Person: POLAT, MİNE GÜLDEN
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POLAT
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MİNE GÜLDEN
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Publication Open 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 indexPublication Open Access Investigation of the reasons for the employee turnover of parkinson's patients(2022-01-01) OĞUZ, SEMRA; POLAT, MİNE GÜLDEN; ERTÜRK UZUNOĞLU G., OĞUZ S., POLAT M. G., ERTAN F. S.Purpose: It is known that early retirement has been increasing for patients with Parkinson\"s disease. The data on the factors that cause early retirement in this patient population is limited. The objective of this study is to analyze the effects of Parkinson\"s disease that cause early retirement.Publication 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. GuldenPublication 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.Publication Open Access A mobile application platform to increase physical activity in individuals with type 2 diabetes during the coronavirus (covid-19) pandemic(2022-09-01) TİMURTAŞ, EREN; POLAT, MİNE GÜLDEN; Timurtaş E., Cinar E., Karabacak N., Sertbaş Y., Polat M. G.Introduction: Mobile health applications for individuals with type 2 diabetes (T2DM) have the potential to improve physical activity (PA) during the coronavirus (COVID-19) pandemic; yet, there is a need to identify the content of a mobile application (app) in the light of conceptual framework and the delivery features to increase the usability of the app. The aim of this study is to improve the mobile application based on a framework that conceptually determines the needs of individuals with T2DM. At the same time, it is to determine the presentation features of the application to increase its usability for individuals and health professionals using it. Methods: The content and delivery features of a PA app were determined using the Delphi method considering the dia- betes core sets of the international classification of the functioning framework, including experts in the area of T2DM for the app\"s content and heterogeneous participants for the delivery features of the app. A mobile application was created according to the data obtained by this method after the application was created by this way. Results: Delphi experts suggested 64 ideas for the content of the app, of which 46 reached sufficient agreement (72.5–100%). In the second step, participants generated 27 ideas, yet, the consensus was reached on 12 delivery features (70–100%). The application was created by transforming these ideas into app content. Discussion and Conclusion: This study addressed the content-related limitations and usability challenges in the pre-existing studies. During the lockdown, the developed PA app can be implemented using different mobile devices.Publication Open 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, IlksanBackground 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.Publication Open Access Covid-19 pandemisinde fizyoterapistlerin telerehabilitasyon uygulamaları bariyer ve fasilitatörlerinin incelenmesi(2022-08-01) TİMURTAŞ, EREN; POLAT, MİNE GÜLDEN; Timurtaş E., Polat M. G.Telerehabilitasyon, rehabilitasyon hizmetlerinin bilgi ve iletişim teknolojisi aracılığıyla uzaktan sunumu olarak tanımlanmaktadır. COVID-19 pandemisi ve artmış bulaş riski fizyoterapi kliniklerinde telerehabilitasyon kullanımını zorunlu hale getirmiştir. Çalışmamızın amacı COVID-19 pandemisi sırasında fizyoterapistlerin telerehabilitasyon uygulamalarındaki bariyer ve fasilitatörlerinin belirlenmesiydi. Yöntem: Çalışmamız Ekim-Aralık 2021 tarihleri arasında İstanbul ilinde kliniklerde telerehabilitasyon uygulayan 99 (%46,9) kadın, 112 (%53,1) erkek, yaş ortalaması 29,9±6,7 yıl, çalışma süresi ortalaması 6,9±6,7 yıl olan toplam 211 fizyoterapist ile gerçekleştirildi. Fizyoterapistlerin telerehabilitasyon uygulamaları ile ilgili tutum ve davranışları Theoretical Domains Framework (TDF) kılavuzu yönergelerine göre hazırlanan 31 madde ile sorgulandı. Veri analizinde tanımlayıcı istatistikler, açıklayıcı faktör analizi kullanıldı. Bulgular: Çalışma tanımlayıcı kesitsel tipte tasarlanmıştır. TDF kılavuzuna göre belirlenen maddelerin faktör analizi sonucunda 6 boyutta 25 madde belirlendi. TDF anketi açıklayıcı faktör analizi sonucunda KMO örneklem yeterliliği değeri 0,863 puan ile \"çok iyi\" olarak değerlendirilirken, Cronbach alfa değeri 0,91 olarak belirlendi. Fizyoterapistlerin telerehabilitasyon uygulamalarına yönelik tutumuna etki eden en güçlü fasilitatör 3,81±0,91 ortalama ile \"Telerehabilitasyon uygulamaları toplum sağlığına fayda sağlar.\" en güçlü bariyer ise 2,11±1,19 ortalama ile \"Telerehabilitasyonun nasıl uygulandığı konusunda eğitim aldım\" maddesiydi. Sonuç: TDF teorik çerçevesinde hazırlanan ölçeğin telerehabilitasyon uygulamalarının fizyoterapistler tarafından tutum ve davranışının değerlendirilmesinde önemli bir araç olacağı düşünülmektedir. TDF kılavuzu ile hazırlanan ölçeğimiz aracılığıyla belirlenen beceriler, hedefler, çevresel kaynaklar ve sosyal etkilere yönelik bariyerlerin saptanması telerehabilitasyon eğitimlerinin içeriğinin belirlenmesine katkı sunacaktır.Publication 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. GuldenObjective. 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.Publication Open Access MEASUREMENT OF CERVICAL PROPRIOCEPTION IN PATIENTS WITH AXIAL SPONDYLOARTHRITIS(BMJ PUBLISHING GROUP, 2018-06) TONGA, EDA; Ozen, T.; Tonga, E.; Polat, M. G.; Akar, S.Publication Open Access Does kinesiophobia limit physical activity and quality of life in asthmatic patients(2022-09-01) KARACA, SEDA; POLAT, MİNE GÜLDEN; YILDIZ ÖZER, AYSEL; OĞUZ, SEMRA; Yıldız Özer A., Karaca S., Şenocak E., Oğuz S., Polat M. G.Kinesiophobia has been studied in musculoskeletal and neurological diseases. The aim of this descriptive study was to assess the level of kinesiophobia in stable asthmatic patients, and to determine whether it is an obstacle to physical activity and quality of life. A total of 62 asthmatic patients and 50 healthy control subjects were assessed using the tampa kinesiophobia scale (TSK) for kinesiophobia, International Physical Activity Questionnaire-Short Form (IPAQ-SF) for physical activity levels, and Asthma Quality of Life Questionnaire (AQLQ) for quality of life. A high degree of kinesiophobia was determined in 54.8% of the asthmatic patients. The TSK scores were significantly higher (P < 0.001), and the AQLQ scores were lower in the asthma group than in the control group (P < 0.001). The IPAQ-SF level and AQLQ score were lower (P < 0.001 for both) in the asthmatic group with a high kinesiophobia score. The TSK score was significantly associated with IPAQ-SF score (r = -0.889; P < 0.001) and AQLQ score (r = -0.820; P < 0.001) in asthmatic patients. According to linear regression analysis, kinesiophobia explained 84.40% of QoL and physical activity. Patients with a stable asthma were observed to have a high level of kinesiophobia compared with healthy subjects. High kinesiophobia levels may increase the disease burden by negatively affecting participation in physical activity and quality of life. While developing asthma education programs for asthma patients, it should be remembered that even in the stable period, kinesiophobia can develop. Preventive and therapeutic programs should include precautions to improve quality of life and physical activity against the effects of kinesiophobia.