Person: KURU ÇOLAK, TUĞBA
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KURU ÇOLAK
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TUĞBA
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Publication Metadata only The effects of therapeutic exercises on pain, muscle strength, functional capacity, balance and hemodynamic parameters in knee osteoarthritis patients: a randomized controlled study of supervised versus home exercises(SPRINGER HEIDELBERG, 2017) ACAR, GÖNÜL; Colak, Tugba Kuru; Kavlak, Bahar; Aydogdu, Onur; Sahin, Emir; Acar, Gonul; Demirbuken, Ilksan; Sari, Zubeyir; Colak, Ilker; Bulut, Guven; Polat, M. GuldenThe aim of the study was to compare the effects of low-intensity exercise programs for lower extremities, either supervised or at home, on pain, muscle strength, balance and the hemodynamic parameters of knee osteoarthritis (OA) patients. This randomized study included 78 patients with knee OA in 2 groups of supervised and home-based exercise program. Exercises were applied to the first group in the clinic as a group exercise program and were demonstrated to the second group to be performed at home. Before and after the 6-week exercise program, assessment was made of pain, quadriceps and hamstring muscle strengths, 6-min walk test (6MWT), and non-invasive hemodynamic parameters. Results of the 78 patients, 56 completed the study. Pain, muscle strength, and 6MWT scores showed significant improvements in both groups. There were also significant differences in the amount of change in pain and muscle strength (pain: p = 0.041, Rqdc: 0.009, Lqdc: 0.013, Rhms: 0.04) which indicated greater improvements in the supervised group. The balance scores of supervised group showed a significant improvement (p = 0.009). No significant change was determined in hemodynamic parameters of either group. Conclusion according to the results of this study showed that low-intensity lower extremity exercises conducted in a clinic under the supervision of a physiotherapist were more effective than home-based exercises in reducing post-activity pain levels and improving quadriceps and right hamstring muscle strength. Both the supervised and home exercise programs were seen to be effective in reducing rest pain and increasing 6 MW distance in knee osteoarthritis patients.Publication Open Access A STUDY OF THE RELIABILITY AND VALIDITY OF THE TURKISH VERSION OF THE WALTER REED VISUAL ASSESSMENT SCALE IN ADOLESCENTS WITH IDIOPATHIC SCOLIOSIS(2020-08-18) KURU ÇOLAK, TUĞBA; İlker ÇOLAK;TUĞBA KURU ÇOLAKObjective: The Walter Reed Visual Assessment Scale (WRVAS) was developed to evaluate deformity perception in patients with idiopathic scoliosis. The WRVAS has been shown to have a strong internal reliability and a high validity. This study aimed to determine the reliability and validity of the Turkish version of the WRVAS (WRVAS-TR). Materials and Methods: The translated Turkish version of the WRVAS was administered twice to 58 patients in a one-week interval to test the reliability of the scale. Cronbach’s alpha coefficient was used to assess the internal consistency. Convergent validity was assessed by analysing the correlation between the WRVAS-TR and the Scoliosis Research Society-22 (SRS-22) scales. Results: The mean age of the patients was 12.8 years, maximum Cobb angle was 32.1° and maximum angle of trunk rotation was 9.9°. The intraclass correlation coefficient for the item-total score was 0.906 (p<0.001). The Cronbach’s alpha coefficient for all the seven items was 0.783. Self-image scores of the SRS-22 had significantly negative correlations with the 1st (p=0.03) and 4th (p=0.003) questions and the total WRVAS-TR scores (p=0.01). Conclusion: Improving the aesthetic appearance has been identified as one of the main goals of scoliosis management. For adolescents especially, cosmetic appearance is more important than the angles measured on X-rays. WRVAS-TR test-re-test results showed high reliability and significantly negative correlations with self-image scores of the SRS-22.Publication Open Access Scoliosis screening results of primary school students (11-15 years old group) in the west side of Istanbul(SOC PHYSICAL THERAPY SCIENCE, 2015) KURU ÇOLAK, TUĞBA; Colak, Tugba Kuru; Apti, Adnan; Dereli, E. Elcin; Ozdincler, Arzu Razak; Colak, Ilker[Purpose] The present study aimed to find out the scoliosis prevalence 11-15 years old children and to create awareness about scoliosis. [Subjects and Methods] All of the children were assessed using the Adams Forward Bendings Test and a scoliometer. Sagittal plane changes such as kyphosis, lordosis, hypokyphosis, hypolordosis and anterior head tilt were screened. Children with trunk rotation angles (ATR) of 4 degrees or more were suspected of having scoliosis, and were evaluated for a second time for gibbosity height, arm-trunk distance, and ATR. [Results] A total of 2,207 children were screened and the evaluation revealed there were 11 girls (0.49%) with a Cobb angle of 10 degrees and more. The maximum Cobb angle was 43 degrees (right thoracic-left lumbar) and the maximum ATR was 12 degrees. Two children had kyphosis and lordosis, and one had hypokyphosis and was diagnosed as having idiopathic scoliosis. [Conclusion] Families should regularly check their children, even if they are not diagnosed as having scoliosis in school screenings. It is our opinion that our study increased the awareness of the families about scoliosis by screening, brochures and posters. In the future, if school screenings were performed as a routine procedure and scoliotic students were followed over the long term, the actual effectiveness of screening would be able to be detected.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 Open Access Turkish Version Study of Parkinson's Disease Quality of Life Questionnaire (PDQL)(AVES, 2015-06-11) KURU ÇOLAK, TUĞBA; Dereli, Elif Elcin; Yaliman, Ayse; Kuru Colaka, Tugba; Cakmak, Aycan; Razak Ozdincler, Arzu; Badilli Demirbas, SuleIntroduction: This study aimed to evaluate Turkish transcultural adaptation, reliability, and validity of Parkinson's Disease Quality of Life Questionnaire (PDQL), which has been developed to assess the quality of life of patients with Parkinson's disease. Methods: Eighty-nine patients who were included in the study were diagnosed with Parkinson's disease. They were presented to the outpatient clinic of the Istanbul Faculty of Medicine, Physical Medicine and Rehabilitation department between July 2005 and April 2008. The Turkish translated version of PDQL (PDQL-TR), Unified Parkinson's Disease Rating Scale (UPDRS), and Hoehn & Yahr (HY) were used as the main outcome measures. Results: The calculated Pearson correlation coefficient for PDQL, H&Y, and UPDRS ranged between -0.36 and -0.80. Cronbach's alpha coefficients of the PDQL-TR complete questionnaire and subdomains were higher than 0.80. The absolute value of item-total score correlation coefficients by Pearson fluctuated between 0.40 (question 4-total score) and 0.88 (question 26-total score), whereas the subdomain-total score correlation coefficients ranged between 0.81 and 0.96. PDQL-TR showed high stability according to the ICC results, ranging between 0.75 (Emotional Function) and 0.88 (Parkinsonian Symptoms). Conclusion: The psychometric features of PDQL-TR are satisfactory, and our results are consistent with the previous literature findings. PDQLTR is a valid and reliable tool to measure health-related quality of life in patients with Parkinson's disease.Publication Open Access Pandemi döneminde üniversite öğrencilerinde fiziksel aktivite düzeyi değişiminin incelenmesi: kesitsel bir çalışma(2022-03-01) KURU ÇOLAK, TUĞBA; YILDIZ KIZKIN Z., Rashedi Bonab M. A. , Üstün K., ARMAĞAN M., Hasırcı Y., KURU ÇOLAK T.Amaç: Sağlıklı üniversite öğrencilerinde fiziksel aktivite düzeyinin demografik özellikler ile ilişkisini incelemek ve pandemi öncesi ve sonrası değerleri karşılaştırmaktır. Gereç ve Yöntem: Kesitsel tipte tasarlanan çalışmaya kronik hastalığı ve travmatik kas iskelet sistemi problemi bulunmayan 226 üniversite öğrencisi dahil edilmiştir. Katılımcıların demografik özellikleri ve fiziksel aktivite düzeyleri çevrimiçi oluşturulan bir anket yoluyla değerlendirilmiştir. Fiziksel aktivite düzeyi pandemi süreci ve öncesi göz önünde bulundurularak Uluslararası Fiziksel Aktivite Anketi Kısa Formu ile iki kez değerlendirilmiştir. Verilerin değerlendirilmesinde SPSS v24, Jamovi v1.8.2 ve örneklem büyüklüğünün belirlenmesinde G*power v3.1.9.6 programları kullanılmıştır. Veri analizleri bağımsız örneklem t-testi, Mann Whitney U testi, Wilcoxon sıralı işaretler testi ve Kruskal-Wallis testi analizlerinden ve mediasyon modellemesi kullanılarak gerçekleştirilmiştir. Bulgular: Çalışmaya katılan öğrencilerin %5.8’i inaktif; %81.9’u orta düzeyde aktif; %12.4’ü ise aktifti. Pandemi döneminde şiddetli ve orta fiziksel aktivite, yürüme aktivite değerleri pandemi öncesine göre düşüş, oturma aktivitesi değerleri ise yükseliş gösterdi (p=0.037; p=0.033; p<0.001; p<0.001). Fiziksel aktivite değişimi değerleri cinsiyet ve yaşam çevresi gruplarına göre kıyaslandığında, gruplar benzerdi (p=0.086; p=0.157). Sonuç: Pandemi döneminde fiziksel aktivite düzeylerinde düşüş gözlenmiştir. Özellikle online eğitim nedeniyle uzun süreler hareketsiz kalan genç bireylerde aktivite kısıtlılığı sonucu ortaya çıkabilecek sorunları önlemek için fiziksel aktivite teşvik edilmelidirPublication Metadata only The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis: a randomised controlled clinical trial(SAGE PUBLICATIONS LTD, 2016) KURU ÇOLAK, TUĞBA; Kuru, Tugba; Yeldan, Ipek; Dereli, E. Elcin; Ozdincler, Arzu R.; Dikici, Fatih; Colak, IlkerObjective: To compare the efficacy of three-dimensional (3D) Schroth exercises in patients with adolescent idiopathic scoliosis. Design: A randomised-controlled study. Setting: An outpatient exercise-unit and in a home setting. Subjects: Fifty-one patients with adolescent idiopathic scoliosis. Interventions: Forty-five patients with adolescent idiopathic scoliosis meeting the inclusion criteria were divided into three groups. Schroth's 3D exercises were applied to the first group in the clinic and were given as a home program for the second group; the third group was the control. Main Measures: Scoliosis angle (Cobb method), angle of rotation (scoliometer), waist asymmetry (waist - elbow distance), maximum hump height of the patients and quality of life (QoL) (SRS-23) were assessed pre-treatment and, at the 6(th), 12(th) and 24(th) weeks. Results: The Cobb (-2.53 degrees; P=0.003) and rotation angles (-4.23 degrees; P=0.000) significantly decreased, which indicated an improvement in the clinic exercise group compared to the other groups. The gibbosity (-68.66mm; P=0.000) and waist asymmetry improved only in the clinic exercise group, whereas the results of the other groups worsened. QoL did not change significantly in either group. Conclusion: According to the results of this study the Schroth exercise program applied in the clinic under physiotherapist supervision was superior to the home exercise and control groups; additionally, we observed that scoliosis progressed in the control group, which received no treatment.Publication Open Access What ınformatıon do teenagers wıth ıdıopathıc scolıosıs and theır famılıes need when fırst dıagnosed?(2021-01-01) KURU ÇOLAK, TUĞBA; KURU ÇOLAK T., AKÇAY B., APTİ A., ÇOLAK İ., KIZILTAŞ Ö.; Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon BölümüPublication Open Access The relationship between diabetes knowledge level, physical activity, and quality of life in older adults(2023-08-01) KURU ÇOLAK, TUĞBA; ÖZGÜL, BAHAR; Akçay B., Kuru Çolak T., İğrek S., Özgül B., Apti A.Aim: This study aimed to examine the relationship between knowledge about diabetes, physical activity, and quality of life in older adults with type 2 diabetes. Material and Method: A total of 188 geriatric individuals with a mean age of 75.2 years were included in this study. The level of knowledge about diabetes was assessed by the Diabetes Information Questionnaire-24, the Kasari index was used to assess the level of physical activity, and quality of life was assessed by the Diabetes-39 Quality of Life Questionnaire. Results: The participants’ knowledge about diabetes, their physical activity levels according to the Kasari index, and Diabetes-39 quality of life scores were all low. It was determined that level of knowledge was significantly related to physical activity and the Diabetes-39 diabetes control subgroup score (p<0.005). There was a significant relationship between the Kasari index and Diabetes-39 quality of life total score (p<0.005). Conclusion: Level of knowledge about diabetes is related to physical activity and quality of life in elderly adults. It is important to encourage participation in training programs and increase physical activity to improve the quality of life of these individuals, who must live with this chronic disease for many years while also accompanied by geriatric symptoms.Publication Open Access Guidelines for the conservative treatment of spinal deformities – Questionnaire for a Delphi consensus(2021) KURU ÇOLAK, TUĞBA; Dereli, Elif E.; Gong, Shaopeng; Çolak, Tuğba Kuru; Turnbull, DeborahBackground: Spinal deformity is the oldest disease known to humankind. Many types of treatment methods, including both conservative and surgical, are in use. Objective: We aimed to validate a published guideline protocol based on the conservative treatment of spinal deformities. Method: A modified Delphi technique was used with a questionnaire sent out to professionals worldwide regarding the conservative treatment of spinal deformities. Results: Our study was completed after two rounds. A strong level of agreement of 80% and more (consensus cut-off point) was achieved in most questions in the first round. Some statements were below this margin, and they were sent to the participants via email in the second round for re-evaluation. Consensus was achieved in almost all of the statements in the second round. Only two items did not reach the cut-off point but were close to this value. Conclusion: This proposed Guideline Protocol was approved by the participants using the Delphi method and can be used as a valid tool for the conservative treatment of spinal deformities. Clinical implications: A conservative treatment guideline in spinal deformity management, will provide consistency in treatment and will facilitate comparability with surgery. It will be useful in determining the cost-effectiveness of treatment and in choosing the right patient for the right method of treatment. This guideline might help in this context, and may also create a systematic method for clinicians to use as a reference in both research and clinical practice.