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Öğe Aging, body weight, and their effects on body satisfaction and quality of life(Kowsar Publ, 2018) Şimşek, Tülay Tarsuslu; Yümin, Eylem Tütün; Sertel, MeralBackground: Changes in body composition in advanced ages (i.e., physical, physiological, and social changes) may influence the perception of body image in the elderly population. In some studies, it is stated that negative body image is associated with the consequences of unhealthy physical and mental health status. Objectives: The purpose of the study is to examine changes in body weight, body satisfaction, and quality of life in the elderly. Methods: This descriptive analytical study was performed from July 2015 to April 2016 on individuals aged 45 years and above who lived in Kirikkale, Turkey. The participants were divided into four age groups of 45 - 59 years (group 1), 60 - 69 years (group 2), 70 -79 years (group 3), and 80 years and above (group 4). Body satisfaction was evaluated using Body-Cathexis Scale (BCS), and the quality of life was evaluated using the Nottingham Health Profile (NHP). Results: the highest body mass index (BMI) was found in the 60 -69 years age group (29 +/- 4.72 kg/cm(2)), whereas the lowest score was found to be in the individuals pertaining to the 80 years and above age group (26.53 +/- 4.53 kg/cm(2)). BCS total scores were 85.95 +/- 22.09 in group 1, 94.78 +/- 26.68 in group 2, 103.29 +/- 31.41 in group 3, and 107.28.35.84 in group 4. A significant difference was found between the groups in terms of quality of life and body satisfaction (P < 0.05). There was a positive correlation between BCS and NHP in groups 1, 2, and 3 (P < 0.05). However, there was no correlation between BCS and NHP in group 4 (P > 0.05). Conclusions: Evaluations and practices performed for body weight control in middle-aged and older adults are of importance in terms of increasing the quality of life.Öğe Assistive device usage in elderly people and evaluation of mobility Level(Lippincott Williams & Wilkins, 2012) Şimşek, Tülay Tarsuslu; Yümin, Eylem Tütün; Sertel, Meral; Öztürk, Asuman; Yümin, MuratThis study examined assistive device usage and mobility level among elderly people. The inclusion criterion was age 65 years or older; all participants were volunteers. Participants were investigated in terms of their the sociodemographic characteristics and their levels of mobility device usage in everyday life, as assessed by the Rivermead Mobility Index and the Physical Mobility Scale. The study included 58 (35.6%) women (mean age = 73.18 +/- 6.62) and 105 (64.4%) men (mean age = 73.31 +/- 6.59). It was found that 31% of women and 19% of men used an assistive device in their everyday life; there was no significant difference in device usage according to gender (P > .05). The most common device among men and women was a walking stick. There were no significant differences between men and women in terms of Rivermead Mobility Index and Physical Mobility Scale scores; the mobility level of men was higher than women (P < .05). Assistive device usage is important for elderly people in maintaining indoor and outdoor mobility in everyday life. Our results should be taken into consideration in the rehabilitation of elderly people, especially elderly women. The use of mobility assistive devices reduces injury risk and becomes an important factor in increasing life quality in elderly people.Öğe Comparison of physical activity, exercise barriers, physical performance, and fall risks in frail and nonfrail older adults(Lippincott Williams & Wilkins, 2023) Karabulut, Demet Gözaçan; Sertel, Meral; Yümin, Eylem Tütün; Abit Kocaman, Ayşe; Tarsuslu, TülayObjectives:The present research aimed to identify the difference between physical activity, physical performance, balance, fall risk, and exercise barriers in frail and nonfrail older adults. Methods:One hundred nineteen voluntary individuals older than 65 years and living in Kirikkale were enrolled in the research. The Clinical Frailty Scale was employed to evaluate the frailty level of the individuals included in the study. In line with the data obtained after the evaluation, individuals were separated into 2 groups as frail and nonfrail individuals. Exercise barriers were evaluated with the Exercise Benefits/Barriers Scale (EBBS), physical activity level was evaluated with the Physical Activity Scale for the Elderly (PASE), lower extremity physical performance was assessed with the Short Physical Performance Battery (SPPB) test, and fall risk was assessed with the Self-Rated Fall Risk Questionnaire (FRQ). Results:Ninety-three of the individuals enrolled in the study were found to be nonfrail and 26 to be frail older adults. The mean age of the individuals in the nonfrail group was 70.36 +/- 6.10 years, and the mean age of the individuals in the frail group was 76.53 +/- 7.37 years. In the statistical analysis, the difference was revealed between the groups in terms of the exercise barriers subscore, EBBS total score, PASE leisure activity score, PASE total score, FRQ total score, and SPPB total result (P < .05). In the correlation analysis, there was a negative correlation between the frailty scale score and SPPB and a positive correlation between the frailty scale score and FRQ in nonfrail older adults (P < .05). However, there was a positive correlation between the frailty scale score and exercise barriers subscore, EBBS and FRQ total scores, and a negative correlation between the PASE leisure activities, work activities and PASE total score, and SPPB score in frail individuals (P < .05). Conclusions:Our results demonstrated that the physical activity levels of frail older adults were poorer, they had a higher fall risk, and their activity performance, including the lower extremity, was poorer than that of nonfrail older adults.Öğe A comparison of reaction times between adolescents with visual and auditory impairment and those without any impairment(2013) Yıldırım, Necmiye Ün; Özengin, Nuriye; Öztürk, Asuman; Özdemir, Özlem Çınar; Sertel, MeralPurpose: The aim of this study was to compare the auditory and visual reaction times of adolescents with auditory and visual impairment and those of controls without any impairment in order to investigate whether adolescents who lack one sense have an enhanced ability with the other. Methods: A total of 64 adolescents with auditory impairment, 60 adolescents with visual impairment, and 59 controls without impairment, were included in the study. Visually impaired adolescents simple auditory reaction times, auditory impaired adolescents simple visual reaction time, and the controls visual and auditory simple reaction times were evaluated with the New Test 100. Results: While no statistically significant difference was found between auditory reaction times of controls and visually impaired adolescents (p>0.05), a significant difference was observed in visual reaction times of controls and auditory impaired adolescents (p<0.05). Conclusion: The reason why auditory impaired adolescents have longer simple reaction times could result from peripheral or central stimulation, changes in input processing in the cerebrum and their focus on lip reading and sign language compared to visually impaired adolescents.Öğe A COMPARISON OF REACTION TIMES BETWEEN ADOLESCENTS WITH VISUAL AND AUDITORY IMPAIRMENT AND THOSE WITHOUT ANY IMPAIRMENT(Turkey Assoc Physiotherapists, 2013) Yildirim, Necmiye U. N.; Ozengin, Nuriye; Ozturk, Asuman; Ozdemir, Ozlem Cinar; Sertel, Meral; Ozturk, Seren DuzenliPurpose: The aim of this study was to compare the auditory and visual reaction times of adolescents with auditory and visual impairment and those of controls without any impairment in order to investigate whether adolescents who lack one sense have an enhanced ability with the other. Methods: A total of 64 adolescents with auditory impairment, 60 adolescents with visual impairment, and 59 controls without impairment, were included in the study. Visually impaired adolescents simple auditory reaction times, auditory impaired adolescents simple visual reaction time, and the controls visual and auditory simple reaction times were evaluated with the New Test 100. Results: While no statistically significant difference was found between auditory reaction times of controls and visually impaired adolescents (p>0.05), a significant difference was observed in visual reaction times of controls and auditory impaired adolescents (p<0.05). Conclusion: The reason why auditory impaired adolescents have longer simple reaction times could result from peripheral or central stimulation, changes in input processing in the cerebrum and their focus on lip reading and sign language compared to visually impaired adolescents.Öğe Determination of the validity and reliability of the Turkish version of the self-rated fall risk questionnaire in older individuals(University School of Physical Education in Wroc?aw, 2020) Sertel, Meral; Şimşek Tarsuslu, Tülay; Yümin Tütün, Eylem; Aras, BaharIntroduction. The aim was to determine the validity and reliability of the Turkish version of the self-rated fall risk questionnaire (FRQ). Methods. The study included 100 individuals aged over 65 years. For test-retest reliability, firstly, the questionnaire was applied to volunteers, and, after 15–20 days, the individuals were asked to fill in the questionnaire again. For internal consistency, its correlation was evaluated with the Berg Balance Scale and Timed Up and Go test, of which Turkish reliability and validity studies had been previously performed in older individuals. Results. The internal consistency of FRQ results obtained in the first (test results) and second (retest results) tests was found to be moderate (Cronbach’s alpha coefficient: 0.771 and 0.854, respectively). The test-retest reliability of the FRQ total score and the total score of the other scales was excellent and turned out to be statistically significant. in the statistical analysis, correlations were observed between both the test results and the retest results (p < 0.05). Conclusions. in this study, the Turkish version of FRQ, which provides essential data for evaluating fall risk in older individuals and for consulting a specialist for detailed examination if necessary, was found to be highly valid and reliable.Öğe The effect of age and body mass index on plantar cutaneous sensation in healthy women(Society of Physical Therapy Science (Rigaku Ryoho Kagakugakkai), 2016) Yümin, Eylem Tütün; Şimşek, Tülay Tarsuslu; Sertel, Meral; Ankaralı, Handan[Purpose] This study was conducted to examine the effects of age and body mass index on plantar cutaneous sensation in healthy women. [Subjects and Methods] Two hundred and three healthy female volunteers over the age of 20 were included in the study. The statistical analyses were performed by considering the age and body mass index values of the individuals. The individuals were divided according to their ages and body mass index values. Foot pain was measured with a visual analogue scale and plantar cutaneous sensation using Semmes-Weinstein monofilaments. [Results] Fifty-six (27.5%) of the participants had normal weights, 67 (33%) were overweight, and 80 (39%) were obese. Statistical analysis revealed that as age and body mass index values increased, plantar sensitivity decreased and the frequency and severity of pain increased. [Conclusion] It is possible that healthy women may experience a decrease in foot plantar sensation with increasing weight and age. If women do not have any health problems, proprioception and sensory training must be focused on in order to prevent balance and falling problems. © 2016 The Society of Physical Therapy Science. Published by IPEC Inc.Öğe The effect of body awareness therapy on pain and body image in patients with migraine and tension type headache(Routledge Journals, Taylor & Francis Ltd, 2017) Sertel, Meral; Şimşek, Tülay Tarsuslu; Yümin, Eylem TütünThe aim of this study was to examine the effect of body awareness therapy (BAT) on pain and body image in patients with tension-type headache and migraine. Twenty eight patients were included in the study. Socio-demographic and clinical features of the patients were recorded. Visual Analogue Scale and Body Image Questionnaire was used in order to evaluate severity of pain and body image, respectively. After initial assessments, the patients received BAT for 6weeks each being 60min in 3 sessions every week. Patients were re-evaluated at the end of 6weeks of intervention. There was no relation between severity of pain and body image, occupation, participation to physical activity, use of analgesic and existence of headache. The results of the study showed that BAT is an alternative treatment method that can be securely used in order to decrease pain in patients with chronic headache and to increase body image.Öğe The effect of body awareness therapy on pain, fatigue and health-related quality of life in female patients with tension-type headaches and migraine(UNIV WEST INDIES FACULTY MEDICAL SCIENCES, 2021) Sertel, Meral; Tarsuslu, Tülay; Yümin, Eylem TütünObjective: To examine the effect of body awareness therapy on pain, fatigue and quality of life in women with tension-type headaches (TTH) and migraine. Methods: Socio-demographic features of patients who are included in the study were recorded. Visual analogue scale was used for pain and fatigue severity scale was used for fatigue, Nottingham health profile (NHP) was used for life quality related to health. Following the first evaluation, body awareness therapy (BAT) was applied to patients for six weeks per 60 minutes in three sessions. Results: Among patients with TTH, there was statistical difference between visual analogue scale, fatigue severity scale and total NHP score before and after BAT (p < 0.05). Among patients with migraine, there was statistical difference between total NHP score before and after BAT (p < 0.05). Conclusion: Body awareness therapy is an effective method that can be used in order to increase life quality related to health among female patients with TTH and migraine.Öğe The effect of foot plantar massage on balance and functional reach in patients with type II diabetes(Taylor & Francis Inc, 2017) Yümin, Eylem Tütün; Şimşek, Tülay Tarsuslu; Sertel, Meral; Ankaralı, Handan; Yümin, MuratObjective: The aim of this study was to investigate the effect of manual foot plantar massage ( classic and friction massage) on functional mobility level, balance, and functional reach in patients with type II diabetes mellitus ( T2 DM). Methods: A total of 38 subjects diagnosed with T2 DM were included in the study. A healthy control group could not be formed in this study. After the subjects' socio-demographic data were obtained, Timed Up & Go ( TUG) Test, functional reach test ( FRT), one-leg standing test with eyes open-closed, and Visual Analogue Scale ( VAS) to measure foot pain intensity were performed. The results were also divided and assessed in three groups according to the ages of the individuals ( 40-54, 55-64, and 65 and over). Results: As a result of statistical analysis, a difference was found in the values obtained from TUG, FRT, and one-leg standing test with eyes open and closed ( p < 0.05). Following the massage, TUG values significantly decreased comparison with those before the massage, whereas the values of FRT and one-leg standing test with eyes open and closed significantly increased compared with those before the massage ( p > 0.05). According to age groups, there were statistical differences ( p < 0.05) between the TUG, one-leg standing test with eyes open and closed test values of the individuals before and after the massage. Conclusions: The results of our study indicated that application of plantar massage to patients with T2 DM caused an improvement in balance, functional mobility, and functional reach values. An increase in body balance and functional mobility may explain the improvement in TUG. Foot massage to be added to rehabilitation exercise programs of DM patients will be important in improving balance and mobility of patients.Öğe The effect of functional mobility and balance on health-related quality of life (HRQoL) among elderly people living at home and those living in nursing home(Elsevier Ireland Ltd, 2011) Yümin, Eylem Tütün; Şimşek, Tülay Tarsuslu; Sertel, Meral; Öztürk, Asuman; Yümin, MuratThe present study examined the effect of functional mobility and balance on HRQoL among elderly people living at home and those living in nursing homes. The study included 122 elderly people aged 65 and over. With regard to the individuals whose socio-demographic data were collected in the scope of the study, balance and functional mobility levels were evaluated using the timed up and go test (TUG) and Berg balance scale (BBS); HRQoL was evaluated using the Nottingham health profile (NHP); physical independence in daily activities was evaluated using the Barthel index (BI); and basic mobility in daily life was evaluated using the Rivermead mobility index (RMI). Statistically significant differences were found between the TUG, BBS and NHP values of the elderly people living in a home environment and those living in nursing homes (p < 0.05). However, no statistically significant difference could be found between the BI and RMI values (p > 0.05). A statistically significant relationship was found between the NHP and TUG, RMI, BI and the use of assistive devices in daily life activities (p < 0.05). It is thought that the inclusion of functional mobility and balance training in elderly care and rehabilitation programs would be useful for the elderly people to develop functional independence and in increasing their HRQoL. (C) 2010 Elsevier Ireland Ltd. All rights reserved.Öğe The effects of body mass index on balance, mobility, and functional capacity in older adults(Lippincott Williams & Wilkins, 2017) Sertel, Meral; Şimşek, Tülay Tarsuslu; Yümin, Eylem TütünObjective: The aim of this study was to study the effects of body mass index (BMI) on balance, mobility, and physical capacity in the older adults. Methods: A total of 149 elderly individuals aged 65 to 85 years were recruited into the study. They were divided into 3 groups, including normal weight (n = 35), overweight (n = 67), and obese (n = 47), by their BMI values. Sociodemographic characteristics of the subjects were recorded, and their BMI values (body weight/height(2) [kg/m(2)]) were calculated using height and body weight values. Balance was assessed by the Berg Balance Scale (BBS) and the tandem test, mobility by the Rivermead Mobility Index (RMI), and physical capacity by the Timed Up and Go (TUG) test. Results: The mean age of the subjects was 69.64 6.60 years. Statistical analysis revealed that there is no statistically significant difference between the BBS, RMI, and TUG values of normal, obese, and overweight elderly subjects (P > .05). A statistically significant difference was found in tandem test values of the right and left feet (P < .05). A correlation was identified between the BMI and balance (BBS) values for the subjects with a high mean age (P < .05), whereas there was no such correlation for the subjects with a lower mean age (P > .05). Conclusion: Although increased weight affects balance and mobility in the older adults, it is an important factor that affects balance and physical mobility in advanced age.Öğe Effects of mental, functional and mobility disabilities on the health related quality of life and life satisfaction in elderly individuals: A comparative study(2011) Tarsuslu-Şimşek, Tülay; Tütün-Yümin, Eylem; Sertel, Meral; Öztürk, Asuman; Yümin, MuratIntroduction: The aim of this study was to evaluate the effects of mental, functional and mobility disabilities on the health related quality of life and life satisfaction of elderly living at home or nursing home. Materials and Method: 59 elder people living in a nursing home, and 98 elder people living in the family environment were included in this study. Nottingham Health Profile (NHP), Life Satisfaction Scale (LSS), Physical Mobility Scale (PMS), Functional Independence Measurement (FIM), Mini Mental Test (MMT) were used for evaluations. Results: A significant difference was found in PMS, MMT, NHP, FIM (p<0.05) between elderly individuals living in nursing home and those living in the family environment. However there was no difference in LSS (p>0.05) There was a relation between NHP and PMS, MMT, LSS, FIM (p<0.05) for the elderly individuals living in family environment. For the elderly individuals living in nursing home a relation was found between NHP and PMS, MMT (p<0.05) Conclusion: Mobility, mental and functional levels are important factors in increasing health related quality of life and life satisfaction in elderly individuals living in nursing homes and in the family environment.Öğe EFFECTS OF MENTAL, FUNCTIONAL AND MOBILITY DISABILITIES ON THE HEALTH RELATED QUALITY OF LIFE AND LIFE SATISFACTION IN ELDERLY INDIVIDUALS: A COMPARATIVE STUDY(Gunes Kitabevi Ltd Sti, 2011) Tarsuslu-Simsek, Tulay; Tutun-Yumin, Eylem; Sertel, Meral; Ozturk, Asuman; Yumin, MuratIntroduction: The aim of this study was to evaluate the effects of mental, functional and mobility disabilities on the health related quality of life and life satisfaction of elderly living at home or nursing home. Materials and Method: 59 elder people living in a nursing home, and 98 elder people living in the family environment were included in this study. Nottingham Health Profile (NHP), Life Satisfaction Scale (LSS), Physical Mobility Scale (PMS), Functional Independence Measurement (FIM), Mini Mental Test (MMT) were used for evaluations. Results: A significant difference was found in PMS, MMT, NHP, FIM (p<0.05) between elderly individuals living in nursing home and those living in the family environment. However there was no difference in LSS (p>0.05). There was a relation between NHP and PMS, MMT, LSS, FIM (p<0.05) for the elderly individuals living in family environment. For the elderly individuals living in nursing home a relation was found between NHP and PMS, MMT (p<0.05). Conclusion: Mobility, mental and functional levels are important factors in increasing health related quality of life and life satisfaction in elderly individuals living in nursing homes and in the family environment.Öğe The effects of pain on health-related quality of life and satisfaction with life in older adults(Lippincott Williams & Wilkins, 2010) Şimşek, İbrahim Engin; Şimşek, Tülay Tarsuslu; Yümin, Eylem Tütün; Sertel, Meral; Öztürk, Asuman (Saltan); Yümin, MuratPurpose: This study was designed to investigate the relations between pain, health-related quality of life, and satisfaction with life in older adults above the age of 65 years. Subjects and methods: A total of 163 subjects, 58 (35.6%) females and 105 (64.4%) males, with an average age of 73.26 +/- 6.58 years participated in the study. After gathering sociodemographic data, Nottingham Health Profile (NHP) was used to assess health-related quality of life. Satisfaction with life and level of pain were evaluated using Visual Analogue Scale. Results: Eighty-eight (54%) subjects reported pain that mainly originated from lower back, knees, and extremities with an average Visual Analogue Scale score of 5.75 +/- 2.18. There were significant differences between older adults reporting pain and those who did not report pain in the aspects of satisfaction with life and NHP (total and all subscales) (P < .05). Also, severity of pain was found to have a negative effect on NHP and social isolation subscale (NHP) (P < .05). Conclusion: This study demonstrated the adverse impact of pain on quality of life. Pain is a significant problem and needs to be routinely assessed and treated in older-adult population.Öğe Effects of quadriceps muscle strength and kinesiophobia on health related quality of life in elderly women and men with chronic obstructive pulmonary disease(2018) Özel, Alp; Yümin, Eylem Tütün; Tuğ, Tuncer; Sertel, MeralObjective: The aim of this study was to investigate the effects of quadriceps muscle strength and kinesiophobia on health-related quality of life in elderly women and men with chronic obstructive pulmonary disease. Methods: After recording the socio-demographic information of individuals, the Visual Analogue Scale (VAS) for pain status, the modified Medical Research Council Scale (mMRCS) for dyspnea, TAMPA Scale for Kinesiophobia (TSK), Saint George Respiratory Questionnaire (SGRQ) for health-related quality of life, and manual dynamometer were used to measure for muscle strength of quadriceps. Results: Seventeen (37.8%) of the 45 participants were female. The mean age and body mass index of females were 71.59±4.84 years and 28.75±6.71 kg/m2, respectively. Kinesiophobia averages were 47.47±7.40 and 41.89±7.65 in women and men, respectively, and SGRQ(Symptom) scores were 75.97±15.87 and 63.89±18.54 in women and men, respectively. Statistical analysis showed that there was a significant difference between men and women between kinesiophobia and SGRQ(Symptom) (p<0.05). There was a correlation between kinesiophobia and SGRQ(Activity), SGRQ(Symptom) and SGRQ(Total) in females and kinesiophobia and SGRQ(Activity), SGRQ(Impact) and SGRQ(Total) in males (p<0.05). The TSK score was found to affect the quality of life, more in women (p<0.05). There was no correlation between pain and quadriceps muscle strength and SGRQ parameters in both men and women (p>0.05). Conclusion: In elderly individuals with COPD, kinesiophobia is an important factor affecting the quality of life and is recommended to increase physical activity, and monitor the physiological, emotional well-being in order to improve quality of life.Öğe Fonksiyonel eğitimin el ve üst ekstremitenin iş ile ilgili muskuloskeletal rahatsızlıkları üzerine etkisi(Bolu Abant İzzet Baysal Üniversitesi, 2008) Sertel, Meral; Üçsular, Ferda DokuztuğBu çalışma, fabrikada çalışan işçilerde fabrika ortamında kuvvet ve endurans eğitiminin el ve üst ekstremite üzerine etkilerini belirlemek amacıyla yapılmıştır. Bu çalışmaya, Bolu ilinde kanatlı sektöründe çalışan, herhangi bir sistem hastalığı olmayan sağlıklı, 300 işçi katılmış ve 145 işçi araştırmayı tamamlamıştır. İşçiler; kuvvet eğitim grubu, endurans eğitim grubu ve kontrol grubu olmak üzere üç gruba ayrılmıştır. Eğitim gruplarını oluştururken, farklı vardiyalarda çalışan gruplar, kuvvet ve endurans eğitim grubu olarak ikiye ayrılmıştır. Gece ve gündüz vardiyalarından hangisinin endurans veya kuvvet grubu olacağı kura ile belirlenmiştir. Kura sonucunda, gece vardiyası kuvvet grubu, gündüz vardiyası endurans grubu olarak belirlenmiştir. Kuvvet grubundan 36 işçi ve endurans grubundan 38 işçi eğitim programını tamamlamıştır. Kontrol grubuna ise kura ile belirlenen 100 işçi dahil edilmiştir. Çalışmanın başlangıcında, eğitim ve kontrol grubundaki işçilerin fiziksel özellikleri, üst ekstremite ve eldeki muskuloskeletal rahatsızlıklarla ilgili şikayetleri (uyuşma, yorgunluk, kuvvetsizlik), ağrı durumları, kas kuvvetleri (itme-çekme-kaldırma), el becerileri ve kas enduransları [Step testi (VO2max) ve push-up testi] değerlendirilmiştir. Aynı ölçümler sekiz hafta sonunda tekrarlanmıştır. Eğitim grupları, her seans 20 dakika olmak üzere haftada 3 kez ve toplam 8 hafta kuvvet ve endurans eğitim programına alınmıştır. Kontrol grubu ise, herhangi bir eğitim programına katılmamıştır. İşçilerin çalışma sonundaki değerlendirmelerinde, eğitim alan bireylerde ağrılarının azaldığı bulunmuştur (p<0,05). Endurans eğitimi alan grupta, eğitim öncesi ve eğitim sonrası itme, çekme ve kaldırma kas kuvveti değerlerinde istatistiksel olarak anlamlı fark bulunmuştur (p<0,05). El beceri testinde her üç grupta da istatistiksel olarak anlamlı fark bulunmuştur (p<0,05). Kuvvet ve endurans eğitimi alan gruplarda ve kontrol grubunda VO2max değerlerinde anlamlı bir artış gözlenmiştir (p<0,05). Kuvvet ve endurans eğitimi alan gruplarda eğitim öncesi ve sonrası push-up değerleri arasında istatistiksel olarak anlamlı bir fark bulunmuştur (p<0,05). Tüm bu bulgular ışığında, kuvvet ve endurans eğitimi alan gruplarda eğitim öncesi ve sonrası gelişme olmuştur. Ancak her iki grup arasında bir farkistatistiksel olarak gösterilememiştir. Araştırmamız sonucunda, kuvvet ve endurans eğitiminin işçilerin üst ekstremite muskuloskeletal rahatsızlıklarla ilgili şikayetlerini ve ağrılarını azalttığı, kuvvet ve endurans seviyelerinde artış olduğu belirlenmiştir. Bu sonuca dayanarak, iş sağlığı alanında iş ile ilgili muskuloskeletal rahatsızlık ve iş kazası oranının azaltılması ve iş verimliliğinin arttırılmasında fizyoterapistlerin iş yerlerinde fiziksel eğitim programları uygulamaları gerektiği anlaşılmıştır.Öğe Gerilim tipi baş ağrılı hastalarda vücut farkındalığı terapisi ve aerobik egzersizlerin ağrı, beden imajı ve yaşam kalitesi üzerine etkisi(Bolu Abant İzzet Baysal Üniversitesi, 2014) Sertel, Meral; Bakar, YeşimBu çalışmanın amacı, gerilim tipi baş ağrısı (GTBA) olan hastalarda, vücut farkındalık terapisi (VFT) ve aerobik egzersizlerinin, ağrı, beden imajı ve yaşam kalitesi üzerine etkisini araştırmaktı. Çalışmaya Nöroloji doktoru tarafından GTBA tanısı konulmuş, yaş ortalamaları 39,26±9,23 yıl olan 60 birey dahil edildi. Bireyler randomize olarak VFT (n=20), aerobik egzersiz (n=20) ve kontrol grubu (n=20) olmak üzere 3 gruba ayrıldı. Çalışmanın başlangıcında, bireylerin sosyodemografik bilgileri, GTBA'yla ilişkili bilgileri, değerlendirme formuyla sorgulandı. Bireylerin yaşam kalitesi; Yaşam Kalitesi Anketi (SF-36), beden imajı; Beden İmajı Anketi (BIQ), ağrı şiddeti; Visüel Anolog Skala (VAS) ve ağrı günlüğü, ağrıyla ilgili yetersizlik; Ağrı Yetersizlik İndeksi (PDI) ve Baş Ağrısı Etki Testleriyle (HIT) değerlendirildi. I. gruptaki bireyler VFT, II. gruptaki bireylerde aerobik egzersiz programına alındı. Çalışmanın sonunda gruplar karşılaştırıldığında, I. ve II. gruplardaki bireylerde VAS, PDI ve HIT değerlerinde belirgin azalma görülürken, BIQ değerleri açısından sadece grup II'de azalma bulundu (p<0,05). Grup III'teki bireylerde ise, VAS, PDI, HIT ve BIQ değerlerinde fark bulunmadı (p>0,05). Grup I'deki bireylerde yaşam kalitesinin vücut algısı, genel sağlık ve sosyal fonksiyon parametreleri hariç bütün parametrelerinde anlamlı artış olduğu, grup II'de fiziksel, sosyal fonksiyon, vücut algısı, canlılık ve ruh sağlığı parametrelerinde artış olduğu, grup III'te ise sadece ruh sağlığı parametresinde anlamlı bir artış olduğu görüldü (p<0,05). Çalışmamızın sonunda, GTBA tanılı hastalarda uygulanan VFT ve aerobik egzersiz programlarının, bireylerin ağrılarının ve ağrıyla ilgili günlük yaşamdaki kısıtlılıkların azaltılması, beden imajı ve yaşam kalitesinin arttırılmasında önemli olduğu, GTBA'lı bireylerde medikal tedavinin yanında, VFT ve aerobik egzersizler yapılmasının gerekli olduğu sonucuna varıldı. Anahtar Kelimeler: Aerobik egzersiz, Gerilim tipi baş ağrısı, Gevşeme terapisi, Vücut farkındalığı terapisi, Yaşam kalitesiÖğe Investigation of the relationship between physical activity, kinesiophobia and fear of falling in older adults with chronic pain(Taylor & Francis Ltd, 2021) Sertel, Meral; Arslan, Saniye Aydoğan; Yümin, Eylem Tütün; Demirci, Cevher Savcun; Şimşek, Tülay TarsusluAims This study aims to investigate the relationship between physical activity, fear of movement and fear of falling in older adults with chronic pain. Materials and methods The study includes 163 older adults aged 65 years and over, who live in a private nursing home. The cognitive functions of the individuals who participated in the study were evaluated with the mini-mental examination scale (MMES), fears of movement with the Tampa Scale of Kinesiophobia (TSK), fear-avoidance behaviour with the Fear-avoidance Beliefs Questionnaire (FABQ), physical activity levels with the Physical Activity Scale for Older (PASE), and the fears of falling were assessed with Tinetti's Falls Efficacy Scale (FES). Results In the correlation analysis, there was a weak correlation between age and fall risk (r = 0.349, p < 0.001), and PASE(Total) score (r = -0.020, p = 0.011). There was a weak positive correlation between Tinetti FES and FABQ scores (r = 0.349, p < 0.001), and kinesiophobia value (r = 0.259, p < 0.001), there was a weak negative correlation between Tinetti FES and PASE(Total) (r = -0.241, p = 0.002). A positive mid correlation was determined between kinesiophobia and the FABQ scores (r = 0.41, p < 0.001). The established regression model was found to be significant (F = 12.175; p < 0.001). Among the independent variables included in the model, FABQ(Total) (t = 3.589; p < 0.0001) and PASE(Total) (t = -3.325; p < 0.0001) significantly affected the fear of falling. Conclusion The presence of chronic pain in older adults who have problems related to physical activity, fear of falling, and kinesiophobia due to advancing age may affect social participation, functional level, and quality of life significantly. Therefore, pain should be addressed in older adults and should be considered as an important issue in rehabilitation programs.Öğe Kadın ve erkek yaşlı bireylerde depresyon sağlıkla ilgili yaşam kalitesi ve yaşam memuniyeti üzerine etkisi(2010) Şimşek, Tarsuslu Tülay; Yümin, Eylem Tütün; Sertel, Meral; Öztürk, Asuman; Yümin, MuratAmaç: Bu çalışmanın amacı, yaşlı bireylerde depresyonun yaşam kalitesi ve yaşam memnuniyeti üzerine etkisini incelemekti. Gereç ve Yöntem: Çalışmaya 65 yaş ve üstü 52 kadın, 95 erkek toplam 147 yaşlı birey dahil edilmiştir. Yaş, boy, kilo gibi demografik bilgileri alınan bireylerin, medeni durum, eğitim durumu, çocuk sayısı, sosyal güvence, yardımcı araç-gereç kullanıp kullanmadıkları, kronik hastalık hikayesi alınmıştır. Depresyon düzeyini belirlemek amacıyla Geriatrik Depresyon Ölçeği (GDÖ), sağlıkla ilgili yaşam kalitesini değerlendirmek için Nottingham Sağlık Profili (NHP) ve yaşam memnuniyetini değerlendirmek için Yaşam Memnuniyeti Skalası (YMS) kullanılmıştır. Bulgular: Depresyon oranı en yüksek kadınlarda, sağlıkla ilgili yaşam kalitesi ve yaşam memnuniyeti ise en yüksek erkeklerde bulunmuştur. Kadınlar ve erkekler arasında depresyon ve yaşam kalitesi açısından pozitif yönde anlamlı bir fark bulunmuş (p<0.05), yaşam memnuniyeti açısından bir farklılık bulunmamıştır (p>0.05). Hem kadın hem de erkek bireylerde depresyon ile NHP’nin enerji seviyesi, ağrı, emosyonel reaksiyon, uyku, sosyal izolasyon parametreleri ve toplam NHP arasında pozitif yönde bir ilişki bulunmuştur (p<0.05). Sonuç: Depresyon yaşlı bireylerde sağlıkla ilgili yaşam kalitesini ve yaşam memnuniyetini etkileyen önemli bir faktör olup, yaşlı bireylerde sağlıkla ilgili yaşam kalitesini arttırabilmek amacıyla fiziksel, fizyolojik ve emosyonel iyilik halinin takibi sağlanmalıdır.
