Sağlık Bilimleri Fakültesi / Faculty of Health Sciences
Permanent URI for this collectionhttps://hdl.handle.net/11727/1402
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Item Validity and Reliability of Turkish Transcultural Adaptation of the Prosthetic Limb Users Survey of Mobility(2023) Yosmaoglu, Sevgin; Yazicioglu, Gul; Demir, Yasin; Aydemir, Koray; Yosmaoglu, Hayri Baran; 0000-0001-7356-8500; 36037291; IVH-4699-2023Background: Amputee-specific, self-assessment mobility scales are essential to evaluate mobility in lower-limb amputees.Objectives: To evaluate the validity and reliability of a Turkish translation and adaptation of the Prosthetic Limb Users Survey of Mobility. Study design: This is a validation study. Methods: Turkish translation of the Prosthetic Limb Users Survey of Mobility (PLUS-M-T) from its original was performed following the rules of intercultural adaptation and translation methods. The PLUS-M-T and its 12-item short form were applied to '100 induviduals with limb loss twice in 3-day intervals. The structural validity analysis was determined by calculating the correlation with the Amputee Mobility Scale, which is a valid, reliable scale for assessing the functional level in amputees. The Cronbach alpha coefficient was calculated to analyze the internal consistency. The interclass correlation coefficient (ICC) and Spearman correlation coefficient (r) were calculated, and the test-retest reliability was determined. Results: A positive, high correlation was found between the first application and its repetition of both PLUS-M-T (ICC = 0.85, r = 0.94, P < 0.001) and 12-item short form (ICC = 0.92, r = 0.93, P < 0.001). The internal consistency was high for both PLUS-M-T (Cronbach alpha = 0.94) and 12-item short form (Cronbach alpha = 0.91). A positive, high correlation was found between the scores obtained from the Amputee Mobility Scale and PLUS-M-T (r = 0.84, P < 0.001) and 12 question short form (r = 0.77, P < 0.001). Conclusion: Turkish translation of the PLUS-M questionnaire is a valid and reliable scale for assessing the mobility of individuals who have undergone lower-extremity amputation using a prosthesis.Item Changes of Menstrual Attitude and Stress Perception in Women with Dysmenorrhea(2014) Snmezer, Emel; Yosmaoglu, Hayri Baran; https://orcid.org/0000-0001-7356-8500; IVH-4699-2023Purpose: This study was planned to compare the attitudes toward menstruation and stress levels of women with and without dysmenorrhea. Methods: A total of 100 female students (52 subjects with and 48 subjects without dysmenorrhea, respectively) over 18 years old were enrolled in this study. The attitude of women was assessed during menstruation by Menstruation Attitude Questionnaire. Level of perceived stress was evaluated with Percieved Stress Scale during menstruation and 15 days after menstruation. Additional menstrual symptoms such as abdominal cramps, nausea, vomiting, diarrhea, loss of appetite, dizziness, weakness, headache, back pain, leg symptoms were questioned during menstruation. Results: Only "menstruation as a natural event" subscale scores of Menstruation Attitude Questionnaire were significantly lower in women with dysmenorrhea than controls. Perceived Stress Scale scores during menstruation were significantly lower in the group with dysmenorrhea than the control group; however, Perceived Stress Scale scores 15 days after menstruation were not significantly different between two groups. The severity of menstrual symptoms such as abdominal cramps, nausea, loss of appetite, dizziness, and weakness were significantly higher in the group with dysmenorrhea. Discussion: This study shows that women with dysmenorrhea have some important changes in attitude towards menstruation. Especially they have problems to accept menstruation as a natural event. At the same time, physiological or psychological symptoms such as loss of appetite, muscle cramps, weakness were seen more in women with dysmenorrhea. Applications such as cognitive behavior therapy and perception therapy changing perception of menstruation can contribute to the treatment of dysmenorrhea.Item The effects of clinical pilates exercises on functional disability, pain, quality of life and lumbopelvic stabilization in pregnant women with low back pain: A randomized controlled study(2021) Sonmezer, Emel; Ozkosl, Manolya Acar; Yosmaoglu, Hayri Baran; 0000-0001-7356-8500; 32986655BACKGROUND: Although the Pilates method has been reported to be effective in women with low back pain (LBP), the efficacy of Pilates exercises in pregnant women with LBP has not been evaluated widely. OBJECTIVE: The purpose of this study was to determine the effects of clinical Pilates exercises on lumbopelvic stabilization, pain, disability and quality of life in pregnant women with LBP. METHODS: Fourty pregnant women were randomized into either a Pilates exercise group (n = 20) or control group (n = 20). Subjects in the Pilates exercise group performed the exercises two times a week for eight weeks. Subjects in the control group followed regular prenatal care. Lumbopelvic stabilization was assessed with a pressure biofeedback unit, pain with the Visual Analog Scale, disability with the Oswestry Low Back Pain Questionnaire and quality of life with the Nottingham Health Profile (NHP). RESULTS: Pain and disability were significantly improved in the Pilates exercise group after intervention (p = 0.03, p < 0.001, respectively). There were also significant improvements in sleep, physical mobility sub-parameters of NHP and lumbopelvic stabilization after Pilates exercises (p = 0.048, p = 0.007, respectively). However, there were no statistically significant changes in all outcome measures in the control group (p > 0.05). CONCLUSIONS: Pilates exercises can be recommended as an effective and safe method for increasing lumbopelvic stabilization, reducing pain and disability, improving physical mobility and sleep problems in pregnant women with LBP.Item The reliability and validity of the Turkish version of the oxford shoulder instability score(2020) Sonmezer, Emel; Yosmaoglu, Hayri Baran; Dogan, Celal Deha; 0000-0001-7356-8500; 30326748Background: The aim of this study was to adapt the Oxford Shoulder Instability Score to Turkish culture and test its reliability and validity. Methods: This study included 118 patients with shoulder instability. Confirmatory factor analyses, and correlation coefficient between Oxford Shoulder Instability Score and Short Form 36 were calculated in order to test construct validity. Internal consistency was tested using Cronbach's alpha. Pearson correlation were calculated to test reliability. Differential item functioning analysis was performed to detect whether items exhibited differences according to gender. Results: Confirmatory factor analysis indicating the single structure of the Oxford Shoulder Instability Score was confirmed. Cronbach's alpha was calculated as 0.87 for the whole scale. There were positive and strong correlations between the first and follow-up assessments (r = 0.86, p < 0.01). The Turkish version of OSIS showed moderate and significant correlations with domains of the SF-36 in general. Results also showed that there was no item exhibiting differential item functioning analysis in the Turkish version of Oxford Shoulder Instability Score. Conclusion: The Turkish version of the Oxford Shoulder Instability Score is a reliable, valid, reproducible and practical tool. It can be used for patients with shoulder disorders and is recommended for clinical use.Item Hot and cold knees: exploring differences in patella skin temperature in patients with patellofemoral pain(2020) Janssen, Jessie; Selfe, James; Gichuru, Phillip; Richards, Jim; Yosmaoglu, Hayri Baran; Sonmezer, Emel; Erande, Renuka; Resteghini, Peter; Dey, Paola; 32711228Objectives To investigate the distribution of patella skin temperature (Tsk) measurements and to explore the presence of temperature subgroups in patellofemoral pain (PFP) patients. Design Cross-sectional observational study design. Participants One dataset of 58 healthy participants and 232 PFP patients from three different datasets. Main outcome measures Patella skin temperature, measured by physiotherapists using a low cost hand held digital thermometer. The distribution of patella skin temperature was assessed and compared across datasets. To objectively determine the clinically meaningful number of subgroups, we used the average silhouette method. Finite mixture models were then used to examine the presence of PFP temperature subgroups. Receiver operating characteristic curves were used to estimate optimal patella Tsk thresholds for allocation of participants into the identified subgroups. Results In contrast to healthy participants, the patella skin temperature had an obvious bimodal distribution with wide dispersion present across all three PFP datasets. The fitted finite mixture model suggested three temperature subgroups (cold, normal and hot) that had been recommended by the average silhouette method with discrimination cut-off thresholds for subgroup membership based on receiver operating curve analysis of Cold = <30.0 degrees C; Normal 30.0-35.2 degrees C; Hot >= 35.2 degrees C. Conclusion A low cost hand held digital thermometer appears to be a useful clinical tool to identify three PFP temperature subgroups. Further research is recommended to deepen understanding of these clinical findings and to explore the implications to different treatments. (C) 2020 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.Item Targeted Treatment Protocol in Patellofemoral Pain: Does Treatment Designed According to Subgroups Improve Clinical Outcomes in Patients Unresponsive to Multimodal Treatment?(2019) Yosmaoglu, Hayri Baran; Selfe, James; Sonmezer, Emel; Sahin, Ilknur Ezgi; Duygu, Senay Cerezci; Ozkoslu, Manolya Acar; Richards, Jim; Jenssen, Jessica; 31750786; AAA-4826-2020Background: Targeted intervention for subgroups is a promising approach for the management of patellofemoral pain. Hypothesis: Treatment designed according to subgroups will improve clinical outcomes in patients unresponsive to multimodal treatment. Study Design: Prospective crossover intervention. Methods: Patients with patellofemoral pain (PFP; n = 61; mean age, 27 +/- 9 years) were enrolled. Patients with PFP received standard multimodal treatment 3 times a week for 6 weeks. Patients not responding to multimodal treatment were then classified into 1 of 3 subgroups (strong, weak and tight, and weak and pronated foot) using 6 simple clinical tests. They were subsequently administered 6 further weeks of targeted intervention, designed according to subgroup characteristics. Visual analog scale (VAS), perception of recovery scale (PRS), 5-Level European Quality 5 Dimensions (EQ-5D-5L), and self-reported version of the Leeds Assessment of Neuropathic Symptoms and Signs scale (S-LANSS) were used to assess pain, knee function, and quality of life before and after the interventions. Results: In total, 34% (n = 21) of patients demonstrated recovery after multimodal treatment. However, over 70% (n = 29/40) of nonresponders demonstrated recovery after targeted treatment. The VAS, PRS, S-LANSS, and EQ-5D-5L scores improved significantly after targeted intervention compared with after multimodal treatment (P < 0.001). The VAS score at rest was significantly lower in the "weak and pronated foot" and the "weak and tight" subgroups (P = 0.011 and P = 0.008, respectively). Posttreatment pain intensity on activity was significantly lower in the "strong" subgroup (P = 0.006). Conclusion: Targeted treatment designed according to subgroup characteristics improves clinical outcomes in patients unresponsive to multimodal treatment.Item The reliability and validity of the Turkish version of the Oxford Elbow Score(2016) Yosmaoglu, Hayri Baran; Doga, Deha; Sonmezler, Emel; 0000-0001-7356-8500; 27586810; AAA-4826-2020Background: Objective measures of outcome ensure reliable decisions with regard to treatment planning. Oxford Elbow Score (OES) is one of the common outcome measures used for assessing quality of life of patients with elbow disorders. OES consists of three domains: pain, elbow function and social/psychological. The aim of this study is to test the validity and reliability of the Turkish version of the OES. Methods: The study's sample includes 82 patients with elbow problems. The original version of the OES was translated into Turkish using the Isis Outcomes Translation and Linguistic Validation Process. The construct validity of the Turkish version of the OES was tested using a confirmatory factor analysis. For internal consistency, Cronbach's alpha was calculated. A Pearson correlation and a dependent sample t test were utilised for reproducibility of the OES. For convergent validity, the correlation coefficients were calculated between the domains of the OES and Short Form 36 (SF36). An independent sample t test was calculated to determine if there was a significant difference between the scores of the participants from the upper and lower groups. Results: Confirmatory factor analysis (CFA) indicates that the three-factor structure of the OES was confirmed. Most of the fit indices are at the expected level, except for a root mean square error of approximation and an adjusted goodness of fit index. Cronbach's alpha was calculated as 0.91 for the whole scale. The results showed that there are positive and high correlations between the first and follow-up assessments (r = 0.89, p < 0.0001). The Turkish OES version and its dimensions have moderate and significant correlations with domains of SF36 in general. The test results indicated that the mean of each item on three domains of the OES was higher for the upper 27 %, and this difference was significant at the 0.01 level. Conclusions: The Turkish version of the OES is a reliable, valid, reproducible and practical tool. It can be used for patients with elbow disorders and is recommended for clinician use.Item Do peak torque angles of muscles change following anterior cruciate ligament reconstruction using hamstring or patellar tendon graft?(2017) Baltaci, Gul; Sonmezer, Emel; Ozer, Hamza; Dogan, Deha; Yosmaoglu, Hayri Baran; 0000-0001-7356-8500; 29125817; AAA-4826-2020Objectives: This study aims to compare the effects of anterior cruciate ligament (ACL) reconstruction using autogenous hamstring or patellar tendon graft on the peak torque angle. Patients and methods: The study included 132 patients (103 males, 29 females; mean age 29 +/- 9 year) who were performed ACL reconstruction with autogenous hamstring or patellar tendon graft. The peak torque angles in the quadriceps and hamstring muscles were recorded using an isokinetic dynamometer. Results: Angle of peak knee flexion torque occurred significantly earlier within the range of motion on the operated side than nonoperated side at 180 degrees/second in the hamstring tendon group. Angle of peak knee extension torque occurred significantly earlier within the range of motion on the operated side than nonoperated side at 180 degrees/second in the patellar tendon group. There were no statistically significant differences in the flexion and extension peak torque angles between the operated and nonoperated knees at 60 degrees/second in both groups. Conclusion: The angle of peak torque at relatively high angular velocities is affected after ACL reconstruction in patients with hamstring or patellar tendon grafts. The graft donor site directly influences this parameter. This finding may be important for clinicians in terms of preventing re-injury.