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 The Effects Of Exercise And Lifestyle Modification On Pain And Function In Mobıie Phone Users: A Randomized Controlled Study(2021) Pekyavas, Nihan Ozunlu; Saygili, Fettah; Yuruk, Zeliha Ozlem; Sahin, Fatma Nese; AAX-5562-2021Introduction: Repetitive head flexion is one of the most important risk factors causing neck pain associated to mobile phone use. The aim of this study was to investigate the effects of exercise and lifestyle modifications on pain and neck function in mobile phone users with neck pain. Materials and methods: Eighty-five sedentary participants using smartphones for more than 5 hours daily were included in the study. The participants were divided into three groups: exercise (EG n=29), exercise+lifestyle modification (EGL n=28), and control group (CG n=28). The EG received a home exercise treatment program for 4 weeks. The EGL received lifestyle modification suggestions added to the home exercise program. The CG did not receive any treatments. Pain intensity was evaluated during rest and activity with the Visual Analogue Scale (VAS) and neck function was assessed with the Neck Disability Index at the beginning and at the end of the intervention. Results: There were significant improvements in the EG and EGL for all parameters (p<0.05). However, no significant changes were present in the CG (p>0.05). Post-hoc analysis highlighted a significant difference only in VAS during activity between groups (p<0.05). The lifestyle modification had no added benefit over exercise (p>0.05). Conclusion: Exercise has positive effects on pain and neck function and should be recommended for individuals who frequently use mobile devices.Item Comparison of the physical fitness levels in nursing home residents and community -dwelling older adults(2020) Kazoglu, Muhammed; Yuruk, Zeliha OzlemItem Effects of Radial Extracorporeal Shock Wave Therapy on Pain, Grip Strength, and Functionality in Patients with Lateral Epicondylitis: A Randomized Controlled Study(2016) Yuruk, Zeliha Ozlem; Kirdi, Nuray; Simsek, NihalObjective: In this study, the effects of radial extracorporeal shock wave therapy (RESWT) on pain, grip strength, and functionality were investigated in patients with lateral epicondylitis. Methods: The study included 30 patients who were divided into two groups: RESWT and exercise and placebo RESWT and exercise. In the RESWT and exercise group, RESWT was applied at 2000 pulses, once a week, for a total of three sessions, and in the placebo RESWT and exercise group, RESWT was applied at 20 pulses, once a week, for a total of three sessions. Patients in all groups underwent stretching and eccentric strengthening exercises. Patients were evaluated before and after undergoing the treatment and at 6 and 12 weeks after undergoing the treatment using a visual analog scale (VAS) for pain intensity during palpation and gripping, dynamometer for grip strength, and patient-rated tennis elbow evaluation (PRTEE) for functionality. Results: There were statistically significant differences between groups with respect to all parameters, except VAS during palpation (p<0.05). With time, there were more significant changes in VAS during palpation and gripping, grip strength, and PRTEE in the RESWT and exercise group compared with those in the placebo RESWT and exercise group (p<0.05). Conclusion: We concluded that using RESWT combined with other conservative treatments, mostly exercise, could be more effective.Item Acute effect of scapular proprioceptive neuromuscular facilitation (PNF) techniques and classic exercises in adhesive capsulitis: a randomized controlled trial(2016) Balci, Nilay Comuk; Yuruk, Zeliha Ozlem; Zeybek, Aslican; Gulsen, Mustafa; Tekindal, Mustafa Agah; 27190456[Purpose] The aim of our study was to compare the initial effects of scapular proprioceptive neuromuscular facilitation techniques and classic exercise interventions with physiotherapy modalities on pain, scapular dyskinesis, range of motion, and function in adhesive capsulitis. [Subjects and Methods] Fifty-three subjects were allocated to 3 groups: scapular proprioceptive neuromuscular facilitation exercies and physiotherapy modalities, classic exercise and physiotherapy modalities, and only physiotherapy modalities. The intervention was applied in a single session. The Visual Analog Scale, Lateral Scapular Slide Test, range of motion and Simple Shoulder Test were evaluated before and just after the one-hour intervention in the same session (all in one session). [Results] All of the groups showed significant differences in shoulder flexion and abduction range of motion and Simple Shoulder Test scores. There were statistically significant differences in Visual Analog Scale scores in the proprioceptive neuromuscular facilitation and control groups, and no treatment method had significant effect on the Lateral Scapular Slide Test results. There were no statistically significant differences between the groups before and after the intervention. [Conclusion] Proprioceptive neuromuscular facilitation, classic exercise, and physiotherapy modalities had immediate effects on adhesive capsulitis in our study. However, there was no additional benefit of exercises in one session over physiotherapy modalities. Also, an effective treatment regimen for shoulder rehabilitation of adhesive capsulitis patients should include scapular exercises.