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 Otizmli Bireylerde Mensturasyon Özellikleri, Ağrı ve Genital Hijyen Davranışları: Ön Çalışma(2025-09-25) Taş, Seda Ayaz; Yeşilyurt, Seda Yakıt; Mecit, Zehra; Mert, Eda; Yıldız, SemihOtizm Spektrum Bozukluğu (OSB) olan kadınların otizme bağlı olarak yaşadıkları somatik şikayetler gibi zorluklar, menstrüel döngüden etkilenebilir. OSB'li kadınların menstrüasyon ağrısı, genital hijyen davranışları ve menstrüel özelliklerini araştırmayı amaçladık. Bu kesitsel çalışmaya yaşları 12-35 arasında değişen 35 birey (16 OSB'li birey ve 19 sağlıklı kontrol) dahil edilmiştir. Çalışmaya dahil edilme kriterleri; deney grubu için ASD tanısı almış olması ve düzenli menstrule siklusu olması, kontrol grubu için düzenli menstrule siklusu olmasıydı. Değerlendirmede motor fonksiyonlar Kaba Motor Fonksiyon Sınıflandırma Sistemi ile, ağrı Görsel Analog Skala ile, menstrüel semptomlar Menstrüel Semptom Anketi (MSQ) ile genital hijyen davranışları Genital Hijyen Davranış Ölçeği (GHBS) ile sınıflandırılmıştır. Kategorik değişkenler açısından fark olup olmadığını belirlemek için ki-kare testi, iki bağımsız grubu karşılaştırmak için t testi kullanıldı. GHBS ve MSQ toplam ve alt ölçek puanlarında gruplar arasında anlamlı bir fark yoktur (p>0.05). Sonuç olarak, OSB'li kadınlar ile sağlıklı kadınlar arasında adet dönemlerindeki ağrı, hijyen ve genel özellikler açısından benzer olduğu saptandı. OSB'li kadınların menstrüasyon dönemindeki somatik şikayetleri ve ağrıyı tanımlama becerileri azalmış olabilir. Sonuç olarak, bu durum OSB'li bireylerin ve ebeveynlerinin menstrüasyon sırasında yaşanan fiziksel şikayetleri diğer zamanlarda yaşanan fiziksel şikayetlerden ayırt edememesinden ya da alternatif olarak bu şikayetlerin göz ardı edilmesinden kaynaklanıyor olabilir.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 YakıtAmaç: 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, EzgiPurpose: 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 Cross-Cultural Adaptation and Validation of the Turkish Version of the 25-Question Geriatric Locomotive Function Scale(Turkish Geriatrics Soc, 2025) İlçin, Nursen; Tuna, Hülya; Gurpinar, BarisIntroduction: Locomotive syndrome, characterized by gait disorders, loss of balance, and cognitive difficulties, significantly impacts older adults by increasing morbidity and reducing independence. This study aimed to adapt the 25-item Geriatric Locomotive Function Scale into Turkish and evaluate its validity and reliability. Materials and Method: The translation process involved forward and backward translations by bilingual experts to ensure linguistic and conceptual equivalence with the original scale. A total of 250 individuals aged ≥65 years participated, completing the Turkish version of the scale alongside functional mobility tests; the timed up-and-go, five repetitions of sit-to-stand, two-step, and standing tests. Participants repeated the scale 1 week after the initial evaluation to assess the test–retest reliability. Results: The internal consistency of the Turkish version was excellent (Cronbach’s alpha = 0.952). Test–retest reliability, assessed 1 week apart, yielded an intraclass correlation coefficient of 0.974, indicating excellent reliability. Concurrent validity was examined by correlating scale scores with functional test results. Significant correlations were observed (p < 0.001), with Pearson’s correlation coefficients of 0.472 for timed up-and-go, 0.504 for five repetitions of sit-to-stand, -0.871 for the two-step test, and -0.518 for the standing test. These findings demonstrate that the Turkish version is a valid and reliable tool for assessing mobility impairment and functional limitation in older adults. Conclusion: The adaptation and validation of the 25-item Geriatric Locomotive Function Scale into Turkish provide a comprehensive measure for evaluating and monitoring locomotor function, supporting early detection and intervention in this population.Article Predictors of Gross Motor Function Level in Spastic Type Cerebral Palsy: a Retrospective Study(Turkey Assoc Physiotherapists, 2024-12-23) Ayaz Tas, Seda; Yakıt Yeşilyurt, Seda; Birinci Olgun, Tansu; Danis, Aysegul; Olgun, Tansu BİRİNCİ; Yeşi̇Lyurt, Seda YAKIT; Yakit Yebilyurt, Seda; Taş, Seda AYAZ; Birinci, TansuPurpose: This study was conducted to identify the determinants of gross motor function in patients with spastic-type Cerebral Palsy (CP) who received physiotherapy from a single center for two years. Methods: One hundred and eight children with spastic-type CP (mean age: 6.43 +/- 4.83 years) were evaluated twice, before and after the two-year physiotherapy. The outcomes were the Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), Communication Function Classification System (CFCS), and Eating and Drinking Ability Classification System (EDACS). Binary logistic regression analysis was used to determine whether factors such as age, sex, topographical distribution, and levels of GMFCS, MACS, CFCS, and EDACS could predict the improvement in GMFCS level after the two-year physiotherapy. Results: The odds ratio of improvement in GMFCS level was found to vary significantly with the topographical distribution, CFCS level, and EDACS level (p<0.05). Compared to the children with CFCS Level I, children with CFCS Level II, Level III, and Level IV were 0.001, 0.005, and 0.006 times less likely to improve in GMFCS level, respectively. Similarly, children with EDACS Level III and Level IV were respectively 1.605 and 1.548 times less likely to improve in GMFCS level compared to those with Level I. Conclusion: CFCS and EDACS were significant predictors of gross motor function level in spastic- type CP. Healthcare professionals can use CFCS and EDACS to predict the progression of gross motor function levels, thereby providing more appropriate interventions and more realistic predictions.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 AyazAim: 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 PFHKQArticle Citation - WoS: 1Practices of Physiotherapists on the Risk of Falls and Prevention in Clients Aged 65 and Older: Online Survey Results(Dokuz eylul univ inst health sciences, 2024-01-31) Tuna, Hülya; Gurpınar, Barış; İlçin, NursenPurpose: Physiotherapists frequently interact with elderly clients. We aimed to determine the physiotherapists' practices for fall risk and prevention in clients at 65 years and older. Material and Methods: Seventy-two physiotherapists responded to online survey including questions about demographic and professional characteristics, the awareness and practices of physiotherapists on falling and preventing falls. Results: Ninety-one point seven percent of physiotherapists reported that fall risk should be determined in all clients at 65 years and older. Thirty point six percent of them stated that they evaluated the risk of falling in case of necessity, 83.3% stated that they did not use a standard assessment-treatment flow chart for risk of falling. In elderly clients with low or no risk of falling, 8.1% of physiotherapists; In elderly clients with high risk of falling 83.3% of physiotherapist applied a preventive physiotherapy approach to prevent falls. The rate of physiotherapists who provide education and advice on fall prevention to elderly clients with low or no fall risk is 67.9%, while 73.5% prefer assistive device reclamation in elderly clients with a high risk of falling. Conclusion: Interventions should be planned to improve fall risk awareness and practices among physiotherapists by following a standard assessment-treatment flow chart for their clients 65 years and older.