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    A comparison of lumbopelvic muscle endurance, stability, mobility, and respiratory functions in children and adolescents with and without nocturnal enuresis
    (Elsevier Sci Ltd, 2023) Karaaslan, Yasemin; Karaaslan, Umut; Celenay, Seyda Toprak
    Background: Postural deterioration, delayed maturation, and accompanying respiratory diseases in children and adolescents with nocturnal enuresis have been reported in previous studies. This study aimed to compare lumbopelvic muscle endurance, stability, mobility, and respiratory functions in children and adolescents with and without nocturnal enuresis.Methods: Children and adolescents with (n:25, nocturnal enuresis group) and without nocturnal enuresis (n:29, control group) were included. The bladder and bowel dysfunctions with the Bladder and Bowel Dysfunction Questionnaire and voiding diary, lumbopelvic muscle endurance with the McGill trunk muscle endurance tests, lumbopelvic stability with the Sahrmann test, lumbopelvic mobility with the Modified Schober test, and respi-ratory function with a spirometer were assessed. Independent samples t-test, Mann Whitney U test, and Chi-square tests were used for analysis.Findings: Trunk flexor (p = 0.043), extension (p = 0.045), and right (p = 0.008) and left lateral flexion endurance test scores (sec) (p = 0.005), the Sahrmann test score (p = 0.005), and Modified Schober test (p < 0.001) results were lower in the nocturnal enuresis group compared to the control group. However, there were no differences between groups in terms of forced expiratory volume in 1 s (p = 0.415), forced vital capacity (p = 0.522), forced expiratory volume in 1 s/ forced vital capacity (p = 0.970), and peak expiratory flow values (p = 0.495). Interpretation: The children and adolescents with nocturnal enuresis had lower lumbopelvic muscle endurance, stability, and mobility compared to those without nocturnal enuresis; however, the respiratory functions were similar. The lumbopelvic structure changes may be taken into consideration for the management of nocturnal enuresis.
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    Determination of Physical Activity Level, Functional Capacity and Depression in Children with Digital Game Addiction
    (Galenos Publ House, 2023) Karaaslan, Yasemin; oezyurt, Fatih; Karaaslan, Umut
    Objective: The aim of this study was to determine the physical activity level, functional capacity, and depression in children with digital game addiction (DGA).Methods: Ninety-nine children (mean age: 10 +/- 1.53 years) with DGA were included in the study. Demographic, physical, and clinical characteristics were recorded. DGA was evaluated using the Digital Game Addiction Scale for Children, physical activity level with the Primary School Students' Physical Activity Questionnaire, functional capacity with the 2-Minute Walk test, and depression with the Depression Scale for Children.Results: Of the children, 17.2% were in the low-risk group, 41.4% were in the risky group, 26.3% were in the dependent group, and 15.2% were in the highly dependent group. DGA had a high negative correlation with physical activity level (r=-0.659; p=0.001), a weak positive correlation with depression (r=0.342; p=0.001), but no correlation with functional capacity (p>0.05). Simultaneously, it was found that physical activity and depression were found to be independent factors of the DGA with 43.4% of the variance. Additionally, a significant difference was found in terms of physical activity level and depression in children with DGA at different levels (p<0.05).Conclusion: In this study, a negative relationship was found between DGA and physical activity level, and a positive relationship with depression. It is important to raise the awareness of children and families about DGA. Additionally, children can be directed to various exercise programs to increase physical activity levels and reduce depression associated with DGA.