Bu tez calismasinda aterosklerotik kalp hastaligi olan ve kardiyak rehabilitasyon programina alin... more Bu tez calismasinda aterosklerotik kalp hastaligi olan ve kardiyak rehabilitasyon programina alinan bireylerin tedaviye uyumu, egzersiz kapasitesi, yasam kalitesi, depresyon ve anksiyete uzerine olan etkilerin cinsiyetle iliskisinin arastirilmasi amaclanmistir.Ankara Universitesi Tip Fakultesi Kardiyoloji ve Kardiyovaskuler Cerrahi Anabilimdali kliniklerinde ASKH sebebiyle izlenen 35 erkek, 32 kadin olmak uzere toplam 67 hasta calismaya dahil edilmistir. Hastalara 8 hafta boyunca haftada 3 kez Ankara Universitesi Fiziksel Tip ve Rehabilitasyon Anabilimdali Kardiyopulmoner Rehabilitasyon Unitesi'nde egzersiz yaptirilmistir. Egzersiz seanslari fizyoterapist gozetiminde gerceklestirilmistir. Hastalara fleksibilite, solunum ve aerobik egzersizleri iceren egzersiz programi verilmistir. Hastalarin medikal tedavisinde degisiklik yapilmamis, hastalara diyet onerilerinde bulunulmustur. Tum degerlendirmeler calismanin baslangicinda ve 8. haftanin sonunda olmak uzere iki kez yapilmistir.Ha...
In a Turkish League Against Rheumatism (TLAR) project, evidence-based recommendations for the man... more In a Turkish League Against Rheumatism (TLAR) project, evidence-based recommendations for the management of knee osteoarthritis (OA) was developed for the first time in our country in 2012 (TLAR-2012). In accordance with developing medical knowledge and scientific evidence, recommendations were updated. The committee was composed of 22 physical medicine and rehabilitation specialists (4 have rheumatology subspeciality also) and an orthopaedic surgeon. Systematic literature search were applied on Pubmed, Embase, Cochrane and Turkish Medical Index for the dates between January the 1st 2012 and January the 29th of 2015. The articles were assessed for quality and classified according to hierarchy for the level of evidence, and the selected ones sent to committee members electronically. They were asked to develop new recommendations. In the meeting in 2015, the format of the recommendations was decided to be patient-based and considering the grade and the severity of the disease. By the ...
Background and Purpose. There is still a lack of evidence about the beneficial effects of ultraso... more Background and Purpose. There is still a lack of evidence about the beneficial effects of ultrasound (US) intervention for the management of soft tissue problems. Thus, this study was designed to assess the effectiveness of US over a placebo intervention when added to other physical therapy interventions and exercise in the management of shoulder disorders. Subjects and Methods. Forty patients who were diagnosed by ultrasonography or magnetic resonance imaging to have a periarticular soft tissue disorder of the shoulder were randomly assigned to either a group that received true US (n=20; mean time since onset of pain=8.7 months, SD=8.8, range=1–36) or a group that received sham US (n=20; mean time since onset of pain=8.1 months, SD=10.8, range=1–42). Besides true or sham US (10 minutes), superficial heat (10 minutes), electrical stimulation (15 minutes), and an exercise program (15–30 minutes) were administered to both groups 5 days each week for 3 weeks. Results. Subjects showed w...
Background: Assessment for cardiovascular disease (CVD) is important in stroke patients, both bei... more Background: Assessment for cardiovascular disease (CVD) is important in stroke patients, both being one of the main factors limiting success in stroke rehabilitation and its increased risk in stroke patients. Reduced exercise capacity after stroke decreases patients' functionality and further increases the risk of CVD. Carefully selected cardiopulmonary exercise testing (CPET) can be safely used to determine the risk of CVD and to prescribe exercise program in stroke rehabilitation.Objectives: The primary purpose of this study is to determine the most appropriate CPET in patients with stroke. The secondary aim is to determine the relationship between cardiorespiratory fitness and functional status of the patients.Methods: Two CPETs using treadmill and bicycle ergometer protocols determined with a preliminary study were performed on participants. The main outcome measure was VO2peak. Patients were also evaluated according to Brunnstrom motor staging, Modified Ashworth Scale, Berg Balance Scale, and Functional Independence Measure.Results: In total, 38 patients reached higher VO2peak values at treadmill test compared to bicycle test (p < 0.001). The mean VO2peak reached at treadmill CPET was 62% of the control group where mean VO2peak reached at bicycle was 76% of the control group. No significant correlation was found between Brunnstrom staging, spasticity, Berg Balance Scale, and VO2peak .Discussion: The results of this study indicate that CPET can be performed safely in stroke patients when appropriate protocol was selected and that treadmill was more appropriate to determine cardiorespiratory fitness in this study population.
Archives of Physical Medicine and Rehabilitation, 2019
OBJECTIVE To develop and validate a scale to measure fear of activity in patients with coronary a... more OBJECTIVE To develop and validate a scale to measure fear of activity in patients with coronary artery disease. DESIGN Psychometric study. SETTING Outpatient cardiology clinics. PARTICIPANTS The scale was applied to 250 patients who had myocardial infarction, coronary artery bypass grafting or percutaneous coronary intervention within the last 12 months. INTERVENTIONS A scale for Fear of ACTivity in patients with CAD (Fact-CAD) was created through semi-structured focus group interviews with patients. Face and content validity of Fact-CAD was verified. MAIN OUTCOME MEASURES Psychometric analysis included model fit, unidimensionality, reliability, local dependency, differential item functioning and external construct validity. Analyses were performed using the Rasch Analysis Model. RESULTS Fact-CAD scale was a reliable (high Person Separation Index of 0.89) and valid (unidimensional, no misfit, local independency supported, no residual correlations) measure of fear of activity. Three items showed differential item functioning according to employment status, marital status and angina pectoris, which were not assigned as real item bias by experts and remained in the model. CONCLUSION Fact-CAD was supported by Rasch analysis as a psychometrically valid scale to evaluate fear of activity in patients with coronary artery disease.
Bu tez calismasinda aterosklerotik kalp hastaligi olan ve kardiyak rehabilitasyon programina alin... more Bu tez calismasinda aterosklerotik kalp hastaligi olan ve kardiyak rehabilitasyon programina alinan bireylerin tedaviye uyumu, egzersiz kapasitesi, yasam kalitesi, depresyon ve anksiyete uzerine olan etkilerin cinsiyetle iliskisinin arastirilmasi amaclanmistir.Ankara Universitesi Tip Fakultesi Kardiyoloji ve Kardiyovaskuler Cerrahi Anabilimdali kliniklerinde ASKH sebebiyle izlenen 35 erkek, 32 kadin olmak uzere toplam 67 hasta calismaya dahil edilmistir. Hastalara 8 hafta boyunca haftada 3 kez Ankara Universitesi Fiziksel Tip ve Rehabilitasyon Anabilimdali Kardiyopulmoner Rehabilitasyon Unitesi'nde egzersiz yaptirilmistir. Egzersiz seanslari fizyoterapist gozetiminde gerceklestirilmistir. Hastalara fleksibilite, solunum ve aerobik egzersizleri iceren egzersiz programi verilmistir. Hastalarin medikal tedavisinde degisiklik yapilmamis, hastalara diyet onerilerinde bulunulmustur. Tum degerlendirmeler calismanin baslangicinda ve 8. haftanin sonunda olmak uzere iki kez yapilmistir.Ha...
In a Turkish League Against Rheumatism (TLAR) project, evidence-based recommendations for the man... more In a Turkish League Against Rheumatism (TLAR) project, evidence-based recommendations for the management of knee osteoarthritis (OA) was developed for the first time in our country in 2012 (TLAR-2012). In accordance with developing medical knowledge and scientific evidence, recommendations were updated. The committee was composed of 22 physical medicine and rehabilitation specialists (4 have rheumatology subspeciality also) and an orthopaedic surgeon. Systematic literature search were applied on Pubmed, Embase, Cochrane and Turkish Medical Index for the dates between January the 1st 2012 and January the 29th of 2015. The articles were assessed for quality and classified according to hierarchy for the level of evidence, and the selected ones sent to committee members electronically. They were asked to develop new recommendations. In the meeting in 2015, the format of the recommendations was decided to be patient-based and considering the grade and the severity of the disease. By the ...
Background and Purpose. There is still a lack of evidence about the beneficial effects of ultraso... more Background and Purpose. There is still a lack of evidence about the beneficial effects of ultrasound (US) intervention for the management of soft tissue problems. Thus, this study was designed to assess the effectiveness of US over a placebo intervention when added to other physical therapy interventions and exercise in the management of shoulder disorders. Subjects and Methods. Forty patients who were diagnosed by ultrasonography or magnetic resonance imaging to have a periarticular soft tissue disorder of the shoulder were randomly assigned to either a group that received true US (n=20; mean time since onset of pain=8.7 months, SD=8.8, range=1–36) or a group that received sham US (n=20; mean time since onset of pain=8.1 months, SD=10.8, range=1–42). Besides true or sham US (10 minutes), superficial heat (10 minutes), electrical stimulation (15 minutes), and an exercise program (15–30 minutes) were administered to both groups 5 days each week for 3 weeks. Results. Subjects showed w...
Background: Assessment for cardiovascular disease (CVD) is important in stroke patients, both bei... more Background: Assessment for cardiovascular disease (CVD) is important in stroke patients, both being one of the main factors limiting success in stroke rehabilitation and its increased risk in stroke patients. Reduced exercise capacity after stroke decreases patients' functionality and further increases the risk of CVD. Carefully selected cardiopulmonary exercise testing (CPET) can be safely used to determine the risk of CVD and to prescribe exercise program in stroke rehabilitation.Objectives: The primary purpose of this study is to determine the most appropriate CPET in patients with stroke. The secondary aim is to determine the relationship between cardiorespiratory fitness and functional status of the patients.Methods: Two CPETs using treadmill and bicycle ergometer protocols determined with a preliminary study were performed on participants. The main outcome measure was VO2peak. Patients were also evaluated according to Brunnstrom motor staging, Modified Ashworth Scale, Berg Balance Scale, and Functional Independence Measure.Results: In total, 38 patients reached higher VO2peak values at treadmill test compared to bicycle test (p < 0.001). The mean VO2peak reached at treadmill CPET was 62% of the control group where mean VO2peak reached at bicycle was 76% of the control group. No significant correlation was found between Brunnstrom staging, spasticity, Berg Balance Scale, and VO2peak .Discussion: The results of this study indicate that CPET can be performed safely in stroke patients when appropriate protocol was selected and that treadmill was more appropriate to determine cardiorespiratory fitness in this study population.
Archives of Physical Medicine and Rehabilitation, 2019
OBJECTIVE To develop and validate a scale to measure fear of activity in patients with coronary a... more OBJECTIVE To develop and validate a scale to measure fear of activity in patients with coronary artery disease. DESIGN Psychometric study. SETTING Outpatient cardiology clinics. PARTICIPANTS The scale was applied to 250 patients who had myocardial infarction, coronary artery bypass grafting or percutaneous coronary intervention within the last 12 months. INTERVENTIONS A scale for Fear of ACTivity in patients with CAD (Fact-CAD) was created through semi-structured focus group interviews with patients. Face and content validity of Fact-CAD was verified. MAIN OUTCOME MEASURES Psychometric analysis included model fit, unidimensionality, reliability, local dependency, differential item functioning and external construct validity. Analyses were performed using the Rasch Analysis Model. RESULTS Fact-CAD scale was a reliable (high Person Separation Index of 0.89) and valid (unidimensional, no misfit, local independency supported, no residual correlations) measure of fear of activity. Three items showed differential item functioning according to employment status, marital status and angina pectoris, which were not assigned as real item bias by experts and remained in the model. CONCLUSION Fact-CAD was supported by Rasch analysis as a psychometrically valid scale to evaluate fear of activity in patients with coronary artery disease.
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