Person: ACAR, GÖNÜL
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ACAR
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GÖNÜL
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Publication Metadata only The effects of therapeutic exercises on pain, muscle strength, functional capacity, balance and hemodynamic parameters in knee osteoarthritis patients: a randomized controlled study of supervised versus home exercises(SPRINGER HEIDELBERG, 2017) ACAR, GÖNÜL; Colak, Tugba Kuru; Kavlak, Bahar; Aydogdu, Onur; Sahin, Emir; Acar, Gonul; Demirbuken, Ilksan; Sari, Zubeyir; Colak, Ilker; Bulut, Guven; Polat, M. GuldenThe aim of the study was to compare the effects of low-intensity exercise programs for lower extremities, either supervised or at home, on pain, muscle strength, balance and the hemodynamic parameters of knee osteoarthritis (OA) patients. This randomized study included 78 patients with knee OA in 2 groups of supervised and home-based exercise program. Exercises were applied to the first group in the clinic as a group exercise program and were demonstrated to the second group to be performed at home. Before and after the 6-week exercise program, assessment was made of pain, quadriceps and hamstring muscle strengths, 6-min walk test (6MWT), and non-invasive hemodynamic parameters. Results of the 78 patients, 56 completed the study. Pain, muscle strength, and 6MWT scores showed significant improvements in both groups. There were also significant differences in the amount of change in pain and muscle strength (pain: p = 0.041, Rqdc: 0.009, Lqdc: 0.013, Rhms: 0.04) which indicated greater improvements in the supervised group. The balance scores of supervised group showed a significant improvement (p = 0.009). No significant change was determined in hemodynamic parameters of either group. Conclusion according to the results of this study showed that low-intensity lower extremity exercises conducted in a clinic under the supervision of a physiotherapist were more effective than home-based exercises in reducing post-activity pain levels and improving quadriceps and right hamstring muscle strength. Both the supervised and home exercise programs were seen to be effective in reducing rest pain and increasing 6 MW distance in knee osteoarthritis patients.Publication Open Access Association between the physical activity level and the quality of life of patients with type 2 diabetes mellitus(2015) ÖZGÜL, BAHAR; Çolak, Tuğba Kuru; Acar, Gönül; Dereli, E. Elçin; Özgül, Bahar; Demirbüken, İlkşan; Alkaç, Çiğdem; Polat, M. GüldenPublication Metadata only The relationship between objective balance, perceived sense of balance, and fear of falling in stroke patients(TAYLOR & FRANCIS LTD, 2017) ACAR, GÖNÜL; Oguz, Semra; Demirbuken, Ilksan; Kavlak, Bahar; Acar, Gonul; Yurdalan, Saadet Ufuk; Polat, Mine GuldenObjective: The objective of our study was to investigate the relationship between objective balance, fear of falling, and perceived sense of balance (PSB) in stroke patients. Methods: Seventy patients aged 18-65 years with chronically developed hemiplegia or hemiparesis were enrolled in the study. Patients' objective balance scores, fear of falling, and PSB were obtained using the berg balance scale (BBS), the falls efficacy scale (FES), and a visual analog scale, respectively. The Standard Mini-Mental Examination was performed to exclude patients with mental disorders from the study. Results: There was a moderate negative correlation between PSB and BBS scores (p = 0.001, rho = -0.588); a strong negative correlation between BBS and FES scores (p = 0.001, rho = -0.808); and a strong positive correlation between PSB and FES scores (p = 0.001, rho = 0.714). We found that BBS scores had negative correlation with PBS scores in left hemiplegic patients while there was no any relationship between BBS and PBS scores in right hemiplegic patients. Conclusion: PSB assessment, besides the BBS, should be considered among the routine assessment methods that enable the rehabilitation team to be aware of patients' balance capacities.Publication Open Access Efficacy of neurodevelopmental treatment combined with the Nintendo (R) Wii in patients with cerebral palsy(SOC PHYSICAL THERAPY SCIENCE, 2016) ACAR, GÖNÜL; Acar, Gonul; Altun, Gamze Polen; Yurdalan, SaadetUfuk; Polat, Mine Gulden[Purpose] The aim of this study was to investigate the efficiency of Nintendo (R) Wii games in addition to neurodevelopmental treatment in patients with cerebral palsy. [Subjects and Methods] Thirty hemiparetic cerebral palsy patients (16 females, 14 males; mean age, 6-15 years) were included in the study and divided into two groups: a neurodevelopmental treatment+Nintendo Wii group (group 1, n=15) and a neurodevelopmental treatment group (group 2, n=15). Both groups received treatment in 45-minute sessions 2 days/week for six weeks. Use of the upper extremities, speed, disability and functional independence were evaluated using the Quality of Upper Extremity Skills Test, Jebsen Taylor Hand Function Test, ABILHAND-Kids test, and Pediatric Functional Independence Measure (self-care) before and after treatment. [Results] There were statistically significant improvements in all parameters for group 1 and group 2 (except quality of function) after six weeks of treatment. Intergroup analysis showed that group 1 was superior to group 2 in mean change differences in the Jebsen Taylor Hand Function Test. [Conclusion] Our results showed that neurodevelopmental treatment is effective for improving hand functions in hemiplegic cerebral palsy. To provide a enjoyable, motivational, safe, and effective rehabilitation program, the Nintendo (R) Wii may be used in addition to neurodevelopmental treatment.Publication Open Access Cross-Cultural Adaptation of the Developmental Coordination Disorder Questionnaire in Turkish Children(SAGE PUBLICATIONS INC, 2019-02) ACAR, GÖNÜL; Yildirim, Canan Kocaman; Altunalan, Turgay; Acar, Gonul; Elbasan, Bulent; Gucuyener, KivilcimThe Developmental Coordination Disorder Questionnaire (DCDQ'07) is an instrument for screening children between 5 and 15 years of age. Although it is popular, this instrument has not been adapted for use with Turkish children, and there is no valid similar screening tool in Turkey. Thus, this study aimed to provide a cross-cultural adaptation of the DCDQ'07 for Turkish children. We performed the translation process using well-established cross-cultural adaptation guidelines, and we recruited 736 parents (361 males, 375 females) of typically developing children with a mean (M) age of 9.27 years (standard deviation = 2 years 5 months, range: 5.0-14.9 years). We determined the internal consistency of the questionnaire by item and total score correlations, Cronbach's alpha and item-deleted Cronbach's alpha. Intraclass correlation coefficients were used to determine test-retest reliability after an interval of 5 days. The Cronbach's alpha of the Turkish DCDQ'07 was .890 for the total questionnaire. All the item-deleted Cronbach's alpha values were lower than the total value of .890, except the bull in a China shop item (Cronbach's alpha values .896). Test-retest reliability ranged from .99 to 1.00. The Turkish DCDQ is a valid and reliable screening tool for assessing the motor performance of children between 5 and 15 years of age.Publication Metadata only Gelişimsel koordinasyon bozukluğunun taranması(2015-12-31) TİMURTAŞ, EREN; KURU ÇOLAK, TUĞBA; POLAT, MİNE GÜLDEN; ACAR, GÖNÜL; TİMURTAŞ E., KURU ÇOLAK T., ELBASAN B., POLAT M. G., ACAR G.