Person: ÖZEN BERKOL, TUĞÇE
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ÖZEN BERKOL
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TUĞÇE
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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 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, ReliabilityPublication Metadata only Cervical proprioception accuracy is impaired in patients with axial spondyloarthritis(ELSEVIER, 2021) TONGA, EDA; Ozen, Tugce; Tonga, Eda; Polat, Mine Gulden; Bayraktar, Deniz; Akar, ServetBackground: Proprioception is the awareness of body parts and includes joint position sense, kinesthesia, and sense of force. Cervical spine is one of the major affected areas in axial spondyloarthritis (axSpA), and is an essential region for proprioceptive receptors. Objective: To investigate the cervical joint proprioceptive accuracy by using cervical joint positioning error (JPE) method in patients with axSpA and healthy controls. Design: Cross-sectional study. Methods: JPE was calculated for cervical motions in the directions of flexion, extension, rotations, and lateral flexions. Time since diagnosis, symptom duration, spinal mobility, functional status, quality of life, disease activity, and pain were evaluated in axSpA patients. Cervical JPE of axSpA patients was also compared according to radiographic status, biologic use, and existence of cervical syndesmophytes. Results: Eighty-two axSpA patients (52 males) and 71 healthy subjects (53 males) were evaluated. Cervical JPE was higher in patients with axSpA compared to healthy subjects (p < 0.001), except left lateral flexion (p = 0.10). Cervical proprioceptive accuracy for extension and left rotation was better in biologics+ subgroup compared to biologic- subgroup (p < 0.05). No other differences were detected related to radiographic status nor existence of cervical syndesmophytes (p > 0.05). Conclusion: Cervical proprioception accuracy is impaired in patients with axSpA. It seems that controlling disease activity by using appropriate medication may have a positive effect on cervical proprioception accuracy.Publication Metadata only A hand exercise mobile app for people with rheumatoid arthritis in Turkey: design, development and usability study(SPRINGER HEIDELBERG, 2021) TONGA, EDA; Tonga, Eda; Williamson, Esther; Srikesavan, Cynthia; Ozen, Tugce; Saritas, Fatih; Lamb, Sarah E.To design and develop a smartphone application for a structured hand exercise programme for patients with rheumatoid arthritis (RA) in Turkey and to test its usability. We followed a two-stage process: (1) Design and Development and (2) Usability testing. In stage 1, we used a qualitative user-centered design approach. We conducted a focus group (8 therapists and people with RA) to discuss the content, features and design to produce a prototype of the application. In a second focus group session, the participants tested the prototype, provided feedback and further revisions were made. In stage 2, 17 participants with RA used the app for 4 to 6 weeks. The System Usability Scale and the adapted Usability, Satisfaction and Ease to Use Questionnaires were used to measure usability, ease of use. Semi-structured interviews were conducted to explore user experiences with the application with 17 participants. In stage 1, the following themes were identified from the focus groups (a) login techniques (b) self-monitoring (c) exercises, (d) exercise diary, (e) information, (f) behavioral change and encouragement (g) exercise adherence. In stage 2, 3 themes were determined from interviews: (a) learning and accuracy, (b) ease of use, (c) motivation and adherence. USE and SUS scores indicated that users reported a high level of usability, satisfaction and ease of use. A mobile app for hand exercise for people with RA was developed using a mixed-method and iterative design. Participants perceived the mobile app as easy to use with high levels of satisfaction.Publication Open Access INVESTIGATION OF IMMEDIATE EFFECT OF CERVICAL STABILISATION EXERCISES ON PROPRIOCEPTION IN PATIENTS WITH NECK PAIN(BMJ PUBLISHING GROUP, 2018-06) TONGA, EDA; Tonga, E.; Ozen, T.; Timurtas, E.; Polat, G. M.Publication Open Access Effects of rigid and kinesio taping on plantar pressure distribution in patients with Lisfranc fracture sequelae.(2023-11-01) ÖZEN BERKOL, TUĞÇE; KURU ÇOLAK, TUĞBA; POLAT, MİNE GÜLDEN; ÖZTÜRK O., ÖZEN T., KURU ÇOLAK T., ECEVİZ E., ÇOLAK İ., POLAT M. G.Background: Patients with Lisfranc fractures may regain functional status after anatomical fixation, but they may experience sequelae such as flatfoot deformity and pain associated with foot pressure distribution during weightbearing. Research question:: What is the impact of Lisfranc fracture sequelae on both the injured and uninjured sides, and how does the antipronation taping affect plantar pressure distribution parameters? Methods: Twenty-six patients who underwent anatomical fixation for Lisfranc fracture, displaying pronation on the injured side based on the Foot Posture Index-6 test, as well as 15 healthy subjects, participated in this study. Plantar pressure distribution measurements were conducted during barefoot walking for the healthy subjects. In the patient group, measurements were taken under two antipronation taping conditions (kinesio and rigid taping), as well as during barefoot walking. Results: Participants who received anatomical fixation after Lisfranc fracture exhibited significant alterations in plantar pressure distribution parameters on both the injured and uninjured sides, as compared to the control group. After the application of Kinesio Taping to the injured side, there was no significant change observed in the plantar pressure distribution values (p > 0.05). The analysis of the rigid taping on the injured side revealed statistically worse values in peak pressure of the hindfoot (p = 0.027) and maximum force of the midfoot and toes (p = 0.005 and p = 0.013, respectively) compared to the injured barefoot condition. Significance: Lisfranc fracture sequelae affected plantar pressure distribution on both injured and uninjured sides. Anti-pronation taping (kinesio and rigit), commonly used for foot conditions, did not lead to foot pressure distribution becoming more similar to that of the control group.Publication Metadata only Pedobarographic, Clinic, and Radiologic Evaluation after Surgically Treated Lisfranc Injury(TAYLOR & FRANCIS INC, 2021) POLAT, MİNE GÜLDEN; Eceviz, Engin; Cevik, Huseyin Bilgehan; Ozturk, Orhan; Ozen, Tugce; Colak, Tugba Kuru; Colak, Ilker; Polat, Mine GuldenIntroduction Lisfranc injuries are rare, often missed, and may cause permanent structural deterioration of tarsometatarsal joint, despite optimal management. Consequently, a Lisfranc injury may lead to disruption of the biomechanics of the normal foot during walking and may alter the plantar pressure distribution, which is essential for proper gait mechanics. Therefore, the main purpose of the study was to specify the dynamic plantar pressure, radiographic and clinical features, after surgically managed Lisfranc injuries. Methods This study was carried out over a period of 10 years and included 62 patients who were surgically treated for Lisfranc injury, with mean 57-month follow-up. Radiological (intermetatarsal, Kite's, first metatarsophalangeal, Meary's, Hibbs' and calcaneal pitch angles, and medial cuneiform-fifth metatarsal distance), pedobarographical, and clinical results with the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score assessments for both feet were assessed. Results In the radiological assessment, the mean first intermetatarsal (p = 0.006) and Meary's angle (p = 0.000) were decreased on the injured feet compared to the uninjured feet on the anteroposterior and lateral radiographs. In the pedobarographic assessment, the injured feet midfoot contact time increased (p = 0.03), and maximum force (p = 0.001), total peak pressure (p = 0.008), and contact area (p = 0.017) decreased, compared to the uninjured feet. The mean AOFAS score was 75/100 at the final follow-up visit. There was seen to be reduced both contact surface area and time of the midfoot. Conclusion Despite surgical management of Lisfranc injuries, the injured foot does not regain functional, radiological, or pedobarographical levels as compared to the uninjured foot for >= 57 months.Publication Open Access Sağlıklı genç bireylerde “Marmara balance and education system (marbes)” cihazı kullanılarak değerlendirilen denge ve koordinasyon ölçümlerinin güvenilirliği(2022-12-01) KURU ÇOLAK, TUĞBA; ÖZEN BERKOL, TUĞÇE; SARI, ZÜBEYİR; POLAT, MİNE GÜLDEN; DOĞAN, BARIŞ; TARIM, MEHVEŞ; KURU ÇOLAK T., ÖZEN BERKOL T., GÜNAY YAZICI C., SARI D. M., KARABACAK N., SARI Z., POLAT M. G., DOĞAN B., TARIM M.Publication Open Access Mapping the most problematic functions in chronic low back pain patients: Analysis of the patient-specific functional scale(2023-01-01) ÖZEN BERKOL, TUĞÇE; KURU ÇOLAK, TUĞBA; ÖZEN T., KURU ÇOLAK T., ÇOLAK İ., TATARLI N.Aim: Difficulty in functioning is one of the reasons by patients with low back pain (LBP) seek help. The purpose was to identify the problematic functions of chronic LBP patients using the Patient-Specific Functional Scale (PSFS) based on the International Classification of Functioning, Disability and Health (ICF) and investigate the related factors with the PSFS scores. Material and Methods: One-hundred LBP patients were included. The responses obtained from PSFS were linked to the ICF categories based on the linking procedure. Patient reported outcome measures (PROMs) and physical measurements were used for clinical assessment. Correlations were analyzed with Spearman’s rho correlation. Results: The identified 327 meaningful concepts were linked to 28 different 2ndlevel and 40 different 3rd level ICF categories. PSFS was found to correlate with the pain level during activity, perceived disability, and some domains of the health-related quality of life (p<0.05), while kinesiophobia and emotional status did not correlate with PSFS scores (p>0.05). Among physical tests, flexibility measurements correlated with PSFS scores (p<0.05). Discussion: Chronic LBP patients reported various functions. The content analyses showed the need for an extension of the ICF core sets for LBP. This study also revealed that not all PROMs and physical outcomes are able to reflect the difficulty level of the problematic activities. Assessment with PSFS may be beneficial for individually tailored treatment programs. Keywords Low Back Pain, ICF, PSFS, RehabilitationPublication Metadata only Measurement of cervical proprioception in patients with axial spondyloarthritis(2018-06-12) ÖZEN BERKOL, TUĞÇE; TONGA, EDA; POLAT, MİNE GÜLDEN; Özen T., Tonga E., Polat M. G., Akar S.