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Öğe Fall related self efficacy: A significant barrier for physical activity in ambulatory multiple sclerosis patients(2019) Fil Balkan, Ayla; Salci, YelizAim: Increasing the level of physical activity in multiple sclerosis (MS) patients is very important to cope with the symptoms associated with disease. The aim of this study was to analyze the psychosocial and physical barriers related to physical activities in MS patients.Material and Methods: Fifty four MS patients who were able to walk at least 100 meters without walking aids were enrolled in this study. The patients were evaluated for their level of physical activity, walking distance, severity of pain and fatigue, fall related self-efficacy and their level of social support.Results: There were no correlation was found between the level of physical activity and the negative symptoms of pain and fatigue (rho: 0.-256 p: 0.06- rho: -0.218 p: 0.112 respectively). While the correlation of the level of physical activity with the level of ambulation was low, that of the fall related self-efficacy was found to be moderate (rho: -0.590, p=0.000). Additionally, no correlation was found with the level of social support (rho: -0.185, p=0.181). Conclusion: Pain and fatigue alone do not effect physical activity level in MS patients. However, fall related self-efficacy is a significant predictor of physical activity. It should not be ignored in programs aimed towards increasing physical activity.Öğe Investigating the dynamic loading pattern of the foot in sedentary healthy adolescent(2020) Fil Balkan, Ayla; Keklicek, Hilal; Salcı, Yeliz; Akyol, BetülAbstract: Aim: The aims of this study were to define the dynamic loading pattern of the foot in healthy adolescents and to investigate the differences between boys and girls. Material and Methods: n = 89 adolescents (n = 42 girls, n = 47 males) using right hand-preferred and have normal body mass index (18.5- 24.9 kg/m2) were included in the study. Dynamic foot pressure analysis was used to determine the foot dynamical load patterns of the participants. The results were compared by considering be male or female factor and right-left foot dynamic loading pattern. Results: In the comparison between the groups, it was seen that the contact percentages and active contact areas of the different regions of the feet were different in boys and girls (p <0.05). When the right-left foot load patterns were compared, it was seen that the load transfer in the right foot progressed to the anterior medial and the left foot showed a delay in the load transfer processes (p <0.05). Conclusion: Boys walked with a wider contact percentage in the left foot and wider metatarsal and heel active contact areas in both feet than in girls. Furthermore, on the preferred side (right) the load transfer is positioned on the anterior medial of the foot, while the main difference in the other foot is due to the delay in reaching the maximum pressure.Öğe Investigating the dynamic loading pattern of the foot in sedentary healthy adolescent(2020) Fil Balkan, Ayla; Keklicek, Hilal; Salci, Yeliz; Akyol, BetulAim: The aims of this study were to define the dynamic loading pattern of the foot in healthy adolescents and to investigate the differences between boys and girls.Material and Methods: n = 89 adolescents (n = 42 girls, n = 47 males) using right hand-preferred and have normal body mass index (18.5- 24.9 kg/m2) were included in the study. Dynamic foot pressure analysis was used to determine the foot dynamical load patterns of the participants. The results were compared by considering be male or female factor and right-left foot dynamic loadingpattern.Results: In the comparison between the groups, it was seen that the contact percentages and active contact areas of the different regions of the feet were different in boys and girls (p 0.05). When the right-left foot load patterns were compared, it was seen that the load transfer in the right foot progressed to the anterior medial and the left foot showed a delay in the load transfer processes (p 0.05).Conclusion: Boys walked with a wider contact percentage in the left foot and wider metatarsal and heel active contact areas in both feet than in girls. Furthermore, on the preferred side (right) the load transfer is positioned on the anterior medial of the foot, while the main difference in the other foot is due to the delay in reaching the maximum pressure.