Person: ACAR, GÖNÜL
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ACAR
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GÖNÜL
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Publication Open Access 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 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 Open Access Serebral palsi açısından yüksek riskli bebeklerde “genel hareketler analizi”nin (GHA) gözlemciler arası tutarlılığının değerlendirilmesi(2022-01-01) ACAR, GÖNÜL; KOCAMAN C., ALTUNALAN T., Özbek S. Ö. , Yılmaz A., Bol H., Özker E., Madi B., ACAR G.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 General movements assessment and Alberta Infant Motor Scale in neurodevelopmental outcome of preterm infants(2022-09-01) ACAR, GÖNÜL; Yildirim C., Asalioğlu A., Coşkun Y., Acar G., Akman İ.Aim: We aimed to compare the General Movement Assessment (GMA) and the Alberta Infant Motor Scale (AIMS) in preterm infants for the prediction of cerebral palsy (CP) and neurodeve-lopmental delay (NDD). Additionally, we aimed to evaluate the diagnostic compatibility of the General Movement Optimality Score (GMOS), the Motor Optimality Score (MOS), and AIMS for detecting CP and NDD.Method: Seventy-five preterm infants with gestational age (GA) 24-37 weeks were enrolled. Group 1 was composed of infants with 24-28 GA (n = 22); groups 2 and 3 consisted of infants with 29-32 GA weeks (n = 23) and 33-37 GA (n = 30) weeks, respectively. The infants were assessed during the writhing period, the fidgety period, and at 6-12 months of corrected age with GMOS, MOS, and AIMS, respectively.Results: In the writhing period, a cramped-synchronized pattern was observed in 17 (22%) in-fants, whereas a poor repertoire pattern was observed in 34 (45%) infants. In the fidgety period of the 63 infants, 29 (46%) presented with fidgety movements absent. The MOS and AIMS scores of the infants in group 1 were significantly lower than the other groups, which were statisti-cally significant (p = 0.004, p<0.00 1). High and positive compatibility (Kappa coefficient: 0.709; p = 0.001) was found between AIMS and GMOS scores and between AIMS and MOS scores (Kappa coefficient: 0.804; p < 0.001). In all groups, a statistically significant association was found between total GMOS scores (p = 0.003) and the presence of fidgety movements (p = 0.003). GMOS, MOS, and AIMS were found to be associated with CP and NDD (p < 0.001).Conclusion: GMA is an important tool for the prediction of CP and NDD. The combined use of GMOS, MOS, and AIMS may guide the clinical practice for the valid and reliable diagnosis of CP and NDD.Copyright 2022, Taiwan Pediatric Association. Published by Elsevier Taiwan LLC. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/ by-nc-nd/4.0/).Publication Open Access Fizyoterapistlerin bel ağrısına yaklaşımları(2020-03-03) ACAR, GÖNÜL; Umut BAHÇACI;TUĞBA KURU ÇOLAK;GÖNÜL ACARAmaç:Türkiye’deki fizyoterapistlerin bel ağrısına yaklaşımlarını, konuyla ilgili bilgi düzeylerini, bakış açılarını, tedavi tercihleriniortaya koymak ve güncel bir bakış açısı oluşturabilmektir.Yöntem: Araştırmacılar tarafından fizyoterapistlere yönelik 18 soruluk bir anket hazırlandı. Anket, “Türkiye FizyoterapistlerDerneği’nin mail grubuna birer hafta arayla 4 kere gönderildi. Sosyal medyada yer alan fizyoterapi ile ilgili gruplara da anketinulaştırılması sağlandı ve fizyoterapistler tarafından doldurulan tüm formlar analiz edildi.Bulgular: Ankete toplam 115 fizyoterapist katıldı. Çalışmada fizyoterapistlerin, daha çok kronik bel ağrısıyla karşılaştığı,sakroiliak eklem değerlendirmesini büyük oranda yaptığı, mobilizasyon manipulasyon yöntemlerinden daha çok “McKenzie,Cyriax ve Mulligan” konseptlerini tercih ettikleri, elektroterapi modalitelerinden en çok “TENS, ultrason ve enterferans akımı”tercih ettiği, tedavi seçeneklerinde daha çok germe ve postür egzersizlerini, elektroterapi modalitelerini ve spinal mobilizasyonukullandıkları bulunmuştur.Sonuç: Çalışmamızdan elde ettiğimiz sonuçlar Türkiye'deki fizyoterapistlerin bel ağrısına yaklaşımlarını ortaya koymaktadır.Çalışmanın daha net sonuçlar verebilmesi için daha çok sayıda fizyoterapiste ulaşılması gerektiğini düşünmekteyiz.Publication Open Access Neuroimaging in Developmental Coordination Disorder(2021-04-05) GÜNAY YAZICI, CANAN; Yıldırım, Canan; Acar, Gönül; Gülden Polat, Mine; Mete, Emel; Kaygusuz, Reyhan; Yazıcı, Canan GünayDevelopmental coordination disorder (DCD) is a neuromotor disorder of unknown etiology characterized by motor skill disorder, which significantly inhibits the child’s ability to perform daily living activities and affects psychosocial well-being. DCD is one of the least understood and studied neuromotor disorders, and little is known about the neural mechanisms underlying motor impairment. This makes it difficult to understand why children with DCD have difficulty in learning motor skills and what is the best intervention to optimize motor functions. With the further development of neuroimaging techniques, the number of neuroimaging studies to understand the underlying mechanisms in children with DCD has increased in recent years. Results from these studies suggest that children with DCD activate different regions of the brain during functional tasks and show differences in white matter microstructure, cerebellum, basal ganglia, parietal lobe, and parts of the frontal lobe (medial orbitofrontal cortex and dorsolateral prefrontal cortex) compared with typically developing children. We believe that these neuroimaging data obtained from numerous studies will contribute to the explanation of neural mechanisms related to impaired motor function in children with DCD.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 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.