Person: YILDIZ ÖZER, AYSEL
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YILDIZ ÖZER
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AYSEL
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Publication Metadata only Geri̇atri̇k bi̇reylerde ki̇nezyofobi̇ ile denge, düşme korkusu ve mobi̇li̇teni̇n ili̇şki̇si̇(2022-10-27) OĞUZ, SEMRA; DUMAN ÖZKAN, TUĞÇE; YILDIZ ÖZER, AYSEL; POLAT, MİNE GÜLDEN; Oğuz S., Duman Özkan T., Aksoy F., Yıldız Özer A., Polat M. G.Giriş: Bu çalışmanın amacı geriatrik bireylerde kinezyofobi ile denge, düşme korkusu ve mobilite arasındaki ilişkiyi incelemektir. Gereç-Yöntem: Çalışmaya 65-88 yaş arası 41 geriatrik birey dahil edildi. Bireylerin sosyo-demografik bilgileri ve mini mental test skorları kaydedildikten sonra kinezyofobi, denge, düşme korkusu ve mobilite düzeyleri anketler ile değerlendirildi. Kinezyofobi, Tampa Kinezyofobi Ölçeği (TKÖ); denge, Berg Denge Ölçeği (BDÖ); düşme korkusu, Tinetti Düşme Etkinlik Ölçeği (TDEÖ) ve mobilite düzeyleri Zamanlı Kalk Yürü Testi (ZKYT) ile belirlendi. Bulgular: Katılımcıların 33’ünde (%70.5) kinezyofobi varlığı tespit edildi. Değerlendirme sonucunda kinezyofobi ile düşme korkusu (p=0.001, r=0.514) ve mobilite (p=0.002, r=0.468) arasında istatistiksel olarak anlamlı, pozitif yönlü orta şiddette; kinezyofobi ile denge arasında istatistiksel olarak anlamlı, negatif yönlü yüksek şiddette ilişki saptanmıştır (p<0.001, r=-0.603). Kinezyofobisi olan bireylerde denge (p=0.03) ve mobilite (p=0.001) parametrelerinin daha fazla etkilendiği saptandı. Sonuç: Geriatrik bireylerde kinezyofobi varlığı ile denge, düşme korkusu ve mobilite arasında ilişki mevcuttur. Kinezyofobi denge ve mobiliteyi olumsuz etkilemektedir. Klinik değerlendirme ve rehabilitasyon programlarının planlanmasında kinezyofobinin sorgulanması göz ardı edilmemelidir. Introduction: The aim of this study is to examine the relationship between kinesiophobia and balance, fear of falling and mobility in geriatric individuals. Material-Method: Fourty one geriatric individuals aged 65-88 years were included in the study. After recording the socio-demographic information and mini-mental test scores of the individuals, kinesiophobia, balance, fear of falling and mobility levels were evaluated with questionnaires. Kinesiophobia, Tampa Kinesiophobia Scale (TKS); balance, Berg Balance Scale (BBC); Fear of falling, Tinetti Fall Efficiency Scale (FES) and mobility levels were determined by Timed Up and Go Test (TUG). Results: The presence of kinesiophobia was detected in 33 (70.5%) of the participants. As a result of the evaluation, there was a statistically significant positive correlation between kinesiophobia and fear of falling (p=0.001, r=0.514) and mobility (p=0.002, r=0.468); Statistically significant negative correlation was found between kinesiophobia and balance (p<0.001, r=-0.603). Balance (p=0.03) and mobility (p=0.001) parameters were found to be more affected in individuals with kinesiophobia. 43 Conclusion: There is a relationship between the presence of kinesiophobia and balance, fear of falling and mobility in geriatric individuals. Kinesiophobia negatively affects balance and mobility. The questioning of kinesiophobia should not be ignored in the planning of clinical evaluation and rehabilitation programsPublication 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 populationPublication Metadata only Kronik obstrüktif akciğer hastalığında tabanlık kullanımının erken dönem etkisi(2022-03-01) YILDIZ ÖZER, AYSEL; Kamiloğlu D., Yıldız Özer A.Amaç: Kronik Obstrüktif Akciğer Hastalığı (KOAH), kalıcı hava akımı kısıtlanması ve so-lunumsal semptomlarla karakterize olup multisistemik etkileri mevcuttur. KOAH’lı hastalarda periferik kas gücünde meydana gelen azalma enerji tüketimini arttırmakta ve hastanın konfor dü-zeyini negatif etkilemektedir. Bu çalışmada ayak taban basınç dağılımı bozulmuş KOAH’lı olgu-larda tabanlık kullanımının erken dönem etkisi araştırılmıştır. Yöntem: Araştırma için Marmara Üniversitesi Tıp Fakültesi Klinik Araştırmalar Etik Kurulu’ndan onay alındı. Pedaborografik ta-ban basınç analizi EsCoMAT Elektronik Pedobarografi Cihazı, hasta konfor düzeyi Visual Ana-log Skala, hastalığın günlük yaşama etkisi KOAH Değerlendirme Testi (CAT), dispne şiddeti Modifiye Medical Research Council Dispne Skalası ile irdelendi. Ayak taban basınç dağılımı bo-zulmuş KOAH’lı olgular randomize olarak çalışma gurubu (n=8; pedabarografik taban analizine uygun tabanlık verildi) ve kontrol grubuna (n=7; tedavi uygulanmadı) ayrıldı. Kontrol grubundan isteyenlere çalışmanın bitiminde tabanlık verildi. Çalışma öncesi ve 1 hafta tabanlık kullanımı sonunda değerlendirmeler tekrarlandı. Bulgular: Grupların yaş, boy, beden kütle indeksi benzerdi (p>0, 05). Bir hafta sonunda CAT ve dispne skorunda anlamlı değişiklik gözlenmedi (p>0,05). Tabanlık grubunun hasta konfor düzeyinde anlamlı olmayan minimal düzelme saptandı (p>0,05). Hastaların beden kütle indeksi ve vücut ağırlığı ile sol orta ayak basıncı arasında pozitif yönde orta şiddette ilişki saptandı. Sonuç: Ayak taban basıncı bozulmuş KOAH\"lı olgularda tabanlık kullanımının günlük yaşam ve hasta konforu üzerine erken dönemde olumlu etkileri saptansa da sonuçlar anlamlı seviyede değildir. Daha yüksek olgu sayısı ve uzun dönem sonuçların irdelen-mesi gereklidir.Publication 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.Publication 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.Publication Metadata only Üri̇ner İnkonti̇nansi olan postmenopozal kadinlarda pelvi̇k taban kas parametreleri̇ ve yaşam kali̇tesi̇ arasindaki̇ ili̇şki̇(2022-10-27) YILDIZ ÖZER, AYSEL; Kılıç B. B. , Yıldız Özer A.Giriş: Üriner inkontinans istemsiz idrar kaçırma şikayeti olarak tanımlanmaktadır. Kadınlarda menopoz sırasında oluşan pelvik taban kas disfonksiyonlarından kaynaklanabilmektedir. Hafif şiddette inkontinans şikayeti olan hastaların dahi yaşam kalitesinde azalma olduğu gösterilmiştir. Çalışmanın amacı stres ya da mikst tip üriner inkontinans tanısı alan postmenopozal dönemdeki kadınlarda pelvik taban kas parametreleri ve yaşam kalitesi arasındaki ilişkiyi belirlemektir. Gereç-Yöntem: Çalışmamıza 01.10.2021 ile 01.09.2022 tarihleri arasında jinekoloji kliniğine başvuran stres ya da mikst tip üriner inkontinans tanısı alan postmenopozal dönemdeki 17 kadın dahil edilmiştir. Katılımcıların pelvik taban kasları yüzeyel elektromyografi kullanılarak, yaşam kalitesi ‘International Consultation on Incontinence Questionnaire Short Form’ (ICIQ-SF), ‘Ürogenital Disstress Envanteri’ (UDI6) ve ‘İnkontinans Etki Sorgulaması’ (IIQ-7) ile değerlendirilmiştir. Verilerin analizinde Spearman Korelasyon analizi kullanılmıştır. Bulgular: Toplam ICIQ-SF skoru pelvik taban pik kas kuvveti (rs: -0,644; p=0,005) ve kas enduransı (rs: - 0,491; p=0,045) ile orta derecede negative korelasyon gösterdi. ICIQ-SF ve UDI-6 toplam skorları arasındaki korelasyon ilişkisi orta düzeyde ve pozitif yönde (rs: 0.549; p=0.023); ICIQ-SF ile IIQ-7 toplam skorları arasındaki ilişli güçlü düzeyde ve pozitif yönde (rs:0,037; p=0,509) idi. Maksimal istemli kas kontraksiyon yüzde değerleri (MVC%), kas enduransı (rs:0,573; p=0,016) ve dinlenme tonusu (rs: 0.573; p= 0.016) ile orta derecede ve pozitif yönde korele idi. Sonuç: Pelvik taban pik kas kuvveti ve enduransı daha fazla olan postmenopozal kadınların yaşam kalitesi düzeylerinin daha iyi olduğu belirlenmiştir. Postmenopozal dönemde inkontinans şikayeti olan hastalara uygulanması planlanan egzersiz programında pelvik taban kas kuvvet ve enduransını arttırmaya yönelik egzersizlere yer verilmesi yaşam kalitesini artırmaya yardımcı olabilir. Ayrıca postmenopozal olgular için dizayn edilecek egzersiz programlarında pelvik taban egzersizlerine yer verilmesi koruyucu rehabilitasyonun etkinliğini arttırabilir. Introduction: Urinary incontinence is defined as the complaint of involuntary urinary incontinence. It can be caused by pelvic floor muscle dysfunctions that occur during menopause in women. It has been shown that even patients with mild incontinence complaints have a decrease in their quality of life. The aim of the study is to determine the relationship between pelvic floor muscle parameters and quality of life in postmenopausal women diagnosed with stress or mixed urinary incontinence. Materials-Methods: Our study included 17 postmenopausal women who applied to the urogynecology clinic between 01.10.2021 and 01.09.2022 and were diagnosed with urinary incontinence. The activity of the pelvic floor muscles was evaluated by superficial electromyography, the quality of life was evaluated by the 'International Consultation on Incontinence Questionnaire Short Form’(ICIQ-SF), the 'Urogenital Distress Inventory' (UDI-6), and the 'Incontinence Impact Questionnaire‘(IIQ-7). Spearman Correlation analysis was used for statistical analysis. Results: Total ICIQ-SF scores showed a moderately negative correlation with pelvic floor peak muscle strength (rs: -0.644; p=0.005), and pelvic floor muscle endurance (rs: -0.491; p =0.045). The association 30 between total scores of ICIQ-SF and UDI-6 was moderate and positive (rs: 0.549; p=0.023), and between total scores of ICIQ-SF and IIQ-7 (rs: 0.001; p=0.729) was strong and positive. Percentage of maximal voluntary contraction (%MVC) values were moderately positive correlated with endurance (rs: 0.496; p=0.043) and resting tone (rs: 0.573; p= 0.016). Conclusion: Postmenopausal women with higher pelvic floor muscle peak strength and endurance had better quality of life levels. Including exercises to increase pelvic floor muscle strength and endurance in the exercise program planned to be applied to patients with incontinence complaints in the postmenopausal period may help increase the quality of life. In addition, including pelvic floor exercises in exercise programs designed for postmenopausal cases may increase the effectiveness of preventive rehabilitationPublication 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.Publication 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.Publication 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 reportPublication 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.