic therapy on the recovery of the hand in a stroke case lasting 9 years.Case: An 18-year-old patient with hemiparesis due to the ischemic lesion was admitted to our clinic with hand impairment. Fifteen sessions (5 weeks x 3 times) of robotic rehabilitation were applied with the Hand of Hope. Average EMG (mV) of flexor digitorum superficialis (FDS) muscle, average force (N) and the rate of force development (RFD)(N/s) were also assessed before and after the treatment following the 5th and 10th sessions and at the end of treatment. Also, Fugl-Meyer Assessment of Upper Extremity Scale (FMU-UE), Motor Activity Log (MAL), Canadian Occupational Performance Score (COPM) and Visual Analog Scale (VAS) were used for assessment before and after the treatment.Results: The average EMG measured from FDS increased from 0.093-0.133 mV. The average force and average RFD increased from 45.6-97.7 and from 135.6-172.6 respectively. While affected and/or unaffected side force ratio increased dramatically from 54%-82%, the FMA-UE score increased from 56-59. The MAL quality of use score increased from 3.93-4.13. Performance and satisfaction scores of COPM changed from 5.25-7.25 and 4.5-8.25 respectively. VAS score for fatigue changed from 6 to 4.Discussion: The improvement achieved 9 years later with 15 sessions of rehabilitation suggests that im-provement may be possible for chronic stroke patients.
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, Ela
Background/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.
Sağlıklı genç bireylerde kognitif görevle yapılan egzersizlerin kognitif fonksiyonlara, duygu durumuna ve yaşam kalitesine etkisi
(İstanbul Gelişim Üniversitesi Yayınları, 2020) Yeniçeri, Fatma Eda; Budak, Miray
Amaç: Günümüzde artan teknolojiyle birlikte sağlıklı genç bireylerde, fiziksel aktivite düzeylerindeki azalmadan kaynaklı, kognitif durumlarında bozulma, duygu durumlarında değişiklikler ve yaşam kalitelerinde azalma görülmektedir. Kognitif görevle yapılan egzersizler bireylerin sağlık koşullarını iyileştirmektedir. Bu çalışmanın amacı sağlıklı genç bireylerde kognitif görevle yapılan denge egzersizlerinin, kognitif durum, duygu durumu ve yaşam kalitesine etkilerini incelemektir. Yöntem: Bu çalışmaya dâhil edilme kriterlerini sağlayan 18-30 yaş aralığındaki 50 sağlıklı genç birey dâhil edildi. Bireyler randomize olarak kognitif görevli egzersiz (Grup 1) (n=25) ve sadece egzersiz (Grup 2) (n=25) grubuna ayrıldı. Bireylere günde 1 seans, haftada 3 gün olmak üzere 6 hafta boyunca egzersiz verildi. Grup 1’e aerobik egzersiz ve denge egzersizlerine ilaveten kognitif görev verildi. Grup 2’deki bireylere sadece aerobik egzersiz ve denge egzersizleri yaptırıldı. Bireyler uygulama öncesinde ve bitiminde kognitif durum (Stroop Testi, Sözel Akıcılık Testi, Sayı Menzili Testi), duygu durumu (Depresyon Anksiyete Stres Ölçeği (DASÖ)) ve yaşam kalitesi (Kısa Form 36 (SF-36)) değerlendirildi. Bulgular: Egzersiz sonrası değerlendirmelerde Grup 1’de tüm kognitif testlerde ve SF-36 mental sağlık alt parametresinde, Grup 2’de tüm kognitif testlerde ve DASÖ depresyon alt parametresinde istatistiksel olarak anlamlı fark bulundu (p<0,05). Gruplar arası değerlendirmede kognitif testlerden sözel akıcılık testinde ve SF-36 mental sağlık alt parametresinde Grup 1 lehine istatistiksel olarak anlamlı fark bulundu (p<0,05). Sonuç: Sağlıklı genç bireylerde, hem sadece egzersiz hem de kognitif görevle yapılan egzersizlerin kognitif fonksiyonlar üzerinde etkili olduğu görüldü. Kognitif görevle yapılan egzersizlerin sağlıklı genç bireylerin kognitif durum ve yaşam kaliteleri üzerinde etkili olduğu sonucuna ulaşıldı. Uygulanan egzersizlerin sağlıklı genç bireylerde özellikle kognisyon ve duygu durumu üzerine etkisinin daha iyi anlaşılabilmesi için, objektif nitelikteki çalışmalara ihtiyaç duyulduğu düşünülmektedir.
Comparison of effectiveness of Nintendo Wii-based exergaming and home-based fun video exercises in pediatric patients with chronic kidney disease
(Lippincott Williams and Wilkins, 2023) Çavuşoğlu, Irmak; Tarakçı, Devrim; Zenginler Yazgan, Yonca; Yavuz, Sevgi
Functional capacity and quality of life (QoL) are reduced in children and adults with chronic kidney disease (CKD). Aerobic, strengthening exercises, and exergames are reported as effective in the treatment of symptoms associated with CKD. Unlike adult patients, there are insufficient studies investigating the effects of exercise on disease-related symptoms in pediatric CKD. This study aimed to compare the effects of Nintendo Wii-based exergaming and home-based fun video exercises on functional capacity, muscle strength, physical activity (PA), depression, fatigue, and QoL in pediatric patients with CKD. Twenty-three pediatric patients with CKD were included in the study and randomized to group I (Nintendo Wii Fit) and group II (home-based fun video exercises). Patients in both groups underwent exercise programs twice per week for 6 weeks. Functional capacity, muscle strength, PA, QoL, fatigue, and depression of the patients were evaluated before and after the treatments. Sixteen patients completed the study. After treatment, significant differences were observed in both groups on 6MWT, muscle strength, average daily steps, PedsQoL Child Self-Report PHSS, and the Visual Fatigue Scale. Left knee flexor muscle strength and average step counts were found to be superior in group I. Both exergaming and home-based fun video exercises provide positive effects on functional capacity, muscle strength, fatigue, PA, depression, and QoL in pediatric patients with CKD. We think that these exercise methods can help to protect physical and mental health of patients and should be included in treatment from the early stages of the disease.
The effect of combination of aerobic and strengthening exercise on muscle strength, balance, and sleep quality in individuals with type 2 diabetes
(Duzce University Medical School, 2022) Yılmaz Menek, Merve; Budak, Miray
Aim: The aim of this study was to determine the effects of aerobic and strengthening exercise combination on glycosylated hemoglobin (HbA1c), muscle strength, balance, and sleep quality in individuals diagnosed with type 2 diabetes mellitus (DM). Material and Methods: Fifty individuals aged between 30 and 65 years and diagnosed with type 2 DM were included in this study. Anthropometric measurements, HbA1c, quadriceps and hamstring muscle strength, balance, and sleep quality of the included individuals were evaluated. Aerobic and strengthening exercises were applied to the participants 3 days a week for 12 weeks. All evaluation measurements were repeated at the end of 12 weeks. Results: Of the 50 individuals included in this study and diagnosed with type 2 DM, 64% (n=32) were male and 36% (n=18) were female. The mean age of the participants was 50.12±10.81 years, the mean body mass index was 29.97±3.12 kg/m2, the waist/hip ratio was 0.91±0.08, and the mean HbA1c was 9.19±2.39. When the pre and post-treatment HbA1c, muscle strength, balance, and sleep quality measurements of all participants were compared, there were statistically significant differences (p<0.001). Conclusion: It was determined that the combination of long-term aerobic and strengthening exercise decreased the HbA1c value and also significantly improved muscle strength, balance, and sleep quality in individuals with type 2 DM. A structured exercise program that includes strengthening and aerobic exercises would be beneficial in developing the most effective and appropriate exercise prescriptions in terms of exercise efficiency and sustainability for individuals with type 2 DM.
Effects of robotic rehabilitation on recovery of hand functions in acute stroke: A preliminary randomized controlled study
(Wiley, 2022) Karagözoğlu Coşkunsu, Dilber; Akçay, Sümeyye; Erkan Oğul, Özden; Akyol, D. Kübra; Öztürk, Necla; Zileli, Füsun; Baştan Tüzün, Birgül; Krespi, Yakup
Objective The aim of this study was to investigate the effects of EMG-driven robotic rehabilitation on hand motor functions and daily living activities of patients with acute ischemic stroke. Materials & Method A preliminary randomized-controlled, single-blind trial rectuited twenty-four patients with acute ischemic stroke (<1 month after cerebrovascular accident) and randomly allocated to experimental group (EG) and control group (CG). Neurophysiological rehabilitation program was performed to both EG and CG for 5 days a week and totally 15 sessions. The EG also received robotic rehabilitation with the EMG-driven exoskeleton hand robot (Hand of Hope (R), Rehab-Robotics Company) 15 sessions over 3 weeks. Hand motor functions (Fugl-Meyer Assessment-Upper Extremity (FMA-UE) and Action Research Arm Test (ARAT)), activities of daily living (Motor Activity Log (MAL)), force and EMG activities of extensor and flexor muscles for the cup test were evaluated before treatment (pretreatment) and after the 15th session (posttreatment). Results Eleven patients (59.91 +/- 14.20 yr) in the EG and 9 patients (70 +/- 14.06 yr) in the CG completed the study. EG did not provide a significant advantage compared with the CG in FMA-UE, ARAT and MAL scores and cup-force and EMG activities (p > .05 for all). Conclusion In this preliminary study, improvement in motor functions, daily living activities and force were found in both groups. However, addition of the EMG-driven robotic treatment to the neurophysiological rehabilitation program did not provide an additional benefit to the clinical outcomes in 3 weeks in acute stroke patients.
Investigation on the efficiency of the closed kinetic chain and video-based game exercise programs in the rotator cuff rupture: A randomized trial
(Mary Ann Liebert, 2022) Menek, Burak; Tarakcı, Devrim; Tarakcı, Ela; Yılmaz Menek, Merve
Objective: To examine the effectiveness of video-based game exercises and structured closed kinetic chain exercises in individuals with rotator cuff rupture. Materials and Methods: Forty-five individuals with rotator cuff rupture were included in this study. Individuals were randomly divided into three groups: a conventional exercise group (CEG), a structured closed kinetic chain exercise group (CKCEG), and a video-based game exercise group (VGEG). Interventions were performed twice a week for 6 weeks. Pain severity; pain threshold; disabilities of the arm, shoulder, and hand questionnaire (DASH); rotator cuff quality of life index (RCQOL); range of motion (ROM); and joint position sense and approximation force of all individuals were evaluated pre- and post-treatment. Results: There was a statistically significant difference in all values of the pre- and post-treatment of the groups (P?

Güncel Gönderiler