Fizyoterapi ve Rehabilitasyon Bölümü Koleksiyonu

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https://hdl.handle.net/20.500.12514/224

Listeleniyor 1 - 4 / 4

Pelvic floor muscle strength and dysfunctions in women with pes planus: A case-control study
(Elsevier, 2024) Toprak Şelenay, Ceyda; Yardımcı, Fatma Betül; Altay, Hafize
Background/aim: Distal extremity misalignment may give rise to pelvic floor dysfunctions (PFDs). This study aimed to compare pelvic floor muscle strength (PFMS) and dysfunctions in women with and without pes planus. Materials and methods: Women with (pes planus group, n = 30) and without pes planus (control group, n = 30) were included. The presence of PFDs questioned. Pes planus with the Feiss Line Test, PFMS with the Modified Oxford Scale, and the severity of PFDs with the Pelvic Floor Distress Inventory-20 (PFDI-20), including three subscales (Pelvic Organ Distress Inventory-6 (POPDI-6) for pelvic organ prolapse, Colorectal-Anal Distress Inventory-8 (CRADI-8) for colorecto-anal symptoms, and Urinary Distress Inventory-6 (UDI-6) for urinary symptoms, were assessed. Results: It was seen that no difference was found between groups in terms of PFMS (p > 0.05). However, urinary incontinence and anal incontinence were higher in women with pes planus than in women without pes planus (p < 0.05). Only the PFDI-20, CRADI-8, and UDI-6 scores were higher in women with pes planus compared to controls (p < 0.05). There was no difference was found between groups in terms of POPDI-6 scores (p > 0.05). Conclusion: The PFMS did not change according to the presence of pes planus. However, the prevalence of PFDs and their severity were higher in women with pes planus in comparison to controls. Posture assessments of individuals with PFDs, especially examination of foot posture, and pelvic floor assessments of individuals with posture disorders should be considered.
Black box in overactive bladder: Central sensitization and its relationship with urinary symptom severity and quality of life
(Wiley, 2024) Toprak Şelenay, Ceyda; Altay, Hafize; Bülbül, Saliha Beste; Oskay, Kemal
Aim: To examine central sensitization (CS), and to investigate the relationship between CS, and urinary symptom severity, and quality of life (QoL) in women with overactive bladder (OAB). Materials and methods: A total of 144 women with OAB included the study. CS with the Central Sensitization Inventory (CSI), urinary symptom with the Overactive Bladder Questionnaire-Version 8 (OAB-V8), bladder diary and Patients' Perception of Intensity of Urgency Scale (PPIUS) and QoL with the King's Health Questionnaire (KHQ) were assessed. Results: It was found that 47.9% (n = 69) of women with OAB had CS. It was observed that the CSI score was related to the OAB-V8 score (ρ = 0.327; p < 0.001) and the average number of voids/day (ρ = 0.291; p < 0.001). Additionally, urgency severity was higher in women with OAB with CS than in women with OAB without CS (p = 0.006). There was a relationship between the CSI score and KHQ-incontinence impact (ρ = 0.250; p = 0.012), KHQ-personal relationship (ρ = 0.253; p = 0.002), KHQ-sleep/energy (ρ = 0.180; p = 0.031), KHQ-emotional state (ρ = 0.310; p < 0.001) and KHQ-severity measurement scores (ρ = 0.391; p < 0.001). Conclusion: In this study, it was observed that the majority of women with OAB had CS. It was found that more severe symptoms of CS were associated with worse urinary symptom severity and QoL in these patients. It may be beneficial to evaluate CS in the management of OAB and to consider CS when determining treatment strategies.
Effects of spinal stabilization exercises focusing on the pelvic floor in women with overactive bladder
(Springer, 2023) Toprak Şelenay, Ceyda; Korkut, Zehra; Bülbül, Saliha Beste; Altay, Hafize; Oskay, Kemal
Introduction and hypothesis: The objective was to investigate the effects of spinal stabilization exercises (SSEs) focusing on the pelvic floor with regard to urinary symptoms, pelvic floor muscle strength (PFMS), core stability, quality of life (QoL), and perception of subjective improvement (PSI) in women with overactive bladder (OAB). Methods: Patients were randomly divided into SSE (n=23) and control (n=24) groups. The SSE group received SSEs focusing on the pelvic floor for 3 days a week for 8 weeks and recommendation. The control group received only recommendation. Before (BT) and after treatment (AT), urinary symptoms were evaluated with Overactive Bladder Questionnaire-Version 8 (OAB-V8) and bladder diary. PFMS, core stability, and QoL were assessed using the Modified Oxford Scale (MOS), Sharman test, and King's Health Questionnaire (KHQ) respectively. AT, PSI with a Likert-type scale, and compliance with recommendations using a visual analog scale were assessed. Results: The OAB-V8 and the KHQ scores, the number of voids per day and voids per night decreased and the MOS and the Sharman scores increased in the SSE group (p<0.05). In the control group, the OAB-V8 and incontinence effect, social limitations, emotional state, and sleep sub-dimension scores related to KHQ decreased (p<0.05). The OAB-V8, role and physical limitations, emotional state, and sleep sub-dimension scores decreased more, and the MOS, the Sharman, the PSI, and the compliance with recommendations scores increased more in the SSE group than in the control group (p<0.05). Conclusions: The SSEs focusing on the pelvic floor improved urinary symptoms, PFMS, core stability, QoL, and PSI. This exercise approach may be beneficial in the management of OAB.
Tokyo 2020 Paralimpik Oyunlarına Hazırlanan Sporcuların Anksiyete, Depresyon ve Stres Düzeylerinin İncelenmesi
(Gazi Beden Eğitimi ve Spor Bilimleri Dergisi (Online), 2022) Yardımcı, Fatma Betül; Kulunkoğlu, Bahar
BAraştırmanın amacı 2020 Tokyo Paralimpik Oyunlarına hazırlanan engelli sporcuların anksiyete, depresyon, stres seviyelerini belirlemektir. Bu çalışma Paralimpik Oyunlarına hazırlanan 33 erkek ve 23 kadın sporcu olmak üzere toplamda 56 sporcu ile yapılmış ve sporcuların cinsiyet, yaş, eğitim durumu ve spor dalı gibi sosyodemografik özellikleri hakkında bilgiler toplanmıştır. Anksiyete, depresyon, stres seviyelerine ve cinsiyet etkisine ayrıca bunların birbiri ile ilişkisine bakılmıştır. Anksiyete değerlendirmesi için Durumluk-Sürekli Anksiyete Envanteri (State-Trait Anxiety Inventory/STAI), depresyon değerlendirmesi için Epidemiyolojik Araştırmalar Merkezi Depresyon Ölçeği (Center for Epidemiologic Studies Depression Scale/CES-D), stres değerlendirmesi için ise Algılanan Stres Ölçeği (ASÖ-14) kullanılmıştır. Bu çalışmaya katılmıştır. Sporcuların durumluk anksiyete, sürekli anksiyete, depresyon ve stres belirtileri göstermediği bulunmuştur. Cinsiyete göre ise anlamlı bir fark bulunamamıştır (p>0,05). Ayrıca durumluk anksiyete, sürekli anksiyete, depresyon ve stres parametrelerinin birbiri ile anlamlı ilişkisi olduğu görülmüştür. Paralimpik Oyunlar’a hazırlanıyor olmanın sporcuların anksiyete, depresyon ve stres seviyeleri üzerinde olumsuz etkileri gözlemlenmemiştir.

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