Person: SARI, ZÜBEYİR
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SARI
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ZÜBEYİR
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Publication Open Access Response to: Comment on A Better Way to Decrease Knee Swelling in Patients with Knee Osteoarthritis: A Single-Blind Randomised Controlled Trial(HINDAWI LTD, 2020-12-22) DEMİRBÜKEN, İLKŞAN; Sari, Zubeyir; Aydogdu, Onur; Demirbuken, Ilksan; Yurdalan, S. Ufuk; Polat, M. GuldenPublication Metadata only Cross-cultural translation, validity, and reliability of the Turkish version of the Back Pain Attitudes Questionnaire(ELSEVIER, 2022) ÖZGÜL, BAHAR; Tay, Hilal Ata; Ozgul, Bahar; Darlow, Ben; Sari, ZubeyirBackground: As the Back Pain Attitudes Questionnaire (Back-PAQ), a validated instrument, could be performed to evaluate biopsychosocial dimensions of back pain, it has not been translated and adapted for Turkish population. Objectives: It was aimed to translate and cross-culturally adapt the Back-PAQ (versions of 34-item, 20-item, and 10-item) into Turkish language and analyse the validity and reliability of the Back-PAQ-Turkish version (Back-PAQ-Tr). Study design: Study of diagnostic accuracy/assessment scale. Methods: The translation and cross-cultural adaptation process were carried out in several steps according to international best-practice guidelines. 173 participants with back pain were recruited. Turkish version of the Tampa Scale of Kinesiophobia (TSK-Tr) and Fear Avoidance Beliefs Questionnaire (FABQ-Tr) were used to investigate the convergent validity. Results: Internal consistency of the Back-PAQ-Tr, Back-PAQ-Tr-20, and Back-PAQ-Tr-10 were 0.82, 0.78 and 0.68, respectively. Test-retest reliability was excellent for Back-PAQ-Tr (ICC = 0.95) and Back-PAQ-Tr-20 (ICC = 0.95), but weak for Back-PAQ-Tr-10 (ICC = 0.50). A weak correlation was found between all versions of Back-PAQ-Tr and TSK-Tr & FABQ-Tr, except for the moderate correlation between Back-PAQ-Tr-10 and TSK-Tr (r = -0.51) & the physical activity score of FABQ-Tr (r = -0.51). Back-PAQ-Tr, Back-PAQ-Tr-20, and Back-PAQ-Tr-10 accounted for 66.2%, 60.5%, and 78.2% of the variance in the data set, respectively. Conclusion: The versions of 34-item and 20-item Back-PAQ-Tr are reliable and valid questionnaire to assess Turkish populations' attitudes and beliefs regarding back pain. Since the reliability of the 10-item version was determined to be quite low, we particularly recommend the use of the versions of Back-PAQ-Tr and Back-PAQ-Tr-20.Publication Metadata only Torakal bölge patolojilerinde fizyoterapi ve rehabilitasyon(HİPOKRAT, 2021-01-01) SARI, ZÜBEYİR; AYDOĞDU, ONUR; AYDOĞDU O., SARI Z.Publication Open Access Reliability of balance evaluation using Pedalo®-Sensomove Balance device in healthy young individuals(2022-11-25) GÜNAY YAZICI, CANAN; ÖZEN BERKOL, TUĞÇE; ÖZGÜL, BAHAR; KURU ÇOLAK, TUĞBA; SARI, ZÜBEYİR; Günay Yazıcı C., Özen Berkol T., Özgül B., Kuru Çolak T., Sarı Z.Purpose: It is important to assess the integrity of the balance system to predict individual balance and coordination abilities. MarBES is a device consisting of 9 led scales and 4 pressure sensor systems developed to evaluate and improve balance and coordination as a TÜBİTAK 3001 project. Weight data is estimated from pressure sensors located in 4 different corners and a score is calculated with computer software for the individual\"s center of gravity (Centre of pressure X, Y) and the amount of deviation from the center for each axis.. The aim of this study is to examine the test-retest reliability of the MarBES device. Methods: Double-leg and single-leg (eyes open-closed) tests were applied to healthy young adult participants for balance testing on the MarBES device. Weight transfer to the target surface was measured for assessment of the participants coordination performance. Participants rested for 10 minutes and all measurements were repeated by the same evaluator. The obtained data were recorded and the reliability of the measurements was evaluated with Pearson correlation analysis. Results: A total of 33 healthy young individuals (24 F; 9 M) with a mean age of 21±0.96 years were included in the study. In the correlation analysis, there was a strong correlation in all measurement parameters of the MarBES device except for X axis measurements of right leg (eyes open) and double leg eyes closed (p<0.005). Conclusion: Objective evaluation of balance and coordination parameters is very important in rehabilitation. Resulde of the study showed that the MarBES device developed by the researchers is a reliable method for the evaluation of balance and coordination in healthy young individuals. Keywords: Balance, Coordination, Rehabilitation, ReliabilityPublication Metadata only Immediate Effect of Kinesiology Tape on Functionality, Static and Dynamic Balance, Exercise Capacity, and Posture in Users of High-Heeled Shoes(2023-07-01) SARI, ZÜBEYİR; Huzmeli I., SARI Z., Hallaceli H., Gokcek O., Davut S.BACKGROUND: Using high-heeled shoes in daily life affects the stability of walking, body posture, and functionality. We aimed to determine the immediate effect of kinesiology taping (KT) on functionality, static and dynamic balance, exercise capacity, and posture in young women using high-heeled shoes. METHODS: Thirty-seven women who wore high-heeled shoes (mean ± SD age, 20.32 ± 1.37 years) were divided into control (n = 20) and study (n = 17) groups. Both limbs of study group participants were taped medially, laterally, and dorsally with KT; no application was made to the control group. Balance (TecnoBody postural line), functionality (vertical jump and functional reach tests), exercise capacity (6-Minute Walk Test), and human body posture (New York Posture Rating Chart) were assessed. RESULTS: Median use of high-heeled shoes was 8 hours daily, 5 days weekly, and 3 years in the study group versus 6 hours daily, 4 days weekly, and 4 years in the control group. Significance in functional reach distance was found within the control (P = .010) and study (P = .005) groups but not between the groups. Stabilometric monopedal right foot ellipse area (P = .016) and perimeter (P = .009); left foot ellipse area (P = .016), perimeter (P = .023), and front/back standard deviation (P = .018); and dynamic balance area gap percentage (P = .030) were significant within the study group. Posture, vertical jump distance, exercise capacity, stabilometric test results, and bipedal closed-eye and opened-eye results were similar within and between groups (P > .05). CONCLUSIONS: Kinesiology taping has no immediate effect on exercise capacity, vertical jump function, posture, and bipedal static balance but can modulate functional reach function, static monopedal leg balance, and dynamic equilibrium. Further studies are recommended to investigate the additive effect of KT with high-heeled shoes and after 45 min, 24 hours, and 72 hours.Publication Open Access The effectiveness of physical exercise in patients with lumbar spinal stenosis: a systematic review(2022-12-01) SARI, ZÜBEYİR; ÖZDEN F., Tumturk I., Yuvakgil Z., SARI Z.Background To our knowledge, no other systematic review comprehensively demonstrated the effectiveness of exercise and conventional physiotherapy in lumbar spinal stenosis (LSS). Aims The purpose of the present systematic review was to provide a comprehensive review of exercise therapy on LSS. Methods A literature search was carried out in the following databases on October 2021: PubMed, Scopus, ScienceDirect, Cochrane Library, and Web of Science (WoS) database. The study quality assessment was independently determined according to the PEDro scores by two reviewers. A narrative synthesis was used to synthesize the data of the compiled studies and express their results. Results Records identified through database searching; PubMed (n = 352), Web of Science (n = 180), Science Direct (n = 2801), Cochrane Library (n = 423) and Scopus (n = 12). A total of 3768 papers were screened. Studies unrelated to the question, another study language, undesired study design, duplicate articles, undesired intervention, undesired sample feature (n = 3757) were excluded. An analysis was conducted on the full text of 11 journals. The vast majority (90.9%) of articles received a PEDro score of 6-8 (\"good\"). The mean PEDro score of the studies was 6.8 +/- 1.5 (min:1, max:8). Four of the studies (36.3%) focused on neurogenic claudication in the LSS. Other studies have focused on LSS due to various causes (e.g., degenerative). Conclusions The review results showed that supervised exercise was more effective in LSS than self-management or home exercise. In addition, core stabilization, aqua therapy or aerobic (e.g., treadmill, cycling) exercises can be advantageous in different parameters.Publication Open Access Psychometric properties of the facial disability index in patients with facial palsy: A systematic review and meta-analysis(2022-07-01) SARI, ZÜBEYİR; ÖZDEN F., Tumturk I., SARI Z.Purpose The aim of the study was to present the systematic review and meta-analysis of the psychometrical analysis of Facial Disability Index (FDI) studies. Methods A literature search was conducted in the relevant electronic databases “PubMed, Scopus, Web of Science (WoS), and Cochrane Library.” A total of 621 articles were obtained by searching the relevant keywords (PubMed: 384, Cochrane Library: 14, Web of Science: 132, Scopus: 91). A total of 8 papers were included. The four-point classifcation and ratingbased “COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN)” tools were used to evaluate the bias risk and evidence levels. Results Cronbach’s alpha pooling of FDI total score was (ES): 0.803 (95% CI: 0.73–0.86). Heterogeneity for the Facial Disability Index-Physical Function (FDI-PF) and Facial Disability Index-Social Function (FDI-SF) subscore based on intraclass correlation coefcient (ICC) were I 2=84.2% (ICC: 0.88, 95% CI: 0.81–0.92) and I 2=73.7% (ICC: 0.87, 95% CI: 0.81–0.90), respectively. Correlational results between Sunnybrook Facial Grading System (SFGS) with FDI-PF and FDI-SF were 0.38 and 0.22, respectively. The correlations of FDI-PF with Short Form-12 Physical Component Summary (SF-12-PCS) and Short Form-12 Mental Health Component Summary (SF-12-MCS) were 0.43 and 0.28, respectively. Correlation results of FDI-SF with SF-12-PCS and SF-12-MCS were 0.23 and 0.57. The relationship results of Facial Clinimetric Evaluation with FDI-PF and FDI-SF were 0.71 and 0.57, respectively. Conclusion FDI is a psychometrically valuable questionnaire, especially for the internal consistency, reliability, and validity. In clinical practice, the use of FDI would be valuable, in addition to clinician-based grading, to see more of patients’ social infuences precisely.Publication Open Access The efficacy of exergaming in patients with knee osteoarthritis: A randomized controlled clinical trial(2022-07-01) SARI, ZÜBEYİR; METE E., SARI Z.Background: Exergaming, one of the most recognized virtual rehabilitation tools, has been shown to be useful for promoting physical activity and enhancing postural stability for neurologic conditions. However, studies with exergaming programs for patients with knee osteoarthritis (OA) are limited. Aims: We aimed to investigate the effects of exergaming given by visual and auditory stimulated assisted joint training device in addition to the conventional physiotherapy program on pain intensity, range of motion (ROM), functional status, kinesiophobia, proprioceptive acuity, muscle strength, and postural stability in patients with knee OA. Study Design: Randomized controlled clinical trial. Methods: Sixty patients (47 female, 13 male) with knee osteoarhritis aged 40– 65 years (57.36 � 7.26) who were at stage of two to three according to the Kellegren Lawrence radiological evaluation were included in the study. The patients were randomly divided into two groups as study group (conventional physiotherapy + exergaming) and control group (conventional physiotherapy). Electrotherapy and exercise program were applied to both of the groups along 5 days a week for 6 weeks but exergaming only applied to study group. ROM, pain intensity, proprioceptive acuity, kinesiophobia, muscle strength, and postural stability of the patients were evaluated at the beginning and end of the treatment. Results: In the intra‐group analyses of all the assessments of the patients, there was a significant difference in the positive direction in both groups, except for the postural stability values. In the intra‐group analyses of postural stability, there was a significant increase only in the study group. In comparison between the groups, proprioceptive acuity, ROM, functional status, and postural stability scores were significantly increased in the study group according to the control group; pain and kinesiophobia decreased significantly. Conclusion: In this study, the exergaming accompanied with conventional physiotherapy programs resulted more positive improvements on pain, ROM, postural stability, kinesiophobia, proprioceptive acuity, and functional status in patients with knee OA compared to the conventional physiotherapy program alone.Publication Open Access The effect of mobile application-based rehabilitation in patients with total knee arthroplasty: A systematic review and meta-analysis(2023-10-01) SARI, ZÜBEYİR; Özden F., SARI Z.Objective: Mobile applications have been used frequently in post-operative orthopedic rehabilitation in recent years. However, no systematic review has emphasized the importance of mobile applications in the rehabilitation process after total knee arthroplasty (TKA). This systematic review and meta-analysis aimed to evaluate the effectiveness of mobile application-based rehabilitation practices in patients with TKA. Material and Methods: PubMed, Web-of-Science, Scopus, ScienceDirect and Cochrane databases were searched. The Physiotherapy Evidence Database (PEDro) and the Revised Cochrane risk-of-bias tool randomized trials 2 (RoB2) tools were used to demonstrate the methodological quality and risk of bias. Results: A total of 584 articles were screened. Finally, six papers were included in the systematic review. PEDro scores ranged from 4 to 7 (median: 5.5), indicating fair to good methodological quality. All studies were classified as \"some concerns\" in RoB2. Mobile application-based rehabilitation demonstrated better scores on pain, range of motion (ROM), objective and subjective function, satisfaction and compliance in general. Meta-analysis proved that mobile application-based telerehabilitation demonstrated better results on subjective function (ES:0.57, 95% CI: 0.11–1.02). Conclusion: Compared to conventional rehabilitation, application-based telerehabilitation provides more effective results in function, pain and ROM. Furthermore, mobile application-based rehabilitation should also be considered regarding patient satisfaction and compliance.Publication Metadata only The reliability and validity of the Turkish version of the telehealth usability questionnaire and the telemedicine satisfaction questionnaire in patients with multiple sclerosis(WOLTERS KLUWER MEDKNOW PUBLICATIONS, 2021) SARI, ZÜBEYİR; Ozden, Fatih; Ozkeskin, Mehmet; Sari, Zubeyir; Ekmekci, Ozgul; Yuceyar, NurObjective: The aim of the study was to translate and cross-culturally adapt the Telehealth Usability Questionnaire (TUQ) and the Telemedicine Satisfaction Questionnaire (TSQ) into Turkish and also to analyze the reliability and validity of both questionnaires. Materials and Methods: A total of 107 multiple sclerosis (MS) patients were recruited. The department clinician monitored all participants with telemedicine for 4 years. Internal consistency was evaluated with Cronbach's alpha coefficient. The test-retest reliability was calculated with intraclass correlation coefficient by analyzing the scores of retested 52 patients 1 week later. The construct validity was examined by Pearson's correlation coefficient (r). Besides, the internal consistency for the subscores of the TUQ and exploratory factor analysis of the TSQ was analyzed. Results: The mean age was 40.5 +/- 11.0 years. Internal consistency of all items and the total score of the TUQ were excellent (>0.80; ranged: 0.976-0.979). On the other hand, the internal consistency of all items and total score of the TSQ was excellent, either (>0.80; ranged: 0.969-0.973). The reproducibility of the total score for the TUQ was excellent (>0.80). The test-retest reliability of all items and the total score of the TSQ were within limits ranging from acceptable to excellent (0.617-0.860). The reliability of the total score for the TSQ was excellent (>0.80). The internal consistency of all subscales of the TUQ was excellent (>0.80). The correlation between TUQ and TSQ was strong (r = 0.882, P < 0.001). The factor loading scores of the TSQ were high (0.814-0.919). Conclusions: The Turkish version of the TUQ and the TSQ are valid and reliable in MS patients.