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Purpose: Since the use of normalized isokinetic strength was recently proposed to analyze sportive performance, it was aimed to examine relative isokinetic muscle strength as well as absolute strength in jump performance. Secondly, the investigation of the relationship between extremity-based and inter-extremity strength asymmetry and selected jump tasks was aimed. Methods: Thirty female professional volleyball players (23.70 ± 5.27 years) who has at least four training sessions per week participated to study during the pre-season period Peak torque (PT) of knee flexors and extensors at the speed of 60º/s and 180º/s were evaluated using isokinetic dynamometer. Jump height (cm) and relative power (W/kg) of vertical countermovement jump (CMJ) and squat jump (SJ) were tested by optojump photoelectric system. Results: A positive moderate correlation between PT and relative PT(rPT) at both speeds with jump height was detected (r = 0.365–0.594). It was found that jump power had a positive moderate to good correlation with PT(r = 0.557–0.731) and low to moderate correlation with rPT (r = 0.314–0.601). No significant correlation was found between hamstring/quadriceps ratio and bilateral muscle asymmetry with jump parameters (p > 0.05). Conclusions: Due to the relatively low level of relationship between normalized strength and performance, we suggest carrying out further studies examining the effects of normalized parameters on performance. Considering the findings based on strength asymmetry, the coordinated action of the relevant muscles may come to the forefront during the performance, rather than muscle strength.

Amaç: Talus Osteokondral Lezyona (TOL) yönelik cerrahi sonrası reçete edilen kısmi ağırlık aktarmalı (KAA) yürüyüş sırasında uzaktan erişimle sağlanan anlık geri-bildirimin cerrahi sonrası erken dönemde KAA limitlerine uyum, ağrı şiddeti, kinezyofobi ve fonksiyonel düzey üzerindeki etkisini araştırmaktır. Gereç ve Yöntem: Araştırma, mikrokırık cerrahisi sonrası KAA protokolü reçete edilen ve taburculuk sonrası 6-hafta boyunca protokol limitlerine uyumları uzaktan erişimle takip edilen hastalarla (n=10) gerçekleştirildi. Hastalar geri-bildirimli (GB) ve geri-bildirimsiz (GBZ) gruplar olmak üzere rastgele iki ayrı gruba ayrıldı. Hastaların Vizüel Analog Skala (VAS) ile ağrı şiddeti, TAMPA Kinezyofobi Ölçeği (TKÖ) ile kinezyofobi ve Avrupa Ayak ve Ayak Bileği Cemiyeti Ölçütü (EFAS) ile ayak, ayak bileği fonksiyonel düzeyleri değerlendirildi. Değerlendirmeler cerrahi öncesi, 3 ve 6 hafta sonrası olmak üzere 3 ayrı zaman diliminde gerçekleştirildi. Bulgular: Cerrahi sonrası KAA protokol limitlerine uyum açısından 0-3 hafta arasında gruplar arası fark yokken, 3-6 hafta arası dönemde GBZ grubu aleyhine istatistiksel anlamlı fark belirlendi. GB grubunda 3. ve 6. haftalarda ortalama ağrı şiddetinde anlamlı bir azalma gözlenirken (p= 0,005 ve p= 0.002) GBZ grubunda 3. hafta ortalama ağrı şiddetinde anlamlı artış tespit edildi (p=0,012). GB grubunun kinezyofobi düzeylerinde 3. ve 6. Haftalarda (p=0,033; p=0,049), EFAS skorlarında ise sadece 6. Haftada (p= 0,004) anlamlı iyileşme tespit edildi. Cerrahi sonrası 3. haftada GB grubunun ağrı şiddetinde GBZ grubuna göre anlamlı azalma kaydedildi (p=0,003). GB grubunun kinezyofobi (p=0,045) ve EFAS skorları (p=0,002) GBZ grubuna göre 6. haftada istatistiksel olarak anlamlı iyileşme gösterdi. Sonuç: TOL cerrahisi sonrası hastalara KAA yürümenin reçete edildiği ilk 6-haftalık dönemde, ağırlık aktarım miktarlarının uzaktan takibini mümkün kılan ve hastalara anlık geri bildirimde bulunabilen sistemler ile sürecin yönetilmesi, bu hasta grubunda erken dönem iyileşmeyi destekleyen bir yaklaşımdır Aim: The aim of the study is to investigate the effect of instant feedback provided by remote-access during partial weight bearing (PWB) walking, which is prescribed as post-surgical treatment for Osteochondral Lesion of the Talus (OLT), on compliance with PWB limits, pain intensity, kinesiophobia, and functional level in the early postoperative period. Methods: The study was conducted with patients (n=10) who were prescribed PWB protocol after microfracture surgery and whose compliance with the protocol limits was followed remotely for 6 weeks after discharge. The patients were randomly divided into two groups as the feedback group (FB) and the non-feedback (NFB) group. Pain intensity was evaluated with the Visual Analogue Scale (VAS), kinesiophobia with the TAMPA Kinesiophobia Scale (TKS), and foot and ankle functional levels were assessed with the European Foot and Ankle Society Scale (EFAS). Assessments were carried out in 3 different time periods: pre-operative, 3rd & 6th-weeks after surgery. Results: While there was no difference between groups in terms of compliance with PWB protocol limits between 0-3 weeks postoperatively, a statistically significant difference was determined against NFB group in between 3–6-week period. There was a significant decrease in mean pain intensity at 3 & 6 weeks in the FB group (p= 000.5 and p= 0.002), while a significant increase was observed in mean pain intensity at 3rd week in NFB group (p=0.012). A significant improvement was found in kinesiophobia levels of FB group at 3-and-6 weeks (p=0.033 and p=0.049), and in EFAS scores at only 6 weeks (p= 0.004). There was no significant difference in kinesiophobia and EFAS scores’ changes of NFB group at all measurement times. In comparison between groups, a significant decrease was observed in pain intensity of FB group compared to NFB group at 3rd-week (p=0.003). Kinesiophobia (p=0.045) and EFAS scores of FB group (p=0.02) showed statistically significant improvement at 6th-week compared to NFB group. Conclusion: Management of the patients with OLT surgery who were prescribed PWB at the first post-operative 6 weeks can be supported by using the systems that enable remote monitoring of weight-bearing and provide instant feedback to patients to improve early clinical recovery.

© 2023, The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.Background: Balance and coordination are important for performing activities of daily living. Balance and coordination assessment and training are used by physiotherapists in many different rehabilitation areas. Marmara Balance and Education System (MarBES) is a device developed to evaluate and improve balance and coordination. Aims: To examine the test–retest reliability of the MarBES device. Methods: Double-leg and single-leg (eyes open-closed) tests were applied to healthy young adult participants for balance testing on the MarBES device. Weight data is estimated from pressure sensors located in 4 different corners and a score is calculated with computer software for the individual’s center of gravity (center of pressure X, Y) and the amount of deviation from the center for each axis. Weight transfer to the target surface was measured for assessment of the participants’ coordination performance. Participants rested for 10 min and all measurements were repeated by the same evaluator. The obtained data were recorded and the reliability of the measurements was evaluated with Spearman’s rho correlation analysis. Results: A total of 40 healthy young individuals (28 female) with a mean age of 21 years were included. The balance assessments with MarBES showed moderate to good reliability (ICC: 0.535–0.903). The coordination assessment results showed moderate to good reliability (ICC: 0.575–0.712). Conclusions: Objective evaluation of balance and coordination parameters is very important in rehabilitation. Results of the study showed that the MarBES device developed by the researchers is a reliable method for the evaluation of balance and coordination in healthy young individuals.

Objective: The aim of this study is to evaluate the health behavior and health needs of medical and health sciences students in order to identify areas that need intervention. Materials and Methods: This descriptive study was conducted with 770 first-year university students. The data were collected with a sociodemographic questionnaire, the Youth Risk Behavior Survey and the Eating Attitudes Test. Body mass index was calculated. Results: Although, only 12.7% of the students were overweight or obese, 25.6% of the students perceived themselves to be overweight or obese. The students said that in the last week, 20.9% had breakfast 1 or 3 times, 5.7% ate no fruits at all, and 11.6% ate no vegetables at all. 48.1% of the students did not engage in any physical activity, and 83.2% spent more than 2 hours inactively in front of a screen. It was observed that 22.3% were current smokers. A propensity for eating behaviors disorder was found in 9.0%. Drinking energyboosting sports drinks 1-6 times in the last week (β: 3.286), smoking (β: 1.875) and eating few vegetable dishes in the last week (β: 0.484) were identified as factors that could be associated with a “tendency for eating behavior disorder.” Conclusion: We can conclude that nutritional issues, negative body weight perception, use of tobacco, and sedentary lifestyle are the main intervention and counselling areas for our study group.

Purpose: It was aimed to estimate the static and dynamic postural balance performance in adults with different Body Mass Index (BMI) levels. Material and Methods: The study was conducted in Üsküdar Diabetes and Obesity Treatment Center between September and October 2021. Participants were divided into 5 groups according to BMI scores: normal-weight, overweight, 1st degree obese, 2nd degree obese, and 3rd degree obese. In addition, participants' static and dynamic balance performance were assessed by the Limits of Stability (LOS) and modified Clinical Test of Sensory Integration of Balance (m-CTSIB) tests. Results: For LOS parameters, there was a significant difference between groups in reaction time scores only for the backward direction (p

Amaç: Internal ve eksternal yumuşak doku yapıları, kuvvet ve dinamik destek uygulayarak ayak postürü üzerinde etkilere sahiptir. Bu çalışma kapsamında farklı ayak postürüne sahip bireylerde muskuloskeletal ultrasonik değerlendirmesiyle ile seçilen kasların yapısal karakterizasyonun gerçekleştirilmesi ve ayak bileği çevresinde yer alan majör kas gruplarının yapısal özelliklerinin karşılaştırılması amaçlandı. Yöntem: Otuz üç kadın olgunun (ortalama yaş: 21,45±1,60 yıl) dominant ayağı Ayak Postür İndeksi (APİ) uygulanarak değerlendirildi ve pron ayak postürüne sahip 15 olgu (APİ skoru = 6-10) ve normal ayak postürüne sahip 18 olgu (APİ skoru = 0-5) tespit edildi. Olguların tibialis anterior, gastrocnemius medialis ve peroneal kasların kalınlığı ve ek olarak peroneal kasların kesit alanı görüntüleri 5-13 MHz’lik bir prob ve Venue 40 ultrasonografik görüntüleme sistemi aracılığıyla toplandı. ImageJ programı kullanılarak üç farklı görüntünün ilgili yapısal özellikler analiz edildi ve ortalaması alındı. Ultrasonografik görüntüleme, uluslararası sertifikası olan ve beş yıldır muskuloskeletal ultrasonik görüntülemede tecrübesi olan fizyoterapist tarafından gerçekleştirildi. Bulgular: Her iki grupta yer alan olgular demografik özellikler açısından benzerdi (p>0,05). Pron ayak postürüne sahip bireylerin tibialis anterior (p=0,025, z=2,242), peroneus brevis (p=0,013, z=-2,459) ve total peroneus kas kalınlığının (p=0,007, z=2,639) normal ayak postürü grubundan daha fazla olduğu tespit edildi. Gastrocnemius medialis, peroneus longus kalınlığı ve peroneal kasların kesit alanı açısından gruplar arasında fark yoktu (p>0,05). Sonuç: Mevcut çalışmanın bulgularına göre, ayak postürüne göre ayak bileği hareketlerini kontrol eden tibialis anterior ve peroneal kasların kalınlığı farklılık gözlenmektedir. Daha fazla olgunun yer aldığı, ayak postürüne göre tendona aktarılan kuvvet hakkında daha detaylı bilgi verebilen penasyon açısının da değerlendirildiği ileri çalışmaların yapılması planlanmıştır. Anahtar Kelimeler: Ayak, Ayak Bileği, Ultrasonografik Görüntüleme, Kas

Giriş: Bu çalışmanın amacı geriatrik bireylerde kinezyofobi ile denge, düşme korkusu ve mobilite arasındaki ilişkiyi incelemektir. Gereç-Yöntem: Çalışmaya 65-88 yaş arası 41 geriatrik birey dahil edildi. Bireylerin sosyo-demografik bilgileri ve mini mental test skorları kaydedildikten sonra kinezyofobi, denge, düşme korkusu ve mobilite düzeyleri anketler ile değerlendirildi. Kinezyofobi, Tampa Kinezyofobi Ölçeği (TKÖ); denge, Berg Denge Ölçeği (BDÖ); düşme korkusu, Tinetti Düşme Etkinlik Ölçeği (TDEÖ) ve mobilite düzeyleri Zamanlı Kalk Yürü Testi (ZKYT) ile belirlendi. Bulgular: Katılımcıların 33’ünde (%70.5) kinezyofobi varlığı tespit edildi. Değerlendirme sonucunda kinezyofobi ile düşme korkusu (p=0.001, r=0.514) ve mobilite (p=0.002, r=0.468) arasında istatistiksel olarak anlamlı, pozitif yönlü orta şiddette; kinezyofobi ile denge arasında istatistiksel olarak anlamlı, negatif yönlü yüksek şiddette ilişki saptanmıştır (p

Amaç: Pandemi sürecinde sosyal hareketliliğin azalmasının yanı sıra ofis çalışanlarında bilgisayarla çalışmanın artması, uzun çalışma sürelerinin ve buna bağlı sağlık sorunlarının zeminini hazırlamıştır. Bu çalışmanın birincil amacı, ofis çalışanlarında bilgisayar kullanımının postür, boyun disabilite ve fiziksel aktivite üzerine etkisini araştırmaktır. Gereç ve Yöntem: 67 katılımcı 42 (%63) erkek ve 25 (%37) kadın gönüllü araştırmaya katıldı. Katılımcıların sosyo-demografik bilgileri ve günlük çalışma süreleri kaydedildi. Servikal disabilitesi için Boyun Disabilite İndeksi (BDİ) ve aktivite durumları için de Uluslararası Fiziksel Aktivite Anketi Kısa Form (UFAA-KF) kullanıldı. Katılımcıların bilgisayar kullanım sırasında postürleri direk gözlem yoluyla değerlendirilerek forma işaretlendi. Katılımcıların bilgisayar ile çalışma süreleri 6 saatin altı ve üstü olarak iki gruba ayırıldı. Veri analizi için Bağımsız Örneklem T testi uygulandı. Bulgular: Katılımcıların 44’ü (%66) bilgisayar ile 6 saatten daha fazla çalışıyordu. İki grup arasında yaş, kilo, boy ve boyun disabiliteleri arasında anlamlı bir fark yok iken, daha uzun süre çalışan grubun fiziksel aktivite seviyesi anlamlı olarak daha düşüktü (p=0,034). Bilgisayar ile 6 saatten daha fazla çalışan grupta ise yaş ile BDİ skoru arasında pozitif yönde zayıf şiddette bir korelasyon vardı (r=0,363, p

Purpose: Telerehabilitation is defined as the remote delivery of rehabilitation services through information and communication technology. The aim of our study was to determine the barriers and facilitators in telerehabilitation practices of physiotherapists during the COVID-19 pandemic.Methods: The study was designed in descriptive cross-sectional type. Our study included 99 (46.9%) women and 112 (53.1%) men with a mean age of 29.9±6.7 years and mean working time of 6.9±6.7 years, who applied telerehabilitation in clinics in Istanbul between October and December 2021. The study was carried out with a total of 211 physiotherapists. The attitudes and behaviors of physiotherapists regarding telerehabilitation applications were questioned with 31 items prepared according to the Theoretical Domains Framework (TDF) guideline. Descriptive statistics and explanatory factor analysis were used in the data analysis.Results: As a result of the factor analysis of the items determined according to the TDF guideline, 25 items in 6 dimensions were determined. As a result of the explanatory factor analysis of the TDF questionnaire, the KMO sample adequacy value was evaluated as “very good” with a score of 0.863, while the Cronbach alpha value is determined as 0.91. The strongest facilitator affecting the attitude of physiotherapists toward telerehabilitation practices, with an average of 3.81±0.91 “Telerehabilitation practices benefit public health.” the strongest barrier is the item “I received training on how to apply telerehabilitation” with an average of 2.11±1.19.Conclusion: The scale prepared within the TDF framework will be an important tool in the evaluation of attitudes and behaviors by physiotherapists. The skills, targets, environmental resources and barriers to social impacts determined through our scale prepared with the TDF guideline will contribute to the determination of the content of telerehabilitation training., Amaç: Telerehabilitasyon, rehabilitasyon hizmetlerinin bilgi ve iletişim teknolojisi aracılığıyla uzaktan sunumu olarak tanımlanmaktadır. COVID-19 pandemisi ve artmış bulaş riski fizyoterapi kliniklerinde telerehabilitasyon kullanımını zorunlu hale getirmiştir. Çalışmamızın amacı COVID-19 pandemisi sırasında fizyoterapistlerin telerehabilitasyon uygulamalarındaki bariyer ve fasilitatörlerinin belirlenmesiydi.Yöntem: Çalışmamız Ekim-Aralık 2021 tarihleri arasında İstanbul ilinde kliniklerde telerehabilitasyon uygulayan 99 (%46,9) kadın, 112 (%53,1) erkek, yaş ortalaması 29,9±6,7 yıl, çalışma süresi ortalaması 6,9±6,7 yıl olan toplam 211 fizyoterapist ile gerçekleştirildi. Fizyoterapistlerin telerehabilitasyon uygulamaları ile ilgili tutum ve davranışları Theoretical Domains Framework (TDF) kılavuzu yönergelerine göre hazırlanan 31 madde ile sorgulandı. Veri analizinde tanımlayıcı istatistikler, açıklayıcı faktör analizi kullanıldı.Bulgular: Çalışma tanımlayıcı kesitsel tipte tasarlanmıştır. TDF kılavuzuna göre belirlenen maddelerin faktör analizi sonucunda 6 boyutta 25 madde belirlendi. TDF anketi açıklayıcı faktör analizi sonucunda KMO örneklem yeterliliği değeri 0,863 puan ile “çok iyi” olarak değerlendirilirken, Cronbach alfa değeri 0,91 olarak belirlendi. Fizyoterapistlerin telerehabilitasyon uygulamalarına yönelik tutumuna etki eden en güçlü fasilitatör 3,81±0,91 ortalama ile “Telerehabilitasyon uygulamaları toplum sağlığına fayda sağlar.” en güçlü bariyer ise 2,11±1,19 ortalama ile “Telerehabilitasyonun nasıl uygulandığı konusunda eğitim aldım” maddesiydi.Sonuç: TDF teorik çerçevesinde hazırlanan ölçeğin telerehabilitasyon uygulamalarının fizyoterapistler tarafından tutum ve davranışının değerlendirilmesinde önemli bir araç olacağı düşünülmektedir. TDF kılavuzu ile hazırlanan ölçeğimiz aracılığıyla belirlenen beceriler, hedefler, çevresel kaynaklar ve sosyal etkilere yönelik bariyerlerin saptanması telerehabilitasyon eğitimlerinin içeriğinin belirlenmesine katkı sunacaktır.

Background Benefits of physical activity has been shown for adolescents; however, there is a decline trend in number of adolescents meeting current WHO recommendations. This trend underlines the importance of identifying factors associated with adolescents’ physical activity level (PAL) with considerations of regional and cultural differences to plan and implement effective policies. Therefore, the aim of this study was to determine personal, ecological, and social factors associated with PAL and sport participation in Turkish adolescents aged 11–14 years. A cross-sectional study was conducted by including 996 adolescents aged between 11 and 14 years from 39 secondary schools in İstanbul, Turkey. Logistic regression analyses performed to identify the significant personal (age, gender, sleep time, screen time, BMIz score, having siblings), ecological (presence of playground, type of school transportation), and social (family income, engaging a physical activity with family, and preferred activity at school breaks) predictors of PAL and sport participation. Results Adolescents who were active during break time at school (p < 0.001), engaging a physical activity with family (p < 0.001), and did not have a sibling (p = 0.029) were more likely to be physically active. Adolescents behaved active during break time at school (p < 0.001), had a playground at home (p < 0.001), spending time with family for physical activity (p < 0.001), and did not have a sibling (p = 0.021) were more likely to participate in a sport activity. Conclusions Predictors of PAL in this study indicates the need to promote active break time in school, increased physical activity time with family, and to design environmental policies to increase number of playgrounds.

Serebral Palsi’li (SP) çocuklarda görsel bellek ve görsel algıdaki bozuklukların seviyesi beyindeki fonksiyonel bozuklukların seviyesine bağlıdır. Bu çocuklarda herhangi bir görme bozukluğu olsun ya da olmasın beyindeki fonksiyon bozuklukları görsel algılamada da bozulmaya neden olmaktadır. Çalışmamızın amacı, SP’li çocuklarda görsel-motor algı etkilenimini Bender Gestalt Görsel Motor Algılama Testi (BGGMAT) ile değerlendirmekti. Çalışmaya 5-11 yaş arası 30 sağlıklı, 30 SP’li çocuk dahil edildi. Değerlendirme BGGMAT ile yapıldı. İstatiksel analiz için IBM SPSS programı kullanıldı. Tanımlayıcı analizler nominal değişkenler için frekans tabloları; normal dağılmayan ve ordinal değişkenler için ortanca ve minimum- maksimum değerler kullanılarak verildi. Gruplar arası farklılığın belirlenmesinde nominal değişkenler için Ki-kare Testi, normal dağılmayan değişkenlerde MannWhitney U testi, grup içi değişkenler arası farklılığın belirlenmesinde ise Wilcoxon Testi kullanıldı. Yapılan değerlendirme sonucunda iki grup arasında persantil oranları bakımından anlamlı ölçüde fark saptanırken (p0,05). SP’li bireylerde BGGMAT hata puanları, persantil oranları ve zekâ yaşları yaşa, cinsiyete ve alınan fizyoterapi süresine göre incelendiğinde, yaşa ve fizyoterapi süresine göre anlamlı fark olduğu gözlemlenirken (p0,05). BGGMAT’e göre SP’li çocuklarda görsel-motor algının etkilendiği saptandı. Bu problemin rehabilitasyon sürecine olumsuz etkileri olabileceğinden SP’li çocuklarda rutin uygulamalara görselmotor algı değerlendirmesinin de eklenmesi gerektiğini düşünmekteyiz. The level of visual memory and visual perception disorders in children with cerebral palsy (CP) depends on the level of functional disorders in the brain. In these children, whether or not they have any visual impairment, dysfunctions in the brain cause deterioration in visual perception. The aim of our study was to evaluate the visualmotor perception influence in children with CP using the Bender Gestalt Visual Motor Perception Test (BGGMAT). 30 healthy children aged 5-11 years and 30 children with CP were included in the study. BGGMAT was used for evaluation. IBM SPSS program was used for statistical analysis. Descriptive analyzes frequency tables for nominal variables; median and minimum-maximum values for non-normally distributed and ordinal variables. The chi-square test was used to determine the difference between groups, the Mann-Whitney U test was used for non-normally distributed variables, and the Wilcoxon Test was used to determine the difference between within-group variables. As a result of the evaluation, a significant difference was found between the two groups in terms of percentile ratios (p0.05). When the BGGMAT error scores, percentiles and intelligence ages of individuals with CP were analyzed according to age, gender and physiotherapy duration, it was observed that there was a significant difference according to age and physiotherapy duration (p0.05). It was determined that visual-motor perception was affected in children with CP according to BGGMAT. Since this problem may have negative effects on the rehabilitation process, we think that visual-motor perception assessment should be added to routine practices in children with CP.

Serebral Palsi’li (SP) çocuklarda görsel bellek ve görsel algıdaki bozuklukların seviyesi beyindeki fonksiyonel bozuklukların seviyesine bağlıdır. Bu çocuklarda herhangi bir görme bozukluğu olsun ya da olmasın beyindeki fonksiyon bozuklukları görsel algılamada da bozulmaya neden olmaktadır. Çalışmamızın amacı, SP’li çocuklarda görsel-motor algı etkilenimini Bender Gestalt Görsel Motor Algılama Testi (BGGMAT) ile değerlendirmekti. Çalışmaya 5-11 yaş arası 30 sağlıklı, 30 SP’li çocuk dahil edildi. Değerlendirme BGGMAT ile yapıldı. İstatiksel analiz için IBM SPSS programı kullanıldı. Tanımlayıcı analizler nominal değişkenler için frekans tabloları; normal dağılmayan ve ordinal değişkenler için ortanca ve minimum- maksimum değerler kullanılarak verildi. Gruplar arası farklılığın belirlenmesinde nominal değişkenler için Ki-kare Testi, normal dağılmayan değişkenlerde MannWhitney U testi, grup içi değişkenler arası farklılığın belirlenmesinde ise Wilcoxon Testi kullanıldı. Yapılan değerlendirme sonucunda iki grup arasında persantil oranları bakımından anlamlı ölçüde fark saptanırken (p0,05). SP’li bireylerde BGGMAT hata puanları, persantil oranları ve zekâ yaşları yaşa, cinsiyete ve alınan fizyoterapi süresine göre incelendiğinde, yaşa ve fizyoterapi süresine göre anlamlı fark olduğu gözlemlenirken (p0,05). BGGMAT’e göre SP’li çocuklarda görsel-motor algının etkilendiği saptandı. Bu problemin rehabilitasyon sürecine olumsuz etkileri olabileceğinden SP’li çocuklarda rutin uygulamalara görselmotor algı değerlendirmesinin de eklenmesi gerektiğini düşünmekteyiz. The level of visual memory and visual perception disorders in children with cerebral palsy (CP) depends on the level of functional disorders in the brain. In these children, whether or not they have any visual impairment, dysfunctions in the brain cause deterioration in visual perception. The aim of our study was to evaluate the visualmotor perception influence in children with CP using the Bender Gestalt Visual Motor Perception Test (BGGMAT). 30 healthy children aged 5-11 years and 30 children with CP were included in the study. BGGMAT was used for evaluation. IBM SPSS program was used for statistical analysis. Descriptive analyzes frequency tables for nominal variables; median and minimum-maximum values for non-normally distributed and ordinal variables. The chi-square test was used to determine the difference between groups, the Mann-Whitney U test was used for non-normally distributed variables, and the Wilcoxon Test was used to determine the difference between within-group variables. As a result of the evaluation, a significant difference was found between the two groups in terms of percentile ratios (p0.05). When the BGGMAT error scores, percentiles and intelligence ages of individuals with CP were analyzed according to age, gender and physiotherapy duration, it was observed that there was a significant difference according to age and physiotherapy duration (p0.05). It was determined that visual-motor perception was affected in children with CP according to BGGMAT. Since this problem may have negative effects on the rehabilitation process, we think that visual-motor perception assessment should be added to routine practices in children with CP.

Background: The majority of shoulder complaints are occurred due to rotator cuff pathologies. Although conservative treatments including physiotherapy are acknowledged as the first-line treatment approach in the management of shoulder pain, the uptake of physiotherapy practice is variable. One possible explanation of this could be the poor evidence-based knowledge mobilization to practice. The aim of the study was to evaluate the efficacy of an E-learning program on physiotherapy students' knowledge of evidence-based Rotator cuff-related shoulder pain (RCRSP) management and their confidence in applying this care compared to a control group.Methods: A randomized controlled study will be carried with 146 fourth-year physiotherapy students. Students will be assigned to one of two groups: E-learning (N=73) or control (N=73). The outcomes will be: (1) RCRSP knowledge and clinical reasoning skills, and (2) self-reported confidence in RCRSP knowledge and clinical reasoning abilities. Both measurements will be held at baseline and post-intervention. Conclusions: This is the first trial to investigate if a specifically designed E-learning program besides a regular learning curriculum, improves students’ knowledge and self-confidence in the RCRSP management. Enhancing students’ after-graduation readiness to manage patients with RCRSP may help to allow patients access to evidence-informed physiotherapists.Trial registration: This trial was registered on clinicalTrials.gov on 17 June 2021 (NCT04952623)

Purpose: It is known that early retirement has been increasing for patients with Parkinson\"s disease. The data on the factors that cause early retirement in this patient population is limited. The objective of this study is to analyze the effects of Parkinson\"s disease that cause early retirement.

Introduction: Mobile health applications for individuals with type 2 diabetes (T2DM) have the potential to improve physical activity (PA) during the coronavirus (COVID-19) pandemic; yet, there is a need to identify the content of a mobile application (app) in the light of conceptual framework and the delivery features to increase the usability of the app. The aim of this study is to improve the mobile application based on a framework that conceptually determines the needs of individuals with T2DM. At the same time, it is to determine the presentation features of the application to increase its usability for individuals and health professionals using it. Methods: The content and delivery features of a PA app were determined using the Delphi method considering the dia- betes core sets of the international classification of the functioning framework, including experts in the area of T2DM for the app\"s content and heterogeneous participants for the delivery features of the app. A mobile application was created according to the data obtained by this method after the application was created by this way. Results: Delphi experts suggested 64 ideas for the content of the app, of which 46 reached sufficient agreement (72.5–100%). In the second step, participants generated 27 ideas, yet, the consensus was reached on 12 delivery features (70–100%). The application was created by transforming these ideas into app content. Discussion and Conclusion: This study addressed the content-related limitations and usability challenges in the pre-existing studies. During the lockdown, the developed PA app can be implemented using different mobile devices.

Purpose Kinesiophobia is defined as the fear of movement and activity resulting from a feeling of vulnerability to painful injury or re-injury. This study aimed to determine the effect of kinesiophobia on physical activity, balance, and fear of falling in patients with Parkinson\"s disease. Methods The study, which was designed as a cross-sectional type, was conducted with 86 patients with Parkinson\"s disease (age 61.25 SD [9.72] years old) by face-to-face interviews with the patients. The Tampa Scale of Kinesiophobia, International Physical Activity Questionnaire-Short Form, Berg Balance Scale, Falls Efficacy Scale, Visual Analog Scale - Fear of Falling, Unified Parkinson\"s Disease Rating Scale - motor score, and the Hoehn and Yahr scale were used to evaluate the patients. Results Patients with Parkinson\"s disease who had high levels of kinesiophobia had lower levels of physical activity, worse balance, and higher disease severity and fear of falling. A correlation was found between the Tampa Scale score and physical activity, balance, fear of falling, falls efficacy, and disease motor score (p r = -0.38, -0.54, 0.67, 0.57, and 0.37, respectively). According to multiple linear regression analysis, kinesiophobia explained the dependent variables to varying degrees ranging from 13% to 44% (p < .001). Conclusions Patients with Parkinson\"s disease may have kinesiophobia. Rehabilitation programs to support functional capacity for these patients should be developed considering the presence of kinesiophobia.

Objective: The aim of this study was to investigate the effects of incentive spirometer on respiratory muscle strength, exercise capacity and hemodynamic responses after CABG surgery.Methods: Between June 2017 and December 2018, a total of 35 patients underwent CABG surgery were included this prospective randomized controlled study. Patients divided into incentive spirometer (IS) group and physiotherapy (PT) group. All patients received standard physiotherapy postoperatively. In addition, IS group received volume-oriented incentive spirometer. Respiratory muscle strength (mouth pressure device) on 2nd and 5th postoperative day, exercise capacity (6-min.walking test (6-MWT)) on 3rd postoperative day, before and immediately after physiotherapy on the first post-operative day blood gases were assessed.Results: Demographic characteristics of the groups were similar in both groups. Statistically significant increases in maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), %MIP and %MEP values were observed in both two groups (p 0.05). There were no significant differences in 6 MWT parameters between PT and IS group (p > 0.05). No significant difference was found in arterial blood gas values on first postoperative day in both groups (p > 0.05).Conclusion: Respiratory muscle strength improved and blood gas values maintained in both groups. There was no superiority of IS combined with PT in increasing respiratory muscle strength and in maintaining arterial blood gas results after CABG surgery. IS combined with physiotherapy could be used safely from the early period after cardiac surgery., Amaç: Bu çalışmanın amacı, koroner arter bypass greft (KABG) cerrahisi sonrası insentif spirometrenin solunum kas gücü, egzersiz kapasitesi ve hemodinamik yanıtlar üzerine etkilerini araştırmaktı.Yöntem: Haziran 2017 ve Aralık 2018 arasında KABG ameliyatı geçiren toplam 35 hasta bu prospektif randomize kontrollü çalışmaya dâhil edildi. Hastalar insentif spirometre (IS) ve fizyoterapi (PT) gruplarına ayrıldı. Tüm hastalara postoperatif standart fizyoterapi uygulandı. Ayrıca, IS grubuna volüm duyarlı insentif spirometre verildi. Solunum kas kuvveti (ağız basıncı cihazı) postoperatif 2. ve 5. günlerde, egzersiz kapasitesi (6-dakika yürüme testi (6-DYT)) postoperatif 3. günde, kan gazları ameliyat sonrası ilk gün fizyoterapiden önce ve hemen sonra değerlendirdi.Sonuçlar: Grupların demografik özellikleri her iki grupta benzerdi. Her iki grupta da maksimal inspiratuar basınç (MIP), maksimal ekspiratuar basınç (MEP), % MIP ve % MEP değerlerinde istatistiksel olarak anlamlı artış gözlendi (p 0.05). PT ve IS grubu arasında 6 DYT parametrelerinde anlamlı fark yoktu (p> 0.05). Her iki grupta postoperatif birinci gün arteriyel kan gazı değerlerinde anlamlı fark bulunmadı (p> 0.05).Sonuç: Her iki grupta da solunum kas kuvveti düzeldi ve kan gazı değerleri korundu. KABG ameliyatından sonra IS ile kombine edilmiş fizyoterapinin, solunum kas kuvvetinin artmasında ve arteriyel kan gazı sonuçlarının korunmasında üstünlüğü yoktu. Fizyoterapi ile kombine edilen IS, kalp cerrahisi sonrası erken dönemden itibaren güvenle kullanılabilir.

Purpose: The aim of this study was to evaluate the effectiveness of high voltage pulsed current on back extension muscle strengthening and pain. Materials and methods: Forty two patients with back pain syndrome participated in this study. Twenty one patients (mean age 43.62 +/- 14.46 years) formed the control group in which hot packs, ultrasound, TENS and exercise program including strengthening and stretching exercises were given. Besides these modalities, high voltage pulsed current and exercise program including strengthening and stretching exercises were given to the study group consisting of 21 patients (mean age 43.81 +/- 12.32 years). Results: The difference between within-group parameters was found statistically significant (p0.05). Alleviation in pain level and decrease in Oswestry disability index scores was found statistically significant in the study group when compared with the control group (p0.05). Çalışma grubunun ağrı şiddeti ve Oswestry fonksiyonel kısıtlılık puanlarındaki düzelme oranının kontrol grubuna göre istatistiksel olarak daha fazla olduğu saptandı (p

Günümüzde en yaygın olarak kullanılan birleştirme yöntemlerinden biri olan kaynak işleminde malzemenin kaynak sonrası davranışlarını önceden tahmin edebilmek, kaynaklı yapının mukavemeti ve çalışma verimi açısından oldukça önemlidir. Bu çalışmada, tozaltı kaynağı yöntemi kullanılarak kaynak edilmiş parçaların kaynak metali, ısının tesiri altında kalan bölge ve esas metal bölgelerinin mekanik özelliklerini, düz çekme numuneleri kullanılarak belirlemek amacıyla deneysel bir araştırma yapılmıştır. Çekme deneylerinden elde edilen sonuçlar kullanılarak tozaltı kaynağı işleminin sonlu eleman modeli oluşturulmuştur. Modellemede ANSYS sonlu eleman paket programı kullanılmıştır. Analiz iki aşamada gerçekleştirilmiştir. İlk olarak kaynak işleminde meydana gelen ısıl çevrimden hareketle termal analiz yapılmıştır. Termal analiz sonucunda elde edilen veriler mekanik analize girdi olarak ikınci aşamada kullanılmıştır. Modelleme ile kaynak sonrası malzemenin durumu önceden tahmin edilebildiği gibi kaynak parametrelerinin optimizasyonu da sağlanabilmektedir. In the welding process, which is one of the most widespreadly utilised joining process, to estimate the behaviours of the material after welding is very important for the strength and workıng productivity of weldments. In this study, an experimental investigation on the mechanical properties of submerged arc welded joints using flat tensile specimens was carried out to determine the tensile properties of the base metal, weld metal and heat-affected zone of weldments and a finite element model of the submerged arc welding process was carried out using the results of the experiments ANSYS finite element package program was used in modelling. Analysis was realized in two steps. Initially, thermal analysis was made by the thermal cycle that occurs in the welding process. Then the results those obtained from the thermal analysis have been used in the second step as inputs for the mechanical analysis. The situation of the material after welding can be estimated by modelling, also the optimisation of welding parameters can be done.