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TİMURTAŞ, EREN

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TİMURTAŞ

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EREN

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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
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.
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
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.
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.
Open 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.
Open Access
Usability of Mobile Health Application for Individuals with Type 2 Diabetes Mellitus and Clinicians
(MARMARA UNIV, INST HEALTH SCIENCES, 2020-03-31) TİMURTAŞ, EREN; Timurtas, Eren; Polat, Mine Gulden
Objective: Usability of technological devices is an important and relevant construct as mobile technologies are increasingly used to deliver healthcare products. Most accessible devices are smartphone and smartwatch but information on their usability is scarce. The aim of this study is to compare the usability of smartphone and smartwatch devices in delivering an exercise platform to individuals with Type 2 Diabetes Mellitus (T2DM) among two focus groups: individuals with T2DM and clinicians. Methods: A total of 40 individuals with T2DM (focus group 1) and 20 clinicians (focus group 2) were recruited to use the platforms one week. Each focus group was randomly divided into: smartphone and smartwatch groups. Each participant was provided with a practice trial for a week before data collection. Usability of both devices was measured with System Usability Scale (SUS). Student t-test was used to compare the total and subscale scores of SUS between two devices in each focus group. Results: In focus group 1 and 2, the mean total scores of SUS were slightly higher in smartphone group (88,75 +/- 9,34 and 86,75 +/- 8,68 ) than smartwatch group (87,87 +/- 7.56 and 82,35 +/- 6,59) respectively. When compared to individual items, three items were statistically significant in focus group 1 and one in focus group 2 (p <= 0.05). Conclusion:This study demonstrates a high usability (SUS score>80,8) for both smartphone and smartwatch devices in individuals with T2DM and clinicians. When compared between devices for two groups, exercise platform delivered through smartphone performed better on usability than smartwatch for both individuals with T2DM and clinicians.
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
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
Open Access
Determination of the effectiveness of physiotherapy techniques after coronary artery bypass graft surgery
(2021-12-01) TİMURTAŞ, EREN; POLAT, MİNE GÜLDEN; HÜZMELİ İ., KATAYIFÇI N., FANSA İ., YÜCEKAYA B., TİMURTAŞ E., POLAT M. G.