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    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, Mehmet
    Background: 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.
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    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, Mehmet
    Background: 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.
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    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, Hande
    Background/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.