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    An exploration of COVID-19 impact on physical capacity, self-reported outcomes, and mental health in late adolescents
    (Springer, 2024) Alkan, Halil; Eren, Mahsum; Bayrak, Gokhan
    The emergence of the coronavirus disease-19 (COVID-19) has significantly impacted daily existence and affects not only respiratory functions but also psychological well-being and musculoskeletal health. Despite the considerable body of research examining the effects of COVID-19 on adults and older populations, the consequences on adolescents remain relatively underexplored. This study explored the COVID-19 impact on physical capacity, self-reported outcomes, and mental health in late adolescents who graduated from high school. The late adolescents were divided into recovered from mild COVID-19 (RFC, n = 68) group and healthy late adolescent controls without diagnosed COVID-19 (HC, n = 70) before. Physical capacity (shoulder flexor/abductor and elbow flexor/extensor muscle strength, back and leg power, and mobility), self-reported outcomes (kinesiophobia, emotional intelligence, and quality of life), and mental health were assessed. The mean follow-up of mild COVID-19 diagnosis in the RFC group was 12.20 +/- 1.79 weeks. The results indicated a reduction in physical capacity among the RFC group compared to the HC group (p <= 0.014). Furthermore, the RFC group exhibited higher levels of kinesiophobia (p = 0.001), lower quality of life (p < 0.05), and increased stress related to mental health (p = 0.004). However, it was noted that emotional intelligence was higher in the RFC group (p = 0.005). Mild COVID-19 adversely impacts physical capacity, life quality, kinesiophobia, and stress aspects of mental health in late adolescents. Thus, public health professionals and school administrators must recognize these consequences and collaboratively implement measures to improve physical activity levels through well-designed physical training programs and offer psychological support for late adolescents.
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    THE EFFECT OF ANKLE LIMITATION ON DYNAMIC BALANCE AND FUNCTIONAL CAPACITY IN CHILDREN WITH DUCHENNE MUSCULAR DYSTROPHY
    (İnönü Üniversitesi, 2022) Eren, Mahsum; Alkan, Halil
    The aim of this study is to investigate the effect of ankle limitation on dynamic balance and functional capacity in children with Duchenne Muscular Dystrophy (DMD). This cross-sectional study included thirty-six 6- to 11-year-old children with DMD who were followed up in the special education rehabilitation centers. In addition to recording of the demographic data of the children, ankle limitations were recorded in degrees using a goniometer. Dynamic balance and functional capacity of the patients were evaluated using the Timed Up and Go (TUG) test and 6-Minute Walk Test (6MWT), respectively. Ankle limitation had a statistically significant effect on dynamic balance and functional capacity of children with DMD (p = 0.008 and p = 0.006, respectively). In children with DMD, dynamic balance and functional capacity deteriorate as their ankle limitation increases. Treatment methods applied to increase/maintain joint range of motion in children with DMD should be added to the rehabilitation programs as early as possible.
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    INVESTIGATION OF THE EFFECTS OF MANUEL TREATMENT IN PHYSIOTHERAPY- REHABILITATION OF PATIENTS WITH CHRONIC LOW BACK PAIN
    (EDAM, 2020) Eren, Mahsum; Can, Filiz
    Aim: The aim of this study was to investigate the effects of manual threatment in physiotherapy and rehabilitation of patients with chronic low back pain. Material and methods: 30 patients, aged between 18-65, who accepted to be included in this study and diagnosed as chronic low back pain, were randomly divided into 2 groups: 1 control and 1 application. All patients (including the control group) underwent a standard physiotherapy program consisting of low back training and spine strengthening and stabilization exercises. The control group received no treatment other than this standard physiotherapy program. In addition to this program, manual treatment was applied to the application grup. The patients were treated for a total of 6 weeks, 2 sessions per week. The level of pain severity of the participants was determined by Visual Pain Scale (VAS) and Algometry; The level of muscle strength was measured by muscle dynamometer. Oswestry Disability Index for functional evaluation; Beck Depression Inventory for anxiety level; Quality of Life Questionnaire (SF-36) was used for quality of life and Tampa Kinesophobia Scale was used for fear of movement. These assessments were performed at the beginning and end of the 6- week treatment program. Results: We found statistically significant differences in both groups between the before-treatment and after-treatment results in terms of all evaluation parameters except Tampa kinesiophobia. Manual treatment method has reduced the severity of pain, increased muscle strenght, contributed positively to functional statues, decreased the level of anxiety and depression and improved the quality of life but no improvement in kinesiophobia in patients with chronic low back pain. Conclusion: In line with our study results, we anticipate that the planned physiotherapy and rehabilitation program and manuel therapy will reduce the health expenditures by finding a solution option for chronic low back pain commonly seen in societies.
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    RELIABILITY AND VALIDITY OF TURKISH VERSION OF CHILDREN’S HAND USE EXPERIENCE QUESTIONNAIRE FOR CHILDREN WITH HEMIPARETIC CEREBRAL PALSY
    (EDAM, 2021) Eren, Mahsum; Ekici, Gamze; Halil Alkan
    Abstract Mahsum EREN1, Gamze Ekici2, Halil ALKAN3 Purpose: Cerebral Palsy (CP) is a non-progressive lesion in the developing brain due to prenatal, perinatal and postnatal causes; however, it is a permanent motor function, posture and movement development disorder that can change with age. Our aim in this study is to investigate the cross-cultural adaptation, validation and reliability of Children’s Hand-use Experience Questionnaire (CHEQ). Methods: Ninety-five children between 6 and 18 years of age with hemiparetic Cerebral Palsy (CP) were included in this study. Gross Motor Function Classification System (GMFCS) was used to determine their motor levels, Manual Ability Classification System (MACS) was used to determine their manual ability, Pediatric Evaluation of Disability Inventory (PEDI) was used to determine their disability level and Children’s Hand-use Experience Questionnaire (CHEQ) was used to determine their hand use ability. Results: Investigating reliability of CHEQ, 35 children with hemiparetic CP were evaluated 1week interval. The test-retest reliability was described by using intra-class correlation coefficient (ICC). Convergent and divergent construct validities were assessed by examining the Spearman’s correlation coefficients of the CHEQ compared to MACS and GMFCS and PEDI. Reliability were tested by using ICC and found to be 1.00. The ‘activities performed independently’ section of the CHEQ had statistically significant and good correlations (p=0.001) with the MACS and the self-care section of the PEDI. It had statistically significant but weak correlation (p=0.001) with the GMFCS. Conclusion: The Turkish version of the CHEQ is found to be valid and reliable questionnaire and the cultural adaptation of it is appropriate for Turkish population. Keywords: Children’s hand-use experience questionnaire, Cerebral palsy, Hemiparetic, Validity and reliability. 1PT, Ph.D., Assistant Prof. Beykent University, 4441997, Vocational School, Department of Therapy and Rehabilitation, mahsumeren@beykent.edu.tr 2 Professor, Hacettepe University, 0. 312 305 50 00, Faculty of Health Sciences, Department of Ergotherapy, fztgamze@yahoo.com 3PT, Ph.D., Assistant Prof., Muş Aplarslan University, +90 416 249 49 49, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, fzthalilalkan@hotmail.com