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Öğe Analysis of Spinal Posture With Three-Dimensional Ultrasonic System in Patients With Ankylosing Spondylitis(Turkish League Against Rheumatism, 2019) Kurtoglu, Hakan Sercan; Tuna, Filiz; Tuna, Hakan; Ulucam, Enis; Tastekin, Nurettin; Birtane, MuratObjectives: This study aims to investigate the relationship between postural changes detected in ankylosing spondylitis (AS) vertebrae and clinical and demographic characteristics of patients using a three-dimensional ultrasonic system. Patients and methods: A total of 44 AS patients (36 males, 8 females; mean age 39.1 +/- 9.8 years; range, 18 to 63 years) and 44 healthy volunteers (36 males, 8 females; mean age 38.4 +/- 9.4 years; range, 18 to 65 years) were included. Clinical, demographic, and laboratory data were recorded. Spinal posture analysis was performed using a Zebris CMS20 three-dimensional ultrasonic system. Results: Thoracic kyphosis angle was significantly higher in the AS group (45.4 +/- 12.8 degrees) than in the control group (36.9 +/- 7.7 degrees) (p=0.001). Lumbar lordosis angle was significantly lower in the AS group (20.7 +/- 10.6 degrees) than in the control group (28 +/- 8.2 degrees) (p=0.002). There were no significant differences in total trunk inclination or sacral angles (p>0.05). Increase in thoracolumbar length at maximum spinal flexion and decrease in thoracolumbar length at maximum spinal extension were significantly lower in the AS group (p<0.05). A negative correlation was found between the thoracic kyphosis angle and length increase in spine flexure as well as chest expansion. Thoracic kyphosis angle had a statistically significantly positive correlation with age at onset of symptoms and tragus-wall distance (p<0.05). Conclusion: Significant changes were observed in spinal posture in patients with AS. In addition, significant correlations were found between dynamic postural changes and spinal mobility. We think that postural evaluation and follow-up should be carried out with other parameters. Awareness of AS patients about postural changes should be increased, and proper exercise treatment should be applied.Öğe Assessment of regional blood flow in cerebral motor and sensory areas in patients with spinal cord injury(Elsevier Science Bv, 2006) Cermik, Tevfik Fikret; Hakan, Tuna; Kaya, Meryem; Tuna, Filiz; Gultekin, Aziz; Yigitbasi, Omer Necmi; Alavi, AbassWe assessed the presence and the degree of alteration of the regional blood flow (rCBF) as visualized by Tc-99m HMPAO brain rest SPECT in the sensory motor cortex and subcortical structure in spinal cord injury (SCI) patients, who suffered from various levels of motor and sensory function loss. Twenty-two patients (mean age: 42.1 +/- 13.4 years, 18 M, 4 F) and 11 control subjects (mean age: 32.2 +/- 6.4 years, 8 M, 3 F) participated in this study. The spinal cord injury group was consisted of 2 groups (14 paraplegic and 8 tetraplegic patients). The corticocortical rCBF ratios were calculated by using region of interests obtained from 34 cortical areas on coronal slices. Significantly reduced rCBF were measured from 11 cortical areas in tetraplegic patients and 11 cortical areas in paraplegic patients. Some of these areas different in each group. In the tetraplegic group, significant reduction was observed in the following rCBF areas: left anterior cingulate gyrus, left medial supplementary motor area, bilateral front and back aspects of posterior cingulate gyrus, right lateral primary motor area, right medial primary sensory area, bilateral putamen, and right cerebellum. In the paraplegic group, reduced rCBF areas were as follows: bilateral anterior cingulate gyrus, lateral supplementary motor area, left front aspect of posterior cingulate gyrus, left primary motor area, bilateral back aspects of posterior cingulate gyrus, right medial sensory area, left lateral primary sensory area and bilateral putamen. In conclusion, some of the movement-cortical and subcortical areas having significantly reduced blood in SCI may be helpful to demonstrate the disrupted areas of rCBF by SPECT. We believe it may be useful if these findings should be considered during the evaluations related to reorganization in SCI cases. (c) 2006 Elsevier B.V. All rights reserved.Öğe Audiological differences in healthy individuals with generalized joint hypermobility: a case-control study(2022) Taş, Memduha; Tuna, Filiz; Yılmaz, ŞuleObjectives: Despite the prevalence of generalized joint hypermobility (GJH), the audiological functions of individuals with GJH have not been documented. This study aimed to investigate audiological findings in individuals with GJH. Methods: This observational, cross-sectional, controlled study was conducted between May 2017 and August 2017. The mean age of all participants was 20.25 ± 0.75 years (range: 19-22 years). The generalized joint hypermobility consisted of individuals with a Beighton score of ? 5, while the controls with a Beighton score of ? 4. Pure-tone audiometry, immittance audiometry, and Transient Evoked Otoacoustic Emsission (TEOAE) testing were performed on subjects with generalized joint hypermobility (n = 25, mean age: 20.24 ± 0.72 years) and sex- and age-matched healthy controls (n = 31, mean age: 20.26 ± 0.77 years). Results: There were no significant differences in the mean hearing thresholds between the groups, although six (5.4%) ears in the GJH group had thresholds > 15 dB at one (five ears) or more frequencies. Significant differences were detected between the groups in the left ear for TEOAEs at 4 kHz and acoustic reflex thresholds. Conclusions: Individuals with GJH have some audiological differences that may be a predictor of changes related to future hearing loss. Further studies that involve larger samples and include participants of different ages are needed in order to determine whether individuals with GJH are more prone to hearing loss.Öğe BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRE SYNDROE: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME(Gunes Kitabevi Ltd Sti, 2016) Tuna, Filiz; Tastekin, Ebru; Ozdemir, Hande; Duzce, Ela; Tuna, Hakan72-year-old woman was referred to us for Guillain-Barre syndrome rehabilitation, during which her functional status improved (Hughes score 3-2, Functional Ambulation Classification Scale 2-4, Functional Independence Measure score 99-120). Despite her improvement, discharge was postponed because of a bloody discharge from her left nipple, which started 1 day before the last visit. The final diagnosis, after an excisional biopsy, was invasive ductal carcinoma with apocrine features. Guillain-Barre syndrome is an acute, rapidly progressing inflammatory polyneuropathy, with patients typically showing symmetrical, ascending weakness with a severe loss of reflexes. The current literature describes Guillain-Barre syndrome as a probable paraneoplastic neurological syndrome and cancer precursor. Guillain-Barre syndrome with this etiology, i.e., paraneoplastic neurological syndrome, may result from remote effects with immunological mechanisms that are not directly caused by the tumor or metastases infiltration. Guillain-Barre syndrome may develop as a paraneoplastic neurological syndrome, may be secondary to treatment, or may occur coincidentally with cancer. Because paraneoplastic neurological syndrome occurs at an early stage of cancer before metastasis, it is important to consider paraneoplastic neurological syndrome when evaluating Guillain-Barre syndrome patients.Öğe BREAST CANCER IN A WOMAN WITH GUILLAIN-BARRÉ SYNDROME: A REMINDER TO CONSIDER PARANEOPLASTIC NEUROLOGICAL SYNDROME(2016) Tuna, Filiz; Taştekin, Ebru; Özdemir, Hande; Düzce, Ela; Tuna, HakanGuillain-Barré sendromu saptanan 72 yaşındaki kadın hasta, rehabilitasyon amacıyla tarafımızayönlendirildi. Rehabilitasyon sürecinde, fonksiyonel düzeyinde bir kazanım elde edildi (Hughesskoru 3'ten 2'ye, Functional Ambulation Classification düzeyi 2'den 4'de, Functional Independence Measure skoru 99'dan 120'ye değişim gösterdi). Bu gelişmeye rağmen, son vizitten bir günönce sol meme ucundan gelen kanlı akıntı şikayeti nedeniyle taburcu işlemi ertelendi. Eksizyonelbiyopsi sonucu nihai tanı apokrin özellik taşıyan invasiv ductal carcinoma olarak tanımlandı. Guillain-Barré sendromu akut, hızlı progresyon gösteren bir inflamatuar polinöropati dir. Bu hastalarda çoğunlukla reflex kaybının eşlik ettiği, simetrik, asendan güçsüzlük saptanır. Güncel literaturde, Guillain-Barré sendromu muhtemel paraneoplastik sendrom ve kanser öncüsü olarak tanımlanır. Bu tür bir Guillain-Barré sendromu, yani paraneoplastik sendrom; tümör veya metastaz infiltrasonunun doğrudan etkisi dışında, immünolojik mekanizmalara bağlı oluşan uzak bir etkidenkaynaklanabilir. Guillain-Barré sendromu; bir paraneoplastik sendrom olabilir, kanserle birlikte tesadüfi olarak veya tedaviye ikincil olarak gelişebilir. Bununla birlikte, paraneoplastik sendromunmetastazlar oluşmadan önce, kanserin erken evresinde ortaya çıkması, Guillain-Barré sendromuolarak değerlendirilen tüm hastalarda paraneoplastik sendromu düşünmeyi elzem kılarÖğe The Cut-off Values for the Diagnosis of Hamstring Shortness and Related Factors(2018) Yıldırım, Muhammed Şeref; Tuna, Filiz; Kabayel, Derya Demirbağ; Süt, NecdetBackground: Hamstrings are one of the most frequently evaluated muscle groups for flexibility in the lower extremity. Passive and active knee extension angle values are used as an indirect indicator of hamstring flexibility. However, the lack of consensus on the cut-off values leads to the use of inconsistent angle values in determining the hamstring tightness. Aims: To establish the normative and cut-off values of the passive and active knee extension angles for healthy young adults and to determine the associated factors including the quadriceps strength. Study Design: A cross-sectional study. Methods: A total of 123 volunteer university students, aged 18-24 years, who met the inclusion criteria were included in this study. Passive and active knee extension assessments of the subjects were performed. Subsequently, on the next day, both knee extensor concentric muscle strength of the participants was measured in the isokinetic system. The knee extension angles and the knee extensor strength were recorded as the mean values of the right and the left sides. Results: Passive knee extension angles of 17.1°±9.1° and 9.8°±5.7° and active knee extension angles of 17.8°±9.1° and 13.4°±6° were described as normative values in men and women, respectively. The cut-off values for the diagnosis of hamstring shortness were as follows: passive knee extension angle >32.2° for males and >19.2° for females and active knee extension angle >33.0° for males and >23.4° for females. A significant positive correlation was observed between knee extension angles and isokinetic knee extensor muscle strength in all participants. The knee extension angle and hamstring flexibility were not affected by dominance. Conclusion: The knee extension angles of healthy young people seem to be lower than the results currently reported in the literature. There s a positive correlation between knee extension angles and isokinetic knee extensor muscle strength.Öğe Does quantitative tibial ultrasound predict low bone mineral density defined by dual energy X-ray absorptiometry?(Yonsei Univ College Medicine, 2008) Tuna, Hakan; Birtane, Murat; Ekuklu, Galip; Cermik, Fikret; Tuna, Filiz; Kokino, SiranusPurpose: Efforts for the early detection of bone loss and subsequent fracture risk by quantitative ultrasound (QUS), which is a non-invasive, radiation free, and cheaper method, seem rational to reduce the management costs. We aimed in this study to assess the probable correlation of speed of sound (SOS) values obtained by QUS with bone mineral density (BMD) as measured by the gold standard method, dual energy X-ray absorptiometry (DEXA), and to investigate the diagnostic value of QUS to define low BMD. Materials and Methods: One hundred twenty-two postmenopausal women having prior standard DEXA measurements were included in the study. Spine and proximal femur (neck, trochanter and Ward's triangle) BMD were assessed in a standard protocol by DEXA. The middle point of the right tibia was chosen for SOS measurement by tibial QUS. Results: The SOS values were observed to be significantly higher in the normal BMD (t score > - 1) group at all measurement sites except for the lumbar region, when compared with the low BMD group (t score < - 1). SOS was negatively correlated with age (r = - 0.66) and month since menopause (r = - 0.57). The sensitivity, specificity, and positive and negative predictive values for QUS t score to diagnose low BMD did not seem to be satisfactory at either of the measurement sites. Conclusion: Tibial SOS was correlated weakly with BMD values of femur and lumbar spine as measured by DEXA and its diagnostic value did not seem to be high for discriminating between normal and low BMD, at these sites.Öğe Effect of activity-based training versus strengthening exercises on upper extremity functions in Parkinson?s patients; A randomized controlled, single blind, superiority trial(Elsevier, 2022) Zare, Maryam; Ozdemir, Hande; Tavsan, Merve Yalcin; Tuna, Filiz; Sut, Necdet; Guler, Sibel; Kabayel, Derya DemirbagBackground:Idiopathic Parkinson's disease is a neurodegenerative disease which is appeared by symptoms such as resting tremor, bradykinesia, rigidity, and postural instability. Such symptoms as tremor, bradykinesia, and rigidity significantly affect patients' upper extremity function. Rehabilitation programs should be implemented to improve the upper extremity functions of patients. Objective:Activity-based training would improve dexterity and functional activities to a larger extent than strengthening exercises. This study aimed at evaluating the effect of activity-based training and strengthening exercises on upper extremity functions in Parkinson's disease and to compare the two methods. Method:40 Parkinson's patients with mean of 64.45 +/- 9.13 age were randomized and divided into two groups as activity-based training and strengthening exercise group. Patients were evaluated at the beginning and after 6 weeks of treatment with Unified Parkinson's Disease Rating Scale, Parkinson's Disease Questionnaire-39, Duruo spacing diaeresis z Hand Index, Jebsen Taylor Hand Function Test, Nine-Hole Peg Test, Jamar dynamometer, Jamar pinch meter, Semmes Weinstein Monofilament Test and two-point discrimination. Result:In both groups, upper extremity functions, handgrip strengths and quality of life of patients improved significantly. Tactile sense improved only in the activity-based training group. Conclusion:Activity-based training is not superior to strengthening exercise programs at improving upper extremity functions and dexterity of Parkinson's patients.Öğe Effect of Static and Dynamic Stretching on Knee Muscle Strength in Trained Players(2020) Ali, Chasan Mola; Tuna, Filiz; Alptekin, Hasan Kerem; Kabayel, Derya Demirbağ; Tuna, HakanObjective: The study examined the effects of two different stretching exercises on knee muscle strength in basketball players in order to determine the most appropriate pre-competition protocols for basketball conditioning.Method: Thirty-two basketball players (mean age 22.75±2.73 years, weight 87.47±10.99 kg, height 188.85±7.35 cm, body mass index 24.46±1.89) participated in this study. They performed two different stretching protocols according to basketball training experience in randomly assigned order: randomized in consecutive manner according to admission order, well-trained basketball players (training frequency = 5 days/week, groups I and II), less-trained basketball players (1 day/week, groups III and IV). Basketball players in groups I and III were exposed to isokinetic tests-one each after dynamic stretching and, 1 week later, after static stretching. In groups II and IV, similar evaluations were made after static stretching and, 1 week later, after dynamic stretching. Five days/week were included in the well-trained group. The less-trained group consisted of basketball players who trained 1 day/week.Results: In less-trained basketball players, static stretching resulted in higher extensor muscular strength and endurance values, whereas dynamic stretching increased knee flexor strength and endurance. Conclusion: Our results suggest that before competitions, stretching exercises should be chosen depending on the conditioning of the basketball player (well-trained, less-trained). Including both static and dynamic stretching into the “stretching” concept seems effective.Öğe Effects of clinical reanalysis in dual energy X-ray absorptiometry reports(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2017) Tuna, Filiz; Yavuz, Selcuk; Kabayel, Derya Demirbag; Sarikaya, AliObjectives: This study aims to assess poor positioning rates of patients during X-ray and the accuracy of the analysis. Patients and methods: In this study, we reanalyzed 323 dual energy X-ray absorptiometry (DXA) reports, by evaluating the scan images for proper patient positioning and scan analysis. We reviewed reports, according to a checklist prepared considering the proposals of Watts and The International Society for Clinical Densitometry official positions for 2013 (which were the same as in 2015). At least two remaining vertebrae were used to derive new bone mineral density and new T-scores. Results: Positioning failures were found in 64.7% of the spine X-rays, 60.5% of the hip X-rays, and 83.9% of X-rays of both regions. A total of 112 (34.7%) spinal DXA images needed new T-score adjustments. T-scores and bone mineral density differed between the first reports and the clinician reanalysis (p<0.001). Conclusion: The error rate in DXA reports was higher than expected. Clinician analysis of DXA reports are important. To obtain a quality DXA report, all healthcare professionals should be trained and reminded about this topic.Öğe Ehlers?Danlos syndrome-related genes and serum strontium, zinc, and lithium levels in generalized joint hypermobility: a case-control study(Taylor & Francis Inc, 2021) Tuna, Filiz; Doganlar, Zeynep Banu; Ozdemir, Hande; Kabayel, Derya Demirbag; Doganlar, OguzhanAim of the study: Generalized joint hypermobility (GJH) is a common feature of almost all Ehlers?Danlos syndrome (EDS) types; however, its genetic basis remains unclear. Therefore, it is crucial to distinguish the genetic basis of GJH from other connective tissue disorders, including the different subtypes of EDS. The aim of this study was to determine the blood EDS-related gene expressions and serum element levels in GJH and reveal their predictive characteristics and correlations with the Beighton score. Materials and Methods: A total of 39 women aged 18?23?years with GJH and 38 age- and sex-matched controls were included in the study. Inductively coupled plasma mass spectrometry was used to analyze the serum levels of zinc (Zn), strontium (Sr), and lithium (Li). The relative expression levels of the EDS-related genes were determined using quantitative real-time polymerase chain reaction (PCR). Results: Our results showed that women with GJH possessed significantly lower Li and higher Zn and Sr levels than the controls. In addition, the gene expressions of TNXB and SLC39A13 were significantly higher, whereas those of COL1A1, COL1A2, COL5A1, FKBP14, and DSE were lower in the GJH group. Pearson correlation analyses revealed a strong negative correlation between the Beighton score and B4GALT7, FKBP14, COL1A1, and Li. However, a significant positive correlation was noted between the Beighton score and SLC39A13, TNXB, Zn, Sr, and B3GALT6. Conclusion: Our findings provide valuable basal levels for conducting gene function analysis of joint hypermobility-related connective tissue disorders.Öğe Immediate effect of kinesio taping on deep cervical flexor endurance: A non-controlled, quasi-experimental pre-post quantitative study(Taylor & Francis Ltd, 2022) Tuna, Filiz; Tuncer, Berna; Can, Hilal Basak; Sut, Necdet; Tuna, HakanObjective Whether Kinesio taping (R) (KT) might change the endurance of the cervical deep flexor muscles.Methods: Healthy university students were assessed at baseline, immediately after the KT application over the posterior cervical muscles, and at a 24-h follow-up. The clinical assessment of the endurance of the deep cervical flexor muscles using the craniocervical flexion test (CCFT) was performed.Results: Sixty-two students (32 women) with a mean age of 20.4 +/- 1.3 years completed the study protocol. Statistically significant pre- to post-taping differences in performance of the craniocervical flexion movement were found between baseline-immediate and baseline-24-h follow-up (p<0.001). A statistically significant difference in the endurance of the cervical deepflexor muscles was found between baseline-immediate (for stage 2 result and cumulative endurance score), baseline-24-h follow-up (for stage 2result and cumulative endurance score), and immediate-24-h follow-up (for stage 2 result, for cumulative endurance score) p<0.01.Conclusion: Cervical KT increased endurance for the short term.Öğe The impact of generalized joint hypermobility on eating behavior of students: A case-control study(Routledge Journals, Taylor & Francis Ltd, 2024) Can, Seher; Tuna, FilizObjective To investigate the impact of generalized joint hypermobility (GJH) on eating behavior. Participants Physical therapy and rehabilitation students. Methods The Beighton evaluation (a cutoff of 5/9) for defining GJH. The Eating Attitudes Test (EAT-40) was used for eating disorders. Smoking habits and alcohol use were also questioned. Results Compared with 51 non-GJH students (mean age 20.5 years, 73% female), 46 students with asymptomatic GJH (20.6 years, 89% female) were more likely to have greater median EAT-40 scores (9 vs. 6, p = .002). There was no statistically significant difference between the groups in terms of the susceptibility to eating behavior disorders (6.5% vs. 2.0%), smoking habits (6.5% vs. 9.8%), and alcohol use (15.2% vs. 11.8%) (p > .05). Positive correlation (r = .221, p = .029) and positive effect (R = 0.221, R-2 = 0.049; p < .05) between Beighton scores and EAT-40 scores were found. Conclusion The more joint hypermobility the greater the risk for eating disorders.Öğe Is there a difference in 25-hydroxyvitamin D levels between female university students with and without joint hypermobility?(2019) Tuna, Filiz; Özdemir, Hande; Kabayel, Demirbağ Derya; Doğanlar, Zeynep BanuObjectives: Individuals with joint hypermobility (JH) constitute a sensitive group with regard tomusculoskeletal problems. This study aimed to investigate whether females with generalized jointhypermobility (GJH) are at risk of hypovitaminosis D compared with non-GJH female participants and whetherthere is a relationship between vitamin D levels, Beighton score and musculoskeletal complaints.Methods: In this cross-sectional, descriptive and case-control study, 76 female participants aged 18-25 yearswere included. The Beighton score with a cut-off of 4/9 was applied for defining GJH. In addition, serumbiochemical (the enzymatic colorimetric method) and hormonal (the electrochemiluminescence method)parameters were evaluated.Results: The mean serum 25-hydroxyvitamin D (25[OH]D) levels of GJH (n = 38) and non-GJH (n = 38)groups were 15.70 ± 7.96 ng/mL and 16.80 ± 5.45 ng/mL, respectively. There was no statistically significantdifference between the groups in terms of biochemical and hormonal parameters. We found vitamin Ddeficiency in 89.5% of participants with GJH, and 84.2% of controls. There was no correlation between vitaminD, Brighton criteria, and musculoskeletal complaints.Conclusion: The female participants with GJH showed similar frequency of musculoskeletal complaints andsimilar low level of 25(OH)D in relation to controls.Öğe Is There an Effect of Patient's Age, Weight, Height and Body Mass Index on Positioning Errors During Scan Acquisition of Dual X-ray Absorptiometry?(Galenos Yayincilik, 2018) Tuna, Filiz; Kabayel, Derya DemirbagObjective: Patient positioning during dual energy X-ray absorptiometry examination is important in assessing bone mineral density. While the role of the technician is considered important on correct positioning, the effect of the patient characteristics on positioning is not adequately explained. The aim of this study is investigate whether postmenopausal women's characteristics such as age, weight, height, and body mass index affect the positioning errors. Materials and Methods: Dual energy X-ray absorptiometry reports and files of postmenopausal women were reviewed retrospectively. According to the values of body mass index three groups were formed; normal, overweight and obese. Forty one patients were included in each group. Only the images of the Hologic dual energy X-ray absorptiometry device were participated to assessment. Patients with positioning error were identified using the lumbar and hip region images in the dual energy X-ray absorptiometry output reports. The difference in positioning error rates between the body mass index groups was determined by Pearson's chi-square test. The effect of age, height, weight, and body mass index of patients on positioning errors was examined by simple linear regression analysis. Results: Distribution of positioning errors between normal, overweight and obese groups were determined as 35.3% (36), 29.4% (30), and 35.3% (36), respectively. The distribution of correctly positioned patients in the same groups were; 23.8% (5), 52.4% (11), and 23.8% (5), respectively. No statistically significant difference was found between the groups in terms of positioning errors (Pearson's chi-square, p=0.127). Conclusion: Patient characteristics such as age, height, weight, and body mass index do not affect positioning errors statistically significant level.Öğe Kırıktan önceki son durak: Yaşlıda düşme ve denge kaybının değerlendirilmesi(2017) Koyuncu, Gülay; Tuna, Filiz; Yavuz, Selçuk; Kabayel, Derya Demirbağ; Koyuncu, Mesut; Özdemir, Hande; Süt, NecdetAmaç: Bu çalışmada, denge bozukluğu yakınması olmayan geriatrik nüfusta denge bozukluğu oranları ve düşme riski araştırıldı.Hastalar ve yöntemler: Mayıs 2012 - Eylül 2012 tarihleri arasında kliniğimize başvuran 68 yaşlı katılımcı (24 erkek, 44 kadın; ort. yaş 72.1±5.5 yıl) çalışmaya alındı. Demografik veriler kaydedildi. Katılımcılar genç yaşlı (65-74 yıl) ve yaşlı (75-85 yıl) olmak üzere iki gruba ayrıldı. Statik denge Tandem Romberg ve tek bacak üstünde durma testi ile değerlendirildi. Bireylerin dinamik denge ve yürümeleri zamanlı kalk yürü (ZKY) testi, Berg denge ölçeği (BDÖ), Tinetti (Denge ve Yürüme) testi ve 20 metre yürüme testi ile ölçüldü.Bulgular: Katılımcıların hiçbiri denge kaybı ya da düşme nedeniyle doktora başvurmamıştı. Katılımcıların %41'i BD testine göre orta, %66'sı TT'ye göre orta ve yüksek, %63'ü ZKY testine göre yüksek düşme riskine sahipti. Yaşlıların %34'ü son bir yılda en az bir kez düşmüştü. Kadınlarda denge kaybı daha anlamlı ve düşme sayısı daha fazlaydı (p<0.05). Genç yaşlı grubundaki bireylerin, yaşlı gruptaki bireylere kıyasla ZKY ve TT toplam test değerlendirmeleri denge açısından daha iyi idi.Sonuç: Geriatrik bireylerde denge kaybı sık bir bulgudur ve düşme riski ile ilişkilidir. Geriatrik nüfus ile sık karşılaşan hekimlerin, denge bozukluğundan şikayet etmeyen hastalarında da bu durumu göz önünde bulundurması gerekir. Bu sayede, dengenin değerlendirilmesi ile düşme ve buna bağlı komplikasyonların önüne geçmek için rehabilitasyona fırsat tanınabilirÖğe The last station before fracture: Assessment of falling and loss of balance in elderly(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2017) Koyuncu, Gulay; Tuna, Filiz; Yavuz, Selcuk; Kabayel, Derya Demirbak; Koyuncu, Mesut; Ozdemir, Hande; Sut, NecdetObjectives: This study aims to investigate the rate of balance disorders and risk of falling in the geriatric population who do not complain of a balance disorder. Patients and methods: Sixty-eight elderly participants (24 males, 44 females; mean age 72.1 +/- 5.5 years), who were admitted to outpatient clinic between May 2012 and September 2012, were included in the study. Demographic data were recorded. Participants were divided into two age groups as young old (65-74 years) and old (75-85 years). Static balance was evaluated with Sharpened Romberg and the one-legged stance test. The dynamic balance and walking of the individuals were evaluated with Timed Up and Go (TUG) test, Berg Balance Scale (BBS), Tinetti (balance and gait) test (TT), and 20-meter walk test. Results: None of the participants had sought medical help due to loss of balance or falling. According to BBS, 41% of the participants had a moderate risk of falling; 66% had moderate and high risk of falling according to TT; and 63% of them had a high risk of falling according to TUG. Thirty-four percent of elderly had experienced at least one fall over the last year. Loss of balance was more significant in women and number of falls was more (p<0.05). The total evaluation results in TUG and TT for the individuals in the young old group were better than the individuals in the older age group in terms of balance. Conclusion: Loss of balance is a common finding in geriatric individuals and is associated with the risk of falling. Physicians, who frequently encounter with the geriatric population, should take this condition into account even for the patients who do not complain of a balance disorder. Thus, rehabilitation may be an option to prevent the fall and related complications, through the evaluation of balance.Öğe The mitral valve prolapse frequency in healthy females with generalized joint hypermobility: A case-control study(Turkish League Against Rheumatism, 2021) Ozdemir, Hande; Tuna, Filiz; Aktoz, Meryem; Tastekin, Nurettin; Kabayel, Derya DemirbagObjectives: The aim of this study was to investigate the frequency of mitral valve prolapse between healthy females with generalized joint hypermobility and healthy controls. Patients and methods: This observational, cross-sectional, controlled study included female individuals with generalized joint hypermobility (n=39, mean age: 20.5 +/- 1.1 years; range, 19 to 23 years) and healthy controls (n=42, mean age: 20.6 +/- 1.2 years; range, 18 to 23 years) between July 2017 and November 2017. The generalized joint hypermobility consisted of women with a Beighton score of <= 4, while the control group consisted of women with a Beighton score of <= 3. Echocardiography was performed to all participants. Mitral valve prolapse was defined as having single or bileaflet prolapse of at least 2 mm beyond the long-axis annular plane with or without mitral leaflet thickening. Results: No significant difference was found in the age, height, body weight, and body mass index between the groups (p>0.05). The median Beighton score was 5 in the generalized joint hypermobility group and 2 in the control group. No mitral valve prolapse was detected in those with generalized joint hypermobility, while non-classical mitral valve prolapse was observed in one participant in the control group, indicating no statistically significant difference between the two groups (p> 0.05). Conclusion: Our study results suggest that the frequency of mitral valve prolapse is comparable between the women with generalized joint hypermobility and healthy controls. Based on these results, routine assessment of mitral valve prolapse is not recommended in this population.Öğe A New Clinical Tool for Scoliosis Risk Analysis: Scoliosis Tele-Screening Test(Korean Soc Spine Surgery, 2023) Yilmaz, Hurriyet Gursel; Buyukaslan, Ahsen; Kusvuran, Aslihan; Turan, Zeynep; Tuna, Filiz; Tune, Hande; Odogan, SibelStudy Design: Methodological, observational clinical study. Purpose: This study aimed to develop a virtual screening test to detect scoliosis risk initially by parents without the need for medical visit during the coronavirus disease 2019 pandemic. Overview of Literature: The scoliosis screening program has been implemented to early detect scoliosis. Unfortunately, access to health professionals was limited during the pandemic. However, during this time, interest in telemedicine has increased remarkably. Recently, mobile applications related to postural analysis were developed, but none permits evaluation by parents. Methods: Researchers developed the Scoliosis Tele-Screening Test (STS-Test), which included drawing-based images of body asymmetries, to assess the scoliosis-associated risk factors. The STS-Test was shared on social networks, allowing the parents to evaluate their children. After test completion, the risk score was generated automatically, and children with medium and high risks were then advised for medical consultation for further evaluation. The test accuracy and consistency between the clinician and parents were also analyzed. Results: Of the 865 tested children, 358 (41.4%) consulted clinicians to confirm their STS-Test results. Scoliosis was then confirmed in 91 children (25.4%). The parents were able to detect asymmetry in 50% of the lumbar/thoracolumbar curvatures and 82% of the thoracic curvatures. In addition, the forward bend test revealed favorable agreement between parents and clinicians (r=0.809, p<0.0005). Internal consistency of the esthetic deformities domain in the STS-Test was also excellent (a=0.901). This tool was 94.97% accurate, 83.51% sensitive, and 98.87% specific. Conclusions: The STS-Test is a new parent-friendly, virtual, cost-effective, result-oriented, and reliable tool for scoliosis screening. It allows parents to actively participate in the early detection of scoliosis by screening their children for the risk of scoliosis periodically without the need to visit the health institution.Öğe Omurilik yaralanmalı olgularda vücut ağırlığı destekli yürüme bandı egzersizlerinin etkinliği(2005) Tuna, Hakan; Tuna, Filiz; Ünalan, Halil; Kokino, Siranuş[Abstract Nıt Available]
