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ACAR, GÖNÜL

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ACAR

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GÖNÜL

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2017 - 201912020 - 20211
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Subject: Balance ×

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    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. Gulden
    The 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.
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    PublicationOpen 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.