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    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-8097-2021
    Objectives: 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.
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    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-3735-2022
    Aim: 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.
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    Gecikmiş Kas Ağrısında Kesikli Ultrason Tedavisinin Etkililiği
    (2006) Aytar, Aydan
    Gecikmis kas agrısında kesikli ultrason tedavisinin etkililigini incelemek amacıyla randomize çift-kör plasebo kontrollü arastırma olarak planlanan bu çalısma, Baskent Üniversitesinde egitim gören 90 gönüllü kadın üzerinde gerçeklestirildi. Çalısmaya katılan olgular GKA olusturulmadan 24 saat önce, olusturulduktan 48 saat sonra ve 5 günlük tedavinin sonunda istirahatta ve hareket ve/veya palpasyon ile ortaya çıkan agrı, eklem hareket açıklıgı, eklem pozisyon duyusu, kas kuvveti, basınç agrı esigi, çevre ölçümü, serum kreatin kinaz ve nötrofil sayısı açısından degerlendirildi. Ayrıca olgular bes gün boyunca her gün, tedavi bitiminden 30 dakika sonra istirahatta kolda hissedilen agrı, hareket ve/veya palpasyon ile ortaya çıkan agrı siddeti, basınç agrı esigi, normal eklem hareketleri ve kol çevre ölçümleri ile degerlendirildi. Gecikmis kas agrısı Cybex izokinetik dinamometre ile olguların dominant olmayan kollarındaki M. Biceps Brachii üzerinde olusturuldu. Olgular rastgele örneklem yöntemi ile terapötik kesikli ultrason, plasebo kesikli ultrason ve kontrol olmak üzere üç gruba ayrıldı. Olgular çalısma basında yapılan degerlendirmede tanımlayıcı özellikler, istirahatta ve hareket ve/veya palpasyon ile ortaya çıkan agrı siddeti, agrı esigi, agrının duyusal ve afektif niteligi, normal eklem hareketi, çevre ölçümü, pozisyon duyusu, kas kuvveti ve nötrofil sayım sonuçları yönünden benzerdi. lk grubun kreatin kinaz düzeyi ikinci gruptakinden yüksek bulundu (p < 0.05). Gecikmis kas agrısı öncesi ve sonrası ölçüm sonuçları her üç grupta da gecikmis kas agrısı olustugunu göstermekteydi. Tedavi sonrası ve gecikmis kas agrısı sonrası ölçüm sonuçları kullanılarak hesaplanan etki büyüklükleri, kesikli ultrason uygulamasının gecikmis kas agrısında ortaya çıkan istirahatta ve hareket ve/veya palpasyonla ortaya çıkan agrı, eklem hareket açıklıgında ve kas kuvvetinde azalma, hassasiyet ve ödem gibi belirti ve bulguların düzeltilmesinde önemli bir yararının olmadıgını göstermekteydi. Elde edilen bu sonuç literatürle uyumlu idi.