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Öğe Aim: Pilonidal disease is a chronic inflammatory process. From time to time poor cosmetic results can be obtained after surgery. In this study, it was aimed to investigate the effects of cosmetic results and the satisfaction level of the cases in patients who underwent surgery with different surgical techniques due to pilonidal disease. Material and Methods: The information about study was given to cases, which were operated due to pilonidal disease between January 2014 and December 2014 and could be contacted by phone. The questionnaire was applied to 125 cases who agreed to participate in the study. Cases were divided into two groups as primary excision with midline closure applied group and other surgical techniques applied group. The questions about the postoperative results were asked to the cases. Results: There was no statistically significant difference between the two groups in terms of pain duration, painless sitting-walking times, time to return to daily life, complications, reoperation rates and patient satisfaction of surgical scar. It was detected that there was more recurrence in the primary excision group and the results were statistically significant (p = 0.038). In the both groups, it was found that there is no statistically significant difference in the satisfaction questionnaire on surgical scar. (p> 0.05). Conclusions: The surgical scar can cause significant cosmetic problems in surgery treatment of pilonidal disease. Poor cosmetic results on cases may sometimes be more important. The results of this study showed that patients care more about the functional outcomes of treatment than the cosmetic results.(2019) Kizilay, Fatma; Toy, Seyma; Akyol, Betul; Ersoy, YukselAim: Stroke is basically classified as hemorrhagic and ischemic etiologically. Stroke type can be a factor influencing recovery and evidence is insufficient on this issue. Therefore, the purpose of study is to compare motor and functional recovery in terms of stroke type. Material and Methods: 20 patients with stroke between 30 and 65 years of age participated in the study voluntarily. The volunteers were grouped according to the stroke type as ischemic (n=10) or hemorrhagic (n=10). Disability levels of patients determined using Functional Independence Measure (FIM). The patients were compared with isokinetic knee strength, static-dynamic balance test, and 6-minutes walking test according to stroke type. Results: According to isokinetic strength test results, no statistically significant difference was found between groups in the parameters of hemiplegic side knee extension peak torque, knee flexion peak torque, values obtained in the flexion and extension phases of the average power, total work in the flexion phase and extension phase of the movement and hamstring/quadriceps (H/Q) muscle groups strength ratio (p>0.05). According to the data of balance test and 6-minute walk test, no statistically significant difference was found between groups in the parameters of balance indexes and test completion time and 6 minute-long walk distance (p>0.05). Conclusion: It was concluded that a stroke’s being ischemic or hemorrhagic did not create a difference in the recovery of motor function such as strength, balance, and walking. The fact that there are contradictory results and that there is no consensus shows that more studies are required in literature.Öğe A comparison of functional vestibulo-ocular reflex and proprioception in athletes of combat sports and ball sports(Cell Press, 2023) Kizilay, Fatma; Cengiz, Deniz UgurBackground: The contribution and role of sensory systems in providing postural control may vary depending on the condition or activity. Vestibulo-ocular reflex (VOR) and proprioception might be affected by the type of sport.Objective: This study aimed to compare athletes engaged in combat sports and ball sports in terms of functional VOR and proprioception.Design: This study is a cross-sectional, comperative research.Method: Twenty-four athletes engaged in combat sports and 20 in ball sports were included in the study. Functional examination of VOR in athletes was performed with a novel Functional Head Impulse Test (fHIT). Proprioception analysis was evaluated using Laser Pointer Assisted Angle Reproduction Test (LPA-ART) in 90 degrees shoulder flexion and abduction.Results: fHIT lateral and posterior % Correct Answer (CA) values and anterior SCC 6000 degrees /s2 values of athletes engaged in ball sports were found to be statistically significantly higher than athletes in combat sports (p < 0.05). Except for anterior SCC 4000/s2 value, scores of the ball players in all accelerations and directions were higher than combat sports athletes, although it was not statistically significant. The 90 degrees shoulder flexion and abduction angle deviation values obtained from the LI-ATT were statistically lower in those who played ball sports (p < 0.05).Conclusions: Participation in sports branches played with the ball is expected to provide gains for athletes who want to reach high-level performance in proprioceptive and vestibular functioning and those with vestibular/proprioceptive pathology. Maintaining clear vision in dynamic sports branches can be improved by training VOR function.Öğe Comparison of the Effects of the Somatotype on the Physical Activity, Kinesiophobia, and Fatigue Levels of Obstructive Sleep Apnea Syndrome Patients and Healthy Individuals(Iranian Scientific Society Medical Entomology, 2021) Toy, Seyma; Ciftci, Rukiye; Senol, Deniz; Kizilay, Fatma; Ermis, HilalBackground: We aimed to compare the physical activity, kinesiophobia, and fatigue levels of obstructive sleep apnea syndrome (OSAS) patients and healthy individuals in terms their somatotypes. Methods: A total of 165 individuals were enrolled referred to the Department of Chest Diseases Sleep Disorders Center Outpatient Clinic of Inonu University, Malatya, Turkey in 2018. The somatotype analysis was conducted using the Heath- Carter method, the fatigue level was assessed using the Functional Assessment of Chronic Illness Therapy (FACIT) fatigue scale, the kinesiophobia level was assessed using the Tampa Scale for Kinesiophobia (TSK), and the physical activity level was assessed using the International Physical Activity Questionnaire (IPAQ). Results: The results of the somatotype analysis revealed 3 different somatotypes in the healthy individuals and the OSAS patients' mesomorph endomorph, endomorphic mesomorph, and mesomorphic endomorph. When comparing the somatotypes of the healthy individuals and the OSAS patients, statistically significant differences were found in the FACIT scores of the mesomorph endomorphs, the IPAQ and FACIT scores of the endomorphic mesomorphs, and the TSK and FACIT scores of the mesomorphic endomorphs (P<0.05). Conclusion: In all three somatotypes of the OSAS patients, the fatigue index scores were higher when compared to those of the healthy individuals. Moreover, when compared with the healthy individuals, the physical activity levels of the endomorphic mesomorphs with OSAS were low, while the kinesiophobia scores of the mesomorphic endomorphs with OSAS were high. Based on the results of this study, in OSAS patients, the endomorphic mesomorph somatotype could be a risk factor for reduced physical activity, while the mesomorphic endomorph somatotype could be a risk factor for increased kinesiophobia.Öğe Early rehabilitation results in a child who developed herpes simplex encephalitis(Kare Publ, 2017) Toy, Seyma; Ozdemir, Filiz; Kizilay, Fatma; Ersoy, Yuksel; Apaydin, HakanIn this case, a 4-year-old girl was admitted to the emergency service with the complaints of a sudden onset of fever, shortness of breath, jerking motions of the hands and feet and a sliding mouth. Her condition deteriorated, and she was kept under observation in the intensive care unit for 6 days. The Glasgow Coma Score of the patient was 1. Lumbar puncture revealed a white blood cell count of 0 and cerebrospinal fluid was positive for herpes simplex virus 1 and 2. Antiviral therapy was administered for 14 days. One month earlier, the patient had experienced a herpes labialis infection, which suggested herpes simplex encephalitis (HSE). Cranial magnetic resonance imaging indicated significant bilateral cerebral ischemic changes, which also supported suspicion of HSE. After antiviral treatment, the patient was referred to the department of physical therapy and rehabilitation. The Functional Independence Measure for Children (WeeFIM) scale was used to evaluate the patient. A 30-session rehabilitation program based on the Bobath concept of neurodevelopmental therapy was implemented. Before the treatment, the WeeFIM score was 20 points, and at its conclusion, the score was 88 points. The patient began to walk without limitation and the choreoathetosis was almost completely corrected. The patient was discharged with medical treatment and a home-based exercise training program.Öğe Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2021) Ozdemir, Filiz; Toy, Seyma; Kizilay, Fatma; Avci, Zeynep Tugce; Altay, Zuhal; Colak, CemilObjectives: This study aims to investigate the effectiveness of scapular stabilization exercises in patients with chronic neck pain and scapular dyskinesis. Patients and methods: This single-center, prospective study included a total of 36 patients (17 males, 19 females; mean age: 41 +/- 12.8 years; range, 25 to 57 years) with chronic neck pain and scapular dyskinesis between April 2018 and September 2018. The patients were randomly assigned to three treatment groups. Group 1 (n=13) consisted of those receiving scapular stabilization exercises by a physiotherapy specialist control in addition to the routine physiotherapy and rehabilitation program; Group 2 (n=12) consisted of those receiving the routine physiotherapy and rehabilitation program in addition to scapular stabilization exercises in-home training program; and Group 3 (n=11) consisted of those receiving the routine physiotherapy and rehabilitation program alone. The assessments were made using the Visual Analog Scale (VAS) and Northwick Park Neck Pain Questionnaire (NPQ). Results: Significant differences were found in the pre- and post-treatment VAS scores, and Group 1 and Group 2 created this significant difference (p<0.05). A significant difference was also observed in the pre- and post-treatment NPQ scores among the groups (p<0.05). Group 1 showed the most significant improvement of the NPQ scores (p<0.05). Conclusion: Our study results suggest that addition of scapular stabilization exercises to the routine physiotherapy components may be an effective method for improving pain and functional results.Öğe Impact of differing eccentric-concentric phase durations on muscle damage and anabolic hormones(Ios Press, 2024) Kizilay, Fatma; Kafkas, Muhammed Emin; Taskapan, Mehmet Cagatay; Demirel, Ali Haydar; Radak, ZsoltBACKGROUND: Resistance exercises are widely used to enhance muscle hypertrophy. Hypertrophy occurs with effect of mechanical loading, metabolic stress, and muscle damage. The time under tension in eccentric, isometric, and concentric phases of resistance exercises can alter muscle damage and anabolic hormone responses. OBJECTIVES: The aim of the study was to reveal the effect of the time spent in the concentric and eccentric phases of the movement on muscle damage and anabolic hormone response during resistance exercise. METHODS: Ten male subjects participated in the study. A, B, C tempo protocols were created by changing the time under tension to be 1 or 2 seconds in the eccentric and concentric phases of bench press and squat movements. In all protocols, isometric phases were 0 sec. The metronome was used to apply tempos. Blood samples were taken before each protocol, after administration, and in the 24th, 48th and 72nd hours after exercise; and serum insulin, testosterone, Insuline-like Growth Factor-1 (IGF-1), Creatine Kinase (CK) and Lactate Dehydrogenase (LDH) levels were evaluated. RESULTS: Time-wise changes in CK were statistically different for all protocols (p < 0.05). CK levels in the 24th hour of the protocol C and the 48th hour of the protocol B were significantly higher than those in the other protocols ( p < 0.05). IGF-1 and testosterone levels were significantly higher in the protocol B in the post-test, compared to the other protocols ( p < 0.05). Insulin levels in the 24th hour were significantly higher in the protocol B compared to those in others (p < 0.05). Time-wise changes in LDH parameters were not statistically significant in any hours (p > 0.05). CONCLUSIONS: Extending time under tension in the eccentric phase of a bout of resistance exercise appears to affect the anabolic hormone response and muscle damage. In this way, increased metabolic response and mechanical stress can induce muscle mass gain.Öğe Kinesiophobia and fear avoidance behaviors in collegiate female athletes during menstruation(Iermakov S S, 2023) Kizilay, Fatma; Burkay, TarikBackground and Study Aim The menstrual cycle can be a factor affecting performance in female athletes if accompanied by pain. In this study, authors aimed to examine how menstruation pain affects kinesiophobia and fear avoidance behavior in female athletes.Material and Methods Study included a total of 50 female athletes aged 18-35 years. The athletes were divided into 3 groups as Group 1 (With Pain), Group 2 (No Pain) and Group 3 (Intermittent Pain) according to their pain experience during menstruation. The groups were compared in terms of kinesiophobia and fear avoidance behaviors. Kinesiophobia was evaluated with the Tampa Kinesiophobia Scale (TKS), fear avoidance behaviors were evaluated by using Fear Avoidance Beliefs Questionnaire (FABQ).Results There was a significant difference between the 3 groups in terms of both TKS and FABQ scores (p<0.05). In terms of TKS, there was no significant difference between Group 1 and Group 3 (p>0.05), there was a significant difference between Group 1 and Group 2 and between Group 2 and Group 3 (p<0.05). There was a significant difference in favor of Group 1 in all pairwise comparisons in terms of FABQ scores (p<0.05). Pain intensity was associated with TKS and FABQ.Conclusions A significant majority of female athletes experienced pain during menstruation, exhibited kinesiophobia and fear avoidance behavior due to pain. Since kinesiophobia and fear avoidance behavior can be a limiting factor for the athlete's optimum performance, female athletes should be supported in order for them to develop coping methods.Öğe The role of physical activity on mental health and quality of life during COVID-19 outbreak: A cross-sectional study(Elsevier Science Inc, 2020) Ozdemir, Filiz; Cansel, Neslihan; Kizilay, Fatma; Guldogan, Emek; Ucuz, Ilknur; Sinanoglu, Bercem; Colak, CemilIntroduction: The COVID-19 pandemic has placed restrictions on people's physical activities. The aim of this study was to evaluate the physical activity levels of individuals and assess the effects of physical activity on quality of life, depression and anxiety levels during the COVID-19 outbreak. Methods: This cross-sectional study were included 2301 participants aged 20-75 years. The data were collected through the Google Forms web survey platform by the virtual snowball sampling method. In the multivariate analysis, the independent predictors were analyzed using possible factors identified in previous analyses by multinomial logistic regression analysis. Hosmer-Lemeshow and Omnibus tests were used to evaluate the logistic regression model and coefficients. Results: The mean weekly energy consumption of the participants was 875 1588 MET-min, and only 6.9% were physically active enough to maintain their health. There was a weak positive relationship between physical activity levels and quality of life, while there was a weak negative relationship between physical activity levels, depression and anxiety (p < 0.05). In the multinomial logistic regression model established for comparison of physically active and inactive participants, general health status and physical health status variables were statistically significant (p < 0.05). However, relationships between psychological status, social relationships and environment scores, Beck Depression and Beck Anxiety Inventory scores were not statistically significant (p > 0.05). Conclusions: Results showed that physical activity programs should be included in guidelines as an integrative approach to pandemic management. During COVID-19 outbreak, community-based rehabilitation programs are needed, and these programs should be carried out in cooperation with community stakeholders.
