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YURDALAN, SAADET UFUK

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Sağlık Bilimleri Fakültesi

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YURDALAN

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SAADET UFUK

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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. Gulden
Open Access
An Investigation of the Effects of Holographic Wristbands on Strength, Balance and Flexibility - a Double-Blind Placebo Controlled Study
(SOC PHYSICAL THERAPY SCIENCE, 2012) ÖZGÜL, BAHAR; Sari, Zubeyir; Kablan, Nilufer; Ozgul, Bahar; Aydogdu, Onur; Timurtas, Eren; Tutuncuoglu, Fatih; Yurdalan, Saadet Ufuk; Polat, Mine Gulden
[Purpose] This study investigated the effects of holographic wristbands on strength, balance and flexibility. [Subjects and Methods] The study included 43 healthy university students, 15 females (34.88%) and 28 males (65.12%), attending the Department of Physiotherapy and Rehabilitation at Marmara University. The age of the participants ranged from 19 to 27 (mean age 21.2 +/- 1.7 years). Strength, balance with eyes open, balance with eyes closed and flexibility were evaluated under four different conditions of wearing holographic EFX (R), PWX (R) and placebo wristbands, and no wristband. [Results] In evaluations of strength, balance with eyes are open, balance with eyes closed and flexibility, a significant difference was observed in favor of the placebo wristband compared to the PWX (R) wristband. For the other tests, holographic wristbands had no effect on strength, flexibility or balance with eyes closed. [Conclusion] It was concluded that holographic wristbands, which are marketed asergogenic aids, have no effect on strength, balance or flexibility.
Open Access
A Better Way to Decrease Knee Swelling in Patients with Knee Osteoarthritis: A Single-Blind Randomised Controlled Trial
(HINDAWI LTD, 2019-05-02) DEMİRBÜKEN, İLKŞAN; Sari, Zubeyir; Aydogdu, Onur; Demirbuken, Ilksan; Yurdalan, S. Ufuk; Polat, M. Gulden
Objective. In this study, we compared the effects of intermittent pneumatic compression along with conventional treatment with cold-pack treatment along with conventional treatment on clinical outcomes in patients with knee osteoarthritis. Methods. Eighty-nine patients with knee osteoarthritis participated in this study. One group received ultrasound, transcutaneous electrical nerve stimulation, electrical stimulation, exercise, and cold packs. The second group received ultrasound, transcutaneous electrical nerve stimulation, electrical stimulation, exercise, and intermittent pneumatic compression. Range of motion, muscle strength, knee swelling, pain intensity, and functional status were measured at baseline and 4th week. Results. We found significant improvements in range of motion, muscle strength, pain intensity, and functional status after the treatment in both groups (p<0.05). When comparing the effects of these two treatment programs, it was observed that the intermittent pneumatic compression treatment group had a better outcome in terms of knee swelling (p=0.028). Conclusions. According to the results, we could report that intermittent pneumatic compression therapy in addition to conventional treatment has significant positive effects on clinical outcomes in patients with knee osteoarthritis. We could also report that intermittent pneumatic compression therapy along with conventional treatment is superior to cold-pack therapy along with conventional treatment in terms of knee swelling in patients with knee osteoarthritis. This trial is registered with NCT03806322.
Open Access
A BETTER WAY TO DECREASE KNEE SWELLING IN PATIENTS WITH KNEE OSTEOARTHRITIS: INTERMITTENT PNEUMATIC COMPRESSION - A RANDOMIZED CONTROLLED CLINICAL TRIAL
(BMJ PUBLISHING GROUP, 2017-06) DEMİRBÜKEN, İLKŞAN; Sari, Z.; Aydogdu, O.; Demirbuken, I.; Yurdalan, U. S.; Polat, G. M.
Open Access
Investigation of therapeutic ultrasound dose on muscle phantom: an experimental study investigation of therapeutic ultrasound dose
(2022-09-01) YURDALAN, SAADET UFUK; Gun N., Karaboce B., YURDALAN S. U.
Objective: The study aims to investigate the standardized, traceable dose amounts that will create the desired therapeutic physiological change in the tissue and prevent the risk of tissue damage in the light of metrology principles Methods: In the study carried out in TÜBİTAK National Metrology Institute Medical Metrology Laboratory, a muscle phantom simulating the acoustic properties of muscle tissue was created and thermocouples were placed in it. Ultrasound at different intensities and durations at 1 MHz frequency was applied to the phantom. The temperature changes measured by the thermocouples were recorded. Each measurement was repeated three times and averaged Results: 14 minutes application at 1 W/cm2 density, 10 minutes application at 1.5 W/cm2 density, ~7 minutes application at 2 W/cm2 density, and ~4 minutes application at 2.5 W/cm2 density have been achieved for the temperature range needed to produce therapeutic effect. Conclusions: In order to achieve the therapeutic effect, the ultrasound doses used in the procedure should be checked. Measurements in multilayer phantoms would be useful in future research.
Open Access
Efficacy of neurodevelopmental treatment combined with the Nintendo (R) Wii in patients with cerebral palsy
(SOC PHYSICAL THERAPY SCIENCE, 2016) ACAR, GÖNÜL; Acar, Gonul; Altun, Gamze Polen; Yurdalan, SaadetUfuk; Polat, Mine Gulden
[Purpose] The aim of this study was to investigate the efficiency of Nintendo (R) Wii games in addition to neurodevelopmental treatment in patients with cerebral palsy. [Subjects and Methods] Thirty hemiparetic cerebral palsy patients (16 females, 14 males; mean age, 6-15 years) were included in the study and divided into two groups: a neurodevelopmental treatment+Nintendo Wii group (group 1, n=15) and a neurodevelopmental treatment group (group 2, n=15). Both groups received treatment in 45-minute sessions 2 days/week for six weeks. Use of the upper extremities, speed, disability and functional independence were evaluated using the Quality of Upper Extremity Skills Test, Jebsen Taylor Hand Function Test, ABILHAND-Kids test, and Pediatric Functional Independence Measure (self-care) before and after treatment. [Results] There were statistically significant improvements in all parameters for group 1 and group 2 (except quality of function) after six weeks of treatment. Intergroup analysis showed that group 1 was superior to group 2 in mean change differences in the Jebsen Taylor Hand Function Test. [Conclusion] Our results showed that neurodevelopmental treatment is effective for improving hand functions in hemiplegic cerebral palsy. To provide a enjoyable, motivational, safe, and effective rehabilitation program, the Nintendo (R) Wii may be used in addition to neurodevelopmental treatment.
Open Access
Gender and age impact on plantar pressure distribution in early adolescence
(TURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY, 2019-05) ÖZGÜL, BAHAR; Demirbuken, Ilksan; Ozgul, Bahar; Timurtas, Eren; Yurdalan, Saadet Ufuk; Cekin, Murat Dincer; Polat, Mine Gulden
Objective: The aim of the study was to investigate gender and age effect on dynamic plantar pressure distribution in early adolescence. Methods: A total of 524 adolescents (211 women and 313 men; mean age: 12.58 +/- 1.11 years (range: 11-14 years)) participated in pedobarographic measurements during gait at self-selected speed. Data of peak pressure (PP), maximum force (MaxF-Newton), body weight corrected maximum force (BW_MaxF), contact area (CA-cm(2)) were analyzed for total foot and four plantar regions (hindfoot, midfoot, forefoot and toes). Results: Higher toes PP was found in the ages of 12-14 years in females compared to males (253.79 +/- 104.93 vs 216.00 +/- 81.12 for the age of 12, p = 0.011, 264.40 +/- 65.02 vs 227.21 +/- 83.4 for the age of 13, p = 0.044, 299.75 +/- 140.60 vs 238.75 +/- 103.32 for the age of 14, p = 0.005). Females' higher MaxF especially for toes (136.24 +/- 48.54 vs 115.33 +/- 46.03, p = 0.008) and smaller CA especially for forefoot (50.12 +/- 5.79 vs 54.4893 +/- 6.80, p = 0.001) were considerable in the late of early adolescence. Forefoot (305.66 +/- 82.14 females p = 0.001, 281.35 +/- 79.59 males p < 0.001) and total foot PP (374.08 +/- 113.93 females, p = 0.035, 338.61 +/- 85.85 males p = 0.009) at the age of 14 was significantly higher than in younger ages in both gender groups. Conclusion: The results indicate that especially the age of 14 years in early adolescence is a critical age for alteration in plantar pressure distribution. Interestingly females tended to increase their toe and forefoot plantar pressures compared to males by increasing age. We suggest that gender and age impact on toes plantar pressure alterations in early adolescence may be a possible risk factor for further foot impairments. (C) 2019 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.
Open Access
WORK - RELATED LUMBAR PAIN IN PHYSIOTHERAPISTS WHO WORK IN DIFFERENT FIELDS - A PILOT STUDY
(BMJ PUBLISHING GROUP, 2017-06) YURDALAN, SAADET UFUK; Karakoc, B.; Sari, Z.; Aydogdu, O.; Yurdalan, U. S.
Open Access
Clinical significance of pectoralis muscle strength in elderly patients with idiopathic pulmonary fibrosis
(2022-01-01) YURDALAN, SAADET UFUK; Yurdalan S. U., Durdu H., Ozmen I.
Introduction: Investigations of muscle dysfunction in patients with idiopathic pulmonary fibrosis (IPF) are limited to peripheral muscles. However, decreased thoracic muscle mass is known and deterioration of chest wall muscle strength is not clear. Objective: The aims of the present study were to evaluate pectoralis muscle strength located on the chest wall and to investigate the relationship of spirometric measurements and respiratory muscle strength with pectoralis muscle strength. Methods: Elderly patient with IPF (mean disease duration 7.47 +/- 7.04 years) and the age-and sex-matched healthy volunteers were recruited in this cross-sectional study. The pulmonary function test was performed by a portable spirometer for spirometric variables and a gas analyzer for diffusing capacity for carbon monoxide (DLCO). Maximal inspiratory (MIP) and expiratory pressure (MEP) were measured with mouth pressure device. Modified Medical Research Council Dyspnea Scale (MMRC) was used to determined dyspnea severity. The pectoralis muscle strength was assessed isometrically during shoulder joint horizontal adduction movement with a hand-held dynamometer. Results: A total of 17 patients with IPF (9 males, mean age 69.06 +/- 3.94 years) and 19 healthy controls (10 males, mean age 70.95 +/- 4.99 years) were included. Patients with IPF had lower pectoralis muscle strength than healthy controls (p<0.001). Significant relationships were found between pectoralis muscle strength and MIP (r=0.79, p<0.001), MEP (r=0.81, p<0.001), FEV1% (r=0.54, p=0.02), FVC% (r=0.68, p<0.003) and DLCO (r=0.61, p=0.009). With multiple linear regression analysis, pectoralis muscle strength was the only independent predictor of FVC% (adjusted R-2=0.37, p<0.05). Conclusion: In patients with IPF, pectoralis muscle strength decreases and is associated with pulmonary function. In particular pectoralis muscle strength is likely to have an important impact on FVC%. Therefore, we consider that this test should be included routinely in chest diseases and rehabilitation clinics.
Open Access
THE EFFECTS OF AN INNOVATIVE TECHNOLOGY APPLIED AS VIRTUAL REHABILITATION ON CLINICAL OUTCOMES IN ANTERIOR CRUCIATE LIGAMENT INJURY
(CENTRAL BOHEMIA UNIV, 2017-09-24) POLAT, MİNE GÜLDEN; Aydogdu, Onur; Sari, Zubeyir; Yurdalan, Ufuk Saadet; Polat, Gulden Mine; Hajek, P; Vit, O; Basova, P; Krijt, M; Paszekova, H; Souckova, O; Mudrik, R
In recent years, many different technologies on virtual rehabilitation have been produced and used in research. However, existing studies are limited because most of them focus on the balancing ability of the elderly or studied stroke patients with same systems. Thus, it is necessary to investigate the effects of a new virtual rehabilitation system in patients with Anterior Cruciate Ligament (ACL) Reconstruction. The purpose of this study was to investigate the effects of a virtual rehabilitation system using a MarVAJED (R) system which provides visual and auditory stimulus aimed at educating and controlling the joint proprioception, range of motion, pain intensity, and knee swelling in individuals with an ACL injury. A total of fifteen patients with ACL reconstruction participated in this study. In addition to conventional physiotherapy, a virtual rehabilitation treatment was applied with visual and auditory stimulus for a total of eight weeks, three sessions per week. There were statistically significant improvements in measures of proprioception, range of motion, pain intensity, and knee swelling between pre- and post - treatment (p<0.05). We concluded that this new VR system known as MarVAJED effectively treat ACL patients by improving proprioception, range of motion, and by decreasing pain intensity, and knee swelling.