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 Metadata only Ev ortamında ebeveyn gözetimi altında uygulanan hareket gözlem tedavisinin hemiparetik serebral palside el becerisi ve kullanımı üzerine etkisi: Olgu sunumu(2023-09-11) CAN, HİLAL BAŞAK; ACAR, GÖNÜL; CAN H. B., ACAR G.Hareket Gözlem Tedavisi (HGT), hemiparetik serebral palsili (HSP) çocuklarda üst ekstremite fonksiyonunu iyileştirmek amacıyla bir video klip yoluyla birinci perspektiften sunulan amaca yönelik hareketlerin izlenip sonrasında taklit edilmesiyle uygulanabilen bir rehabilitasyon yöntemidir. Bu çalışmanın amacı, ebeveyn gözetimi altında ev ortamında uygulanan HGT’nin 8 yaşındaki HSP’li çocuğun el becerisi ve kullanımı üzerine etkisini göstermekti. Olguya konvansiyonel fizyoterapiye ek olarak 3 hafta, haftada 5 gün toplam 15 seans ebeveyn gözetiminde HGT uygulandı. Ebeveyne HGT’nin evde nasıl uygulanacağıyla ilgili bir kılavuz verildi ve ilk seans fizyoterapist eşliğinde ZOOM Cloud Meetings uygulamasıyla gerçekleştirildi. Çocuk Kaba Motor Fonksiyon Sınıflama Sistemine göre seviye II, El Becerileri Sınıflandırma Sistemine göre düzey III ve House Fonksiyonel Sınıflandırma Sistemine göre seviye 5 idi. Tedavi öncesinde ve tedavi sonrasında kutu ve blok testi ve Minnesota el beceri testi ile çocuğun el becerisi ve Çocukların El Kullanım Deneyimi Anketi (ÇEDA) ve ABILHAND-Kids ile el kullanımı değerlendirildi. Tedavi öncesinde kutu ve blok testi sonucu etkilenmemiş el için 29 ve etkilenmiş el için 20 iken tedavi sonrası sırasıyla 32 ve 26 idi. Minnesota el beceri testi yerleştirme alt testinin tamamlanma süresi tedavi öncesinde etkilenmemiş el için 144 saniye ve etkilenmiş el için 229 saniye iken tedavi sonrası sırasıyla 125 saniye ve 215 saniye idi. Minnesota el beceri testi döndürme alt testinin tamamlanma süresi tedavi öncesinde 309 saniye iken tedavi sonrası 269 saniye idi. ÇEDA kavrama etkinliği puanı tedavi öncesi 40 iken tedavi sonrası 41, yaşıtlarına göre zaman kullanımı puanı tedavi öncesi 44 iken tedavi sonrası 56 ve aktivite yaparken rahatsızlık hissi deneyimi puanı tedavi öncesi 45 iken tedavi sonrası 59 idi. ABILHAND-Kids puanı tedavi öncesi 26 iken tedavi sonrası 27 idi. Tedavi öncesi ve tedavi sonrası sonuçlar karşılaştırıldığında ebeveyn gözetimi altında uygulanan HGT’nin el becerisi ve kullanımında olumlu yönde değişikliklere neden olduğu gözlendi. HGT’nin HSP’li çocukların rehabilitasyon programına eklenmesinin yararlı olacağı düşünülmektedir.Publication Metadata only El rehabilitasyonu için geliştirilen robotik harici el iskelet sisteminin sağlıklı bireyler üzerinde test edilmesi(2021-04-17) ACAR, GÖNÜL; BAL, ABDULLAH; BAŞPINAR, ULVİ; BAKIR, BARKIN; Yıldız E., Kısacık M., BAL A., BAKIR B., BAŞPINAR U., Bayrak F., ACAR G.Publication 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 Metadata only Harflerle cerebral palsy(Boyut Yayın Grubu, 2022-04-01) ACAR, GÖNÜL; Acar G.Publication Metadata only Meningomyeloselli çocuklarda TENS ve fizyoterapi uygulamalarının konstipasyon üzerine etkisi(2022-10-15) ACAR, GÖNÜL; ÖZDEMİR AYLA Ö., ACAR G., Ömeroğlu Gülada B., ÖZEL Ş. K.Publication Metadata only The Effects of Neurodevelopmental Therapy on Feeding and Swallowing Activities in Children with Cerebral Palsy(SPRINGER) TÜRKDOĞAN, DİLŞAD; Acar, Gonul; Ejraei, Nasim; Turkdogan, Dilsad; Enver, Necati; Ozturk, Gulten; Aktas, GulcinThis study investigated the effect of the structured Neurodevelopmental Therapy Method-Bobath (NDT-B) approach on the feeding and swallowing activity of patients with cerebral palsy (CP) and feeding difficulties. In addition to feeding and oral motor intervention strategies (OMIS), and nutrition-related caregiver training (NRCT), and the NDT-B, which was structured to increase trunk and postural control, was added to the therapy program. Forty patients with CP, with a mean age of 3.25 +/- 0.927 years, were classified using the Gross Motor Function Classification System, Eating and Drinking Ability Classification System, and Mini-Manual Ability Classification System. The patients were randomly assigned into two groups as OMIS + NRCT (n = 20) and OMIS + NRCT + NDT-B (n = 20). The program was applied for 6 weeks, 2 days/week, for 45 min. The patients were evaluated using the Trunk Impairment Scale, Schedule for Oral Motor Assessment, and the Pediatric Quality of Life Inventory before and after 6 weeks. The trunk control of the OMIS + NRCT + NDT-B group was superior to the other group (P = 0.026). Although there was an improvement in the groups according to the subcategories of SOMA, the OMIS + NRCT + NDT-B group was superior in the trainer cup and puree subcategories of SOMA (P = 0.05). A significant correlation was observed between trunk control and oral motor functions in children with CP, and the eating function of children in the OMIS + NRCT + NDT-B group further improved. NDT-B-based neck and trunk stabilization exercises should be added to the treatment programs.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.Publication Metadata only Module 2: early child development- typical and atypical.(İstanbul Tıp Kitabevleri, 2021-01-01) ACAR, GÖNÜL; ERDOĞAN, RAFET UMUT; ACAR G., ERDOĞAN R. U.; Elbasan, BülentPublication Metadata only Kompleks ihtiyaçları olan engelli bebeklerin ebeveynlerini destekleyen sağlık uygulayıcıları için mesleki eğitim programı-medvet(İstanbul Tıp Kitabevi, 2021-01-01) ERDOĞAN, RAFET UMUT; ACAR, GÖNÜL; ELBASAN B., ACAR G., FIRAT S., GÜZEL A., ERDOĞAN R. U., Doğan T. D., keskin b.