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    A comparison of sleep, fatigue and quality of life of asymptomatic and schizophrenic individuals
    (2019) Sahan, Tezel Yildirim; Bezgin, Sabiha; Sertel, Meral; Kurtoglu, Fatih; Kilicaslan Sahin, Hande
    Aim: The aim of this study was to compare the important parameters for life, such as sleep, fatigue and quality of life, between the asymptomatic and schizophrenic individuals. Material and Methods: The study included 38 individuals diagnosed with schizophrenia by the psychiatrist and 39 asymptomatic individuals.All participants of our study applied to the outpatient clinic of Kirikkale High Specialization Hospital, Community Mental Health Center. Sociodemographic information of the individuals was questioned by the evaluation form. Sleep qualities of the individuals were evaluated with Pittsburgh Sleep Quality Index (PSQI), fatigue scores were evaluated with Fatigue Severity Scale (FSS), and quality of life scores were evaluated with World Health Organization Quality of Life Scale Brief Turkish Version (WHOQOLBREF-TR). Results: A total of 77 individuals aged between 20 and 71 were included in the study. The mean age of the individuals with schizophrenia was 40.07 ± 12.14 years, whereas the mean age of the asymptomatic individuals was 43.61 ± 12.19 years.When the quality of sleep and the sleeping medication use were examined between the two groups, it was found that there was a statistically significant difference (p<0.05). When the total scores of the sleep quality questionnaires were evaluated between the two groups, it was detected that there was no statistical difference (p>0.05).When the quality of life was evaluated between the two groups, it was seen that the physical and social sub-parameters of the patients with schizophrenia were worse (p<0.05).It was detected that there was no statistically significant difference in evaluations of fatigue severity between the two groups (p>0.05). Conclusion: It was found that individuals with schizophrenia had a lower quality of life than asymptomatic individuals.We think that the physiotherapy and rehabilitation approaches in addition to medical and psychotherapy should be applied to improve sleep quality and quality of life in individuals with schizophrenia.
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    Determination of cut-off values of tinetti performance oriented mobility assessment and fall risk questionnaire in older adults individuals with cognitive impairment
    (2019) Sertel, Meral; Savcun Demirci, Cevher; Sakizli, Elif; Bezgin, Sabiha
    Aim: This study was planned to determine cut-off values of the Tinetti Performance Oriented Mobility Assessment (POMA) and the Self-Assessment Fall Risk Questionnaire (FRQ) in older adults with mild cognitive impairment. Material and Methods: This study included a total of 213 individuals aged 65 years and over in the study. These individuals were divided into two groups according to Mini Mental Test (MMT) scores: 116 individuals with an MMT score of 18-23 (mild cognitive impairment) and 97 individuals with an MMT score of 24 or more (normal cognitive function). Balance and gait performance was assessed by the POMA, the fall risk self-assessment by older adult susing a FRQ. Results: In Older Adults with mild cognitive function, the clinical cut-off points for the POMA and FRQ were determined according to ROC curve analysis. The clinical cut-off point for the POMA was determined as 15.5 points; and 15.5 points or more in the POMA were considered normal with a 95% confidence level. The clinical cut-off point for the FRQ was determined as 4.5 points; and 4.5 points or less in the FRQ were considered normal with a 95% confidence level. Conclusions: We think that it is important to take the values obtained in the present study into account in interpreting the above-mentioned commonly used tests when cognitive status is considered related to falling. Therefore, it is suggested that these tests used in the clinic should be examined considering the risk of falling in older adults with mild cognitive function.
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    The relationship between balance, trunk muscular endurance, and functional level in individuals with chronic low back pain
    (2020) Aydogan Arslan, Saniye; Bezgin, Sabiha; Sertel, Meral; Vergili, Ozge; Abit Kocaman, Ayse; Oral, Muhammet Ayhan
    Aim: This study was planned to investigate the relationship between trunk muscular endurance, balance, and functional level in individuals with chronic low back pain.Material and Methods: Sixty-three individuals, aged 18-65 years and having chronic low back pain for the last six months, were included in the study. Sociodemographic data of the individuals were recorded. The static and dynamic endurance of trunk muscles was evaluated by the curl-up test and modified Sorenson test. In order to evaluate the dynamic balance, the Timed Up and Go test was performed. The functionality level related to the low back pain of individuals was evaluated by the Oswestry Low Back Pain Disability Questionnaire.Results: Forty-one female (65%) and twenty-two male (35%) individuals were included in the study. The mean age of the individuals was 40.50 ± 16.75 years, and the mean body mass index was 26.51 ± 5.34 kg/m2. A moderate negative correlation was found between trunk flexor and extensor muscle endurance with both dynamic balance and functional level (p0.05).Conclusion: It was determined that there is a significant relationship between balance, trunk muscular endurance, and functional level. The presence of this relationship may guide the planning of exercise therapy in individuals with chronic low back pain.