Browsing by Author "Duruturk, Neslihan"

Now showing 1 - 14 of 14

Activity performance problems of patients with cardiac diseases and their impact on quality of life
(2015) Duruturk, Neslihan; Tonga, Eda; Karatas, Metin; Doganozu, Ersin; 26311919
[Purpose] To describe the functional consequences of patients with cardiac diseases and analyze associations between activity limitations and quality of life. [Subjects and Methods] Seventy subjects (mean age: 60.1+/-12.0 years) were being treated by Physical Medicine and Rehabilitation and Cardiology Departments were included in the study. Activity limitations and participation restrictions as perceived by the individual were measured by the Canadian Occupational Performance Measure (COPM). The Nottingham Extended Activities of Daily Living (NEADL) Scale was used to describe limitations in daily living activities. To detect the impact of activity limitations on quality of life the Nottingham Health Profile (NHP) was used. [Results] The subjects described 46 different types of problematic activities. The five most identified problems were walking (45.7%), climbing up the stairs (41.4%), bathing (30%), dressing (28.6%) and outings (27.1%). The associations between COPM performance score with all subgroups of NEADL and NHP; total, energy, physical abilities subgroups, were statistically significant. [Conclusion] Our results showed that patients with cardiac diseases reported problems with a wide range of activities, and that also quality of life may be affected by activities of daily living. COPM can be provided as a patient-focused outcome measure, and it may be a useful tool for identifying those problems.
A Comparison of Calisthenic and Cycle Exercise Training in Chronic Obstructive Pulmonary Disease Patients: A Randomized Controlled Trial
(2016) Duruturk, Neslihan; Arikan, Hulya; Ulubay, Gaye; Tekindal, Mustafa Agah; https://orcid.org/0000-0003-2478-9985; https://orcid.org/0000-0002-4060-7048; 26616764; AAD-3908-2020; AAB-5064-2021; U-9270-2018
Aim: To compare the effects of calisthenic and cycle exercises with no exercise in chronic obstructive pulmonary disease patients.Method: Forty-seven participants were allocated to either a cycle or calisthenic exercise or control group. Outcome measures, including Saint George Respiratory Questionnaire, pulmonary functions, cardiopulmonary exercise testing, Fitness Testing, and Hospital Anxiety-Depression, Modified Medical Research Council Dyspnea, Fatigue Severity, Fatigue Impact Scales, were performed before and after the intervention.Results: The change in VE/VCO2 significantly differed (p=0.01) between two exercise groups. Physical fitness, quality of life, anxiety-depression, dyspnea and fatigue changed significantly in exercise groups, with no between-group differences. There were no significant improvements in control group.Conclusion: Calisthenics are as safe and effective as cycle exercise and could be included in comprehensive treatment programs.
Cross-Cultural Adaptation, Reliability and Validity of the Turkish Version of the Lower Limb Functional Index
(2015) Duruturk, Neslihan; Tonga, Eda; Gabel, Charles Philip; Acar, Manolya; Tekindal, Agah; 0000-0002-4060-7048; 25777549; AAD-3908-2020; ACK-5152-2022
Purpose: This study aims to adapt culturally a Turkish version of the Lower Limb Functional Index (LLFI) and to determine its validity, reliability, internal consistency, measurement sensitivity and factor structure in lower limb problems. Method: The LLFI was translated into Turkish and cross-culturally adapted with a double forward-backward protocol that determined face and content validity. Individuals (n = 120) with lower limb musculoskeletal disorders completed the LLFI and Short Form-36 questionnaires and the Timed Up and Go physical test. The psychometric properties were evaluated for the all participants from patient-reported outcome measures made at baseline and repeated at day 3 to determine criterion between scores (Pearson's r), internal consistency (Cronbachs alpha) and test-retest reliability (intraclass correlation coefficient - ICC2.1). Error was determined using standard error of the measurement (SEM) and minimal detectable change at the 90% level (MDC90), while factor structure was determined using exploratory factor analysis with maximum likelihood extraction and Varimax rotation. Results: The psychometric characteristics showed strong criterion validity (r = 0.74-0.76), high internal consistency (alpha = 0.82) and high test-retest reability (ICC2.1 = 0.97). The SEM of 3.2% gave an MDC90 = 5.8%. The factor structure was uni-dimensional. Conclusions: Turkish version of LLFI was found to be valid and reliable for the measurement of lower limb function in a Turkish population.
Effect of Inspiratory Muscle Training in the Management of Patients With Asthma A Randomized Controlled Trial
(2018) Duruturk, Neslihan; Acar, Manolya; Dogrul, Mustafa Ilgaz; 29652761; ACK-5152-2022; AAD-3908-2020
Purpose: The aim of this study was to investigate the effects of inspiratory muscle training (IMT) on respiratory muscle strength, exercise capacity, dyspnea, fatigue, quality of life, and daily living activities of asthmatic patients. Methods: Thirty-eight asthmatic patients, between 18 and 65 years of age, were enrolled in the study and randomly divided into 2 groups; IMT (n = 20) or control (n = 18). Participants in the IMT group performed 30 breaths using a patient-specific threshold pressure device, twice daily for 6 wk at 50% maximal inspiratory pressure (MIP), in addition to "breathing training" during this period. Participants in the control group performed only the "breathing training" (sham or no threshold pressure device). Outcome measurements, performed before and after the intervention, included pulmonary function test, respiratory muscle strength, 6-min walk test, modified Medical Research Council dyspnea scale, St George's Respiratory Questionnaire, Fatigue Severity Scale, and London Chest Activity of Daily Living scale. Results: Among the outcomes in the study, changes to key variables including MIP (P < .01); MIP, percent predicted (P < .01); maximal expiratory pressure (MEP), percent predicted (P < .01); 6-min walk test walking distance (P = .001); modified Medical Research Council scale (P = < .001); Fatigue Severity Scale (P = .03); St George's Respiratory Questionnaire symptoms (P = .03); London Chest Activity of Daily Living domestic (P = .03); and London Chest Activity of Daily Living leisure (P = .01) were significantly different in favor of IMT versus control. Conclusion: These findings suggest that IMT may be an effective modality to enhance respiratory muscle strength, exercise capacity, quality of life, daily living activities, reduced perception of dyspnea, and fatigue in asthmatic patients.
Effect of tele-rehabilitation on glucose control, exercise capacity, physical fitness, muscle strength and psychosocial status in patients with type 2 diabetes: A double blind randomized controlled trial
(2019) Duruturk, Neslihan; Ozkoslu, Manolya Acar; 31014938; AAD-3908-2020
Aim: To determine the effect of a tele-rehabilitation (TR) program on glucose control, exercise capacity, physical fitness, muscle strength and psychosocial status in patients with type 2 diabetes mellitus (DM). Method: Fifty type 2 DM participants were enrolled in the study and divided randomly into two groups; TR (n = 25, mean age: 52.82 +/- 11.86) or control (n =25, mean age: 53.04 +/- 10.45) group. Participants in the TR group performed breathing and callisthenic exercises, three times a week, for 6 weeks, at home by internet based video conferences. Outcome measures including, HbA1c level, 6 min walk testing, physical fitness and muscle strength dynamometer measurement, Beck Depression Inventory were performed before and after the 6 weeks. Results: HbA1c (p = 0.00), 6 min walking distance (p = 0.00), physical fitness subparameters; sit-up (p = 0.00), sit-and-reach (p = 0.04), back scratch (p = 0.00), lateral flexion right (p = 0.04), left (p = 0.00) and time up go tests (p = 0.00), muscles strength (p = 0.00); deltoideus-anterior, middle, quadriceps femoris and gluteus maximus, and depression levels (p = 0.00) changed significantly (p = 0.00) in TR groups. There were no significant improvements in control group p >0.05). Conclusion: Our findings suggest that TR interventions found to be safe and effective, and may be an alternative treatment model for type 2 DM management. In addition to these health benefits, patients and rehabilitation team may save time, labor and treatment costs by using TR. (C) 2019 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
Effect of telerehabilitation applied during COVID-19 isolation period on physical fitness and quality of life in overweight and obese individuals
(2021) Ozturk, Beste; Duruturk, Neslihan; 0000-0003-4374-3130; 34504288
Background/objectives The aim of the study was to examine the effects of exercise training through telerehabilitation applied during COVID-19 isolation period on overweight and obese individuals on physical fitness and quality of life. Subjects/methods In our study, 41 participants between the ages of 18-65 years and whose BMI values were 25 kg/m(2) and above were randomly divided into two groups as telerehabilitation group (n: 21) and control group (n: 20). Exercise training applied to the telerehabilitation group with remote live connection included warm-up exercises, trunk stabilization exercises and breathing exercises under the supervision of a physiotherapist for 6 weeks, 3 days in a week. The control group was only informed about the importance of exercise for one session and evaluated at baseline and after 6 weeks. The physical fitness levels of individuals was assessed by Senior Fitness Test protocol and quality of life by Short Form-36. Results As a result of the study, statistically significant improvements were obtained in all parameters of physical fitness, quality of life in the telerehabilitation group (p < 0.05). In the difference values of the two groups, all parameters of physical fitness and quality of life were observed that there were statistically significant differences in favor of telerehabilitation group (p < 0.05). Conclusions As a result, it was found that exercise training applied through telerehabilitation during the COVID-19 pandemic process was an effective, safe and viable approach in overweight and obese individuals. In the future, studies investigating the long-term effectiveness of telerehabilitation in this population are needed.
Effects of Inspiratory Muscle Training on Respiratory Muscle Strength, Exercise Capacity, Physical Fitness and Daily Living Activities in Patients with Asthma
(2015) Duruturk, Neslihan; Acar, Manolya; Dogrul, Mustafa Ilgaz; ACK-5152-2022; AAD-3908-2020
The Effects of Quadriceps Kinesio Taping on Aerobic and Anaerobic Exercise Performance in Healthy Participants: A Randomized Controlled Study
(2016) Duruturk, Neslihan; Pekyavas, Nihan Ozunlu; Yilmaz, Atakan; Karatas, Metin; https://orcid.org/0000-0002-4520-0220; AAD-3908-2020; AAC-6522-2020; AAM-8875-2021
Objective: Aerobic and anaerobic exercise capacities are important components of athletic performance. The use of Kinesio Taping (R) (KT) as a supplementary treatment in athletic settings has increased in the recent years. KT can facilitate muscle contraction, which may be useful for improving performance. The purpose of this study was to determine whether the application of KT to the quadriceps muscle has any effect on anaerobic and aerobic performance in young healthy individuals. Design: Randomized, controlled, double-blind clinical study. Setting: Baskent University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation. Patients: Thirty-two healthy male participants were randomly assigned to either the KT group or a sham KT (SKT) group. Interventions: The KT muscle facilitation technique was applied to the quadriceps muscle bilaterally and measurements were taken 45 min later to ensure full adhesion. Main Outcome Measures: The Wingate cycle ergometer test was used to assess peak anaerobic power (peak AnP, in Watts) and exercise capacity (Watt/kg), while the 6-minute walk test (6MWT) was used to assess aerobic exercise capacity of the participants. Comparisons between groups were performed using the nonparametric Mann-Whitney U test, while those between baseline and posttaping used the nonparametric Wilcoxon test. Results: No significant difference was found between the two groups in the aerobic or anaerobic test parameters (p > .05). Within the groups, a significant improvement in time factors in peak AnP (929.7 2 +/- 184.37 W to 1043.49 +/- 224.42 W) was found only in the KT group (p = .028) and no other parameter was significantly different (p > .05). Conclusions: KT applied to the quadriceps muscle can positively improve anaerobic exercise performance and athletic performance capacity. However, KT did not affect aerobic capacity. Further research is needed to show that KT can improve and support anaerobic and aerobic exercise capacity in healthy participants or athletes.
Effects of Respiratory and Callisthenic Exercise Training on Exercise Capacity and Cuality of Life in Geriatrics
(2015) Duruturk, Neslihan; Acar, Manolya; ACK-5152-2022; AAD-3908-2020
Effects of Thoracic Mobilization Techniques on Pulmonary Functions, Dyspnea and Health Status in Patients with Asthma
(2019) Duruturk, Neslihan; Ozdemir, Furkan; Gunaydin, Buse; Alaca, Sevin; Bulbul, Saliha Beste
Is Balance Exercise Training as Effective as Aerobic Exercise Training in Fibromyalgia Syndrome?
(2015) Duruturk, Neslihan; Tuzun, Emine Handan; Culhaoglu, Belde; 25903448; AAD-3908-2020
The aim was to compare the effect of aerobic and balance exercises on pain severity, myalgic score, quality of life, exercise capacity and balance in fibromyalgia syndrome (FMS). A total of 33 females diagnosed with FMS by the American College of Rheumatology criteria were recruited in this randomised controlled study and allocated to aerobic exercise (AE) or balance exercise (BE) groups. Exercises were performed three times a week, for 6 weeks on a treadmill or with a Tetrax interactive balance system (TIBS). Outcome measures were characterised by myalgic score, visual analogue scale, Fibromyalgia Impact Questionnaire (FIQ), exercise testing, Timed Up-Go (TUG) and TIBS measurements. Comparisons from baseline to 6 weeks were evaluated using Wilcoxon test. Mann-Whitney U test was used to compare differences between groups. Effect sizes were also calculated. Improvements in pain, myalgic score and FIQ were found in both groups (p < 0.05). While comparing groups, myalgic score was significant (p = 0.02, d = -1.77), the value was higher in AE. Exercise duration, Borg scale, resting blood pressures (RBP) and maximal heart rate were significant in AE. In BE, Borg scale, exercise duration was significant (p < 0.05). While comparing groups, diastolic RBP (p = 0.04, d = -0.92), exercise duration (p = 0.00, d = -1.64) were significant, with higher values in AE. TUG significantly changed in groups (p < 0.05, d a parts per thousand yen -1.22). Stability scores, eyes open while standing on elastic pads (p = 0.00, d = -0.98) and head back (p = 0.03, d = -0.74), were significant, with higher values in BE. This study showed that BE provided some improvements in FMS, but AE training led to greater gains. BE training should be included in comprehensive programs.
Respiratory muscle strength, exercise capacity, resting oxygen consumption and resting energy consumption relationship with disability level caused by low back pain
(2019) Duruturk, Neslihan; Ozdemir, Furkan; Cayir, Melis
Telerehabilitation intervention for type 2 diabetes
(2020) Duruturk, Neslihan; 32547696
Diabetes has become an increasingly important health problem worldwide due to its prevalence. Although effective treatments for diabetes management have been developed, many patients have difficulty in achieving their therapeutic goals. Regular exercise training is suggested to prevent or delay the symptoms and complications of type 2 diabetes along with other medical treatments. It has become necessary to develop new rehabilitation models and practices in order to cope with the changing needs of the population. Treatment models using technology can be effective in disease management. Telerehabilitation may be effective as part of the rehabilitation program in the home environment, especially for patients who are unable to participate in conventional center-based rehabilitation due to transport difficulties or work resumption. Telerehabilitation is defined as the delivery of rehabilitation servicesviatelecommunication technology, including phone, internet, and videoconference communications between the patient and health care provider. It is possible that telerehabilitation may benefit people with type 2 diabetes in similar ways with telemonitoring and interactive health communication systems. Although the applicability of telehealth methods has been proven in previous studies, telerehabi-litation studies in type 2 diabetes are inadequate in the literature. With larger, multi-centered randomized controlled studies, established clinical guidelines can be developed that will ultimately improve patient outcomes.
Thermal Imaging of Inspiratory Muscle Training in Patients with Asthma- A Pilot Study
(2015) Duruturk, Neslihan; Pekyavas, Nihan Ozunlu; Acar, Manolya; ACK-5152-2022; AAC-6522-2020; AAD-3908-2020