TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection

Permanent URI for this collectionhttps://hdl.handle.net/20.500.14365/4

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  • Article
    Ankilozan Spondilitli Bireylerde Hangi Solunum Eğitimi Daha Etkilidir: 360-Derece Ekspanse Diyafram Egzersizleri Mi, Standart Diyafram Egzersizleri Mi? Randomize Kontrollü Çalışma
    (2025-09-30) Urak, Özkan; Sari, Ismail; Gurpinar, Baris; Yeşilyurt, Seda Yakıt
    Amaç: Solunum komplikasyonları genellikle asemptomatik olsa da Ankilozan Spondilit (AS) hastalarında önemli bir morbidite ve mortalite nedenidir. Egzersizin AS yönetimindeki kanıtlanmış faydalarına rağmen, geleneksel diyafram nefesi ile göğüs kafesinin tamamını hedefleyen çok boyutlu, yenilikçi yaklaşımların karşılaştırıldığı sınırlı sayıda çalışma bulunmaktadır. Bu çalışma, standart diyafram nefesi ile sensör destekli 360 derece ekspanse diyafram nefesi egzersizlerinin solunum fonksiyonu, hastalık aktivitesi ve fiziksel kapasite üzerindeki etkilerini değerlendirerek bu boşluğu doldurmayı amaçlamıştır. Gereç ve Yöntem: AS tanısı almış 50 birey, standart diyafram nefesi grubu (DG) veya 360 derece ekspanse diyafram nefesi grubu (360DG) olmak üzere rastgele iki gruba ayrılmıştır. Her iki gruba da altı hafta boyunca haftada iki kez denetimli egzersiz uygulanmıştır. Değerlendirilen sonuçlar arasında solunum fonksiyon testleri, maksimal inspiratuvar ve ekspiratuvar basınçlar (MIP/MEP) ve AS’ye özgü indeksler yer almıştır. Bulgular: Her iki grupta da işlevsel indeksler ve solunum parametrelerinde anlamlı iyileşmeler gözlemlenmiş, ancak gruplar arası farklar istatistiksel olarak anlamlı bulunmamıştır (p>0,05). Özellikle, DG grubunda FEV1/FVC oranında anlamlı bir artış (p = 0,017), 360DG grubunda ise FVC değerinde anlamlı bir artış (p = 0,007) saptanmıştır. Solunum kas gücü (MIP ve MEP) her iki grupta da anlamlı şekilde artmıştır (p<0,05). Sonuç: Bu randomize kontrollü çalışma, AS’de 360 derece ekspanse diyafram nefesi egzersizlerini değerlendiren ilk çalışmalardan biridir. Bulgular hem standart hem de sensör destekli nefes egzersizlerinin solunum ve fonksiyonel sonuçları iyileştirmede güvenli ve etkili olduğunu göstermektedir. Bu sonuçlar, fizyoterapistler ve klinisyenler için kişiye özel solunum eğitiminin AS rehabilitasyon programlarına entegre edilmesinin klinik önemini vurgulamakta ve hasta bakımını geliştirmek için esnek, kanıta dayalı stratejiler sunmaktadır.
  • Article
    Self-Reported Urinary Incontinence Prevalence in Women with Versus Without Regular Structured Exercise: A Cross-Sectional Study
    (Dokuz Eylül University Institute of Health Sciences, 2025-09-30) Goksuluk, Merve Basol; Yeşilyurt, Seda Yakıt; Olgun, Başak; Civelek, Buket; Erak, İlknur; Gürbüzer, Ezgi
    Purpose: The aim of this study was to compare urinary incontinence (UI) between women with and without regular structured exercise habits. Material and Methods: A total of 184 women, including 92 with regular and structured exercise habits and 92 without, were included in this study conducted between May and December 2024. Reported UI (Global Pelvic Floor Bother Questionnaire), symptoms, and impact on quality of life (Incontinence Severity Index, International Consultation on Incontinence Questionnaire-Short Form) were assessed in all women. This study was conducted following the STROBE guidelines. Results: The prevalence of stress urinary incontinence (SUI), a subtype of UI, was significantly higher in women without structured exercise habits (p=0.018). The average duration of exercise among women with regular exercise habits was 24 months (range 6–240), and 85% practiced Pilates. In addition, women with structured exercise habits had higher education levels (p<0.001), and a large proportion were employed as civil servants and retirees (p<0.001 and p=0.002, respectively). Conclusion: Women who engage in regular and structured exercise have a lower prevalence of SUI. Women with exercise habits tend to have higher education and socioeconomic levels, and the impact of incontinence on quality of life is less severe.
  • Article
    Investigation of Pelvic Floor Knowledge, Awareness and Healthcare Seeking in Women With Urinary Incontinence: a Cross-Sectional Study
    (2024) Yakıt Yeşilyurt, Seda; Yıldız, Elif Duygu; İnal, Büşra; Ayaz Taş, Seda; Çankaya, Hatice; Başol Göksülük, Merve; Özengin, Nuriye; Goksuluk, Merve Basol; Yeşilyurt, Seda Yakıt; Duygu-yildiz, Elif; Taş, Seda Ayaz
    Aim: Healthcare seeking by women with urinary incontinence is affected by many factors. However, the effect of pelvic floor awareness and knowledge on seeking health care is not clear. We aimed to investigate the relationship between pelvic floor awareness, urinary incontinence (UI) and pelvic floor knowledge levels and healthcare seeking in women with incontinence. Methods: A total of 178 women, 96 incontinent and 82 continent, were included in the study. The presence of UI was evaluated with Incontinence Questionnaires (3IQ), incontinence knowledge level with the Prolapse and Incontinence Knowledge Questionnaire (PIKQ-UI), and pelvic floor knowledge with the Pelvic Floor Health Knowledge Quiz (PFHKQ). Pelvic floor awareness and treatment seeking were measured with open-ended questions compiled from the literature. The Mann Whitney U, Chi-square and Kruskal Wallis tests were used. A value of p<0.05 was considered statistically significant. Results: There were significant differences between the PIKQ-UI scores of incontinent women who answered yes or no to questions about pelvic floor awareness (p<.05) and seeking health care (p=0.039). The PIKQ-UI scores of incontinent women were scores (p>0.05). A difference was observed in the purpose of seeking information about the pelvic floor between women with and without incontinence (p=0.002). Conclusions: The knowledge level of incontinent women with pelvic floor awareness and who seek health care was higher than that of incontinent women without pelvic floor awareness and who do not seek health care. Pelvic floor awareness in incontinent women may contribute to healthcare seeking and increase the level of knowledge about incontinence and pelvic floor. higher than those of continent women (p=0.033). Incontinent and continent women had similar PFHKQ
  • Article
    Function, Pain and Dynamic Balance Before and After Kinesio Taping in Older Women With Knee Osteoarthritis: a Pilot Study
    (2022-06-30) Hantal, Sule Badıllı; Yeşilyurt, Seda Yakıt; Birinci, Tansu; Badilli, Feyza Sule
    Objective: The study aim to establish the effect of single-session Kinesio Taping (KT) application upon the function, pain, and dynamic balance in older women with knee osteoarthritis (OA). Materials and Methods: Thirty-women with unilateral knee (OA) were included. A single-session KT intervention was applied to the quadriceps-femoris and hamstrings muscles. All assessments were performed three times, before Kinesio taping, 30 minutes and 48 hours after taping. Functional level and pain were evaluated with the Knee Injury and Osteoarthritis Outcome Score (KOOS), and the dynamic balance was evaluated with the libra-computerized balance device. Results: Symptoms (p=0.001), pain (p=0.001), function-daily life (p=0.001), quality of life (p=0.01) subscale scores of KOOS and bipedal (p=0.005) and affected side (p=0.002) dynamic balance results showed statistically significant improvements among the three time points. Conclusion: A single session Kinesio taping application provided a statistically significant improvement and a short-term positive effect, which did not cause clinically significant changes in the function, pain and dynamic balances of elderly women with unilateral knee osteoarthritis.