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Öğe A comparison of Kinesio taping and external electrical stimulation in addition to pelvic floor muscle exercise and sole pelvic floor muscle exercise in women with overactive bladder: a randomized controlled study(Taylor & Francis Ltd, 2022) Celenay, Seyda Toprak; Karaaslan, Yasemin; Coban, Ozge; Oskay, KemalPurpose To compare the effects of Kinesio taping (R) (KT) and external electrical stimulation (ES) in addition to pelvic floor muscle exercise (PFME) and sole PFME in women with overactive bladder (OAB). Material and methods Patients with OAB were randomly allocated into PFME, PFME + KT, PFME + ES groups. All treatments were carried out for 6 weeks. OAB symptoms with voiding diary and Overactive Bladder-Version8 (OAB-V8), pelvic floor muscle strength (PFMS) with perineometer, quality of life with King's Health Questionnaire (KHQ) were assessed before (BT) and after treatment (AT). AT, the perception of improvement was inquired. Results AT, OAB symptoms and KHQ scores decreased and PFMS improved in all groups (p < 0.05). The intergroup comparisons revealed a further decrease in voids/day, voids/night, OAB-V8, and some KHQ scores, and a further increase in the perception of improvement in the PFME + KT and PFME + ES groups compared to the PFME group (p < 0.05). In the PFME + ES group, there was a further decrease in numbers of incontinence compared to the PFME group, and in severity measures scores compared to the other groups (p < 0.05). Conclusion KT and external ES in addition to PFME were more effective than PFME alone in the treatment of OAB.Öğe Comparison of Pelvic Floor Muscle Training With Connective Tissue Massage to Pelvic Floor Muscle Training Alone in Women With Overactive Bladder: A Randomized Controlled Study(Mosby-Elsevier, 2021) Karaaslan, Yasemin; Celenay, Seyda Toprak; Kucukdurmaz, FarukObjective: The purpose of this study was to compare the effects of a 6-week program of pelvic floor muscle training (PFMT) plus connective tissue massage (CTM) to PFMT alone in women with overactive bladder (OAB) symptoms on those symptoms, pelvic floor muscle strength, and quality of life. Methods: Thirty-four participants were randomly divided into PFMT+CTM (n = 17) and PFMT (n = 17) groups. PFMT was applied every day and CTM was applied 3 days a week for 6 weeks. Before treatment, at week 3, and after treatment (week 6), we assessed pelvic floor muscle strength (with a perineometer), bladder symptoms (with a urine diary), OAB symptom severity (with the 8-item Overactive Bladder Questionnaire [OAB-V8]), urgency (with the Patient Perception of Intensity of Urgency Scale [PPIUS]), and quality of life (with King's Health Questionnaire [KHQ]). The Mann-Whitney U test, chi(2) test, Friedman test, and Dunn multiple comparison test were used for analysis. Results: In both groups, pelvic floor muscle strength increased, whereas OAB symptoms and PPIUS and KHQ scores decreased after treatment (P < .05). Although the OAB-V8, PPIUS, and KHQ scores decreased at week 3, frequency, OAB-V8, and PPIUS scores, in addition to some parameters of the KHQ, decreased after treatment in the PFMT +CTM group compared to the PFMT group (P < .05). Conclusion: Compared to PFMT alone, PFMT+CTM achieved superior outcomes in reducing OAB symptoms in the early and late periods.Öğe Coronaphobia, musculoskeletal pain, and sleep quality in stay-at home and continued-working persons during the 3-month Covid-19 pandemic lockdown in Turkey(Taylor & Francis Inc, 2020) Toprak Celenay, Seyda; Karaaslan, Yasemin; Mete, Oguzhan; Ozer Kaya, DeryaStudies related to the effects of the lockdown on musculoskeletal pain, coronaphobia, and sleep quality in individuals who stayed at home (SH) and in those who continued to work (CW) at a workplace other than home during the Covid-19 pandemic are scarce. We compare the effects of a 3-month nationwide lockdown in Turkey on musculoskeletal pain, coronaphobia, and sleep quality in individuals who SH and in those who CW during the Covid-19 pandemic. Individuals who SH (n: 375) and those who CW (n: 311) during the Covid-19 were included in this case-controlled study. Data on musculoskeletal pain (Nordic Musculoskeletal Questionnaire, NMQ), coronaphobia (Covid-19 Phobia Scale, C19P-S), and sleep quality (Jenkins Sleep Scale, JSS) were collected via an online form. During the 3-month Covid-19 lockdown, low back pain was higher in the SH group than CW group (p< .05). Rates of the neck, upper-back, shoulder, and hip/thigh pain were lower, and rate of low back pain was higher in the SH group (p< .05); while, rates of the neck, upper back, shoulder, and elbow pain were lower in the CW group (p< .05) during the Covid-19 pandemic lockdown than pre-lockdown values. The total scores of the C19P-S and psychological, psychosomatic, social, and economic subscales were higher in the SH group (p< .05). Sleep quality was similar in both groups (p> .05). Individuals who SH had more low back pain and higher coronaphobia than individuals who CW during the 3-month Covid-19 pandemic lockdown. Nonetheless, sleep quality was similar and the rate of some types of musculoskeletal pain was lower in both groups.Öğe The Effectiveness of Neuromuscular Electrical Stimulation in Patients With Subacromial Impingement Syndrome A Randomized Controlled Study(Lippincott Williams & Wilkins, 2023) Karaaslan, Yasemin; Sahbaz, Yasemin; Dogan, Dildade Dilek; Ziroglu, Nezih; Altun, Suleyman; Mutlu, Ebru KayaObjectiveThe aim of the study is to compare the effects of exercise training plus neuromuscular electrical stimulation with exercise training alone on shoulder function, pain, range of motion, and muscle strength in patients with subacromial impingement syndrome.DesignPatients were randomly divided into groups of exercise training (n = 24) and exercise training + neuromuscular electrical stimulation (n = 24). Shoulder function was evaluated with the Disabilities of the Arm, Shoulder and Hand Questionnaire, pain level was assessed with a visual analog scale, range of motion was measured with a goniometer, and muscle strength was assessed with a handheld dynamometer baseline and at the end of treatment (week 8).ResultsIn both groups, shoulder function, range of motion, and muscle strength (except flexion muscle strength in the exercise training group) increased, while pain decreased (P < 0.05). Compared with the exercise training group, visual analog scale-activity and visual analog scale-night decreased more, and external-rotation range of motion and whole muscle strength increased more in the exercise training + neuromuscular electrical stimulation group (P < 0.05). On the other hand, the effect sizes were medium to large for both groups.ConclusionsThe addition of neuromuscular electrical stimulation treatment to exercise training did not improve shoulder function, which is the primary outcome, more than exercise training alone, but increased muscle strength and range of motion (external-rotation only) and decreased pain (activity-night), which are the secondary outcomes.Öğe The Effects of Isokinetic Strength Training on Strength at Different Angular Velocities: a Pilot Study(2017) Karaaslan, Yasemin; Yıldırım, Necmiye Ün; Akınoğlu, Bihter; Kocahan, Tuğba; Kaya, Ender; Hasanoğlu, AdnanAmaç: Çalışma, sağlıklı sedanter bireylerde farklı açısal hızlarda yapılan izokinetik kuvvet antOrenmanının sadece antrenmanın yapıldığı açısal hızlarda mı, yoksa test edilen diğer açısal hızlarda da mı etkili olup olmadığını belirlemek amaçlıdır. Gereç ve Yöntemler: Çalışma, ortalama yaşları 27.1 ± 3.5 yıl olan dokuz sağlıklı bireyin (üç erkek ve altı kadın) toplam 18 alt ekstremitesinde izokinetik kuvvet antrenmanı ve ölçümleri ile gerOçekleştirildi. Haftada iki gün toplam altı hafta izokinetik antrenmana tabi tutulan bireyler çalışma öncesi ve sonrası değerlendirildi. Değerlendirme protokolü 60°/s açısal hızda bir set beş tekrar, 120°/s ve 180°/s açısal hızlarda birer set onar tekrar, 240°/s ve 300°/s açısal hızlarda birer set onbeşer tekrar olacak şekilde yapıldı. İzokinetik antrenman protokolü ise 60°/s açısal hızda üç set 10 tekrar ve 180°/s açısal hızda üç set 15 tekrar konsantrikOkonsantrik modda olacak şekilde uygulandı. Bulgular: Eğitim öncesi ve eğitim sonrası kıyaslandığında, ortalama zirve kuvvet değerlerinin 60°/s, 120°/s ve 180°/s açısal hızlarda anlamlı ölçüde arttığı (p<0.05), ancak 240°/s ve 300°/s açısal hızlarda anlamlı bir artış göstermediği belirlendi (p>0.05). Sonuç: Çalışma ile izokinetik kuvvet antrenmanında kullanılan açısal hızın önemli olduğu ve yükOsek açısal hızlarda yapılan izokinetik eğitimin düşük açısal hızlarda da kuvvet artışı sağlayabileceOği, ancak antrenmanın üstündeki açısal hızlarda kuvvet artışı sağlayamayacağı sonucu ortaya kondu. Bu nedenle, bir izokinetik kuvvetlendirme protokolü hazırlanırken, bireylerin ihtiyacı olan açısal hızların göz önünde bulundurulması gerektiği, birey sporcu ise yaptığı branşın gerektirdiği açısal hızdaki kuvvetin dikkate alınması gerektiği düşünülmektedirÖğe Evaluation of Upper Extremity Movement, Pain Intensity, and Respiratory Functions in Patients Who Received Thoracotomy Sparing the Serratus Anterior Muscle(European Journal of Therapeutics, 2022) Karaaslan, Yasemin; vd.Objective: To evaluate upper extremity movement, pain intensity, and respiratory functions in preoperative and postoperative periods in patients undergoing thoracotomy sparing the serratus anterior muscle (TSSAM). Methods: Forty-three patients (25 male and 18 female) were included in this prospective observational cohort type study. In the preoperative period and on postoperative days 1, 2, 3, and 5, ipsilateral shoulder range of motion was evaluated by a goniometer, pain intensity was evaluated by a visual analog scale (VAS), and respiratory functions were evaluated by spirometry. Results: When compared with preoperative values, shoulder flexion and abduction angle, forced expiratory volume in 1 second (FEV1), and functional vital capacity (FVC) decreased on postoperative day 1, while VAS significantly increased (P < .05). Shoulder flexion and abduction angle, FEV1, and FVC significantly increased and VAS significantly decreased on postoperative days 2, 3, and 5 compared to postoperative day 1 (P < .05). However, they could not reach preoperative values on postoperative day 5 (P < .05). On postoperative day 1, while there was a correlation between pain and flexion (r = ?0.438; P = .003) and abduction (r = ?0.503; P = .001) angles, no correlation was found between pain and FEV1 (r = ?0.189; P = .225) and FVC (r = 0.009; P = .953). There was no correlation between pain and flexion, abduction, FEV1, and FVC on postoperative days 2,3, and 5 (P > .05). Conclusions: Patients undergoing the TSSAM had less upper extremity range of motion and respiratory functions and more pain intensity in the early postoperative period than in the preoperative period. It was observed that pain and flexion and abduction angles were negatively correlated on postoperative day 1. In the postoperative period, they should be taken into account in the design/development of rehabilitation programs.Öğe Investigation of Balance, Pulmonary Function andLow Back Pain in Pregnant and Non-pregnant Women:Case Control Study(2020) Çelenay, Şeyda Toprak; Uğur, Mete Gürol; Karaaslan, YaseminObjective: Balance and pulmonary function could be affected during pregnancy. Low back pain (LBP) is one of the most common health problems in pregnant women. Thus, this study aimed to investigate balance, pulmonary functions and LBP in pregnant and nonpregnant women. Material and Methods: This case-control study was conducted at the obstetrics and gynecologic clinic. Thirty-nine pregnant women (pregnant group) and 36 non-pregnant women (control group) were included in this study. Balance was measured with OneLegged Balance Test while the eyes open and closed, pulmonary functions with a spirometer, and LBP with Visual Analog Scale (VAS). Results: It was found that the One-Legged Balance Test scores with eyes closed, forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and peak expiratory flow (PEF) values were found lower in the pregnant group compared to the control group (p < 0.05). Twenty-one (53.8%) of the pregnant women and 10 (27.8%) of the nonpregnant women had LBP. The findings showed that LBP was higher in the pregnant group compared to the control group (p < 0.05). Conclusion: Pregnant women had poor balance with eyes closed and pulmonary functions and more LBP than non-pregnant women. It may be important that these results should be taken into account in pregnancy training programs to increase balance, improve pulmonary functions and reduce LBP during pregnancy.Öğe An investigation of potential coronaphobia-related factors in adults and sleep quality relations(Elsevier, 2021) Karaaslan, Yasemin; Mete, Oguzhan; Karadag, Mehmet; Kaya, Derya Ozer; Celenay, Seyda ToprakBackground: The study aimed to investigate potential coronaphobia-related factors in adults and to assess the relationship between coronaphobia and sleep quality. Methods: This cross-sectional study was conducted in 1262 participants. The Covid-19 Phobia Scale (C19P-S) and Jenkins Sleep Scale (JSS) were used to measure outcomes. Univariate and multivariate logistic regression analyses were constructed to determine risk factors for coronaphobia. Pearson correlation coefficient was used to assess the correlation between C19P-S and JSS. Results: The following risk factors were found to be associated with coronaphobia: gender, marital status, presence of chronic disease, staying home, and sleep disturbances. Female gender (OR = 2.23 and OR = 2.12), being married (OR = 1.31 and OR = 1.45), chronic disease status (OR = 1.39 and OR = 1.27), staying home (OR = 1.72 and OR = 1.35) and sleep disturbances (OR = 2.63 and OR = 2.49) were found to be associated with the likelihood of having a higher coronaphobia score (p < 0.05). Weak positive correlations were found between C19P-S and its subscales and JSS scores (p < 0.001). Conclusions: Female gender, being married, having chronic diseases, staying home, and having sleep disturbances were found to be risk factors for having high coronaphobia scores. Moreover, the severity of coronaphobia was associated with sleep disturbances. These results should be considered in the management of coronaphobia. (C) 2021 Elsevier B.V. All rights reserved.Öğe Pelvic floor dysfunction symptoms and knowledge level in obese women(Routledge Journals, Taylor & Francis Ltd, 2022) Karaaslan, Yasemin; Karadag, Mehmet; Celenay, Seyda ToprakThis study compared the pelvic floor dysfunction (PFD) symptoms and knowledge levels in obese and non-obese women. The study included 40 obese and 41 non-obese women. The presence of PFD and the severity of its symptoms were questioned with the Pelvic Floor Distress Inventory-20 (PFDI20) (its sub-scales: Pelvic Organ Prolapse Distress Inventory-6 (POPDI-6), Colorectal-Anal Distress Inventory-8 (CRADI-8), Urinary Distress Inventory-6 (UDI-6)). Participants' PFD knowledge levels were evaluated with the Prolapse and Incontinence Knowledge Questionnaire (PIKQ) and the Anal Incontinence Knowledge Questionnaire (AIKQ). The rates of urinary incontinence (UI) and pelvic organ prolapse (POP) symptoms were higher in the obese group compared to the control group (p = .001). The POPDI-6, CRADI-8, UDI-6, and PFDI-20 scores were higher in the obese group compared to the control group (p < .001). Moreover, the knowledge level related to treatment methods for PFD was lower in the obese women compared to the non-obese women (p < .05). PFD symptom incidence and severity were higher and knowledge levels related to PFD were lower in the obese women compared to the non-obese women. Informative teaching programs on this issue would be beneficial as part of preventive health services.Öğe The relationship of pain, disability, physical activity, and body awareness with kinesiophobia in pregnant women with low back pain(Taylor & Francis Ltd, 2023) Karaaslan, Yasemin; Ucuzoglu, Mehmet Eren; Yuksel, Semra; Yalcinkaya, Ebru YilmazPurpose/aimTo investigate the relationship of pain intensity, disability level, physical activity level, and body awareness with kinesiophobia in pregnant women with low back pain (LBP).Materials and methodsThis cross-sectional study was conducted in the obstetrics and gynaecologic clinic of a tertiary centre. Eighty-six pregnant women were included in the study. Pain intensity, disability level, physical activity, body awareness, and kinesiophobia were assessed with a Visual Analogue Scale, the Oswestry Disability Index (ODI), the International Physical Activity Questionnaire-Short Form (IPAQ-SF), the Body Awareness Questionnaire (BAQ), and the Tampa Scale for Kinesiophobia (TSK), respectively.ResultsKinesiophobia score was high in pregnant women with LBP (40.01 +/- 9.02). In pregnant women with LBP, a weak positive correlation was found between kinesiophobia with mean intensity of LBP (r = 0.339, p = 0.001) and intensity of LBP in activity (r = 0.283, p = 0.008); a moderate positive correlation between kinesiophobia and disability score (r = 0.539, p = 0.001); and a weak negative correlation between kinesiophobia and physical activity level (r = -0.308, p = 0.004) and body awareness (r = -0.324, p = 0.002). There was no relationship between kinesiophobia and intensity of LBP at rest (r = 0.160, p = 0.142) and nocturnal LBP intensity (r = 0.176, p = 0.105).ConclusionsLBP intensity, disability level, physical activity level, and body awareness were significantly correlated with kinesiophobia in pregnant women with LBP. Therefore, kinesiophobia may be addressed as an important issue in pregnancy education programs.
