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KURU ÇOLAK, TUĞBA

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Sağlık Bilimleri Fakültesi

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KURU ÇOLAK

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TUĞBA

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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 ÇOLAK
Objective: 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.
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
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 edilmelidir
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 Bölümü
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.
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, Deborah
Background: 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.
Open Access
Türkiye’deki fizyoterapistlerin ve fizyoterapi ve rehabilitasyon öğrencilerinin video konferans temelli eğitim ve toplantılara bakış açısı
(2023-01-01) KURU ÇOLAK, TUĞBA; Hasırcı Y., Yıldız Kızkın Z., Amir Rashedi Bonab M., Armağan M., Üstün K., Kuru Çolak T.
Amaç: Çalışmanın amacı, fizyoterapistlerin ve fizyoterapi ve rehabilitasyon öğrencilerinin günümüzdeki pandemi koşullarıyla birlikte yüz yüze eğitimden çevrimiçi eğitime doğru değişen eğitim sistemlerine olan bakış açılarını belirlemektir. Gereç ve Yöntem: Çalışmaya 91 fizyoterapist ve 113 fizyoterapi ve rehabilitasyon öğrencisi dahil edilmiştir. Demografik bilgileri kaydedilmiştir. Video konferans temelli eğitim ve toplantılara bakış açıları, araştırmacılar tarafından hazırlanan anket yoluyla değerlendirilmiştir. Bulgular: Çalışmaya yaş ortalamaları 25,18 ± 5,39 yıl olan 162’si kadın (79,41%), 42’si erkek (20,59%), toplamda 204 kişi katıldı. Teorik içerikli video konferansa katılan katılımcıların %38,92’si oldukça ve uygulama içerikli video konferansa katılan katılımcıların %30,60’ı kısmen verim aldığını belirtti. %48,04 katılımcı en çok tercih edilen eğitim modelinin video konferans temelli teorik, yüz yüze uygulamalı eğitim olduğunu belirtmesine karşın, %45,20 katılımcı ise yüz yüze teorik ve uygulamalı eğitim modelinin en çok tercih edildiğini belirtti. Sonuç: Çalışmamızda fizyoterapistler ve fizyoterapi ve rehabilitasyon öğrencilerinin uygulamalı eğitimlerde yüz yüze eğitimi tercih ettiği görülmektedir. Teorik eğitimlerin ise mevcut çevrimiçi platformlar aracılığıyla yüz yüze eğitime yakın verim seviyelerinde devam edebileceği öngörülmektedir. Video konferans temelli uygulamalı eğitimlerin en az yüz yüze uygulamalı eğitimler kadar verim alınabilir hale gelebilmesi için farklı teknolojik uygulamalara ihtiyaç vardır
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Are Clinical Pilates Exercises an Effective Treatment for Scoliosis? A Randomized Clinical Trial
(2022-10-01) KURU ÇOLAK, TUĞBA; BAŞARAN ÖZDEN C., KURU ÇOLAK T.
Objectives The aim of the study was to investigate the effectiveness of clinical Pilates exercises in patients with idiopathic scoliosis. Materials and Methods The study included patients aged 15 to 30 years with adolescent idiopathic scoliosis. Patients were randomly separated into the following two groups: the clinical Pilates exercise group (n ¼ 16) and the control group (n ¼ 18). The clinical Pilates exercise group received 16 sessions of exercise. Angle of trunk rotation (scoliometer), sagittal plane alignment of the spine (inclinometer), posture (PostureScreen Mobile program), quality of life (Scoliosis Research Society-23), pain (Numerical Pain scale), and cosmetic deformity perceptions (spinal appearance questionnaire) were assessed twice. Statistical Analysis Data obtained in the study were analyzed statistically using IBM, SPSS v. 22 software. The Shapiro–Wilks test was used to assess the conformity of data to normal distribution. In the group comparisons of angle of rotation, kyphosis and lordosis angle, and anterior shift values obtained at baseline and in the 8th week, the independent sample t-test were applied to variables with normal distribution, and the Mann–Whitney U test to variables not showing normal distribution. Results The change in the pain score from baseline to 8 weeks was determined to be significantly superior in the Pilates group (p < 0.001). A statistically significant difference was determined between the groups in respect of the amount of change in the side shift and tilt measurements in the posture evaluation, with superior improvement seen in the Pilates exercise group(p < 0.005). Conclusions The results of this study showed that Pilates exercises did not have a significant effect on deformity, quality of life, and perception of deformity in scoliosis, but significantly reduced back and low back pain and contributed to improvements in posture.
Open Access
The effect of spinal range of motion on functional balance, quality of life, and perception of appearance in adolescent idiopathic scoliosis after posterior spinal fusion surgery
(2023-01-01) KURU ÇOLAK, TUĞBA; Çetinkaya İ., KURU ÇOLAK T., KORKMAZ M. F., Aydoğan M.
Objective: Spinal fusion, which is widely used in the surgical treatment of adolescent idiopathic scoliosis (AIS), limits the movements of the vertebral column. In this study, it was aimed to investigate the relationship between spinal mobility in the postoperative period with functional balance, quality of life, and perception of appearance in individuals with AIS. Methods: Thirty patients with AIS who underwent posterior spinal fusion surgery 1 to 3 years ago were included in the study. A universal goniometer was used to measure a spinal range of motion (ROM), functional reach test for functional balance, Scoliosis Research Society-30 (SRS-30) for quality of life, and Spinal Appearance Questionnaire (SAQ) for perception of appearance. Results: Surgical fusion length was significantly correlated with movements in the sagittal and transverse planes (r = − 0.383–[− 0.608]; p = < 0.001–0.037). Except for spinal left rotation, there was a significant positive correlation between functional balance level and ROM results (r = 0.374–0.523; p = 0.003–0.42). The SRS-30 total score correlated significantly with all other ROM measures except for rotations (r = 0.434–0.574; p = 0.00–0.016). SAQ total data correlated significantly with all ROM measurements (r = − 0.553–[− 0.395]; p = 0.002–0.031). Conclusions: In AIS, limitation of movement in the coronal, sagittal, and transverse planes is observed after fusion surgery. Spinal ROM is affected by the level of fusion performed at surgery. Postoperative spinal limitation of motion adversely affected functional balance, quality of life, and perception of appearance. We believe that comprehensive rehabilitation approaches that improve postoperative range of motion and increase functionality are important for optimal postoperative recovery.
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The effect of mirror therapy in patients with frozen shoulder
(2022-01-01) KURU ÇOLAK, TUĞBA; Hekim Ö., KURU ÇOLAK T., Bonab M. A. R.
This study was designed to compare mirror therapy and visual feedback with the control group in adhesive capsulitis patients. Methods Thirty-six patients, divided into three groups as mirror therapy, visual feedback and control for 15 sessions of treatment. Evaluations were made before treatment, at 6th and 10th weeks. Bilateral glenohumeral exercise was performed at the end of each session with the affected extremity behind the mirror in the mirror group, with both upper extremities in front of the mirror in the visual feedback group, and without the mirror in the control group. Results There were statistically significant differences between the mirror therapy and visual feedback in terms of pain severity change, and the visual feedback was superior to the change in pain severity compared to the control. Visual feedback showed significant improvement in mean change from baseline to week 10 in shoulder pain and disability index scores compared to control (p = 0.012). There was no significant difference between the groups in terms of modified constant score, proprioception and shoulder range of motion. Conclusion It was determined that the exercises performed by seeing the affected extremity in the mirror were more effective than mirror therapy and control group.