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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 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 effects of osteopathic treatment on constipation in children with cerebral palsy: a pilot study(Mosby-Elsevier, 2009) Tarsuslu, Tülay; Bol, Hüseyin; Şimşek, İbrahim Engin; Toylan, İmran Erkanat; Çam, SabahatObjective: This pilot study was designed to investigate the effectiveness of osteopathic treatment in children with cerebral palsy and chronic constipation. Methods: This study included 13 children with cerebral palsy diagnosed as having chronic constipation by a gastroenterologist. The subjects were separated into 2 groups. Group 1 was treated with osteopathic methods and group 2 underwent both medical and exactly the same osteopathic treatments of group 1. Osteopathic treatments included fascial release, iliopsoas muscle release, sphincter release, and bowel mobilizations. Gross Motor Functional Classification System, Functional Independence Measure for Children, and Modified Ashworth Scale were used to determine the level of disability, functional independence, and muscle tonus, respectively. In addition, Constipation Assessment Scale was administered to the subjects to determine the severity of constipation. The satisfaction from the treatment was measured using a Visual Analogue Scale at 3 and 6 months. Results: Most of the children included in this study were determined as level IV or V according to Gross Motor Functional Classification System. The satisfaction of the subjects or the families with the treatments was not different when the groups were compared (P > .05). Constipation Assessment Scale scores decreased significantly in both groups (P < .05). Pretreatment (initial evaluation) and posttreatment (follow-ups at 3 and 6 months) results revealed no difference between the groups in either aspects (P > .05). However, both groups showed significant improvements compared with baseline evaluations (P < .05). Conclusion: Osteopathic methods were as effective as osteopathic methods in addition to medical care for both treatment groups. The results of this study suggest that osteopathic methods may be helpful as an alternative treatment in constipation. Additional advanced studies should be conducted. (J Manipulative Physiol Ther 2009;32:648-653)Öğe Investigation of interobserver reliability of the Gillette Functional Assessment Questionnaire in children with spastic diparetic cerebral palsy(Turkish Assoc Orthopaedics Traumatology, 2010) Günel, Mintaze Kerem; Tarsuslu, Tülay; Mutlu, Akmer; Livanelioğlu, AyşeObjectives: Information obtained from families is of particular importance in the evaluation of functional mobility skills of children with cerebral palsy (CP) after orthopedic interventions and long-term rehabilitation applications. This study was designed to evaluate the interobserver reliability of the Gillette Functional Assessment Questionnaire (FAQ) which was administered to the mothers and the physiotherapist for children with CP. Methods: The study included 52 spastic diparetic children with CP (22 girls, 30 boys; mean age 7.8 +/- 4.4 years; range 4 to 12 years) and their mothers. According to the Gross Motor Function Classification System (GMFCS), all the children were in level 1 to 3. The Gillette FAQ was administered to the mother and physiotherapist to determine the functional walking level of the child and the interobserver reliability of the FAQ was calculated. In addition, gross motor performance was evaluated by the standing and walking-running-jumping dimensions of the Gross Motor Performance Measure (GMPM), and functional independence level was evaluated by the transfer and locomotion dimensions of the Functional Independence Measure for Children (WeeFIM). Correlations were sought between the FAQ results of the physiotherapist and mothers and the GMFCS, GMPM, and WeeFIM. Results: The intraclass correlation coefficient for interobserver reliability of the Gillette FAQ was 0.94 (95% CI 0.898-0.966). A highly significant correlation was found between the responses of the mother and physiotherapist to the Gillette FAQ (r=0.882, p<0.01). The responses of the mother and physiotherapist to the Gillette FAQ showed a negative correlation with the GMFCS level, and positive correlations with the dimensions of the GMPM and WeeFIM studied (p<0.01). Conclusion: The Gillette FAQ can be used by the physiotherapists to determine the functional changes in spastic diparetic children with CP and can help clinicians derive important information from the families about functional walking of their children.Öğe Investigation of the different factors that cause hip problems in spastic quadriparetic cerebral palsy children(2008) Tarsuslu, Tülay; Dokuztuǧ, FerdaThe aim of this study was to investigate the first standing and weight-bearing age and the related hip subluxation and dislocation in children with spastic quadriparetic cerebral palsy. Forty-three children with the diagnosis of spastic quadriparetic cerebral palsy were included in the study. Mean age was 98.9±59.1 months (9-192 months). Functional status according to Gross Motor Function Classification System and clinical type were identified. Muscle tone was evaluated with modified Ashworth scale. The age at which the patients began to stand was ascertained from the families. Hip X-rays for the last six months were evaluated by the orthopedic surgeon regarding hip subluxation and dislocation. The first standing ages for the girls and boys were 30.2±26.4 and 63.8±46.2 months, respectively. Eleven (25.6%) of the 43 patients had hip dislocation and three (7.0%) had hip subluxation. A statistically significant difference was found between hip flexor, internal rotator, adductor and hamstring spasticity and hip subluxation and dislocation (p<0.05). We think that the children must be put in standing position with weight-bearing as early as possible in order to prevent secondary hip problems in later years.Öğe Kronik fiziksel özürlü bireylerde ağrı, depresyon, anksiyete ve fonksiyonel bağımsızlık ile yaşam kalitesi arasındaki ilişki(2010) Tarsuslu, Tülay; Yümin, Eylem Tütün; Öztürk, Asuman; Yümin, MuratAmaç: Bu çalışma, kronik fiziksel özürlü bireylerde ağrı, depresyon, anksiyete ve fonksiyonel bağımsızlık ile yaşam kalitesi arasındaki ilişkiyi belirlemek amacıyla planlandı. Gereç ve Yöntem: Çalışmaya yaş ortalaması 38.18±11.06 yıl olan 82 sağlıklı birey ve 37.72±16.40 yıl olan 89 kronik fiziksel özürlü birey olmak üzere toplam 171 birey dahil edildi. Olguların yaş, boy, kilo, cinsiyet, eğitim düzeyi, meslek, medeni durum gibi fiziksel ve sosyal özellikleri kaydedildi. Ağrıyı değerlendirmek için Vizüel Analog Skalası, depresyon için Beck Depresyon Envanteri, anksiyete için Beck Anksiyete Envanteri, yaşam kalitesi için Nottingham Sağlık Profili, fonksiyonel durum için Fonksiyonel Bağımsızlık Ölçümü kullanıldı. Bulgular: Sağlıklı bireylerle karşılaştırıldığında kronik fiziksel özürlü bireylerde ağrı, depresyon, anksiyete değerlerinin daha yüksek, yaşam kalitesi değerinin ise daha düşük olduğu ve gruplar arası karşılaştırmada ağrı, anksiyete, depresyon, fonksiyonel bağımsızlık ve yaşam kalitesi arasında anlamlı bir farklılık olduğu bulundu (p<0.05). Aynı şekilde, hem sağlıklı hem de özürlü bireylerde ağrı, depresyon, anksiyete ve yaşam kalitesi arasında negatif yönde anlamlı bir ilişki bulundu (p<0.05). Sonuç: Kronik fiziksel özrü olan bireylerde ağrı, önemli ruhsal sorunlara yol açabilmekte ve kişinin yaşam kalitesini negatif yönde etkileyebilmektedir. Bu çalışma, kronik fiziksel özürlü bireylerde ağrı ile depresyon, anksiyete ve yaşam kalitesi arasında kuvvetli bir ilişki olduğunu ortaya koydu. Kronik fiziksel özürlü bireylerde değerlendirme ve rehabilitasyon programları planlanırken bu sonuçlar dikkate alınmalıdır.Öğe Multidisciplinary approach in prader willi syndrome: A case report of 3 years follow up and review of the literature(2010) Tarsuslu, Tülay; Anlar, Banu; Kitapçı, Uçkun AyşınBu çalışmanın amacı, Prader Willi Sendromu (PWS) tanısı konmuş bir olgunun 3 yıllık sonuçlarını literatür eşliğinde irdelemektir. Olgu 92 cm boy, 13,5 kg ağırlığında, 3,5 yaşında bir kız çocuğu olup, 8 aylıkken karakteristik yüz şekli, şiddetli genel hipotonisi, mental ve motor gelişim geriliği ile PWS düşünülmüş ve kromozom analizi ile tanısı konmuştur. O dönemde fizyoterapi ve rehabilitasyon programına yönlendirilmiş, düzenli olarak pediatrik nörolog, pediatrik endokrinolog ve pediatrik fizyoterapist tarafından takip edilmiştir. Oturma, emekleme, ayakta durma ve yürüme basamaklarını sırasıyla 12, 24, 30, 38. aylarda tamamlamıştır. İlk kelimesini 2,5 yaşında söylemiş olup kelime hazinesi halen 6 kelime ile sınırlıdır: henüz cümle kuramamaktadır. Bu çalışma, uzun süre takip edilen PWS'li ilk olgu özelliğini taşımaktadır. PWS'li olgularda multidisipliner yaklaşımların gerekli olacağını düşünüyoruz.Öğe Relationship between quality of life and functional status of young adults and adults with cerebral palsy(Taylor & Francis Ltd, 2010) Tarsuslu, Tülay; Livanelioğlu, AyşePurpose. The aim of this study was investigate the relation between health related quality of life (HRQoL) and functional status in young adult or adult cerebral palsied individuals. Methods. The study included 45 cerebral palsied subjects who were divided into two groups as young adults (n=21, group 1) and adults (n=24, group 2), over the age 15 years. Gross Motor Function Classification System (GMFCS), Functional Independence Measurement (FIM), Physical Mobility Scale (PMS), Nottingham Health Profile (NHP), Visual Analogue Scale (VAS) were used as outcome measures. Results. In group 1, GMFCS and PMS scores were significantly correlated with total the total score of FIM (p<0.05). Although total FIM, PMS, LS and GMFCS scores were not correlated with the total NHP score (p>0.05), pain subscale of NHP was significantly correlated with self care and mobility subscales of FIM (p<0.05). Also, self care, mobility, locomotion subscales and total score of FIM were highly correlated with the physical activity subscale of NHP (p<0.05). In group 2, our findings were also similar to those of young adults when the relations between total NHP score and total FIM, PMS, LS and GMFCS were investigated (p>0.05) and also some subscales of FIM and NHP presented high correlations in between. In addition, there were significant differences between the groups in GMFCS, LS and locomotion and self care subscales of FIM (p<0.05). Conclusion. Although HRQoL in young cerebral palsied individuals seems to be more effected by parameters related to physical condition, in cerebral palsied adults psychological and emotional aspects may be more important indicators related to HRQoL. For that reasons, more population specific measures have to be developed for in-depth analysis of these factors.Öğe Serebral paralizili bireylerde motor limitasyonun mobilite ve bağımsızlık düzeyi üzerine etkisi(2008) Tarsuslu, Tülay; Livanelioğlu, AyşeAmaç: Bu çalışmanın amacı, genç yetişkin ve yetişkin serebral paralizili (SP) bireylerde kaba motor fonksiyon seviyesinin mobilite ve fonksiyonel bağımsızlık üzerine etkisini incelemekti. Gereç ve yöntem: Çalışmaya yaş ortalaması 22.56±7.92 yıl (bayanlar 21.88±6.87 yıl, erkekler 23.4±9.18 yıl) olan 45 yetişkin SP’li olgu dahil edildi. Çalışmaya dahil edilen olguların demografik ve klinik bilgileri (ekstremite ve klinik tutulumu) alındıktan sonra, kaba motor fonksiyon düzeyini belirlemek amacıyla Kaba Motor Fonksiyon Sınıflama Sistemi (GMFCS), fonksiyonel bağımsızlık düzeyini değerlendirebilmek amacıyla Fonksiyonel Bağımsızlık Ölçümü (FIM) ve mobilite düzeyini belirleyebilmek amacıyla Rivermead Mobilite İndeksi (RMI) uygulanarak elde edilen veriler arasındaki ilişki incelendi. Sonuçlar: GMFCS ile toplam FIM ve toplam RMI arasında negatif yönde kuvvetli bir ilişki bulundu (sırasıyla; r=-0.803 ve r=-0.586, p<0.001). Tartışma: Bu çalışma, yetişkin SP’li bireylerde kaba motor fonksiyon düzeyi ile mobilite ve fonksiyonel bağımsızlık düzeyi arasında kuvvetli bir ilişki olduğunu gösterdi. Yetişkin SP’li bireylerin rehabilitasyonunda bu ilişkiden yola çıkılarak bireyin ev içi ve ev dışı ambulasyonunu sağlayacak yaklaşımlara ağırlık verilerek, aktivite katılımını ve sosyal aktivite düzeyini artıracak hedeflerin belirlenmesinin önemli olacağını düşünüyoruz.Öğe Serebral paralizili çocuklarda ayakta durmaya başlama zamanı(Bolu Abant İzzet Baysal Üniversitesi, 2002) Tarsuslu, Tülay; Dokuztuğ, FerdaÖZET TÜLAY TARSUSLU Yüksek Lisans, Sağlık Bilimleri Enstitüsü Tez Danışmanı: Prof. Dr. Ferda Dokuztuğ Araştırmamızın amacı, serebral paralizili çocukların ayakta durmaya başlama zamanını belirlemekti. Ayrıca, zamanında ayağa kalkan ve kalkamayan serebral paralizili çocuklarda, kalça subluksasyon ve dislokasyon görülme oranlarında fark olup olmadığını araştırmaktı. Araştırmamıza 84 serebral paralizili hasta dahil edildi. Değerlendirmeye başlamadan önce, çocukla ve aile ile ilgili demografik bilgiler öğrenildi. Daha sonra çocuklardaki serebral paralizinin tipi, şiddeti, etyolojik sınıflaması, fonksiyonel seviyesi belirlendi. Ayrıca spastisitenin şiddeti, kas kısalıkları, vücut postürü, ekstremite uzunluk ölçümleri, oturma ve ayakta durma dengeleri değerlendirildi. Araştırmamızda ilk defa ayağa kaldırılma zamanı, kızlarda 39,60 ay± 48,09 ve erkeklerde 51,76 ay± 40,47 olarak bulundu. 84 olgunun % 13,09 ' unda (15 kalça) dislokasyonu ve % 3,57 (3 kalça) subluksasyonu geliştiği saptandı. Erkeklerde kalça subluksasyon ve dislokasyon görülme oram, kızlardan daha fazlaydı. Bunun nedeni, erkeklerin kızlardan daha geç yaşta ayağa kaldırılmaları olarak değerlendirildi. Serebral paralizili çocukların fizyoterapi-' rehabilitasyon programlarında normal gelişim eğrisi izlenmektedir. Bu yaklaşıma göre oturamayan, emekleyemeyen veya dizlerinin üzerinde duramayan çocuk ayağa kaldırılmamaktadır. Böylece çocukların ayağa kaldırılma yaşı gecikmektedir. Ayağa geç kalkan çocuğun kalça ekleminde ilave problemler meydana gelmektedir. Öncelikle asetabulum gelişimi tamamlanmamaktadır. İleri dönemde de kalça subluksasyonu gelişebilmektedir.Araştırmamızın sonunda serebral paralizili çocukların ayağa kalkma yaşı arttıkça, kalça subluksasyon ve dislokasyon gelişme oranının arttığı belirlendi. Bu sonuç serebral paralizili çocukların 12. aydan itibaren destekli veya desteksiz ayağa kaldırılmalarının kalça subluksasyon ve dislokasyon meydana gelme oranını azaltacağını gösterdi. Anahtar kelimeler: Serebral paralizi, ayağa kalkma, ağırlık aktarma, kalça subluksasyonu, kalça dislokasyonu
