Selda Başar - Academia.edu (original) (raw)

Papers by Selda Başar

Research paper thumbnail of Reliability and validity of the Turkish version of the patellofemoral pain and osteoarthritis subscale of the KOOS

Physiotherapy Theory and Practice, Dec 6, 2023

Research paper thumbnail of Comparison of physical activity, internet addiction, and healthy lifestyle behavior of Turkish University students before and during the early COVID-19 Pandemic

Journal of Orthopedics Research and Rehabilitation, Jul 30, 2023

Research paper thumbnail of A comparative study of muscle strength and anaerobic power of the young national and national junior wheelchair basketball players

Türkiye fiziksel tıp ve rehabilitasyon dergisi, 2013

Research paper thumbnail of Scapular muscle endurance, shoulder pain, and functionality in patients with rotator-cuff-related shoulder pain: a matched, case-control study

Daehan'gyeon ju'gwanjeol haghoeji/Clinics in shoulder and elbow, Mar 1, 2024

Research paper thumbnail of Adaptation of the Lawton Instrumental Activities of Daily Living Scale to Turkish: Validity and Reliability Study

Annals of geriatric medicine and research, Mar 31, 2020

Functional capacity is a complex concept that includes basic activities of daily living (BADL), i... more Functional capacity is a complex concept that includes basic activities of daily living (BADL), instrumental activities of daily living (IADL), 1) and advanced activities. 2) Since inadequacies in BADL affect daily activities, work performance, and leisure activities, BADL is one of the most important indicators of success to define the skill level, demonstrate the effectiveness of rehabilitation, and determine a person's ability to perform activities of daily living. 3,4) The BADL may decline due to age, a specific disease, or a variety of factors such as decreased muscle strength, muscle atrophy, degenerative changes in joints, impaired neuromuscular coordination, loss of vision, and postural changes. 5) BADL represent the activities necessary for self-care (e.g., bathing, dressing, feeding, etc.) while IADL represent the activities that allow independence in social life. 6,7) In addition to some BADL, Background: The Lawton Instrumental Activities of Daily Living (IADL) scale is the most widely used scale for the assessment of IADL in the elderly population. The aim of this study was to adapt the Lawton IADL Scale in Turkish and to investigate the validity and the reliability of the scale in older adults. Methods: A total of 80 participants with a mean age of 71.6±5.8 years were included in the study. The independent living skills of the older adults were measured using Lawton IADL, Hodkinson Mental Test, Functional Independence Scale, Barthel Index, Katz Index, and visual analog scale. Lawton IADL was translated into Turkish, validated by professional reviewers, translated back into English, and then tested. Cronbach's alpha was used to measure reliability in a group of 34 participants and test-retest was performed 1 week after the first test. Pearson correlation analysis was used to show the relationship between Lawton IADL and other scales and indexes. Results: Internal consistency (Cronbach's alpha) value was 0.843 for the whole scale. The intraclass correlation coefficient value of the scale was 0.915. Conclusion: These results confirm that the Turkish version of the Lawton IADL scale has excellent reliability and validity.

Research paper thumbnail of The effect of virtual reality on pain, kinesiophobia and function in total knee arthroplasty patients: A randomized controlled trial

Research paper thumbnail of SAT0608 Relation between scapular muscle endurance, muscle strength, pain and function in patients with rotator cuff lesion

score (p<0.01), decreased plasma levels of CXCL1 (p<0.05) and reduced gene expression of pro-infl... more score (p<0.01), decreased plasma levels of CXCL1 (p<0.05) and reduced gene expression of pro-inflammatory markers (IL-6, TNF-a, IL-1b, INF-g, IL-8; p<0.05) compared to vehicle. SM04755 treatment promoted tendon regeneration measured as increased expression of tenocyte markers (p<0.05), increased Type I/Type III collagen ratio (Figure B; p<0.01) and Sirus Red stained collagen fibers in tendon compared to vehicle. SM04755 treatment increased % total weight bearing on the affected limb (p<0.01), at multiple time points (Figure C), indicating reduced pain in the rodent model. Conclusions: Topical SM04755, a Wnt pathway inhibitor, reduced inflammation, promoted tendon regeneration and healing, and reduced pain compared to vehicle in rodent tendinopathy models. SM04755 is a potential treatment for tendinopathy. Clinical studies are in progress.

Research paper thumbnail of Evaluation of Cervical Endurance by Craniocervical Flexion Test in Patients with Subacromial Impingement Syndrome: A Preliminary Study

Medical records-international medical journal, Sep 22, 2022

The aim of the study is to evaluate deep cervical flexor endurance in patients with subacromial i... more The aim of the study is to evaluate deep cervical flexor endurance in patients with subacromial impingement syndrome (SIS) and compare it with norm values proven in the literature in asymptomatic individuals. Materials and Methods: The patients' age, weight, height, duration of complaints and dominant side information were recorded. 35 patients (25 female, 10 male) diagnosed with SIS by physicians participated in the study. Pain intensity was evaluated by numerical rating scale at rest, during elevation and at night. Craniocervical flexion test (CFT) is used for evaluating cervical endurance. "Stabilizer Pressure Biofeedback" device is used for this test. Two types of points are obtained as a result of this test. One is the CFT activation score, which expresses the activation level of the deep cervical muscles, and the other is the CFT performance index, which expresses the endurance of the deep cervical muscles. Results: Both the activation score (3.9±1.9) and the performance index (31.4±14.2) of CFT were significantly different in patients with SIS when compared with those of asymptomatic individuals. Conclusion: Cervical endurance is reduced in patients with SIS. Treatments including cervical stabilization should be planned in these patients.

Research paper thumbnail of FRI0642-HPR Scapular Biomechanics in Patients with Adhesive Capsulitis

Annals of the Rheumatic Diseases, Jun 1, 2016

is thought to be one way to prevent knee OA [2]. The Nanba style walk (N-walk) is a walking style... more is thought to be one way to prevent knee OA [2]. The Nanba style walk (N-walk) is a walking style with the step of the leg and swing of the arm at the same time as small trunk rotation [3], and the body's center of gravity is directly moved close to the center of the pressure. This gait modification is assumed to decrease the lever arm of the KAM, so that the KAM would be decreased due to the N-walk. Objectives: The purpose of the study was to investigate the effect of the Nanba walk on KAM during gait in healthy adults as a preliminary study. Methods: 28 healthy adults consisting of 16 men and 12 women (21.7 ± 0.4 years old) participated. All participants including those in the pilot study were informed as to the nature of the study, and their informed consent was obtained as approved by the Ethics Committee of Seijoh University. A three-dimensional analysis system (Venus 3D; Nobby Tech, Tokyo, Japan) with a 10-camera and a force plate (AccuGait; AMTI, MA, USA) were used to obtain the kinematics and kinetic data by inverse dynamic methods and global optimization. KAMs were normalized to body mass and leg length (no unit). The 1st and 2nd peak KAMs during stance phase and the lever arm length of the KAM (frontal plane) at both peak KAMs were measured to compare with free gait and N-walk. N-walk gait speed was controlled within ± 5% of a free gait. Subjects were asked to walk along a 6-m walkway, and three successful trials were recorded. Average data were used in final analysis. The EMG of the gluteus medius muscle, which was reported to relate to KAM [4], was measured, and Integral EMGs (iEMG) of the first and second half of the stance phase after full-wave EMG rectification were used to compare the two gait styles. Results: The peak 1st and 2nd KAM of N-walk (4.9 ± 1.2 ×10-2 and 4.7 ± 1.5 ×10-2) were significantly decreased compared to the KAMs of free gait (5.6 ± 1.1 ×10-2 and 5.6 ± 1.6 ×10-2). The lever arm length at the peak 1st and 2nd KAM of N-walk (3.7 ± 1.1 and 3.3 ± 1.0 cm) were also significantly decreased compared to the lever arm length of free gait (3.9 ± 1.0 and 4.1 ± 1.0 cm). The iEMGs of gluteus medius muscle of the first and second half of the N-walk (2.8 ± 1.3 and 3.0 ± 1.4 Vs) were significantly increased compared to the iEMGs of the free gait (1.9 ± 0.9 and 2.1 ± 1.0 Vs, p<0.05). Conclusions: The 1st and 2nd peak of KAM with N-walk were significantly decreased compared to the KAMs of free gait due to the lever arm length of KAMs with increased gluteus medius muscle activity. N-walk is one of the traditional Japanese walking styles when wearing a kimono. This gait modification is assumed to one of the indications of a walking style to help prevent medial knee osteoarthritis. References: [1] Yoshimura N, et al.

Research paper thumbnail of AB1109-HPR Comparison of Joint Position Sense at end Range and mid Range in Frozen Shoulder: Table 1

Annals of the Rheumatic Diseases, Jun 1, 2016

analysed on an intention to treat basis and between group differences in mean change were investi... more analysed on an intention to treat basis and between group differences in mean change were investigated using Analysis of Covariance adjusted for baseline differences. Significance was accepted at P<0.05 level. Results: 34 eligible patients were invited to participate in the study. 14 (41%) women (mean age 63 (7.46) years) were enrolled into the trial and 13 (93%) people completed the 6 week assessment. Compliance was 98% in the AT group. No adverse effects were reported. All clinical outcomes improved in the AT group in pre-post scores (mean change (95% CI

Research paper thumbnail of AB1244-HPR Relationship Between Proprioception and Capsular Tightness in Patients with Adhesive Capsulitis

Annals of the Rheumatic Diseases, 2015

Research paper thumbnail of Cross-cultural adaptation, and validation of the Turkish version of the Nonarthritic Hip Score

Acta Orthopaedica et Traumatologica Turcica, Aug 13, 2020

OBJECTIVE The aim of this study was to translate and cross-culturally adapt the Nonarthritic Hip ... more OBJECTIVE The aim of this study was to translate and cross-culturally adapt the Nonarthritic Hip Score (NAHS) into Turkish and determine the validity and reliability of the translated version in physically active patients with hip pain. METHODS Sixty young to middle-aged and physically active patients (34 women and 26 men; mean age=35 years; age range: 18-40 years) with hip pain were included in the study. The original version of the NAHS was first translated into Turkish and back-translated into English by two bilingual translators each. The back-translated version was compared with the initial English version by a committee of the four translators. The Turkish version was then tested with 15 patients with hip pain and 15 healthy individuals. The participants were asked whether they had difficulties in understanding the questions. Subsequently, the questionnaire was accepted for use in the study population. Test-retest reliability and internal consistency were assessed using Intraclass Correlation Coefficient (ICC) and Cronbach's alpha, respectively. The construct validity was determined via the Pearson correlation coefficient between the NAHS and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), modified Harris Hip Score (mHHS), and Short Form-12 (SF-12). Floor and ceiling effects were analyzed. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to test construct validity. RESULTS An ICC of 0.994 and Cronbach's alpha value of 0.908 were obtained; thus, the Turkish version of the NAHS was reliable. Neither floor nor ceiling effects (15%) were found in the sub-parameters (8.3-1.7%) and the total score (1.7%) of the NAHS. The EFA test showed that this questionnaire had four factors. Model fit indices in CFA were χ2/df=2.23, Tucker-Lewis index=0.90, comparative fit index=0.91, goodness of fit index=0.63, root mean square error of approximation=0.14 (90% CI: 0.12-0.16). The NAHS total score showed an excellent correlation with WOMAC (r=-0.909), mHHS (r=0.850), and SF-12 (r=0.811) scores. CONCLUSION The Turkish version of the NAHS is a valid and reliable questionnaire for young and physically active patients with hip pain. LEVEL OF EVIDENCE Level II, Diagnostic study.

Research paper thumbnail of Cross-Cultural Adaptation, Validity, and Reliability Study of Turkish Version of the International Hip Outcome Tool-33 (iHOT-33): A Pilot Study

Gazi Sağlık Bilimleri Dergisi

Anketler hastalığın hikayesinde, fizik muayenede ve görüntüleme araçlarına bağlı olarak kalça pat... more Anketler hastalığın hikayesinde, fizik muayenede ve görüntüleme araçlarına bağlı olarak kalça patolojilerinin teşhisinde önemli rol oynamaktadırlar. Kalça patolojileri için farklı anketler vardır. Bu çalışmanın amacı, International Hip Outcome Tool (iHOT-33)’un Türkçe versiyonuna uyarlama, geçerlik ve güvenirliğini araştırmaktır. iHOT-33’ün Türkçe’ye çevirisi ve kültürel uygunluğu mevcut yönergeler izlenerek yapılmıştır. Bu çalışmaya düşük yaş ortalamasına ve yüksek fiziksel kapasiteye sahip 50 hasta katıldı. Ölçeğin güvenirliğini değerlendirmek için test-tekrar test ve iç tutarlık analizleri uygulandı. Test tekrar test analizi, sınıf içi korelasyon katsayısı (ICC) yöntemi ile analiz edildi. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Short Form 36 (SF-36) anketlerinin toplam puanları, iHOT-33’ün geçerliğini belirlemek için Pearson korelasyonu ile değerlendirildi. iHOT-33’ün yüksek düzeyde iç tutarlılığa sahip olduğu bulundu (Cronbach alfa 0.908). Test...

Research paper thumbnail of Association of polypharmacy with postural instability and impaired balance in community-dwelling older adults in Turkey

Marmara Medical Journal

Objective: Polypharmacy, an important geriatric syndrome, has been shown to be an independent ris... more Objective: Polypharmacy, an important geriatric syndrome, has been shown to be an independent risk factor for falling. However, the data about effects of polypharmacy on balance is lacking. We aimed to evaluate the effects of polypharmacy and inappropriate drug use on balance in older adults. Patients and Methods: Fifty-one patients using ≥ 5 drugs and 50 patients using < 5 drugs were included in the study. Inappropriate drug usage of the patients was evaluated by Beers criteria. Postural stability and risk of falling was investigated by using Biosway Portable Balance System (BPBS). Activities and functional status of the patients were assessed by using Short Physical Performance Battery (SPPB) and Activities Specific Balance Confidence Scale (ABC). All patients underwent comprehensive geriatric assessment. Results: Age, gender, hand grip strength, SPPB scores of the patients were similar between polypharmacy and control groups (all had p>0.05). ABC score was higher in polypha...

Research paper thumbnail of Aerobic exercise and dual-task training combination is the best combination for improving cognitive status, mobility and physical performance in older adults with mild cognitive impairment

Aging Clinical and Experimental Research

Research paper thumbnail of Grekoromen Ve Serbest Sti̇l Güreşçi̇ler Arasindaki̇ Bazi Antropometri̇k Ölçümleri̇n Ve Farkliliklarin Karşilaştirilmasi

Amac: Bu calisma farkli stillerde yarisan gurescilere uygulanan antrenman programlarinin bazi ant... more Amac: Bu calisma farkli stillerde yarisan gurescilere uygulanan antrenman programlarinin bazi antropometrik ozelliklerine etkisini belirlemek amaciyla planlandi. Yontem: Bu calismaya 81 erkek milli guresci dahil edildi. (Grekoromen n=46, Serbest stil n=35). Gurescilerin yaslari 17-20 yillari arasinda, vucut kutle indeksleri (VKI) 21-36 kg/m 2 arasindaydi (Grekoromen ortalama yas:18±1.1 yil, VKI:26±3.68 kg/m 2 ; serbest stil ortalama yas:18±0.8 yil, VKI:26.27±4.48 kg/m 2 ). Gurescilerin antropometrik ozelliklerindeki farkliliklar; vucut agirligi, boy uzunlugu, diz ve dirsek genisligi kaliper ile, baldir ve biseps cevre olcumu mezura ile, triseps, subskapular, supraspinal ve baldir deri alti yag kalinligi olcumu skinfold ile degerlendirildi. Yag yuzdesi Sloan ve Weir formulu ile hesaplandi. Somatotiplerin belirlenmesi icin Heath-Carter antropometrik metodu kullanildi. Bulgular: Iki grubun baldir ve biseps cevre olcumleri arasinda fark yoktu (Sirasiyla, Grekoromen:36.9±3.5 cm, 32.5±3.3...

Research paper thumbnail of The Coping Strategies Questionnaire: Translation, cultural adaptation, reliability and validity in Turkish-speaking patients with chronic musculoskeletal pain

Physiotherapy Theory and Practice, 2021

BACKGROUND The use of pain coping questionnaires is advantageous when selecting cognitive and beh... more BACKGROUND The use of pain coping questionnaires is advantageous when selecting cognitive and behavioral targets for chronic pain management. The objective of this study was to investigate adaptation, validity, and reliability of the Coping Strategies Questionnaire (CSQ) in Turkish population with chronic musculoskeletal pain. METHODS The Turkish version of the questionnaire (CSQ-T) was checked in terms of reliability and validity with a convenience sample of 123 patients with chronic musculoskeletal pain. Reliability (test-retest) analyses were conducted by means of a retest 48 hours later with a sub-group of 40 patients. Construct validity of the CSQ was checked through convergent validity with the Hospital Anxiety and Depression Scale (HADS) and the Short Form-36 (SF-36) health survey. RESULTS Cronbach's alpha of the subscales ranged from 0.814 to 0.934 and the test-retest reliability ranged from 0.800 to 0.944. Neither floor nor ceiling effects (15%) were found in the subscales (13.8%) and the total score (4.1%) of the CSQ-T. Factor analysis indicated that the scale had two factors. The total CSQ-T score was correlated with both the HADS (r: -0.636/-0.549) and the SF-36 (r: 0.701/0.768). CONCLUSION The CSQ-T is a reliable and valid measure for assessing patients with chronic musculoskeletal pain.

Research paper thumbnail of Adaptation of Lawton Instrumental Activities of Daily Living (IADL) for Filipino Older Persons

International Journal of Health and Medical Sciences, 2016

The accuracy of the content should not be relied upon and primary sources of information should b... more The accuracy of the content should not be relied upon and primary sources of information should be considered for any verification. KKG Publications shall not be liable for any costs, expenses, proceedings, loss, actions, demands, damages, expenses and other liabilities directly or indirectly caused in connection with given content. This article may be utilized for research, edifying, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly verboten.

Research paper thumbnail of Translation, cultural adaptation, reliability, and validity of the Turkish version of the Penn Shoulder Score

Disability and Rehabilitation, 2017

Purpose: The purpose of this study is to translate the Penn Shoulder Score into Turkish and to es... more Purpose: The purpose of this study is to translate the Penn Shoulder Score into Turkish and to establish its cultural adaptation, reliability, and validity in patients with shoulder dysfunctions. Methods: The Penn Shoulder Score was translated and culturally adapted from English into Turkish. Subsequently, the Penn Shoulder Score, the Constant Score, the American Shoulder and Elbow Score, and the Western Ontario Rotator Cuff Index were completed by 97 patients with shoulder dysfunctions. To determine the test-retest reliability, 30 patients completed the Penn Shoulder Score again on day 3. Intraclass correlation coefficient and Cronbach alpha were calculated to assess reliability. The validity of the questionnaire was assessed in terms of convergent validity with Pearson Correlation Coefficient using the Constant Score, the American Shoulder and Elbow Score, and the Western Ontario Rotator Cuff Index. Results: Internal consistency was good, with a Cronbach alpha of 0.81. The Intraclass correlation coefficient was 0.90 (95% confidence interval: 0.78, 0.90), demonstrating good test-retest reliability. Pearson correlation coefficients of the Penn Shoulder Score in relation with the Constant Score, the American Shoulder and Elbow Score, and the Western Ontario Rotator Cuff Index were 0.65, 0.78, and À0.77, respectively. Conclusion: The Turkish version of the Penn Shoulder Score is a reliable and valid measure for assessing patients with shoulder dysfunctions. ä IMPLICATIONS FOR REHABILITATION The Turkish version of the Penn shoulder score is valid and reliable outcome measure for assessing patients with shoulder dysfunctions. The Turkish version of the Penn shoulder score could be easily performed by patients and it is easy to score by clinicians. It is recommended to use in clinical settings and in research.

Research paper thumbnail of Relationship between scapular muscle and core endurance in healthy subjects

Journal of Back and Musculoskeletal Rehabilitation, 2017

BACKGROUND: Scapular muscle endurance and core endurance reportedly influence shoulder injury ris... more BACKGROUND: Scapular muscle endurance and core endurance reportedly influence shoulder injury risk. The exact relationships between scapular muscle endurance and core endurance, and how they impact one another in the healthy subjects remain unclear. OBJECTIVE: To investigate the relationship between scapular muscle endurance and core endurance in healthy subjects. METHODS: Fifty healthy volunteers (23 males, 27 females; mean age 20.42 ± 1.04 years) were participated in this study. Endurance of the serratus anterior and trapezius muscles was assessed using the scapular muscle endurance test. Sorensen test (endurance of trunk extensor muscles), trunk flexor endurance test, and side bridge test (endurance of lateral core muscles) were conducted to assess the core endurance. Pearson's product moment correlations examined relationships between scapular muscle endurance and each of the core endurance tests scores. RESULTS: Scapular muscle endurance test scores showed a positive correlation with the side bridge test scores (r = 0.414; p = 0.003). No significant correlation was found between scapular muscle endurance test scores and the other core endurance tests scores (p > 0.05). CONCLUSIONS: There appears to be a link between the scapular muscle endurance and lateral core muscles in healthy subjects; however, more research is needed to provide a definitive answer on the nature of this relationship. Further studies involving patients with shoulder pathology are warranted.

Research paper thumbnail of Reliability and validity of the Turkish version of the patellofemoral pain and osteoarthritis subscale of the KOOS

Physiotherapy Theory and Practice, Dec 6, 2023

Research paper thumbnail of Comparison of physical activity, internet addiction, and healthy lifestyle behavior of Turkish University students before and during the early COVID-19 Pandemic

Journal of Orthopedics Research and Rehabilitation, Jul 30, 2023

Research paper thumbnail of A comparative study of muscle strength and anaerobic power of the young national and national junior wheelchair basketball players

Türkiye fiziksel tıp ve rehabilitasyon dergisi, 2013

Research paper thumbnail of Scapular muscle endurance, shoulder pain, and functionality in patients with rotator-cuff-related shoulder pain: a matched, case-control study

Daehan'gyeon ju'gwanjeol haghoeji/Clinics in shoulder and elbow, Mar 1, 2024

Research paper thumbnail of Adaptation of the Lawton Instrumental Activities of Daily Living Scale to Turkish: Validity and Reliability Study

Annals of geriatric medicine and research, Mar 31, 2020

Functional capacity is a complex concept that includes basic activities of daily living (BADL), i... more Functional capacity is a complex concept that includes basic activities of daily living (BADL), instrumental activities of daily living (IADL), 1) and advanced activities. 2) Since inadequacies in BADL affect daily activities, work performance, and leisure activities, BADL is one of the most important indicators of success to define the skill level, demonstrate the effectiveness of rehabilitation, and determine a person's ability to perform activities of daily living. 3,4) The BADL may decline due to age, a specific disease, or a variety of factors such as decreased muscle strength, muscle atrophy, degenerative changes in joints, impaired neuromuscular coordination, loss of vision, and postural changes. 5) BADL represent the activities necessary for self-care (e.g., bathing, dressing, feeding, etc.) while IADL represent the activities that allow independence in social life. 6,7) In addition to some BADL, Background: The Lawton Instrumental Activities of Daily Living (IADL) scale is the most widely used scale for the assessment of IADL in the elderly population. The aim of this study was to adapt the Lawton IADL Scale in Turkish and to investigate the validity and the reliability of the scale in older adults. Methods: A total of 80 participants with a mean age of 71.6±5.8 years were included in the study. The independent living skills of the older adults were measured using Lawton IADL, Hodkinson Mental Test, Functional Independence Scale, Barthel Index, Katz Index, and visual analog scale. Lawton IADL was translated into Turkish, validated by professional reviewers, translated back into English, and then tested. Cronbach's alpha was used to measure reliability in a group of 34 participants and test-retest was performed 1 week after the first test. Pearson correlation analysis was used to show the relationship between Lawton IADL and other scales and indexes. Results: Internal consistency (Cronbach's alpha) value was 0.843 for the whole scale. The intraclass correlation coefficient value of the scale was 0.915. Conclusion: These results confirm that the Turkish version of the Lawton IADL scale has excellent reliability and validity.

Research paper thumbnail of The effect of virtual reality on pain, kinesiophobia and function in total knee arthroplasty patients: A randomized controlled trial

Research paper thumbnail of SAT0608 Relation between scapular muscle endurance, muscle strength, pain and function in patients with rotator cuff lesion

score (p<0.01), decreased plasma levels of CXCL1 (p<0.05) and reduced gene expression of pro-infl... more score (p<0.01), decreased plasma levels of CXCL1 (p<0.05) and reduced gene expression of pro-inflammatory markers (IL-6, TNF-a, IL-1b, INF-g, IL-8; p<0.05) compared to vehicle. SM04755 treatment promoted tendon regeneration measured as increased expression of tenocyte markers (p<0.05), increased Type I/Type III collagen ratio (Figure B; p<0.01) and Sirus Red stained collagen fibers in tendon compared to vehicle. SM04755 treatment increased % total weight bearing on the affected limb (p<0.01), at multiple time points (Figure C), indicating reduced pain in the rodent model. Conclusions: Topical SM04755, a Wnt pathway inhibitor, reduced inflammation, promoted tendon regeneration and healing, and reduced pain compared to vehicle in rodent tendinopathy models. SM04755 is a potential treatment for tendinopathy. Clinical studies are in progress.

Research paper thumbnail of Evaluation of Cervical Endurance by Craniocervical Flexion Test in Patients with Subacromial Impingement Syndrome: A Preliminary Study

Medical records-international medical journal, Sep 22, 2022

The aim of the study is to evaluate deep cervical flexor endurance in patients with subacromial i... more The aim of the study is to evaluate deep cervical flexor endurance in patients with subacromial impingement syndrome (SIS) and compare it with norm values proven in the literature in asymptomatic individuals. Materials and Methods: The patients' age, weight, height, duration of complaints and dominant side information were recorded. 35 patients (25 female, 10 male) diagnosed with SIS by physicians participated in the study. Pain intensity was evaluated by numerical rating scale at rest, during elevation and at night. Craniocervical flexion test (CFT) is used for evaluating cervical endurance. "Stabilizer Pressure Biofeedback" device is used for this test. Two types of points are obtained as a result of this test. One is the CFT activation score, which expresses the activation level of the deep cervical muscles, and the other is the CFT performance index, which expresses the endurance of the deep cervical muscles. Results: Both the activation score (3.9±1.9) and the performance index (31.4±14.2) of CFT were significantly different in patients with SIS when compared with those of asymptomatic individuals. Conclusion: Cervical endurance is reduced in patients with SIS. Treatments including cervical stabilization should be planned in these patients.

Research paper thumbnail of FRI0642-HPR Scapular Biomechanics in Patients with Adhesive Capsulitis

Annals of the Rheumatic Diseases, Jun 1, 2016

is thought to be one way to prevent knee OA [2]. The Nanba style walk (N-walk) is a walking style... more is thought to be one way to prevent knee OA [2]. The Nanba style walk (N-walk) is a walking style with the step of the leg and swing of the arm at the same time as small trunk rotation [3], and the body's center of gravity is directly moved close to the center of the pressure. This gait modification is assumed to decrease the lever arm of the KAM, so that the KAM would be decreased due to the N-walk. Objectives: The purpose of the study was to investigate the effect of the Nanba walk on KAM during gait in healthy adults as a preliminary study. Methods: 28 healthy adults consisting of 16 men and 12 women (21.7 ± 0.4 years old) participated. All participants including those in the pilot study were informed as to the nature of the study, and their informed consent was obtained as approved by the Ethics Committee of Seijoh University. A three-dimensional analysis system (Venus 3D; Nobby Tech, Tokyo, Japan) with a 10-camera and a force plate (AccuGait; AMTI, MA, USA) were used to obtain the kinematics and kinetic data by inverse dynamic methods and global optimization. KAMs were normalized to body mass and leg length (no unit). The 1st and 2nd peak KAMs during stance phase and the lever arm length of the KAM (frontal plane) at both peak KAMs were measured to compare with free gait and N-walk. N-walk gait speed was controlled within ± 5% of a free gait. Subjects were asked to walk along a 6-m walkway, and three successful trials were recorded. Average data were used in final analysis. The EMG of the gluteus medius muscle, which was reported to relate to KAM [4], was measured, and Integral EMGs (iEMG) of the first and second half of the stance phase after full-wave EMG rectification were used to compare the two gait styles. Results: The peak 1st and 2nd KAM of N-walk (4.9 ± 1.2 ×10-2 and 4.7 ± 1.5 ×10-2) were significantly decreased compared to the KAMs of free gait (5.6 ± 1.1 ×10-2 and 5.6 ± 1.6 ×10-2). The lever arm length at the peak 1st and 2nd KAM of N-walk (3.7 ± 1.1 and 3.3 ± 1.0 cm) were also significantly decreased compared to the lever arm length of free gait (3.9 ± 1.0 and 4.1 ± 1.0 cm). The iEMGs of gluteus medius muscle of the first and second half of the N-walk (2.8 ± 1.3 and 3.0 ± 1.4 Vs) were significantly increased compared to the iEMGs of the free gait (1.9 ± 0.9 and 2.1 ± 1.0 Vs, p<0.05). Conclusions: The 1st and 2nd peak of KAM with N-walk were significantly decreased compared to the KAMs of free gait due to the lever arm length of KAMs with increased gluteus medius muscle activity. N-walk is one of the traditional Japanese walking styles when wearing a kimono. This gait modification is assumed to one of the indications of a walking style to help prevent medial knee osteoarthritis. References: [1] Yoshimura N, et al.

Research paper thumbnail of AB1109-HPR Comparison of Joint Position Sense at end Range and mid Range in Frozen Shoulder: Table 1

Annals of the Rheumatic Diseases, Jun 1, 2016

analysed on an intention to treat basis and between group differences in mean change were investi... more analysed on an intention to treat basis and between group differences in mean change were investigated using Analysis of Covariance adjusted for baseline differences. Significance was accepted at P<0.05 level. Results: 34 eligible patients were invited to participate in the study. 14 (41%) women (mean age 63 (7.46) years) were enrolled into the trial and 13 (93%) people completed the 6 week assessment. Compliance was 98% in the AT group. No adverse effects were reported. All clinical outcomes improved in the AT group in pre-post scores (mean change (95% CI

Research paper thumbnail of AB1244-HPR Relationship Between Proprioception and Capsular Tightness in Patients with Adhesive Capsulitis

Annals of the Rheumatic Diseases, 2015

Research paper thumbnail of Cross-cultural adaptation, and validation of the Turkish version of the Nonarthritic Hip Score

Acta Orthopaedica et Traumatologica Turcica, Aug 13, 2020

OBJECTIVE The aim of this study was to translate and cross-culturally adapt the Nonarthritic Hip ... more OBJECTIVE The aim of this study was to translate and cross-culturally adapt the Nonarthritic Hip Score (NAHS) into Turkish and determine the validity and reliability of the translated version in physically active patients with hip pain. METHODS Sixty young to middle-aged and physically active patients (34 women and 26 men; mean age=35 years; age range: 18-40 years) with hip pain were included in the study. The original version of the NAHS was first translated into Turkish and back-translated into English by two bilingual translators each. The back-translated version was compared with the initial English version by a committee of the four translators. The Turkish version was then tested with 15 patients with hip pain and 15 healthy individuals. The participants were asked whether they had difficulties in understanding the questions. Subsequently, the questionnaire was accepted for use in the study population. Test-retest reliability and internal consistency were assessed using Intraclass Correlation Coefficient (ICC) and Cronbach's alpha, respectively. The construct validity was determined via the Pearson correlation coefficient between the NAHS and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), modified Harris Hip Score (mHHS), and Short Form-12 (SF-12). Floor and ceiling effects were analyzed. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to test construct validity. RESULTS An ICC of 0.994 and Cronbach's alpha value of 0.908 were obtained; thus, the Turkish version of the NAHS was reliable. Neither floor nor ceiling effects (15%) were found in the sub-parameters (8.3-1.7%) and the total score (1.7%) of the NAHS. The EFA test showed that this questionnaire had four factors. Model fit indices in CFA were χ2/df=2.23, Tucker-Lewis index=0.90, comparative fit index=0.91, goodness of fit index=0.63, root mean square error of approximation=0.14 (90% CI: 0.12-0.16). The NAHS total score showed an excellent correlation with WOMAC (r=-0.909), mHHS (r=0.850), and SF-12 (r=0.811) scores. CONCLUSION The Turkish version of the NAHS is a valid and reliable questionnaire for young and physically active patients with hip pain. LEVEL OF EVIDENCE Level II, Diagnostic study.

Research paper thumbnail of Cross-Cultural Adaptation, Validity, and Reliability Study of Turkish Version of the International Hip Outcome Tool-33 (iHOT-33): A Pilot Study

Gazi Sağlık Bilimleri Dergisi

Anketler hastalığın hikayesinde, fizik muayenede ve görüntüleme araçlarına bağlı olarak kalça pat... more Anketler hastalığın hikayesinde, fizik muayenede ve görüntüleme araçlarına bağlı olarak kalça patolojilerinin teşhisinde önemli rol oynamaktadırlar. Kalça patolojileri için farklı anketler vardır. Bu çalışmanın amacı, International Hip Outcome Tool (iHOT-33)’un Türkçe versiyonuna uyarlama, geçerlik ve güvenirliğini araştırmaktır. iHOT-33’ün Türkçe’ye çevirisi ve kültürel uygunluğu mevcut yönergeler izlenerek yapılmıştır. Bu çalışmaya düşük yaş ortalamasına ve yüksek fiziksel kapasiteye sahip 50 hasta katıldı. Ölçeğin güvenirliğini değerlendirmek için test-tekrar test ve iç tutarlık analizleri uygulandı. Test tekrar test analizi, sınıf içi korelasyon katsayısı (ICC) yöntemi ile analiz edildi. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Short Form 36 (SF-36) anketlerinin toplam puanları, iHOT-33’ün geçerliğini belirlemek için Pearson korelasyonu ile değerlendirildi. iHOT-33’ün yüksek düzeyde iç tutarlılığa sahip olduğu bulundu (Cronbach alfa 0.908). Test...

Research paper thumbnail of Association of polypharmacy with postural instability and impaired balance in community-dwelling older adults in Turkey

Marmara Medical Journal

Objective: Polypharmacy, an important geriatric syndrome, has been shown to be an independent ris... more Objective: Polypharmacy, an important geriatric syndrome, has been shown to be an independent risk factor for falling. However, the data about effects of polypharmacy on balance is lacking. We aimed to evaluate the effects of polypharmacy and inappropriate drug use on balance in older adults. Patients and Methods: Fifty-one patients using ≥ 5 drugs and 50 patients using < 5 drugs were included in the study. Inappropriate drug usage of the patients was evaluated by Beers criteria. Postural stability and risk of falling was investigated by using Biosway Portable Balance System (BPBS). Activities and functional status of the patients were assessed by using Short Physical Performance Battery (SPPB) and Activities Specific Balance Confidence Scale (ABC). All patients underwent comprehensive geriatric assessment. Results: Age, gender, hand grip strength, SPPB scores of the patients were similar between polypharmacy and control groups (all had p>0.05). ABC score was higher in polypha...

Research paper thumbnail of Aerobic exercise and dual-task training combination is the best combination for improving cognitive status, mobility and physical performance in older adults with mild cognitive impairment

Aging Clinical and Experimental Research

Research paper thumbnail of Grekoromen Ve Serbest Sti̇l Güreşçi̇ler Arasindaki̇ Bazi Antropometri̇k Ölçümleri̇n Ve Farkliliklarin Karşilaştirilmasi

Amac: Bu calisma farkli stillerde yarisan gurescilere uygulanan antrenman programlarinin bazi ant... more Amac: Bu calisma farkli stillerde yarisan gurescilere uygulanan antrenman programlarinin bazi antropometrik ozelliklerine etkisini belirlemek amaciyla planlandi. Yontem: Bu calismaya 81 erkek milli guresci dahil edildi. (Grekoromen n=46, Serbest stil n=35). Gurescilerin yaslari 17-20 yillari arasinda, vucut kutle indeksleri (VKI) 21-36 kg/m 2 arasindaydi (Grekoromen ortalama yas:18±1.1 yil, VKI:26±3.68 kg/m 2 ; serbest stil ortalama yas:18±0.8 yil, VKI:26.27±4.48 kg/m 2 ). Gurescilerin antropometrik ozelliklerindeki farkliliklar; vucut agirligi, boy uzunlugu, diz ve dirsek genisligi kaliper ile, baldir ve biseps cevre olcumu mezura ile, triseps, subskapular, supraspinal ve baldir deri alti yag kalinligi olcumu skinfold ile degerlendirildi. Yag yuzdesi Sloan ve Weir formulu ile hesaplandi. Somatotiplerin belirlenmesi icin Heath-Carter antropometrik metodu kullanildi. Bulgular: Iki grubun baldir ve biseps cevre olcumleri arasinda fark yoktu (Sirasiyla, Grekoromen:36.9±3.5 cm, 32.5±3.3...

Research paper thumbnail of The Coping Strategies Questionnaire: Translation, cultural adaptation, reliability and validity in Turkish-speaking patients with chronic musculoskeletal pain

Physiotherapy Theory and Practice, 2021

BACKGROUND The use of pain coping questionnaires is advantageous when selecting cognitive and beh... more BACKGROUND The use of pain coping questionnaires is advantageous when selecting cognitive and behavioral targets for chronic pain management. The objective of this study was to investigate adaptation, validity, and reliability of the Coping Strategies Questionnaire (CSQ) in Turkish population with chronic musculoskeletal pain. METHODS The Turkish version of the questionnaire (CSQ-T) was checked in terms of reliability and validity with a convenience sample of 123 patients with chronic musculoskeletal pain. Reliability (test-retest) analyses were conducted by means of a retest 48 hours later with a sub-group of 40 patients. Construct validity of the CSQ was checked through convergent validity with the Hospital Anxiety and Depression Scale (HADS) and the Short Form-36 (SF-36) health survey. RESULTS Cronbach's alpha of the subscales ranged from 0.814 to 0.934 and the test-retest reliability ranged from 0.800 to 0.944. Neither floor nor ceiling effects (15%) were found in the subscales (13.8%) and the total score (4.1%) of the CSQ-T. Factor analysis indicated that the scale had two factors. The total CSQ-T score was correlated with both the HADS (r: -0.636/-0.549) and the SF-36 (r: 0.701/0.768). CONCLUSION The CSQ-T is a reliable and valid measure for assessing patients with chronic musculoskeletal pain.

Research paper thumbnail of Adaptation of Lawton Instrumental Activities of Daily Living (IADL) for Filipino Older Persons

International Journal of Health and Medical Sciences, 2016

The accuracy of the content should not be relied upon and primary sources of information should b... more The accuracy of the content should not be relied upon and primary sources of information should be considered for any verification. KKG Publications shall not be liable for any costs, expenses, proceedings, loss, actions, demands, damages, expenses and other liabilities directly or indirectly caused in connection with given content. This article may be utilized for research, edifying, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly verboten.

Research paper thumbnail of Translation, cultural adaptation, reliability, and validity of the Turkish version of the Penn Shoulder Score

Disability and Rehabilitation, 2017

Purpose: The purpose of this study is to translate the Penn Shoulder Score into Turkish and to es... more Purpose: The purpose of this study is to translate the Penn Shoulder Score into Turkish and to establish its cultural adaptation, reliability, and validity in patients with shoulder dysfunctions. Methods: The Penn Shoulder Score was translated and culturally adapted from English into Turkish. Subsequently, the Penn Shoulder Score, the Constant Score, the American Shoulder and Elbow Score, and the Western Ontario Rotator Cuff Index were completed by 97 patients with shoulder dysfunctions. To determine the test-retest reliability, 30 patients completed the Penn Shoulder Score again on day 3. Intraclass correlation coefficient and Cronbach alpha were calculated to assess reliability. The validity of the questionnaire was assessed in terms of convergent validity with Pearson Correlation Coefficient using the Constant Score, the American Shoulder and Elbow Score, and the Western Ontario Rotator Cuff Index. Results: Internal consistency was good, with a Cronbach alpha of 0.81. The Intraclass correlation coefficient was 0.90 (95% confidence interval: 0.78, 0.90), demonstrating good test-retest reliability. Pearson correlation coefficients of the Penn Shoulder Score in relation with the Constant Score, the American Shoulder and Elbow Score, and the Western Ontario Rotator Cuff Index were 0.65, 0.78, and À0.77, respectively. Conclusion: The Turkish version of the Penn Shoulder Score is a reliable and valid measure for assessing patients with shoulder dysfunctions. ä IMPLICATIONS FOR REHABILITATION The Turkish version of the Penn shoulder score is valid and reliable outcome measure for assessing patients with shoulder dysfunctions. The Turkish version of the Penn shoulder score could be easily performed by patients and it is easy to score by clinicians. It is recommended to use in clinical settings and in research.

Research paper thumbnail of Relationship between scapular muscle and core endurance in healthy subjects

Journal of Back and Musculoskeletal Rehabilitation, 2017

BACKGROUND: Scapular muscle endurance and core endurance reportedly influence shoulder injury ris... more BACKGROUND: Scapular muscle endurance and core endurance reportedly influence shoulder injury risk. The exact relationships between scapular muscle endurance and core endurance, and how they impact one another in the healthy subjects remain unclear. OBJECTIVE: To investigate the relationship between scapular muscle endurance and core endurance in healthy subjects. METHODS: Fifty healthy volunteers (23 males, 27 females; mean age 20.42 ± 1.04 years) were participated in this study. Endurance of the serratus anterior and trapezius muscles was assessed using the scapular muscle endurance test. Sorensen test (endurance of trunk extensor muscles), trunk flexor endurance test, and side bridge test (endurance of lateral core muscles) were conducted to assess the core endurance. Pearson's product moment correlations examined relationships between scapular muscle endurance and each of the core endurance tests scores. RESULTS: Scapular muscle endurance test scores showed a positive correlation with the side bridge test scores (r = 0.414; p = 0.003). No significant correlation was found between scapular muscle endurance test scores and the other core endurance tests scores (p > 0.05). CONCLUSIONS: There appears to be a link between the scapular muscle endurance and lateral core muscles in healthy subjects; however, more research is needed to provide a definitive answer on the nature of this relationship. Further studies involving patients with shoulder pathology are warranted.