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Öğe Burnout and anxiety level of healthcare professionals during the COVID-19 pandemic in Turkey(Ios Press, 2021) Dogru-Huzmeli, Esra; Cam, Yagmur; Urfali, Senem; Gokcek, Ozden; Bezgin, Sabiha; Urfali, Boran; Uysal, HakanBACKGROUND: COVID-19 has affected many countries in the world and has been known as one of the fast-spreading viruses in recent history. OBJECTIVE: Our aim is to reveal the level of anxiety and burnout, attitudes, thoughts, and behaviors of healthcare professionals about COVID-19 in Turkey. METHODS: The individuals included in the study answered seven questions containing demographic information, 27 questions determining their views and perspectives on COVID-19. Anxiety level was measured by Beck Anxiety Scale (BAI), and State Anxiety Inventory (SAT); burnout was measured by Maslach Burnout Inventory (MBT). RESULTS: We included 66 health staff (50 female, 16 male) whose mean age was 31.71 +/- 5.18 years (22-46 ranged). Twenty-two (33.3%) of the participants worked on the COVID-19 frontline while 44 (66.6%) of them worked on usual wards. We found that participants' anxiety was at a moderate level in BAI (mean: 14.00 +/- 12.66). The mean of the SAI was 49.93 +/- 13.06. MBI subscales were low. We found that there was a significant difference in BAI between COVID-19 frontline healthcare professionals and those who worked on the usual wards (p = 0.01). CONCLUSIONS: It is important to consider the level of anxiety and burnout in all healthcare professionals and to help them to protect their mental health.Öğe Can diplopia complaint be reduced by telerehabilitation in multiple sclerosis patient during the pandemic?: A case report(Springer-Verlag Italia Srl, 2021) Dogru-Huzmeli, Esra; Duman, Taskin; Cakmak, Ayse Idil; Aksay, UfukHospital visits and regular rehabilitation of chronic patients due to COVID-19 pose a risk. Therefore, patients with chronic illnesses who need regular rehabilitation have been victims of the pandemic process. Because of their fear of being infected, they were deprived of the chance of their symptoms being rehabilitated. Therefore, it is extremely important to rehabilitate individuals with chronic illnesses in need of rehabilitation through telerehabilitation. In this study, we aimed to show the effect of Cawthorne-Cooksey exercises to be applied through telerehabilitation on eye movements, vision, and quality of life in a patient suffering from diplopia due to multiple sclerosis (MS). It has been found that Cawthorne-Cooksey exercises improve the quality of life and reduce the complaints of diplopia in MS patients with diplopia. In addition, the patient verbally stated that his balance increased after Cawthorne-Cooksey exercises. As a result, Cawthorne-Cooksey exercises are a rehabilitation method that gives positive results in the treatment of diplopia and it is recommended to apply this method via telerehabilitation.Öğe Dancing: More than a therapy for patients with venous insufficiency(Sage Publications Ltd, 2020) Dogru-Huzmeli, Esra; Fansa, Iyad; Cetisli-Korkmaz, Nilufer; Oznur-Karabicak, Gul; Lale, Cem; Gokcek, Ozden; Cam, YagmurObjective This study aims to figure out the effects of dance therapy on patients with chronic venous insufficiency disease. Methods Forty subjects with chronic venous insufficiency were recruited to either the control group or the dance therapy group. As the severity of chronic venous insufficiency was defined with the Venous Clinical Severity Scores (VCSS), patients in control group received only medical treatment. Twenty patients with chronic venous insufficiency in dance therapy group received three times a week, for five weeks, totally 15 sessions of dance therapy in addition to medical treatment. Results There was no significant difference in pre- and post-treatment results of Rivermead Index, VCSS parameters constipation complaint, assistive breath muscle activity, lower limb circumference, strength and range of motion between groups (p > 0.05). The remarkable result of this study was obtaining that the post-treatment quality of life scale's bodily pain score was significantly higher in the dance therapy group than the control group (p < 0.05). Conclusions It was concluded that dance therapy has positive effects on quality of life. There were no barriers to chronic venous insufficiency patients in this form of gentle exercise, showing that it is to meliorate the cardiovascular, physical and psychological benefits of an activity that is enhancing of the self-esteem in addition to the quality of life. Treatment of chronic venous insufficiency should consist of methods that support the patient mentally, physically and psychologically, in addition to the medical treatment. Dance therapy might be a potential exercise intervention for improvements in chronic venous insufficiency patients, so clinicians focusing on them could recommend this form of gentle exercise in addition to the medical treatment.Öğe THE EFFECTS OF CALISTHENIC EXERCISES ON SLEEP QUALITY, FATIGUE, AND DEPRESSION IN ELDER ADULTS(Turkey Assoc Physiotherapists, 2023) Cetisli-Korkmaz, Nilufer; Kara-Cakici, Guzin; Dogru-Huzmeli, Esra; Huzmeli, Irem; Melek, Ismet MuratPurpose: The physical, psychological, even economic and environmental changes emerged with age cause problems in sleep. The lack of exercise habits could increase the incidence of unfavorable sleep disorders with depression and fatigue. The aim of this non-randomized controlled study was to investigate the considerable effects of calisthenic exercises on sleep disorders, depression, and fatigue in elder adults. Methods: The study was conducted at Pamukkale University and Hatay Mustafa Kemal University. Sixty-two individuals participated in the study between May 2018-October 2019. While the Calisthenic Group (n=32) performed calisthenic exercises for 30-45minutes/session and 3days/6-weeks, and Control Group (n=30) did not performed. Fatigue, depression, and sleep quality levels were assessed using the Fatigue Severity Scale (FSS), Beck Depression Scale (BDI), and Pittsburgh Sleep Quality Index (PSQI), respectively. Results: Statistically significant differences among FSS (p=0.001), BDI (p=0.022), and PSQI (p=0.006) scores were found in the Calisthenic Group after the intervention, while there were differences only in fatigue (p=0.035) and total sleep quality (p=0.035) for the Control Group. We found that the Calisthenic Group's PSQI latency, PSQI sleep duration and PSQI total scores decreased in post-treatment. Both fatigue severity (p=0.001) and depression levels (p=0.001) were highly correlated with PSQI-subscores, except for sleep duration subscore (FSS p=0.934, BDI p=0.276). Conclusion: Regular calisthenic exercise programs may enable elders to better manage changes in the aging process. Physiotherapists should consider including calisthenic exercises in the rehabilitation programs for its effects on all parameters of sleep, fatigue, mental and emotional status in this population.Öğe Obstructive sleep apnea analysis techniques(IGI Global, 2021) Dogru-Huzmeli, Esra; Katayifci, Nihan; Huzmeli, IremObstructive sleep apnea (OSA) is a common disease in adults between 20 and 100 years of age and its prevalence has been reported to be higher in males than in females. There are several methods for measuring the severity of OSA. These include measuring the number of apnea and hypopneas per hour of sleep (apnea-hypopnea index: AHI), the degree of oxygen desaturation during sleep, or the severi ty of daytime sleepiness, which is the most common condition that negatively affects the quality of life. The gold standard test for the diagnosis of OSA is polysomnography. The pulse oximeter, home sleep apnea testing, SleepQuest device, peripheral arterial tonometry, ApneaLink Plus device, maximum static inspiratory pressure, and maximum static expiratory pressure measurements are preferred methods for OSA diagnosis. © 2021, IGI Global.Öğe Rehabilitation strategies and neurological consequences in patients with COVID-19: part I(Taylor & Francis Ltd, 2021) Cetisli-Korkmaz, Nilufer; Bilek, Furkan; Can-Akman, Tuba; Baskan, Emre; Keser, Ilke; Dogru-Huzmeli, Esra; Duray, MehmetBackground: The 2019 novel coronavirus disease (COVID-19) pandemic has triggered a devastating effect worldwide. In addition to cardiovascular, pulmonary, and musculoskeletal deconditioning, reports of neurological consequences (e.g. stroke, critical illness polyneuropathy, myopathy, vertigo, headaches, facial palsy, and delirium) are growing increasingly common. Objectives: Part I of this review of rehabilitation strategies and neurological consequences in patients with COVID-19 sought to consider potential rehabilitation strategies for managing the emerging neurological consequences of COVID-19. Methods: An exploratory review was conducted that comprised a narrative synthesis in two parts. Part I focused on neurological consequences and physiotherapy and rehabilitation approaches. Part II focused on the general principles of rehabilitation interventions and precautions that should be considered. Literature on the use of the neurorehabilitation approaches was also included in the review. Results: Rehabilitation services include inpatient and outpatient rehabilitation services. With respect to the recovery of mobility and function, an interdisciplinary approach was generally involved. Conclusions: A thorough assessment and the development of an individualized, progressive treatment and rehabilitation plan should be implemented by focusing on existing function, any disabilities, the desire to return to participation in society, and maximizing function and quality of life. It should be noted that neurorehabilitation should not be delayed and be completed for all patients with COVID-19 of all levels in need.Öğe Rehabilitation strategies and neurological consequences in patients with COVID-19: part II(Taylor & Francis Ltd, 2021) Cetisli-Korkmaz, Nilufer; Bilek, Furkan; Can-Akman, Tuba; Baskan, Emre; Keser, Ilke; Dogru-Huzmeli, Esra; Duray, MehmetBackground: The 2019 novel coronavirus disease (COVID-19) pandemic has triggered a devastating effect worldwide. Objectives: This review of rehabilitation strategies and neurological consequences in patients with COVID-19 sought to consider potential neurorehabilitation strategies for managing the emerging neurological consequences of COVID-19. Methods: An exploratory review was conducted that comprised a narrative synthesis in two parts. Part I focused on neurological consequences and physiotherapy and rehabilitation approaches. Part II focused on general principles of rehabilitation interventions and precautions that should be considered. Literature on the use of neurorehabilitation approaches was also included in the review. Results: Rehabilitation should be initiated as quickly as possible. Neurorehabilitation protocols include public health training valid for the whole community and providing intensive care, pulmonary rehabilitation, mobilization, exercise and strengthening, whole-body vibration, neuromuscular electrical stimulation, telerehabilitation, and other rehabilitation interventions. Interventions should be conducted while correctly implementing personal protective equipment (PPE), hand hygiene, sterilization procedures, and other precautions to avoid the risk of contamination. Conclusions: Multidimensional assessment should be followed by development of individualized and progressive treatment and neurorehabilitation plans. These plans should focus on existing potential and recovery of mobility and function in particular. It is important for rehabilitation teams to keep gathering and reporting data on patients with COVID-19 and the neurologic complications of COVID-19 during and after the pandemic.Öğe There is an impairment in time perception of patients with multiple sclerosis(Taylor & Francis Ltd, 2021) Dogru-Huzmeli, Esra; Duman, TaskinObjective The objective of this study is to examine time perception impairment in multiple sclerosis (MS) patients. Method The study was performed with 60 MS patients and 60 age-matched healthy people. Estimation and Production Tests were carried out with a standard personal laptop computer and participants were aware to count the seconds by the 'start' command and to stop by the 'stop' command. The outcome measure was the ratio between the estimated duration and the target (7 s, 32 s, or 58 s) one for the Estimation Test and the Produced duration and the target (7 s, 32 s, or 58 s) one for the Production Test; and each time duration was repeated three times both for Production and Estimation Tests. Results We found a significant difference in the Estimation Test (7 s, 32 s, 58 s), and the Production Test (7 s, 32 s, 58 s) between the MS group and healthy control group (p < .05). It was observed that patients with MS had a higher deviation from the target time compared to the control group. It was found that this difference was statistically significant (p < .05). There was a high and negative correlation between the Estimation and Production Tests in MS patients. Conclusion In conclusion, our data suggests that time estimation and production are disturbed in MS patients, and cognitive rehabilitation is required for most of them.
