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    The effects of dry needling on respiratory parameters in a patient with medium severity
    (2019) Gokcek, Ozden; Huzmeli, Irem
    COPD is expected to be third leading cause of death by 2030. We aimed to investigate effectiveness of dry needling in a patient with medium severity COPD in addition to respiration and posture exercises in relation to respiratory capacity. Case report: Demographic information was gathered from patient along with his smoking history. Respiratory function, posture, muscle shortness, muscle strength, respiration, chest circumference, distance between thyroid cartilage and sternum, six-minute walking test were all recorded. Dyspnea was assessed according to modified Borg scale. Every two days, patient was given dry needling treatment and respiratory exercises, along with ten sessions of posture and stretching exercises. We found differences in FEV1/FVC values, saturation distance between thyroid and sternal notch, number of pushups and dyspnea. Patient complaints decreased. We believe further study is required to ascertain effectiveness of dry needling method for quality of life and respiratory problems in patients with COPD.
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    Evaluation of cardiorespiratory state in patients with cerebral palsy
    (2019) El, Cigdem; Huzmeli, Irem; Dogru Huzmeli, Esra; Duman, Fatma
    Aim: The objective of this study is to compare the cardiorespiratory state of individuals with hemiparetic cerebral palsy and healthy individuals. Material and Methods: The demographic information of 40 individuals were evaluated. Then their body mass index and frequency and duration of physiotherapy were questioned. Gross motor skill levels with the Gross Motor Classification System (GMCS), flexibility with the sit and reach test, cardiorespiratory endurance with the 6-minute walking test and independence in daily life activities with the WeeFIM survey were evaluated. Oxygen saturation, respiration frequency and heart rate were recorded before and after evaluation. Results: 20 individuals with hemiparetic cerebral palsy (%55 female, %45 male) (with an age average of 9.7± 1.94) and 20 individuals as the control group (%65 female, %35 male) (with an age average of 9.1± 1.83) were included in the study. According to the sixminute test analysis, no important variety was observed between the two groups in terms with regard oxygen saturation, respiration frequency and heart rate parameters prior to and after the test (p>0.05). A statistically significant difference was observed between the patient and control groups in terms of walking distance (p=0.001) and the WeeFIM total score (p= 0.001) and flexibility test (p=0.001). Conclusion: Remarkably, walking distance, WeeFIM total score and flexibility test in patients with cerebral palsy can give an idea about prognosis and the adverse effects of disease in early period on patients’ physical, psychological and social development.