Sağlık Bilimleri Fakültesi / Faculty of Health Sciences

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Browsing Sağlık Bilimleri Fakültesi / Faculty of Health Sciences by Subject "Adolescents"

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    PublicationOpen 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.
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    PublicationOpen 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.
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    Ergenler İçin Aile Yemekleri Ölçeği'nin Geliştirilmesi
    (2019-04) kermen, seda; AKTAÇ, ŞULE; 268496; 40690
    Giriş: Aile yemekleri, aynı evde yaşayan aile fertlerinin çoğu veya tamamı ile aynı yerde ve aynı anda yenilen yemekler şeklinde tanımlanmaktadır. Birlikte yemek yeme eylemi aile hayatında merkezi bir noktadır. Ailenin, ergenlik döneminde artan bağımsızlığa ve akran etkisine rağmen beslenme davranışları üzerinde etkisi devam etmektedir.