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Öğe Effect of Occupational Therapy in Patients Receiving Hemodialysis: A Randomized Controlled Study(Aves, 2021) Inal, Ozgu; Kayihan, Hulya; Karahan, Sevilay; Ustundag, SedatObjective: Hemodialysis (HD) treatment may have negative effects on the occupational performance and quality of life of individuals. This study was planned to investigate the effect of client-centered occupational therapy (OT) intervention on occupational performance and quality of life in individuals receiving HD. Materials and Methods: In total, 42 randomly assigned individuals were divided into control (awareness training) and intervention (awareness training and client-centered OT) groups. The Canadian Occupational Performance Measure was utilized to evaluate the occupational performance, and Kidney Disease Quality of Life Short Form was used to assess the quality of life. Results: Improvement in both occupational performance and quality of life was determined in the intervention group after 8 weeks. In the control group, only the improvement was determined in the general health parameter of quality of life (p<0.05). Conclusion: OT interventions can contribute to improving occupational performance and quality of life of individuals receiving HD treatment, and these interventions can play an important role in the treatment process of these individuals.Öğe The Fear of Falling, Physical Activity, and Quality of Life in Elderly After COVID-19(Sage Publications Inc, 2023) Goktas, Ayse; Inal, Ozgu; Ozkan, Esma; Ozdinc, SevgiThe COVID-19 negatively affected the physical and mental health of elderly due to pandemic-related restrictions. This study aimed to investigate the influences on fear of falling, physical activity level, and quality of life in older people living in the community after the COVID-19. Falls Efficacy Scale-International (FES-I), Physical Activity Scale for the Elderly (PASE), and Nottingham Health Profile (NHP) were used to study. One hundred fifty individuals older than 65 years. Results indicated that 69.3% of the individuals had fallen in the past 6 months. FES-I showed that the elderly had moderate FES-I (31.95 +/- 10.55), and PASE showed that this cohort had severe activity limitation (85.42 +/- 56.45) and low NHP (213.62 +/- 143.45). There was negative association between FES-I and PASE levels (rho = .000, r = -0.291) and a moderate negative association between. FES-I and NHP (rho = .000, r = 0.577). The variables for the number of falls and FES-I were included in the multiple linear regression analysis and model formed with FES-I that predicted PASE level was statistically significant. As a result, it is important to raise awareness about older individuals' concerns regarding falling to implement essential measures that can effectively alleviate such fears.. In this context, it is advisable to explore innovative clinical and policy strategies that can facilitate the seamless integration of interdisciplinary preventive care for vulnerable elderly individuals, with the overarching aim of enhancing their overall quality of life. Plain Language Summary - SO-23-1238 In the current study, it was determined that the fear of falling decreased the level of activity and negatively affected the quality of life. The current study, unlike the previous literature, was carried out after the removal of prohibitions such as the curfew related to Covid-19. For this reason, after these prohibitions, it provides new information about the fear of falling and the level of physical activity of elderly individuals. Studies on elderly individuals during the Covid-19 period provide limited information about the fear of falling and the level of physical activity of these individuals. It is important to increase the awareness of the elderly about the fear of falling, to determine the risks of falling and to take the necessary precautions to eliminate the fear of falling. The older ageing people can be educated in order to reduce the risk and fear of falling and to increase physical activity levels. It is possible to increase the social participation and physical activity levels of the older ageing by making environmental planning, not only indoors but also outdoors.Öğe Investigating the effect of smartphone addiction on musculoskeletal system problems and cognitive flexibility in university students(Ios Press, 2021) Inal, Ozgu; Arslan, Selen SerelBACKGROUND: Smartphone usage has become more common in daily life, and in certain situations, this may lead to addictive behavior. OBJECTIVE: This study aims to investigate the relationship between smartphone addiction and musculoskeletal problems and cognitive flexibility in university students. METHODS: Smartphone addiction was evaluated with the Smartphone Addiction Scale (SAS), the Nordic Musculoskeletal Questionnaire (NMQ) was used to evaluate musculoskeletal symptoms, and pain was measured with Visual Analog Scale (VAS). Cognitive flexibility was assessed with the Cognitive Flexibility Inventory (CFI). RESULTS: A significant correlation was found between SAS total score and musculoskeletal problems in the upper back, lower back, hip and feet (p < 0.05, r = 0.11; r = 0.16; r = 0 .11; r = 0.13, r = 0.14). Smartphone addiction showed a significant positive correlation with neck pain, right hand pain and right arm pain (p < 0.05, r = 0.13; r = 0.17; r = 0.14). There was a significant negative correlation between CFI total score and SAS total score (p < 0.05, r = -0 .13). CONCLUSIONS: Smartphone addiction is associated with musculoskeletal problems, pain and cognitive flexibility in university students. Encouraging an active lifestyle, physical activity, ergonomic arrangements, individual behavioral modification as well as environmental regulations and policies may eliminate the negative effects of smartphone addiction.Öğe AN INVESTIGATION OF FAMILY IMPACT OF CHILDREN WITH CONGENITAL AND ACQUIRED BRAIN INJURY(Turkey Assoc Physiotherapists, 2019) Inal, Ozgu; Karahan, Sevilay; Oksuz, CigdemPurpose: This study aimed to investigate the family impact of children with congenital and acquired brain injury, the levels of depression in mothers, and the factors that might affect family functioning. Methods: This study included 42 children with brain injury (20 congenital, 22 acquired) and their caregiver mothers. Impact on Family Scale (IFS) was used to evaluate family impact and the Beck Depression Inventory for the level of depression in the mothers. The Functional Oral Intake Scale for the status of oral intake of children. Results: This study illustrated that the levels of family impact (z=-1.161, p=0.246) and mothers' depression (z=-0.177, p=0.860) were similar in children with congenital and acquired brain injury. In this study, a relationship was found between the child's feeding position (z=-0.684, p=0.043) and family income level (z=5.981, p=0.046) with family impact. Conclusion: The family impact of having children with disabilities may be related to many factors. In order to understand this mechanism, future studies should be planned with a holistic approach. The results of these studies, provide information to be used in the development of interventions for parents of children with disabilities.Öğe Investigation of the relationship between kinesiophobia and sensory processing in fibromyalgia patients(Taylor & Francis Ltd, 2020) Inal, Ozgu; Aras, Berke; Salar, SinemPurpose/aim: The aims of this study are to investigate the relationship between kinesiophobia and sensory processing in fibromyalgia (FM) patients and obtain new information about kinesiophobia in light of these results. Materials and methods: This study has been conducted with 82 literate subjects aged 18-65 years and diagnosed with FM based on ACR 2010 diagnostic criteria. Fibromyalgia Impact Questionnaire was used for measuring functional status in FM patients, The Tampa Scale of Kinesiophobia was used for determine the levels of kinesiophobia and Adolescent/Adult Sensory Profile was used for determine the characteristics of sensory process patterns of the individuals. Results: Among the participants, sensory sensitivity scores of 65.85% and sensation avoiding scores of 40.24% were higher than that in the general population. Sensation seeking scores of 48.78% the subjects were lower compared to the general population. A significant and weak positive correlation was found between the kinesiophobia scores and responses of sensory sensitivity and sensation avoiding (r = 0.23, p = 0.04; z = 0.29, p = 0.01) Conclusion: This is the first study conducted to investigate the relationship between kinesiophobia and sensory processing in fibromyalgia patients. However, different studies investigating this subject are warranted in order to be able to generalize the findings and increase the value of evidence.Öğe Postural stability and flexibility responses of yoga training in women: Are improvements similar in both sexes?(Taylor & Francis Inc, 2023) Inal, Ozgu; Keklicek, Hilal; Karahan, Menekse; Ulucam, EnisThe researchers' aim is to examine the postural stability and flexibility responses of yoga training in women. The authors conducted the yoga training program 2 days a week and they assessed flexibility using the sit and reach test, trunk hyperextension test and trunk lateral flexion test. The researchers measured static and dynamic balance employing the device and database system. Then, the authors repeated all assesments were at the end of the first, the fifth and the tenth sessions. As a result of this study, the researchers revealed that the male participants had significantly poorer results in a single parameter (longitudinal sway) when compared with the female group, but the groups were statistically equivalent in this parameter after the first yoga training session. The authors also revealed that yoga was effective in improving flexibility among healthy young adults of both sexes, although the males showed greater improvement than females in the flexibility results.Öğe Psychometric Properties of the Turkish Health Enhancement Lifestyle Profile-Screener Questionnaire (T-Help-Screener)(Marmara Univ, Inst Health Sciences, 2022) Inal, Ozgu; Turan, Fatma Nesrin; Pekcetin, Serkan; Hwang, EricObjective: Healthy ageing is associated with a healthy lifestyle. The aim of this study was to evaluate the validity, reliability, and cultural adaptation of the Turkish version of the Health Enhancement Lifestyle Profile Screener (T-HELP-Screener). Methods: This study included 150 participants aged 65 years and above. Internal consistency of the T-HELP-Screener was measured using Kuder-Richardson. Test-retest reliability was performed with 66 of the 150 participants using intraclass correlation coefficient (ICC). Construct validity of the T-HELP-Screener was analyzed with the Healthy Lifestyle Behavior Scale-II (HLBS-II). Results: This study showed a substantially reliable level (Kuder-Richardson=0.72). The ICC for each of the T-HELP-Screener items ranged from 0.750 (95% CI = 0.590-0.847) to 0.965 (95% CI = 0.942-0.978) indicating acceptable to good test-retest reliability. There was a significant moderate correlation between the T-HELP-Screener and the HLBS-II (r s = 0.488; p =0.001). Conclusion: This study supports the psychometric properties of the T-HELP-Screener. This tool can help quickly identify older adults who need a more comprehensive assessment of their health risk behaviours. Future studies should develop and validate a Turkish version of the comprehensive 56-item Health Enhancement Lifestyle Profile (HELP).Öğe Reliability and validity of the turkish version of the feeding/swallowing impact survey(Springer, 2018) Arslan, Selen Serel; Kilinc, Hasan Erkan; Yasaroglu, Omer Faruk; Inal, Ozgu; Demir, Numan; Karaduman, A. AyseThe purpose of this study was to translate the Feeding/Swallowing Impact Survey (FS-IS) into Turkish and to test its reliability and validity in caregivers of children with cerebral palsy (CP). Caregivers accompanying the 117 children with CP who were referred for an instrumental swallowing evaluation were included in the study. The FS-IS was translated from English into Turkish by using the forward, backward, forward translation method. Parents completed the Turkish version of the Feeding/Swallowing Impact Survey (T-FS-IS) which has 3 subscales including daily activities, worry and feeding difficulties. Swallowing function was assessed with Videofluoroscopic Swallowing Study, and penetration and aspiration severity was determined according to the Penetration-Aspiration Scale (PAS). The internal consistency, test-retest reliability, construct validity, and discriminant validity of the T-FS-IS were investigated. Internal consistency was excellent with Cronbach alphas all above 0.8 (Total score=0.99, daily activities=0.98, worries=0.98, and feeding difficulties=0.96). The Intraclass correlation coefficient was 0.93, demonstrating excellent test-retest reliability. All three subscales of the T-FS-IS including daily activities, worry, and feeding difficulties as well as the total score significantly correlated with the PAS scores. Caregivers whose children had aspiration reported worse scores in the T-FS-IS total and its subscales compared with caregivers whose children without airway aspiration according to PAS (p<0.01). The T-FS-IS is a reliable and valid instrument for measuring the impact of swallowing disorders on caregivers of children with CP. It can be used in clinical practice and research. Clinical trial number: NCT03005093.Öğe Response to Speech and Language Therapy According to Artery Involvement and Lesion Location in Post-stroke Aphasia(Elsevier, 2020) Aras, Berke; Inal, Ozgu; Kesikburun, Serdar; Yasar, EvrenPurpose: Aphasia is one of the most common complications after stroke and occurs in 21-38% of the patients during acute period. The present study aimed to investigate the response to speech and language therapy according to artery involvement and lesion location in patients with post-stroke aphasia. Method: The medical records of 107 patients with post-stroke aphasia (mean age, 58.8 +/- 14.8 years) who were admitted to a single rehabilitation center for usual care after stroke were reviewed. Location of the ischemic lesion and involved artery was determined assessing the brain MRI of the patients. All the patients received 24 sessions speech and language therapy (3 days a week) as a part of 8-week rehabilitation program. Evaluation of the aphasia was performed with Gulhane Aphasia Test-2 (GAT-2) at baseline and at the end of the rehabilitation program. Results: Baseline GAT-2 scores was significantly worse in patients with middle cerebral artery (MCA) involvement compared to patients with other artery involvements (p = 0.007). While the GAT-2 scores of patients with MCA involvement were improved significantly after speech and language therapy (p < 0.001), the changes in those with anterior cerebral artery (ACA) and posterior cerebral artery (PCA) involvements were not significant (p > 0.05). Conclusions: The present findings suggested that speech functions might be more affected in ischemic lesion of MCA and response to SLT might be better in patients with MCA involvement. (c) 2020 Elsevier Inc. All rights reserved.Öğe The severity of chewing disorders is related to gross motor function and trunk control in children with cerebral palsy(Taylor & Francis Ltd, 2018) Arslan, Selen Serel; Demir, Numan; Inal, Ozgu; Karaduman, Aynur A.Purpose: The frequency of chewing disorders increases with decreasing level of gross motor function in children with cerebral palsy (CP). Besides its frequency, the severity of chewing disorders is also important. The aim of this study was to determine the relationship between chewing performance level and gross motor function, and trunk postural control in children with CP. Materials and methods: The study included 119 children with CP (age 2-10 years). Chewing performance level was determined by the Karaduman Chewing Performance Scale (KCPS). The Gross Motor Function Classification System (GMFCS) was used to determine the level of gross motor function. Segmental Assessment of Trunk Control (SATCo) was used to measure trunk control. Results: Children with spastic CP with a median age of 4 years were evaluated, of which 50.4% were male. The percentages of patients classified to GMFCS levels I to V were 43.7%, 6.7%, 9.2%, 5.0%, and 35.3%, respectively. The median KCPS score was 3 (min = 0, max = 4). A good correlation was found between KCPS and GMFCS (p<. 001, r = 0.70). Negative, excellent correlations between KCPS and SATCo static, SATCo active, and SATCo reactive postural controls were found (p<.001, r = -0.75, r = -0.77, r = -0.79; respectively). Conclusions: The severity of chewing disorders is related to the level of gross motor function and trunk postural control in children with CP.Öğe Telephone-based joint protection education in lateral epicondylitis: A randomized controlled trial(Ios Press, 2022) Inal, Ozgu; Tuncer, BernaBACKGROUND: Lateral epicondylitis (LE) can occur for many different reasons such as compelling repetitive movements in daily readings, incorrect posture use and work-related factors. Although several treatments are available for LE, the optimal evidence-based treatment remains uncertain. Joint protection techniques have been developed as a self-management intervention to reduce pain and disability and improve functionality by applying ergonomic approaches. OBJECTIVE: This study aimed to investigate the effects of telephone-based followup on top of a home-based joint protection education programme on pain and functionality in individuals with LE. METHODS: Individuals were randomly assigned into 2 groups; 1) telephone-based group, receiving telephone-based follow-up on top of a home-based joint protection education programme, and 2) home-based group, receiving home-based joint protection education alone. Both groups were given training that increased awareness in LE and home-based exercise programme. In addition, telephone-based group was followed up by telephone three days a week for four weeks. RESULTS: Improvements from baseline to 4th week in Turkish version of the Patient-Rated Tennis Elbow Evaluation-pain (p = 0.001; effect size = 1.11) and function (p < 0.001; effect size = 1.77), Upper Extremity Functional Index (p = 0.001; effect size = 0.85) and The Turkish version of the Joint Protection Behavior Assessment-Short Form (p < 0.001; effect size = 1.54) in the telephone-based group were significantly higher than the improvements in the home-based group. CONCLUSIONS: Telephone-based follow-up in individuals with LE contributed to the awareness of pain, functionality and joint protection methods. Telephone-based joint protection education programmes can offer a health service within the scope of preventive and protective intervention programmes for LE.Öğe Validity of the Turkish Occupational Self Assessment for Elderly Individuals(Sage Publications Inc, 2018) Pekcetin, Serkan; Salar, Sinem; Inal, Ozgu; Kayihan, HulyaOccupational therapy practices in Turkey are increasing each year, but rehabilitation practitioners working in the occupational therapy field have limited instruments. The aim of this study was to analyze the validity of the Turkish version of the Occupational Self Assessment (OSA), which is based on the Model of Human Occupation. The data were analyzed using exploratory and confirmatory factor analyses to determine construct validity. The Turkish OSA was administered with the World Health Organization Quality of Life-Old (WHOQOL-OLD) and the Functional Autonomy Measurement System (SMAF) to 117 elderly individuals to determine convergent validity. The Turkish OSA has acceptable construct validity scores (exploratory and confirmatory factor analyses). SMAF and WHOQOL-OLD Scales showed a moderately significant relationship with OSA competence total scores (p < .01). The results indicate that the OSA is a valid instrument for determining occupational competence and values in elderly Turkish individuals.