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Öğe Effect of deep brain stimulation on quality of life in patients with parkinson’s disease(Türk Nöroloji Derneği, 2018) Doğru Hüzmeli, Esra; Yılmaz, AtillaObjective: To investigate the effect of deep brain stimulation (DBS) on quality of life (QOL) in patients with Parkinson’s disease (PD). Materials and Methods: The study included 19 patients with idiopathic PD who underwent DBS surgery at Mustafa Kemal University Faculty of Medicine, Neurosurgery Department. Patient characteristics, duration of disease, and the dominant hand of each patient were noted from the patients’ clinical records. The QOL of the patients was assessed using the RAND 36-Item Health Survey 1.0 (RAND-36) and the symptoms of PD were evaluated using the Unified PD Rating Scale (UPDRS), which was administered preoperatively when the medication was on (within one week prior to surgery) and postoperatively when the medication and stimulation were on (2 months after the surgery; range, 55-65 days). Results: The study included 19 patients with PD, comprising 12 (63.2%) men and 7 (36.8%) women with a mean age of 52.07±9.89 (range, 38-72) years. The mean duration of disease was 6.60±5.92 years. A sex-based analysis of the RAND-36 scores indicated that there was a significant difference between the pre- and postoperative scores of the female patients for bodily pain (p=0.028) and between the pre- and postoperative scores of the male patients for emotional well-being (p=0.032). However, no significant difference was found between the pre- and postoperative scores of other subcategories in both sexes (p>0.05). On the other hand, postoperative UPDRS scores decreased compared with preoperative scores in all patients. Conclusion: This study is the first region-wide prospective study to investigate the effects of subthalamic nucleus (STN)-DBS in patients with PD for our region. The results indicated that STN-DBS surgery had a positive effect on the QOL in patients with PD.Öğe Evaluation of cardiorespiratory state in patients with cerebral palsy(İnönü Üniversitesi, 2019) El, Çiğdem; Hüzmeli, İrem; Doğru Hüzmeli, Esra; Duman, FatmaAim: The objective of this study is to compare the cardiorespiratory state of individuals with hemiparetic cerebral palsy and healthy individuals. Material and Methods: The demographic information of 40 individuals were evaluated. Then their body mass index and frequency and duration of physiotherapy were questioned. Gross motor skill levels with the Gross Motor Classification System (GMCS), flexibility with the sit and reach test, cardiorespiratory endurance with the 6-minute walking test and independence in daily life activities with the WeeFIM survey were evaluated. Oxygen saturation, respiration frequency and heart rate were recorded before and after evaluation. Results: 20 individuals with hemiparetic cerebral palsy (%55 female, %45 male) (with an age average of 9.7± 1.94) and 20 individuals as the control group (%65 female, %35 male) (with an age average of 9.1± 1.83) were included in the study. According to the sixminute test analysis, no important variety was observed between the two groups in terms with regard oxygen saturation, respiration frequency and heart rate parameters prior to and after the test (p>0.05). A statistically significant difference was observed between the patient and control groups in terms of walking distance (p=0.001) and the WeeFIM total score (p= 0.001) and flexibility test (p=0.001). Conclusion: Remarkably, walking distance, WeeFIM total score and flexibility test in patients with cerebral palsy can give an idea about prognosis and the adverse effects of disease in early period on patients’ physical, psychological and social development.Öğe Investigation of the relationship between physical activity and body mass index in children with down syndrome(Galenos Yayınevi, 2020) El, Çiğdem; Doğru Hüzmeli, Esra; Gökçek, ÖzdenAim: This study aimed was to investigate the relationship between physical activity levels and the Body Mass index (BMI) of children with Down syndrome (DS). Materials and Methods: This study included 26 children (15 male, 11 female) with DS. In this study, demographic information was recorded, the physical activity was measured with the Eurofit battery; body fat content, muscle weight, protein content, body fluid ratio and basal metabolic rate were measured by Bioelectric Impedance Analysis. Results: The mean age of the participants was 10.96±2.94 years and the mean BMI of the participants was 21.51±6.719. There was moderate correlation between general fat weight and arm motion speed (r=0,40); moderate correlation between sit and reach test and general fat weight (r=-0.45), trunk fat weight (r=-0.52), liquid ratio (r=0.54); moderate correlation between basal metabolic rate and right hand grip strength (r=0.73), right arm weight without fat (r=0.70), right arm muscle weight (r=0.69), basal metabolic rate (r=0.73); left hand grip muscle with left arm muscle weight (r=0.74), left arm weight without fat (r=0.75), basal metabolism rate (r=0.72), mineral amount (r=0.83), amount of protein (r=0.83); moderate correlation between thirty-second shuttle and body fat percentage (r=-0.44), liquid ratio (r=0.45), body density (r=0.46); moderate correlation between twisted arm hanging strength and fat rate in arm (r=-0.47) with trunk fat rate (r=-0.40), fat weight (r=-0.39); moderate correlation between twenty-meter resistance and trunk fat rate (r=-0.40). Conclusion: It was seen that the physical activity level decreased as the fat ratio increased in individuals with DS. Basal metabolic rate, fluid ratio, and physical activity were found to be correlated.Öğe Investigation of wind instrument performance level in an asthmatic child case receiving inspiratory muscle training(OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2021) Gökçek, Özden; Yurdalan, Ufuk; Doğru Hüzmeli, Esra; El, ÇiğdemAsthma is the most common chronic disease in childhood. There are airway obstruction and expiratory airflow limitation in asthma. In our study, the effectiveness of medical treatment support and inspiratory muscle training (IMT) in the wind instrument of the asthmatic patient was examined. For this purpose, the respiratory values of a twelve-year-old male patient, who was diagnosed with asthma and underwent IMT for six weeks, and quality of life was evaluated. Music education has a positive effect on socialization and development of intelligence (concentration level and memory development, etc.) in children. Exemption of asthmatic children from some lessons causes socialization problems and decreases in school success. Perception of dyspnea during activity, fear of attacks, and absence from school due to hospitalizations negatively affect academic achievement and concentration levels of children. In this study, a case with an increase in the duration of the flute playing of musical piece besides improvement in respiratory values is described. Copyright © 2021 by Türkiye Klinikleri. This is an openÖğe Kronik obstrüktif akciğer hastalarında dispnenin yaşam kalitesi ve depresyona etkisi(Acıbadem Üniversitesi, 2019) Gökçek, Özden; Doğru Hüzmeli, Esra; Katayıfçı, NihanAmaç: Bu çalışmanın amacı, kronik obstruktif akciğer (KOAH) hastalarında dispnenin yaşam kalitesi ve depresyon üzerine etkisini incelemektir. Materyal Metod: Araştırma, Mustafa Kemal Üniversitesi Uygulama ve Araştırma Hastanesi Göğüs Hastalıkları Polikliniği’ne başvuran ve solunum rehabilitasyonu için fizyoterapiye yönlendirilen ve solunumla ilgili değerlendirme kayıtları arşivimizde olan hastalar dahil edilerek yapılmıştır. KOAH tanısı konulan, yaş ortalaması 65.55±11.77 olan 40 hasta (22 erkek, 18 kadın) çalışmaya dahil edilmiştir. Araştırmada demografik bilgiler kaydedilip, dispne şiddetini ölçen Modified Medical Research Council Dyspnea Scale, depresyon düzeyini değerlendiren Beck Depresyon Ölçeği, yaşam kalitesi düzeyini belirten Kısa Form-36 sonuçları analiz edilmiştir. Bulgular: Hastaların %22.5’inin grade I, %40’ ının grade II, %27.5’inin grade III, %10’unun grade IV düzeyinde dispne yaşadığı görülmüştür. KOAH düzeyleri açısından değerlendirildiğinde ise %30’unun ağır, %40’ının orta, %30’unun hafif olduğu bulunmuştur. Hastaların depresyon düzeyleri değerlendirildiğinde Beck Depresyon Ölçeği’ne göre %10’unun orta, %62,5’inin ağır düzeyde depresif olduğu görülmüştür. Hastaların dispne durumu ile yaşam kalitesi ve depresyon düzeyi arasında anlamlı fark olduğu belirlenmiştir (p<0.05). KOAH düzeyinin ortopne (p=0.005) ve paroksismal nokturnal dispne (p=0.002) arasında fark olduğu saptanmıştır. Sonuç: Çalışmamız sonucunda KOAH düzeyi şiddetli olan bireylerin hafif olan bireylere göre daha depresif olduğu gözlenmiştir. Dispne düzeyi artıkça bireylerin yaşam kalitesinin olumsuz etkilendiği görülmüştür. KOAH gibi güncel bir hastalık tablosunun multidsipliner bir yaklaşım gerektirdiğini düşünmekteyiz.Öğe Pain and quality of life in adults with sickle cell disease(2018) Doğru Hüzmeli, EsraAim: Aim of the study was to examine the relationship between pain and quality of life in adult patients with sickle cell disease (SCD) and to examine complications of SCD on pulmonary system. Material and Methods: A total of 25 individuals (19 male, 6 female) diagnosed with SCD were included in the study. Pulmonary system, quality of life and pain was measured. Pain in rest and activity was questioned with Visual Analog Scale. The quality of life was assessed by the Short Form-36 (SF-36) Scale. Results: It was determined that the individuals experienced an important level of pain in rest and activity levels, however it was seen that the pain level in activity was higher. It was determined that the oxygen saturation average was 91% and incidence of secretion and the number of coughing individuals was 6 and that 2 individuals used accessory respiration muscles. It was also found out that the SF-36 Scale’s parameters’ scores were low and that the quality of life of individuals were negatively affected. There was a moderate, negative and significant correlation between pain in rest and SF-36 Scale’s physical function, pain, general health, mental health parameters. Conclusion: It has been concluded that in the treatment of patients with SCD, although it is not mentioned in patient history, pain related problems should be taken into consideration. We believe that pulmonary and pain rehabilitation to patients with SCD will support their wellbeing.Öğe Serebral palsili çocuklarda temporomandibular eklem değerlendirmesi(2016) Canbay, Özden; Doğru Hüzmeli, Esra; Katayıfçı, Nihan; Çelik, MesutGiriş: Bu çalışma, Serebral palsili (SP) çocuklarda temporomandibular eklemi (TME) fonksiyonel yönden değerlendirmek amacıyla yapılmıştır.Gereç ve Yöntem: Bireylerin demografik bilgileri alındıktan sonra, TME tutukluluğu, salya varlığı, beslenme özellikleri, ağız içi splint kullanımı, ağrı, solunum, epilepsi öyküsü, çiğneme özellikleri ve hastalığının sorgulandığı sorular hastaya ve/veya hasta yakınına yöneltildi. Mandibula hareketliliği uzunluk ölçümüyle, boyun kas kuvveti manuel kas testi ile değerlendirildi. Bulgular: Çalışmaya katılan SP'li bireylerin %15'inde çenede hassasiyet durumu, tutukluluk ve kilitlenme durumu, %30'unda baş ağrısı, %25'inde bruksizm, %15'inde tırnak yeme alışkanlığı ve %25'inde kulak ağrısı olduğu bulundu. Yutma güçlüğünün erkek bireylerde kız bireylere göre daha fazla olduğu görüldü (p<0,05).Sonuç: SP'li çocuklarda TME problemlerinin olduğu görülmüştür. Bu konuyla ilgili çalışmalar kısıtlı olduğundan TME bozukluklarının önlenmesi ve tedavisine yönelik çalışmalar yapılması gerektiği düşünülmüştür.Öğe The Turkish version of the Modified Falls Efficacy scale: reliability and validity from the viewpoint of balance(TÜBİTAK, 2019) Çetişli Korkmaz, Nilüfer; Duray, Mehmet; Doğru Hüzmeli, Esra; Şenol, HandeBackground/aim: The factors associated with fall-related self-efficacy should be addressed, especially in the elderly. The Modified Falls Efficacy Scale (MFES) is a simple instrument with good scaling properties and reliability. The aim of the present study was to determine the reliability and the validity of the Turkish version of the MFES from the viewpoint of balance. Materials and methods: In this study, 164 participants aged >65 years were included. The use of walking aids and assistive devices, history and frequency of falls in the previous year, living environment, and exercise habits were noted. Balance and risk of falling were assessed with the Berg Balance Scale (BBS). A forward-backward translation procedure was used for the Turkish version of the MFES. Results: None of the 14 items in the MFES were modified. The Turkish version of the MFES has excellent internal consistency (Cronbach’s alpha, 0.978) and reliability (interclass correlation coefficient, 0.928–0.982), and its construct validity was supported by its ability to distinguish between the groups with respect to fall-risk factors and balance. According to the BBS scores, the high-fall-risk group had lower MFES scores than the moderate- and low-fall-risk groups (χ2 = 34.153, P = 0.001). Conclusion: The Turkish version of the MFES is a sensitive instrument for evaluation of fall-related confidence while carrying out indoor/ outdoor activities. It also predicts falls, reduced physical activity, balance and mobility problems, and restricted social participation and daily living activities.
