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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 Effectiveness of game-based core exercise in children with non-neuropathic bladder dysfunction and comparison to biofeedback therapy(Wiley, 2023) Kilcik, Melek Havva; Ozdemir, Filiz; Elmas, Ahmet TanerObjectives This study was planned to evaluate the effectiveness of game-based core exercises in children diagnosed with non-neuropathic bladder dysfunction and compare this effectiveness to that of the biofeedback treatment method. Methods The study included 48 children, aged 6-13 years, who were diagnosed with non-neuropathic bladder dysfunction. The children satisfying the inclusion criteria were selected by drawing lots from the population with the method of nonprobability random sampling. The patients were divided into three groups: group I, game-based core stabilization exercise training; group II, biofeedback program; and group III, game-based core stabilization exercise training in addition to the biofeedback program. The Dysfunctional Voiding and Incontinence Symptom Scale (DVISS) scores and uroflowmetry values of the patients were evaluated before and after the treatment. Results The mean age of the participants was 8.81 +/- 2.08 years. There was a statistically significant difference between the pretreatment and post-treatment DVISS scores in all three groups (p < .05). However, no significant difference was found among the groups. There was no statistically significant difference in the uroflowmetry results of the patients in group I and II before and after the treatment. In group III, the time to maximum flow rate after treatment was significantly reduced, and the average flow rate was significantly increased. Conclusions According to the results of this study, the use of game-based exercises along with biofeedback treatment may reduce DVISS scores in children with non-neuropathic bladder dysfunction. A combination of the two methods may have positively affected the uroflowmetry results of the patients. We think that game-based exercises will contribute to the literature as a new treatment option in the treatment of non-neuropathic bladder dysfunction.Öğe The effects of gastrocnemius muscle spasticity on gait symmetry and trunk control in chronic stroke patients(Elsevier Ireland Ltd, 2023) Tutus, Nisanur; Ozdemir, FilizBackground: Although reduced gait asymmetry and trunk control are generally accepted outcomes in stroke patients after having a stroke, the number of studies examining the factors affecting gait symmetry and trunk control is limited in the literature.Research question: What are the effects of gastrocnemius muscle spasticity on trunk control and gait symmetry in chronic stroke patients?Method: The sample of the study included 29 individuals aged 40-70 who were diagnosed with stroke at least six months ago. The sociodemographic information of the patients was collected using a descriptive information form. Their gastrocnemius muscle spasticity levels were assessed using the Modified Ashworth Scale (MAS), their trunk control was assessed using the Trunk Impairment Scale (TIS), and their gait symmetry was assessed using software developed for the Kinect V2 camera.Results: There was a numerical difference between the gait symmetry results of the patients who had a MAS score lower than 2 and those who had a MAS score of 2 or higher, where MAS scores corresponded to gastrocnemius muscle spasticity levels, but this difference was not statistically significant (p > 0.05). There was a statistically significant difference between the total TIS scores and TIS coordination subscale scores of the patients who had a MAS score lower than 2 and those who had a MAS score of 2 or higher (p < 0.05). A negative significant relationship was determined between total TIS and TIS coordination subscale scores and the severity of gastrocnemius muscle spasticity. Significance: According to the results of our study, to improve trunk control and gait in stroke survivors, the management of gastrocnemius muscle spasticity should be included in rehabilitation programs. We believe that our study will be guiding for future interventional studies aiming to improve trunk control and gait in stroke patients.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 Evaluation of functional mobility, balance, and executive functions in children with epilepsy(Academic Press Inc Elsevier Science, 2023) Sinanoglu, Bercem; Ozdemir, FilizObjective: It is known that motor skills and executive functions are interrelated in healthy children. The study aims to evaluate the functional mobility, balance and executive functions in children who are diag-nosed with epilepsy and to determine whether they are related to each other.Methods: The study included 21 children who were diagnosed with epilepsy and have no additional comorbidities and 21 healthy children who had similar age and sex to those diagnosed with epilepsy. Their demographic data were collected using a descriptive information form. In addition, the Timed Up and Go Test (TUG) and the Stair Climb Test (SCT) were used to evaluate their functional mobility, the Pediatric Berg Balance Scale (PBSS) to evaluate their balance, and the Behavior Evaluation Inventory for Executive Functions Parent Form (BRIEF-P) to evaluate their executive functions.Results: Our study found a statistically significant difference between the children with epilepsy and their healthy peers in terms of functional mobility and executive functions (p < 0.05). However, there was no statistically significant difference between them in terms of balance parameters (p > 0.05). In addition, a statistically significant difference was found between the executive functions and functional mobility in children with epilepsy (p < 0.05). The coefficient of determinations (R2) indicating how dif-ferences in T and SCT scores explained by executive function domains were found as 0.718 and 0.725, respectively.Conclusions: Epilepsy can negatively affect several aspects of functional mobility and executive functions in childhood. According to the results of our study, it is important to recognize the motor skills and exec-utive functions problems of children with epilepsy who do not have additional comorbidities, and to direct them to appropriate healthcare programs. Our results support the need to raise awareness in both health professionals and families to encourage children with epilepsy to be more active.(c) 2023 Elsevier Inc. All rights reserved.Öğe The evaluation of physical activity levels in Turkish dialysis patients(2018) Daskapan, Arzu; Kurtoglu, Fatih; Kilic, Filiz; Karakas, Funda; Ozdemir, FilizAim: Physical inactivity is associated with the increased incidence of hospitalizations, increased risk of mortality due to heart diseases in hemodialysis patients. The aim of study was to evaluate the functional and physical activity levels of chronic renal failure patients receiving hemodialysis treatment. Material and Methods: 96 of whom were hemodialysis patients (63,22 ± 12,84 years) and 107 (51,07 ± 8,33 years) healthy people, participated to the study. The functional activity level was assessed with the Human Activity Profile. The level of physical activity was determined with the Turkish version of the International Physical Activity Questionnaire Short Form. Results: When the hemodialysis patients and the control group were compared in terms of the functional activity and physical activity level after controlled the age variable, Maximum Activity Score (MAS) and the Adjusted Activity Score (AAS) values and Turkish version of the International Physical Activity Questionnaire (IPAQ) levels of the hemodialysis group were significantly lower (p<0.05). When the activity levels of the hemodialysis group were compared by gender, the Adjusted Activity Score values of females were significantly lower (p<0.05), and the Turkish version of the International Physical Activity Questionnaire Short Form daily activity levels and Maximum Activity Score values were similar (p> 0.05). Conclusion: The functional and physical activity levels of chronic renal patients receiving hemodialysis treatment were significantly lower. We believe that the results of our study give a small idea of the possible functional limitations and physical inactivity of the dialysis patients in our country.Öğe EVALUATION OF POSTURE AND CORE ENDURANCE IN ELITE JUNIOR CLIMBERS(Dokuz Eylul Univ Inst Health Sciences, 2021) Ozdemir, Filiz; Tutus, Nisanur; Kilcik, Melek Havva; Arslan, Faruk; Gurer, Huseyin; Akcinar, FarukObjectives: Climbing, which is a popular sport in recent years, requires high performance and agility levels. The characteristics of climbers are still unclear. This study has been carried out to evaluate the posture and core endurance levels of climbers. Methods: Forty-nine elite climbers (mean age 15.02 +/- 2.68 years) and forty-four healthy sedentary controls (mean age 14.48 +/- 1.17 years) participated in this study. Postural assessment was conducted with New York Posture Rating Chart. McGill Core Endurance Test was used to assess the core endurance levels of the participants. Results: Of the participants included in the study, 58.2% were male and 41.8% were female. 69.3% of the climbers had been involved in climbing for more than 2 years. No statistically significant differences were found between in age, height, and body weight between the groups (p>0.05). A difference was observed in the core endurance scores between the groups (p<0.05). An increase was seen in the climbers' group when compared to the control group in the scores of the endurance levels of core flexors and right and left lateral core muscles (p<0.05). The postures of the climbers' group were also observed to be deteriorated when compared to the control group (p<0.05). Conclusion: The studies conducted on climbing which has become highly popular in recent years are limited considering the importance of the issue. We believe that including posture exercises and endurance training in the exercise programs of the sportspeople will contribute to their climbing performances as well as their overall health.Öğe Evaluation of scapular dyskinesis and ergonomic risk level in office workers(Taylor & Francis Ltd, 2021) Ozdemir, Filiz; Toy, SeymaPurpose. The purpose of this study is to evaluate the association between ergonomic risk level and scapular dyskinesis in office workers.Methods. This cross-sectional study included office workers aged 20-65 years. A lateral scapular slide test (LSST) was used to evaluate scapular dyskinesis, and the quick exposure check (QEC) method was used to analyze the ergonomic risk level.Results. In all, 37 (45.7%) participants were men and 44 (54.3%) participants were women. Of the participants with scapular dyskinesis in any of the three LSST positions, 10.3% had low, 20.6% had medium, 30.9% had high and 37.9% had very high ergonomic risk level (p = 0.001). A low, positive linear correlation was observed between ergonomic risk level and LSST-1, LSST-2 and LSST-3 values.Conclusion. These results indicate that patients with scapular dyskinesis have a high ergonomic risk level. We believe that our work will serve as a foundation for intervention studies assessing ergonomic risk management.Öğe Evaluation of work-related musculoskeletal disorders and ergonomic risk levels among instrumentalist musicians(2019) Ozdemir, Filiz; Tutus, Nisanur; Akgun, Sakir Orcun; Kilcik, Melek HavvaAim: The study aimed to evaluate work-related musculoskeletal disorders and ergonomic risk levels in instrumentalist musicians. Material and Methods: This is a cross - sectional study. The present study consists of 46 musicians, including 11 violinists, 11 side flutists, 13 pianists and 11 baglama players between the ages of 18 and 50 years who are play at least one of the instruments. The socio-demographic characteristics of the musicians and the data of instrument were questioned by using a descriptive questionnaire. The Quick Exposure Check method was used to analyze the ergonomic risk and Expanded Nordic Musculoskeletal System Questionnaire was used to question musculoskeletal diseases. Results: 48.2% of the participants were male and 52.8% were female. 79.3% of all participants had a daily instrument playing time more than 2 hours. Only 9.6% of the musicians had a low level of ergonomic risk. The most common musculoskeletal problems were seen on the wrist, neck and shoulders. The ergonomic risk levels of the musicians who reported pain were also high. Ergonomic risk levels were significantly higher in musicians who reported low back pain and hip-thigh pain (p <0.05). There was a significant difference between the musical instrument types and ergonomic risk levels of musicians, and it was found that the level of ergonomic risk was higher among piano and violin users (p <0.05). Conclusion: In our study, the ergonomic risk levels and the incidence of musculoskeletal disorders related to work of musicians were found to be remarkably high. For this reason, preventive rehabilitation studies should be conducted in musicians. We think that our study will shed light on intervention research in which ergonomic risk management is planned.Öğe The lifetime and point prevalence of neck, upper back and low back pain of the people living in central Malatya with influencing factors(Kare Publ, 2013) Ozdemir, Filiz; Karaoglu, Leyla; Ozfirat, OzlemObjectives: To determine the lifetime and point prevalence of neck, upper back and low back pain of people living in central Malatya with influencing factors. Methods: This research study is a cross-sectional interview survey. Thirty health house spots tied to the health clinics in the city center were chosen as thirty sets with the method of sampling and 600 people by taking 20 people from each set were included in the research. The data were collected between the 1st of June and the 1st of September. The association between pain prevalence and socio-demographic, health and behavior related characteristics were evaluated. Chi-square and backward stepwise logistic regression tests were used in the analyses. Results: Of the participants, 56.2% were women, 46.8% were men, and the mean age was 38.5 +/- 0.5 years. The lifetime neck, upper back and low back prevalence were 79.3%, 59.5% and 86.3%, respectively. The point prevalence of neck, upper back and low back were 12.0%, 3.0% and 18.3%, in that order. Gender, age, and psychological problems were determined to be the main predictors of life time pain prevalence. For point pain prevalences, the main predictors were gender, psychological problems and body mass index. Conclusion: Both lifetime and point pain prevalence showed that musculoskeletal disorders symptoms were common in the central Malatya region. In-service training of health personnel on the subject, assessment, notification, and prevention methods should be developed.Öğe Prediction of neuropathy, neuropathic pain and kinesiophobia in patients with type 2 diabetes and design of computerized clinical decision support systems by using artificial intelligence(Elsevier, 2020) Ozdemir, Filiz; Ari, Ali; Kilcik, Melek Havva; Hanbay, Davut; Sahin, IbrahimExercise is a key component for prevention and treatment of type 2 diabetes. However, diabetes complications affect exercise habits. Computerized clinical decision support systems (CCDSSs) may help specialists improve their decision-making abilities in the management of diseases. We hypothesized that patients' diabetic neuropathy, neuropathic pain, and kinesiophobia will quickly be identified in the early stages by using the designed CCDSSs. It is thought that such systems will help in planning exercise programs for patients with diabetes and in maintaining the appropriate programs. Based on our hypothesis, we conclude that CCDSSs will also be effective in managing complications and movement dysfunctions occurring in the musculoskeletal system.Öğe Rehabilitation before reimplantation in degenerative hip arthritis-case report(Inonu University Turgut Özal Medicine Center Physical Medicine And Rehabilitation, Malatya, Turkey.;Inonu University Turgut Özal Medicine Center Physical Medicine And Rehabilitation, Malatya, Turkey.;Malatya Doğanşehir State Hospital, Malatya, Turkey;Inonu University Turgut Özal Medicine Center Physical Medicine And Rehabilitation, Malatya, Turkey., 2017) Toy, Seyma; Ozdemir, Filiz; Kizilay, Egemen; Altay, Zuhal[Abstract Not Acailable]Öğe Rehabilitation before reimplantation in degenerative hip arthritis-case report(2017) Toy, Şeyma; Ozdemir, Filiz; Kizilay, Egemen; Altay, ZuhalÖğe 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.
