Yazar "Çankaya, Tamer" seçeneğine göre listele
Listeleniyor 1 - 20 / 21
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Assessment of posture, spinal mobility and EMG data in patients with spinal stenosis(Gdansk Univ Physical Education & Sport, 2022) Zileli, Ahu; Çankaya, TamerIntroduction: This study aims to analyze the difference in muscle activation, posture and vertebral mobility values between healthy individuals and patients with lumbar spinal stenosis. Ma-terial and Methods: This study involved 48 lumbar spinal stenosis (LSS) patients of the average age of 55.19 +/- 10.41 years and 48 healthy individuals with of the average age of 58.15 +/- 8.44 years. Posture and spinal mobility of the participants were measured in the standing position, and the maximum flexion posture with spinal mouse. Muscle activation of rectus femoris, biceps femoris, tibialis anterior and medial head of the gastrocnemius muscle was measured during the maximum voluntary contrac-tion and gait with a surface electromyography device (sEMG). Results: Maximum trunk flexion, stand-ing segmental posture and mobility were similar in both groups (p > 0.05). On the other hand, a signif-icant difference was found in general mobility scores (p < 0.05), and a statistically significant difference was found in muscle activation parameters (p < 0.05) in both groups. Conclusions: When the LSS and the healthy groups were compared, it was found that segmental posture and spinal mobility were similar in both groups; muscular activity was lower in the healthy group, and total vertebral mobility was lower in the LSS group.Öğe Assessment of quadriceps angle in children aged between 2 and 8 years(2020) Çankaya, Tamer; Dursun, Ömer; Davazlı, Bahar; Toprak, Hidayet; Çankaya, HaticeAim: The quadriceps angle is the angle between the line drawn from the spina iliaca anterior superior to the midpoint of the patella, and the line drawn from the midpoint of the patella to the tuberositas tibiae. It is important for lower extremity posture. The aim of this study was to determine the normative quadriceps angle value by measurement, and to assess the probable effect of factors such as measurement position, age, sex, and presence of pes planus on these values. Material and Methods: A total of 599 children consisting of 296 (49.4%) girls and 303 (50.6%) boys aged between 2 and 8 years, were included in the study. The children were divided into three groups by age as 2–4 years, 4–6 years, and 6–8-years. After the children’s demographic data were collected, the quadriceps angle was measured using an electronic goniometer. Pes planus was assessed by drawing the Feiss line. Results: In bilateral measurement, it was found that the quadriceps angle decreased with age both in the supine and standing positions (p<0.05). It was observed that sex and presence of pes planus had no effect on the quadriceps angle independent from measurement positions (p>0.05). A low negative correlation was found between body mass index and the quadriceps angle in both measurement positions (p<0.05). Conclusion: It was found that positional changes and weight bearing on limbs did not cause any change in knee position in healthy children. We consider that the decrease in quadriceps angle in this age group is due to growth rate asymmetry between the femur shaft and pelvic diameter.Öğe Assessment of temporomandibular joint dysfunction in patients with stroke(Elsevier Science Bv, 2018) Dursun, Ömer; Çankaya, TamerGoal: The aim of this study was to assess temporomandibular joint dysfunction in patients with stroke. Materials and Methods: Total of 100 participants, 50 healthy and 50 who had stroke, were recruited into this study. Digital caliper and algometer were used to assess temporomandibular joint range of motion and masticatory muscle pressure pain threshold. Labial commissure angle measurement was used for the assessment of facial paralysis severity. Fonseca questionnaire was used for temporomandibular joint dysfunction assessment and categorization. In addition, dominant mastication shift was measured by the question that asks the pre and poststroke dominant mastication side. Findings: In intergroup comparison, significant decrease was found in all temporomandibular range of motion parameters in favor of stroke group (P < .05). Despite the fact that no significant difference was found between groups for the pain threshold in masticatory muscles except for middle part of the left temporalis muscle, values were higher in healthy group (P > .05). As a result of intergroup examination of labial commissure angle degree, Fonseca questionnaire score, it was found that labial commissure angle and Fonseca questionnaire scores were higher in stroke group (P < .05). Intragroup examination of patients with stroke showed that dominant mastication side shift was seen in patients with stroke (P < .05). Conclusion: It was concluded that, temporomandibular joint dysfunction prevalence was higher in stroke group compared with healthy group and use of modalities specific to temporomandibular joint dysfunction treatment would be beneficial.Öğe Comparison of exhaustive concentric and eccentric contractions: Effects on muscle damage and EMG responses during recovery period(Ios Press, 2019) Çankaya, Tamer; Karlı, Ümid; Buğdaycı, GülerBACKGROUND/OBJECTIVE: The purpose of this study was to examine muscle damage and EMG responses during recovery period following exhaustive concentric and eccentric contractions. METHODS: Fifteen football players participated in this study. In order to evaluate the recovery period after the muscle damage exercise protocol, the expected damage was provoked by concentric and eccentric contractions. The EMG data obtained from Rectus Femoris muscle and levels of CK, LDH, and Myoglobin analysed from plasma were recorded before, immediately after and post 24th, 48th, 72nd, 168th hours of the exercise. RESULTS: Save a significant change in the maximum EMG value of Rectus Femoris muscle, no difference was found among other variables (p > 0.05). While there was no difference (p > 0.05) between the base values (PER) accepted as reference of CK, LDH, Myoglobin and levels at other hours after exercise, there was also no difference (p > 0.05) among values of CK, LDH, Myoglobin between eccentric and concentric contractions. CONCLUSIONS: As a result, various EMG measures and muscle damage responses were recorded during the recovery period after intensive resistance exercises. However the responses during recovery period did not differ by the contraction type.Öğe EFFECT OF EXPIRATORY MUSCLE TRAINING ON STOMATOGNATHIC SYSTEM IN PATIENTS WITH STROKE(2023) Dursun, Ömer; Çankaya, Tamer; Dilekçi, ErdalObjective: The aim of this study was to assess the effect of expiratory muscle training on the stomatognathic system in patients with stroke. Method: A total of 31 patients with stroke were included in the study: 16 patients with stroke (age=66.63±8.38, height=166.38±8.59, BMI=28.09±4.81) as the control group and 15 patients with stroke (age=65.60±7.62, height=168.20±8.78, BMI=28.95±6.92) as the study group. Temporomandibular joint range of motion and dysfunction, pressure pain threshold of masticatory muscles, facial asymmetry existence, head posture, oral hygiene, oral hygiene habit, masticatory performance, intraoral pH, deglutition, and deep neck flexor muscle endurance of the patients with stroke were assessed. Assessment methods were in order by digital caliper, the Fonseca Questionnaire, algometry, labial commissure and craniocervical angle measurement, general oral health assessment index, and questionnaire, sieve test, digital pH gauge, repetitive saliva swallow test, Eating Assessment Tool, and deep neck flexor endurance test. Patients with stroke in the study group were enrolled in an expiratory muscle training program consisting of 5 sets of 10 repetitions daily for three weeks in addition to conventional physiotherapy; the control group enrolled in the conventional physiotherapy program. Patients with stroke in the study group were called twice a week to assess their compliance with the expiratory muscle training. Results: In intragroup comparison significant increase was found in the inferior portion of the left masseter, mandibular protrusion, and a decrease in labial commissure angle and Fonseca Questionnaire score of the control group (p<0.05). In the study group a significant increase was observed in mandibular depression (p<0.05). In intragroup comparison, both groups had similar intraoral pH, masticatory performance, craniocervical angle and neck flexor muscle endurance (p>0.05). While significant difference was found in lateral deviation, eating assessment inventory and labial commissure angle in intergroup comparison (p<0.05), other parameters were similar (p>0.05). Improvement in labial commissure angle was in favor of the control group (p<0.05). Conclusion: Expiratory muscle training might be preferred to increase mandibular lateral deviation and improve deglutition in subacute or chronic-stage patients with stroke.Öğe The effect of modified constraint-induced movement therapy in children with hemiparetic cerebral palsy. Consecutive or intermittent days?(Taylor & Francis Ltd, 2022) Tezcan, Sezen; Çankaya, TamerPurpose To investigate effect of modified constraint-induced movement therapy (mCIMT) administered on consecutive or intermittent days on upper limb function in children with hemiparetic cerebral palsy (CP). Materials and methods Thirty-three children (age range 5-18 y) with hemiparetic CP separated into three groups: consecutive mCIMT group (n = 11), intermittent mCIMT group (n = 11), control group (n = 11). The outcome measures consist of Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), Pediatric Balance Scale (PBS), Modified Tardieu Scale (MTS), Jebsen-Taylor Hand Function Test (JTHFT), Children's Hand Use Experience Questionnaire (CHEQ), Abilhand Kids Questionnaire, surface Electromyography (sEMG). The evaluations were made baseline, 10 days after, 5 weeks after the treatment. Results Improvements were achieved in all groups. The use of upper extremities in daily life activities (p < 0.01), speed of performing the activities (p < 0.001), grasping efficiency (p < 0.001), the amount of a decrease in the children's sense of discomfort while performing activities (p < 0.001) on the affected side in both mCIMT groups were better than the control group. The gain levels in mCIMT groups were similar (p > 0.05). Conclusions Administration of mCIMT on intermittent days facilitate the adaptation of a child, it was concluded to be a more tolerable method and could be more effective.Öğe Effect of the Pes Planus on Vertical Jump Height and Lower Extremity Muscle Activation in Gymnasts(2022) Contarli, Nurcan; Çankaya, TamerThe aim of this study was to examine the effect of the pes planus vertical jump height and muscle activation in gymnasts. Forty-four gymnasts (mean age, 12.47±4.34 years) were included in the study. Pes planus was evaluated using a podoscope. Muscle activation was measured with a surface electromyography device during maximum voluntary isometric contraction (MVIC) and vertical jump test. Vertical jump height was evaluated using a contact mat. There was no significant difference in MVIC values of gastrocnemius medialis (GM), soleus (S), peroneus longus (PL), tibialis anterior (TA) muscles of gymnasts with and without pes planus (GM p=0.526; S p=0.157; PL p=0.696; TA p=0.223). In athletes with pes planus, GM muscle in rising phase of vertical jump; in the landing phase, the activation of the GM and S muscles was found to be lower (GMrising phase p=0.004; GMlanding phase p=0.014; Slanding phase p=0.017). In conclusion, it was found that the pes planus had no effect on vertical jump and MVIC values. It was observed that the activation of GM and S muscles was low during vertical jump in gymnasts with pes planus.Öğe The effect of working time in cold conditions on pain and fibromyalgia syndrome symptoms(Bayrakol Medical Publisher, 2020) Altuntaş, Yasin Devran; Çankaya, Tamer; Kurul, Ramazan; Uysal, Muhammet Fatih; Duygu, Elif; Karatay, Gökhan Mehmet; Karatay, Fatma AsenaAim: This study aimed to investigate the effect of working time on cold and fibromialgia syndrome symptoms. Material and Methods: The study included 568 individuals with a mean age of 36.9 years. Visual analog scale (VAS), The Revised Fibromyalgia Impact Questionnaire (FIQR) and 2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria were used for evaluation. The groups were formed as 2 years or less, 3-5 years, 6-9 years and 10 years or more. For daily working hours, two groups created as less than 8 hours and 8 hours or more. Results: It was found that the score for VAS pain felt when working was higher compared to pain felt when resting (p=0.046). FIQR scores increased significantly in the cold work year (p=0.006) but there was no significant change in resting or working pain as working years increase (p> 0.05). FIQR total score, resting and working pain VAS values were found to increase for the group work more than 8 hours daily (p <0.05). Discussion: As a conclusion, the results of this study showed that increasing working years and daily working hours caused an increase in the severity of FM related symptoms. Especially those who have been working for 10 years or more and/or more than 8 hours in cold were feeling greater pain and their fibromyalgia related symptoms were worse.Öğe Effects of structured training on spinal posture and selective motor control in children with unilateral spastic cerebral palsy(Elsevier Ireland Ltd, 2024) Taş, Seda Ayaz; Çankaya, TamerBackground: Children with Unilateral Spastic Cerebral Palsy (USCP) have an asymmetrical postural pattern. Although functional limitations are less, deteriorations in spinal posture are observed. Research question: What is the effect of structured training on spinal posture and selective motor control of upper extremity? Methods: Forty five children with USCP were included in the study. Participants were children ages 3-18 with GMFCS levels 1 and 2. Spinal posture and mobility was assessed by Spinal Mouse (SM) and the Spinal Alignment and Range of Motion Measure (SAROMM), and selective motor control of upper extremity was evaluated by the Selective Control of the Upper Extremity Scale (SCUES). Children were divided into two groups: structured training group (STG) (n = 22) and conventional physiotherapy group (CPG) (n = 23). Groups received treatment sessions lasting 45 min, 2 days a week for 8 weeks. Evaluations were made baseline and after treatment. Results: In sagittal plane, there was a significant decrease in the degree of thoracic kyphosis after treatment in the STG (p = 0.004). A significant difference was found in total spine angulation (p = 0.015) and mobility from flexion to extension in the STG group. There was a difference in total spine angulation (p = 0.014) in the CPG group, but no difference in spinal mobility. Post-training differences were found in thoracic angulation (p = 0.006) and lateral flexion mobility to the affected side in the STG in thoracic (p = 0.020), lumbar (p = 0.035) and total spine (p = 0.008) in the frontal plane. When SCUES-shoulder, elbow, wrist, total scores changes was significant in CPG (p < 0.001), SCUES-forearm (p = 0.002) and fingers (p = 0.007) changes was significant in STG. Significance: This study showed that although children with USCP are more mildly affected, there are adverse effects on their selective motor control and spinal posture. This study reveals the contribution of structured training in terms of selective movement, spinal smoothness and mobility in children.Öğe Effects of working years in cold environment on the musculoskeletal system and carpal tunnel symptoms(2020) Altuntaş, Yasin Devran; Çankaya, TamerObjectives: Musculoskeletal disorders are the most common work-related health problems. The risk of musculoskeletal disorders is increased by working in a cold environment. The present study aims to investigate the effcts of working years on the body. Methods: We examined the effcts of the working years on the musculoskeletal system and carpal tunnel syndrome symptoms of the individuals who were engaged in cutting, shredding, packaging, bagging and transportation operations at 9 degrees and lower ambient temperatures in a poultry factory in Turkey. Nordic Musculoskeletal Questionnaire (NMQ) was used to evaluate musculoskeletal symptoms of the individuals. Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) was used to investigate the carpal tunnel symptoms. Individuals grouped according to their total working years in a cold factory setting. Groups were formed as less than two years, between two and fie years, between six and nine years, and ten years or more. Results: This study showed that the increase in working years in a cold factory setting might lead to a feeling of pain and discomfort in various regions of the body, disrupt ordinary works due to the pain felt (p<0.05). This study also showed that the severity of the symptoms felt because carpal tunnel syndrome worsened, especially when an individual has been working for more than ten years in cold. Conclusion: Working in the cold for a long time may result in long-term health effcts on the human body.Öğe İlköğretim çağındaki çocuklarda ayak,ayak bileği deformitelerinin podoskop ile değerlendirilmesi(Bolu Abant İzzet Baysal Üniversitesi, 2004) Çankaya, Tamer; Dokuztuğ, FerdaBu çalışma, ilköğretim çağındaki çocuklarda ayak ve ayak bileği deformitelerini değerlendirmek amacıyla yapıldı. Araştırmamıza 5 ile 14 yaşlan arasında 105 erkek ve 82 kız toplam 187 gönüllü ilköğretim çağındaki çocuk alındı. Çalışmaya alınan kişiler Karabük Merkez Atatürk İlköğretim okulundan Ana sınıfi ile 8. sınıf arasındaki öğrencilerdi. Bireyler okullarında değerlendirildi. Değerlendirme başlangıcında demografik bilgiler, ayak ve alt extremite ile ilgili şikayet, hastalık veya son beş yılda geçirilmiş kaza olup olmadığı ile ilgili bir anket formu öğrencilerle birebir görüşülerek dolduruldu. Daha sonra normal eklem hareketlerinin değerlendirilmesi, alt extremite uzunluk ve çevre ölçümleri yapıldı. Daha sonra podoskop ve feiss çizgisi yöntemi ile pes planus ve pes kavuş değerlendirildi. Yine podoskopun goniyometresinden yararlanılarak talipes varus ve valgusun dereceleri ölçüldü. Halluks valgus, çekiç parmak, pençe parmak, transvers ark düşüklüğü değerlendirilerek eğer varsa halluks valgusun derecesi ölçüldü. Araştırmamızın sonunda podoskop ile değerlendirme sonuçlarına göre kızların %83.5'inin normal, % 11 'inin 1° Pes planus, %4.3'ünün 2° Pes planus, %1.2'sinin 3° Pes planus okluğu, erkeklerin %79.05'min normal, %14.3'ünün 1° Pes planus, %6.2'sinin 2° Pes planus ve %0.05'inin 3° Pes planus olduğu görülmüştür. Feiss çizgisi yöntemine göre ise kızların %0.6'sınm normal, %82.9'unun 1° Pes planus, %15.3'ünün 2° Pes planus, %1.2'sinin 3° Pes planus, olduğu görülmüştür. Erkeklerde normal kişiye rastlanılmamış, %82.4'ünün 1° Pes planus, % 16. Finin 2° Pes planus, % 1.5 'inin 3° Pes planus, olduğu görülmüştür. Podoskop ile feiss çizgisi yöntemlerinin pes planus değerlendirmelerinin normal ve 1° Pes Planus için farklı olduğu fakat 2° ve 3° Pes Planus için arasında fark olmadığı görülmüştür. Araştırmamızın sonunda çekiç parmak, pençe parmak, pes kavuş, transvers ark düşüklüğü ve talipes varusa rastlanılmamış, toplam 295 ayakta çeşitli derecelerde talipes valgusa ve yine 32 ayakta çeşitli derecelerde halluks valgusa rastlanmıştır. Anahtar Kelimeler: Pes Planus, Pes Kavuş, Medial Longitudinal Ark, Podoskop IIÖğe İnmeli Bireylerde Dyna Ayak Bileği Ortezi Kullanımının Denge ve Yürüme Üzerindeki Akut Etkisi(2018) Kurul, Ramazan; Çankaya, Tamer; Çankaya, Hatice; Özengin, Nuriye; Avcı, Şebnem; Pala, Ömer OsmanAmaç: Bu çalışmada inmeli bireylerde Dyna ayak bileği ortezi kullanımının denge ve yürüme üzerindeki akut etkisini araştırmak amaçlanmıştır.Gereç ve Yöntemler: Çalışmaya inme geçireli en az 3 ay olan toplam 30 birey dahil edildi. Bireylerin demografik bilgileri edinildikten sonra, Berg Denge Ölçeği, Süreli Kalk & Yürü testi, ayak izi yöntemiyle yürüyüş değerlendirmesi ve Tetrax denge değerlendirmesi gerçekleştirildi. Bireyler Dyna ayak bileği ortezi giydikten sonra tüm ölçümler tekrarlandı.Bulgular: Tetrax'ın F7 ve F8 parametresi, ağırlık dağılım indeksi, Süreli Kalk & Yürü testi ve yürüyüş değerlendirmesinin tek adım uzunluğu ve adım genişliği parametrelerinde fark bulunmadı (p>0,05). Dyna ayak bileği ortez kullanımı sırasında Berg denge skorlarında ve çift adım uzunluğunda artış tespit edildi (p<0,05).Tartışma ve Sonuç: Bu çalışmada Dyna ayak bileği ortezi kullanımının statik dengeyi ve çift adım uzunluğunu artırdığı, buna karşın dinamik denge, gövde salınım miktarı, ağırlık dağılımı ve yürüyüşün diğer parametreleri üzerinde akut etkisi olmadığı görüldü.Öğe An investigation of the relationship of drooling with nutrition and head control in individuals with quadriparetic cerebral palsy(Soc Physical Therapy Science, 2015) Taş, Seda Ayaz; Çankaya, Tamer[Purpose] The aim of the present study was to investigate the relationship of drooling, nutrition, and head control in individuals with quadriparetic cerebral palsy. [Subjects and Methods] Fifty-six individuals between the ages 2 and 15 diagnosed with spastic quadriparetic cerebral palsy and their families/ caretakers were included in the study. Drooling severity and frequency of individuals was evaluated by using the scale developed by Thomas-Stonell and Greenberg (Drooling Severity and Frequency Scale). Individuals having a drooling severity value of 1 were included in the not drooling group (group 2) (n=27). Individuals having a drooling severity of 2, 3, 4, or 5 were included in the drooling group (group 1) (n=29). The evaluations were applied to both groups. [Results] There were significant differences between the two groups in terms of gestational age, nutrition behavior, eating abilities, head control, gagging, nutritional status (inadequate nutrition, normal nutrition, over weight-obese), and low weight. It was established that as head control increased, drooling severity diminished, and as drooling severity increased, BMI index decreased. Independence of eating ability was found to be greater in the group having better drooling control. [Conclusion] In the present study, it was determined that drooling control affected nutritional functions and that drooling control was affected by head control.Öğe IS THERE ANY EFFECT OF THE SEVERITY OF FLEXIBLE PES PLANUS ON THE BALANCE PERFORMANCE IN ELITE GYMNASTS?(University of Ljubljana Press, 2024) Çankaya, Tamer; Yener, Numan; Uysal, Muhammet FatihFlexibility is an important component of athleticism in gymnasts' training, as its insufficient development can significantly complicate the process of formation of specific skills and movement coordination and limit the possibility of manifesting and increasing strength and speed abilities (??????? & ????????, 2021). The aim of this study was to analyse the impact of the severity of FPP on balance performance in different planes (frontal, sagittal and overall balance) in the Turkish national youth team. This study is a prospective and double-blinded cohort study conducted in the Department of Physiotherapy and Rehabilitation of Bolu Abant Izzet Baysal University. The evaluation protocol consists of two main phases: first, the measurement of joint positions or angles (subtalar joint position, subtalar joint angle, first metatarsophalangeal (MTP) extension angle and tibia-femoral angle measurement), second, the measurement of balance. 20 participants aged 13-18 years, male and female, from the Turkish national youth gymnastics team were included in this study. Linear regression analysis was performed to determine whether there is an effect of severity of FPP on balance performance. There is no clear effect of FPP severity on balance performance in youth gymnastics at the national level. However, some evaluations show significant associations in the frontal plane in relation to the mediolateral stability index. None of the assessments showed a significant association with the anteroposterior stability index. © 2024, University of Ljubljana Press. All rights reserved.Öğe İzometrik, konsentrik ve eksentrik kontraksiyonlarla yapılan direnç egzersizleri sonrası toparlanma sürecinde kas hasarı ve emg cevaplarının incelenmesi(Bolu Abant İzzet Baysal Üniversitesi, 2012) Çankaya, Tamer; Karlı, ÜmidBu araştırmanın amacı izometrik, konsentrik ve eksentrik kontraksiyonlarla yapılan direnç egzersizleri sonrası toparlanma sürecinde kas hasarı ve EMG cevaplarını incelemektir.Araştırmaya 15 futbolcu [( ±SS) yaş: 22,4±2,52 yıl; vücut ağırlığı: 70,18±9,43 kg; boy uzunluğu: 173,53±5,30 cm] gönüllü olarak katılmıştır. İki aşamadan oluşan araştırmada ilk olarak tek set maksimum yüklenme direnç egzersizi sonrası toparlanma sürecinin değerlendirilmesi amacıyla; 1 tekrar maksimumun sırasıyla %85'i ile 10 tekrarlı konsentrik, %115'i ile 10 tekrarlı eksentrik ve %85'i ile tutabildiği kadar izometrik uygulamalar yapılmıştır. M.Vastus Medialis ve M.Rectus Femoris kaslarından egzersiz öncesi ile egzersiz sonrası 8 dakika boyunca 1'er dakika arayla EMG aktiviteleri kaydedilmiştir. İkinci olarak kas hasarı egzersizi sonrası toparlanma sürecinin değerlendirilmesi amacıyla; 1 tekrar maksimumun sırasıyla %70'i ile 2x25 tekrar konsentrik, %100'ü ile 2x25 tekrar eksentrik uygulamalar yapılmıştır. Egzersiz öncesi, egzersizden hemen sonra ve 24, 48, 72 ve 168. saatlerde aynı kaslardan kaydedilen EMG verileri ve CK, LDH ve miyoglobin değerleri takip edilmiştir.Tek set maksimum yüklenme direnç egzersizi protokolünde M. Vastus Medialis ve M. Rectus Femoris EMG verilerine uygulanan tekrarlı ölçümlerde iki yönlü varyans analizine göre zaman içindeki değişimde istatistiksel olarak anlamlı fark bulunmuş (p?0,05), ancak Uygulama x Zaman etkileşiminde ve uygulamalar arasında anlamlı fark bulunmamıştır. Kas hasarı egzersiz protokolü için uygulanan tekrarlı ölçümlerde iki yönlü varyans analizine göre ise M.Rectus Femoris kasının EMG maksimum değerinin zaman içindeki anlamlı (p<0,05) değişimi dışında diğer verilerde herhangi bir istatistiki fark gözlenmemiştir.Sonuç olarak, şiddetli direnç egzersizleri sonrasında toparlanma sürecinde; EMG ve kas hasarı cevaplarında zaman içinde değişim kaydedilmiştir. Ancak bu çalışmada kontraksiyon tiplerine göre fark gözlenmemiştir.Öğe Kinesio taping techniques for ankle stabilisation in patients with stroke: A single-blinded randomised controlled study(MARK ALLEN GROUP, 2021) Kurul, Ramazan; Çankaya, Tamer; Yıldırım, Necmiye ÜnBackground/Aims Ankle proprioception and neuromuscular feedback from this region provides the sensory input needed for balance. The aim of this study was to investigate the effects of repeated correction taping applied on the ankle and peroneus longus and peroneus brevis muscles on balance and gait in patients with stroke. Methods A total of 61 patients with stroke with a mean age of 62.25 +/- 7.04 years were included in this study. The patients were randomly divided into two groups. The control group (n=30) received 1 hour of rehabilitation, which took place during weekdays over the course of 2 weeks. The intervention group (n=31) received 1 hour of daily rehabilitation as well as having kinesio tape applied to their ankle. Both groups were assessed with the Balance Evaluating Systems Test, Timed Up and Go Test, Functional Reach Test, Tetrax Balance System and Barthel Index. Clinical assessments were performed at baseline, immediately after the first application, 1 week and 2 weeks later, following the first taping. Results There was a significant improvement in the Balance Evaluating Systems and Functional Reach Tests scores between the first and last measurements in favour of the intervention group (P<0.05). There were no significant changes between baseline and immediately after assessment for all measurements (P>0.05). There was no significant difference in Tetrax scores, Timed Up and Go Test and Barthel Index scores (P>0.05). Conclusions In this study, it was found that dynamic balance was improved by taping the peroneus longus and peroneus brevis muscles, but the static balance did not change. One week of kinesio taping would be beneficial; however, prolonged use would not provide further improvement.Öğe Kronik Engelli Bireylerde Ortez ve Yardımcı Cihaz Memnuniyetinin Araştırılması(2020) Çankaya, Tamer; Özel, Alp; Taş, Seda Ayaz; Karabulut, Demet; Tezcan, SezenAmaç: Bu çalışmanın amacı yardımcı cihaz/ortez tavsiye edilen kronik engelli bireylerin ortez kullanımmemnuniyetlerinin araştırılmasıdır. Bu çalışmanın bir diğer amacı, tanı grupları ve serebral palsili bireylerin motorfonksiyon seviyeleri ile ortez kullanım memnuniyetleri arasındaki ilişkinin araştırılmasıdır.Gereç ve Yöntem: Çalışmaya 105 kronik engelli birey (64 serebral palsili, 13 spina bifidalı, 14 musküler distrofili ve14 farklı nörolojik tanılı birey) ve aileleri dahil edildi. Çalışmaya katılan bireylere yardımcı cihaz/ortez günlükkullanım süreleri ve eğer yardımcı cihaz/ortezlerini kullanmıyorlarsa nedenleri sorgulandı. Bireylerin ortez kullanımmemnuniyetleri araştırmacılar tarafından literatüre dayanarak oluşturulmuş Ortez Kullanım Memnuniyet Anketi iledeğerlendirildi.Bulgular: Serebral palsili bireylerin motor fonksiyon düzeyleri ile ortez kullanım memnuniyeti arasında ilişkiolmadığı bulundu (p=0.779). Ortez Kullanım Memnuniyet Anketi toplam skoru ve günlük ortez kullanma süreleriarasında pozitif yönlü zayıf bir ilişki saptandı (r=0.242, p=0.015). Ortez Kullanım Memnuniyet Anketi toplam skoruve ne kadar zamandır ortez kullanıldığına ait veriler arasında bir ilişki bulunmadı (p=0.811). Çalışmaya katılanbireylerin tanılarının (p=0.236) ve yardımcı cihaz/ortez tipinin ortez kullanma memnuniyeti skorları ile ilişkiliolmadığı saptandı (p=0.979).Sonuç: Sonuç olarak, kronik engelli bireylerde yardımcı cihaz/ortez günlük kullanım süresi arttıkça kullanımmemnuniyetinin arttığı görüldü. Yardımcı cihaz/ortez tipinin ortez kullanma memnuniyeti ile ilişkili olmadığıgözlemlendi. Ayrıca serebral palsi, spina bifida, musküler distrofi ve diğer tanı gruplarının ortez memnuniyetlerininbenzer olduğu görüldü.Öğe Physical fitness, balance and quality of life in the elderly with and without medication usage(2019) Çankaya, Tamer; Sevim, Serkan; Yıldırım, Necmiye Ün; Özer, Özlem; Karacan, MünevverPurpose: The purpose of this study was to determine the effects of medication usage on physical fitness, balance and quality of life in elderly individuals. Methods: A total of 88 elderly individuals were enrolled: 49 were women and 39 were men, with a mean age of 72.13±5.3 years. Of these, 75 individuals had at least one chronic illness. Individuals were studied in 3 groups according to his or her number of daily medication usage: those who do not use medication, those who use 1-3 medications per day and those who use 4 or more medications per day. The Senior Fitness Test (Chair Stand Test, Up And Go Test, 2 Minute Step Test, Biceps Curl Test, Chair Sit And Reach Test, Back Scratch Test, the pulse of the individuals was checked and recorded before and after the 2-Minute Step Test), Berg Balance Test and Nottingham Health Profile were used to evaluate physical fitness, balance and quality of life, respectively. Differences between the groups were analysed with Kruskal Wallis. Results: In our study, medication routines within the elderly population did not show a statistically significant change in physical fitness, balance, quality of life, flexibility and heart rate (p>0.05). Conclusion: According to the results of our study, medication usage was not affecting physical fitness, balance and quality of life; with proper prescribing, elderly people who use medications can be kept at the same level of physical fitness, balance and quality of life as their peers who do not use medication.Öğe The relationship between trunk muscle thickness and static postural balance in older adults(Human Kinetics Publ Inc, 2020) Acar, Ece; Çankaya, Tamer; Öner, SerkanTrunk muscles are required for safety of movement in aging. The authors aimed to investigate the relationship between trunk muscle thickness and the static postural balance in older adults. A total of 31 females and 23 males with a mean age of 73.39 +/- 6.09 completed the study. The thickness of the trunk muscles was determined with ultrasound imaging. Postural balance was assessed with force plate. There was a positive weak correlation between right and left upper rectus abdominis muscle thickness and anterior stability area (p < .05, r> .3). The negative and moderate correlation was determined between the left lower rectus abdominis and the perturbated stability sway value (p < .01, r> .5). The increase in trunk muscle thickness in older adults increases the postural stability area and decreases the postural sway especially in the mediolateral direction.Öğe Spastik Kuadriparetik Serebral Palsili çocukların beslenme davranışları ile beslenme düzeyleri arasındaki ilişkinin araştırılması(2018) Taş, Seda Ayaz; Çankaya, TamerAmaç: Spastik Kuadriparetik Serebral Palsi’li çocuklarda beslenme davranışlarının araştırılıp, bunların beslenme düzeyleri ve kaba motor fonksiyon seviyesiyle ilişkisinin belirlenmesidir. Gereç ve Yöntemler: Çalışmaya Spastik Kuadriparetik Serebral Palsi’li, 2-15 yaş aralığında 56 çocuk dahil edildi. Çocukların yaş, boy uzunluğu, vücut ağırlığı, vücut kütle indeksi (VKİ) ile doğum kilosu ve gestasyonel yaşları kaydedildi. Bireylerin beslenme davranışını değerlendirmek üzere Davranışsal Pediatrik Beslenme Değerlendirme Skalası uygulandı. Kaba motor fonksiyon seviyeleri, Kaba Motor Fonksiyon Sınıflandırma Sistemi’ne göre belirlendi. Beslenme düzeyleri ise; yaşa göre vücut kütle indeksi persentil eğrileri kullanılarak saptandı. Bulgular: Kaba motor fonksiyon seviyesine göre, 56 çocuktan 10’u seviye 3 (%17.9), 12’si seviye 4 (%21.4) ve 34’ü seviye 5’ti (%60.7). Yetersiz beslenme, normal beslenme, kilolu ve obez grupları arasında, beslenme davranışları ile ilgili olarak toplam sıklık skoru (p<0,0001) ve toplam problem skoru (p=0,0005) değerleri açısından anlamlı fark bulundu. Kaba motor fonksiyon seviyesine göre seviye 3, seviye 4 ve seviye 5 grupları arasında toplam sıklık skoru açısından anlamlı fark bulundu (p=0,004). Sonuç: Serebral Palsi’li çocuklarda davranış problemlerini inceleyen birçok çalışma olmakla birlikte bu çocukların beslenme davranışları üzerine oldukça az kanıt vardır. Çalışmamızda literatürle uyumlu olarak, Kuadriparetik Serebral Palsi’li çocukların kaba motor fonksiyon seviyesinin kötüleşmesinin beslenme davranış problemlerini artırdığı ve bu durumun bakım veren üzerinde stres oluşturduğu bulundu. Ayrıca çocukların beslenme davranışlarının beslenme düzeylerini de etkilediği görüldü. Yani sağlıklı bir büyüme gelişmenin temeli olan beslenme düzeyi, beslenme davranışı kötü olan bireylerde olumsuz etkilenebilmektedir.
