Sağlık Bilimleri Fakültesi / Faculty of Health Sciences

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Open Access
Active Child, Healthy Child Project: The Effects on Dynamic Balance of an Increase in Femoral Anteversion in Healthy Developing Children
(AVES, 2024) APTİ, ADNAN; AKALAN, NAZİF EKİN; AKEL, BURCU SEMİN; EVRENDİLEK, HALENUR; ÖNERGE, KÜBRA; NAS, İMGE
Objective: Increased femoral anteversion (IFA) is defined as the anterior rotation of the femoral head in relation to the transcondylar axis of the knee. The aim of this study was to determine the frequency of IFA in healthy developing children and to investigate the effects of IFA on dynamic balance. Methods: School screening was conducted on 315 school-age children (6-14 years old, mean 9.9 ± 2 years), and IFA was determined in 26 children. From the same sample, 36 children with no IFA were selected as the control group. Data obtained from the Y balance test, handgrip strength with a digital dynamometer, IFA according to the Craig’s test, and joint hypermobility according to the Beighton score were compared between the groups. Independent sample t-test and Pearson’s correlation test were used in the statistical analysis. Results: This study was carried out on a narrow universe of children mean aged 9.9 ± 2 years, and the incidence of IFA was determined as 8.3%. The Y balance scores were found to be higher in the IFA group than in the controls (P=.049 right, P=.027 left). There was no correlation between Craig’s test and the Y balance test results (r=0.04). No difference was found between the groups for muscle strength and joint hypermobility scores associated with balance. Conclusion: Balance may not be one of the causes of frequent falls in children with IFA. Further studies are needed to further examine the biomechanical causes of falls, as studies to improve balance may not provide sufficient benefit to prevent fall-related trauma and injury in children with IFA. © 2024 AVES. All rights reserved.
Open Access
Ameliyat Sonrası Akut Ağrı Yoğunluğunun Değerlendirilmesinde Dört Farklı Ağrı Ölçeğinin Karşılaştırılması
(Çukurova Üniversitesi, 2020) Gürkan, Aysel; Aldemir, Kadriye; Andsoy, Işıl Işık; GÜL, ASİYE
Amaç: Bu çalışmada yaşlılar da dahil yetişkinlerde yaygınkullanılan Görsel Analog, Numerik Orantılama, Sözel Tanımlayıcı ve Yüz Ağrı ölçekleri arasındaki uyum düzeyinive hasta tercihlerini karşılaştırmak amacıyla yapılmıştır. Gereç ve Yöntem: Çalışma 17 Mart - 17 Haziran 2016tarihleri arasında bir üniversite hastanesinin cerrahikliniklerinde tanımlayıcı araştırma modeli kullanılarak yapıldı. Bu çalışmaya her grupta 40 kişi olmak üzere toplam 120 yetişkin hasta çalışmaya alındı. Verilerin toplanmasında bireysel özellikler formu, Görsel Analog Ölçeği, Numerik Orantılama Ölçeği, Sözel Tanımlayıcı Ölçek ve Yüz Ağrı Ölçekleri kullanıldı. Bulgular: Bu çalışmada 0,71 – 0,83 arasında değişen korelasyon katsayıları ile dört ağrı ölçeğinin birbirleriyle iyi bir uyum içinde olduğu bulundu. Numerik Orantılama Ölçeği, tüm hastalar tarafından kullanılması en basit ve gelecekte kullanılması en fazla tercih edilen ve en az hata oranına sahip ölçek olurken Görsel Analog Ölçeği hastalar tarafından en az basit bulunan ve en az tercih edilen, en fazla hata oranına sahip ölçek olduğu saptandı. Genç ve orta yaş grubu hastalar tarafından kullanılması en basit ve fazla tercih edilen ölçek Numerik Orantılama Ölçeği seçilirken, yaşlılar tarafından Sözel Tanımlayıcı Ölçek seçildi. Sonuç: Postoperatif akut ağrı yoğunluğunun değerlendirilmesinde dört ölçeğin birbirleri ile iyi bir uyum içinde olduğu, Numerik Orantılama Ölçeği’nin ilk, Sözel Tanımlayıcı Ölçeğin ikinci tercih olarak seçilmesi ve Görsel Analog Ölçeği’nin ise son seçenek olduğu sonucu çıkarılabilir.
Open Access
Cerrahi Girişim Uygulanan Hastalarda Ağrı ve Konfor İlişkisi
(Oğuz KARABAY, 2022) Tosun, Hale; Özkaya, Birgül Ödül; Uz, Ferişte; GÜL, ASİYE
Amaç: Çalışma cerrahi girişim uygulanan hastalarda ağrı ve konfor ilişkisini değerlendirmek amacıyla yapıldı. Materyal ve Metot: Bir eğitim ve araştırma hastanesinde cerrahi girişim uygulanan hastalar araştırma evrenini oluşturdu. Tanımlayıcı olan çalışmada örnekleme cerrahi girişim uygulanmış ve çalışmaya katılmayı kabul eden 132 hasta alındı. Veriler hasta tanım formu, Sayısal Derecelendirme Ölçeği ve Genel Konfor Ölçeği kullanılarak elde edildi. Bulgular: Örnekleme alınan hastaların yaş ortalamaları 42,64±17,27, %53’ü erkek, %58,3’ü evlidir. Katılımcıların %72’sinin herhangi bir kronik hastalığı bulunmamaktadır. Daha önce cerrahi bir girişim uygulananların oranı %16,7’dir. Çalışmada en fazla uygulanan cerrahi işlemin laparoskopik kolesistektomi (%19,7) ve laparoskopik apendektomi (%16,7) olduğu belirlendi. Genel anestezi %80,3’üne uygulandı. Hastaların ağrı puan ortalaması 3,68±1,37, Genel Konfor Ölçeği toplam puanı 136,46±11,20 olarak belirlendi. Ameliyat sonrası hastaların %59,1’inin orta derecede ağrısı bulunmaktaydı. Ağrı ile Genel Konfor Ölçeği toplam puan ortalaması arasında negatif yönlü çok zayıf bir ilişki belirlendi (r=-0,175; p=0,045). Sonuç: Ameliyat sonrası ağrı rahatsızlık yaratan bir durumdur. Ağrı ve konfor düzeyinin belirlenmesi, bakımın kalitesini ve hasta memnuniyetini arttırmak için önemlidir.
Open Access
Çocuk ve Adölesanlarda Şeker İlaveli İçeceklerin Tüketimi ve Sağlık Üzerine Etkileri
(Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü, 2020) Uslu, Mücahit; KERMEN, SEDA
Çocuk ve adölesanlar tarafından sık tüketilen şeker ilaveli içecekler, yüksek enerji içeriğine sahip en büyük ilave şeker kaynağıdır. Meyve suları, gazlı içecekler, enerji içecekleri gibi içecekler bu gruba girmektedir. İçeriğinde bulunan şeker türleri, tatlandırıcılar, kafein, uyarıcı maddeler çocuk sağlığı açısından risk taşıyabilmektedir. Bu içeceklerin tüketimi cinsiyet, yaş, etnisite, sosyoekonomik durum, eğitim seviyesi gibi birçok faktörden etkilenmektedir. Kronik kullanımının fazla kilo, kalp damar problemleri, metabolik sendrom, tip 2 diyabet, kan lipidlerinde ve kan basıncında artış, gibi birçok hastalık ile ilişkili olabileceğini gösteren çalışmalar mevcuttur. Olumsuz sağlık etkileri çok küçük yaştan başlayarak yetişkinlik döneminde devam edebilmektedir. Bu nedenle çocuk sağlığı açısından erken dönemde bilimsel öneriler çerçevesinde çocuk, aile, çevre ve politikalar üzerinde çalışmalar yapılarak sağlıklı besin tüketimleri desteklenmelidir.
Open Access
Comparison of Kinesio Taping, Trigger Point Injection, and Neural Therapy in the Treatment of Acute Myofascial Pain Syndrome: A Randomized Controlled Study
(Kare Publishing, 2023) Ay, Saime; Tur, Birkan Sonel; Karakaş, Merve; Gökmen, Derya; ALTINBİLEK, TURGAY; Evcik, Deniz
Objectives: Myofascial pain syndrome (MPS) is a regional painful soft-tissue disorder, characterized by trigger points (TrPs) and taut bands in the muscles. In this study, we aimed to compare the effectiveness of kinesio taping (KT), TrPs injection, and neural therapy (NT) on pain and disability in acute MPS.Methods: 104 patients with MPS in the cervical region were allocated into three groups. Group 1 (n=35) were treated with KT, Group 2 (n=35) received local anesthetic (LA) (lidocaine of 0.5%) TrPs injection, and Group 3 (n=34) received NT with the same LA solution. Patients were assessed by means of pain, pressure pain threshold (PPT), and disability. Pain severity was measured by Visual Analog Scale. The neck pain disability scale was used for assessing disability. PPT was measured by using an algometer. Measurements were taken before and after treatment of 3(rd) and 7(th) days.Results: There were improvements on pain and disability in all groups at the end of treatments at 3(rd) day and during follow-up period (p<0.001) and no differences were found between the groups. There was significant difference in PPT values in TrPs injection and NT groups in comparisons between all time periods, however, the change, depending on time in the KT group, was not statistically significant.Conclusion: The results of this study show that all these three treatment methods found to be effective on pain relief and disability in acute MPS. In terms of PPT, injection treatments seem to be superior than KT.
Open Access
Correction to: Residual Gait Deviations in Children Treated by Medial Open Reduction for Developmental Dysplasia of the Hip at Long-Term Follow-up: A Comparison With Healthy Controls (International Orthopaedics, (2024), 48, 10, (2661-2671), 10.1007/s00264-024-06263-9)
(Springer Nature, 2024) Demirel, Mehmet; EVRENDİLEK, HALENUR; AKALAN, NAZİF EKİN; Bilgili, Fuat; Meriç, Emre; Kuchimov, Shavkat; ÖNERGE, KÜBRA
The correct affiliation of Kübra Önerge should be affiliation 2: Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, İstanbul Kültür University, Istanbul, Turkey. and not affiliation 3. The original article has been corrected. © The Author(s) 2024.
Open Access
Covid-19 ve Ergoterapi: Salgın Hastalıklara Hızlı Cevap Verme ve Hazırlıklı Olma Boyutuyla Bir Gözden Geçirme Çalışması
(Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi, 2020) Salar, Sinem; AKEL, BURCU SEMİN
Dünya’nın globalleşmesi salgın hastalıkların yayılmasını kolaylaştırırken toplum sağlığını korumada da birlik içinde olmayı öğretmektedir. Bu nedenle, sağlık sisteminin parçası olan her profesyonel gibi ergoterapistlerin de salgın hastalık gibi halk sağlığını etkileyen durumlarda hazır olması gerekmektedir. Ergoterapistlerin, anlamlı ve amaçlı aktiviteler yoluyla sağlık ve iyi olmayı desteklemek için koruyucu ve destekleyici yaklaşımları uygulama sorumluluğu bulunmaktadır. Bu derlemenin amacı; yeni koronavirüs hastalığı olan, sağlıklı ve dezavantajlı tüm grupları kapsayacak şekilde COVID-19 sürecinde ergoterapinin rol ve sorumluluklarına yönelik bir bakış açısı sunmaktır. Bu süreçte kişilerin okupasyonlarını yürütme ve okupasyonlara ulaşma sırasında yaşadığı değişimler, adaptasyonlar ve bunların sonuçları ergoterapi açısından önemlidir. COVID-19 pandemisi ile ortaya çıkan ihtiyaçlara yönelik ergoterapistlerin hazır olması gereken alanlar bu derleme ile sıralanmıştır. Bireyi bütüncül değerlendiren ergoterapistler güvenli ve sağlıklı kalmak için enfeksiyon kontrol önlemlerine uyma, erişme ve kullanma sırasında hayati ihtiyaçları mental sağlık, irade, psikolojik-fiziksel boyutları ile anlayabilir. Pandemiden en fazla etkilenen ülkelerden gelen yayınlar, Dünya Sağlık Örgütü, Dünya Ergoterapistler Federasyonu, Amerikan Ergoterapi Derneği bazı temel konular üzerinde durmaktadır. Kaynaklara ulaşma, günlük yaşam aktiviteleri, akut bakım, iletişim, mobilite, stigma, sosyal izolasyon, mental sağlık ve iyi olma hali bu konular arasındadır. Bu derlemede, bahsedilen durumlara yönelik hizmet verilmesi için gerekli olan telesağlık, mental sağlık çalışmaları, bireysel/aile/toplum çalışmaları, yardımcı teknoloji, akut bakım konuları ele alınmıştır.
Open Access
Determination of Somatotypes of Children With Adolescent Idiopathic Scoliosis and Its Relationship With Scoliosis
(Bayrakol Medical Publisher, 2023) APTİ, ADNAN; Çolak, Tuğba Kuru; Akçay, Burçin; Çolak, İlker
Aim: Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine. In adolescence, body morphology can change for various reasons such as genetics, nutrition, and level of physical activity. It has been reported that there are differences in the normal physical growth pattern in children with AIS, which may be due to hormonal changes. The relationship between body morphology and scoliosis is questionable because of the differences that scoliosis creates in the spinal structure. The aim of this study was to define the somatotype characteristics of children with AIS and compare the somatotypes with healthy, age and sex-matched controls.Material and Methods: A retrospective evaluation was performed on 38 children with AIS and 27 age-matched healthy control subjects. Cobb angles and angle of trunk rotation (ATR) values were used to determine scoliosis and trunk gibbosity. Cobb angles were measured on standing anterior-posterior radiographs and the ATR using Adam's forward bending test with a scoliometer. Somatotypes were defined according to the Heath-Carter method and body morphology was categorized into three different components: endomorphy, mesomorphy, and ectomorphy.Results: Ectomorphy was the dominant type in the AIS group, and endomorphy was the dominant type in the control group. The endomorphic somatotype in individuals with scoliosis was determined at a statistically significantly lower rate than in the control group (p=0.048). There was a moderate negative correlation (p=0.001, r=-0.466) between the Cobb angle and the values of the endomorphy component, and between the ATR and the endomorphy values (p=0.010, r=-0.318).Discussion: The lower rate of endomorphic somatotype was an evident difference in children with scoliosis. These differences may cause problems in the growth and development of the spine and the skeletal structures attached to the spine during adolescence when rapid growth and development occur. Whether this difference is related to nutrition, genetic and hormonal factors, or psychosocial factors remains to be determined.
Open Access
Determination of the Connection Between the Asthma Patients and Mycobiota in the Environment They Live in
(Selçuk Üniversitesi Mantarcılık Uygulama ve Araştırma Merkezi Müdürlüğü, 2023) KORKMAZ, ARAS FAHRETTİN; Çolakoğlu, Günay Tülay; Karaltı, İskender
In the 12-month period between February 2014 and January 2015, this study was carried out in the homes of 55 asthma patients living in 14 different regions of Istanbul (Ataşehir, Bulgurlu, Fikirtepe, Hasanpaşa, İçerenköy, Moda, Göztepe, Çekmeköy, Ümraniye, Altayçeşme Neighborhood, Esenkent Neighborhood, Feyzullah Neighborhood, Gülsuyu Neighborhood, Yalı Neighborhood). Air ideal (Biomerieux, France) air vacuuming device was used to determine the fungal flora in the domestic ambient air of the relevant patients. In this context, in order to prevent bacterial growth, Streptomycin antibiotic was added and Rose Bengali potato dextrose agar was placed in the slot of the device and the air filter of the device was installed. The device, which was placed at a height of 75-85 cm from the ground, was operated for 3-5 minutes and 200 liters of domestic ambient air was vacuumed. A total of 1071 microfungi colonies isolated in the study were found to belong to a total of 10 genuses and 23 species. The obtained genera are Alternaria (Arıküfü), Aspergillus (Asper), Aureobasidium (Karamaya), Chaetomium (Günoku), Cladosporium (Havaküfü), Fusarium (Solduran), Mucor (Ekmekküfü), Paecilomyces (Günküfü), Penicillium (Penisilyum) and Rhizopus (Karaküf). Among them, the most isolated genera were Aspergillus, Penicillium, Cladosporium, Alternaria and Fusarium. The most isolated species in this study were Aspergillus niger (Kara asper), Fusarium poae (Buğday solduran), Alternaria alternata (Astımküfü), Cladosporium cladosporioides (Karakökküfü), Penicillium brevicompactum (Sağlam penisilyum), Cladosporium macrocarpum (İrikurutan), Cladosporium sphaerospermum (Güllekurutan) and Penicillium glabrum (Bol penisilyum). In the 12-month period, the lowest microfungi concentration was observed in January and the highest microfungi concentration was observed in May. During the study, the temperature of the sample areas were measured with a thermometer and the humidity rates were measured with a hygrometer. In this study, the types of allergen microfungus that cause the onset of asthma disease or the progression of the degree of disease are stated. These were determined as Alternaria alternariae (Fıstık küfü), Alternaria alternata, Aspergillus fumigatus (Kıran asper), Aspergillus niger, Aureobasidium pullulans (Karamaya), Chaetomium globosum (Top günoku), Cladosporium cladosporioides, Cladosporium herbarum (Yaygınkurutan), Cladosporium sphaerospermum, Penicillium chrysogenum (Penisilyum), Penicillium glabrum.
Open Access
Diyet Öz Yeterlilik Ölçeği Türkçe Uyarlamasının Geçerlilik ve Güvenilirlik Çalışması
(Eskişehir Osmangazi Üniversitesi Rektörlüğü, 2023) Hamurcu, Pınar; Şahin, İrem Nur; BATAR, NAZLI; Çelik, Abdullah
Bu çalışmada Diyet Öz Yeterlilik Ölçeği’nin (DÖYÖ) Türkçe Formu’nun geçerlilik ve güvenilirliğini ortaya koymak amaçlanmıştır. Metodolojik araştırma tasarımı kullanılan çalışma, 2021-2022 akademik yılında Üsküdar Üniversitesi’nde 475 katılımcıyla yürütülmüştür. Google Formlar’da yapılandırılmış bir anket aracılığıyla Bilgi Formu, Diyet Öz Yeterlilik Ölçeği ve Genel Öz Yeterlik Ölçeği uygulanmıştır. İstatistiksel değerlendirmede iç tutarlılık katsayısı, faktör analizleri ve korelasyonları IBM SPSS26® yazılımı ile yapılmıştır. DÖYÖ’nün 146 kişi ile yürütülen pilot çalışmasında, Cronbach’s Alpha değeri 0.787 bulunarak, ölçeğin oldukça güvenilir olduğu ve ölçekten madde çıkartılmadan, geçerlilik analizine uygun olduğu belirlenmiştir. Asıl çalışmanın Açımlayıcı Faktör Analizi’nde, Kaiser-Mayer-Olkin değeri 0.907 ile örneklem hacminin süper düzeyde yeterli olduğu ve Bartlett Küresellik testi ile χ2=1107.066 ve p=0.000 düzeyinde istatistiki açıdan anlamlı olduğu bulunmuştur. Faktör yükleri >0.20, öz değerleri >1 olan ve toplam varyansın %67.44’ünü açıklayan 3 faktörlü bir yapı saptanmıştır. Çalışmanın Doğrulayıcı Faktör Analizi’nde 11 maddelik versiyonun uyum iyiliği indeksleri RMSEA=0.022; CFI=0.997; GFI=0.992; NFI=0.981; SRMR=0.054; AGFI=0.987; χ2/df=1.126 olarak yeterli uyum gösterdiği saptanmıştır. İç tutarlılık analizinde Cronbach’s Alpha katsayısı 0.900 olarak bulunmuştur. Diyet öz yeterliliğini ölçmeye yarayan Diyet Öz Yeterlilik Ölçeği’nin (DÖYÖ) Türkçe Formu’nun geçerli ve güvenilir olduğu gösterilmiştir.
Open Access
Does Increased Femoral Anteversion Can Cause Hip Abductor Muscle Weakness?
(MDPI, 2023) APTİ, ADNAN; AKALAN, NAZİF EKİN
Background: Increased femoral anteversion (IFA) causes functional problems (i.e., tripping, frequently falling, and fatigue) by affecting the pelvis and lower extremity biomechanics. In the frontal plane, increased contralateral pelvic drop and ipsilateral hip adduction, which are mainly considered deteriorated hip abductor muscle mechanisms, are associated with hip and knee injuries. Aims: The aim of this study was to examine the effects of femoral anteversion on hip abductor weakness and frontal plane pelvis-hip biomechanics during walking. Methods: The study included nine subjects with increased femoral anteversion and a control group of eleven subjects. Maximum isometric voluntary contraction (MIVC) values of the hip abductor muscles were measured with a handheld dynamometer. Three-dimensional gait analysis was performed for kinetic, kinematic, and temporo-spatial gait parameters. Non-parametric tests were used for statistical analysis (p < 0.05). Results: There was no significant difference found between the MIVC values of the IFA and control groups (p = 0.14). Moreover, no significant difference was determined between the ipsilateral peak hip adduction (p = 0.088) and contralateral pelvic drop (p = 0.149) in the stance phase. Additionally, there was no correlation between the peak hip adduction angle in the stance phase and normalized MIVC values in the IFA group (r = -0.198, p = 0.44), or in the control group (r = -0.174, p = 0.55). The deviations of pelvic rotation (p = 0.022), hip internal rotation (p = 0.003), and internal foot progression (p = 0.022), were found to be higher in the IFA group than in the controls. Conclusions: IFA may not be associated with hip abductor muscle weakness, and it may not lead to the hip adduction and pelvic depression that can be seen in hip abductor weakness. Increased pelvic rotation and internal hip rotation during walking might be considered as a compensation for the femoral head-acetabulum alignment mechanism in the frontal plane.
Open Access
Does Occupational Self-Competence Perception Relate to Functional Outcomes After Total Knee Arthroplasty?
(Hayat Sağlık ve Sosyal Hizmetler Vakfı, 2024) Yılmaz, Güleser Güney; AKEL, BURCU SEMİN; SAİTOĞLU, YELİZ SEVİMLİ; Akı, Esra
Aim: The study investigates the effect of occupational self-perception level on the functional status in the early period after total knee arthroplasty (TKA). Methods: Occupational Self Assessment (OSA), Canadian Occupational Performance Measure (COPM), Knee Injury and Osteoarthritis Outcome Score (KOOS), and Timed Up and Go Test (TUG) tests were administered before and at the 3rd and 6th week after surgery. Changes in COPM, KOOS, and TUG tests were analyzed using Friedman test. The relationship of OSA was examined using the Pearson correlation test. Results: Self-perception score was statistically in relation to TUG (r =- 0.600; p = 0.001). It was not significantly related with other assessment scores (p>0.05). Conclusion: Occupational self-competence perception of individuals affect their actual performance levels therefore; high occupational self-perception level may affect the recovery positively.
Open Access
Editöre Mektup: Yürekli ve Şenel, 2024, 29(3), 113-123 “Pilates Egzersizlerin Omurga Postür Bozukluklarına Etkisi: Sistematik Derleme”
(Gazi Üniversitesi Rektörlüğü, 2024) Çolak, Tuğba Kuru; Akçay, Burçin; APTİ, ADNAN
Bu mektup, Yürekli ve Şenel’in “Pilates egzersizlerinin omurga postür bozukluklarına etkisi” adlı derleme çalışmasına yönelik eleştirileri içermektedir. Yazarların Pilates egzersizlerinin omurga postür bozukluklarına etkisini incelemeyi amaçladıkları bu derleme yazısında önemli metodolojik problemler olduğu kanısındayız. Eleştiriler, çalışmada farklı yaş grupları ve tanılara sahip bireylerin aynı başlık altında ele alınmasının sonuçları genelleme açısından sorunlu hale getirdiği, skolyoza dair bazı bulguların derlemede yer almadığı ve skolyozun diğer postür bozukluklarından farklı olarak değerlendirilmesi gerektiği yönündedir. Ayrıca, Pilates’in kemiksel deformiteler ve skolyoz gibi durumlar için etkinliğine dair yeterli bilimsel kanıt bulunmadığı vurgulanmıştır. Bu nedenlerle, yazarlar derlemenin metodolojik eksiklikler içerdiğini ve yanıltıcı sonuçlar doğurabileceğini belirtmektedir.
Open Access
The Effect of Fruit Consumption Time on Glucose Regulation in Pregnancy With Gestational Diabetes
(Pontificia Universidade Catolica Campinas, 2023) NAS, SEVİL; Yılmaz, Hande Öngün
ObjectiveThis study aims to determine the effect of fruit consumption time on blood glucose regulation in pregnant women with gestational diabetes.MethodsThe study was carried out with 64 volunteer participants diagnosed with gestational diabetes. Participants who were directed to the Department of Nutrition and Dietetics were divided into two groups according to the order of application; Group 1 was included in the nutrition treatment program for a week, consuming fruit for the main meal and Group 2 for the snack. During this process, the participants were applied a personalized nutrition plan that was adjusted equally for macronutrients of all meals containing isocaloric 3 main and 4 snacks. In this process, blood glucose values were measured six times a day by the participants and the blood glucose results of both groups before starting the nutrition therapy and on the seventh day after starting the medical nutrition therapy were compared.ResultsThe mean age of the women participating in the study was 33.50 +/- 4.95 years and 32.28 +/- 5.18 years for the 1st and 2nd groups, respectively, and the groups were similar in terms of anthropometric measurements. The post-diet average of postprandial blood glucose levels in the morning within each group dropped from 180mg/d to 115mg/dL (p<0,001) for Group 1 and from 185mg/dL to 110mg/dL (p<0,001) for Group 2. There was a decrease in the fasting plasma glucose and postprandial blood glucose levels measured in the morning, noon and evening before and after the medical nutrition therapy of the groups, but no statistically significant difference was found between the groups (p>0.05). All participants on the gestational diabetes diet had normal blood sugar levels without the need for insulin. A statistically significant decrease was observed in the postprandial blood glucose-fasting plasma glucose difference levels of the pregnant women in the group that consumed fruit for snacks (Group 2) on the seventh day of the study (p<0,001). There was no significant difference in the pre-diet and post-diet morning fasting plasma glucose values of both groups (p>0,05).ConclusionThis study found that medical nutrition therapy in pregnant women with gestational diabetes led to a decrease in blood glucose levels, but consuming fruits as a snack or at the main meal did not make a significant difference on fasting plasma glucose and postprandial blood glucose. It was concluded that the type and amount of carbohydrates consumed daily in gestational diabetes are determinative on blood glucose level.
Open Access
The Effect of Interferential Currents and Tens on Pain and Functionality in Patients With Chronic Mechanical Low Back Pain
(Galenos Publishing House, 2024) Çolak, Tuğba Kuru; Sert, Nihat; Sert, Buse; APTİ, ADNAN
Objective: This study aimed to compare the effects of interferential current (IFC) and transcutaneous electrical nerve stimulation (TENS) on pain, disability, and flexibility for treating patients with chronic low back pain (CLBP). Materials and Methods: This study included 50 volunteer patients diagnosed with CLBP randomly assigned to IFC and TENS treatment. In addition to electrical stimulation, therapeutic ultrasound, hot packs, and exercise were administered to both groups. All patients underwent 20 sessions of treatment for 4 weeks and 5 days on weekdays. The Numerical Pain Scale, Oswestry Scale (ODI), and sit-and-reach test were used for evaluation. Patients were evaluated 3 times: before treatment, at the 10th session, and after treatment. The paired t-test was used for statistical analysis. Results: Significant improvement was seen in both treatment groups’ pain levels when the levels of pain before and after treatment were compared. Before and after treatment, both groups in the sit-and-reach test and Oswestry evaluation showed a significant improvement (p>0.05). The change in pain and disability scores did not show superiority in the TENS and IFC groups (p>0.05). Only in the sit-and-reach test did the IFC group show significantly more improvement after the 20th session treatment (p=0.026). Conclusion: IFC and TENS should be used in patients with CLBP to control pain and improve function. However, studies with electrical currents determined by different biophysical parameters are needed to determine the superiority of TENS and IFC in terms of treatment outcome measures. ©Copyright 2024 The Author. Published by Galenos Publishing House on behalf of Turkish Spine Society.
Open Access
Effect of Pilates Exercises on the Body Composition of Fasting Females
(Bezmialem Vakif University, 2022) BATAR, NAZLI; Ersin, Aybüke; Güçlü, Duygu; SEVDİN, SEZEN; KERMEN, SEDA
Objective: This study aimed to evaluate the changes in the body composition of individuals who fasted and did Pilates at least twice a week during Ramadan versus those who fasted but did no Pilates. Methods: This was an experimental study conducted on 60 healthy women who were admitted to the Noi Pilates in Istanbul Turkey, which was a private Pilates studio. The study was carried out on 60 grown-up, healthy women between 18 and 65 years of age who fasted in Ramadan 2019, some of whom did Pilates and some who did not. The women involved in the study had been doing Pilates for 6 months prior to Ramadan and did Pilates at least 3 times a week during Ramadan. Results: Significant increases were observed in body mass index (BMI), triceps skin-fold thickness (SFT), muscle mass and fat percentage in the fasting and non-pilates group (p<0.05). Our study found the change in the percentage of triceps SFT and fat in women who did Pilates to be more than those who did not. BMI, muscle mass, waist circumference and hip circumference of women who did Pilates and who did not do Pilates during Ramadan did not differ compared to the first measurements, and neither of the two methods dominated in terms of these variables. Conclusion: While a long period of fasting in Ramadan leads people to inactivity, personalized exercise and nutrition programs planned by experts may result in weight loss, especially for obese and slightly overweight people.
Open Access
The Effect of Position on Feeding Performance in Infants With Cleft Lip and Palate: Quasiexperimental Study
(Wiley, 2024) ERDOST, ŞERİFE KARTAL; Gözen, Duygu
Purpose: This single-group, quasiexperimental study was conducted to determine the effect of feeding position on the physiological parameters and feeding performance of term-born infants with cleft lip and palate (CLP) in the preoperative period. Methods: The study sample consisted of 45 infants aged 0-6 months with CLP followed up preoperatively in our outpatient clinic between January 2021 and 2022. Infants who were being fed with a specialty bottle for babies with CLP and whose families consented to participate in the study were included. After 2 h of fasting, the infants were fed in the elevated supine (ESU) position for the first meal, then in the elevated side-lying (ESL) position for the second meal after another 2 h of fasting. The infants' heart rate and oxygen saturation values before, during, and after each feed and indicators of feeding performance were compared between the positions. Results: There was no significant difference between the positions in terms of heart rate and oxygen saturation before, during, or after feeding (p > .05). There was no statistically significant difference in measures of feeding performance according to the infants' feeding position (p > .05). Conclusion: According to the findings obtained in this study, infants with CLP showed no statistically significant differences in heart rate, oxygen saturation, or feeding performance when fed in the ESL and ESU positions. Practice Implications: However, despite the lack of statistical significance, both physiological values and feeding performance tended to be better when the infants were fed in the ESL position, nurses can practice ESL position according to the infant's opposite direction of the side of the cleft lip or palate.
Open Access
Effect of Probiotic Supplementation After Laparoscopic Sleeve Gastrectomy on Constipation and Gastrointestinal Quality of Life
(Doç. Dr. Mustafa Hasbahçeci, 2021) Yıldız, Nida; Baş, Murat; Coşkun, Halil; Yardımcı, Erkan; BATAR, NAZLI
In this study, we aimed to investigate the early effect of probiotic supplementation after Laparoscopic Sleeve Gastrectomy (LSG) on constipation and gastrointestinal quality of life compared to control group. Methods: This study was a prospective, randomized clinical trial. Participants were recruited to Bariatriklab Obesity and Metabolic Surgery Center for LSG. All patients were divided into 2 groups as probiotic and control by using simple randomization. The probiotic group consumed Bifidobacterium animalis lactis BB-12 strain as a probiotic supplement during 6 weeks after LSG. Gastrointestinal Symptom Rating Scale (GSRS), Constipation Severity Instrument (CSI), Patient Assessment of Constipation Quality of Life Scale (PAC-QOL), Bristol Stool Form Scale (BSFS), Gastrointestinal Quality of Life Index (GIQLI) of the patients were recorded before LSG and at the 2nd, 4th, 6th weeks after LSG. Results: The probiotic group had an average age of 37.00±8.92 years (18 female, 12 male), the control group had an average age of 41.03±11.29 years (23 female, 7 male). CSI (16.50 ± 14.76 vs. 31.37 ± 15.34), PAC-QOL (58.53 ± 12.59 vs 72.30 ± 19.70), GSRS (26.83 ± 9.14 vs. 37.93 ± 16.59) and total score mean were lower compared to the control group, GIQLI total score average (147.50 ± 11.79 vs 136.87 ± 18.98) was found higher (p <0.05) in probiotic group. Conclusion: Probiotic supplementation improved the constipation and gastrointestinal quality of life in the early post-LSG period in the probiotic group compared to the control group.
Open Access
The Effectiveness of the Schroth Best Practice Program and Cheneau-Type Brace Treatment in Adolescent Idiopathic Scoliosis: Long-Term Follow-Up Evaluation Results
(MDPI, 2023) Çolak, Tuğba Kuru; Akçay, Burçin; APTİ, ADNAN; Çolak, İlker
Background: Although the number of studies showing the efficacy of conservative treatment in adolescent idiopathic scoliosis has increased, studies with long-term follow-up are very limited. The aim of this study was to present the long-term effects of a conservative management method including exercise and brace in adolescent idiopathic scoliosis patients. Methods: This retrospective cohort study included patients with idiopathic scoliosis who presented at our department and were followed up for at least 2 years after completing the treatment. The main outcome measurements were the Cobb angle and angle of trunk rotation (ATR). Results: The cohort participants were 90.4% female, with a mean age of 11 years and the maximum Cobb angle was mean 32.1 degrees. The mean post-treatment follow-up period was 27.8 months (range 24-71 months). The improvements after treatment in mean maximum Cobb angle (p < 0.001) and ATR (p = 0.001) were statistically significant. At the end of treatment, the maximum Cobb angle was improved in 88.1% of the patients and worsened in 11.9% compared to baseline. In the long-term follow-up evaluations, 83.3% of the curvatures remained stable. Conclusions: The results of this study showed that moderate idiopathic scoliosis in growing adolescents can be successfully halted with appropriate conservative treatment and that long-term improvement is largely maintained.
Open Access
Effects of Arm Swing on Plantar Pressure Behavior During Walking
(İstanbul Üniversitesi-Cerrahpaşa Sağlık Bilimleri Fakültesi, 2023) Leblebici, Gökçe; AKALAN, NAZİF EKİN; ÖNERGE, KÜBRA; KUCHIMOV, SHAVKAT; Ören, Meryem
Objective: This study aimed to investigate the influence of different arm swing conditions on plantar pressure behavior during walking in healthy individuals. Methods: The study included 29 healthy (22.55 ± 1.02 years) volunteers. The foot pressure was analyzed under 3 conditions: both arms should be freely swinging and the dominant arm should be restricted and should be held. Time and magnitudes of peak forces, gait velocity, duration of stance subphases, peak forces for 5 different areas in foot-sole, accelerations of the center of pressure, and mediolateral displacements of center of pressure were the interesting parameters. Results: When the arm swing was held, the onset of terminal stance was earlier and the anterior-posterior center of pressure acceleration decreased at the midfoot on the affected side (0.32 ± 0.04 seconds, 2.96 ± 0.27 m/ms 2) than on the contralateral side (0.34 ± 0.05 seconds, 3.12 ± 0.28 m/ms 2) (P = .04, P = .02). The differ- ences in anterior-posterior center of pressure acceleration between heel and forefoot and the mediolateral displacements of center of pressure were lower on the affected side at held (3.75 ± 0.31 m/ms 2, 0.06 ± 0.02 m, respectively) compared to the free swing (3.82 ± 0.30 m/ms 2, 0.07 ± 0.02 m) (P = .02, P = .01), while the peak force at the medial forefoot was lower on the contralateral side when the arm was held (28.87 ± 6.22 N) compared to the free swing (30.54 ± 5.86 N) (P= .01). Conclusion: The lack of arm swing may interact with ipsilateral early onset and longer late stance phase during walking in healthy individuals. The foot pressure behaviors during walking should be investigated for unilaterally affected patients.