Person: KURU ÇOLAK, TUĞBA
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KURU ÇOLAK
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TUĞBA
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Publication Open Access Effects of Pilates exercises on idiopathic scoliosis: a scoping review of the literature(2023-02-01) KURU ÇOLAK, TUĞBA; Kuru Çolak T., Akçay B., Apti A.Purpose Scoliosis is a deformity involving changes in three planes. These changes include lateral curvature in the frontal plane, changes in physiological thoracic kyphosis and lumbar lordosis angles in the sagittal plane, and rotation of the vertebrae in the transverse plane. The aim of this scoping review was to review and summarize the available literature to determine whether Pilates exercises are an efective treatment for scoliosis. Methods The Cochrane Library (reviews, protocols, trials), PubMed, Web of Science, Ovid, Scopus, PEDro, Medline, CINAHL (EBSCO), ProQuest, and Google Scholar electronic databases were used to search for published articles from inception to February 2022. All the searches included English language studies. Keywords were determined as “scoliosis and Pilates” or “idiopathic scoliosis and Pilates”, “curve and Pilates”, “spinal deformity and Pilates.” Results Seven studies were included; one study was a meta-analysis study, three studies compared Pilates and Schroth exercises, and three applied Pilates exercises in combined therapy. The studies included in this review used outcome measurements of Cobb angle, ATR, chest expansion, SRS-22r, posture assessment, weight distribution, and psychological factors such as depression. Conclusions The results of this review suggest that the level of evidence regarding the efect of Pilates exercises on scoliosisrelated deformity is very limited. Pilates exercises can be applied to reduce asymmetrical posture in individuals with mild scoliosis with reduced growth potential and progression risk.Publication Open Access Determination of somatotypes of children with adolescent idiopathic scoliosis and its relationship with scoliosis(2023-08-01) KURU ÇOLAK, TUĞBA; APTİ A., KURU ÇOLAK T., AKÇAY B., ÇOLAK İ.Aim: Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine. In adolescence, body morphology can change for various reasons such as genetics, nutrition, and level of physical activity. It has been reported that there are differences in the normal physical growth pattern in children with AIS, which may be due to hormonal changes. The relationship between body morphology and scoliosis is questionable because of the differences that scoliosis creates in the spinal structure. The aim of this study was to define the somatotype characteristics of children with AIS and compare the somatotypes with healthy, age and sex-matched controls. Material and Methods: A retrospective evaluation was performed on 38 children with AIS and 27 age-matched healthy control subjects. Cobb angles and angle of trunk rotation (ATR) values were used to determine scoliosis and trunk gibbosity. Cobb angles were measured on standing anterior-posterior radiographs and the ATR using Adam’s forward bending test with a scoliometer. Somatotypes were defined according to the Heath-Carter method and body morphology was categorized into three different components: endomorphy, mesomorphy, and ectomorphy. Results: Ectomorphy was the dominant type in the AIS group, and endomorphy was the dominant type in the control group. The endomorphic somatotype in individuals with scoliosis was determined at a statistically significantly lower rate than in the control group (p=0.048). There was a moderate negative correlation (p=0.001, r=-0.466) between the Cobb angle and the values of the endomorphy component, and between the ATR and the endomorphy values (p=0.010, r=-0.318). Discussion: The lower rate of endomorphic somatotype was an evident difference in children with scoliosis. These differences may cause problems in the growth and development of the spine and the skeletal structures attached to the spine during adolescence when rapid growth and development occur. Whether this difference is related to nutrition, genetic and hormonal factors, or psychosocial factors remains to be determined.Publication Open Access Current knowledge of scoliosis in physiotherapists and physiotherapy students trained in Turkey(2022-08-01) KURU ÇOLAK, TUĞBA; AKGÜL H., Kılıç B. B., SELÇUK H., METE E., Sarı D. M., Drake S., KURU ÇOLAK T.Purpose: Present evidence suggests that early detection and correct management is an essential part of scoliosis treatment. Therefore, the physiotherapists and physiotherapy students must have adequate knowledge of scoliosis. The purpose of this study was to evaluate the current knowledge of physiotherapists and physiotherapy students in Turkey on scoliosis. Methods: A previously designed questionnaire based on International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) guideline consists of two sections was used in this study. The first section included eight questions to evaluate the knowledge level on the definition, cause, development, prevalence, diagnosis, treatment, and bracing of scoliosis. The second section included three multiple-choice questions to analyze the participants’ opinions on exercises for scoliosis. All Turkish universities offering physiotherapy degrees and graduated physiotherapists from certain social media groups were invited to participate in the study. Results: 649 physiotherapists and 497 students completed the questionnaire. Scoliosis is recognized as a 3-dimensional deformity of the spine by 39.8% of the students and 57.2% of the physiotherapists. Only 19.5% of the students and 30.7% of the physiotherapists correctly identified the diagnostic criteria for scoliosis. For therapeutic exercise, 48.7% of the students and 61.3% percent of the physiotherapists identified the appropriate approach, and also 57.3% of the students and 62.6% of the physiotherapists correctly identified the bracing recommendations. Conclusion: Results of this study showed that physiotherapists and physiotherapy students do not have sufficient knowledge of scoliosis. Action needs to be taken to improve the awareness and basic knowledge level of scoliosis.