Sağlık Bilimleri Enstitüsü / Health Science Institute
Permanent URI for this collectionhttps://hdl.handle.net/11727/1393
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Item Developing an Educational Material Based on The Needs and Health Literacy of Patients Receiving Radiotherapy and Their Relatives(2014) Ozdogan, P. Seref; Kav, S.; https://orcid.org/0000-0003-0361-7498; V-9745-2019Item Investigating The Effects of Poverty on Health and Quality of Life in Poor People Aged 65 and Over in Etimesgut District, Ankara(2014) Yilmaz, Fikriye; Celik, Cansu; Numanoglu Tekin, Rukiye; https://orcid.org/0000-0002-4884-3803; AAZ-4775-2020Introduction: The purpose of this research was to examine the effects of poverty on health and quality of life of poor people aged 65 and over in Etimesgut District, Ankara. Materials and Method: A questionnaire was administered to 116 people over the age of 65 who were deemed a priority group for assistance by the Etimesgut Social Assistance and Solidarity Foundation in Ankara. The questionnaire comprised questions related to socio-demographic characteristics, health status and health care utilization of elderly people, along with the World Health Organization Quality of Life Instrument-Older Adults Module. Research data were evaluated using the Chi-Square Test, Independent Samples T Test, One-Way Analysis of Variance, Mann-Whitney U Test and Kruskal-Wallis Test. Results: The average monthly income of the elderly participants was 168.94 +/- 54.67 Turkish liras and they lived completely under the poverty line determined for Turkey. However, it was found that women, illiterate participants and those receiving the old age pension were poorer, and of those whose income was below average, more delayed/did not seek help when they were ill. Statistical analysis revealed that total quality of life scores of participants aged 65-74 and literate participants were higher; the "social participation" scores of participants whose income was below average and those received an old-age pension were lower. Conclusion: Poverty has negative effects on the health status, health care utilization and quality of life of elderly people.Item Relationship Between Exercise Perception With Physical Activity Level, Body Awareness, and Illness Cognition in Renal Transplant Patients: A Pilot Study(2019) Tigli, Ayca; Soy, Ebru Hatice Ayvazoglu; Aytar, Aydan; Moray, Gokhan; Haberal, Mehmet; https://orcid.org/0000-0002-0993-9917; https://orcid.org/0000-0003-2498-7287; https://orcid.org/0000-0002-3462-7632; 30777573; AAC-5566-2019; HIR-3735-2022; AAE-1041-2021; AAJ-8097-2021Objectives: Transplantation offers better quality of life and long-term survival benefits. Further knowledge is needed regarding exercise in daily life of transplant recipients. Here, we investigated the relationship between exercise perception and physical activity level, body awareness, and illness cognition in renal transplant patients. Materials and Methods: Our study included 53 renal transplant recipients (Standardized Mini-Mental Test score = 26.35 +/- 1.36; age = 41.11 +/- 13.52 year, body mass index = 25.96 +/- 5.26 kg/m(2), elapsed time after transplant = 3.68 +/- 1.53 year). Perceived benefits and barriers to exercise, physical activity level, body awareness, and illness cognition were assessed with the Exercise Benefits/Barriers Scale, International Physical Activity Questionnaire, Body Awareness Questionnaire, and Patient Illness Perception Questionnaire, respectively. Correlations were established with Spearman test for nonparametric data, with regression analysis used to find determinants of physical activity levels. Results: We observed correlations between physical activity level and perceived benefits and barriers to exercise. There was a positive relationship between body awareness and perceived benefits and barriers to exercise and also illness cognition, with significant correlation between perceived benefits and barriers to exercise and illness cognition (P < .05). Perceived benefits and barriers to exercise (P = .006, R = 0.373, R2 = 0.139, beta = 0.373, t = 2.867, F = 8.22) were determining factors for physical activity level. Conclusions: Psychologic and physical factors, including negative emotions and body dissatisfaction, are risk factors for poor quality of life. Although it is important to increase quality of life, tools to enhance body awareness and to develop strategies to alter motor behaviors in daily living activities are needed. Treatment and assessment strategies on body awareness and illness perception should be considered, with emphasis on the importance of physical activity posttransplant.Item Exposure of Pregnant Women to Violence by Partners and Affecting Factors in Turkey(2016) Alan, Hacer; Koc, Gulten; Taskin, Lale; Eroglu, Kafiye; Terzioglu, FusunThis study aims to determine the exposure of women to violence by their partners during pregnancy and the factors affecting this condition. The current study conducted as descriptive included a total of 442 pregnant women who were married and at the last trimester of their pregnancy. The data were collected using a semi-structure questionnaire and face to face interview with the pregnant women and were evaluated using descriptive statistics, chi-square test, and logistic regression analysis. Of the pregnant women, 39.8 % experienced at least one type of violence, and the most common type of violence experienced was verbal violence (31.4 %). Among the participants, 18.2 % exposed to violence expressed that their partners perpetrated violence because of jealousy, and 30.1 % reported that they just cried when exposed to violence. According to the results of the logistic regression analysis, insufficient prenatal care increases all types of violence in pregnancy. Working with pregnant women and their partners together under the scope of prenatal care services, and especially planning the attempts to prevent violence by discussing the causes of violence with couples, will facilitate more successful violence prevention programs.Item Scenarios to Manage The Hepatitis C Disease Burden and Associated Economic Impact of Treatment in Turkey(2017) Ormeci, Necati; Malhan, Simten; Balik, Ismail; Ergor, Gul; Razavi, Homie; Robbins, Sarah; 29027109Hepatitis C virus (HCV) infection is a significant health problem. The aim of this study is to evaluate the cost-effectiveness of HCV treatment and estimate its economic burden in Turkey. An Excel-based disease progression model was used to estimate the HCV-infected population for 2015-2030. Direct costs in US dollars (USD) including diagnostic, laboratory, and healthcare costs were provided by experts in the country. Indirect costs were estimated as lost productivity using the World Health Organization (WHO) disability-adjusted life years (DALYs) metric from the Global Burden of Disease study. Three scenarios were developed to estimate the cost-effectiveness of HCV treatment through 2030: Base 2016, Increase Treatment and SVR (where SVR is sustained virological response), and WHO Targets. Additionally, the WHO Targets scenario was assessed at three different treatment price points: 10,900 USD, 16,730 USD (base cost), and 27,285 USD. Cumulative total direct and indirect costs (2015-2030) for the WHO Targets scenario were estimated to be 10.8 billion USD, or a 1.5 % increase compared with Base 2016. However, by the following decade, due to a marked decline in DALYs, cumulative direct and indirect costs were estimated to be 45 % less when compared with Base 2016. At a threshold of 9125 USD, all scenarios were cost-effective. By implementing the WHO Targets scenario, Turkey would be able to lower HCV prevalence by 80 % and reduce the total number of liver-related deaths by > 65 % by 2030. Treating HCV infection in the country is cost-effective if healthcare and indirect costs are taken into consideration.Item The Effects of Clinical Pilates Exercises on Patients with Shoulder Pain: A Randomised Clinical Trial(2017) Atilgan, Esra; Aytar, Aydan; Caglar, Aslican; Tigli, Ayca Aytar; Arin, Gamze; Yapali, Gokmen; Kisacik, Pinar; Berberoglu, Utku; Sener, Hulya Ozlem; Unal, Edibe; 29037638; HIR-3735-2022Aim: The purpose of this study was to determine the effect of Clinical Pilates exercises on patients with shoulder pain. Material and methods: Thirty-three patients, experiencing shoulder pain continuously for at least four weeks were selected as study subjects. The patients were randomly divided into two groups, namely Clinical Pilates exercise (n = 17) group and conventional exercise (n = 16) group. The patients were treated for five days a week, the total treatment being carried out for 10 days. The assessment of pain and disability amongst the patients were done at the baseline and at the end of the treatment sessions, using Visual Analogue Scale (VAS) and Shoulder Pain and Disability Index (SPADI). Results: The clinical Pilates exercise group showed a significant improvement in all scores used for assessment (p < 0.05), while the conventional exercise group demonstrated a significant improvement only in the SPADI total score (p < 0.05). A comparison of scores for the VAS, SPADI-Pain and SPADI-Total between the two groups, revealed a significant improvement in the Clinical Pilates exercise group (p < 0.05). Conclusion: It was demonstrated by the study that Clinical Pilates exercise is an efficient technique for patients experiencing shoulder pain, as it helps reduce pain and disability among them. (c) 2017 Elsevier Ltd. All rights reserved.Item Mizofoni belirtisi gösteren ve göstermeyen bireyler arasında short increment sensitivity index (SISI) test sonuçlarının karşılaştırılması(Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2019) Engün, Özgün; Erbek, Hatice SeyraGürültünün insan sağlığı üzerinde olumsuz etkiler yarattığı bilinmektedir. Bu etkiler işitsel ve işitsel olmayan problemler şeklinde ortaya çıkmaktadır. Bu sorunlardan bir tanesi de mizofonidir. Gürültüden rahatsız olma şeklinde açıklanan mizofoni literatürde ayrıntılı olarak açıklanmış bir konu değildir. Bu nedenle oldukça sınırlı sayıda araştırma bulunmaktadır. Bununla birlikte mizofoni hastalarının fizyolojik bulgularının araştırıldığı çok az sayıda çalışma vardır. Bu nedenle çalışmanın amacı mizofoni belirtileri gösteren ve göstermeyen kişilerin SISI testi sonuçlarının karşılaştırılmasıdır. Çalışmaya 18-50 yaş arasında mizofoni belirtisi gösteren ve göstermeyen 15’er kişi gönüllü olarak katılmıştır. Katılımcılara Amsterdam Mizofoni Ölçeği uygulanmış, otoskopik muayene ve odyolojik değerlendirme yapılmış ve ardından SISI testi uygulanmıştır. Analiz sonuçlarına göre mizofoni belirtisi gösteren bireylerle belirti göstermeyen bireyler arasında SISI Testi skorları, Saf Ses Odyometre değerlendirmesi ve Tedirgin Edici Ses Yüksekliği arasında istatistiksel olarak anlamlı bir fark bulunamamıştır. Noise is known to have negative effects on human health. These effects occur in the form of auditory and non-auditory problems. One of these problems is known as misophonia. Misophonia, which is defined as being disturbed by noise, is not a subject that is explained in literature in detail. Therefore, there is very limited research. However, there are very few studies investigating the physiological findings of patients with misophonia. Therefore, the aim of the study was to compare the SISI test results of individuals with and without symptoms of misophonia. 30 people between the ages of 18-50 with and without signs of misophonia participated voluntarily. Amsterdam Misophonia Scale was applied to the participants, otoscopic and audiological examination was performed and then SISI test was applied. According to results of analysis, there is no significant difference between the individuals with and without misophonia symptoms in terms of SISI test, Pure Tone Audiometry evaluation and Uncomfortable Loudness Level scores.Item Engelli bireylerin egzersize katılımına ilişkin algılarının incelenmesi(Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2019) Sungur, Melih; Güven, BengüBu çalışma, engelli bireylerin egzersize katılımlarına ilişkin algılarının belirlenmesi amacıyla yapılmıştır. Çalışma, Ankara ilinde yer alan engelli derneklerinde, spor kulüplerinde, rehabilitasyon merkezlerinde 18-69 yaş aralığında ortopedik, görme ve işitme engelli kadın ve erkekler üzerinde gerçekleştirilmiştir. Araştırmaya 145 (%45,2) kadın, 176 (%54,8) erkek toplam 321 engelli birey katılmıştır. Katılımcıların 143’ü (%44,5) ortopedik engelli, 105’i (%32,7) görme engelli, 73’ü (%22,7) ise işitme engelli bireylerden oluşmaktadır. Katılımcıların egzersize ilişkin algılarını belirlemek amacı ile Sechrist, Walker ve Pender (1987) tarafından geliştirilen “Egzersiz Fayda Engel Ölçeği (EFEÖ)” kullanılmıştır. Elde edilen verilerin analizinde, 2 bağımsız gruptan oluşan alt problemlerde bağımsız örneklem t-testi, 2’den fazla bağımsız gruptan oluşan alt problemlerde ortalama farkı testi için ANOVA yapılmıştır. ANOVA yapmadan önce varyans homojenliği ise Levene testi yardımı ile kontrol edilmiştir. Ayrıca fark çıkan analiz sonuçlarında, farkın hangi gruptan kaynaklandığı Kruskal Wallis testi ile belirlenmiştir (p<0,05). Sonuç olarak Ankara ilinde yaşayan ortopedik, görme ve işitme engelli bireylerin egzersiz katılımına ilişkin algılarının cinsiyet, yaş, engel türü ve egzersiz yapıp yapmama durumuna göre farklılık gösterdiği söylenebilir. This study has been carried out in order to determine how disabled individuals perceive physical exercise participation. The study has been conducted in the associations for the disabled people, sports clubs and rehabilitation centers in Ankara. The participants were orthopedically disabled ,visually and/or hearing impaired men and women between the ages of 18-69. In total, 321 disabled individuals took part in the research, 145 (45,2%) of whom were female and 176 (54,8%) were male. 143 (44,5%) of the participants were orthopedically disabled, 105 (32,7%) were visually impaired and 73 (22,7%) had hearing disability. In order to determine the participants’ the perception of physical exercise, the “Exercise Benefits/Barriers Scale (EBBS)”, developed by Sechrist, Walker and Pender (1987), have been used. In the analysis of the obtained data, ANOVA was performed for unpaired t-test for sub-problems consisting of 2 independent groups and mean difference test for sub-problems consisting of more than 2 independent groups. Before performing ANOVA, homogeneity of variance was checked by Levene test. In addition, Kruskal Wallis test was used to determine which group caused the difference (p <0.05). As a result, it can be said that perceptions of orthopedic, visually and hearing disabled individuals living in Ankara regarding exercise participation differ according to gender, age, type of disability and whether or not to exercise.Item Poli-eter-eter-keton implantların çevre kemikte oluşturduğu streslerin sonlu elemanlar analizi ile incelenmesi(Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2019) Ediboğlu, Engin; Akdeniz, Sıdıka SinemOral endoosseöz implantlar için ideal materyal seçimi; 1960’lı yılların sonuna doğru Branemark tarafından tanımlanan saf titanyumdur. Fakat tamamen metal içermeyen materyaller talep eden hastalar gün geçtikçe sayıca artmaktadır ve titanyumun bazı dezavantajları dolayısıyla dental implant için yeni materyal arayışları devam etmektedir. Çalışmamızın amacı geleneksel titanyum dental implantlara alternatif olarak kullanılabilecek %30 Kft-Peek ile %60 Kft-Peek materyallerinin simüle edilecek oklüzyon kuvvetleri karşısında, implant çevresindeki kortikal ve spongioz kemikte meydana gelecek stresleri, sonlu eleman analizi ile inceleyerek klinik uygulamalara ışık tutmaktır. Bu çalışmada; maksiller anterior, maksilla posterior, mandibula posterior bölgelerinin her biri; %30 Kft-Peek, %60 Kft-Peek ve titanyum materyallerinden tek üyeli implantlar yerleştirilerek modele edildi. Uygulanan dik ve oblik kuvvetlerin sonucunda bu modellerde; implantta ve kemikte oluşan stres değerleri, dağılımı ve yoğunlaşma bölgeleri incelendi. Araştırma üç boyutlu sonlu elemanlar stres analizi yöntemi ile statik lineer analiz yapılarak gerçekleştirildi. Analiz sonucunda, oluşturulan her 5 senaryodaki implant, implant çevresi kortikal kemikte ve spongioz kemikteki Von Misses stres, Maksimum asal stres ve Minimum asal stres değerleri ve stres dağılımları incelenmiştir. Oluşturulan her senaryoda %30 Kft-Peek implantın çevre kemikte oluşturduğu stres değerleri, titanyum ve %60 Kft- Peek implantlarının oluşturduğu stres değerlerinden daha yüksektir. Titanyum ve %60 Kft- Peek implantlar, biyomekanik olarak benzer davranışlar göstermiştir ve bu implantlar; %30 Kft-Peek implantlara göre gelen yükleri kemiğe daha homojen şekilde iletmişlerdir. Ayrıca bu çalışma sınırları dahilinde, oblik kuvvetlerin dik kuvvetlere karşı daha yıkıcı etkiye sahip olması ve daha yoğun kemik yapısının gelen kuvvetlere karşı daha iyi stres dağılımı gösterdiği belirtilmiştir.%60 Kft-Peek(Endolignâ) materyali; dental implant materyali olarak altın standart olan titanyuma benzer biyomekanik davranışlar sergilemiştir. Bu materyalin dental implant materyali olarak rutin kullanılması için; hayvan ve uzun dönem klinik çalışmalarla desteklenmesi gerekmektedir. Bu çalışma Başkent Üniversitesi Tıp ve sağlık Bilimleri Araştırma Kurulu tarafından onaylanmış (Proje no: DA19/04) ve Başkent Üniversitesi Araştırma Fonunca desteklenmiştir. Selection of the ideal material for oral endoosseous implants; towards the end of the 1960s, it was pure titanium as defined by Branemark. However, patients demanding completely non-metal materials are increasing in number and the search for new materials for dental implants continues due to some disadvantages of titanium. The aim of this study is to examine the stresses that will occur in the cortical and spongious bone around the implant in the face of occlusion forces of 30% Cfr-Peek and 60% Cfr-Peek materials that can be used as an alternative to traditional titanium dental implants, and to shed light on clinical applications by finite element analysis.In this study; single-tooth implants of 30% Kft-Peek, 60% Kft-Peek and titanium materials were modeled in each of the maxillary anterior, maxilla posterior, mandibular posterior regions. As a result of the applied vertical and oblique forces in these models; stress values, distribution and concentration areas in the implant and bone were examined. The study was carried out by using three dimensional finite element stress analysis and static linear analysis.Von Misses stress, maximum principal stress and minimum principal stress values and stress distributions in the implant, cortical bone and spongious bone in each of the 5 scenarios were examined. 30% Kft-Peek implants stress in the surrounding bone is higher than titanium and 60% Cfr-Peek implants. Titanium and 60% Cfr-Peek implants exhibited biomechanically similar behavior and these implants conducted stresses to bone more homogeneous than the 30% Cfr-Peek implants. In addition, it is stated that oblique forces have more destructive effect than vertical forces and denser bone structure shows better stress distribution against incoming forces. Within the limits of this study; the 60% Cfr-Peek material exhibited titanium-like biomechanical behavior as the gold standard for dental implant material. For the routine use of this material as a dental implant material; animal and long-term clinical studies are needed. This study was approved by Baskent University Institutional Review Board (Project no: DA19 / 04) and supported by Baskent University Research Fund.Item Dejeneratif servikal hastalığı olanlarda dinamik servikal manyetik rezonans görüntüleme bulgularının standart statik manyetik rezonans görüntüleme ve klinik bulgular ile korelasyonu(Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2019) Bayramoğlu, Mert; Yıldırım, TülinBu çalışmanın amacı dejeneratif servikal hastalık olgularında statik ve dinamik manyetik rezonans görüntüleme (MRG) bulguları arasındaki farklılıkların değerlendirilmesi ve klinik bulgular ile statik ve dinamik MRG bulguları arasındaki korelasyonun araştırılmasıdır. Hastanemize boyun ağrısı şikayeti ile başvuran 84 hasta çalışmaya dahil edilmiştir. MRG öncesinde yapılan klinik muayene sırasında hastalar vizüel analog skala (VAS) ve boyun özürlülük indeksi (BÖİ) formları ile değerlendirilmiştir. Statik servikal MRG görüntülerinde C3-C7 düzeyleri arasından Kang skoru (KS), ligamentum flavum (LF) kalınlığı, spinal kanal ön-arka çapı (SKÇ), sagital hareket aralığı (ROM) ölçümleri yapılmış, aynı ölçümler dinamik MRG’ de tekrarlanmıştır. Nötr, fleksiyon ve ekstansiyon pozisyonlarında elde edilen veriler istatistiksel olarak karşılaştırılmış, ayrıca MRG bulguları ile VAS ve BÖİ skorları arasındaki ilişki de değerlendirilmiştir. Çalışmaya dahil edilen 84 olgunun (55 Kadın, 29 erkek) yaş ortalaması 51.32±7.29 dir. Nötr pozisyonda C4-5 ve C6-7 düzeylerinde (p<0.05), fleksiyon pozisyonunda C4-5 ve C6-7 düzeylerinde (p<0.05), ekstansiyon pozisyonunda C4-5 ve C6-7 düzeylerinde (Sırasıyla p<0.05; p<0.01) KS’ ları ile VAS puanları arasında pozitif yönlü korelasyon bulunmuştur. Tüm düzeylerde nötr-ekstansiyon ve fleksiyon-ekstansiyon pozisyonlarındaki KS’ ları arasında fark bulunmuştur (Sırasıyla p<0.05, p<0.01). Fleksiyon pozisyonunda C6pozisyonunda C6-7 düzeyinde VAS puanı ile LF kalınlığı arasında negatif yönlü ilişki bulunmuştur(p<0.05). Tüm düzeylerde nötr, fleksiyon ve ekstansiyon pozisyonlarındaki LF kalınlıkları arasında fark bulunmuştur (p<0.01). Fileksiyon pozisyonunda C4-5 düzeyinde SKÇ ile VAS puanı arasında negatif yönlü ilişki bulunmuştur(p<0.05).Tüm düzeylerde nötr, fleksiyon ve ekstansiyon pozisyonlarındaki SKÇ arasında fark bulunmuştur (p<0.01). Fleksiyonda C4-5 ve C6-7 düzeylerinde ölçülen SKÇ ile ROM arasında pozitif yönlü korelasyon bulunmuştur (Sırası ile p<0.05; p<0.01). Ekstansiyonda C6-7 düzeyinde ölçülen SKÇ ile ROM arasında negatif yönlü korelasyon bulunmuştur (p<0.05). Fleksiyonda C6-7 düzeylerinde ölçülen KS ile ROM arasında negatif yönlü korelasyon bulunmuştur (p<0.05). Çalışmamız dinamik MRG’nin, servikal kanal stenozu ve bu duruma katkı sağlayan faktörlerin görüntülenmesinde statik MRG’ ye üstün olduğunu göstermiştir. Dinamik MRG’ nin standart incelemeye ek olarak kullanılması operasyon planlaması için kullanışlı olabilir. Bununla birlikte her hasta için bu yöntemin kullanılması hasta konforu, zaman ve maliyet açısından uygun değildir. Çalışmamız fizik muayene, boyun ağrı ve özürlülük formlarının ek inceleme ihtiyacını belirlemek amacı ile kullanımının yeterli katkı sağlamadığını göstermektedir. Yalnız aksiyel boyun ağrısı şikâyeti bulunan hastalardan ziyade myelopati ve radikülopati semptomlarının bulunduğu hasta grubu ile yapılacak çalışmalar ile bu ilişkinin gösterilebileceğini düşünüyoruz. The aim of this study is to evaluate the differences between static and dynamic magnetic resonance imaging (MRI) findings in patients with degenerative cervical disease and to investigate the correlation between clinical and dynamic MRI findings. 84 patients admitted to our hospital with complaints of neck pain, were included in the study. During the clinical examination before MRI, the patients were evaluated with visual analog scale (VAS) and neck disability index (NDI) forms. Kang score (KS), ligamentum flavum (LF) thickness, spinal canal anteroposterior diameter (SCD), sagittal range of motion (ROM) among the C3-C7 levels were measured on static cervical MRI and the same measurements were repeated on dynamic MRI. The data obtained from the MRI in neutral, flexion and extension positions were compared statistically and the relationship between MRI findings and VAS and NDI scores were also evaluated. The mean age of 84 patients (55 females, 29 males) included in the study is 51.32 ± 7.29 years. Positive correlation was found between KS and VAS scores on C4-5 and C6-7 levels in neutral position (P <0.05), on C4-5 and C6-7 levels in flexion position (P <0.05), on C4-5 and C6-7 levels in extension position (respectively P <0.05; P < 0.01). There was a difference between KS at neutral-extension and flexion-extension positions at all levels (P <0.05, P <0.01, respectively). There was found a negative relationship between the VAS score and LF thickness in flexion position on level of C6-7 (P <0.05). There were differences in LF thickness at neutral, flexion and extension positions at all levels (P <0.01). A negative correlation was found between SCD and VAS score in flexion position (P <0.05) at C4-5 level. A significant difference was found between the values of SCD in neutral, flexion and extension positions at all levels (p <0.01). A positive correlation was found between SCD and ROM measured at C4-5 and C6-7 levels in flexion (P <0.05; P <0.01, respectively). A negative correlation was found between SCD and ROM measured at C6-7 level in extension (P <0.05). There was a negative correlation between KS and ROM measured at C6-7 levels in flexion (p <0.05).Our study showed that dynamic MRI is superior to static MRI in imaging of cervical canal stenosis and the factors contributing to this condition. The use of dynamic MRI in addition to standard inspection may be useful for diagnose, treatment and operation planning of degenerative cervical disease. However, this method is not suitable for each patient in terms of patient comfort, time and cost. Our study shows that the use of physical examination, neck pain and disability forms in order to determine the need for additional examination does not contribute sufficiently. We think that this relationship can be demonstrated by studies with patients who have symptoms of myelopathy and radiculopathy rather than patients with axial neck pain alone.