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    Halil ALKAN

    This study aims to examine the relationship between smartphone addiction and depression, sleep quality, quality of life, fear of contracting COVID-19 and increased pain in university students during the COVID-19 pandemic. 350 students... more
    This study aims to examine the relationship between smartphone addiction and depression, sleep quality, quality of life, fear of contracting COVID-19 and increased pain in university students during the COVID-19 pandemic. 350 students studying at universities in Turkey were included in the study. Smartphone addiction levels of students were measured with the Smartphone Addiction Scale-Short Version (SAS-SV), and sleep quality and disorders were measured with the Pittsburgh Sleep Quality Index (PSQI). Beck Depression Inventory (BDI) was used to measure depression status, and Short Form 36 (SF-36) was used to measure quality of life. A positive and low-level significant relationship was found between smartphone addiction and sleep quality and depression level (p
    Amaç: Bu çalışmadaki amacımız okul öncesi çocuklarda fiziksel uygunluk ve gestasyonel yaş arasındaki ilişkiyi araştırmaktır. Yöntem: Çalışma Muş İl Milli Eğitim Bakanlığı’na bağlı okulların ana sınıflarında bulunan, 4-6 yaş aralığındaki... more
    Amaç: Bu çalışmadaki amacımız okul öncesi çocuklarda fiziksel uygunluk ve gestasyonel yaş arasındaki ilişkiyi araştırmaktır. Yöntem: Çalışma Muş İl Milli Eğitim Bakanlığı’na bağlı okulların ana sınıflarında bulunan, 4-6 yaş aralığındaki 212 sağlıklı (107 kız ve 105 erkek) çocuklarta yapıldı. Çocuklara ait sosyodemografik ve doğum özellikler kaydedildi. Çocukların fiziksel uygunluklarını değerlendirmek için bu yaş aralığına özel geliştirilen Preschool Physical Fitness (PREFIT) test bataryası kullanıldı. Çocukların gelişim parametrelerini değerlendirmek için Denver Gelişimsel Tarama Testi (DGTT) II kullanıldı. Çocukların kognitif seviyelerini belirlemek için ailelere sorulan anket şeklindeki bir form kullanıldı. Bulgular: Çocukların gestasyonel yaşıyla fiziksel uygunlukları (tek bacak denge) arasında pozitif yönde anlamlı ilişki bulundu (p<0,025). Çocukların kognitif seviyeleriyle gelişimleri arasında (p<0,001) ve çocukların kognitif seviyeleriyle fiziksel uygunlukları arasında ...
    Jaundice is a common problem and occurs as a result of the increase in bilirubin level in infants. Infants may be adversely affected by this situation. The aim of this study is to determine whether neonatal jaundice affects the movements... more
    Jaundice is a common problem and occurs as a result of the increase in bilirubin level in infants. Infants may be adversely affected by this situation. The aim of this study is to determine whether neonatal jaundice affects the movements and postures of 3- to 5-month-old infants with hyperbilirubinemia and the correlation of motor repertoire at the same age with bilirubin levels. The study group included 30 infants (9 girls, 21 boys) with hyperbilirubinemia and a control group of 30 infants (11 girls, 19 boys) with typical development without hyperbilirubinemia. The motor repertoires of the infants were evaluated through detailed general movement (GM) analysis using video recordings made at 9–17 weeks post-term. The infants with hyperbilirubinemia had lower motor optimality score and subcategory scores (including observed movement patterns, age-adequate movement repertoire, observed postural patterns, and movement character) compared with the control group. The fidgety movement scores decreased as bilirubin value increased in infants. Conclusion : Infants with hyperbilirubinemia had poorer motor repertoire when compared to a control group. For this reason, detailed GM analysis of these infants will predict probable neurodevelopmental problems and infants with needs can begin individualized early intervention suitable for movement repertoire and posture at the earliest time. What is Known: • GMs of infants with hyperbilirubinemia were previously described. • However, the motor repertoires of infants with hyperbilirubinemia were not described in detail. What is New: • Infants with hyperbilirubinemia had poorer motor repertoire when compared to peers. • This is important in determining the need for individualized early intervention.
    The aim of this study was to determine motor repertoire at 3 to 5 months of age in infants with hypoxic-ischemic encephalopathy and to examine how this repertoire changes according to severity. Objective: The aim of this study was to... more
    The aim of this study was to determine motor repertoire at 3 to 5 months of age in infants with hypoxic-ischemic encephalopathy and to examine how this repertoire changes according to severity. Objective: The aim of this study was to determine motor repertoire at 3 to 5 months of age in infants with hypoxic-ischemic encephalopathy (HIE) and to examine changes according to HIE severity. Methods: Participants were 38 infants aged 3 to 5 months with HIE and 38 infants in the comparison group. The general movement assessment and the Motor Optimality Score (MOS) were used. Results: Infants in the HIE group had a significantly lower total MOS and scores for fidgety movements, age adequacy of motor repertoire, and quality of movement patterns compared with the comparison group. Infants with grade III HIE compared with grade I had a significantly lower MOS. Conclusions: Infants with HIE had poorer motor repertoire at age 3 to 5 months when compared with peers. Motor repertoire deteriorated ...
    Objectives: To compare the fatigue levels and energy expenditure of children with Duchenne Muscular Dystrophy (DMD) at different functional levels with healthy children. Methods: The cross-sectional study was carried out in the Unit of... more
    Objectives: To compare the fatigue levels and energy expenditure of children with Duchenne Muscular Dystrophy (DMD) at different functional levels with healthy children. Methods: The cross-sectional study was carried out in the Unit of Pediatric Neuromuscular Diseases in the Department of Physiotherapy and Rehabilitation, Faculty of Health Science, Hacettepe University between March 2015 and January 2016. Fifty two children diagnosed with DMD in Level I-III according to the Brooke Functional Classification Scale and 17 healthy children were included in the study. The Six Minute Walk Test (6MWT), Northstar Ambulatory Assessment Scale (NSAA), Physiological Cost Index (PCI), and Timed performance tests were used to assess the children. Results: Comparison in terms of PCI indicated a difference between Levels 2 and 3, and Levels 1 and 3 (p<0.0083). A difference was found in ascending and descending 4 stairs after 6MWT when fatigue after activity was evaluated. Conclusion: The walking...
    Alkan, H. Okul oncesi donemdeki cocuklarin norolojik durumlari, gelisimsel parametreleri ve fiziksel uygunluklari arasindaki iliskinin incelenmesi, Hacettepe Universitesi, Saglik Bilimleri Enstitusu, Fizik Tedavi ve Rehabilitasyon... more
    Alkan, H. Okul oncesi donemdeki cocuklarin norolojik durumlari, gelisimsel parametreleri ve fiziksel uygunluklari arasindaki iliskinin incelenmesi, Hacettepe Universitesi, Saglik Bilimleri Enstitusu, Fizik Tedavi ve Rehabilitasyon Programi, Doktora Tezi, Ankara, 2019. Bu calismanin amaci; okul oncesi donemdeki cocuklarin norolojik durumlari, gelisim parametreleri ve fiziksel uygunluklari arasindaki iliskiyi arastirmakti. Calisma Mus Il Milli Egitim Bakanligi'na bagli okullarin ana siniflarinda bulunan, 4-6 yas araligindaki 212 saglikli cocuklar uzerinde yapildi. Cocuklarin norolojik durumlari Touwen Muayenesi, gelisim parametreleri Denver Gelisimsel Tarama Testi (DGTT) II, fiziksel uygunluklari PREFIT test bataryasi, kognitif seviyeleri ise ailelere sorulan anket seklindeki bir form ile degerlendirildi. Cocuklarin norolojik durumlari ile gelisimsel parametreleri (r=-0,398, p<0,001), norolojik durumlari ile fiziksel uygunluklari (r=-0,221, p<0,01), gelisimsel parametreleriy...
    Functional classification systems have generally been used by clinicians and recently by parents to classify various functions of children with cerebral palsy (CP). This study evaluated the agreement between clinicians and parents when... more
    Functional classification systems have generally been used by clinicians and recently by parents to classify various functions of children with cerebral palsy (CP). This study evaluated the agreement between clinicians and parents when classifying the communication function of children with CP using the Communication Function Classification System (CFCS). In addition, the relationships between the Gross Motor Function Classification System - Expanded and Revised (GMFCS-E&R), the Manual Ability Classification System (MACS), and CFCS were investigated. This study was a cross-sectional study and included 102 children aged 4-18 years with CP and their parents. The parents and clinician classified the communication of children by using the Turkish language version of CFCS. Furthermore GMFCS-E&R and MACS were used for classification only by the clinician. The weighted Kappa agreement between CFCS results of the parents and clinicians was 0.95 (95% CI 0.95-0.96, p < 0.001). GMFCS-E&R levels were highly correlated with CFCS levels (r = 0.78 (95%CI 0.68-0.84, p < 0.001)). MACS and CFCS results were also highly correlated (r = 0.73 (95%CI 0.63-0.81, p < 0.001). The child's communication was classified as indicating higher functioning by the parents compared with the clinicians. The excellent agreement between parents and clinicians with the Turkish language version of CFCS for children with CP indicated that parents and clinicians could use the same language while classifying the communication function of children.
    AMAC : Genc b ireylerin fiziksel aktivitenin saglik uzerine etkileri hakkindaki bilgi duzeylerinin ve farkindaliklarinin artirilmasinin fiziksel aktivite duzeylerine olan etkilerini incelemektir. GEREC VE YONTEM: Calismaya, yaslari 18-35... more
    AMAC : Genc b ireylerin fiziksel aktivitenin saglik uzerine etkileri hakkindaki bilgi duzeylerinin ve farkindaliklarinin artirilmasinin fiziksel aktivite duzeylerine olan etkilerini incelemektir. GEREC VE YONTEM: Calismaya, yaslari 18-35 arasinda ve fiziksel aktivite yapmasina engel bir saglik problemi olmayan gonulluler dâhil edilmistir. 6 Dakika Yurume Testi(6DYT), Uluslararasi Fiziksel Aktivite Anketi, Nottingham Saglik Profili, Beck Depresyon Anketi, Pittsburgh Uyku Kalitesi Indeksi degerlendirmeleri yapilmistir. Aktivite gunlugu ve anketine gore, 10 bin adim kriter alinarak bireyler 10 bin alti ve ustu adim atanlar olmak uzere iki gruba ayrilmistir. Bireyler ilk degerlendirmelerin ardindan, egzersiz ve yurume egitimi programina alinmislar ve 1 ay sonra ikinci kez degerlendirilmislerdir. SONUCLAR: 6DYT sonuclari incelendiginde, her bir grubun egitim oncesi ve sonrasi degerlerinin anlamli degisiklik gosterdigi(p 0.05). Fiziksel aktivite, yasam kalitesi, depresyon ve uyku degerlendirme anket sonuclarinin, egitim ile birlikte her iki grupta olumlu yonde gelisim gosterdigi(p 0.05). TARTIŞMA : So nuclar genclerin inaktif oldugunu gostermistir. Yurume mesafesinin dusuk ve oksijen tuketiminin baslangicta fazla oldugu, ancak verilen yurume egitimi ile degerler gelismistir. Inaktiviteye bagli ortaya cikan depresyon, uyku bozuklugu gibi durumlarin orta derecede etkilendigi, yasam kalitesi degerlerinin de dusuk oldugu, ancak egitim ile sonuclarin daha memnun edici olabildigi gosterilmistir.
    Amac: Bu calismadaki amacimiz okul oncesi cocuklarda fiziksel uygunluk ve gestasyonel yas arasindaki iliskiyi arastirmaktir. Yontem: Calisma Mus Il Milli Egitim Bakanligi’na bagli okullarin ana siniflarinda bulunan, 4-6 yas araligindaki... more
    Amac: Bu calismadaki amacimiz okul oncesi cocuklarda fiziksel uygunluk ve gestasyonel yas arasindaki iliskiyi arastirmaktir. Yontem: Calisma Mus Il Milli Egitim Bakanligi’na bagli okullarin ana siniflarinda bulunan, 4-6 yas araligindaki 212 saglikli (107 kiz ve 105 erkek) cocuklarta yapildi. Cocuklara ait sosyodemografik ve dogum ozellikler kaydedildi. Cocuklarin fiziksel uygunluklarini degerlendirmek icin bu yas araligina ozel gelistirilen Preschool Physical Fitness (PREFIT) test bataryasi kullanildi. Cocuklarin gelisim parametrelerini degerlendirmek icin Denver Gelisimsel Tarama Testi (DGTT) II kullanildi. Cocuklarin kognitif seviyelerini belirlemek icin ailelere sorulan anket seklindeki bir form kullanildi. Bulgular: Cocuklarin gestasyonel yasiyla fiziksel uygunluklari (tek bacak denge) arasinda pozitif yonde anlamli iliski bulundu (p<0,025). Cocuklarin kognitif seviyeleriyle gelisimleri arasinda (p<0,001) ve cocuklarin kognitif seviyeleriyle fiziksel uygunluklari arasinda ...
    This study was planned to compare the static and dynamic balance in children with Duchenne Muscular Dystrophy (DMD) at different functional levels with each other and with healthy peers. Sixty nine children between the ages of 6 and 11... more
    This study was planned to compare the static and dynamic balance in children with Duchenne Muscular Dystrophy (DMD) at different functional levels with each other and with healthy peers. Sixty nine children between the ages of 6 and 11 were included in this study where 52 of them were diagnosed with DMD in Level I (18 patients), Level II (17 patients), and Level III (17 patients) according to Brooke Functional Classification Scale and 17 of them healthy peers were included. In order to assess static and dynamic balance pediatric functional reach test (PFRT) and timed up and go test (TUGT) were used. When compared in terms of the TUGT, differences were found between all groups, i.e. Level 1 and 2, Level 2 and 3, Level 1 and 3, Healthy peers and Level 1, Healthy peers and Level 2, and Healthy peers and Level 3 (p < 0.0083). When compared in terms of the PFRT in the standing positions, there was difference between level 3 and healthy peers (p < 0.0083), but not between the other groups. We found poor functional level in DMD to affect the dynamic and static balance parameters in this study. The dynamic balance of a child with DMD at Level 3 is decreased to a third of a healthy peer.