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Öğe Analysis of the effects of subthalamic nucleus deep brain stimulation on somatosensation in Parkinson's disease patients(Springer-Verlag Italia Srl, 2020) Huzmeli, Esra Dogru; Yilmaz, Atilla; Okuyucu, EsraObjective Despite the subthalamic nucleus (STN) deep brain stimulation (DBS) is a treatment commonly used to ameliorate the motor symptoms of Parkinson's disease (PD), its effects on somatosensation is unclear. The purpose of this study was to investigate the potential effects of DBS on temperature, proprioceptive, tactile, exteroceptive, pain and cortical sensations, and odor identification in PD patients. Methods The study included 14 patients (with a mean age of 59.78 +/- 11.03 years; range, 44-70 years) with idiopathic PD who underwent DBS surgery for movement disorders caused by PD at the same Neurosurgery Department. All patients were tested while DBS was turned on (DBS-ON) and off (DBS-OFF). To clearly observe the effect of removing stimulation off, DBS devices were turned off by experimental clinical personnel for a minimum duration of 30 min prior to examination. Temperature, proprioceptive, tactile, exteroceptive, pain and cortical sensations, and odor identification were examined. Results We found that two-point discrimination was significantly lower during DBS-ON than DBS-OFF (p = 0.031). Tactile sensation and kinesthesia deviation degree were lower during DBS-ON than DBS-OFF, but were non-significant (p > 0.05). The number of correct answers on an assessment of graphesthesia was higher during DBS-ON, but was non-significant as well (p > 0.05). Odor identification was better during DBS-OFF. Conclusions DBS may have an effective role to improve somatosensation and DBS-related benefits may not be explained by improvements in motor function alone, but rather by enhanced somatosensory processing. Further studies with larger study groups are needed.Öğe Cardiovascular Screening before Sports Participation: Results of 11487 Children(Georg Thieme Verlag Kg, 2024) Duman, Derya; Demetguel, Hasan; Sel, Kutay; Donmez, Yasemin Nuran; Celikkaya, Mehmet Emin; Huzmeli, Esra Dogru; Akin, AlperAim In this study, it is aimed to analyze the data of children who were referred to our clinic for pre-participation sports screening. Methods Data, between September 2017 and December 2021, had been analyzed. All these subjects had been questioned for their personal and family medical stories and examined for cardiovascular system findings. Electrocardiography (ECG) and echocardiography were applied to all of them. Results 11487 children were consulted to the cardiology clinic for pre-sports participation screening. The mean age was 12.7 +/- 4,57 (7-18 years). 34/11487(0,29 %) subjects weren't allowed to participate in sports activities at first. In 23 of 34 subjects, cardiac arrhythmias were established. 15 had Wolff-Parkinson-White (WPW) syndrome, 3 subjects had ventricular extrasystole, and also ventricular tachycardia in one of them. Four subjects had long QT syndrome and one had ST elevation with the pre-diagnosis of coronary artery disease. ECG screening alone aided in identifying asymptomatic (0.05 %) that could have been potentially at risk for sudden cardiac death. Conclusion Positive ECG and echocardiography findings involve a very little ratio.But ECG involves an important tool for screening lethal cardiac arrhythmias in asymptomatic patients. If ECG or echocardiography couldn't be taken, further evaluation should be necessary with symptoms and/or family history.Öğe Differences in steep quality and body mass index in asthmatic children and healthy control group(Codon Publications, 2021) Gokcek, Ozden; Yurdalan, Ufuk; Huzmeli, Esra Dogru; El, CigdemIntroduction: Childhood asthma has become a serious public health problem. Obesity has been determined to be one of the risk factors of asthma. Aim: We aimed to determine the difference in body mass index (BMI) and sleep quality in pediatric asthmatic individuals compared to their peers. Method: Thirty children aged 8-17 years were followed up in the Pediatric Outpatient Clinic for asthma along with 30 healthy children. The BMI percentile values of the children were recorded. The Pittsburgh Sleep Quality Index was used to assess sleep quality. Results: Each group in our study had 10 girls and 20 boys. The mean age was found to be 11.76 +/- 2.69 years in asthma group and 11.33 +/- 2.29 years in the healthy group. The asthma group were found to be more obese than the healthy group (P = 0.033). There was a significant difference between groups interested in a sport (P = 0.028) and steep quality (P = 0.007). Conclusion: It was observed that the asthma group had more obesity and poorer sleep quality than the healthy group. Further, it was determined that in the asthma group, the level of interest in any sport was less than that in the healthy group. We think that high obesity in the asthma group reduces the effect of corticosteroids, and the continuity of nighttime cough symptoms causes deterioration in sleep quality. We conclude that participation in sports activities should be encouraged to reduce the level of obesity in asthmatic children. (C) 2021 Codon Publications. Published by Codon Publications.Öğe Effect of sensory training of the posterior thigh on trunk control and upper extremity functions in stroke patients(Springer-Verlag Italia Srl, 2017) Huzmeli, Esra Dogru; Yildirim, Sibel Aksu; Kilinc, MuhammedSome studies show that sensorial rehabilitation is effective on functionality. The aim of this study is to investigate the effect of sensory training of the posterior thigh on the functionality of upper extremity and trunk control in stroke patients. Thirteen subjects (53.23 +/- 6.82 years) were included in the intervention group and 13 subjects (58.69 +/- 5.94 years) in the control group. The control and intervention groups were treated for ten sessions. The control group was treated only with neurodevelopmental treatment, and the intervention group was treated with sensorial training on the posterior thigh in addition to the neurodevelopmental treatment. Subjects were evaluated three times, pre- and post-treatment and 10 days after finishing the treatment. Trunk control was assessed by the Trunk Impairment Scale, reaching function by the Functional Reach Test, balance by the Berg Balance Test, upper extremity symptom and disability severity by the Disabilities of the Arm, Shoulder, Hand and Minnesota, independence level in daily living activities by the Barthel Index, and sensory function of the posterior thigh by sensorial tests. In the post-treatment assessment, it was found that the intervention group was better than the control group in the parameter of functional reach while sitting (p < 0.005). In the third assessment, reaching while sitting and independence level were better in the intervention group than the control group (p < 0.005). There was no difference in sensorial assessment between the groups. Sensory training of the posterior thigh should be included in the rehabilitation programme of stroke patients.Öğe Effects of Different Inspiratory Muscle Training Protocols on Exercise Capacity, Respiratory Muscle Strength, and Health-Related Quality of Life in Patients with Hypertension(Wiley-Hindawi, 2024) Huzmeli, Irem; Katayifci, Nihan; Yalcin, Fatih; Huzmeli, Esra DogruAim. This study aimed to explore how varying inspiratory muscle training workloads affect exercise capacity, health-related quality of life (HrQoL), depression, peripheral and respiratory muscle strength, pulmonary function, dyspnea, fatigue, and physical activity levels in hypertension (HT) patients. Methods. A randomized, controlled three-arm study. Forty-five patients (58.37 +/- 8.53 y, 7F/38M) with HT received IMT (7 days/8 weeks) by POWERbreathe (R) Classic LR device and were randomized to control group (CG, 10% maximal inspiratory pressure (MIP), n: 15), low-load group (LLG, 30% MIP), and high-load group (HLG, %50 MIP). Exercise capacity, HrQoL, depression, peripheral and respiratory muscle strength, pulmonary function, fatigue, physical activity level, dyspnea, and sleep quality were evaluated before and after the training. Results. Exercise capacity, physical functioning, peripheral muscle strength, and resting dyspnea were statistically significantly improved in HLG and LLG after the training compared to CG . Similar improvements in perception of depression, fatigue, and sleep quality were seen within and between the groups . Statistically significant differences were found within all the groups in terms of MIP and PEF values of respiratory functions . The superior improvement in the physical activity level was found in the HLG . Discussion. High-load IMT was particularly effective in increasing physical activity level, peripheral muscle strength, exercise capacity, and improved HrQoL. Low-load IMT was effective in reducing dyspnea and improving respiratory function. Device-guided breathing exercises decreased blood pressure, improved sleep quality, and strengthened respiratory muscles. IMT, an efficient method, is suggested for inclusion in rehabilitation programs due to its capacity to increase physical activity, exercise capacity, and peripheral muscle strength, enhance HrQoL and respiratory function, and alleviate dyspnea. Also, the efficacy of IMT should be investigated with different training protocols such as endurance IMT or functional IMT in HT patients.Öğe Efficacy of Telerehabilitation in Patients with Stroke in Turkey: A Pilot Study(Turkish Neurological Soc, 2017) Huzmeli, Esra Dogru; Duman, Taskin; Yildirim, HaticeObjective: Telerehabilitation (TR) is not used very widely in our country. Our study was planned to evaluate the usefulness and effect of TR in patients with hemiplegia. Materials and Methods: The study was performed at Mustafa Kemal University Health Practice and Research Hospital. After the demographic data were questioned, cognitive levels were assessed using the Mini Mental State Examination, balance using the Berg Balance Scale, and quality of life using the Short Form-36 (SF-36) Quality of Life Scale. A TR program was performed for 3 weeks with 3 sessions per week, a total of 9 sessions. After the therapy program was planned, TR was applied by contacting the patients via laptops with a camera and microphone and an internet connection. The first and last assessments were done at the clinic. Results: According to the results of the study, the balance levels of patients significantly improved after the TR program (p=0.026). There was no difference in terms of quality of life and mental status before and after TR (p>0.05). Conclusion: It was concluded that TR could improve the functionality of patients with stroke and routine use of TR would be beneficial. However, our country's technological equipment for TR application has been found not sufficient in the countryside.Öğe Neuropathic Pain and Sleep Quality(Academic Press Ltd-Elsevier Science Ltd, 2020) Huzmeli, Esra Dogru; Urfali, Senem; Gokcek, Ozden[Abstract Not Available]Öğe Neuropathic pain's biopsychosocial effects(Springer-Verlag Italia Srl, 2017) Huzmeli, Esra Dogru; Melek, IsmetThe aim of our study is to understand neuropathic pain's social, psychological, and biological effects on the patients. All of the patients who were diagnosed with neuropathic pain (NP) by a neurologist were invited to participate in the study. The diagnoses were made based on the patients' history and symptoms and the results of their neurological examinations. Demographic characteristics (age and pain duration), diagnoses, and medical histories of the patients were recorded. Average daily pain intensity was measured using a 100-mm visual analogue scale (VAS). Quality of life was measured with RAND 36-Item Health Survey 1.0. Pittsburgh Sleep Quality Index (PSQI) was used to examine the quality of sleep, and Beck Depression Scale was used to examine depression status of the patients. A total of 26 patients (14 male, 12 female) between 33 and 79 years of age participated in the study. There were no dropouts from the study. Eleven (42.3%) patients' mood was normal and the others (57.7%) had different levels of depression. Two patients' (7.7%) quality of sleep was normal, but 24 (92.3%) of the patients' quality of sleep was poor. The patients' pain intensity was at an important and high value (VAS: 6.88). The most important result of this clinical study was that the biopsychosocial approach would be appropriate to understand and treat NP. The biopsychosocial approach to pain addresses psychological, sociocultural factors, and biomedical/physiological aspects. We wanted to draw attention to NP's psychological, emotional and sociocultural characteristics to show that the NP treatment can be applied within this framework.Öğe Patients With Neuropathic Pain Have Poor Sleep Quality(Lippincott Williams & Wilkins, 2021) Guntel, Murat; Huzmeli, Esra Dogru; Melek, IsmetAlthough sleep disorders have been studied many times in neuropathic pain (NP), the effect of pain level, depression, and quality of life (QOL) on sleep quality in NP has been rarely investigated. In the present study, we aimed to investigate associations between possible quality of sleep (QOS) impairment and pain level, depression, and QOL. Average daily pain intensity, QOL, QOS, and depression status of the patients were evaluated using a 100-mm visual analog scale (VAS), the RAND 36-Item Health Survey 1.0, the Pittsburgh Sleep Quality Index, and Beck Depression Inventory (BDI), respectively. In 83.1% of patients QOS was found to be poor. We found that there was a significant difference between good and poor QOS in BDI, VAS, and RAND 36-Item Health Survey 1.0 scale's parameters, and patients with NP have poor sleep quality. Depression status is the main predictor for QOS, so pain level and QOL affect the QOS in NP. Physicians who aim healthy QOS must evaluate all characteristics of pain, depression status, and QOL in patients with NP.Öğe Relationship of smartphone use time with cervical range of motion, shoulder-girdle muscle strength, posture, and neck pain in university students(Bayrakol Medical Publisher, 2024) Yilmaz, Aysenur; Korkmaz, Nilufer Cetisli; Huzmeli, Esra DogruAim: This study aimed to examine the relationship between smartphone (SP) use time and cervical range of motion, shoulder -girdle muscle strength, posture, and neck pain in university students. Material and Methods: 100 volunteers were divided into 4 groups according to their duration of use. Postural analysis, goniometric measurements, and manual muscle tests were performed. Results: When the difference between the groups in terms of neck pain was examined with the VAS -activity results, it was found that the difference was significant (p<0.05). The presence of scoliosis, passive and active neck extension, and neck range of motion (ROM) of passive rotation were found to be significantly different between the groups (p<0.05). Discussion: Long-term use of SP by young people could trigger neck pain, limit ROM, and cause postural impairments. Therefore, it is important to increase the awareness of individuals to minimize damage to the musculoskeletal system and maintain correct use and posture during SP usage.Öğe Temporomandibular Joint Assesment in Children with Cerebral Palsy(Galenos Yayincilik, 2017) Canbay, Ozden; Huzmeli, Esra Dogru; Katayifci, Nihan; Celik, MesutIntroduction: Aim of this study was to functionally evaluate temporomandibular joint (TMJ) in children with Cerebral palsy (CP). Materials and Methods: After recording the individual's demographic information, questions about TMJ stiffness, presence of saliva, nutrition, oral splint, pain, respiratory system, history of epilepsy, chewing problems and disease were asked to the individuals and/or parents. Mandibular mobility was evaluated with length measurement and neck muscle strength was evaluated with manual muscle test. Results: It was found that 15% individuals with CP who participated in the study, had jaw sensitivity, stiffness and locked up, 30% had headache, 25 % had bruxism, 15 % had nail biting and 25 % had otalgia. Swallowing problems were seen majorly in boys than girls (p<0.05). Conclusions: It was seen that children with CP have TMJ problems. Literature on this area is limited so it was thought that research is needed about prevention and treatment of TMJ disorders.Öğe Time perspective of patients with multiple sclerosis(Kare Publ, 2023) Huzmeli, Esra Dogru; Duman, TaskinOBJECTIVE: The time perspective of individuals with chronic disease is a little-studied parameter. Our aim is to examine multiple sclerosis (MS) patients' time perspective and factors that may affect time perspective and to research the correlation of past, present, and future perspectives.METHODS: Demographic characteristics, the Zimbardo Time Perspective Inventory (ZTPI) score, and the expanded disability status scale score were recorded. Overall, 50 with MS were included in the study.RESULTS: We found that there was a significant difference between present-fatalistic (x=3.18), and present-hedonistic (x=3.49), (p=0.017); also between present-fatalistic (x=3.18), and future (x=3.57), (p=0.011). There was no significant difference in ZTPI scores between gender, place of residence, marital status, number of attacks, or education level.CONCLUSION: MS patients focus mostly on the hedonistic dimension of the life than the fatalistic one in present time. We concluded that patients with MS focused mostly on the future. We found that our patients' present-fatalistic scores were lower, and the future was higher time perspective dimension.Öğe The Validity and Reliability of the Turkish Version of Short Questionnaire to Assess Healthcare Professionals' Perceptions of Asynchronous Telemedicine Services(Mattioli 1885, 2022) Karadag, Mehmet; Huzmeli, Irem; Huzmeli, Esra DogruStudy Objectives: The purpose of this study was to translate the Short Questionnaire to Assess Healthcare Professionals' Perceptions of Asynchronous Telemedicine Services into Turkish, and analyze it for validity and reliability. Methods: A total of 80 individuals were accepted in this cross-sectional descriptive study. The original scale was translated into Turkish (forward translate, reconciliation, back translation, review, plot test, final scale). Cronbach alpha, exploratory and confirmatory factor analysis were employed to assess the reliability and validity of the measurement model. Results: Cronbach's alpha was obtained as 0.880 in the Quality and 0.829 in the Difficulties subscales. The overall alpha value was 0.885. ICC (95% CI) values of the scale were calculated as 0.841 (0.775 to 0.891). RNISEA=0.09 was observed below the acceptable level of 0.10; GFI=0.92, AGFI=0.81 above the acceptable threshold of 0.90. Conclusion: The Turkish version of the scale is valid and reliable, and can be used in studies evaluating healthcare professionals' perceptions of asynchronous telemedicine services.
