Yazar "Bazancir, Zilan" seçeneğine göre listele
Listeleniyor 1 - 5 / 5
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Cross-cultural adaptation and validation of the Turkish Yellow Flag Questionnaire in patients with chronic musculoskeletal pain(Korean Pain Soc, 2021) Koc, Meltem; Bazancir, Zilan; Apaydin, Hakan; Talu, Burcu; Bayar, KilichanBackground: Yellow flags are psychosocial factors shown to be indicative of long-term chronicity and disability. The purpose of the study was to evaluate the psychometric properties of the Turkish Yellow Flag Questionnaire (YFQ) in patients with chronic musculoskeletal pain (CMP). Methods: The cross-cultural adaptation was conducted with translation and back-translation of the original version. Reliability (internal consistency and test-retest) was examined for 231 patients with CMP. Construct validity was assessed by correlating the YFQ with the Hospital Anxiety and Depression Scale (HADS), Orebro Musculoskeletal Pain Questionnaire (OMPQ), and Tampa Kinesiophobia Scale (TKS). Factorial validity was examined with both exploratory and confirmatory factorial analysis. Results: The YFQ showed excellent test/retest reliability with an Intraclass correlation coefficient of 0.82. The internal consistency was moderate (Cronbach's alpha of 0.797). As a result of the exploratory factor analysis, there were 7 domains compatible with the original version. As a result of confirmatory factor analysis, the seven-factor structure of YFQ was confirmed. There was a statistically significant correlation between YFQ-total score and OMPQ (r = 0.57, P < 0.001), HADS-anxiety (r = 0.32, P < 0.001), HADS-depression (r = 0.44, P < 0.001), and TKS (r = 0.37, P < 0.001). Conclusions: This study's results provide considerable evidence that the Turkish version of the YFQ has appropriate psychometric properties, including test-retest reliability, internal consistency, construct validity and factorial validity. It can be used for evaluating psychosocial impact in patients with CMP.Öğe The effect of different ankle and knee supports on balance in early ambulation of post-stroke hemiplegic patients(Springer-Verlag Italia Srl, 2017) Talu, Burcu; Bazancir, ZilanThe purpose of this study was to compare the effects of different ankle and knee supports on balance in early ambulation of post-stroke hemiplegic patients. This is a randomized experimental study. The study sample included 20 hemiplegic patients who were able to stand with support and who had been diagnosed with a cerebrovascular accident within the last month. A knee immobilization brace (KIB) was first placed on each individual (first application), followed by placement of knee immobilizer brace and Foot Lifter Orthosis A (R) (FLO) (second application), and lastly, placement of KIB and rigid taping (RT) (third application). The balance parameters of the patients were evaluated using the Korebalance system. The mean age of the patients was 65.1 +/- 4.7 years, and the mean number of days that had passed since stroke occurred was 14.6 +/- 4.97. In calculating the front/left balance scores of the applications, statistically significant differences were observed in the comparisons of all three supports and first-second applications performed (p = 0.041 and p = 0.021, respectively). Regarding the total scores between the applications, statistically significant differences were determined in balance in the comparisons on all three supports, in comparisons between the first and second applications, and in the comparisons between the second and third applications (p = 0.004, p = 0.007, and p = 0.001, respectively). Based on the findings from this study, it is recommended that the use of a knee immobilizer brace in combination with a foot lifter orthosis for post-stroke hemiplegic patients in early ambulation can lead to considerably improved standing balance.Öğe Injection Therapy in Patients with Lateral Epicondylalgia: Hyaluronic Acid or Dextrose Prolotherapy? A Single-Blind, Randomized Clinical Trial(Mary Ann Liebert, Inc, 2020) Apaydin, Hakan; Bazancir, Zilan; Altay, ZuhalObjective:To compare the effects of hyaluronic acid (HA) and dextrose prolotherapy (DPT) injections in patients with chronic lateral epicondylalgia (LE). Materials and Methods:Thirty-two patients with at least 6 months of signs and symptoms of LE were randomly allocated into two groups: an HA group (n = 16) and a DPT group (n = 16). HA injection was performed as a single dose of 30 mg/2 mL 1500 kDa high-molecular-weight preparation (baseline). DPT injection was administered with 15% dextrose solution in three doses (baseline, third week, and sixth week). Severity of pain using the visual analog scale score, grip strength with a hand dynamometer, and physical function as determined by the Quick-Disabilities of the Arm, Shoulder, and Hand (Q-DASH) score were determined. Results:DPT was favored over HA for improvements from 0 to 12 weeks for pain with activity (4.81 +/- 1.2 vs. 3.18 +/- 2.3;p = 0.04), pain at night (5.1 +/- 1.9 vs. 4.1 +/- 2.2;p = 0.03), and pain at rest (3.8 +/- 2.09 vs. 2.7 +/- 1.7;p = 0.04). Q-DASH scores improved significantly more from 0 to 12 weeks in the DPT group (43.5 +/- 17.6 vs. 28.4 +/- 13.4;p = 0.04). No between-group improvement was observed for grip pain (7.3 +/- 6.4 vs. 4.8 +/- 3.2;p = 0.38). Conclusions:HA and DPT injections were both effective in reducing pain and increasing grip strength and function in patients with chronic LE. DPT injection was more effective in the short term than HA injection, in terms of pain relief and functional outcome. The study was registered atClinicalTrials.govunder the identifier number NCT04395417.Öğe Postoperative rehabilitation versus early mobilization following scoliosis surgery: A single-blind randomized clinical trial(Elsevier, 2023) Bazancir, Zilan; Talu, Burcu; Korkmaz, Mehmet FatihBackground: To compare the effect of five days of intensive postoperative rehabilitation and early mobilization following scoliosis surgery.Methods: Forty adolescent patients who had undergone scoliosis surgery were randomly allocated into a rehabilitation group (RG, n = 20) and a mobilization group (MG, n = 20). The RG received five days of intensive exercise program and early ambulation, the MG received five days of a standard gait training and early ambulation. The patients were evaluated for severity of pain using a visual analog scale, thorax mobility with the thoracic mobility index, balance with the functional reach test, walking distance with the 2-min walk test, and quality of life with the Scoliosis Research Society-22 questionnaire. The length of hospital stay was recorded.Results: The RG was favored over the MG for improvements from 0 to 1 week for pain. Improvements from 0 to 1 week were significantly better in the RG than the MG group for thorax mobility, balance, and walking distance. Quality of life scores improvements from 0 to 1 week were significantly better in the RG group than in the MG group. The length of hospital stay was significantly shorter in the RG group. Conclusion: Five days of intensive postoperative rehabilitation were superior to early mobilization in reducing the length of hospital stay, and in improving physical and functional outcomes following scoliosis surgery.(c) 2021 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.Öğe Skolyoz cerrahisi sonrası erken dönem rehabilitasyonun fiziksel parametreler ile ağrı ve yaşam kalitesi üzerine etkisi(İnönü Üniversitesi, 2018) Bazancir, ZilanAmaç: Bu çalışma, skolyoz cerrahisi sonrası erken dönem rehabilitasyonun fiziksel parametreler ile ağrı ve yaşam kalitesi üzerine etkisini değerlendirmek amacıyla planlandı. Gereç ve Yöntem: Çalışmaya Turgut Özal Tıp Merkezinde posterior enstrümantasyon ve füzyon cerrahisi uygulanan 12-18 yaş aralığında 50 skolyozlu (30 deney grubu ve 20 kontrol grubu) birey dahil edildi. Tüm bireylerin cerrahi sonrası demografik bilgileri alındıktan sonra, fiziksel parametreler (esneklik, göğüs mobilite, endurans, aerobik ve anaerobik kapasite, gövde dengesi, performans), ağrı ve yaşam kalitesi değerlendirildi. Deney grubuna taburculuk süresine kadar her gün fizyoterapist gözetiminde egzersiz programı uygulandı. Kontrol grubuna ise taburculuk süresine kadar, günde en az 3 defa 5 dakika yürümesi istendi. Taburculuk sonrası bireylere tüm değerlendirmeler tekrarlandı. Bulgular: Araştırmaya yaş ortalaması 15.16±1.86 olan 28 kadın 22 erkek toplam 50 birey katıldı. Gruplar arasında tedavi öncesi ve tedavi sonrası parametreler karşılaştırıldığında, her iki grupta da fiziksel parametrelerde artışların olduğu, ağrının azaldığı ve yaşam kalitesinin geliştiği belirlenirken, rehabilitasyon uygulanan grupta bu gelişmelerin istatistiksel anlamlı olarak daha fazla olduğu bulundu. Sonuç: Skolyoz cerrahisi sonrası erken dönem rehabilitasyonun bireylerin esnekliğinin arttırılmasında, göğüs mobilitesinin geliştirimesinde, endurans, performans, aerobik ve anaerobik kapasitenin iyileştirilmesinde, ağrının azaltılmasında, yaşam kalitesinin geliştirilmesinde ve taburculuk süresinin azaltılmasında etkili olduğu bulundu. Çalışmamızın skolyoz cerrahisi sonrası erken rehabilitasyonun öneminin anlaşılması ve yaygınlaşması konusunda, bu alanda yapılan ilk çalışma olarak literatüre önemli katkılar sağlayacağını düşünmekteyiz. Anahtar Kelimeler: Skolyoz, surgery, rehabilitation, ağrı, yaşam kalitesi
