The purpose of this study was to investigate risk factors of fall and to examine their correlatio... more The purpose of this study was to investigate risk factors of fall and to examine their correlations with balance, depression, cognitive impairment and mobility skills in elderly nursing home residents. This study included 30 elderly people living in Seyranbaglari Nursing Home in Ankara City Centre, Turkey and was carried out in 2004. Risk factors for fall were obtained through individual interviews and observation. Cognitive function was assessed by Mini Mental State Examination (MMSE). The Geriatric Depression Scale (GDS) was used for determining the depression status of the elderly. Balance of the subjects was evaluated by the Berg Balance Scale (BBS) and the Get Up and Go Test (GUGT). In addition, mobility skills were assessed by Rivermead Mobility Index (RMI). The correlation analysis was used for establishing the correlations of the total number of risk factors with the other parameters. In addition, the correlations among all parameters were evaluated. At the end of the study,...
This study was planned to investigate and compare the effects of acute rehabilitation programme o... more This study was planned to investigate and compare the effects of acute rehabilitation programme on balance and coordination problems in patients with posterior fossa and cerebellopontine angle tumours. This study was carried out at Hacettepe University, School of Physical Therapy and Rehabilitation, neurosurgical rehabilitation unit on 40 patients whose ages varied between 18-60 years. Subjects were subdivided into two groups. Group I consisted of 20 patients with posterior fossa tumour, while the group II was composed of 20 patients with cerebellopontine angle tumour. Patients were evaluated according to the localisation of the tumour, the number of the surgical operations, the level of the surgical excision of the tumour, percent of having shunt, radiotherapy and chemotherapy. Balance problems were assessed according to Mokken's functional independence assessment scale in 5 selected positions and standing balance was also evaluated according to the method of Bohannon. The reha...
Page 1. 119 Neurosciences 2006; Vol. 11 (2) Early rehabilitation results of patients with thalami... more Page 1. 119 Neurosciences 2006; Vol. 11 (2) Early rehabilitation results of patients with thalamic tumor and thalamic hemorrhage Nezire Kose, PT, PhD, Saadet Otman, PT, PhD, Mehmet G. Karakaya, PT, PhD, Sevil Bilgin, MSc, PT. ...
Journal of Back and Musculoskeletal Rehabilitation, 2021
BACKGROUND: Transcutaneous electrical nerve stimulation (TENS) is one of the most common methods ... more BACKGROUND: Transcutaneous electrical nerve stimulation (TENS) is one of the most common methods for managing shoulder pain, and high voltage pulsed currents (HVPS) may be used for reducing pain. However, their immediate effects on resting pain and pain-free active range of shoulder motion (pfROM) in patients with subacromial pain syndrome (SAPS) have not been studied comparatively, yet. OBJECTIVES: The aim of this study was to compare the immediate effects of TENS, HVPS and placebo stimulation on shoulder resting pain and pfROM in patients with SAPS. METHODS: Randomized, placebo-controlled, double-blind, crossover study. One hundred and six patients with SAPS received placebo (predetermined 1st day application), TENS and HVPS with 1-day interval, in a random sequence. Before and after each application, resting pain and pfROM were evaluated by 0–10 cm visual analogue scales and a digital inclinometer, respectively. RESULTS: Intensity of pain decreased significantly after TENS, HVPS ...
International Journal of Occupational Safety and Ergonomics, 2015
To investigate prevalence and anatomical distribution of musculoskeletal pain (MSP) and its impac... more To investigate prevalence and anatomical distribution of musculoskeletal pain (MSP) and its impact on quality of life (QoL) in elementary school teachers working in Muğla town center. Physical, sociodemographic and occupational characteristics of 104 teachers were recorded. Onset, prevalence and consequences of MSP (Extended Nordic Musculoskeletal Questionnaire) and QoL (Short Form-36 Health Survey) of teachers with (n = 37) and without (n = 67) MSP during the last 12 months were compared. The prevalence of MSP was 77% for the lifelong period and 36% for the last 12 months. Physical and sociodemographic characteristics, daily employment period and length of standing and sitting were similar between groups (p > 0.05). The most common painful regions were the neck (39%) and the lower back (38%). MSP of these regions was the common reason for seeking healthcare, prevention from activities and taking sick leave. MSP had negative impact, especially on the physical components of QoL (p < 0.05). The results reveal high prevalence of MSP among teachers, as well as its negative impacts on QoL. Especially neck and lower back seem to be the most frequently affected regions of the body. These findings draw attention toward the need for developing strategies to prevent MSP among teachers.
Sturge-Weber syndrome is a rare neurocutaneous disorder, characterized by a facial nevus flammeus... more Sturge-Weber syndrome is a rare neurocutaneous disorder, characterized by a facial nevus flammeus and extensive angiomatous changes involving the leptomeninges, the dura, and the vessels of the gray and white matter. It may come to the physician's attention in infancy or ...
PURPOSE The aim of this study was to examine the psychometric properties of the culturally adapte... more PURPOSE The aim of this study was to examine the psychometric properties of the culturally adapted Turkish version of the L'Insalata Shoulder Rating Questionnaire (TrLSRQ). MATERIALS AND METHODS Comprehensibility and content validity of the TrLSRQ were tested on 14 patients and seven physiotherapists, respectively. Subsequently, 90 volunteer patients with shoulder pain completed the TrLSRQ twice within a week for test-retest analysis. Correlations with Shoulder Pain and Disability Index (SPADI), Oxford Shoulder Score (OSS), Penn Shoulder Score (PSS), and Upper Extremity Functional Index (UEFI) were used to assess convergent validity; and pain intensity and active range of shoulder motions were measured to assess criterion validity. RESULTS Content validity index of the TrLSRQ was 0.99. The internal consistency was high (Cronbach's α = 0.89); and item-total correlations were 0.37-0.74. In test-retest analysis, ICC values were 0.65-0.95 for all items; and 0.86-0.94 for the subcategories. The TrLSRQ scores were positively correlated with UEFI, and negatively correlated with other scales (p < 0.05). Its correlations with the intensity of pain and shoulder range of motions (p < 0.05) indicated that the questionnaire had good criterion validity. CONCLUSIONS The TrLSRQ is a reliable and valid measure to assess pain, activities of daily living, sports/recreation, and work in patients with shoulder pain.Implications for RehabilitationPatient-reported outcome measures (PROMs) are important tools to assess the impact of health problems on overall well-being of the patients.The Turkish version of the L'Insalata Shoulder Rating Questionnaire (TrLSRQ) is a PROM that evaluates the impact of shoulder problems on patient's pain, daily activities, sportive/recreational activities, and work; as well as overall satisfaction with his/her shoulder, and ranking of areas in which the patient likes to see improvement.The TrLSRQ scores are well correlated with other relevant PROMs, as well as with the intensity of pain and shoulder range of motions.The TrLSRQ is a reliable and valid measure, which can be used for both clinical and research purposes to evaluate symptoms and functional status of patients with shoulder pain.
Turkish Journal of Geriatrics-Turk Geriatri Dergisi, 2011
Introduction: The aim of this cross-sectional study was to examine the reliability and validity o... more Introduction: The aim of this cross-sectional study was to examine the reliability and validity of the Turkish version of Kogan's Old People Scale (KOP) - one of the most commonly used instruments developed with the aim of evaluating attitudes towards older people
[Purpose] This study aimed to investigate the effect of ankle proprioceptive training on static b... more [Purpose] This study aimed to investigate the effect of ankle proprioceptive training on static body balance. [Subjects and Methods] In this randomized-controlled, single-blind study, 59 university students (35 females , 24 males) were randomized into study (n=29) and control (n=30) groups. The study group received a foot and ankle proprioceptive exercise program including stretching, strengthening (plantar and dorsi-flexors, invertor and evertor muscles), and balance board exercises, each with 10 repetitions per session, 5 days a week, for a total of 10 sessions. The control group did not receive any intervention. Static body balance was evaluated by a kines-thetic ability trainer, which showed the balance index scores under both single foot and both feet conditions. This evaluation was repeated at the end of two weeks for both groups. [Results] Outcome measures of the groups were similar at the baseline. Balance index scores of both groups improved at the end of two weeks, and the study group had significantly lower index scores than those of the control group, indicating better balance. [Conclusion] Ankle proprioceptive training had positive effects on static body balance parameters in healthy individuals, and it is worth investigating the effects of this type of training in patients with balance disorders.
Sturge-Weber syndrome is a rare neurocutaneous disorder, characterized by a facial nevus flammeus... more Sturge-Weber syndrome is a rare neurocutaneous disorder, characterized by a facial nevus flammeus and extensive angiomatous changes involving the leptomeninges, the dura, and the vessels of the gray and white matter. It may come to the physician's attention in infancy or ...
Journal of back and musculoskeletal rehabilitation, 2014
Pulse frequency is one of the key determinants of analgesic outcomes by transcutaneous electrical... more Pulse frequency is one of the key determinants of analgesic outcomes by transcutaneous electrical nerve stimulation (TENS). However, optimal settings remain unclear. To compare the effects of different frequencies of TENS, on pressure pain threshold and tolerance. Currents with pulse duration of 110 μs, and pulse frequencies of 60 pps or 150 pps were applied on the volar aspects of the dominant forearms of 20 healthy volunteers, on two consecutive days, in a randomized order. Threshold and tolerance were measured at the beginning, after the 15th and 30th minutes of the applications, and 30 minutes after the applications. Pressure pain threshold and tolerance values were higher at the 150 pps frequency, at all measurement times (p< 0.05). However, no frequencyXtime interaction and time-dependent changes were found for the outcome measures (p> 0.05). These findings established that, at 150 pps conventional TENS, threshold and tolerance values were consistently higher. These resu...
Journal of back and musculoskeletal rehabilitation, 2014
This study aimed to investigate the effects of thermal agents on electrical sensory threshold and... more This study aimed to investigate the effects of thermal agents on electrical sensory threshold and current tolerance when applied prior to neuromuscular electrical stimulation. In this single-blind and cross-over trial, electrical sensory threshold and current tolerance of 24 healthy volunteers were evaluated by using biphasic symmetrical pulses (240 μsec, 50 pps), before and after thermal agent (cold pack, hot pack and ultrasound) applications. Electrical sensory threshold increased after cold-pack, and current tolerance reduced after hot-pack applications (p< 0.05). Inter-agent comparisons of pre and post-application differences of the investigated parameters revealed that the most obvious effects were caused by application of hot pack. Hot pack application prior to neuromuscular electrical stimulation (NMES) may reduce current tolerance and limit to reach the desired current intensity for strengthening the electrically induced contractions. Results are considered to be valuable...
Physiotherapy, Volume 82, Issue 8, Pages 464, August 1996, Authors:Saadet Otman; N Köse; M Karaka... more Physiotherapy, Volume 82, Issue 8, Pages 464, August 1996, Authors:Saadet Otman; N Köse; M Karakaya; OE özcan.
The purpose of this study was to investigate risk factors of fall and to examine their correlatio... more The purpose of this study was to investigate risk factors of fall and to examine their correlations with balance, depression, cognitive impairment and mobility skills in elderly nursing home residents. This study included 30 elderly people living in Seyranbaglari Nursing Home in Ankara City Centre, Turkey and was carried out in 2004. Risk factors for fall were obtained through individual interviews and observation. Cognitive function was assessed by Mini Mental State Examination (MMSE). The Geriatric Depression Scale (GDS) was used for determining the depression status of the elderly. Balance of the subjects was evaluated by the Berg Balance Scale (BBS) and the Get Up and Go Test (GUGT). In addition, mobility skills were assessed by Rivermead Mobility Index (RMI). The correlation analysis was used for establishing the correlations of the total number of risk factors with the other parameters. In addition, the correlations among all parameters were evaluated. At the end of the study,...
This study was planned to investigate and compare the effects of acute rehabilitation programme o... more This study was planned to investigate and compare the effects of acute rehabilitation programme on balance and coordination problems in patients with posterior fossa and cerebellopontine angle tumours. This study was carried out at Hacettepe University, School of Physical Therapy and Rehabilitation, neurosurgical rehabilitation unit on 40 patients whose ages varied between 18-60 years. Subjects were subdivided into two groups. Group I consisted of 20 patients with posterior fossa tumour, while the group II was composed of 20 patients with cerebellopontine angle tumour. Patients were evaluated according to the localisation of the tumour, the number of the surgical operations, the level of the surgical excision of the tumour, percent of having shunt, radiotherapy and chemotherapy. Balance problems were assessed according to Mokken's functional independence assessment scale in 5 selected positions and standing balance was also evaluated according to the method of Bohannon. The reha...
Page 1. 119 Neurosciences 2006; Vol. 11 (2) Early rehabilitation results of patients with thalami... more Page 1. 119 Neurosciences 2006; Vol. 11 (2) Early rehabilitation results of patients with thalamic tumor and thalamic hemorrhage Nezire Kose, PT, PhD, Saadet Otman, PT, PhD, Mehmet G. Karakaya, PT, PhD, Sevil Bilgin, MSc, PT. ...
Journal of Back and Musculoskeletal Rehabilitation, 2021
BACKGROUND: Transcutaneous electrical nerve stimulation (TENS) is one of the most common methods ... more BACKGROUND: Transcutaneous electrical nerve stimulation (TENS) is one of the most common methods for managing shoulder pain, and high voltage pulsed currents (HVPS) may be used for reducing pain. However, their immediate effects on resting pain and pain-free active range of shoulder motion (pfROM) in patients with subacromial pain syndrome (SAPS) have not been studied comparatively, yet. OBJECTIVES: The aim of this study was to compare the immediate effects of TENS, HVPS and placebo stimulation on shoulder resting pain and pfROM in patients with SAPS. METHODS: Randomized, placebo-controlled, double-blind, crossover study. One hundred and six patients with SAPS received placebo (predetermined 1st day application), TENS and HVPS with 1-day interval, in a random sequence. Before and after each application, resting pain and pfROM were evaluated by 0–10 cm visual analogue scales and a digital inclinometer, respectively. RESULTS: Intensity of pain decreased significantly after TENS, HVPS ...
International Journal of Occupational Safety and Ergonomics, 2015
To investigate prevalence and anatomical distribution of musculoskeletal pain (MSP) and its impac... more To investigate prevalence and anatomical distribution of musculoskeletal pain (MSP) and its impact on quality of life (QoL) in elementary school teachers working in Muğla town center. Physical, sociodemographic and occupational characteristics of 104 teachers were recorded. Onset, prevalence and consequences of MSP (Extended Nordic Musculoskeletal Questionnaire) and QoL (Short Form-36 Health Survey) of teachers with (n = 37) and without (n = 67) MSP during the last 12 months were compared. The prevalence of MSP was 77% for the lifelong period and 36% for the last 12 months. Physical and sociodemographic characteristics, daily employment period and length of standing and sitting were similar between groups (p &amp;amp;amp;amp;amp;amp;amp;amp;gt; 0.05). The most common painful regions were the neck (39%) and the lower back (38%). MSP of these regions was the common reason for seeking healthcare, prevention from activities and taking sick leave. MSP had negative impact, especially on the physical components of QoL (p &amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.05). The results reveal high prevalence of MSP among teachers, as well as its negative impacts on QoL. Especially neck and lower back seem to be the most frequently affected regions of the body. These findings draw attention toward the need for developing strategies to prevent MSP among teachers.
Sturge-Weber syndrome is a rare neurocutaneous disorder, characterized by a facial nevus flammeus... more Sturge-Weber syndrome is a rare neurocutaneous disorder, characterized by a facial nevus flammeus and extensive angiomatous changes involving the leptomeninges, the dura, and the vessels of the gray and white matter. It may come to the physician's attention in infancy or ...
PURPOSE The aim of this study was to examine the psychometric properties of the culturally adapte... more PURPOSE The aim of this study was to examine the psychometric properties of the culturally adapted Turkish version of the L'Insalata Shoulder Rating Questionnaire (TrLSRQ). MATERIALS AND METHODS Comprehensibility and content validity of the TrLSRQ were tested on 14 patients and seven physiotherapists, respectively. Subsequently, 90 volunteer patients with shoulder pain completed the TrLSRQ twice within a week for test-retest analysis. Correlations with Shoulder Pain and Disability Index (SPADI), Oxford Shoulder Score (OSS), Penn Shoulder Score (PSS), and Upper Extremity Functional Index (UEFI) were used to assess convergent validity; and pain intensity and active range of shoulder motions were measured to assess criterion validity. RESULTS Content validity index of the TrLSRQ was 0.99. The internal consistency was high (Cronbach's α = 0.89); and item-total correlations were 0.37-0.74. In test-retest analysis, ICC values were 0.65-0.95 for all items; and 0.86-0.94 for the subcategories. The TrLSRQ scores were positively correlated with UEFI, and negatively correlated with other scales (p < 0.05). Its correlations with the intensity of pain and shoulder range of motions (p < 0.05) indicated that the questionnaire had good criterion validity. CONCLUSIONS The TrLSRQ is a reliable and valid measure to assess pain, activities of daily living, sports/recreation, and work in patients with shoulder pain.Implications for RehabilitationPatient-reported outcome measures (PROMs) are important tools to assess the impact of health problems on overall well-being of the patients.The Turkish version of the L'Insalata Shoulder Rating Questionnaire (TrLSRQ) is a PROM that evaluates the impact of shoulder problems on patient's pain, daily activities, sportive/recreational activities, and work; as well as overall satisfaction with his/her shoulder, and ranking of areas in which the patient likes to see improvement.The TrLSRQ scores are well correlated with other relevant PROMs, as well as with the intensity of pain and shoulder range of motions.The TrLSRQ is a reliable and valid measure, which can be used for both clinical and research purposes to evaluate symptoms and functional status of patients with shoulder pain.
Turkish Journal of Geriatrics-Turk Geriatri Dergisi, 2011
Introduction: The aim of this cross-sectional study was to examine the reliability and validity o... more Introduction: The aim of this cross-sectional study was to examine the reliability and validity of the Turkish version of Kogan's Old People Scale (KOP) - one of the most commonly used instruments developed with the aim of evaluating attitudes towards older people
[Purpose] This study aimed to investigate the effect of ankle proprioceptive training on static b... more [Purpose] This study aimed to investigate the effect of ankle proprioceptive training on static body balance. [Subjects and Methods] In this randomized-controlled, single-blind study, 59 university students (35 females , 24 males) were randomized into study (n=29) and control (n=30) groups. The study group received a foot and ankle proprioceptive exercise program including stretching, strengthening (plantar and dorsi-flexors, invertor and evertor muscles), and balance board exercises, each with 10 repetitions per session, 5 days a week, for a total of 10 sessions. The control group did not receive any intervention. Static body balance was evaluated by a kines-thetic ability trainer, which showed the balance index scores under both single foot and both feet conditions. This evaluation was repeated at the end of two weeks for both groups. [Results] Outcome measures of the groups were similar at the baseline. Balance index scores of both groups improved at the end of two weeks, and the study group had significantly lower index scores than those of the control group, indicating better balance. [Conclusion] Ankle proprioceptive training had positive effects on static body balance parameters in healthy individuals, and it is worth investigating the effects of this type of training in patients with balance disorders.
Sturge-Weber syndrome is a rare neurocutaneous disorder, characterized by a facial nevus flammeus... more Sturge-Weber syndrome is a rare neurocutaneous disorder, characterized by a facial nevus flammeus and extensive angiomatous changes involving the leptomeninges, the dura, and the vessels of the gray and white matter. It may come to the physician's attention in infancy or ...
Journal of back and musculoskeletal rehabilitation, 2014
Pulse frequency is one of the key determinants of analgesic outcomes by transcutaneous electrical... more Pulse frequency is one of the key determinants of analgesic outcomes by transcutaneous electrical nerve stimulation (TENS). However, optimal settings remain unclear. To compare the effects of different frequencies of TENS, on pressure pain threshold and tolerance. Currents with pulse duration of 110 μs, and pulse frequencies of 60 pps or 150 pps were applied on the volar aspects of the dominant forearms of 20 healthy volunteers, on two consecutive days, in a randomized order. Threshold and tolerance were measured at the beginning, after the 15th and 30th minutes of the applications, and 30 minutes after the applications. Pressure pain threshold and tolerance values were higher at the 150 pps frequency, at all measurement times (p< 0.05). However, no frequencyXtime interaction and time-dependent changes were found for the outcome measures (p> 0.05). These findings established that, at 150 pps conventional TENS, threshold and tolerance values were consistently higher. These resu...
Journal of back and musculoskeletal rehabilitation, 2014
This study aimed to investigate the effects of thermal agents on electrical sensory threshold and... more This study aimed to investigate the effects of thermal agents on electrical sensory threshold and current tolerance when applied prior to neuromuscular electrical stimulation. In this single-blind and cross-over trial, electrical sensory threshold and current tolerance of 24 healthy volunteers were evaluated by using biphasic symmetrical pulses (240 μsec, 50 pps), before and after thermal agent (cold pack, hot pack and ultrasound) applications. Electrical sensory threshold increased after cold-pack, and current tolerance reduced after hot-pack applications (p< 0.05). Inter-agent comparisons of pre and post-application differences of the investigated parameters revealed that the most obvious effects were caused by application of hot pack. Hot pack application prior to neuromuscular electrical stimulation (NMES) may reduce current tolerance and limit to reach the desired current intensity for strengthening the electrically induced contractions. Results are considered to be valuable...
Physiotherapy, Volume 82, Issue 8, Pages 464, August 1996, Authors:Saadet Otman; N Köse; M Karaka... more Physiotherapy, Volume 82, Issue 8, Pages 464, August 1996, Authors:Saadet Otman; N Köse; M Karakaya; OE özcan.
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