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    Effect of Chronic Non-specific Neck Pain on Aerobic Capacity in Females
    (Galenos Publ House, 2024) Menevse, Ozlem; Altug, Filiz; Atalay, Orcin Telli
    Objective: To examine the effect of chronic non-specific neck pain (NSNP) on maximal aerobic capacity (VO2max) in females. Methods: This study evaluated a total of 104 participants including 52 females aged 20-40 years who were diagnosed with chronic NSNP for at least 1 year (patient group) and 52 healthy females (control group). Mean age of the patient group was 31.04 +/- 5.65 years and of the control group was 31.33 +/- 5.10 years. Pain severity was evaluated with visual analog scale (VAS), neck disability degree with Neck Disability Index (NDI), and VO2max with Bruce Protocol Treadmill Test. Results: Mean VAS score was 5.86 +/- 1.11 cm and mean disease duration was 4.72 +/- 4.20 years in the patient group. There was no significant difference in terms of VO2max level between the two groups (p>0.05). However, in the patient group, there was a moderate negative significant correlation between NDI value and VO2max level (r=-0.344, p=0.012). In addition, there was a moderate positive significant relationship between pain duration (hours/day) and NDI value in the patient group (r=0.308, p=0.026). Conclusion: As a result of the study, it was seen that there was no difference between the patient and healthy groups in terms of aerobic capacity. However, in the patient group, aerobic capacity decreased as the degree of neck disability increased. In the treatment of patients with neck pain, considering the respiratory dysfunction and the factors that cause it may contribute to the treatment processes.
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    Examination of the correlation between hand grip strength and muscle mass, balance, mobility, and daily life activities in elderly individuals living in nursing homes
    (Ios Press, 2023) Soyuer, Ferhan; Cankurtaran, Feyzan; Menevse, Ozlem; Zararsiz, Gozde Erturk
    BACKGROUND: Aging is a process that includes progressive physiological changes. Grip strength is an important indicator of current health in the elderly. OBJECTIVE: The aim of the studywas to examine the correlation between dominant-hand grip strength (HGS) and cognitive function, mid-upper arm circumference, muscle-bone mass, balance, mobility, and daily life activities in elderly individuals living in nursing homes and determine the effect rates of these factors on HGS. METHODS: Seventy-two elderly individuals aged over 65 who lived in a nursing home were included in the study. Dominant HGS and mid-upper forearm circumference were measured. Muscle and bone masses were measured with bioelectrical impedance analysis. Mid-upper arm circumference was measured using a non-elastic tape. HGS was measured using a hand dynamometer. Cognitive function was evaluated with the Standardized Mini-Mental Test (SMMT); mobility and balance were evaluated with the Timed Up and Go Test (TUGT) and Berg Balance Scale (BBS); the Katz Activities of Daily Living Scale (KATZ ADL) was used to evaluate daily life activities. RESULTS: There was a significant correlation between HGS and muscle and bone masses (p < 0.001). A significant correlation was found between HGS and TUGT, ADL (p = 0.001, p = 0.016). There was no significant correlation between HGS and BBS (p = 0.2). There was a correlation between HGS and SMMT at the statistical significance limit (p = 0.055). On HGS, the Body Mass Index had a 64.9% effect; the muscle mass had a 30.9% effect; the TUGT had a 27.7% effect. These parameters were found to explain 59.9% of the variance. CONCLUSION: As a global indicator of muscle strength, HGS can be used to predict age-related functional changes. Approaches to increase physical activity levels in elderly can be effective in reducing age-related negativities.
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    Results of Special Neck Exercises in a Patient with Cerebellar Ataxia and Axial Myoclonus Due to ADCK3 Mutation
    (Turkish Neurological Soc, 2021) Menevse, Ozlem; Bilgin, Sevil; Gultekin, Murat
    Cerebellar ataxia associated with the aarF-domain-containing kinase 3 ( ADCK3) gene mutation is a hereditary type of ataxia related to autosomal recessive cerebellar ataxias. Additional symptoms, such as epileptic seizures, pyramidal signs, and myoclonus, may be seen in this progressive ataxia. This case report aimed to present the results of the physiotherapy and rehabilitation program of a 19-year-old patient with cerebellar ataxia and myoclonus, due to coenzyme Q10 deficiency, associated with the ADCK3 gene mutation. International cooperative ataxia rating scale, mini-mental state examination, observational posture analysis, unified myoclonus rating scale, Purdue-Pegboard test, timed up and go test, functional and computerized balance tests, and Nottingham health profile were used when evaluating the patient. The patient underwent special neck exercises consisting of reeducation of neutral posture and cervical stabilization exercises for three days a week, totaling nine weeks. At the end of the treatment, improvement in the patient's posture, marked decrease in myoclonus, and significant improvements in fine hand skills, balance parameters, and quality of life were obtained. It is likely that the physiotherapy approach, consisting of special neck exercises, has improved postural control by contributing to the development of the sensory processes needed to achieve postural control. Therefore, special neck exercises have the potential to be an alternative treatment option for these patients.