Physiotherapy
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Öğe Effects of nutrition and exercise habits in patients with type 2 diabetes(European Journal of Therapeutics, 2018) Duymaz, TomrisABSTRACT: Objective: Diet and exercise therapy form the basis of treatment of type 2 diabetes mellitus (T2DM). The objective of the present study was to evaluate the effects of diet and physical activity interventions for patients with T2DM. Methods: We assessed the prospective association between levels of physical activity, diet, and quality of life (QOL) in patients with T2DM. We measured body mass index (BMI), waist-to-hip ratio, and QOL index (36-item Short Form Health Survey). A total of 300 patients (169 women and 131 men) were enrolled in the study. Results: The mean age and BMI of the patients were 53.50±8.58 years, 30.39±3.97 kg/m2 in women and 56.32±8.80 years, 30.28±1.79 kg/m2 in men, respectively. QOL was significantly increased in patients with T2DM with regular exercise and diet (p=0.001, 0.024, and 0.012). Conclusion: Our findings show that combined diet and physical activity interventions achieved clinically meaningful increase in the QOL. Especially, aerobic exercise program improved the QOL in women with T2DM.Öğe Use of mirror therapy to treat psychogenic tremors(European Journal of Therapeutics, 2018) Duymaz, TomrisABSTRACT: Psychogenic tremors present with various clinical demonstrations in neurological practice. In mirror therapy, the patient concentrates on the image of the normal limb and learns to manage pain and movement. This study aimed to use mirror therapy for the treatment of psychogenic tremors. A 19-year-old female presented in the hospital with complaints of incompetence in manual skills, sluggish movements, reduction in muscle strength, weakness of fine motor activities, and presence of involuntary movements, such as tremors in the right upper extremity, which appeared approximately 2 years ago but worsened in the last 1 year. Both before and after treatment, we used a digital goniometer to assess the range of motion of the forearm and wrist, digital hand-held dynamometer to evaluate flexor and extensor muscles of the hand and wrist, hand grip dynamometer and pinchmeter to evaluate muscle strength, Disabilities of the Arm, Shoulder and Hand (DASH)questionnaire to assess the functional capacity of the upper extremity, Jebsen hand function test to evaluate the functionality of the hand, Grooved Pegboard test to evaluate manipulative skills, and functional independence measure (WeeFIM) to evaluate the quality of life. There was an improvement in all the parameters when compared before and after treatment. The results of this study showed that mirror therapy was a very useful approach in the treatment of psychogenic tremors, which significantly disrupt exercise compliance and are characterized by severe psychogenic tremors that reduce the quality of life.Öğe Use of creative activities in physiotherapy and rehabilitation(European Journal of Therapeutics, 2018) Duymaz, TomrisABSTRACT: Objective: A survey was performed to study the use of creativity in the field of physiotherapy and rehabilitation. There has been little research on this topic in Turkey and only a few studies are reported to have used music therapy for children. Therefore, the present study aimed to perform a similar survey as conducted in Sweden. Methods: In this study, we sent a survey to physiotherapists in İstanbul via email. Recorded data included sociodemographic characteristics (gender, age, and education) of the physiotherapists; where and how long they had been working; the specialties of the physicians that they work with; whether they continued training/education after graduation, and if so how did they maintain their studies; whether/how often they involve creative activities in the treatment sessions; which activities they prefer; whether they get any negative reaction from patients or colleagues while applying the creative activities; and whether they apply any treatment method other than conventional methods. Results: According to the results of the study, 59% of the physiotherapists benefit from using creative activities during their sessions. While 21% of them use handcrafts, 19% make use of computer games, 8% take advantage of music/theater activities, 6% use exercise painting, and 2% use practice gardening. Conclusion: There has been no previous study on this topic in Turkey, this study provides insight into existing practices and may encourage further use of creative methods in therapy. Further studies should expand on the experience of physiotherapists concerning the benefits of creative activities.Öğe Turkish version study of Parkinson’s disease quality of life questionnaire (PDQL)(Nöropsikiyatri Arşivi, 2015) Çakmak, Aycan; Dereli, Elif ElçinABSTRACT: Introduction: This study aimed to evaluate Turkish transcultural adaptation, reliability, and validity of “Parkinson’s Disease Quality of Life Questionnaire” (PDQL), which has been developed to assess the quality of life of patients with Parkinson’s disease. Methods: Eighty-nine patients who were included in the study were diagnosed with Parkinson’s disease. They were presented to the outpatient clinic of the Istanbul Faculty of Medicine, Physical Medicine and Rehabilitation department between July 2005 and April 2008. The Turkish translated version of PDQL (PDQL-TR), “Unified Parkinson’s Disease Rating Scale” (UPDRS), and Hoehn & Yahr (HY) were used as the main outcome measures. Results: The calculated Pearson correlation coefficient for PDQL, H&Y, and UPDRS ranged between ?0.36 and ?0.80. Cronbach’s alpha coefficients of the PDQL-TR complete questionnaire and subdomains were higher than 0.80. The absolute value of item-total score correlation coefficients by Pearson fluctuated between 0.40 (question 4-total score) and 0.88 (question 26-total score), whereas the subdomain-total score correlation coefficients ranged between 0.81 and 0.96. PDQL-TR showed high stability according to the ICC results, ranging between 0.75 (Emotional Function) and 0.88 (Parkinsonian Symptoms). Conclusion: The psychometric features of PDQL-TR are satisfactory, and our results are consistent with the previous literature findings. PDQLTR is a valid and reliable tool to measure health-related quality of life in patients with Parkinson’s disease.Öğe Common Behaviors of Spinor-Type Instantons in 2D Thirring and 4D Gursey Fermionic Models(Hindawi Ltd, 2014) Tosyalı, Eren; Aydoğmuş, FatmaWe investigate two examples of conformal invariant pure spinor fermionic models, which admit particle-like solutions of the classical field equations. For different dimensions and quantum spinor numbers, the vector field visualizations of the models are constructed to provide a better understanding of the spinor-type instanton dynamics in phase space. The hierarchical cluster analysis method investigations of the models are also presented. Finally, the autocorrelation and power spectrum graphs of models are constructed and frequencies of motions are defined.Öğe Gait speed and related factors in Parkinson's disease(Soc Physical Therapy Science, 2015-12) Demircioğlu, Demet Tekdöş[Purpose] The aim of this study was to investigate the relationship between gait speed and various factors in ambulatory patients with idiopathic Parkinson's disease. [Subjects] Fifty ambulatory patients with idiopathic Parkinson's disease who were admitted to an outpatient clinic were included in this cross-sectional study. [Methods] The Hoehn and Yahr Scale was used for measurement of the disease severity. Gait speed was measured by the 10-Meter Walk Test. Mobility status was assessed by Timed Up and Go Test. The Hospital Anxiety and Depression Scale was used for evaluation of emotional state. Cognitive status was examined with the Mini-Mental State Examination. The Downton Index was used for fall risk assessment. Balance was evaluated with the Berg Balance Scale. Comorbidity was measured with the Cumulative Illness Rating Scale. The 36-Item Short Form Health Survey was completed for measurement of quality of life. [Results] The mean age was 66.7 (47-83) years. Twenty-eight (56%) patients were men. Gait speed was correlated positively with height, male gender, Mini-Mental Examination score, Berg Balance Scale score and physical summary scores of the 36-Item Short Form Health Survey. On the other hand, there was a negative correlation between gait speed and age, disease severity, TUG time, Downton Index, fear of falling, previous falls and the anxiety and depression scores of the Hospital Anxiety and Depression Scale. There was no correlation between gait speed and comorbidity. [Conclusion] The factors related with the slower gait speed are, elder age, clinically advanced disease, poor mobility, fear of falling, falling history, higher falling risk, and mood disorder.
