Person: ACAR, GÖNÜL
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ACAR
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GÖNÜL
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Publication Open Access Relationship between sitting posture, sitting balance and upper extremity functions in children with spina bifida(2021-12-01) ACAR, GÖNÜL; Atalay G., ACAR G.Purpose: To evaluate the relationship between the sitting posture, sitting balance and upper extremity functions of children with Spina Bifida (SB). Methods: Thirty-one children with SB, and aged 5-18 years, were included the study. Their physical and clinical characteristics were recorded. Seated Postural Control Measure (SPCM), Pedalo® Balance Measurement System, Sitting Assessment for Children with Neuromotor Dysfunction (SACND), Modified Functional Reach Test (MFRT) and Jebsen-Taylor Hand Function Test (JTHFT) were used. Results: There was a significant correlation between JTHFT results and the other test results, i.e. Pedalo® (r = -0.478, p=0.007), SACND (r=0.399, p=0.026) and MFRT (r = -0.598, p<0.01). There was no correlation between JTHFT and SPCM (p˃0.05). In Pedalo®, MFRT, SACND, SPCM scores, significant differences were observed between the levels of lumbar and sacral lesions. Conclusion: In children with SB, upper extremity functions and functional independence can be increased by improving sitting postures and sitting balance starting from the early period. We believe that studies searching for sitting mechanisms and exercises that may improve the sitting abilities and hand functions of children with SB are needed.Publication Metadata only Harflerle cerebral palsy(Boyut Yayın Grubu, 2022-04-01) ACAR, GÖNÜL; Acar G.Publication Metadata only Erken çocukluk gelişimi- tipik ve atipik(İstanbul Kit (Fatih), 2021-12-01) ACAR, GÖNÜL; ERDOĞAN, RAFET UMUT; Acar G., Erdoğan R. U.Erken Çocukluk gelişimi başlığı altında kaba motor gelişim,ince motor gelişim, dil ve konuşma gelişimi,sosyal emosyonel ve kognitif gelişim aylara göre detaylı olarak verilmiştir. Atipik gelişim başlığı altında Gelişimsel gerilik ve atipik postür gelişimleri detaylı olarak anlatılmış, Atipik kaba motor gelişim,ince motor gelişim, dil ve konuşma gelişimi,sosyal emosyonel ve kognitif gelişim örnekleri detaylandırılarak gelişim gerilikleri ve duyu bütünleme bozukluğu işaretleri detaylı olarak listelenmiştir.Publication Open Access Comparison of the effects of abdominal massage and osteopathic manipulative treatment home program on constipation in children with cerebral palsy(2024-06-01) ACAR, GÖNÜL; Chatip A. T., ACAR G., Akçay A. A.Background and Aim: The aim of this study is to compare the effects of osteopathic manipulative therapy home program (OMT-H) versus abdominal massage home program (AMHP) in treating constipation in children with cerebral palsy (CP). Methods: Twenty-nine children with CP with a mean age of 12.2 ± 3.76 years, who were constipated and were not on medication, were divided into three randomized groups: (i) control group (n = 10), (ii) AMHP (n = 10), and (iii) OMT-H (n = 9). In AMHP and OMT-H groups, treatment was applied as 20-min sessions every other day for 10 sessions for 3 weeks. Modified Constipation Assessment Scale (MCAS), Rome III criteria, and the Bristol Stool Form Scale (BSFS) were used for evaluation before treatment and once a week during treatment. Results: While there was no change in constipation symptoms in the control group, there was an improvement in constipation symptoms after treatment in the AMHP and OMT-H groups (AMHP, P = 0.003; OMT-H, P = 0.000014). While the treatment showed to be effective from the first week in the OMT-H group, the change in BSFS (P = 0.026) and MCAS sub-parameters was found to be superior. Conclusion: AMHP and OMT-H are effective and beneficial in treating constipation. In children with CP, OMT-H was found to be quicker and more successful compared with AMHP. The OMT-H can be effectively used in clinical practice in relieving constipation in CP.