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SARI, ZÜBEYİR

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Sağlık Bilimleri Fakültesi

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SARI

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ZÜBEYİR

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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, Reliability
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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.
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.
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.
Open Access
Effect of high voltage pulsed current on pain and strength of back muscles in patients with back problems: a randomized controlled study
(2010-12-01) SARI, ZÜBEYİR; POLAT, MİNE GÜLDEN; SARI Z., Sener G., Yakut Y., POLAT M. G., Horoz H., Arman A.
Purpose: The aim of this study was to evaluate the effectiveness of high voltage pulsed current on back extension muscle strengthening and pain. Materials and methods: Forty two patients with back pain syndrome participated in this study. Twenty one patients (mean age 43.62 +/- 14.46 years) formed the control group in which hot packs, ultrasound, TENS and exercise program including strengthening and stretching exercises were given. Besides these modalities, high voltage pulsed current and exercise program including strengthening and stretching exercises were given to the study group consisting of 21 patients (mean age 43.81 +/- 12.32 years). Results: The difference between within-group parameters was found statistically significant (p0.05). Alleviation in pain level and decrease in Oswestry disability index scores was found statistically significant in the study group when compared with the control group (p<0.05). Conclusion: It was concluded that high voltage pulsed current with exercise is not effective in increasing muscle strength, however it can help to reduce pain and can provide ease in activities of daily living.
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.
Open Access
Comparison of balance and proprioception in individuals with myopia compared to healthy peers
(2022-02-01) OĞUZ, SEMRA; SARI, ZÜBEYİR; Oğuz S., Şenocak E., Sarı Z.
© 2022 Archives of Health Science and Research. All rights reserved.Objective: The visual system is one of the 3 most essential systems for maintaining balance. However, the evaluation of refractive error such as myopia has always been neglected in balance studies. This paper aimed to examine the differences in balance and proprioception measurements between individuals with myopia and their healthy peers. Materials and Methods: Fifteen subjects with myopic eye defects and 15 healthy peers were included in the study. Balance evaluations consisted of the tandem walk test (TWT), the limits of stability test (LOS), and the modified clinical test of sensory interaction and balance (mCTSIB). These evaluations were performed with a computer-aided NeuroCom Balance Master device. Additionally, proprioception was measured with the Biodex System 3 isokinetic dynamometer. Results: Individuals with myopic defects had higher step widths (P= .001), and end-sway (P = .007) than their healthy peers. The reaction time, maximum excursion, and directional control values of the myopia group were lower than those of the healthy peer group, but there was no difference between the results of the LOS and the m-CTSIB tests (P > .05 for all parameters). Moreover, the 60° proprioception evaluation deviation was higher in the myopia group for both dominant and non-dominant extremities. However, this deviation was not statistically significant (P > .05). Conclusion: This study showed some differences in the measured values for balance in myopic individuals compared to healthy peers. We think that the evaluation of the participants with the orthoses they use will provide more accurate results from the measurements in future studies evaluating balance and proprioception.
Open Access
A new device for assessment and training the human balance and coordination: Marmara Balance and Education System (MarBES)
(2023-01-01) KURU ÇOLAK, TUĞBA; ÖZEN BERKOL, TUĞÇE; GÜNAY YAZICI, CANAN; SARI, ZÜBEYİR; POLAT, MİNE GÜLDEN; DOĞAN, BARIŞ; TARIM, MEHVEŞ; KURU ÇOLAK T., Özen T., Günay Yazıcı C., Sarı D. M., Karabacak N., SARI Z., POLAT M. G., DOĞAN B., TARIM M.
© 2023, The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.Background: Balance and coordination are important for performing activities of daily living. Balance and coordination assessment and training are used by physiotherapists in many different rehabilitation areas. Marmara Balance and Education System (MarBES) is a device developed to evaluate and improve balance and coordination. Aims: 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 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 (center of pressure X, Y) and the amount of deviation from the center for each axis. Weight transfer to the target surface was measured for assessment of the participants’ coordination performance. Participants rested for 10 min and all measurements were repeated by the same evaluator. The obtained data were recorded and the reliability of the measurements was evaluated with Spearman’s rho correlation analysis. Results: A total of 40 healthy young individuals (28 female) with a mean age of 21 years were included. The balance assessments with MarBES showed moderate to good reliability (ICC: 0.535–0.903). The coordination assessment results showed moderate to good reliability (ICC: 0.575–0.712). Conclusions: Objective evaluation of balance and coordination parameters is very important in rehabilitation. Results 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.
Open Access
Psychometric properties of the Turkish version of the fear avoidance components scale in patients with chronic pain related to musculoskeletal disorders
(2023-01-01) TURAN, KADİR; SARI, ZÜBEYİR; TURAN K., SARI Z., Özden F.
Background: The fear avoidance components scale (FACS) evaluates patients’ cognitive, emotional and behavioral fear avoidance behavior. The aim of the study was to conduct the cross-cultural adaptation, reliability and validity of the Turkish version of the FACS. Methods: A prospective cross-sectional study was carried out with 208 patients (46.2 ± 11.4 years, 116 women, 92 men) diagnosed with chronic pain related to musculoskeletal disorders. Individuals were assessed with FACS, Tampa scale of kinesiophobia (TSK), Beck depression inventory (BDI), Oswestry disability index (ODI), numerical pain scale (NPS), and pain catastrophizing scale (PCS). A total of 70 patients completed the FACS for the second time 3 days later. Results: Internal consistency of the total score was excellent (Cronbach’s alpha: 0.815). There was a strong correlation between FACS and TSK and PCS (r1 0.555, r2 0.678, p < 0.001). In addition, the relationship between FACS and BDI and NPS was moderate in terms of construct validity (r1 0.357, r2 0.391, p < 0.001). FACS had a two-factor structure, as expected. The test-retest reliability of the FACS was acceptable to excellent (ICC = 0.526–0.971). Conclusion: The Turkish version of FACS is a valid and reliable questionnaire for patients with chronic pain related to musculoskeletal disorders. The FACS provides a further advantage over identical questionnaires by evaluating cognitive, behavioral and emotional fear avoidance components.
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The Treatment Expectation Questionnaire Tool: A Cross-Cultural Adaptation and Psychometric Evaluation in Turkey
(2024-01-01) ÖZTÜRK, MEHMET SAADEDDİN; KURU ÇOLAK, TUĞBA; SARI, ZÜBEYİR; POLAT, MİNE GÜLDEN; Cakir F., Gercek H., ÖZTÜRK M. S., KURU ÇOLAK T., SARI Z., POLAT M. G.
Patients’ general treatment expectations are an important indicator of the outcomes of the various treatments they will receive. There is a need for valid and reliable assessment tools that measure the expectations of patients receiving rehabilitation services. This study aimed to translate and validate the Treatment Expectations Questionnaire (TR.TEX-Q) in Turkish patients to assess their treatment-specific expectations. 150 physiotherapy patients were enrolled in the study. The original version of the Treatment Expectation Questionnaire was translated into Turkish. Cronbach’s α was used to investigate internal consistency. Intraclass correlation coefficients were used to assess test–retest reliability. Pearsons’s correlation was used to calculate convergent and divergent validity. Principal component analysis produced a 15-items scale which had a 6-factors structure. Cronbach’s α values ranged from.649 to.879. Test–retest reliability was high for total score and for all subscales. The ICC was between.622 and.852, p <.001. TR.TEX-Q showed good convergent validity, a moderate correlation was found between the Positivity Scale (rho =.45, p <.001). For divergent validity, low to moderate correlation was found between the TR.TEX-Q and the HADS scores. The Turkish version of Treatment Expectation Questionnaire has good reliability and validity data in terms of evaluating the treatment expectations of patients who will receive physiotherapy.