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POLAT, MİNE GÜLDEN

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POLAT

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MİNE GÜLDEN

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  • PublicationOpen Access
    The effect of different body mass index levels on static and dynamic postural balance performance in adults
    (2023-01-01) TİMURTAŞ, EREN; SELÇUK, HALİT; DEMİRBÜKEN, İLKŞAN; POLAT, MİNE GÜLDEN; TİMURTAŞ E., SELÇUK H., Canoz E. U., Kortelli O. S., DEMİRBÜKEN İ., POLAT M. G.
    Purpose: It was aimed to estimate the static and dynamic postural balance performance in adults with different Body Mass Index (BMI) levels. Material and Methods: The study was conducted in Üsküdar Diabetes and Obesity Treatment Center between September and October 2021. Participants were divided into 5 groups according to BMI scores: normal-weight, overweight, 1st degree obese, 2nd degree obese, and 3rd degree obese. In addition, participants' static and dynamic balance performance were assessed by the Limits of Stability (LOS) and modified Clinical Test of Sensory Integration of Balance (m-CTSIB) tests. Results: For LOS parameters, there was a significant difference between groups in reaction time scores only for the backward direction (p<0.05). The endpoint and maximum excursion measurements except for the backward and directional control measurements except for the back and right were significantly different between groups, with the worst scores for 3rd degree obese group (p<0.05). For the m-CTSIB test, there was a significant difference between groups in all parameters except the eyes open condition on foam surface (p<0.05). Conclusion: The 3rd degree obese individuals are the most affected subgroup in dynamic balance. We recommended that rehabilitation and fall prevention programs primarily focus on 3rd degree obese individuals. Keywords: Limits of stability test, modified clinical test of sensory integration of balance, postural balance, body mass index
  • PublicationOpen 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
  • PublicationOpen Access
    A mobile application tool for standing posture analysis: development, validity, and reliability
    (SPRINGER LONDON LTD, 2021-10-30) AVCI, ENDER ERSİN; Timurtas, Eren; Avci, Ender Ersin; Mate, Kedar; Karabacak, Neslihan; Polat, Mine Gulden; Demirbuken, Ilksan
    Background Using mobile application for postural assessments has been drawing a rising interest due to widespread use of smartphones. Although there are some mobile applications in use, validated mobile tools for accurate postural assessment are still warranted. Aims This study aimed to develop Fizyoprint mobile application tool to assess standing posture and investigate the validity and reliability of the application in young adults. Methods A convenience sample of 20 young adults (12 men and 8 women with a mean age of 21.3 +/- 2.2 years) and 2 physiotherapists as raters participated in the study. The participant's digital images were obtained from the anterior, posterior, and right lateral sides. The raters selected the anatomic reference points by using digital markers in the app screen, and the Fizyoprint application, with Turkish language option, calculated a total of 26 posture variables, including 11 distance and 15 angle variables. Each participant was assessed twice (1-week interval) by 2 raters with Fizyoprint. Inter- and intra-rater reliabilities were estimated using the intraclass correlation coefficient. The BioTonix (TM) posture analysis system was used for validation. Results A total of 80.7% (21 variables) indicated acceptable to excellent intra-rater reliability results. A total of 57.7% (15 variables) were found to be acceptable to excellent for inter-rater measurements. The results confirmed the validity of the Fizyoprint application for testing the standing posture. Conclusions Fizyoprint application is a new, valid, free mobile tool with acceptable concordance with BioTonix (TM) postural analysis system for assessing standing posture. Further studies are warranted to test the current application in different populations and musculoskeletal conditions.
  • PublicationOpen 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.
  • PublicationOpen Access
    The effects of two different supervised exercise trainings on aerobic capacity and pulmonary functions in type 2 diabetes
    (2020-09-01) ŞENOCAK, EMRE; TİMURTAŞ, EREN; DEMİRBÜKEN, İLKŞAN; POLAT, MİNE GÜLDEN; ŞENOCAK E., TİMURTAŞ E., DEMİRBÜKEN İ., SERTBAŞ Y., POLAT M. G.
  • PublicationOpen 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.
  • PublicationOpen Access
    The relationship between sit-to-stand task and fat tissue & lean body mass
    (2020-10-01) AVCI, ENDER ERSİN; AKGÜN, İREM; DEMİRBÜKEN, İLKŞAN; TİMURTAŞ, EREN; POLAT, MİNE GÜLDEN; Timurtaş E., Demirbüken İ., Avcı E. E., Akgün İ., Polat M. G.
  • PublicationOpen 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.
  • PublicationOpen Access
    Obezi̇te sınıflamasına göre egzersi̇z bari̇yerleri̇ ve fasi̇li̇tatörleri̇ni̇n incelenmesi̇: ni̇tel araştırma
    (2021-05-01) AVCI, ENDER ERSİN; DEMİRBÜKEN, İLKŞAN; POLAT, MİNE GÜLDEN; TİMURTAŞ, EREN; TİMURTAŞ E., AVCI E. E., KARTAL G., SERTBAŞ Y., DEMİRBÜKEN İ., POLAT M. G.
    Obezite küresel bir halk sağlığı problemidir. Obezitenin önlenmesi ve tedavisinde egzersiz etkin bir yöntemdir. Egzersiz davranışını kazandırmaya yönelik yaklaşımların geliştirilmesi için obez bireyleri egzersize teşvik eden ve egzersiz yapmalarına engel olan faktörlerin belirlenmesi önemlidir. Çalışmada obez tanılı bireylerde obezite sınıflamasına göre egzersiz bariyerleri ve fasilitatörlerinin belirlenmesi amaçlandı. Çalışmaya Kasım 2019-Mart 2020 tarihleri arasında Üsküdar Diyabet ve Obezite merkezinden 115 katılımcı davet edildi. Yaş ortalaması 51.7±9.7, Beden Kitle İndeksi ortalaması 33.5±6.2 olan 69 Kadın, 37 Erkek toplam 106 birey çalışmaya katıldı. Bireyler, Dünya Sağlık Örgütünün obezite sınıflamasına göre gruplandırıldı. Bariyerleri ve fasilitatörleri derinlemesine anlamak amacıyla nitel araştırma yöntemi tercih edildi. Egzersizin rutin olarak uygulanıp uygulanmadığı, uygulanmasındaki en önemli etken, uygulanmamasında en önemli nedene yönelik sorular yer alan bir rehber ile görüşmeler gerçekleştirildi. Kaydedilen görüşmeler, transkripsiyonun ardından araştırmacılar tarafından manuel olarak temalandırıldı. Nitel görüşmeler sonrasından elde edilen egzersiz bariyerleri kişisel ve çevresel faktörler olarak iki boyuta ayrıldı. Kişisel bariyerler ise fiziksel ve psikososyal olarak iki alt boyutta sınıflandırıldı. Morbid obez grubunda en fazla görülen bariyerin ağrı olduğu belirlendi. Obez I, II ve fazla kilolu gruplarında motivasyon eksikliğinin en sık karşılaşılan egzersiz bariyeri olduğu saptandı. Tüm gruplarda en sık karşılaşılan çevresel egzersiz bariyerinin ise zaman ayıramama olduğu görüldü. Egzersiz fasilitatörlerinin tematik analizi sonucunda sağlıklı olabilmek, sağlık profesyonelinin önermesi, egzersizlerin yararlarının önemsenmesi tüm gruplarda en sık karşılaşılan temalar olarak belirlendi. Çalışma sonuçları obez bireylerin egzersiz bariyerlerinin saptandığı çalışmalardan elde edilen sonuçlarla benzerlik göstermektedir. Belirlenen egzersiz bariyerleri klinisyenlerin obez bireylerde egzersiz davranışı kazandırılmasına yönelik geliştirilecek stratejilere yön verici olacaktır. Anahtar Kelimeler: Egzersiz, Obezite, Fiziksel Aktivite
  • PublicationOpen Access
    Does Kinesiophobia Effect One Day Physical Activity Behaviour and Functionality of Young People with Ankylosing Spondylitis?
    (MARMARA UNIV, INST HEALTH SCIENCES, 2020-03-31) DEMİRBÜKEN, İLKŞAN; Aydin, Gamze; Demirbuken, Ilksan; Mutlu, Ebru Kaya; Polat, Mine Gulden
    Objective: The aim of this study was to investigate the relationship between kinesiophobia, physical activity behaviour and functionality in patients with ankylosing spondylitis (AS). Methods: This study included 57 participants (mean age, 30.8 +/- 5.19 years) in 2 groups of AS and healthy controls. One day physical activity behaviour was evaluated with tri-axial accelerometer. Tri-axial accelerometer was recorded physical activity domains and intensities for 24 hours. Participants completed clinical questionnaires assessing pain, kinesophobia, disease activity, and functionality. Kinesiophobia and pain were quantified by the Tampa Scale for Kinesiophobia and Short-Form McGill Pain Questionnaire. Function and disease activity were rated by using the Bath Ankylosing Spondylitis Functional Index, and Bath Ankylosing Spondylitis Disease Activity Score. Results: There was no correlation between kinesiophobia and one day physical activity behaviour in AS patients group. There was a negative correlation between high physical activity level and disease activity(p<0.05, r:-.519) and there was a negative correlation between high and moderate physical activity levels, and functionality (p <0.05, r:-.555 r-395, respectively). Conclusion: According to the results of this study showed that; there was a relationship between disease activity, functionality, and one day physical activity behaviour. On the other hand, there was not any relation between pain intensity, kinesophobia and data obtained from accelerometer. Further studies with larger sample size and longer time periods should be carried out to reveal physical activity behaviours and its related factors in AS patients who will survive with this disease for years.