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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.
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    The Effectiveness of Neuromuscular Electrical Stimulation in Patients With Subacromial Impingement Syndrome A Randomized Controlled Study
    (Lippincott Williams & Wilkins, 2023) Karaaslan, Yasemin; Sahbaz, Yasemin; Dogan, Dildade Dilek; Ziroglu, Nezih; Altun, Suleyman; Mutlu, Ebru Kaya
    ObjectiveThe aim of the study is to compare the effects of exercise training plus neuromuscular electrical stimulation with exercise training alone on shoulder function, pain, range of motion, and muscle strength in patients with subacromial impingement syndrome.DesignPatients were randomly divided into groups of exercise training (n = 24) and exercise training + neuromuscular electrical stimulation (n = 24). Shoulder function was evaluated with the Disabilities of the Arm, Shoulder and Hand Questionnaire, pain level was assessed with a visual analog scale, range of motion was measured with a goniometer, and muscle strength was assessed with a handheld dynamometer baseline and at the end of treatment (week 8).ResultsIn both groups, shoulder function, range of motion, and muscle strength (except flexion muscle strength in the exercise training group) increased, while pain decreased (P < 0.05). Compared with the exercise training group, visual analog scale-activity and visual analog scale-night decreased more, and external-rotation range of motion and whole muscle strength increased more in the exercise training + neuromuscular electrical stimulation group (P < 0.05). On the other hand, the effect sizes were medium to large for both groups.ConclusionsThe addition of neuromuscular electrical stimulation treatment to exercise training did not improve shoulder function, which is the primary outcome, more than exercise training alone, but increased muscle strength and range of motion (external-rotation only) and decreased pain (activity-night), which are the secondary outcomes.
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    Effects of Pelvic Floor Muscle Training on Sexual Dysfunction, Sexual Satisfaction of Partners, Urinary Symptoms, and Pelvic Floor Muscle Strength in Women With Overactive Bladder: A Randomized Controlled Study
    (Elsevier Sci Ltd, 2022) Celenay, Seyda Toprak; Karaaslan, Yasemin; Ozdemir, Enver
    Background: In women with overactive bladder (OAB), sexual dysfunctions and sexual satisfaction of their partners have been problems that are as important as urinary symptoms.Aim: To investigate the effects of pelvic floor muscle training (PFMT) on sexual dysfunction, sexual satisfaction of partners, urinary symptoms, and pelvic floor muscle strength (PFMS) in women with OAB.Methods: Women with OAB were randomized into 2 groups: 6-week PFMT (n = 21) (home exercise program) and a control group (n = 22) (did not receive any treatment for OAB).Outcomes: Sexual dysfunction, sexual satisfaction of partner, urinary symptoms, and PFMS were assessed at baseline and after 6 weeks with the Female Sexual Function Index (FSFI), a Visual Analogue Scale (VAS), the OAB-Version8 (OAB-V8), and the Modified Oxford Scale (MOS), respectively.Results: After 6 weeks, there was an increase in FSFI domains [desire (95% CI: 0.18 to 0.64; P:.001, d: 0.88); arousal (95% CI: 0.42 to 1.24, P:<.001, d: 1.17); orgasm (95% CI:0.85 to 1.47; P:<.001, d:1.89); satisfaction (95% CI: 0.85 to 1.44; P:<.001, d: 2.29); sexual pain (95% CI:0.80 to 1.52; P:<.001, d:1.47); total score (95% CI: 3.70 to 5.94; P:<.001, d: 2.55)], sexual satisfaction of partners (95% CI: 1.80 to 2.85; P:<.001, d:2.83) and PFMS scores (95% CI: 1.10 to 1.55; P:<.001, d:3.18), and a decrease in the OAB-V8 score (95% CI: -13.01 to -7.10; P:<.001, d:2.19) in the PFMT group compared to the control group. There was a significant decrease in sexual dysfunction in the PFMT group compared to the control group (P:.046).Clinical Implications: In order to improve sexual function, sexual satisfaction of the partners, urinary symptoms, and PFMS in women with OAB, PFMT should be added to the rehabilitation program in clinics.Strengths & Limitations: The strength of this study was that it is a randomized controlled trial investigating the effect of PFMT in improving sexual function in OAB. The limitations of our study were the lack of a longterm (6 months-1 year) follow-up and the inability to blind.Conclusion: PFMT was effective in improving sexual dysfunction, sexual satisfaction of partners, urinary symptoms, and PFMS in women with OAB. Celenay ST, Karaaslan Y, Ozdemir E. Effects of Pelvic Floor Muscle Training on Sexual Dysfunction, Sexual Satisfaction of Partners, Urinary Symptoms, and Pelvic Floor Muscle Strength in Women With Overactive Bladder: A Randomized Controlled Study. J Sex Med 2022;19:1421-1430.Copyright (c) 2022, International Society of Sexual Medicine. Published by Elsevier Inc. All rights reserved.
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    An investigation of potential coronaphobia-related factors in adults and sleep quality relations
    (Elsevier, 2021) Karaaslan, Yasemin; Mete, Oguzhan; Karadag, Mehmet; Kaya, Derya Ozer; Celenay, Seyda Toprak
    Background: The study aimed to investigate potential coronaphobia-related factors in adults and to assess the relationship between coronaphobia and sleep quality. Methods: This cross-sectional study was conducted in 1262 participants. The Covid-19 Phobia Scale (C19P-S) and Jenkins Sleep Scale (JSS) were used to measure outcomes. Univariate and multivariate logistic regression analyses were constructed to determine risk factors for coronaphobia. Pearson correlation coefficient was used to assess the correlation between C19P-S and JSS. Results: The following risk factors were found to be associated with coronaphobia: gender, marital status, presence of chronic disease, staying home, and sleep disturbances. Female gender (OR = 2.23 and OR = 2.12), being married (OR = 1.31 and OR = 1.45), chronic disease status (OR = 1.39 and OR = 1.27), staying home (OR = 1.72 and OR = 1.35) and sleep disturbances (OR = 2.63 and OR = 2.49) were found to be associated with the likelihood of having a higher coronaphobia score (p < 0.05). Weak positive correlations were found between C19P-S and its subscales and JSS scores (p < 0.001). Conclusions: Female gender, being married, having chronic diseases, staying home, and having sleep disturbances were found to be risk factors for having high coronaphobia scores. Moreover, the severity of coronaphobia was associated with sleep disturbances. These results should be considered in the management of coronaphobia. (C) 2021 Elsevier B.V. All rights reserved.
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    Kronik konstipasyonu olan kadınlarda konstipasyon şiddeti ile fiziksel aktivite seviyesi, vücut kütle indeksi, bel/kalça oranı ve yaşam kalitesi arasındaki ilişki
    (2023) Karaaslan, Yasemin; Koç, Deniz Öğütmen; Çelenay, Şeyda Toprak
    Amaç: Kronik konstipasyonu olan kadınlarda konstipasyon şiddeti ile fiziksel aktivite seviyesi, vücut kütle indeksi (VKİ), bel/kalça oranı ve yaşam kalitesi arasındaki ilişkiyi incelemekti. Yöntem: Kronik konstipasyonu olan 115 kadının konstipasyon şiddeti Konstipasyon Ciddiyet Ölçeği (KCÖ) ile, fiziksel aktivite seviyesi Uluslararası Fiziksel Aktivite Anketi-Kısa Form (UFAA-KF) ile, VKİ vücut ağırlığı / boy uzunluğu hesabı ile, bel/kalça oranı mezura ile ve yaşam kalitesi Nottingham Sağlık Profili (NSP) ile değerlendirildi. Bulgular: KCÖ-dışkı tıkanıklığı, KCÖ-kalın barsak tembelliği, KCÖ-ağrı ve KCÖ-toplam skorları ile UFAA-KF skoru arasında negatif ilişkiler (sırasıyla rho=-0,482, -0,364, -0,366 ve -0,538) bulunurken, bel/kalça oranı ile (KCÖ-kalın barsak tembelliği hariç) arasında pozitif ilişkiler (sırasıyla rho=0,288, 0,374 ve 0,322) bulundu (p<0,05). KCÖ alt boyutları ile NSP-ağrı skoru arasında (sırasıyla rho=0,592, 0,409, 0,620, ve 0,674), NSP-emosyonel reaksiyon skoru arasında (sırasıyla rho=0,531, 0,448, 0,526, ve 0,588), NSP-uyku skoru arasında (sırasıyla rho=0,381, 0,254, 0,337, ve 0396), NSP-sosyal izolasyon skoru arasında (sırasıyla rho=0,451, 0,334, 0,392, ve 0,512), NSP-fiziksel aktivite soru arasında (sırasıyla rho=0,517, 0,383, 0,441, ve 0,563), NSP-enerji skoru arasında (sırasıyla rho=0,367, 0,344, 0,330, ve 0,451) ve NSP-toplam skoru arasında (sırasıyla rho=0,728, 0,559, 0,668 ve 0,812) pozitif ilişkiler tespit edildi (p<0,001). Sonuç: Konstipasyon şiddetinin fiziksel aktivite seviyesi ile negatif ilişkili olduğu tespit edilirken, bel/kalça oranı ve yaşam kalitesi ile pozitif ilişkili olduğu bulundu. Düzenli fiziksel aktivite ve egzersiz programlarına ilave olarak verilen beslenme ve diyet programları ile konstipasyon şiddeti azaltılarak yaşam kalitesi artırılabilir.
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    Kronik Konstipasyonu Olan ve Olmayan Kadınlarda Fiziksel Aktivite Seviyesi, Oturma Süresi ve Algılanan Stres Düzeyinin Karşılaştırılması: Vaka Kontrol Çalışması
    (2023) Karaaslan, Yasemin; Koç, Deniz Öğütmen; Çelenay, Şeyda Toprak
    Amaç: Dünya çapında yaygın görülen kronik konstipasyona etki eden faktörler hakk ında yeterli sayıda çalışma bulunmamaktadır. Bu nedenle bu çalışmanın amacı, kronik konstipasyonu olan ve olma- yan kadınlarda fiziksel aktivite seviyesi, oturma süresi ve algılanan stres düzeyini karşılaştırmaktır. Gereç ve Yöntemler: Çalışmaya, Roma IV tanı kriterlerine göre kronik konstipasyonu olan (konstipasyon grubu, n=29, ya ş=30,72±5,98 y ıl) ve olmayan (kontrol grubu, n=31, yaş=31,13±6,75 yıl) kadınlar dâhil edildi. Ba ğırsak fonksiyonları ba- ğırsak günlüğü (defekasyon frekansı, defekasyon süresi, tamamlanma- mış boşaltım hissi, ağrı) ve Bristol Gaita Skalası (gaita tipi) ile fiziksel aktivite seviyesi ve oturma süresi Uluslararas ı Fiziksel Aktivite An- keti-Kısa Form (UFAA-KF) ile algılanan stres düzeyi Algılanan Stres Ölçeği ile değerlendirildi. Değerlendirmeler 1 kere gerçekleştirildi. Bul- gular: Defekasyon frekansı konstipasyon grubunda kontrol grubuna göre daha düşük, defekasyon süresi ve tamamlanmamış boşaltım hissi kontrol grubuna göre daha yüksek bulundu (p<0,05). Gaita tipinin kons- tipasyon grubunda sert, kontrol grubunda normal oldu ğu tespit edildi. Konstipasyon grubunda kontrol grubuna göre UFAA-KF skorlar ının (p=0,003) daha düşük olduğu, oturma süresinin (p<0,001) daha uzun ol- duğu görüldü. Algılanan stres düzeyinin konstipasyon grubunda kont- rol grubuna göre daha yüksek oldu ğu saptand ı (p=0,023). Sonuç: Kronik konstipasyonu olan kad ınların konstipasyonu olmayan kad ın- lara göre fiziksel aktivite düzeyinin daha az oldu ğu, oturma süresinin ve algılanan stres düzeyinin daha fazla oldu ğu bulundu. Bu sonuçlara göre, konstipasyon yönetiminde fiziksel aktivite, oturma süresi ve al- gılanan stres düzeyi, hem değerlendirme hem de tedavi programlarında dikkate alınmalıdır.
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    Lower urinary tract symptoms and toileting behaviors in Turkish adult women
    (Routledge Journals, Taylor & Francis Ltd, 2023) Celenay, Seyda Toprak; Dusgun, Elif Sena; Karaaslan, Yasemin; Urus, Gulcin; Karadag, Mehmet; Ozdemir, Enver
    This study aimed to investigate lower urinary tract symptoms (LUTS) in Turkish adult women and to compare toileting behaviors in women with and without LUTS. This cross-sectional study was conducted in 815 women. The International Consultation on Incontinence Modular Questionnaire - Female LUTS and a toileting behaviors form, created by the authors, were used in evaluations. Nearly 50 % of the women had at least one LUTS, 45.8 % had storage symptoms, 7.4 % had voiding symptoms, and 20.2 % had incontinence symptoms. The rates of premature urination, straining during urination, delayed urination, and sitting on the toilet while urinating were higher in women with LUTS than in women without LUTS (p < .05). The rate of squatting on the toilet while urinating was lower in women with LUTS than those without LUTS (p < .05). Various LUTS were common in adult women. Some toileting behaviors such as premature urination, straining during urination, delayed urination, and sitting on the toilet while urinating were higher in women with LUTS compared to women without LUTS. Since the rate of unhealthy toilet behaviors is higher in women with LUTS, it is important to know unhealthy toilet behaviors in the management of LUTS and to organize training programs to prevent these behaviors and LUTS.
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    Lower Urinary Tract Symptoms, Toileting Behaviors, and Pelvic Floor Health Knowledge in Younger and Older Women
    (Springer London Ltd, 2024) Karaaslan, Yasemin; Korkut, Zehra; Yilmaz, Hilal; Kazaz, Tanyeli Guneyligil; Celenay, Seyda Toprak
    Introduction and hypothesis The primary aim was to examine the relationship between lower urinary tract symptoms (LUTS), toileting behaviors, and pelvic floor health knowledge in younger and older women. The secondary aim was to compare LUTS, toileting behaviors, and pelvic floor health knowledge in younger and older women. Methods The study included 85 younger women and 81 older women. LUTS were evaluated using the International Consultation on Incontinence Questionnaire-Female LUTS (ICIQ-FLUTS), toileting behaviors using Toileting Behavior-Women's Elimination Behaviors (TB-WEB), and pelvic floor health knowledge using the Pelvic Floor Health Knowledge Quiz (PFHKQ). Results In terms of LUTS, the most common symptoms in younger women are urgency (31.8%), bladder pain (28.2%), and frequency of incontinence episodes (35.3%), whereas in older women, the most common symptoms observed are urgency (64.2%), frequency of incontinence episodes (61.7%), intermittency (46.9%), urgency urinary incontinence (58%), and frequency of incontinence episodes (49.4%). Most unhealthy toileting behaviors correlated with LUTS in both groups (p < 0.05). Although a weak negative correlation was detected between ICIQ-FLUTS total score and PFHKQ function in younger women (p < 0.05), no correlation was found in older women (p < 0.05). Whereas premature voiding, straining during voiding, TB-WEB total score were higher in older women than in younger women (p < 0.05), delayed voiding, position preference for voiding, and PFHKQ function/dysfunction scores were higher in younger women than in older women (p < 0.05). Conclusions Within the scope of preventive health services, it may be important to provide informative programs on healthy toileting behaviors and pelvic floor health to women of all ages in order to prevent LUTS.
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    Pelvic floor dysfunction symptoms and knowledge level in obese women
    (Routledge Journals, Taylor & Francis Ltd, 2022) Karaaslan, Yasemin; Karadag, Mehmet; Celenay, Seyda Toprak
    This study compared the pelvic floor dysfunction (PFD) symptoms and knowledge levels in obese and non-obese women. The study included 40 obese and 41 non-obese women. The presence of PFD and the severity of its symptoms were questioned with the Pelvic Floor Distress Inventory-20 (PFDI20) (its sub-scales: Pelvic Organ Prolapse Distress Inventory-6 (POPDI-6), Colorectal-Anal Distress Inventory-8 (CRADI-8), Urinary Distress Inventory-6 (UDI-6)). Participants' PFD knowledge levels were evaluated with the Prolapse and Incontinence Knowledge Questionnaire (PIKQ) and the Anal Incontinence Knowledge Questionnaire (AIKQ). The rates of urinary incontinence (UI) and pelvic organ prolapse (POP) symptoms were higher in the obese group compared to the control group (p = .001). The POPDI-6, CRADI-8, UDI-6, and PFDI-20 scores were higher in the obese group compared to the control group (p < .001). Moreover, the knowledge level related to treatment methods for PFD was lower in the obese women compared to the non-obese women (p < .05). PFD symptom incidence and severity were higher and knowledge levels related to PFD were lower in the obese women compared to the non-obese women. Informative teaching programs on this issue would be beneficial as part of preventive health services.
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    Relationship between pain activity patterns, and physical and psychological aspects and sleep quality in women with migraine
    (Routledge Journals, Taylor & Francis Ltd, 2024) Celenay, Seyda Toprak; Korkut, Zehra; Karaaslan, Yasemin; Lalecan, Nida; Kazaz, Tanyeli Guneyligil
    Migraine can cause different pain activity patterns. This cross-sectional study examines the relationship between pain activity patterns and physical and psychological aspects and sleep quality in women with migraine. Women diagnosed with migraine (n = 129) were reached through social media and announcements. Outcome measures were Pattern of Activity Measure-Pain (POAM-P) (avoidance, overdoing, pacing), Migraine Disability Assessment Scale (MIDAS), International Physical Activity Questionnaire-Short Form (IPAQ-SF), Depression Anxiety Stress Scale-21 (DASS-21), the Pittsburgh Sleep Quality Index (PSQI). While there was a negative correlation between the POAMP-avoidance and the IPAQ-SF rho = -0.178), there were positive correlations between the POAMP-avoidance and the MIDAS (rho = 0.454), the DASS-21-depression (rho = 0.413), the DASS-21-anxiety (rho = 0.321), and the DASS-21-stress (rho = 0.446). There were positive correlations between the POAMP-overdoing, and the DASS-21-depression (rho = 0.229), the DASS-21-stress (rho = 0.207), and the PSQI (rho = 0.217). There were also positive correlations between the POAMP-pacing and the MIDAS (rho = 0.283), the DASS-21-depression (rho = 0.250), and the DASS-21-anxiety (rho = 0.213) (p < .05). Pain activity patterns in women with migraines were associated with their disability, physical activity, psychological state, and sleep quality. Determining treatment based on pain activity patterns can improve migraine treatment outcomes.
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    The relationship of pain, disability, physical activity, and body awareness with kinesiophobia in pregnant women with low back pain
    (Taylor & Francis Ltd, 2023) Karaaslan, Yasemin; Ucuzoglu, Mehmet Eren; Yuksel, Semra; Yalcinkaya, Ebru Yilmaz
    Purpose/aimTo investigate the relationship of pain intensity, disability level, physical activity level, and body awareness with kinesiophobia in pregnant women with low back pain (LBP).Materials and methodsThis cross-sectional study was conducted in the obstetrics and gynaecologic clinic of a tertiary centre. Eighty-six pregnant women were included in the study. Pain intensity, disability level, physical activity, body awareness, and kinesiophobia were assessed with a Visual Analogue Scale, the Oswestry Disability Index (ODI), the International Physical Activity Questionnaire-Short Form (IPAQ-SF), the Body Awareness Questionnaire (BAQ), and the Tampa Scale for Kinesiophobia (TSK), respectively.ResultsKinesiophobia score was high in pregnant women with LBP (40.01 +/- 9.02). In pregnant women with LBP, a weak positive correlation was found between kinesiophobia with mean intensity of LBP (r = 0.339, p = 0.001) and intensity of LBP in activity (r = 0.283, p = 0.008); a moderate positive correlation between kinesiophobia and disability score (r = 0.539, p = 0.001); and a weak negative correlation between kinesiophobia and physical activity level (r = -0.308, p = 0.004) and body awareness (r = -0.324, p = 0.002). There was no relationship between kinesiophobia and intensity of LBP at rest (r = 0.160, p = 0.142) and nocturnal LBP intensity (r = 0.176, p = 0.105).ConclusionsLBP intensity, disability level, physical activity level, and body awareness were significantly correlated with kinesiophobia in pregnant women with LBP. Therefore, kinesiophobia may be addressed as an important issue in pregnancy education programs.