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YILDIZ ÖZER, AYSEL

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Sağlık Bilimleri Fakültesi

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YILDIZ ÖZER

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AYSEL

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Open Access
Knowledge level of pelvic floor and pelvic floor disorders according to and related disorders according to gender and education levels
(2023-06-01) YILDIZ ÖZER, AYSEL; Kılıç B. B., Akgül H., Timurtaş E., Yıldız Özer A.
Pelvic floor disorders, their management and protective educational programs have become popular in recent years. The aim of this study is to determine the level of knowledge about pelvic floor health according to gender and education levels. This cross sectional study is conducted on women and men between January and September of 2021 in Turkey. The knowledge level of pelvic floor was assessed with Pelvic Floor Health Knowledge Quiz (PFHKQ). Oneway ANOVA test was used for comparing pelvic floor knowledge according to the education levels and the age groups. Chi square test and Pearson chi square test were used for calculating binary variables, effect size, and confidence interval values between participants’ pelvic floor knowledge level and gender. A total of 1215 (1115 women, 100 men) participants completed the study. Men had less knowledge about the topics related to the pelvic floor (p <0.05) and the awareness of those that have graduated from higher education on these issues was found to be higher compared to the other education levels (p<0.05). In conclusion, we determined that the Turkish population has insufficient knowledge about the relationship between the pelvic floor and other body systems, the causes and types of pelvic problems. In the future, educational programs emphasizing deficient points regarding the pelvic floor within the scope of preventive treatment may be planned to cover the general population
Open Access
Effectiveness of device-guided breathing in chronic coronary syndrome: a randomized controlled study
(2023-09-01) YILDIZ ÖZER, AYSEL; Akkus O., Huzmeli I., Seker T., Bekler O., Sen F., Kaypakli O., Yildiz Ozer A., Yalcin F.
Background: Chronic coronary syndrome (CCS) is one of the most life-restricting coronary artery diseases, and symptom relief is the main goal in CCS patients who suffer from angina. Objectives: To assess the potential benefits of device-guided breathing in CCS patients with angina in this randomized, controlled, single-blinded study. Methods: Fifty-one patients with CCS received device-guided breathing for 7 days/8 weeks. Exercise capacity [exercise stress test], cardiac function [transthoracic echocardiography], and angina severity [Canadian Cardiovascular Society Classification] were evaluated initially and after the training. Device-guided breathing was performed at the lowest resistance of the device (POWERbreathe Classic LR) for the control group (n = 17). The low load training group (LLTG; n = 18) and high load training group (HLTG; n = 16) were trained at 30% and 50% of maximal inspiratory pressure. Baseline characteristics were compared using one-way ANOVA and Kruskal-Wallis test. Categorical data were compared using the chi-square test. ANCOVA was performed to compare changes between three groups. A p value < 0.05 was considered statistically significant. Results: Metabolic equivalent values were significantly improved in both HLTG and LLTG groups (p < 0.001, p = 0.003). The Duke treadmill score significantly improved and shifted to low-risk both in the HLTG (p < 0.001) and LLTG (p < 0.001) groups. Angina severity significantly alleviated after the training in both HLTG and LLTG groups (p < 0.001, p = 0.002). Conclusions: An 8-week long program of short-term respiratory muscle training provided positive gains in exercise capacity and angina severity in CCS patients with angina. The effects of long-term training programs on CCS patients should be investigated clinically because of the possibility of helping to decrease the need for invasive treatments.
Open Access
Does kinesiophobia limit physical activity and quality of life in asthmatic patients
(2022-09-01) KARACA, SEDA; POLAT, MİNE GÜLDEN; YILDIZ ÖZER, AYSEL; OĞUZ, SEMRA; Yıldız Özer A., Karaca S., Şenocak E., Oğuz S., Polat M. G.
Kinesiophobia has been studied in musculoskeletal and neurological diseases. The aim of this descriptive study was to assess the level of kinesiophobia in stable asthmatic patients, and to determine whether it is an obstacle to physical activity and quality of life. A total of 62 asthmatic patients and 50 healthy control subjects were assessed using the tampa kinesiophobia scale (TSK) for kinesiophobia, International Physical Activity Questionnaire-Short Form (IPAQ-SF) for physical activity levels, and Asthma Quality of Life Questionnaire (AQLQ) for quality of life. A high degree of kinesiophobia was determined in 54.8% of the asthmatic patients. The TSK scores were significantly higher (P < 0.001), and the AQLQ scores were lower in the asthma group than in the control group (P < 0.001). The IPAQ-SF level and AQLQ score were lower (P < 0.001 for both) in the asthmatic group with a high kinesiophobia score. The TSK score was significantly associated with IPAQ-SF score (r = -0.889; P < 0.001) and AQLQ score (r = -0.820; P < 0.001) in asthmatic patients. According to linear regression analysis, kinesiophobia explained 84.40% of QoL and physical activity. Patients with a stable asthma were observed to have a high level of kinesiophobia compared with healthy subjects. High kinesiophobia levels may increase the disease burden by negatively affecting participation in physical activity and quality of life. While developing asthma education programs for asthma patients, it should be remembered that even in the stable period, kinesiophobia can develop. Preventive and therapeutic programs should include precautions to improve quality of life and physical activity against the effects of kinesiophobia.
Open Access
The effects of the hybrid telerehabilitation exercise program in inactive university students during COVID-19 pandemic - A randomized controlled study
(2023-02-01) POLAT, MİNE GÜLDEN; YILDIZ ÖZER, AYSEL; Ozer A. Y., ŞENOCAK E., Aybey B. N., Tolmaci L., Surmeli S., Ozmen I., POLAT M. G.
Background/Aim The need for alternative methods to prevent physical inactivity and related problems is increasing day by day due to the prevalence of physical inactivity among university students, especially in the pandemic. This study aimed to investigate the effects of a hybrid telerehabilitation exercise program on the physical inactivity, poor sleep quality and physio-mental negativities caused by the pandemic in university students. Materials and Methods The study was completed with sixty-three physically inactive students with poor sleep quality, divided into two groups. The physiotherapist made all assessments at baseline and after the 6-week for both groups. Assessments consisted of Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI), Short Form-12 (SF-12), and International Physical Activity Questionnaire-Short Form (IPAQ-SF). While no exercise program was applied to the control group, one session synchronous exercise training and one session control education were given to the exercise group. After two synchronous training sessions, the exercise group asynchronously continued the exercise program including indoor walking, flexibility and strengthening exercises for 6 weeks. Results According to inter-groups analysis, PSQI (p=0.026), BDI (p=0.037), SF-12 Mental (p=0.007), and IPAQ-sitting (p=0.003) of the exercise group had significant differences compared to the control. Also, the exercise group\"s PSQI, BDI, SF-12, and IPAQ-sitting time were p0.05). Conclusion Hybrid telerehabilitation exercise programs are a valuable, simple, and practical tool to improve sleep quality, prevent inactivity, develop and protect mental health among university students. Encouraging physically inactive people to engage in such methods may be one of the primary preventive approach to prevent the future negative consequences.
Open Access
Comparison of fatigue levels, muscle strength, balance, and exercise performance of young adults with a history of mild covid-19 and healthy adults
(2023-12-01) KILIÇ, TALHA; YILDIZ ÖZER, AYSEL; Kılıç T., Sarma B., Yıldız Özer A.
Aim: The coronavirus disease-2019 (COVID-19) infection directly impacts fatigue and exercise performance. More studies have focused on these problems and were conducted with hospitalized patients and/or adult and geriatric populations. The aim of this study was to explore the effects of mild COVID-19 on fatigue, muscle strength, balance, and exercise performance, specifically in young adults. Methods: This research was designed as a case-control study, and tests were conducted between January 2022 and June 2022. The study included 60 participants aged 18-28, consisting of individuals who had a mild COVID-19 diagnosis within the past year (study group, n=30) and tested negative during the study, as well as a control group of individuals who had no COVID-19 diagnosis or symptoms within the past year (control group, n=30). The participants’ fatigue levels (Chalder Fatigue Scale), lower (Biodex Isokinetic-Dynamometer) and upper (Jamar-Handgrip Dynamometer) extremity muscle strength, balance (Y-Balance Test), and exercise performance (Queen’s College Step Test) were evaluated using various standardized tests. Results: Measurements showed that individuals with COVID-19 had an increase in fatigue scores (p=0.02). It was determined that fatigue was particularly prominent in women. Due to this difference that arose according to gender, it was observed that fatigue scores in those who had experienced COVID-19 were negatively correlated with muscle strength measurements. Conclusion: This study showed that symptoms of fatigue persisted in younger individuals, especially women, even after the COVID-19 infection. We think the next research should focus on COVID-19 symptoms, surveillance, and therapy in different age groups.
Open Access
Serebral palsili çocuğu olan ebeveynlerde bakım yükü, psikolojik durum ve yaşam kalitesi ilişkisi
(2022-12-01) ŞENOCAK, EMRE; YILDIZ ÖZER, AYSEL; Gündede E., Şenocak E., Yıldız Özer A.
Amaç: Serebral Palsili (SP) bir çocuğa bakım veren ebeveynlerin bakım yüklerinin sağlıklı bir çocuğa bakım veren ebeveynlerden fazla olduğu bilinmektedir. Bu çalışma ile birincil bakım veren ebeveynlerin bakım yükü (BY) ile psikolojik durumları (PD) ve yaşam kaliteleri (YK) arasındaki ilişkinin incelenmesi hedeflenmiştir. Araçlar ve Yöntem: Çalışma, SP'li çocuğa sahip 101 ebeveyn ile prospektif olarak gerçekleştirilen bir kesitsel çalışmadır. Bu çalışmada ebeveynlerin BY, PD ve YK sırasıyla Zarit Bakım Verme Yükü Ölçeği, Beck Depresyon Envanteri ve Kısa Form-36 ile ölçüldü. Ayrıca SP'li çocukların YK’sı Katz Günlük Yaşam Aktiviteleri Ölçeği ile fonksiyonellikleri ise Pediatrik Fonksiyonel Bağımsızlık Ölçümü ile değerlendirildi. Bulgular: Analiz sonuçlarına göre bakım verenlerin büyük çoğunluğu annelerden oluşmaktaydı (%90.09). Değerlendirmeler sonrasında çocukların günlük yaşam aktiviteleri (GYA) ve fonksiyonellik seviyeleri orta düzeyde bulundu. Bununla paralel olarak ebeveynlerin bakım yükleri orta-ciddi düzeyde iken psikolojik durumları hafif depresif olduğu görüldü. Ebeveynlerin BY ile PD arasında orta düzey (r=0.472, p<0.001), YK alt boyutu olan fiziksel fonksiyon ile negatif yönlü orta düzey (r=-0.475, p<0.001) bir korelasyon vardı. Çoklu regresyon modeline bakıldığında ise çocukların GYA seviyeleri ve ebeveynlerin PD durumları bakım yükünün %27.4'ünü açıklamaktadır. Sonuç: SP'li çocuğa bakım veren ebeveynlerin bakım yüküne bağlı olarak psikolojik sağlıkları olumsuz yönde etkilenmekte ve yaşam kaliteleri düşmektedir. Bu sebeple bakım planlamaları ve hizmetleri sadece SP'li çocuklara yönelik değil bakım veren ebeveynleri de kapsayıcı şekilde olması faydalı olacaktır.
Open Access
Pandemi sürecinde bilgisayar kullanımının ofis çalışanlarının postür, boyun disabilite ve fiziksel aktivite seviyesine etkisi
(2022-06-01) KARACA, SEDA; YILDIZ ÖZER, AYSEL; POLAT, MİNE GÜLDEN; TANHAN A., KARACA S., Hacıoğlu A., Kılınç E., YILDIZ ÖZER A., POLAT M. G.
Amaç: Pandemi sürecinde sosyal hareketliliğin azalmasının yanı sıra ofis çalışanlarında bilgisayarla çalışmanın artması, uzun çalışma sürelerinin ve buna bağlı sağlık sorunlarının zeminini hazırlamıştır. Bu çalışmanın birincil amacı, ofis çalışanlarında bilgisayar kullanımının postür, boyun disabilite ve fiziksel aktivite üzerine etkisini araştırmaktır. Gereç ve Yöntem: 67 katılımcı 42 (%63) erkek ve 25 (%37) kadın gönüllü araştırmaya katıldı. Katılımcıların sosyo-demografik bilgileri ve günlük çalışma süreleri kaydedildi. Servikal disabilitesi için Boyun Disabilite İndeksi (BDİ) ve aktivite durumları için de Uluslararası Fiziksel Aktivite Anketi Kısa Form (UFAA-KF) kullanıldı. Katılımcıların bilgisayar kullanım sırasında postürleri direk gözlem yoluyla değerlendirilerek forma işaretlendi. Katılımcıların bilgisayar ile çalışma süreleri 6 saatin altı ve üstü olarak iki gruba ayırıldı. Veri analizi için Bağımsız Örneklem T testi uygulandı. Bulgular: Katılımcıların 44’ü (%66) bilgisayar ile 6 saatten daha fazla çalışıyordu. İki grup arasında yaş, kilo, boy ve boyun disabiliteleri arasında anlamlı bir fark yok iken, daha uzun süre çalışan grubun fiziksel aktivite seviyesi anlamlı olarak daha düşüktü (p=0,034). Bilgisayar ile 6 saatten daha fazla çalışan grupta ise yaş ile BDİ skoru arasında pozitif yönde zayıf şiddette bir korelasyon vardı (r=0,363, p<0,05). Sonuç: Pandemi sürecinde ofis çalışanlarında fiziksel aktivite seviyeleri azalmıştır. Ofis çalışanlarında günlük çalışma süresi, fiziksel aktivite düzeyi ile negatif yönde ilişkili olmasına karşın boyun disabilitesi üzerine etkisi bulunmamıştır. Ayrıca fiziksel aktivite düzeyinin, boyun ağrısı üzerine; baş-boyun fleksiyon postürünün, boyun disfonksiyonuna etkisi olmadığı saptanmıştır.
Open Access
Effectiveness of a training program for a patient with non-cardiac chest pain that combines intervention to improve quality of life, psychological state, and functional capacity: a case report
(2023-07-01) YILDIZ ÖZER, AYSEL; Yıldız Özer A., Hüzmeli İ.
Background Noncardiac chest pain (NCCP) is persistent angina-like chest pain without cardiac origin that affects the patient’s health related quality of life (HrQoL), although it does not affect mortality. The effect of a comprehensive training program for NCCP focused on quality of life, psychological state, peripheral muscle strength, physical activity, and quality of life has not been previously established or published. Therefore, this study aimed to show the effectiveness of our combined training program that focuses on functional capacity, physical activity, pulmonary function, respiratory and peripheral muscle strength, dyspnea, fatigue, anxiety, and depression perception in NCCP patients with dyspnea. Case presentation A 38-year-old man with shortness of breath and NCCP was referred to to us for cardiopulmonary rehabilitation. Respiratory muscle strength (mouth pressure device), functional capacity (6 min walking test, 6-MWT), peripheral muscle strength (dynamometer), pulmonary function (spirometry), fatigue (fatigue severity scale), shortness of breath (MMRC, Modified Medical Council Research, Modified Borg Scale-MBS), physical activity (International Physical Activity Questionnaire, IPAQ), health related quality of life (SF-36, Short Form-36), and depression and anxiety (Hospital Depression and Anxiety scale, HADs) were assessed. Aerobic training combined with inspiratory muscle training (loading 30% maximal inspiratory pressure (MIP)) was administered at least 5 days/week for 6 weeks. Functional capacity, physical activity, pulmonary function, and respiratory and peripheral muscle strength improved, and dyspnea, fatigue, anxiety, and depression perception were decreased after the management. Conclusions This combined training program was effective for patients with NCCP and shortness of breath. Future studies should be conducted to find the most effective biopsychosocial training protocol for NCCP patients. Keywords Noncardiac chest pain, Quality of life, Functional capacity, Depression, Case report
Open Access
Solunum hastalarında aktiviteye katılım ve yaşam kalitesinin değerlendirilmesi: Kısa derleme
(2022-06-01) YILDIZ ÖZER, AYSEL; ERTUNÇ GÜLÇELİK G., AYDIN O., YILDIZ ÖZER A.
Kronik solunum hastalıkları patogenez ile ilişkili olarak gelişen ilerleyici dispne, yorgunluk, uyku bozukluğu, musküler ve sistemik problemlerden oluşur. Bu problemler hastalığın alevlenme dönemleri ve kronik süreçlerinde inaktivite ve bağımlılık seviyesinde artış ile yaşam kalitesinde ilerleyici olabilen bozulmalara zemin hazırlar. Kronik solunum hastalığına sahip bireylerin tedavi süreçlerinin yönetiminde işlevsellik, engellilik ve sağlığın uluslararası sınıflandırması temel alınır. Terapötik ve preventif süreçlerde biyopsikososyal bakış açısı ve bütüncül yaklaşımla bireyin ele alınması tedavi başarısında altın standarttır. Günlük aktivitelere katılım ve yaşam kalitesi statüsünün geliştirilmesi pek çok hastanın sağlık profesyonellerine başvurusunda birincil amaçtır. Pulmoner rehabilitasyonu da içeren tedavi yaklaşımlarında tedavi etkinliğinin değerlendirilmesi, yeni tedavilerin protokole eklenmesi, mevcut yaklaşımların yenilenmesi ya da dışlanmasında hastaların bu açılardan kapsamlı değerlendirmelerinin yapılması esastır. Bu derlemede kronik solunum hastalarında aktivite katılımı ve yaşam kalitesini değerlendirmede kullanılan temel ölçüm araçlarına değinilmiştir.
Open Access
The effects of therapeutic intermittent hypoxia implementation on complete blood count parameters: an experimental animal model
(2022-09-01) ŞENGÖR, MUSTAFA; YILDIZ ÖZER, AYSEL; KILIÇ, TALHA; Kılıç T., Şengör M., Üstünova S., Kılıç A., Daşkaya H., Yıldız Özer A.
Objective: Intermittent hypoxia (IH) implementation is a method performed by intermittently decreasing oxygen concentration in inhaled air at specific rate. This method varies between studies in terms of its application. This study aims to examine the changes in Complete Blood Count (CBC) parameters caused by IH implementation at therapeutic dose ranges with a single model. Methods: Ten Sprague Dawley type adult male rats were divided into two groups. In the study group, FiO2 level of inhaled air, was reduced to 10% in hypoxic cycle. 5 minutes normoxia-hypoxia cycle was used in each 30 minutes experiment period for study group. Control group remained in normoxic air for 30 minutes. 1 cc of blood was taken from mandibular vein from all rats at the end of 6th day. CBC analyzes were performed and differences between two groups were investigated. Results: Significant differences were detected in some CBC parameters between the two groups. It was determined that significant increase in MONO (p<0.001), MONO% (p<0.001), MCH (p=0.03), PLT (p=0.013) and PCT (p=0.007) parameters and significant decrease in MPV (p=0.02) parameters, in favor of study group. Conclusion: IH implementation was caused significant changes in MONO, MONO%, MCH, PCT, PLT and MPV parameters in the CBC analysis of rats. Considering the study results, therapeutic IH implementation may thought to have important effects in terms of lung protection and regeneration. Further research may focus on this point for precising and supporting of this study’ results.