Yakıt Yeşilyurt, Seda

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Yesilyurt, Seda Yakit
Yakıt Yeşilyurt, S.
Yakıt Yesilyurt, Seda
Yakit Yesilyurt, Seda
Yeşilyurt, Seda Yakıt
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seda.yesilyurt@ieu.edu.tr
sedayakit01@gmail.com
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07.03. Physiotherapy and Rehabilitation
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JournalCount
International Urogynecology Journal3
Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi1
Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi1
International Journal of Gynecology & Obstetrics1
Internatıonal Urogynecology Journal1
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Scholarly Output Search Results

Now showing 1 - 10 of 13
  • Article
    Turkish Adaptation and Psychometric Evaluation of the Barriers to Incontinence Care-Seeking Questionnaire
    (Springer London Ltd, 2025) Yesilyurt, Seda Yakit; Hekimoglu, Hanife Busra; Goksuluk, Merve Basol; Gonzalez, Patricia Brihuega; Cankaya, Hatice; Ozengin, Nuriye
    Introduction and HypothesisThis study was aimed at adapting, validating, and assessing the reliability of the Turkish version of the "Barriers to Incontinence Care-Seeking Questionnaire" (BICS-Q).MethodsOne hundred and forty-eight Turkish women with mild to moderate urinary incontinence (UI) was assessed. The adaptation process was conducted in alignment with the COSMIN guidelines: forward-backward translation, expert review, cultural adaptation, and a pilot study. For construct validity, items from the study by El-Azab and Shaaban, which measure barriers to seeking care for incontinence, were adapted to this self-reported questionnaire (BICS-Q), and their associations with the total score as well as the subscale scores of the questionnaire were evaluated. Cronbach's alpha was used for internal consistency, and the intraclass correlation (ICC) coefficient was estimated for test-retest reliability.ResultsThe psychometric analyses indicated that the Turkish BICS-Q has high internal consistency (Cronbach's alpha = 0.846) and test-retest reliability (ICC = 0.854). Item analysis revealed that each item was significantly correlated with the total score, thereby confirming construct validity. It was also found that embarrassment, financial concerns, and low expectations from medical consultation were ranked as the most important barriers to treatment.ConclusionsThis study demonstrated the applicability of the Turkish BICS-Q for both research and clinical purposes, emphasizing its role in identifying health care inequalities and guiding policy improvements for women with UI. The present validation study provides evidence that the Turkish BICS-Q is an appropriate tool for assessing barriers to incontinence care seeking that can be used to further research and interventions toward overcoming the barriers in Turkey.
  • Article
    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
    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.
  • 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) 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
    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
    Ankilozan Spondilitli Bireylerde Hangi Solunum Eğitimi Daha Etkilidir: 360-Derece Ekspanse Diyafram Egzersizleri Mi, Standart Diyafram Egzersizleri Mi? Randomize Kontrollü Çalışma
    (2025) 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
    Function, Pain and Dynamic Balance Before and After Kinesio Taping in Older Women With Knee Osteoarthritis: a Pilot Study
    (2022) Hantal, Sule Badıllı; Yeşilyurt, Seda Yakıt; Birinci, Tansu
    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.
  • Article
    Citation - WoS: 5
    Citation - Scopus: 6
    Comparing the Efficacy of the Knack Maneuver on Pelvic Floor Muscle Function and Urinary Symptoms Using Different Teaching Methods: a Prospective, Nonrandomized Study
    (Springer London Ltd, 2022) Yakıt Yeşilyurt, Seda; Ozengin, Nuriye; Topcuoglu, M. Ata
    Introduction and hypothesis This study was aimed at comparing the efficacy of Knack maneuver training taught using different techniques on pelvic floor muscle (PFM) function, urinary symptoms, and perception of improvement in women with stress urinary incontinence (SUI). Methods We conducted a prospective nonrandomized study of 46 women with SUI. Assessments included: PFM functions (secondary outcome, SO) using a Myomed 932 EMG biofeedback device, urinary incontinence symptoms using the International Consultation on Incontinence Questionnaire Urinary Incontinence-Short Form (ICIQ-SF; primary outcome), the Urogenital Distress Inventory-6 (UDI-6; SO), and the Incontinence Severity Index (ISI; SO), and perception of improvement using the Global Perceived Impact scale. The women were divided into three groups according to their preference: group 1 (Knack maneuver training with electromyography biofeedback), group 2 (Knack maneuver training with verbal instruction), and group 3 (Knack maneuver training with vaginal palpation). An education program was also given to all women individually. The training program was 1 day per week for 4 weeks. Results There was an improvement in UDI-6, ICIQ-SF, and ISI scores in all groups (p<0.05). The maximum voluntary contraction (MVC) of the PFMs increased in group 2 (p=0.002), whereas both the MVC of PFMs and PFM contraction during Valsalva increased in group 3 (p=0.011 and p=0.042). Conclusions Regardless of the teaching methods, the Knack maneuver and education programs were effective on urinary symptoms in women with mild to moderate SUI. The Knack maneuver training with vaginal palpation and verbal instruction improved MVC of PFMs. All three different teaching methods might be used in SUI treatment programs.
  • Article
    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.
    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
  • Article
    Predictors of Gross Motor Function Level in Spastic Type Cerebral Palsy: a Retrospective Study
    (Turkey Assoc Physiotherapists, 2024) Ayaz Tas, Seda; Yakıt Yeşilyurt, Seda; Birinci Olgun, Tansu; Danis, Aysegul
    Purpose: 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
    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
    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.