Browsing by Author "Tuzun, Emine Handan"

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Acceptability, Reliability and Validity of The Turkish Version of The De Morton Mobility Index in Elderly Patients with Knee Osteoarthritis
(2014) Yuruk, Zeliha Ozlem; Aytar, Aydan; Tuzun, Emine Handan; Eker, Levent; Yuksel, Inci; De Morton, Natalie A.; https://orcid.org/0000-0002-4408-6489
Introduction: The de Morton Mobility Index is a newly developed instrument that assesses the mobility in elderly. The aim of the study was to translate the de Morton Mobility Index into Turkish and investigate its psychometric properties in elderly patients with knee osteoarthritis. Materials and Method: The Turkish version of the de Morton Mobility Index was developed using the forward-backward translation method. Patients (n= 100) were assessed using the Turkish version of the index, Western Ontario and McMaster Universities Osteoarthritis Index, and Timed Up and Go test. Acceptability was assessed in terms of refusal rate, and administration time. Floor and ceiling effects and skew of the distribution were measured. Intra-class correlation coefficients, standard error of measurement, and minimal detectable change scores were calculated. The Pearson's correlation coefficients were measured. Results: Average time to complete the index was 7.8 minutes. The response rate was 99%. The reliability analyses were conducted with 40 patients. The intra-class correlation coefficient( 2,1), standard error of measurement, minimal detectable change90, and minimal detectable change95 were 0.95, 3.15, 7.33, and 8.71, respectively. The de Morton Mobility Index scores were normally distributed, and had no floor or ceiling effects. Ninety-nine knee osteoarthritis patients were analyzed for validity. Correlation coefficients between the de Morton Mobility Index, Timed Up and Go test and the Western Ontario and McMaster Universities Osteoarthritis Index physical function, pain and stiffness subscales were -0.69, -0.70, -0.39, and -0.32, respectively. Conclusion: The Turkish version of the de Morton Mobility Index is an acceptable, reliable and valid measure for assessing mobility in elderly patients with knee osteoarthritis.
The Effects of Exercise Program on Satisfaction Level in Unilateral Above Knee Amputees
(2015) Anaforoglu, Bahar; Erbahceci, Fatih; Tuzun, Emine Handan; Sonmezer, Emel
Purpose: To investigate the effects of exercise program performed under the supervision of a physiotherapist, on prosthetic satisfaction level in unilateral above knee amputees. Methods: 19 unilateral above knee amputees, with the mean age of 39.3+/-12.8 years were enrolled in this study. The sociodemographic and clinical characteristics and properties of the prostheses of the participants were recorded. All cases attended to a 10 session exercise program. They continued the exercises after the program finished. The satisfaction level of the patients concerning comfort, appearance weight of the prosthesis and walking with prosthesis were assessed by Visual Analog Scale (VAS) before and 2 months after the treatment. Results: When compared pre and post-treatment results, comfort of the prosthesis (p=0.048), satisfaction with the appearence of prosthesis (p=0.01), and walking ability (p=0.033) were statistically different. Discussion: In the present study, it is demonstrated that the exercise program affected prosthetic satisfaction levels positively in unilateral above knee amputees.
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.
PREVALENCE AND RELATED FACTORS OF LIMITED HEALTH LITERACY IN PATIENTS WITH CHRONIC MUSCULOSKELETAL DISEASES
(2017) Aytar, Aydan; Tuzun, Emine Handan; Eker, Levent
Purpose: Not knowing the dimensions of inadequate health literacy is an important public health issue not just for healthcare professionals but all population. It is, therefore, necessary to ensure that politicians see this as an investment and to encourage service to productive resources. It is important to be aware of limited health literacy to develop new and different strategies. The aim of this study was to determine the prevalence of limited health literacy and to examine the relationship between health readiness and socio-demographic characteristics in patients with chronic musculoskeletal disorders. Methods: A total of 423 patients who have different chronic musculoskeletal disorders were recruited into the study. The level of health literacy was measured using Rapid Estimate of Adult Literacy in Medicine and Newest Vital Sign instruments. The cognitive level of participants was estimated using Mini-Mental Status Examination Test. Results: Approximately 17.3 percent of participants assessed using Rapid Estimate of Adult Literacy in Medicine had limited health literacy. More than 27.2 percent of participants evaluated using the Newest Vital Sign had limited literacy and lower numeracy skills. Conclusion: Limited health literacy and numeracy skills are common in patients who have different chronic musculoskeletal disorders. It is associated with older age, lower level of education, and lower cognitive level. Healthcare literacy can be improved with various strategies in health services, and more successful outcomes can be obtained in treatment.
The Upper Extremity Functional Index (UEFI): Cross-Cultural Adaptation, Reliability, and Validity of the Turkish Version
(2015) Aytar, Aydan; Yuruk, Zeliha Ozlem; Tuzun, Emine Handan; Baltaci, Gul; Karatas, Metin; Eker, Levent; 25322741; HIR-3735-2022
BACKGROUND: Turkish version of the Upper Extremity Functional Index (UEFI) may help to assess shoulder function in patients with shoulder impingement syndrome (SAIS). OBJECTIVE: To translate and cross-culturally adapted UEFI into Turkish and to assess its acceptability, reliability, validity in patients with SAIS. METHODS: This study conducted with 93 SAIS participants. UEFI, the short version of the Disability of the Arm, Shoulder and Hand scale (Quick DASH), the Shoulder Pain and Disability Index, and the Short Form-36 Health Survey (SF-36) were administered. Acceptability was assessed in terms of refusal rate, rates of missing responses, and administration time. Test-retest reliability was assessed with intra class correlation coefficient (ICC), internal consistency was assessed with Cronbach's alpha coefficient. Validity was assessed by floor and ceiling effects, skew of distributions and Pearson's correlation coefficients. RESULTS: Cronbach's alpha coefficients for the UEFI at Time 1 and Time 2 were as follows: alpha = 0.89 and alpha = 0.89. Average measure ICC was 0.80. The UEFI score demonstrated strong negative correlations with SPADI total score and Quick DASH score. There was not a significant correlation between the UEFI and mental health subscale score derived from SF-36. CONCLUSIONS: The Turkish version of UEFI is acceptable, valid, and reliable.