Browsing by Author "Saldiran, Tulay Cevik"

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Citation Count: 6
The Acute Effects of Different Intensity Whole-Body Vibration Exposure on Muscle Tone and Strength of the Lower Legs, and Hamstring Flexibility: A Pilot Study
(Human Kinetics Publ inc, 2021) Atıcı, Emine; Atici, Emine; Rezaei, Derya Azim; Ozturk, Ozgul; Uslu, Burcu; Ozcan, Burcu Ates; Okudan, Begum; Fizyoterapi ve Rehabilitasyon / Physiotherapy and Rehabilitation
Context: The research on the change in properties of the lower leg muscles by different intensity sinusoidal vertical whole-body vibration (SV-WBV) exposures has not yet been investigated. Objective: The purpose of this study was to determine effect of a 20-minute different intensity SV-WBV application to the ankle plantar flexor and dorsiflexor muscles properties and hamstring flexibility. Design: Prospective preintervention-postintervention design. Setting: Physiotherapy department. Participants: A total of 50 recreationally active college-aged individuals with no history of a lower leg injury volunteered. Interventions: The SV-WBV was applied throughout the session with an amplitude of 2 to 4 mm and a frequency of 25 Hz in moderate-intensity vibration group and 40 Hz in a vigorous-intensity vibration group. Main Outcome Measures: The gastrocnemius and tibialis anterior muscle tone was assessed with MyotonPRO, and the strength evaluation was made on the same lower kg muscles using hand-held dynamometer. The sit and reach test was used for the lower leg flexibility evaluation. Results: The gastrocnemius muscle tone decreased on the right side (d = 0.643, P = .01) and increased on the left (d = 0.593, P = .04) when vigorous-intensity vibration was applied. Bilateral gastrocnemius muscle strength did not change in both groups (P> .05). Without differences between groups, bilateral tibialis anterior muscle strength increased in both groups (P < .01). Bilateral gastrocnemius and tibialis anterior muscle tone did not change in the moderate-intensity vibration group (P> .05). Flexibility increased in both groups (P < .01); however, there was no statistically significant difference between the groups (d = 0.169, P = .55). Conclusions: According to study results, if SV-WBV is to be used in hamstring flexibility or ankle dorsiflexor muscle strengthening, both vibration exposures should be preferred. Different vibration programs could be proposed to increase ankle plantar flexor muscle strength in the acute results. Vigorous-intensity vibration exposure is effective in altering ankle plantar flexor muscle tone, but it is important to be aware of the differences between the lower legs.
Citation Count: 0
Cross-cultural adaptation and validation of Diabetes Quality of Life Brief Clinical Inventory in Turkish patients with type 2 diabetes mellitus
(Taylor & Francis Ltd, 2024) Saldiran, Tulay Cevik; Kara, Ilke; Dincer, Erhan; Ozturt, Ozgul; Cakici, Rumeysa; Burroughs, Thomas
PurposeTo translate and culturally adapt the Diabetes Quality of Life Brief Clinical Inventory (DQoL-BCI) into Turkish and assess the psychometric properties of the translated version.MethodsA forward-backward translation process was conducted in conformity with international guidelines. A total of 150 patients with type 2 diabetes mellitus (T2DM) completed the Turkish version of DQoL-BCI (DQoL-BCI-Tr). The factor structure, test-retest reliability, and construct validity were evaluated.ResultsIn the DQoL-BCI-Tr, the three-factor structure was found optimal and explained 68.7% of the variance. The DQoL-BCI-Tr showed excellent internal consistency (Cronbach's alpha = 0.90) and test-retest reliability (ICC = 0.98). Cronbach's alpha values ranged from 0.85 to 0.91 for subscales (satisfaction, worry, impact). A negative correlation was found between the total scores of the DQoL-BCI-Tr and the EuroQoL-5 dimensions (EQ-5D) indexes (r= -0.22, p < 0.01). The DQoL-BCI-Tr total score and satisfaction and worry subscale scores differentiated between groups defined by glycated hemoglobin (HbA(1c)>9%) and the use of insulin.ConclusionsThe study results showed that the DQoL-BCI-Tr can be served as a reliable and valid instrument to obtain information from Turkish patients with T2DM diagnosis, including satisfaction with treatment, the impact of the disease, and worry about the social/vocational issues.
Citation Count: 4
Effectiveness of Robot-Assisted Gait Training on Functional Skills in Children with Cerebral Palsy
(Georg Thieme verlag Kg, 2022) Atıcı, Emine; Atici, Emine; Razaei, Derya Azim; Saldiran, Tulay Cevik; Fizyoterapi ve Rehabilitasyon / Physiotherapy and Rehabilitation
This study was aimed to investigate the effects of robot- assisted gait training (RAGT) on motor functions, spasticity status, balance, and functionality in children with cerebral palsy (CP). A total of 26 patients who were diagnosed with CP ( diplegic, with gross motor function classification system [GMFCS] levels of 2-5) and who regularly participated in a rehabilitation program were recruited in the study after obtaining approval from their parents. The patients were randomly assigned to two groups. Group 1 (n = 13) received conventional physical therapy (65 minutes, 2 days/week x 8) and group 2 (n = 13) received 25minutes of RAGT (RoboGait) in addition to conventional therapy (CT; 40 minutes, 2 days/week x 8). GMFCS was used to evaluate motor functions and the Modified Ashworth Scale was used to evaluate spasticity. The pediatric Berg balance scale, pediatric functional independence measure, and timed up and go tests were employed to assess balance and functional status. The evaluations were performed at baseline and after 8 weeks of therapy. Both rehabilitation methods led to a statistically significant decrease in spasticity (p< 0.05); however, there was no difference in this improvement of spasticity between the groups (p> 0.05). Both groups exhibited significant improvements in functional independence, balance, and performance at the end of therapy (p< 0.05), and there was no significant difference between the groups (p> 0.05). The results of this study show that addition of RAGT to CT for 8 weeks is not superior to CT alone in children with CP.
Citation Count: 1
The Effects of Vibration Exposure on Lower-Limb Extensor Muscles? Stiffness, Elasticity, and Strength Responses in Untrained Young Individuals: A Randomized Controlled Trial
(Human Kinetics Publ inc, 2023) Basol, Filiz; Kara, Ilke; Saldiran, Tulay Cevik
Objectives: The whole-body vibration (WBV) effects on muscle strength show inconsistent results. Moreover, there is no study about the WBV effect on stiffness, elasticity, and muscle strength. Therefore, the study aimed to examine the effect of WBV exposure with static squat posture on the stiffness, elasticity, and strength of the lower-limb extensor muscles. Material and Methods: Forty healthy untrained young adults were divided into WBV and control groups. The experimental group received WBV exposure on 2 nonconsecutive days of the week, for 6 weeks. The MyotonPRO device was used for the assessment of the knee extensor and the ankle dorsiflexors' stiffness and elasticity. Isometric muscle strength was evaluated with a hand-held dynamometer. All measurements were done by the same assessor at baseline, and the following 6 weeks. Results: Significant group-by-time interactions were found for the elasticity scores of the right (d = 0.84, P = .01) and left (d = 0.77, P = .02) ankle dorsiflexors. Similar to the elasticity measurements, significant group-by-time interactions were observed in the muscle strength scores of the right (d = 0.45, P = .046) and left (d = 1.25, P < .001) ankle dorsiflexors. No significant effects were observed in any of the evaluated muscle stiffness measurements (P> .05), and there was no significant group-by-time interaction in knee-extensor muscle strength and elasticity scores (P > .05). Conclusions: The study results indicate that if the ankle dorsiflexor strength and elasticity are desired to be increased, the 6-week WBV exposure in a static squat posture can be used in healthy individuals.
Citation Count: 1
Temporomandibular joint dysfunction in adults: Its relation to pain, general joint hypermobility, and head posture
(Wolters Kluwer Medknow Publications, 2019) Aydın, Gamze; Akgöl, Ahmet Cüneyt; Tascilar, Lacin Naz; Okudan, Begum; Aydin, Gamze; Rezaei, Derya Azim; Fizyoterapi ve Rehabilitasyon / Physiotherapy and Rehabilitation
BACKGROUND: The first objective is the questioning of the presence of general joint hypermobility (GJH) and temporomandibular joint dysfunction (TMJD) in adults and examining the existence of the relationship between GJH and TMJD. The secondary purpose of this study questions whether there is a relationship between the forward head posture and GJH. MATERIALS AND METHODS: GJH assessments were carried out with the Beighton Hypermobility Score. Participants were assessed by a plumb line for postural assessment. During mouth opening, the examination of temporomandibular joint (TMJ) was evaluated based on if the mandible shows deflection or deviation. Pain assessment in TMJ was evaluated through three different pain areas, during rest and chewing activity and at night with the visual analog scale. Masseter muscle pressure sensitivity was recorded by measuring it with a dolorimeter. RESULTS: There was a positive correlation between hypermobility status and temporalis muscle pain at night (r: 0.218, P < 0.005). It was observed that those who are not hypermobile had more pain caused by chewing activity in masseter muscle than hypermobile participants (P < 0.005). CONCLUSION: In the presence of GJH, in order to maintain rehabilitation in the most effective way and to anticipate the secondary problems that may occur, the TMJ should be thoroughly examined for pain, sensitivity, and functionality.