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Öğe Age Related Changes of Superior Orbicularis Oris Muscle in Terms of Tone and Viscoelastic Properties(Lippincott Williams & Wilkins, 2022) Ramazanoglu, Engin; Turhan, Begumhan; Usgu, SerkanObjective: To examine the age-related changes in the viscoelastic properties and tone of the superior orbicularis oris muscle by a portablehand-held myotonometer. Methods: A total of 128 individuals (65 female, 63 male) who met the inclusion criteria were evaluated. Individuals were divided into 2 groups as under 40 years old (Group 1), and above (Group 2). The viscoelastic properties and muscle tone of orbicularis oris muscle were evaluated bilaterally in supine position with the Myoton PRO (Myoton AS, Estonia) device from the skin overlying the orbicularis oris. The reference point is accepted as the right and left paramedial philtrum dimple. The statistical analysis was performed. Results: There was no statistically significant difference in the elasticity values of the right and left orbicularis oris muscles of the Group 1 and Group 2 individuals. There was a difference between the groups when the tone and stiffness values of both groups were compared. It was determined that individuals over the age of 40 had higher muscle tone and stiffness. All mechanical properties of the superior orbicularis oris muscle between the male and female individuals in Group 1 were different. The values are higher in the female gender. The elasticity values in both genders in Group 2 were similar. Tone and stiffness parameters were different between genders. Conclusions: Myoton PRO can be recommended as an alternative device in the quantitative evaluations of post-operative follow-ups, and pre/post rehabilitation in terms of viscoelastic parameters of the muscle.Öğe ARE VESTIBULAR FUNCTION OR VISUOSPATIAL PERCEPTION AFFECTED IN INDIVIDUALS WITH IDIOPATHIC SCOLIOSIS?(Dokuz Eylul Univ Inst Health Sciences, 2025) Adli, Havva; Ramazanoglu, Engin; Candiri, Busra; Talu, Burcu; Coba, Idris; Aslanturk, Okan; Ceylan, Mehmet FethiPurpose: It was aimed to investigate the relationship between characteristics of the curve and balance, vestibular dysfunction, visuospatial perception, navigation performance, and quality of life in idiopathic scoliosis. Material and Methods: Thirty-three participants aged 10-25 were included. The Cobb angle of the participants was recorded. The degree of rotation of the curve with the mobile application called ScolioDetector; balance parameters with the duration of unipedal stance test (eyes open-closed, right-left foot, hard-soft ground); vestibular dysfunction with the Utenberger test; visual-spatial perception with the Corsi Block Tapping test; navigation performance with the triangle completion task; and quality of life was assessed with the Scoliosis Research Society-22. In the comparison made according to type and direction of scoliosis curve, analysis was performed with the independent sample t-test or Mann-Whitney U test; Pearson correlation or Spearman correlation test was used in the relationship between Cobb and rotation angle and other parameters. Results: In the comparison made according to the curve type, only the right eyes closed unipedal stance test duration (p=0.022) and Unterberger test rotation angle were found to be significantly different (p=0.045). According to the direction of the curve, except for the right foot unipedal stance test (eyes open) on soft ground (p=0.009) and Unterberger test displacement distance (p<0.05) and the degree of rotation with eyes open (p=0.007), no significant difference was found (p>0.05). A significant correlation was shown only between the rotation angle and the right foot eyes closed single leg stance test on soft ground. No significant correlation was found between Unterberger and Visual-Spatial Memory tests. Conclusion: The characteristics of the curve (C or S; right or left scoliosis) affect balance and vestibular dysfunction. The rotation angle is only related to balance; it was observed that the curve features were not associated with visuospatial perception and navigation performance.Öğe The effect of motor learning-based telerehabilitation on quality of life of children with cerebral palsy during the COVID-19 pandemic(Elsevier France-Editions Scientifiques Medicales Elsevier, 2023) Celikel, Rabia; Ramazanoglu, Engin; Talu, BurcuBackground : Duringthepandemic, theaccessofchildrenwithcerebralpalsy(CP) torehabilitationserviceswasadverselyaffectedduetothesignificantriskofinfection. Aims: Weassessedwhethertheeffectofamotorlearning-basedtreatmentprovidedviaatelerehabilitationmethodonthequalityoflifeofchildrenwithcerebralpalsyduringtheCOVID- 19periodwasequivalenttofaceto-facetreatment. Methods: Distanceexerciseswereexplainedbyaphysiotherapisttothepatientsinthetelerehabilitationgroup, andmotorlearning-basedtreatmentwasappliedbytheirfamilies; thephysiotherapistfollowedthesessionswithvideoconferencing. Motorlearning-basedtreatmentwasofferedtotheface-to-facegroupbyaphysiotherapistintheclinic. Results: Inthecomparisonbetweenthegroups, therewasasignificantdifferenceintheparametersofplayactivities, pain-hurt, fatigue, eatingactivities, andspeechcommunicationactivitiesaftertreatment(p<0.05). However, inthetestperformedbyconsideringthenonhomogeneousparametersbeforethetreatment, notimedependentdifferencewasfoundintherepeatedmeasurementsbeforeandafterthetreatmentinallparameters( p>0.05). Conclusion: Motorlearning-basedtreatmentprovidedusingthetelerehabilitationmethodhasapositiveeffectonthequalityoflifeofchildrenwithCP, buttheresultsaresimilartoface-to-facetreatment.Öğe Evaluation of the tone and viscoelastic properties of the masseter muscle in the supine position, and its relation to age and gender(Wroclaw Medical Univ, 2021) Ramazanoglu, Engin; Turhan, Begumhan; Usgu, SerkanBackground. The masseter muscle can be evaluated in various ways to examine its condition in healthy individuals or to identify pathological changes in the muscle. Objectives. This study aimed to examine the tone and viscoelastic parameters of the masseter muscle, which is the focal muscle of various pathologies, to reveal its relationship with age and gender, and to determine the reference values of this muscle in healthy individuals. Material and methods. Individuals aged 18-50 years were evaluated. They were divided into 3 groups in terms of age. A total of 389 individuals participated in the study (18-28 years: 131 males, 104 females; 29-39 years: 29 males, 56 females; and 40-50 years: 30 males, 39 females). The tone and viscoelastic properties of the masseter muscle were evaluated bilaterally in the supine position. Results. The mean age of all individuals was 28.64 +/- 9.68 years. The masseter muscle tone was found to be higher in men than in women. The elasticity of the muscle was higher in women (p < 0.05). It was determined that the masseter muscle tone and stiffness increased, whilst its elasticity decreased with aging (p < 0.05). A weak positive correlation was found between the right and left masseter muscle tone and age (r = 0.307 and r = 0.325, respectively; p = 0.001). There was a moderate positive correlation between the right and left masseter muscle stiffness and age (r = 0.507 and r = 0.511, respectively; p = 0.001). A strong positive correlation was observed between the right and left masseter muscle elasticity and age (r = 0.614 and r = 0.645, respectively; p = 0.001). Conclusions. The data obtained in this study may assist clinicians in evaluating the treatment of the pathological conditions related to the masseter muscle as well as in the planning of treatment and pre- and post-operation evaluations.Öğe The Relation of Body Mass Index to Muscular Viscoelastic Properties in Normal and Overweight Individuals(Mdpi, 2021) Usgu, Serkan; Ramazanoglu, Engin; Yakut, YavuzBackground: The body mass index (BMI) is closely related to fat tissue, which may have direct or indirect effects on muscle function. Previous studies have evaluated BMI and muscle viscoelastic properties in vivo in older people or individual sexes; however, the relationship between BMI and muscular viscoelastic properties is still unknown. Aims: The purpose of this study was to determine the correlation of BMI with muscular viscoelastic properties, and to compare these properties in a young sedentary population with normal and overweight individuals. Methods: A total of 172 healthy sedentary individuals (mean age, 26.00 & PLUSMN; 5.45 years) were categorized by sex (male and female) and BMI classification (normal (BMI, 18.50-24.99 kg/m(2)), overweight (BMI = 25.00-29.99 kg/m(2))). Body weight was evaluated using an electronic scale, while height was measured using a standard stadiometer. BMI was calculated by dividing the weight in kilograms by the square of height in meters. The viscoelastic properties (tone, stiffness, and elasticity) of the biceps brachii (BB) and biceps femoris (BF) muscles were measured bilaterally using the MyotonPRO device at rest. Results: The bilateral BF tone and stiffness, right BB stiffness, and elasticity showed weak correlations with BMI in all participants. Furthermore, the bilateral BF tone and stiffness, right BB stiffness and elasticity, and left BB stiffness were weakly positively correlated with male sex. Only the right BB elasticity was weakly positively correlated with BMI in females (p < 0.05). No correlation with BMI was determined for other viscoelastic properties (p > 0.05). The overweight group showed increased bilateral BF stiffness and tone, right BB stiffness, and reduced bilateral BB elasticity compared to the normal-weight group (p < 0.05), while other viscoelastic properties were similar (p > 0.05). Greater bilateral BB tone, BF tone and stiffness, and lower BF elasticity were observed in males than in females (p < 0.05), but other viscoelastic properties were not significantly different (p < 0.05). No effect of BMI-sex interactions was found on viscoelastic properties (p > 0.05). Conclusions: The BB and BF viscoelastic properties were weakly correlated with BMI. Males showed greater muscle tone and stiffness, and lower elasticity. The overweight individuals showed increased stiffness and tone, particularly in lower extremities, and reduced elasticity in upper extremities. The effect of BMI-sex interactions on the viscoelastic properties was not clear. Higher BMI (increased mechanical load) might cause the human body to develop different muscular viscoelastic adaptations in the extremities.Öğe The relationship between cognitive function and functional capacity, and cognitive reserve and reaction time in patients with multiple sclerosis(Assoc Arquivos Neuro- Psiquiatria, 2024) Candiri, Busra; Ramazanoglu, Engin; Talu, Burcu; Tecellioglu, MehmetBackground Cognitive dysfunction is frequently seen in multiple sclerosis (MS). However, there are conflicting findings regarding the factors it is associated with. Objective To investigate the relationship between aerobic capacity, strength, disability, depression, fatigue, and cognitive reserve and function. Methods The mobile applications Trail Making Test (TMT A-B), Digit Span Test (DST), Visuospatial Memory Test (VSMT), and Tap Fast were used in the cognitive function evaluation. Functional performance was assessed with the 6-minute walk test (6MWT), 5-Time Sit-to-Sand (5STS) test, and grip strength. Cognitive Reserve Index (CRI), Beck Depression Inventory, Fatigue Severity Scale (FSS), and Nottingham Health Profile were also used. Results A significant difference was found between the MS and control groups only in the 6MWT, STS-5, grip strength, TMT, VSMT, and Tap Fast. Good correlation was found between the TMT-A and 6MWT and physical mobility. A fair correlation was shown between grip strength, energy, and pain status. A good correlation was found between TMT-B and 6MWT, and a fair relationship with disability, cognitive reserve, and pain. Good correlation was observed between the DST and 6MWT, left grip strength, pain, and energy status; fair correlations were found between right grip strength, cognitive reserve, and physical mobility. Good correlation was found between the VSMT and energy. A fair relationship between disability, cognitive reserve, and pain was demonstrated. Good correlation was observed between the Tap Fast score and disability, 5STS, FSS, energy, and physical mobility. A fair relationship was found between pain and social isolation. Conclusion It has been shown that cognitive performance in MS is related to disability, functional performance, cognitive reserve, fatigue, and general health.
