Person: AKYÜZ, GÜLSEREN DERYA
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AKYÜZ
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GÜLSEREN DERYA
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Publication Open Access Assessment of the Relationships Between Spinopelvic Radiologic Parameters and Balance, Gait and Falls Efficacy in Patients with Postmenopausal Osteoporosis(GALENOS YAYINCILIK, 2018-12-01) AKYÜZ, GÜLSEREN DERYA; Giray, Esra; Akyuz, GulserenObjective: The aim of this study is to investigate the relationship between sagittal balance, spinopelvic parameters, bone mineral density, balance, and falls efficacy in postmenopausal osteoporosis patients. Materials and Methods: Forty patients between the ages of 40-80 with a diagnosis of postmenopausal osteoporosis were included in the study. Spinopelvic parameters (sagittal vertical axis (SVA), thoracic kyphosis, lumbar lordosis, pelvic tilt, pelvic incidence, sacral slope) were calculated from spine radiographs. Patients were applied Tinetti Balance and Gait Assessment and Falls Efficacy Scale. Relationship between bone mineral density measurements, clinical parameters, spinopelvic parameters, balance and gait, and falls efficacy were investigated. Results: Mean age of the patients was 63.42 +/- 8.98 and the mean L1-L4 T score was 2.5 +/- 0.68. Statistically significant negative correlation was found between the L1-L4 and L2-L4 vertebrae bone mineral density and T score, and sacral slope. Negative statistical correlations were found between SVA and Tinetti Balance and Gait Assessment balance subtest and total scores. There was no statistically significant relationship with other spinopelvic parameters. There was no significant correlation between SVA and spinopelvic parameters and Falls Efficacy Scale, while a statistically significant negative correlation detected between Falls Efficacy Scale and Tinetti Balance and Gait Assessment balance and gait subtests and total scores. Among the patients with normal, mild and severe deformity sagittal balance, there was statistically significant difference in terms of Tinetti Balance and Gait Assessment balance and gait subtests scores and total scores, while there was no difference with regards to Falls Efficacy Scale. Conclusion: In postmenopausal women with osteoporosis, SVA, sagittal balance parameters, and balance and gait functions were found to be associated.Publication Open Access Fracture History in Osteoporosis: Risk Factors and its Effect on Quality of Life(AVES, 2015-01-15) AKYÜZ, GÜLSEREN DERYA; Kuru, Pinar; Akyuz, Gulseren; Cersit, Hulya Peynirci; Celenlioglu, Alp Eren; Cumhur, Ahmet; Biricik, Sefikcan; Kozan, Seda; Goksen, Aylin; Ozdemir, Mikail; Luleci, EmelBackground: Fractures are one of the main outcomes in osteoporosis and have an important effect on the general health status. Aims: The purpose of this study was to determine the effect of major fracture history on quality of life. We also investigated the important risk factors and their effect on bone mineral density and fracture history. Study Design: Cross-sectional study. Methods: We recruited 105 patients who were admitted to an osteoporosis outpatient clinic. Medical history, family history, calcium intake, physical activity level and biochemical tests were evaluated. Lumbar spine and femur neck bone mineral density were measured. The Qualeffo-41 questionnaire was also used for evaluating quality of life. Results: The average age of the 105 patients included in the study was 56.04 +/- 13.73 and 89% of them were post-menopausal women. The average body mass index was 26.84 +/- 5.99, which means that the women were overweight. Also, 48.5% of the patients were diagnosed with osteoporosis and 51.5% of them were diagnosed as low bone density. A total of 34 patients had a fracture history with minor trauma and some of the patients had more than one fracture (12 ankle and foot, 10 forearm, 9 vertebral, 4 hand, 3 hip, 2 rib, 1 tibial). When the patients with and without fracture history were compared, the mean Qualeffo-41 score in patients with fracture was 43.85 +/- 2.57 and in the non-fracture group was 36.27 +/- 2.01. Conclusion: Forearm, ankle and foot fractures can be commonly seen in osteoporosis patients with fracture history. We suggest that it is important to recognise osteoporosis prior to first fracture and disease-specific quality of life assessment should be done.Publication Open Access World Report on Disability: analysis of the disability issues and contributions of physical medicine and rehabilitation medical specialty in Turkey(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK) AKYÜZ, GÜLSEREN DERYA; Oral, Aydan; Aydin, Resa; Ketenci, Aysegul; Akyuz, Gulseren; Sindel, Dilsad; Yaliman, AyseWorld Report on Disability was prepared to facilitate the implementation of the United Nations Convention on the Rights of Persons with Disabilities which puts forward the requirement of full and effective participation of people with disabilities in the society as a human rights issue. The Report indicates concrete steps at international and national levels to achieve this goal. The aim of this paper is to analyse the situation in Turkey with regard to disability in relation to underlined concepts and recommendations in the World Report on Disability and to emphasise the already available and potential contributions of Physical Medicine and Rehabilitation medical specialty in the implementation of this Report at the national level.Publication Open Access Can assessment of disease burden and quality of life based on mobility level in patients with end-stage cancer provide an insight into unmet needs? An exploratory cross-sectional study(2022-02-01) AKYÜZ, GÜLSEREN DERYA; Bahar-Ozdemir Y., Kaya S., Akgul-Babacan N., Al T., Albayrak E., Coskun N., Akyuz G.Purpose The purpose of this study was to: 1) investigate the differences in the needs of end-stage cancer who can move independently, using mobility aids (MA), or are bedridden; and 2) determine the effects of these different mobility levels on the patients\" current quality of life (QoL), fatigue, and mental conditions. Methods The study employed an exploratory prospective cross-sectional study design, which was carried out in two hospitals. The study included 99 end-stage cancer. The mobility levels of the patients were evaluated in three groups: Group 1: bedridden; Group 2: mobile with MA; and Group 3: ambulatory (under supervision or fully independent). A core cancer-specific questionnaire-integrating system for assessing health-related QOL (EORTC-QLQ-C15-PAL), the Piper Fatigue Scale (PFS), and the Hospital Anxiety-Depression scale were utilized. The median age was 60years (31-83). Cancer types were as follows: gastrointestinal (45.5%), lung (38.4%), breast (4%), genitourinary system (4%), and others (8%). Forty-two percent of the patients were completely bedridden, 42.2% used MA, and 15.2% were independently ambulatory. The EORTC QLQ-C15-PAL physical (=.000) and emotional function values (=.029) differed among mobilization statuses. There was a significant difference among mobilization groups, in terms of behavioral values, in the PFS (=.006). The depression rate in the independent ambulatory group was lower than in the bedridden and MA groups (=0.011; =0.004). p p p p1 p2 Conclusion Health-related QoL, fatigue level, and emotional state vary in end-stage cancer who undergo evaluations according to their mobility levels. These patients should be assessed comprehensively, and treatment plans should be organized carefully, with a multidisciplinary approach.Publication Open Access Assessment of Family Caregiver Burden and Its Relationships Between Quality of Life, Arm Disability, Grip Strength, and Lymphedema Symptoms in Women with Postmastectomy Lymphedema: A Prospective Cross-Sectional Study(AVES, 2019-04-04) AKYÜZ, GÜLSEREN DERYA; Giray, Esra; Akyuz, GulserenObjective: the aim the study is to assess relationships between caregiver burden, quality of life, arm disability, grip strength, and lymphedema symptoms in women with post mastectomy lymphedema. Materials and Methods: Fifty-two patients with postmattecromy lymphedema were recruited. Burden Interview, Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire and European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-30 and EORTC QLQ BRE-23) were used for the assessments of caregiver burden, arm disability, and quality of life. Lymphedema symptoms were questioned by Visual Analogue Scale (VAS) for pain, heaviness, and tension. Grip strength and arts volumes of the affected and unaffected sides were measured. Results: Statistically significant positive correlations were detected between Burden Interview scores and DASH scores, VAS for pain and EORTC QLO-30 symptom scores. There were statistically negative correlations between Burden Interview and grip strength of affected side and unaffected side and lymphedema duration. Multiple linear regression was calculated to predict Burden Interview and EORTC QLO-30 functional and symptom scores based on age, DASH, stage, and duration of lymphedema. DASH score was significant predictors of Burden Interview while DASH score and Burden Interview scores were significant predictors of quality of life. Conclusion: Arm disability indicates caregiver burden and quality of life in patients with posrmastectomy lymphedema while caregiver burden predicts the quality of life. These findings have implications for the management of lymphedema We suggest that arm disability should be diagnosed and treated to improve caregiver burden and quality of life.Publication Open Access Congenital Muscular Torticollis: Diagnosis and Treatment Options(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2012-03-15) AKYÜZ, GÜLSEREN DERYA; Akyuz, Gulseren; Eren, BeyhanCongenital muscular torticollis (CMT) is the most frequent reason of torticollis in children. Children with CMT should be examined for revealing concomitant deformities. Preferred use of one upper extremity, delayed acquisition of gross motor skills, decreased cognitive function below normal levels, abnormal postural patterns and balance control may also be seen in these children. Therefore, an early rehabilitation program should be initiated. Full recovery may be expected to be more than 98%, if treatment begins within the first month of life. Surgery should be considered for children, who do not benefit from conservative therapy within six months and who have craniofacial deformity. Turk J Phys Med Rehab 2012;58:52-7.Publication Open Access World Report on Disability: A Call to Action(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2012-09-01) AKYÜZ, GÜLSEREN DERYA; Oral, Aydan; Akyuz, Gulseren; Sindel, Dilsad; Aydin, ResaThe World Report on Disability (WRD), a joint effort of the World Health Organization and the World Bank, is a document that presents a global picture of disability based on a best evidence synthesis available worldwide. Additionally, the WRD provides a number of recommendations, particularly for the facilitation of the implementation of the United Nations 'Convention on the Rights of Persons with Disabilities' and calls to action at national and international levels. The call to action in the WRD imposes a responsibility and obligation on the medical specialty of physical medicine and rehabilitation (PMR) with its unique approach to a health condition not only with a medical treatment perspective, but also with the perspectives of functioning and disability with the aim of improving functioning to the best possible level. The medical specialty of PMR can make substantial contributions to the implementation of the WRD, especially in the areas of specific programs and services for persons with disabilities as defined particularly in the activities and participation as well as environmental factors components of the International Classification of Functioning, Disability and Health (ICF) along with good quality scientific research. The WRD poses a challenge to promote and emphasise the value and the importance of the medical specialty of PMR. Turk J Phys Med Rehab 2012;58:255-8.Publication Open Access The effect of adding robot-assisted hand rehabilitation to conventional rehabilitation program following stroke: A randomized-controlled study(2022-01-01) AKYÜZ, GÜLSEREN DERYA; Bayındır O., Akyüz G., Sekban N.© 2022 All right reserved by the Turkish Society of Physical Medicine and Rehabilitation.Objectives: This study aimed to investigate the effectiveness of adding robot-assisted hand therapy (HandTutor) to conventional rehabilitation program compared to a conventional rehabilitation program alone in stroke survivors. Patients and methods: Between March 2012 and December 2012, a total of 33 stroke patients (21 males, 12 females; median age: 56 years; range, 38 to 73 years) were included in this prospective, randomized-controlled study. The patients were randomly divided into two groups as experimental (n=16) and control (n=17). Both groups received conventional rehabilitation for 3 h/day, for two days/week, totally for five weeks, while the experimental group received additional 1-hour robot-assisted hand therapy during each session. Outcome measures were the Fugl-Meyer Assessment, Box and Block Test, Nine-Hole Peg Test, Jebsen-Taylor Hand Function Test, grip strength, and pinch strength. All patients were assessed at baseline, at the end of the treatment, and three months after the treatment. Results: Both groups showed statistically significant improvements in all the parameters (p0.05). The changes between baseline and three-month follow-up after the treatment revealed that adding robot-aided hand therapy led to greater changes in all the parameters related to functional activities and muscle strength, except for the Fugl-Meyer Assessment. Conclusion: Adding robot-assisted therapy to conventional rehabilitation may provide greater changes in upper extremity rehabilitation of subacute stroke patients compared to conventional rehabilitation program alone.Publication Open Access The effects of low bone mineral density on pain, quality of life and fatigue in patients with epilepsy(MARMARA UNIV, FAC MEDICINE, 2021-10-31) AKYÜZ, GÜLSEREN DERYA; Unal-Ulutatar, Cagri; Yazici Sacaklidir, Gonca; Midi, Ipek; Akyuz, Gulseren DeryaObjectives: To investigate the effects of low bone mineral density (BMD) on pain, quality of life (QoL), and fatigue in epileptic patients who use anticonvulsants. Patients and Methods: Epileptic patients aged 18 years or older who use anticonvulsant drugs were recruited into the study. Demographic and clinical features were recorded, including the duration of epilepsy, number of anticonvulsants used, previous fracture history and BMD scores. The functional parameters included back pain measured with the visual analogue scale (VAS) and brief pain inventory (BPI) scale, QoL assessed with the Qualeffo-41 questionnaire, and fatigue assessed with the fatigue severity scale (FSS). Results: Of the 100 patients screened for inclusion in the study, 63 epileptic patients met the inclusion criteria. The mean age and mean disease duration of all participants was 39.5 (+/- 11.2) and 19.3 (+/- 11.6) years, respectively. The median scores for VAS back pain, VAS low back pain, Qualeffo-41, FSS, pain severity, and pain interference (BPI) were significantly higher in patients with secondary osteoporosis compared to patients with normal BMD. There were significant correlations between lumbar spinal BMD and VAS back pain (rho = - 0.58, p < 0.0005), BPI pain severity (rho = - 0.56, p < 0.0005), BPI pain interference (rho = - 0.52, p < 0.0005), Qualeffo-41 (rho = - 0.56, p < 0.0005), and FSS (rho = - 0.41, p = 0.001). Conclusion: Epileptic patients suffering from low BMD showed increased pain, fatigue and impaired QoL. Therefore, BMD measurement should be recommended for the evaluation and management of epileptic patients.Publication Open Access Short-Term Effects of Interferential Currents on Chronic Myofascial Pain Syndrome(GALENOS YAYINCILIK, 2013-02-20) AKYÜZ, GÜLSEREN DERYA; Ofluoglu, Demet; Bulak, Elif Aydin; Kablan, Nilufer; Akyuz, GulserenObjective: Myofascial pain syndrome (MPS) is a local or regional pain syndrome that causes chronic muscle pain characterized by the presence of trigger points. Standard treatment includes oral medicines, injections, physical therapy modalities and exercises. The aim of this study was to investigate the short-term effects of interferential current, which is a physical treatment modality, on chronic myofascial pain syndrome. Materials and Methods: In this prospective, randomized-controlled study, we included 40 patients with back pain due to chronic myofascial pain syndrome. The patients were divided into two groups. The first group was treated with vacuum and interferential current (VIC) while the second group was given only vacuum treatment (VT). At the same time, range of motion and stretching exercises were suggested as home training. Pain assessment was done at the beginning and on the 15th day of treatment by using a visual analogue scale (VAS) and the disease activity was measured by patients' and physicians' global assessment scale. Mood assessment was performed using the Beck Depression Inventory. Results: The mean age in the VIC and VT groups was 38.2 +/- 13.2 and 48.2 +/- 14.4 years, respectively. There was a statistical difference between before and after treatment VAS scores, and patients' and physicians' global assessment in both groups (p<0.05). Although algometric measurements were statistically significantly improved at the end of the study in group I (p<0.05), those improvements were not observed in group II (p>0.05). The Beck Depression Inventory scores were within normal range in both groups before treatment, however, a significant decrease was found after treatment (p<0.05). Conclusion: Interferential current therapy is an effective treatment method in chronic MPS. When combined with other treatment methods such as exercise, additional benefits may be obtained.