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 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 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.Article Investigation of the Relationship Between Lumbar Spine Mri Findings and Pain in Patients Who Received and Did Not Receive Parkinson's Treatment(2023-07-03) Issı, Zeynep; Eren, Fatma Ayşen; Gürsoy Çirkinoğlu, Gözde; Beyaz, Serbülent Gökhan; Tuncer, Zeynep; Gürsoy, GözdeObjectives: Parkinson's disease is a chronic, progressive neurodegenerative disorder. Pain is a common symptom in Parkinson's disease, but the prevalence, characteristics, and documentation of its relationship with Parkinson's disease are insufficient. In this study, it was aimed to evaluate the relationship between lumbar spine magnetic resonance imaging (MRI) findings in patients who received and did not receive Parkinson's treatment. Methods: The demographic characteristics of patients with diagnosed Parkinson's disease were retrospectively obtained from the records. Their pain was grouped and the Hoehn Yahr stage at the first examination, and the interventional treatments performed were recorded. MRI measurements were made in the axial plane and sagittal plane of the spinal canal, whereas Ligamentum flavum measurements were made on both the right and left sides. Results: Twenty-six patients were included in the study. The average age was 73.5. Notably, 57.7% of patients were not diagnosed with Parkinson's disease prior to admission, while the Hoehn Yahr stage mostly comprised Stage 2 with 53.8%. Additionally, low back, waist, and hip pain was observed in 84.6% (n = 22), whereas 61.5% (n = 16) of patients experienced radicular pain. Epidural injections accounted for 33.2%. On lumbar MRI, the most narrow spinal segment on axial measurement was shown to be L4-L5. The axial spinal canal measurement of the Hoehn Yahr 1 group was observed to be significantly lower than the Hoehn Yahr 2 group. Conclusions: Optimal management for lumbar pain that increases with age is currently inadequate. There is a need to conduct larger studies on pain complaints, which is one of the frequently experienced non-motor symptoms in Parkinson's disease, as well as the interventional methods applied.Article Citation - WoS: 5Citation - Scopus: 5The Effects of Playing Digital Games on Children's Pain, Fear, and Anxiety Levels During Suturing: a Randomized Controlled Study(Wolters Kluwer Medknow Publications, 2023-07) Kavlakcı, Muhammet; Öğce, Filiz; Yavan, TulayOBJECTIVE: The aim was to determine the effects of digital game play on children's pain, fear, and anxiety levels during suturing. METHODS: Data were obtained from 84 children between the ages of 8 and 17 years at the pediatric emergency department between January 16 and March 19, 2020, using the Socio-Demographic and Clinical Characteristics Form, the Wong-Baker Faces Pain Rating Scale (WBFPS), the Visual Analogue Scale (VAS), the Fear of Medical Procedures Scale (FMPS), and the State-Trait Anxiety Inventory for Children (STAI-CH). A four-block randomization system was used. The study group (n = 42) played digital games during the suturing procedure, unlike the control group (n = 42). Ethical permissions were obtained from the ethical committee, hospital, and families. RESULTS: Before the suturing procedure, there was no statistically significant difference between the groups' mean scores. The intervention group was found to have statistically significantly lower WBFPS and VAS pain scores than the control group during the suturing procedure, and after the procedure, statistically significantly lower WBFPS, VAS, FMPS, and STAI-CH mean scores than the control group. CONCLUSIONS: The digital game-playing approach applied before and during the suture procedure was found to be effective in reducing children's pain, fear, and anxiety levels.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 SuleObjective: 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.