Yazar "Kepenek-Varol, Büşra" seçeneğine göre listele

Listeleniyor 1 - 8 / 8
  • [ X ]
    Öğe
    Breathing and Relaxation Exercises Help Improving Fear of COVID-19, Anxiety, and Sleep Quality: A Randomized Controlled Trial
    (Mary Ann Liebert, Inc, 2022) Kepenek-Varol, Büşra; Zeren, Melih; Dincer, Rukiye; Erkaya, Seval
    Objective: To investigate the effects of breathing and relaxation exercises performed via telerehabilitation on fear, anxiety, sleep quality, and quality of life of individuals without coronavirus disease 2019 (COVID-19) during the ongoing pandemic.Design: A prospective, randomized, controlled single-blind study.Methods: Fifty participants who had not been exposed to the COVID-19 virus earlier were randomly divided into experimental (n = 25) and control groups (n = 25). Both groups received an information session about COVID-19 once at the start of the study via a mobile phone video application. The experimental group also performed a breathing and relaxation exercise program twice daily (morning and evening), 7 days per week, for 4 weeks; one session of the program was conducted under the remote supervision of a physiotherapist as telerehabilitation, and the remaining sessions were performed as a home program. The Fear of COVID-19 Scale (FCV-19S), which was the primary outcome measure, The Hamilton Anxiety Rating Scale (HAMA), Pittsburgh Sleep Quality Index (PSQI), and EQ-5D-3L were administered to both groups.Results: The FCV-19S, HAMA, and PSQI were statistically significantly improved to compare the controls, with a large effect size (eta(2)(p) = 0.135, 0.313, and 0.200, respectively). The EQ-5D-3L index and EQ-5D-3L visual analog scale were not statistically significantly different compared with the controls; however, a small effect size was detected for the differences between the two groups (eta(2)(p) = 0.056 and 0.013, respectively).Conclusion: Breathing and relaxation exercises appear to be an effective and feasible approach to support mental health and sleep quality during the COVID-19 pandemic. Especially in highly contagious diseases such as COVID-19, telerehabilitation approaches may be useful for safely reaching individuals by eliminating human-to-human contact.Clinical Trial Registration number: NCT04910932.
  • [ X ]
    Öğe
    Cervical Proprioception in Parkinson's Disease and Its Correlation With Manual Dexterity Function
    (Korean Movement Disorders Soc, 2023) Menevse, Oezlem; Kepenek-Varol, Büşra; Gultekin, Murat; Bilgin, Sevil
    Objective Cervical proprioception plays a crucial role in posture and movement control. This study aimed to determine the relationships of cervical proprioception, cervical muscle strength and endurance with manual dexterity and hand strength in individuals with idiopathic Parkinson's disease (PD). Methods Twenty individuals with PD (mean age: 63.9 years) and 20 healthy individuals as a control group (mean age: 61.9 years) were recruited. Cervical joint position error (JPE), static endurance of neck muscles, activation of deep cervical flexor muscles (Craniocervical Flexion Test, CCFT), manual dexterity (Purdue Pegboard Test, PPT), cognitive and motor tasks of the PPT, finger tapping test (FTT), pinch strength, and grip strength were assessed. Results Cervical JPE was significantly higher in individuals with PD than in controls (p < 0.05). The strength and endurance of the cervical muscles were significantly decreased in individuals with PD (p < 0.05). Cervical JPE measurements were negatively correlated with PPT, cognitive and motor tasks of the PPT in individuals with PD (all p < 0.05). The endurance of cervical flexor muscles was negatively correlated with PPT and cognitive PPT scores in the PD group (p < 0.05). In addition, a significant positive correlation was found between cervical flexor endurance and hand strength in the PD group (p < 0.05). Conclusion Cervical proprioception and the strength and endurance of cervical muscles decrease in individuals with PD compared to healthy individuals. Impairment of cervical proprioception appears to be associated with poorer upper extremity performance. Detailed evaluation of the cervical region in PD may help determine the factors affecting upper extremity function.
  • [ X ]
    Öğe
    Down Sendromlu Çocuklarda Fiziksel Aktivite ve Performans Düzeylerinin İncelenmesi
    (2021) Yazıcı, Meltem; Kepenek-Varol, Büşra
    Amaç: Down sendromu (DS), ciddi bir zihinsel engele sahip olmakla birlikte genel olarak fizyolojik ve fonksiyonel kısıtlılıklara yol açan gelişimsel bir bozukluktur. Daha çok musküloskeletal problemlerle ilişkili olan bu bozukluklar çoğunlukla göz ardı edilmektedir. Bu çalışmanın amacı, DS’li çocukların fiziksel aktivite ve performans düzeylerini incelemek ve tipik gelişim (TG) gösteren çocuklarla karşılaştırmaktır. Gereç ve Yöntemler: Çalışmaya 8-12 yaş arası 24 DS ve 24 TG gösteren çocuk dâhil edildi. Tüm çocukların antropometrik ölçümleri alındı. Fiziksel aktivite ve performans düzeyleriyle ilişkili olabilecek değerlendirmeler Beighton Hipermobilite Testi, Fiziksel Aktivite Soru Formu (FASF), 6 Dakika Yürüme Testi (6DYT), Otur Kalk Testi (OKT), Süreli Kalk Yürü Testi (SKYT) ile yapıldı ve hem sağ hem sol taraf gövde rotasyonları ölçüldü. 6DYT ile yürüme hızları hesaplandı. Bulgular: DS’li çocukların FASF, 6DYT, OKT, SKYT sonuçları, yürüme hızları TG gösteren çocuklarla karşılaştırıldığında düşük bulundu (p<0,001). Sağ gövde rotasyonu (p=0,039) ve sol gövde rotasyonu (p=0,003) da DS’li çocuklarda düşük çıkarken, SKYT süreleri ve hipermobilite düzeyleri TG gösteren çocuklara göre yüksek bulundu (p<0,001). Sonuç: DS’li çocukların fiziksel aktivite, fiziksel kapasite, yürüme hızı, alt ekstremite kas kuvveti, fonksiyonel mobilite ve dinamik denge değerlerinin TG gösteren çocuklarla karşılaştırıldığında daha düşük olduğu görüldü. DS’li çocukların fiziksel aktivite düzeylerinin artırılması hareket yeteneklerinin geliştirilmesi açısından önemlidir.
  • [ X ]
    Öğe
    Serebral Palsi Farkındalık Çalışması: Kayseri İli Örneği
    (2022) Kepenek-Varol, Büşra; Menevşe, Özlem
    Amaç: Bu çalışmada serebral palsi (SP) ile ilgili toplumsal farkındalığın Kayseri örneğiyle araştırılması amaçlanmıştır. Gereç ve Yöntem: Çalışmaya Kayseri’de ikamet eden 18-68 yaş arası 311 kişi dahil edildi. SP farkındalığı yazarların kendi oluşturdukları ‘Serebral Palsi Farkındalık Anketi’(SPFA) ile değerlendirildi. Çalışma verileri çevrimiçi (online) formlar aracılığıyla toplandı. Katılımcıların ankette yer alan her madde için ‘evet’, ‘hayır’ veya ‘fikrim yok’ seçeneklerinden kendilerine en uygun olanı işaretlemeleri istendi. Bulgular: Katılımcıların yaş ortalamaları 33,5±12,6 idi. SPFA’da yer alan, SP’de beyin etkilenimi, etyoloji, bulaşıcılık, ilerleyici olup olmaması, tedavi, genetik geçiş, yürüme yeteneği, konuşma yeteneği, eğitim durumu ve prognozu ile ilgili maddeler incelendiğinde tüm katılımcıların en yüksek ‘evet’ cevabını (n=208; %66,9) verdiği madde “Serebral palsi bulaşıcı bir hastalık değildir.”; en yüksek ‘hayır’ cevabını (n=139; %44,7) verdikleri madde “Serebral palsi ilerleyici bir hastalık değildir.” ve en yüksek ‘fikrim yok’ cevabını (n=164; %52,7) verdikleri madde ise “Serebral palsinin tamamen tedavisi mümkün değildir.” oldu. Kadın (n=206) ve erkek (n=105) cinsiyetin cevapları karşılaştırıldığında tüm sorulara kadınların erkeklere göre daha yüksek oranda doğru cevap verdiği, bazı maddelerde bu farkın istatistiksel olarak anlamlı olduğu görüldü(p<0,05). Sonuç: SPFA sonuçlarına göre çok sayıda katılımcının ‘fikrim yok’ seçeneğini işaretlemesi, SP ile ilgili toplum farkındalığının düşük olduğuna dair ipucu verebilir. SP’ nin ülkemizde görülme oranı düşünüldüğünde, toplumun gözünde SP imajını görebilmek, toplumsal farkındalıkta eksik yönlerin belirlenmesi ve bu yöndeki eksikliklerin giderilmesine dair yapılacak çalışmalar için önemli olabilir. Bu sayede SP’li bireylerin topluma kazandırılmasında artış ve kolaylık olacağı görüşündeyiz.
  • [ X ]
    Öğe
    The effect of generalized joint hypermobility on functional capacity, pulmonary function, respiratory muscle strength, and chest expansion in healthy young adults
    (MediHealth Academy Yayıncılık, 2023) Kepenek-Varol, Büşra; Şırayder, Ukbe; Sandal, Metehan; Tuncer, Deniz
    Aim: Genetic involvement of connective tissue containing elastin, collagen, and fibrils in joint hypermobility determines the tightness and laxity of the ligaments, thereby increasing the possibility of injuries by affecting the stability of joint capsules and the extensibility of tendons. The aim of this study was to investigate the effects of generalized joint hypermobility (GJH) on respiratory function, respiratory muscle strength, chest expansion, and functional capacity in healthy young adults. Material and Method: Thirty subjects aged between 18-25 years with a four or higher Beighton Score were included as the GJH group, and 30 healthy age-gender volunteers with three or lower scores were included as the control group. Functional capacity was measured with the 6-Minute Walk Test (6MWT), the quadriceps muscle strength with a digital dynamometer, pulmonary function and respiratory muscle strength with a spirometry, and chest expansion with a tapeline. Results: There were significant differences in the 6MWT distance (p=0.017), FVC (p=0.001), FEV1 (p=0.001), and MEP (p0.05). There is a significant difference in the xiphoid (p
  • [ X ]
    Öğe
    The Relationship between Pregnancy-Related Low Back Pain, Kinesiophobia, and Physical Activity in the Third Trimester
    (Marmara Univ, Inst Health Sciences, 2023) Kepenek-Varol, Büşra; Aydogdu, Aysen; Temur, Esra Nur; Firat, Goksu; Selvi, Merve; Gulay, Meltem Yazici; Aksoy, Huseyin
    Objective: The aim of this study is to examine the relationship between pregnancy-related low back pain, kinesiophobia, and physical activity during the third trimester of pregnancy. Methods: Fifty-one pregnant women between the ages of 18-40, at the gestational age of 27 weeks and above were included in the study. The intensity of pregnancy-related low back pain was assessed with the Numerical Pain Scale, kinesiophobia with the Tampa Kinesiophobia Scale, and physical activity levels with the short form of the International Physical Activity Questionnaire. Results: Only 4 (7.8%) subjects had high levels of physical activity, 12 (23.5%) had moderate, and 35 (68.6%) had low levels of physical activity. A strong positive correlation was found between low back pain and kinesiophobia in the third trimester of pregnancy (r = 0.796; p < 0.001). There was no statistically significant relationship between low back pain and physical activity or between kinesiophobia and physical activity (r= - 0.097; p= 0.498 and r= - 0.212; p= 0.135 respectively). Conclusion: Pregnancy-related low back pain can cause kinesiophobia during pregnancy, and kinesiophobia may cause limitations of movements. Considering the negative effects of pregnancy-related low back pain and kinesiophobia during pregnancy, the evaluation of pain, and kinesiophobia by health professionals is important during this period.
  • [ X ]
    Öğe
    THE RELATIONSHIP OF SCREEN ADDICTION WITH PHYSICAL ACTIVITY, PHYSICAL PERFORMANCE, BALANCE, CIRCADIAN RHYTHM, AND QUALITY OF LIFE IN CHILDREN
    (2023) Koyuncu, Beyza; Kepenek-Varol, Büşra
    The aim of this study is to examine the relationship between screen addiction and physical activity, physical performance, balance, circadian rhythm, and quality of life (QoL) in children. Sixty-eight children who were aged 8-12 years included in the study was assessed with the Screen Addiction Problematic Media Use Scale, the Physical Activity Questionnaire, the Six-Minute Walk Test, the 5 Repetition Sit to Stand Test, the Sit and Reach Test, the Vertical Jump Test, the Flamingo Bal- ance Test, the Tandem Walking Test, the Daily Rhythm Scale for Children, and the Children's QoL Scale. There was no significant relationship between screen addic- tion and physical activity, physical performance, bal- ance, circadian rhythm and QoL. While there is a posi- tive statistically significant relationship $(r_s=0.350; p<0.01 and r_s=294; p<0.05, respectively)$ between screen time and problematic media use, there is a nega- tive statistical correlation between screen addiction and physical activity and circadian rhythm $(r_s=-0.281; p<0.05 and r_s=-272; p<0.05, respectively)$. The func- tional muscle strength of the lower extremities decrease with the increase in screen addiction (p<0.05). In con- clusion, physical activity levels decrease as the duration of digital screen usage increases. Considering that screen addiction reduces lower extremity functional muscle strength, it is important to encourage children to physical activity. In addition, the increase in the QoL as the screen usage time increases, and the fact that the average daily device usage time is low in the children included in the study, suggests that the children use technological devices efficiently. The increase in QoL may have positively affected the circadian rhythm.
  • [ X ]
    Öğe
    The Role of Conscious and Unconscious Proprioceptive Sensation in Unstable Postural Balance: A Cross-Sectional Study
    (Erciyes Univ Sch Medicine, 2024) Payas, Ahmet; Kurtoglu, Erdal; Kepenek-Varol, Büşra; Batin, Sabri; Kararti, Caner; Koc, Ali; Ucar, Ilyas
    Objective: Proprioception is the capacity to perceive the position of any body part, either consciously or unconsciously. This sense, in conjunction with the visual and vestibular senses, helps maintain postural balance. This study explores the relationship between postural balance analysis outcomes and proprioceptive sense tractography data. Materials and Methods: Sixty-two healthy individuals were categorized into two groups based on postural balance analysis: the unstable posture group and the stable posture group. Postural sway test measurements, such as sway area, track length, velocity, Romberg quotient, lateral sway, and anteroposterior sway, were recorded for both groups on fixed and moving surfaces over 20 seconds. Using the DSI Studio program, tractography of the proprioceptive sensory pathways was conducted on participants using brain diffusion tensor images (DTI). IBM Statistical Package for the Social Sciences (SPSS) 23.0 software was employed for statistical analysis, with a p -value <0.05 considered statistically significant. Results: Tractography of the unstable posture group revealed increased mean diffusivity (MD) and radial diffusivity (RD) in the brain white matter, superior cerebellar peduncle, and middle cerebellar peduncle, while axial diffusivity (AD) values decreased (p<0.05). There was a notable correlation between the sway area in the unstable and eyes -open positions and the fiber count and fiber percentage in the right inferior cerebellar peduncle. Conclusion: The data suggest impairments in the pathways responsible for carrying unconscious proprioceptive sensations in individuals with unstable posture.