Browsing by Author "Yesilyurt, Seda Yakit"

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Citation - WoS: 1
Citation - Scopus: 1
Does Pelvic Floor Muscle Exercise Change the Hemodynamic Responses of the Inferior Vena Cava in Pregnant Women? a Prospective-Controlled Study
(Springer london ltd, 2024) Yakıt Yeşilyurt, Seda; Ramazanoğlu, İrem; Tosun, Gökhan; Özer, Mehmet; Çeliker Tosun, Özge; Tosun, Ozge Celiker; Yesilyurt, Seda Yakit
Introduction and HypothesisThis study was aimed at exploring the immediate impacts of pelvic floor muscle exercises (PFMEs) on various maternal physiological parameters in pregnant women.MethodsThe study included a total of 52 women, 26 pregnant (Pregnant group: 28.04 +/- 6.01 years; 26.83 +/- 3.81 kg/m2) and 26 nonpregnant (Control group: 29.42 +/- 5.73 years; 25.41 +/- 3.03 kg/m2) individuals. All women received PFME as follows: PFME was performed for 5 min (6-s holding contraction, 10 s of relaxation, 3 rapid PFM contractions). Evaluations were conducted before, immediately after, and 5 min post-exercise, with measurements including inferior vena cava (IVC) diameters and pulsatility index, blood pressure, oxygen saturation, and heart rates. Two-way analysis of variance was performed for group and time comparisons in repeated measurements.ResultsIn both groups, the IVC collapsibility index values were lower 5 min after exercise, although this decrease, although clinically significant, did not reach statistical significance (p = 0.057). Post-exercise systolic blood pressure significantly decreased in both groups, whereas diastolic blood pressure decreased significantly in the pregnant group (p = 0.001, p = 0.023).ConclusionsThe study found no statistically significant changes in the collapsibility index of the IVC after PFME but observed a clinically suggestive decrease. The clinical decrease in the collapsibility index can be interpreted as PFME in the supine position increasing venous return. Additionally, PFME was found not to alter maternal and fetal heart rates but contributed to the decrease in maternal systolic and diastolic blood pressure. Our study supports the view that the acute effects of PFME neither induce fetal stress nor pose maternal risks.
Effects of Home-Based, Telerehabilitation-Assisted High-Intensity Inspiratory Muscle Training on Pelvic Floor Muscle Function and Urinary Symptoms in Women with Stress Urinary Incontinence: A Pilot Randomized Controlled Trial
(Springer London Ltd, 2026) Aktan, Ridvan; Yesilyurt, Seda Yakit; Ozalevli, Sevgi; Sonbahar, Adil Emrah; Yakıt Yeşilyurt, Seda
Introduction and Hypothesis Strengthening the diaphragm muscle, the roof of the pelvic floor muscles (PFMs), may be a potential complementary approach in women suffering from stress urinary incontinence (SUI). This pilot randomized controlled study was aimed at investigating the effects of home-based telerehabilitation-assisted high-intensity inspiratory muscle training (IMT) on PFM function and urinary symptoms in women with SUI. Methods Twenty-two women aged 25-50 years with SUI were randomly assigned to either the intervention group (n = 11) or the control group (n = 11). Inspiratory muscle strength (maximal inspiratory pressure [MIP]), PFM function (assessed via pressure biofeedback), and urinary symptoms (evaluated using the Urogenital Distress Inventory Short Form, the International Consultation on Incontinence Questionnaire Short Form, and the Incontinence Severity Index) were evaluated. Participants performed IMT twice daily, 7 days a week, over 8 weeks. The intervention group underwent IMT at 60% of their baseline MIP, whereas the control group performed a sham-IMT. Results Function of the PFMs showed significant improvement in the intervention group compared with the control group, as demonstrated by increases in peak maximum voluntary contraction (p = 0.024, eta 2 effect size = 0.24), average maximum voluntary contraction (p = 0.027, eta 2 effect size = 0.23), and PFM endurance (p = 0.006, eta 2 effect size = 0.36). Additionally, the intervention group showed a significant increase in MIP (p = 0.018, eta 2 effect size = 0.26) compared with the control group. There were no statistically significant differences between the groups in urinary symptom scores (p > 0.05). Conclusions This pilot study demonstrates that home-based high-intensity IMT may enhance inspiratory muscle strength and potentially contribute to improved PFM function in women with SUI.
Citation - Scopus: 1
Investigating the Effectiveness of Pelvic Floor Muscle Training, Including Sensor-Based Diaphragm Exercises in Women With Stress Urinary Incontinence: a Randomized Controlled Study
(W.B. Saunders, 2025) Yakıt Yeşilyurt, S.; Şahiner Pıçak, G.; Başol Göksülük, M.; Balıkoğlu, M.; Özengin, N.; Picak, Gonca Sahiner; Goksuluk, Merve Basol; Yesilyurt, Seda Yakit
Objective: To compare the effects of pelvic floor muscle exercises (PFME) combined with standard diaphragm exercises and 360° expanded diaphragm exercises on urinary symptoms, pelvic floor muscle (PFM) function, and respiratory function in women with stress urinary incontinence (SUI). Design: Randomized controlled study. Setting: The study conducted between November 2023 and 2024. Participants: Women with SUI (n=74). Interventions: Participants were randomly allocated into 2 groups: (1) PFME + standard diaphragm (n=37) and (2) PFME + 360° expanded diaphragm exercises (n=37). The 360° exercises were taught using 2 sensor-based biofeedback devices. Both groups completed an 8-week program with weekly sessions. Main Outcome Measures: The primary outcome was precontraction of the PFM. Secondary outcomes included the Incontinence Severity Index, The International Consultation on Incontinence Questionnaire-Short Form, PFM, and respiratory functions [maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP)]. Results: The sociodemographic and clinical characteristics of the PFME + standard diaphragm (49.29±6.73y) and the PFME + 360° expanded diaphragm exercises groups (50.97±7.70y) were similar (P>.05). Before and after the 8-week exercise program, both groups showed significant improvement in PFM functions as well as in incontinence severity index, incontinence questionnaire-short form, and MIP and MEP values (P<.05). Additionally, the initiation time for PFM contraction during the Valsalva maneuver (precontraction of PFM) was reduced in the PFME + 360° expanded diaphragm exercises group after treatment (P=.010). Conclusions: This study demonstrated that PFME combined with various diaphragm exercises improved urinary symptoms and PFM function in women with SUI. Specifically, PFME with 360° expansion diaphragm exercises reduced the initiation time of PFM contraction during Valsalva. This approach may enhance PFME effectiveness in women with impaired precontraction ability. As this study focused only on women, future research should explore the efficacy of similar interventions in sex-diverse populations. © 2025 American Congress of Rehabilitation Medicine
The Relationship between Early Feeding Skills and General Movements of Preterm Infants in the Neonatal Intensive Care Unit
(Turkish J Pediatrics, 2026) Olgun, Tansu Birinci; Dilek, Mustafa; Yesilyurt, Seda Yakit; Tas, Seda Ayaz; Tezcan, Sezen
Background. Early feeding skills and general movements (GMs) are negatively affected by hypotonia due to prematurity. Interventions for feeding skills can be guided by understanding the relationship between feeding skills and GMs. In the light of this, the study focused on understanding the relationship between early feeding skills and preterm infants' GMs in the neonatal intensive care unit (NICU). Methods. Participants in this cross-sectional study were forty infants with a postmenstrual age of 34-37 weeks who were hospitalized in the NICU at Abantİzzet Baysal University Training and Research Hospital. The data consisted of demographic characteristics (birth weight, gestational age, date of birth, age, and sex), feeding skills, assessed with the Early Feeding Skills Assessment Tool, and GMs, assessed with the General Movement Assessment. Results. A strong correlation was found between the Oral-Motor Function subscale of the Early Feeding Skills Assessment Tool and the Upper Limbs subscale of the General Movements Motor Optimality Score (rho=0.74, p=0.001). Among the demographic characteristics, only maternal age was associated with feeding skills. A weak correlation was determined between the Physiologic Stability subscale of the Early Feeding Skills Assessment Tool and maternal age (rho=0.34 p=0.03). Conclusions. This study reveals the relationship between feeding skills and general movement of preterm infants at NICU. GMs of upper extremity were found to positively affect feeding skills. This process may be accelerated by interventions to improve the GMs of upper extremity during the transition to oral feeding.
Turkish Validity and Reliability of PRAFAB Questionnaire: A Validation Study
(Bayrakol Medical Publisher, 2026) Ipekten, Funda; Berghmans, Bary; Ozengin, Nuriye; Yesilyurt, Seda Yakit; Yildiz, Elif Duygu; Cankaya, Hatice
Aim: PRAFAB-Questionnaire is a short, responsive, and practical tool that assesses subjective severity and the impact of urinary incontinence (UI). The aim of this study was to conduct a Turkish adaptation, validity and reliability of the PRAFAB-Questionnaire. Methods: A total of 55 women with stress and mixed UI complaints were included in the study. The English version of the questionnaire was translated into Turkish. Explanatory and confirmatory factor analysis, concurrent validity (with Incontinence Severity Index (ISI) and Visual Analogue Scale (VAS) for body/selfimage) and face validity were conducted for validity. Women were asked to refill the questionnaire after one week. Test-retest results and Cronbach's alpha coefficient were calculated for reliability analysis. Results: Explanatory factor analysis revealed that the questionnaire had only one factor, and confirmatory factor analysis confirmed this single factor. There was a moderate positive correlation between PRAFAB-Questionnaire and VAS scores (r = 0.690, p < .001). There was a strong positive correlation between PRAFAB-Questionnaire and ISI (r = 0.741, p < .001). PRAFAB also had face validity. Reliability between PRAFAB-Questionnaire items and total score was good to excellent (ICC: 0.807-0.925). Cronbach's alpha coefficient was 0.720. Conclusion: Turkish version of PRAFAB-Questionnaire has been shown valid and reliable. The responsiveness of the questionnaire needs to be evaluated for different types of UI for further studies.