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Öğe Does Kinesio taping in addition to exercise therapy improve the outcomes in subacromial impingement syndrome? A randomized, double-blind, controlled clinical trial(TURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY, 2013) Simsek, Hacer Hicran; Balki, Selvin; Keklik, Sinem Suner; Ozturk, Hayati; Elden, HasanObjective: The aim of this study was to determine the effectiveness of Kinesio taping (KT) application added to the exercise treatment of subacromial impingement syndrome (SIS). Methods: Thirty-eight (25 female, 13 male) patients with SIS were randomly divided into therapeutic KT (n=19) and sham KT (n=19) groups. All patients received the same exercise therapy in addition to therapeutic or sham KT at 3-day intervals for 12 days. The groups were compared according to pain, range of motion (ROM), muscle strength and DASH and Constant scores before treatment and at the 5th and 12th treatment days. Results: Within group comparisons showed significant improvements in both groups at the 5th and 12th day evaluations (p<0.05). In comparisons between the groups, pain with movement and DASH scores in the therapeutic group were significantly lower at the 5th day (p<0.01). There were significant improvements in night pain, pain with movement, DASH score, shoulder external rotation muscle strength, and pain free shoulder abduction ROM in the therapeutic group at the 12th day (p<0.05). Passive shoulder flexion ROM increased more in the sham group at the 12th day (p<0.05). Conclusion: The addition of KT application to the exercise program appears to be more effective than the exercise program alone for the treatment of SIS.Öğe Geç Prematüre Olguların Okul Çağındaki Görsel-Motor Bütünleşme Sonuçları(2018) Balki, SelvinAmaç: Bu çalışmada geç prematüre doğum öyküsü olan çocuklardaki görsel-motor bütünleşmenin, ilkokul çağında araştırılması amaçladı.Gereç ve Yöntem: Bu eşleştirilmiş olgu-kontrol çalışması ilkokul I ve II. sınıfa devam eden öğrencilerde, önemli zihinsel ya da fiziksel/motor engeli olmayan, gebeliğin son döneminde (gebelik yaşı?32 hafta) doğmuş olan prematüre gruptaki 29 çocuğun görsel-motor bütünleşme seviyelerinin değerlendirilmesi ile gerçekleştirildi. Kontrol grup; miadında doğum öyküsü olan okul, sınıf, cinsiyet ve kronolojik yaş açısından prematüre grupla eşleştirilen 29 sağlıklı çocukla oluşturuldu. Ayres’in desen kopyalama testi, görsel-motor bütünleşme seviyeyi değerlendirmek için kullanıldı. Bu çocukların anne-babalarının eğitim ve mevcut iş durumları kaydedildi.Bulgular: Desen kopyalama sonucuna ilişkin gruplar arasında, istatistiksel önemli farkın olduğu bulundu (P=0.017). Prematüre olguların ortaya koydukları görsel-motor bütünleşme performansı, miadında doğan akranlarından daha düşüktü. Alt grup analizinde desen kopyalama için önemli fark, sadece I. sınıfa devam eden prematüre doğmuş öğrencilerde bulundu (P=0.026). Prematüre grupta, anne eğitimi, anne iş durumu ve sınıf ile desen kopyalama sonucu arasında önemli pozitif ilişkiler vardı (r= 0.427, P=0.022; r= 0.394, P=0.034; r= 0.407, P=0.028, sırayla). Anne eğitiminin, prematüre doğumu takiben görsel-motor becerilerin önemli bir prediktörü olabileceği saptandı (p=0.049).Sonuç: Görsel-motor bütünleşme yetmezliği, geç prematüre doğum öyküsü olan çocuklarda ilkokul döneminde gözlenebilmektedir. Düşük eğitim durumu-özellikle düşük anne eğitimi-prematüre olarak doğan çocukların görsel-motor bütünleşme yeteneğini, olumsuz yönde etkileyebilir.Öğe Hamstring weakness at 90xf0b0; flexion of involved knee as an indicator of the function deficit in males after anterior cruciate ligament reconstruction (ACLR)(Wroclaw Univ Technology, Fac Computer Science & Management, 2021) Balki, Selvin; Eldemir, SefaPurpose: The aim of this study was to elucidate predictors on knee function following anterior cruciate ligament reconstruction with hamstring tendon graft or allograft and to detect the differences between it and the healthy controls. Methods: This study comprised of 46 males, aged 18-45, being within 6-60 months following unilateral anterior cruciate ligament reconstruction and 50 healthy men. Measurements included the Tampa Scale for Kinesiophobia-17, the self-reported knee function with the Knee Injury and Osteoarthritis Outcome Score, Tegner activity scale and handheld dynamometry the hamstring/quadriceps femoris muscle testing at 90 degrees of flexion. Regression analyses were performed to predict the knee function in the anterior cruciate ligament reconstruction group. Results: The anterior cruciate ligament reconstruction group showed significantly lower Tegner activity and hamstring/quadriceps femoris strength, higher kinesiophobia and worse Knee Injury and Osteoarthritis Outcome Score ( p < 0.05). Their Knee Injury and Osteoarthritis Outcome Score-Sport/Recrection, Quality of Life and -Total values were modestly associated with the satisfaction with prior rehabilitation, activity level, graft type, kinesiophobia, time since the reconstruction and hamstring strength ( p < 0.05). The hamstring strength was the only important predictor of the Knee Injury and Osteoarthritis Outcome Score-Total ( p < 0.01). The involved knee handheld dynamometrymass normalize-hamstring strength at 90 degrees of flexion predicted 20.5% of the variance in the knee function. Conclusions: Presence of a decreased handheld dynamometry-mass normalized-hamstring strength result at hyper-flexion after anterior cruciate ligament reconstruction in men may indicate self-reported knee function disorder.Öğe PARKİNSONDA TEKNOLOJİK TABANLI DEĞERLENDİRME(Sivas Cumhuriyet Üniversitesi, 2024) Balki, Selvin; Nacar, Emine; Özkan, Rabia Seva; Karakurt, MerveParkinson hastalığı, motor ve motor olmayan semptomlarla karakterize nörodejeneratif bir hastalıktır ve bu semptomlar zaman içinde kötüleşir. Günümüzde hastalığın ilerleyişini izlemek ve tedavi yanıtlarını değerlendirmek için geleneksel klinik değerlendirme yöntemleri kullanılmaktadır. Ancak bu yöntemler subjektiftir ve belirli durumları ölçmede yetersiz kalabilir. Son yıllarda, giyilebilir teknolojiler, akıllı sensörler ve veri analizindeki ilerlemeler sayesinde parkinson hastalarının değerlendirilmesinde teknolojik tabanlı yaklaşımlar daha fazla dikkat çekmektedir. Bu teknolojiler sayesinde hastaların günlük aktiviteleri, motor fonksiyonları ve semptomları izlenilerek objektif veriler elde edilebilir. Tremor şiddeti, rijidite, bradikinezi, postüral instabiliteler, donma fenomeni ve konuşma bozukluğunun motor parametreleri gibi motor semptomlar bu teknolojiler aracılığıyla objektif olarak ölçülebilir. Ayrıca, bu verilerin uzaktan aktarılabilmesi, hastaların kendi evlerinde değerlendirilebilmesine olanak tanır ve sağlık uzmanlarına sürekli geri bildirim sağlar. Bu derleme, parkinson hastalarında teknolojik tabanlı değerlendirme yöntemlerinin önemini ve potansiyelini vurgulamakta ve gelecekteki araştırmalara rehberlik etmeyi amaçlamaktadır.Öğe Predictive Variables of Depression Level In Parents of Children With Cerebral Palsy(Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2012) Balki, Selvin; Canbay, ÖzdenObjective: The aim of the study was to investigate the association between clinical status of children with cerebral palsy CP and symptoms of depression in their parents with particular attention to mothers’ perceptions. Patients and Methods: Parents 40 mothers, 22 fathers of children 24 males, 16 females with CP aged 4-28 years being educated in a private rehabilitation center participated in this cross-sectional study. Gross Motor Function Classification System, Beck Depression Inventory BDI , and Modified Ashworth Scale were used. The measurements included mothers’ ratings of their children’s mental handicap and problem behaviour level 2-point scale yes/no and 10-cm-visual analog scale, respectively . Demographic informations were collected as well as information on home exercises, functional status and care giving roles. Results: According to mothers, 40% of their children had mental handicap. Mean problem behavior level was 4.9. 45% of the mothers, and 40% of the fathers had depressive symptoms above the cut off on BDI. In symptoms of depression of mothers of the mentally handicapped CP group were found importantly increase pÖğe Short-Term Effects of the Kinesio Taping (R) on Early Postoperative Hip Muscle Weakness in Male Patients With Hamstring Autograft or Allograft Anterior Cruciate Ligament Reconstruction(HUMAN KINETICS PUBL INC, 2019) Balki, Selvin; Goktas, Hanim EdaObjective: Kinesio taping (R) (KT) is a widely used treatment method in musculoskeletal rehabilitation. Little is known about the KT treatment and hip strength in patients with anterior cruciate ligament reconstruction (ACLR). The purpose of this study was to investigate the effectiveness of the KT treatment on hip muscle weakness in early rehabilitation of ACLR and the possible determinants of the ACLR-hip strength deficit (HSD). Design: Double-blind sham-controlled study. Setting: Rehabilitation department. Patients: A total of 26 male patients who underwent unilateral ACLR using hamstring autograft or allograft 4 days before. Interventions: The patients were randomized to receive the knee KT treatment (n = 13) with lymphatic correction plus muscle (biceps/rectus femoris) facilitation or sham KT (n = 13) for 10 days. In addition, the same ACLR rehabilitation program was applied to all the patients. Main Outcome Measures: The baseline data included demographic and clinical characteristics, postoperative swelling, knee motion loss and knee pain, and bilateral strength of the knee and hip muscle groups, except for rotator. Then, percentage values of hip HSD and knee strength limb symmetry index were calculated. The hip strength measurements in ACLR-operated leg were repeated on the 5th to 10th days of KT. Results: Changes in all hip strength values over time were significant in both groups (P < .01). In intergroup analysis of 5th and 10th days, improvements in the flexor (only 10th day), extensor, and adductor hip strength on operated leg were in favor of KT group (P < .05). In addition, the postoperative thigh swelling and knee strength limb symmetry index values were correlated with the HSD outcomes in baseline data (P < .05). Conclusions: ACLR-HSD can be caused by postoperative increased swelling and reduced knee strength. The KT treatment with lymphatic correction and muscle facilitation can be used in the treatment of postoperative hip muscle weakness after ACLR.Öğe Subakromiyal sıkışma sendromlu hastaların el kavrama performanslarında kinezyo bantlamanın akut etkileri: randomize kontrollü çalışma(2023) Balki, Selvin; Şimşek, Hacer HicranAmaç: Etkilenen omuza uygulanan kinezyo bantlamanın (KB), subakromiyal sıkışma sendromu (SSS) hastalarının maksimum kavrama performansında oluşturduğu akut etkileri belirlemek. Yöntem: Tek taraflı subakromiyal sıkışma sendromu olan 34 hasta, iki gruptan birine rastgele olarak ayrıldı: Sham KB (13 kadın, 5 erkek) ve KB (10 kadın, 6 erkek). KB grubu için deltoid ve supraspinatus kaslarına %10-25 gerilimle inhibe edici KB teknikleri, etkilenen omuza %50-75 gerilimle mekanik düzeltme KB tekniği uygulandı. Sham KB grubunda, iki I-bant (10-cm) akromiyoklavikular eklem ve deltoid distaline gerim olmadan uygulandı. Maksimum kavrama gücü ve süresi, hidrolik el dinamometresi ile başlangıçta ve bantlamadan hemen sonra test edildi. Ayrıca başlangıç ölçümünde, el dinamometresi ile izometrik omuz kas kuvveti ve10-cm görsel analog skalası ile aktiviteye bağlı ağrı düzeyi değerlendirildi. Bulgular: Demografik özellikler ve başlangıç ölçümlerde gruplar arasında anlamlı fark yoktu (p>0,05). Grup içi karşılaştırmada bantlama sonrasında Sham KB (p=0,013, d=0,425) ve KB (p=0,001, d=0,549) gruplarının maksimum kavrama gücü ölçümlerinde ve KB grubunun (p=0,030, d=0,597) maksimum kavrama süresinde azalma kaydedildi. Gruplar arası karşılaştırma sonucuna göre bantlama sonrasında KB grubunun maksimum kavrama süresinde azalma saptandı (p=0,000, d=1,509). Tartışma: Subakromiyal sıkışma sendromu olan hastaların etkilenen omzuna inhibitör ve düzeltici kinezyo bantlama tekniklerinin uygulanması, elin maksimum kavrama süresinde akut bir azalmaya neden olabilir.Öğe The Effect of Wii-Based Interactive Virtual Games on Spasticity, Gait, Balance, and Trunk Control of Children with Mild Cerebral Palsy: A Randomized Controlled Trial(İstanbul Gelisim University, 2024) Eldemir, Sefa; Balki, SelvinAim: The purpose of this study was to examine the impact of Nintendo Wii treatment (NWT) on spasticity, balance, gait, and trunk control in individuals with mild cerebral palsy (CP). Method: This randomized controlled trial included a total of 35 individuals with mild CP: the Nintendo Wii therapy group (WiiG, n:17) and the control group (CG, n:18). The individuals in both groups received conventional physiotherapy (CPT) for 40 minutes in two sessions per week for 8 consecutive weeks. The WiiG received Nintendo Wii Treatment (NWT) for 20 minutes in two sessions per week for 8 consecutive weeks using the Nintendo Wii Fit gaming console in addition to CPT. The Modified Ashworth Scale (MAS), Functional Forward Reach Test (FFRT), Functional Sideways Reach Test (FSRT), 10-meter walking test (10-mWT), and Trunk Impairment Scale (TIS) were evaluated before and after the intervention. Group x time interaction was demonstrated using the ANOVA (2×2 factorial Analysis of Variance). Results: Right elbow flexor MAS decreased only in the WiiG (p=0.035) but did not differ between both groups (p>0.05). Furthermore, FFRT, FSRT, 10-mWT, and all sub-tests of TIS scores improved in the WiiG (p<0.05), while only TIS-Trunk Coordination increased in the CG (p=0.023). Conclusion: NWT in addition to conventional physiotherapy, has positive effects on balance, gait, and trunk control in the rehabilitation process of CP. More research is needed to better understand the effects of NWT on spasticity.Öğe The Occiput-Wall Distance Was Related to the Physical/Mental Outcomes in the Elders With Severe Flexed Posture, But Not the Dual Digital Inclinometer Thoracic Kyphosis(Lippincott Williams & Wilkins, 2020) Balki, Selvin; Ozyonar, AyisePurpose: To examine the usefulness of the dual digital inclinometer thoracic kyphosis and the occiput-wall distance (OWD) measures as a marker of the mental/physical status in older adults with severe flexed posture (FP). Method: The study was conducted with 16 nursing home-dwelling older adults (13 male/3 female) with severe FP (OWD > 8.0). Results: The OWD was correlated with the severity of fear of falling, cognitive function, depression, mobility, 10-m gait speed, and anterior trunk flexibility at moderate and good levels (v < .05). Conclusions: The OWD may be useful as a marker of the mental/physical status in older adults.
