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POLAT, MİNE GÜLDEN

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Sağlık Bilimleri Fakültesi

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POLAT

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MİNE GÜLDEN

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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 index
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.
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Geri̇atri̇k bi̇reylerde ki̇nezyofobi̇ ile denge, düşme korkusu ve mobi̇li̇teni̇n ili̇şki̇si̇
(2022-10-27) OĞUZ, SEMRA; DUMAN ÖZKAN, TUĞÇE; YILDIZ ÖZER, AYSEL; POLAT, MİNE GÜLDEN; Oğuz S., Duman Özkan T., Aksoy F., Yıldız Özer A., Polat M. G.
Giriş: Bu çalışmanın amacı geriatrik bireylerde kinezyofobi ile denge, düşme korkusu ve mobilite arasındaki ilişkiyi incelemektir. Gereç-Yöntem: Çalışmaya 65-88 yaş arası 41 geriatrik birey dahil edildi. Bireylerin sosyo-demografik bilgileri ve mini mental test skorları kaydedildikten sonra kinezyofobi, denge, düşme korkusu ve mobilite düzeyleri anketler ile değerlendirildi. Kinezyofobi, Tampa Kinezyofobi Ölçeği (TKÖ); denge, Berg Denge Ölçeği (BDÖ); düşme korkusu, Tinetti Düşme Etkinlik Ölçeği (TDEÖ) ve mobilite düzeyleri Zamanlı Kalk Yürü Testi (ZKYT) ile belirlendi. Bulgular: Katılımcıların 33’ünde (%70.5) kinezyofobi varlığı tespit edildi. Değerlendirme sonucunda kinezyofobi ile düşme korkusu (p=0.001, r=0.514) ve mobilite (p=0.002, r=0.468) arasında istatistiksel olarak anlamlı, pozitif yönlü orta şiddette; kinezyofobi ile denge arasında istatistiksel olarak anlamlı, negatif yönlü yüksek şiddette ilişki saptanmıştır (p<0.001, r=-0.603). Kinezyofobisi olan bireylerde denge (p=0.03) ve mobilite (p=0.001) parametrelerinin daha fazla etkilendiği saptandı. Sonuç: Geriatrik bireylerde kinezyofobi varlığı ile denge, düşme korkusu ve mobilite arasında ilişki mevcuttur. Kinezyofobi denge ve mobiliteyi olumsuz etkilemektedir. Klinik değerlendirme ve rehabilitasyon programlarının planlanmasında kinezyofobinin sorgulanması göz ardı edilmemelidir. Introduction: The aim of this study is to examine the relationship between kinesiophobia and balance, fear of falling and mobility in geriatric individuals. Material-Method: Fourty one geriatric individuals aged 65-88 years were included in the study. After recording the socio-demographic information and mini-mental test scores of the individuals, kinesiophobia, balance, fear of falling and mobility levels were evaluated with questionnaires. Kinesiophobia, Tampa Kinesiophobia Scale (TKS); balance, Berg Balance Scale (BBC); Fear of falling, Tinetti Fall Efficiency Scale (FES) and mobility levels were determined by Timed Up and Go Test (TUG). Results: The presence of kinesiophobia was detected in 33 (70.5%) of the participants. As a result of the evaluation, there was a statistically significant positive correlation between kinesiophobia and fear of falling (p=0.001, r=0.514) and mobility (p=0.002, r=0.468); Statistically significant negative correlation was found between kinesiophobia and balance (p<0.001, r=-0.603). Balance (p=0.03) and mobility (p=0.001) parameters were found to be more affected in individuals with kinesiophobia. 43 Conclusion: There is a relationship between the presence of kinesiophobia and balance, fear of falling and mobility in geriatric individuals. Kinesiophobia negatively affects balance and mobility. The questioning of kinesiophobia should not be ignored in the planning of clinical evaluation and rehabilitation programs
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.
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.
Open Access
The effects of the hybrid telerehabilitation exercise program in inactive university students during COVID-19 pandemic - A randomized controlled study
(2023-02-01) POLAT, MİNE GÜLDEN; YILDIZ ÖZER, AYSEL; Ozer A. Y., ŞENOCAK E., Aybey B. N., Tolmaci L., Surmeli S., Ozmen I., POLAT M. G.
Background/Aim The need for alternative methods to prevent physical inactivity and related problems is increasing day by day due to the prevalence of physical inactivity among university students, especially in the pandemic. This study aimed to investigate the effects of a hybrid telerehabilitation exercise program on the physical inactivity, poor sleep quality and physio-mental negativities caused by the pandemic in university students. Materials and Methods The study was completed with sixty-three physically inactive students with poor sleep quality, divided into two groups. The physiotherapist made all assessments at baseline and after the 6-week for both groups. Assessments consisted of Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI), Short Form-12 (SF-12), and International Physical Activity Questionnaire-Short Form (IPAQ-SF). While no exercise program was applied to the control group, one session synchronous exercise training and one session control education were given to the exercise group. After two synchronous training sessions, the exercise group asynchronously continued the exercise program including indoor walking, flexibility and strengthening exercises for 6 weeks. Results According to inter-groups analysis, PSQI (p=0.026), BDI (p=0.037), SF-12 Mental (p=0.007), and IPAQ-sitting (p=0.003) of the exercise group had significant differences compared to the control. Also, the exercise group\"s PSQI, BDI, SF-12, and IPAQ-sitting time were p0.05). Conclusion Hybrid telerehabilitation exercise programs are a valuable, simple, and practical tool to improve sleep quality, prevent inactivity, develop and protect mental health among university students. Encouraging physically inactive people to engage in such methods may be one of the primary preventive approach to prevent the future negative consequences.
Open Access
The effect of 2 different dual-task balance training methods on balance and gait in older adults: a randomized controlled trial
(2022-03-01) POLAT, MİNE GÜLDEN; OĞUZ, SEMRA; Yuzlu V., Oguz S., Timurtas E., Aykutoglu E., Polat M. G.
Objective The purpose of this study was to compare the effects of integrated and consecutive cognitive dual-task balance training in older adults on balance, fear of falling, and gait performance. Methods Fifty-eight participants (age >65 years) were randomly assigned to an integrated dual-task training group (IDTT) (n = 29) and consecutive dual-task training group (CDTT) (n = 29). Balance exercises and cognitive tasks were performed simultaneously by the IDTT group and consecutively by the CDTT group for 8 weeks. Balance was assessed using the Berg Balance Scale as a primary outcome measure and the Timed \"Up & Go\" Test (TUG) (standard-cognitive), fear of falling was assessed using the Tinetti Falls Efficacy Scale, and gait speed was assessed using the 10-Meter Walk Test (10MWT) (under single-task and dual-task conditions). All tests were performed before and after the training. Results There was no difference in group-time interaction in the Berg Balance Scale, TUG-standard, 10MWT-single task, and 10MWT-dual task tests. Group-time interaction was different in the TUG-cognitive and Tinetti Falls Efficacy Scale scores. Also, the effect of time was significantly different in all scales except for the 10MWT-single task in both groups. Conclusion At the end of the 8-week training period, the impact of integrated and consecutive dual-task balance training on balance and gait performance in older adults was not statistically significantly different. This study suggests that consecutive dual-task balance training can be used as an alternative method to increase balance performance and gait speed in older adults who cannot perform integrated dual-task activities. Impact There were no significant differences between the effects of the 2 dual-task training methods on balance and gait speed, suggesting that the consecutive dual-task balance training method can be used to improve the balance and gait of older adults. CDTT can be performed safely and considered as an alternative method for use in many rehabilitation training programs with older adults who cannot perform simultaneous activities.
Open 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.
Open Access
The association between isokinetic strength and strength asymmetry and jump performance in female volleyball players
(2023-01-01) AYBERK, BAHAR; ÖZGÜL, BAHAR; POLAT, MİNE GÜLDEN; ATİK B., AYBERK B., ÖZGÜL B., POLAT M. G.
Purpose: Since the use of normalized isokinetic strength was recently proposed to analyze sportive performance, it was aimed to examine relative isokinetic muscle strength as well as absolute strength in jump performance. Secondly, the investigation of the relationship between extremity-based and inter-extremity strength asymmetry and selected jump tasks was aimed. Methods: Thirty female professional volleyball players (23.70 ± 5.27 years) who has at least four training sessions per week participated to study during the pre-season period Peak torque (PT) of knee flexors and extensors at the speed of 60º/s and 180º/s were evaluated using isokinetic dynamometer. Jump height (cm) and relative power (W/kg) of vertical countermovement jump (CMJ) and squat jump (SJ) were tested by optojump photoelectric system. Results: A positive moderate correlation between PT and relative PT(rPT) at both speeds with jump height was detected (r = 0.365–0.594). It was found that jump power had a positive moderate to good correlation with PT(r = 0.557–0.731) and low to moderate correlation with rPT (r = 0.314–0.601). No significant correlation was found between hamstring/quadriceps ratio and bilateral muscle asymmetry with jump parameters (p > 0.05). Conclusions: Due to the relatively low level of relationship between normalized strength and performance, we suggest carrying out further studies examining the effects of normalized parameters on performance. Considering the findings based on strength asymmetry, the coordinated action of the relevant muscles may come to the forefront during the performance, rather than muscle strength.
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Ayak postürüne göre ayak bileği çevresi kas yapısının incelenmesi
(2022-12-09) ÖZGÜL, BAHAR; DEMİRBÜKEN, İLKŞAN; POLAT, MİNE GÜLDEN; Özgül B., Aygün N. B., Demirbüken İ., Polat M. G.
Amaç: Internal ve eksternal yumuşak doku yapıları, kuvvet ve dinamik destek uygulayarak ayak postürü üzerinde etkilere sahiptir. Bu çalışma kapsamında farklı ayak postürüne sahip bireylerde muskuloskeletal ultrasonik değerlendirmesiyle ile seçilen kasların yapısal karakterizasyonun gerçekleştirilmesi ve ayak bileği çevresinde yer alan majör kas gruplarının yapısal özelliklerinin karşılaştırılması amaçlandı. Yöntem: Otuz üç kadın olgunun (ortalama yaş: 21,45±1,60 yıl) dominant ayağı Ayak Postür İndeksi (APİ) uygulanarak değerlendirildi ve pron ayak postürüne sahip 15 olgu (APİ skoru = 6-10) ve normal ayak postürüne sahip 18 olgu (APİ skoru = 0-5) tespit edildi. Olguların tibialis anterior, gastrocnemius medialis ve peroneal kasların kalınlığı ve ek olarak peroneal kasların kesit alanı görüntüleri 5-13 MHz’lik bir prob ve Venue 40 ultrasonografik görüntüleme sistemi aracılığıyla toplandı. ImageJ programı kullanılarak üç farklı görüntünün ilgili yapısal özellikler analiz edildi ve ortalaması alındı. Ultrasonografik görüntüleme, uluslararası sertifikası olan ve beş yıldır muskuloskeletal ultrasonik görüntülemede tecrübesi olan fizyoterapist tarafından gerçekleştirildi. Bulgular: Her iki grupta yer alan olgular demografik özellikler açısından benzerdi (p>0,05). Pron ayak postürüne sahip bireylerin tibialis anterior (p=0,025, z=2,242), peroneus brevis (p=0,013, z=-2,459) ve total peroneus kas kalınlığının (p=0,007, z=2,639) normal ayak postürü grubundan daha fazla olduğu tespit edildi. Gastrocnemius medialis, peroneus longus kalınlığı ve peroneal kasların kesit alanı açısından gruplar arasında fark yoktu (p>0,05). Sonuç: Mevcut çalışmanın bulgularına göre, ayak postürüne göre ayak bileği hareketlerini kontrol eden tibialis anterior ve peroneal kasların kalınlığı farklılık gözlenmektedir. Daha fazla olgunun yer aldığı, ayak postürüne göre tendona aktarılan kuvvet hakkında daha detaylı bilgi verebilen penasyon açısının da değerlendirildiği ileri çalışmaların yapılması planlanmıştır. Anahtar Kelimeler: Ayak, Ayak Bileği, Ultrasonografik Görüntüleme, Kas