Sağlık Bilimleri Fakültesi / Faculty of Health Sciences
Permanent URI for this collectionhttps://hdl.handle.net/11727/1402
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Item 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-3735-2022BACKGROUND: 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.Item Reliability of Pressure Pain Thresholds in Healthy Young Adults(2014) Aytar, Aydan; Senbursa, Gamze; Baltaci, Gul; Yuruk, Zeliha Ozlem; Pekyavas, Nihan Ozunlu; https://orcid.org/0000-0002-4408-6489; HIR-3735-2022; AAC-6522-2020Objectives: The aim of this study was to investigate the inter-rater and intra-rater reliability of pressure pain threshold [PPT] measurements in the supraspinatus muscle tendon, anterior talofibuler ligament, and the extensor digitorum communis muscle belly in healthy young subjects. Methods: A total of 100 healthy undergraduates participated in this study. Two examiners had three trials of measuring the supraspinatus muscle tendon, anterior talofibuler ligament, and extensor digitorum communis muscle belly on the dominant side, which were marked by the first examiner [E1]. Three consecutive measurements were taken with a 60-s interval between trials. The average of three measurements was calculated for each region. After a 60-min interval, the same procedure was repeated by the second examiner [E2] on the same day. Results: Our results indicated that E1 and E2 showed high intra-rater reliability. Significant difference was found between E1 and E2 in anterior talofibular ligament and extensor digitorum communis muscle belly threshold average measurements [p < 0.05], but no significant difference was found at supraspinatus muscle tendon [p > 0.05]. Low significant correlation and reliability was found between E1 and E2 for all measurement sites. Conclusions: Our study results indicated that intra-rater reliability of PPT measurements on tendon, ligament, and muscle belly was high. We found that inter-rater reliability was low in the anterior talofibular ligament and supraspinatus muscle tendon, and adequate in muscle belly. Measurements by one examiner were more reliable than measurements between examiners. This study could be reference for future studies to measure reliability on three different anatomical regions.Item Scapular Resting Position, Shoulder Pain and Function in Disabled Athletes(2015) Aytar, Aydan; Zeybek, Aslican; Pekyavas, Nihan Ozunlu; Tigli, Ayca Aytar; Ergun, Nevin; 0009-0007-7208-9461; 0000-0003-0603-5688; 24878847; JQI-0460-2023; AAC-6522-2020; HIR-3735-2022Background: Despite the fact that the number of disabled individuals participating in sports is increasing, there are only sparse reports in the literature concerning overuse injuries. Objectives: The purpose of this study was to compare scapular resting position, shoulder pain, and function in wheelchair basketball, amputee soccer, and disabled table tennis players. Study design: Descriptive study. Methods: A total of 63 disabled players from amputee soccer, wheelchair basketball, and disabled table tennis participated in our study. Scapular resting position was taken as primary outcome; pain and function were taken as secondary outcome measurements. Scapular resting position was evaluated with Lateral Scapular Slide Test. Visual Analog Scale was used for evaluating shoulder pain intensity. Quick disabilities of the arm, shoulder, and hand questionnaire were used to assess upper extremity function. Results: There was a significant difference in shoulder pain, function, and scapular resting position in all groups (p < 0.05). Paired comparisons between amputee soccer and wheelchair basketball players and also amputee soccer and disabled table tennis showed difference for all measurement parameters (p < 0.05). Conclusion: When the results are evaluated, it may be stated that amputee soccer players have better scapular resting position than other sports. Crutch usage may not negatively affect scapular resting position and perceived function as much as wheelchair usage. Exercise techniques for shoulder and resting position could be included in training programs of disabled athletes. Clinical relevance Wheelchair/crutch usage is a risk, and special exercise techniques for shoulder and dyskinesis could be included in training programs to prevent injury. However, it may not just be important for wheelchair athletes, it may also be important for amputee soccer players. In particular, total upper extremity evaluations and exercises could be added within exercise programs.Item Effects of Traction Therapy in Addition to Conventional Physiotherapy Modalities on Pain and Functionality in Patients with Lumbar Disc Herniation: Randomized Controlled Study(2018) Gulsen, Mustafa; Atici, Emine; Aytar, Aydan; Sahin, Fatma Nese; HIR-3735-2022The aim of this study is to investigate the effects of traction therapy in addition to conventional physiotherapy modalities on pain and functionality in patients with chronic lumbar disc herniation. Patients (n=210, mean age=48.20 +/- 13.07 years, mean height=167.2 +/- 9.34 and mean weight= 74.86 +/- 13.47) were diagnosed with lumbar disc hernia through a clinical evaluation and an MRI and were graded as "protrusion or bulging lumbar herniation" according to the Macnab Classification. Patients were then randomly divided into 3 groups: the first group (n=70) underwent a hot pack (HP), Transcutaneous Electrical Nerve Stimulation (TENS), ultrasounds (US) and home exercise (HE); the second group (n=75) underwent additional traction therapy compared to the first group and the third group (n=65) was given only home exercise. Sociodemographic and clinical characteristics of patients were recorded. All assessments were done before and after the treatments (4th week). Pain and functional status of patients were evaluated. There were no significant differences between the groups (p>0.05) except for pain score (p<0.05). Comparing within groups showed improvements in all parameters after treatment (p<0.05). Although there was a significant difference between group 1 and group 3, group 2 and group 3 in pain scores (p< 0.05), there was no significant difference found for other outcome measures.It was observed that in all treatment groups, there was a significant reduction of pain and functional impairment. Traction therapy wasn't more effective than other treatments for patients with lumbar disc herniation. As a clinical outcome not only physiotherapy modalities are effective, but also specific home exercises could be considered as a form of treatment for patients with lumbar disc hernia.Item Challenges and needs of informal caregivers in elderly care: Qualitative research in four European countries, the TRACE project(2020) Akgun-Citak, Ebru; Attepe-Ozden, Seda; Kav, Sultan; Acar, Sema; Aksoydan, Emine; Altintas, Atahan; Aytar, Aydan; Baskici, Cigdem; Kiziltan, Gul; 0000-0003-0361-7498; 0000-0002-0484-4687; 31756568; V-9745-2019; ABD-7108-2020Background: Providing informal care may affects caregivers' life in different ways. Determining the needs of caregivers and supporting them can improve both the quality of life of the caregivers, as well as the elderly they take care of. Objective: To explore the experiences and needs of the informal caregivers in four countries. Design: Qualitative research method was used in the study. Methods: The qualitative data was collected through focus groups and individual interviews between December 2016-May 2017. In all countries interviews were conducted in the mother language of the informants. Informants of the qualitative research were adult people who take primary care of an individual with chronic diseases, aged 65 years or older. Data were collected from 72 informal caregivers from four European countries. Inductive content analysis was performed. Results: Informal caregivers identified 2 themes, 5 subthemes, 19 categories and 7 subtcategories. The themes highlighted two major issues: informal caregiver's challenges and needs related to the management of care of elderly and caregivers' personal needs. Conclusion: The important and charming results of the present study are, difficulties of managing caregiver's own life, and coping with emotions are common in four countries. Identifying challenges and needs of informal caregivers enable healthcare professionals to develop care strategies and plan interventions focused to support and help to reduce the burden of care for elderly with chronic diseases.Item Is training for informal caregivers and their older persons helpful? A systematic review(2019) Aksoydana, Emine; Aytar, Aydan; Blazeviciene, Aurelija; van Bruchem-Visser, Rozermarijn L.; Veskelyte, Alina; Mattace-Raso, Francesco; Acar, Sema; Altintas, Atahan; Akgun-Citak, Ebru; Attepe-Ozden, Seda; Baskici, Cigdem; Kava, Sultan; Kiziltan, Gul; 0000-0003-0361-7498; 30953963; ABD-7108-2020; AAI-6607-2020; V-9745-2019Background: The steady increase in the number of people suffering from chronic diseases and increasing life expectancy raises new demands on health care. At the same time, the need for informal caregivers is increasing. This study aims to perform a systematic review of the methodologies used to identify effect of different types of training on informal caregivers and their older persons. Methods: MEDLINE (PubMed), CINAHL and Ovid were searched from December 2016 and April 2017. The following keywords were used; "informal caregiver", "training" "elderly", older persons". Identified publications were screened by using the following inclusion criteria; systematic reviews, randomized controlled trials, prospective cohort and multicentre studies, English language full text journals, samples or interventions that included caregivers of older persons and published in last 10 years. Results: Twenty four studies (12 randomised control trials, 8 intervention studies and 4 systematic reviews) were included. Most of the randomized controlled trials involved both caregivers and elderly. Pretests and post-tests were used in intervention studies (5 out of the 8 studies). ICT-based, psychosocial interventions on family caregivers' education program for caregivers were applied. Caregivers following a supportive educative learning had a significantly better quality of life. Conclusions: The findings of this systematic review suggest that support interventions for caregivers can be effective in reducing caregivers' stress, with a consequent improvement of the quality of care. However, results are based on relatively small studies, reporting somewhat controversial findings supporting the need to perform further research in this field.Item Reliability and Validity of the Turkish Version of Illness Cognition Questionnaire(2019) Aytar, Aydan; Aykul, Aysegul; Altintas, Atahan; Tigli, Ayca Aytar; 31514584Background: This study aimed to determine the validity and reliability characteristics of the Illness Cognition Questionnaire (ICQ). Methods: A total of 205 patients who had pain related to chronic musculoskeletal diseases were referred to the study. In order to test the validity, Short Disease Perception Scale (SDPS), Hospital Anxiety and Depression Scale (HADS) were administered together with the ICQ. Confirmatory factor analysis was used to measure the construct validity of the ICQ, and convergent and divergent validities were evaluated using Pearson correlation analysis. In order to achieve the test-retest reliability of the questionnaire, 81 patients re-applied the questionnaire after two days. Cronbach's alpha internal consistency and test-retest reliability coefficients were calculated to determine the reliability level of the questionnaire. Results: The factor loadings of the ICQ helplessness subscale ranged from 0.784 to 0.853, the acceptance subscale ranged from 0.583 to 0.855, and the perceived benefits subscale ranged from 0.733 to 0.794. Internal consistency coefficients of the ICQ were found alpha = 0.929 for the helplessness subscale, alpha = 0.868 for the acceptance subscale, and alpha = 0.896 for perceived benefits subscale. The results of the analysis showed that there was a statistically significant positive correlation between the initial measurement of helplessness sub-scale and the retest helplessness subscale at 0.697 level (p < .05). A statistically significant positive correlation was determined between the test and the retest of acceptance sub-scale at 0.465 level (p < .05). A statistically significant positive correlation was found between the first test of the perceived benefits sub-scale and the retest test at the 0.661 level. Conclusion: The Turkish version of the ICQ was found to be valid and reliable. It is a measurement tool that could be used easily in clinics because of its short application time and easy to understand. We think that ICQ which provides a new awareness in the perception of disease in Turkish society should be examined in different diseases and age groups.Item PREVALENCE AND RELATED FACTORS OF LIMITED HEALTH LITERACY IN PATIENTS WITH CHRONIC MUSCULOSKELETAL DISEASES(2017) Aytar, Aydan; Tuzun, Emine Handan; Eker, LeventPurpose: 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.