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    Efficiency of back pain-school program in the treatment of patients with chronic mechanical back pain
    (Marmara Univ, Fac Medicine, 2014) Altinbilek, Turgay; Colak, Tugba Kuru; Dereli, Elif Elcin; Pehlivan, Yekta; Cavun, Suheyla Sancak
    Objective: The aim of the study was to investigate the efficiency of back pain-school programs in the treatment of patients with chronic mechanical back pain. Patients and Methods: Fifty nine (35 females, 24 males) patients diagnosed with chronic mechanical back pain were divided into two groups. Both groups received traditional physical therapy consisting of hot pack, conventional transcutaneous electrical nerve stimulation (TENS), therapeutic ultrasound, Williams and mobilization exercises for three weeks (15 sessions). Patients in the 1st group received back pain-school program in addition. Patients were evaluated for pain (Visual Analogue Scale), depression (Beck Depression Scale) and functional disability (Oswestry Disability Index) before, after and 4 weeks after the treatment. Results: Pain scores were significantly reduced after treatment and in the follow up assessments (p=0.000) in the back painschool group. The depression scores did not differ significantly in both groups. Functional disability improved in the back pain-school group (p=0.000). The back pain-school group had superior results in pain and function scores in the follow up assessment. Conclusion: Attending the back pain-school program in addition to traditional physical therapy in the management of patients with chronic back pain has positive effects on improving pain and function, especially in the long term.
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    Health related quality of life and perception of deformity in patients with adolescent idiopathic scoliosis
    (Ios Press, 2017) Colak, Tugba Kuru; Akgul, Turgut; Colak, Ilker; Dereli, Elif Elcin; Chodza, Mehmet; Dikici, Fatih
    BACKGROUND: Quality of life and cosmethic appearance have gained importance as outcomes in AIS treatment. Improving aesthetic appearance and quality of life are defined as the primary aims of scoliosis treatment by health professionals. Studies that assess and compare the different treatment results in the field of quality of life and cosmethics are some what limited. OBJECTIVE: A cross-sectional study was designed to compare quality of life and deformity perception in patients with adolescent idiopathic scoliosis (AIS) received conservative (exercise or exercise +brace) or surgical treatment. METHODS: A total of 68 (58 females) patients aged 10-18 years with AIS received conservative (exercise or exercise+brace) or surgical treatment were invited to participate in the study. Quality of life (Scoliosis Research Society-23 (SRS-23)) and perception of deformity (Walter Reed Visual Assessment (WRVAS)) were assessed. RESULTS: Conservatively treated patients had significantly superior scores in function domain of SRS-23 than surgically treated patients (exercise/surgery, exercise+brace/surgery; p = 0.009, 0.004). Otherwise, surgically treated patients had significantly superior scores in self-image (p = 0.000, 0.000), and satisfaction with management (p = 0.001, 0.006) domains of SRS-23, and WRVAS (p = 0.000, 0.000) than conservative groups. CONCLUSION: In addition to radiographic assessments, quality of life, aesthetic perception, functionality, satisfaction with management, psycho-social status should carefully be taken into consideration by health professionals in the teratment of AIS.
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    Low back pain during pregnancy and Kinesio tape application
    (Ios Press, 2017) Reyhan, Aycan Cakmak; Dereli, Elif Elcin; Colak, Tugba Kuru
    BACKGROUND AND OBJECTIVE: Low back pain is a common problem during pregnancy. Although the pain usually occurs in the third trimester, it might be seen in the first trimester, too. There are various types of applications for the treatment of low back pain during pregnancy. However, there is a lack of evidence for the effectiveness of each method. If there is not an obvious deficit, bed rest, exercise, conventional physiotherapy, using protective principles for the lumbar area are recommended, since the main and the only complaint is low back pain. It is aimed in the current review to investigate the use of Kinesio tape in the low back pain seen during pregnancy and to review the literature related to this subject. CONCLUSION: There are only a few studies investigating the effect of Kinesio tape during pregnancy in the literature and they mostly did not aim to study the low back pain, further evidence and studies are needed to investigate the use of Kinesio tape for the low back pain seen during pregnancy as there is not evidence strong enough. Kinesiotape application aims to increase circulation and mobility, and regarding these gains decreased pain and increased performance are expected.
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    Reliability and validity of the Turkish version of the 39-item Parkinson Disease Questionnaire
    (Literatura Medica, 2023) Bilge, Tuba Kayapinar; Dereli, Elif Elcin; Oztop-Cakmak, Ozgur; Ertan, Fatos Sibel; Kayapinar Aylak, Emine Eda; Taskiran, Ozden Ozyemisci
    Background and purpose - This study aims to investigate the validity and reliability of the Turkish Version of the 39-item Parkinson Disease Questionnaire. Methods - A total of 100 patients with Parkinson's disease who were admitted to the outpatient neurology clinic in Koc University and Istanbul University were enrolled. 39-item Parkinson Disease Questionnaire, Parkinson Disease Quality of Life Questionnaire, Unified Parkinson's Disease Rating Scale, Hoehn-Yahr Scale, and Short Form Health Survey-36 were administered to all participants. 39-item Parkinson Disease Questionnaire was repeated 2 weeks later. Results - The internal consistency coefficient of the 39-item Parkinson Disease Questionnaire was 0.957. Test-retest correlation ranged between r = 0.693-0.979. Reliability of Turkish version of the 39-item Parkinson Disease Questionnaire was found to be very high with the exclusion of one item (30(th) item). The scale was found to be consistent over time and correlated positively with Hoehn-Yahr Scale, and negatively with Unified Parkinson's Disease Rating Scale, Parkinson Disease Quality of Life Questionnaire, and Short Form Health Survey-36. Conclusion - Turkish version of the 39-item Parkinson Disease Questionnaire, with the exclusion of the 30th item can be used reliably in assessing the quality of life of Parkinson's patients.
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    The effects of Mulligan's mobilization with movement technique in patients with lateral epicondylitis
    (Ios Press, 2020) Reyhan, Aycan Cakmak; Sindel, Dilsad; Dereli, Elif Elcin
    BACKGROUND: Lateral epicondylitis (LE) is a common problem of the arm. Mulligan has proposed the use of mobilization with movement for LE. OBJECTIVES: To investigate the effects of Mulligan's mobilization with movement (MWM) in LE. METHODS: Forty patients were included in the study and randomly assigned to group 1 (n = 20), who received MWM, exercise and cold therapy, or group 2 (n = 20), who received exercise and cold therapy. The sessions were conducted five times a week for two weeks. All measures were conducted at baseline, after treatment, at 1st and 3rd months follow-ups. Mann-Whitney U test, a visual analogue scale (VAS) for pain intensity, Patient-rated Tennis Elbow Evaluation (PRTEE) Questionnaire for pain intensity and functional disability and a dynamometer for hand grip strength were applied. RESULTS: VAS activity pain significantly decreased in group 1 after treatment (p = 0.001), at the 1st (p < 0.001) and 3rd months (p = 0.040). There was a significant decrease in VAS night pain in group 1 (p = 0.024), and a significant increase in pain-free grip strength (p = 0.002) after treatment. PRTEE-Pain scores decreased in group 1 after treatment (p < 0.001), 1st (p < 0.001) and 3rd months (p = 0.001). CONCLUSIONS: MWM plus exercise and cold therapy is a safe and effective alternative with positive effects on elbow pain, functional capacity, and pain-free, maximum grip strength.
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    Translation, reliability and validity of the Turkish version of Scoliosis Japanese Questionnaire-27 in adolescent idiopathic scoliosis
    (Springer, 2023) Colak, Tugba Kuru; Apti, Adnan; Colak, Ilker; Akcay, Burcin; Dereli, Elif Elcin
    PurposeDisease-specific scales which evaluate QoL are needed to evaluate treatment outcomes, and to compare the effects of different treatments. The outcome measures evaluating quality of life in adolescent idiopathic scoliosis are limited. The purpose of this study was to examine the validity and reliability of the Turkish version of the Scoliosis Japanese Questionnaire-27 (SJ-27) in adolescent idiopathic scoliosis.MethodsThe SJ-27 questionnaire was translated into Turkish and 61 female patients filled out the translated version (TRv.SJ-27) twice to measure the test-retest reliability of the scale. Internal reliability of the questionnaire was estimated using Cronbach's alpha coefficient. The intraclass correlation coefficient was analysed for each item. Discriminant validity and convergent validity were determined by correlations with Cobb angle, ATR and the SRS-22r scale.ResultsThe mean Cobb angle was 25.8 degrees and the ATR angle was 8.8 degrees. Cronbach's alpha value was estimated as 0.935. The test-retest correlation coefficient for the item-total score was 0.877 (p = 0.000). Validity analysis showed a significantly positive correlation between the TRv.SJ-27 total score and Cobb and ATR angles, and a significantly negative relationship was found between the TRv.SJ-27 and SRS-22r scores.ConclusionsIt would be useful to use different outcome measures to assess the scoliosis-specific quality of life in clinical practice and research. The findings suggest that the Turkish version of Scoliosis Japanese Questionnaire-27 is a valid and reliable measure to assess Turkish patients with AIS.