Fizyoterapi ve Rehabilitasyon Bölümü Makale Koleksiyonu

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https://hdl.handle.net/11492/3687

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Investigation of sectional surface area and volume of carpal tunnel, median nerve and structures ınside in unilateral carpal tunnel syndrome
(Universidad de la Frontera, 2024) Gulaçtı, Muhammet Mustafa; Acer, Niyazi; Kocaman, Hikmet; Demirel, Adnan
Carpal tunnel syndrome (CTS) is a common entrapment neuropathy of the median nerve (MN). The objective of this study was to evaluate and compare the cross-sectional surface area of the canalis carpi (CC), median nerve (MN), and flexor tendons (FTs) in patients diagnosed with unilateral carpal tunnel syndrome (CTS) with those of the unaffected side, utilizing magnetic resonance imaging (MRI). Additionally, the study aimed to assess and compare the volume of the CC and MN between the affected and unaffected sides. 18 unilateral CTS female patients were included in this study. Magnetic resonance images were obtained using a 1.5-T MRI scanner. The sectional surface area and volume of the CC, MN, and structures inside were measured using Analyze version 12.0 software. The sectional surface area and volume of the CC and MN were significantly larger on the CTS side than on the healthy side (p<0.05). The results showed that the cross-sectional surface area of CC gradually decreased towards the beginning and end of the CC, but the values were higher on the side with CTS than on the healthy side (p<0.05). The cross-sectional surface area of the CC, MN, and FTs was significantly larger on the CTS side compared to the healthy side. Furthermore, the volumes of the CC and MN were notably elevated on the CTS side in comparison to the healthy side. The measurement of these parameters using MRI may be useful in the diagnosis and assessment of CTS. © 2024, Universidad de la Frontera. All rights reserved.
Decreasing edema with platysma exercises following third molar extraction surgery: A randomized controlled trial
(Amsterdam, the Netherlands : Elsevier, c2005-, 2025) Ölmez, Sevim Beyza; Yazıcı, Gökhan; Önder, Merve; Yazıcı, Melek Volkan; Kafa, Nihan; Evli, Cengiz; Özlü, Mert; Orhan, Kaan
Background and purpose: The extraction of lower third molars is a routine procedure in dental practice however, it can lead to complications such as pain, edema and trismus. The aim of this study is to investigate the effects of platysma exercises applied after lower third molar tooth extraction on edema, while observing the differences in pain and trismus. Materials and methods: This randomized controlled trial was conducted at the Faculty of Dentistry, Ankara University. Thirty-one participants, aged 18-40, requiring impacted lower third molar extraction were randomly assigned to an intervention group following surgery (receiving platysma exercises and pharmacological treatment) or a control group (receiving pharmacological treatment only). Postoperative outcomes, including edema, pain, and trismus, were evaluated at four time points: preoperatively, and on postoperative days 1, 3 and 7. Edema was assessed via standardized facial measurements, pain using a visual analog scale, and trismus by measuring maximum inter-incisal distance. Results: The intervention group exhibited a significant reduction in edema compared to the control group by the seventh postoperative day (p < 0.05). No significant differences were observed in trismus or pain levels between the groups, although a trend towards lower pain scores was noted in the intervention group. Conclusion: Platysma exercises effectively reduce postoperative facial edema without exacerbating pain or trismus. This simple, cost-effective approach can be considered a valuable adjunct in the postoperative management of lower third molar extractions msö.
Is there a risk of developmental problems in infants born to mothers with gestational diabetes mellitus and/or pre-eclampsia?
(San Francisco, CA : Public Library of Science, 2025) Lokmanoğlu, Bilge Nur Yardımcı; Topal, Yusuf; Arıkan, Zeynep; Işık, Gülsen Sırtbaş; Çelik, Hasan Tolga; Mutlu, Akmer
Objective: The aims of this study were (i) to describe the early spontaneous movements in 3-to 5-month-old infants in groups of infants born to mothers with GDM and/or PE, (ii) to compare them, and (iii) to analyze the differences between infants with these risk factors and typically developing infants born to mothers without GDM and/or PE and other risk factors. Methods: This cohort study included 255 infants in 4 groups: (i) 96 infants born to mothers with GDM, (ii) 78 infants born to mothers with PE, (iii) 31 infants born to mothers with GDM and PE, and (iv) 50 typically developing infants. Early spontaneous movements, including not only fidgety movements but also concurrent movement and postural patterns, were assessed using the General Movements Assessment (GMA), which determines the Motor Optimality Score-Revised (MOS-R). Comparisons were made using one-way ANOVA for normally distributed continuous variables, Kruskal-Wallis test for non-normally distributed data, and Pearson chi-squared for categorical variables. Univariate logistic regression analyses were used to determine the odds ratios (OR) with 95% confidence intervals (CI). Results: There were no differences between the three groups, which included infants whose mothers had at least one of these risk factors (p>0.05). Infants born to mothers with GDM, infants born to mothers with PE, and infants born to mothers with both GDM and PE had more aberrant fidgety movements, reduced age-adequate movement repertoire, and more abnormal postural patterns than typically developing infants (p<0.05), in addition to lower MOS-R. When looking at those with ≤24 in MOS-R, the odds ratios were ≥2.74. Conclusion: Findings suggest that early spontaneous movements, GMA, may play a crucial role in understanding developmental outcomes of these infants and in determining infants who need early intervention.
Validity and reliability of the turkish version of the ottawa sitting scale in patients with multiple sclerosis
(Sprınger Heidelberg, 2025) Yıldız, Nazım Tolgahan; Canlı, Mehmet; Kocaman, Hikmet; Yetiş Aysu; Yıldırım, Hasan; Valamur, İrem
Purpose This study aimed to examine the validity and reliability of the Turkish version of the Ottawa Sitting Scale (OSS-TR) in patients with multiple sclerosis (MS). Methods The study included 52 patients aged 29-45 who were diagnosed with MS based on McDonald criteria. To establish construct validity, structural (with confirmatory factor analysis, CFA) and convergent validity were examined. For convergent validity, the associations between the OSS-TR score with the Trunk Impairment Scale (TIS) and Berg Balance Scale (BBS) scores were analyzed. The average variance extracted (AVE) and construct reliability (CR) were calculated to enhance the assessment of convergent validity. To assess the reliability of the OSS-TR, the scale was re-administered to all participants seven days later by the same rater, and the intraclass correlation coefficient (ICC) was computed to determine the test-retest reliability. Results According to the factor analysis results, the scale was found to have a single factor. CFA indicated that the model fit indices for the OSS-TR were acceptable, verifying its construct validity. Strong correlations between the OSS-TR score and BBS (r = 0.843) and TIS (r = 0.867) scores confirmed the convergent validity of the OSS-TR (p < 0.05). Furthermore, the fact that the AVE score (0.578) was greater than 0.50 and the CR score (0.905) was greater than 0.70 supported convergent validity. The OSS-TR had high test-retest reliability (ICC = 0.953) and internal consistency (Cronbach's alpha = 0.934). Conclusion According to the results of the study, the OSS-TR is a reliable and valid tool for assessing sitting balance in Turkish-speaking MS patients.
Segmental trunk control and developmental parameters in children with cerebral palsy aged 24 to 42 months: a cross-sectional study
(Lıppıncott Wıllıams & Wılkıns, 2025) Arıkan, Zeynep; Yardımcı-Lokmanoğlu, Bilge Nur; Mutlu, Akmer; Livanelioğlu, Ayşe
This study aimed (1) to investigate the relationship between segmental trunk control and motor, cognitive, and language development parameters in children with cerebral palsy (CP) and (2) to compare segmental trunk control levels and motor, language, and cognitive development in children with CP and typically developing (TD) peers. A cross-sectional observational study was conducted with 63 children aged between 24 and 42 months, including those with typical and atypical development. The atypical development group included 30 children with CP ranged from Gross Motor Function Classification System levels I to V (70.0% males, median age: 29 months, interquartile range: 25-36 months), and 33 children in the TD group (69.7% males, median age: 29 months, interquartile range: 26-36 months) included age-matched. Motor, language, and cognitive development domains were evaluated using the Bayley Scales of Infant and Toddler Development, Third Edition, and the level of trunk control was evaluated using the Segmental Assessment of Trunk Control. In children with CP, segmental trunk control was found to be strongly correlated with motor, cognitive, and language development (all P < .001, Spearman r ranged from 0.767-0.927). Furthermore, children with CP had lower segmental trunk control levels and cognitive, language, and motor development results than their TD peers (all P < .001). The strong relationship between segmental trunk control levels and developmental parameters can guide clinicians and therapists in planning and implementing intervention programs designed for children with CP who have difficulties in trunk control.
Investigation of the validity, reliability and psychometric properties of the turkish version of the ottawa sitting scale in patients with parkinson's disease
(2025) Yetiş, Aysu; Canlı, Mehmet; Yıldız, Nazım Tolgahan; Kocaman, Hikmet; Yıldırım, Hasan; Kuzu, Şafak; Valamur, İrem; Duran, Selcen
The Ottawa Sitting Scale is a tool for the multidimensional assessment of sitting balance. This study aimed to investigate the validity, reliability, and psychometric properties of the Turkish version of the Ottawa Sitting Scale (OSS-TR) in Turkish-speaking patients with Parkinson's disease (PD). The study included 56 patients diagnosed with PD based on the UK Brain Bank Criteria. Construct validity of the OSS-TR was established through the evaluation of structural and convergent validity. Explanatory factor analysis and confirmatory factor analysis (CFA) were carried out to determine the structural validity. Convergent validity was analysed by examining the relationships between OSS-TR with the Berg Balance Scale (BBS) and Trunk Impairment Scale (TIS). The test-retest reliability of the scale was assessed by intraclass correlation coefficient (ICC) and internal consistency was assessed by Cronbach's alpha coefficient. The good fit determined according to the model fit criteria based on the CFA results confirmed the structural validity. Furthermore, the high associations between OSS-TR with the BBS (r = 0.766) and TIS (r = 0.720) supported convergent validity (p < 0.05). Test-retest reliability of the OSS-TR was excellent (ICC = 0.867). Moreover, internal consistency was high (Cronbach's alpha = 0.948). The OSS-TR is a valid and reliable instrument for assessing sitting balance in Turkish-speaking PD patients. Regarding the results of the study, OSS-TR can be considered useful in the evaluation of sitting balance among PD patients in clinical and research settings.
Anatomical and embryological development of the chick cerebrum in different embryonic periods
(Wiley, 2025) Selçuk, Muhammet Lütfi; Kayıkçı, Fatma
The objective of this study is to assess the embryological and morphometric development of the chick cerebrum during specific incubation periods. The cerebrums of 24 Babcock White Leghorn chicks, six each from the 10th, 13th, 16th and 21st days of the incubation period, were used in the study. After removing the heads of fixed embryos from the upper edge of the atlas, the brains were taken out of the cranial cavity. Morphometric measurements were performed on the removed brains, and paraffin blocks were prepared following the routine histological procedure. Sections 5 mu m thick were taken from the blocks, with an additional 10 mu m thick section taken every 50th section. The slides were then stained using Crossmon's triple stain and Kl & uuml;ver-Barrera staining methods and photographed. The sectional images were transferred to the ImageJ programme, brain volume was calculated using stereological methods, and histological measurements were performed. The development of brain parts in selected embryonic periods was examined in detail, focusing on anatomical and histological aspects. According to the results, it was determined that all measured parameters, except the third ventricle width, increased and were statistically significant (p < 0.05). It is believed that the findings of this study will enhance the understanding of the region's anatomy. The new morphometric data can serve as reference data in neurotoxicity and embryotoxicity studies.
Wii fit exercise's effects on muscle strength and fear of falling in older adults with alzheimer disease: A randomized controlled trial
(Human Kinetics Publ Inc, 2024) Uğur, Fatma; Sertel, Meral
Purpose: This study aimed to investigate how Wii Fit exercises affect muscle strength and fear of falling in older adults with Alzheimer's disease. Method: The study included a total of 32 volunteers with Alzheimer's disease, aged 65-80 years. These participants were divided into two groups: the exercise group and the control group. The exercise group received a 30-min (one session) twice-weekly exercise program for 6 weeks with games selected from different categories, such as balance and aerobic exercises, with the Nintendo Wii virtual reality device. During this period, the control group did not receive any treatment, and routine medical treatments continued. At baseline and 6 weeks later, Mini-Mental State Examination, knee extension muscle strength, Timed Up and Go Test, and Tinetti Fall Efficacy Scale results were recorded in the exercise and control groups. Results: In intragroup comparison, a statistically significant difference was found in all tests (muscle strength, Timed Up and Go Test, and Tinetti Fall Efficacy Scale) in the exercise group after the exercise program (p < .05), while no significant difference was found in the control group (p > .05). According to the interaction of group and time in the intergroup comparison, there was no difference between the groups (exercise and control group) in muscle strength and Timed Up and Go Test (p > .05), but there was a difference in Tinetti Fall Efficacy Scale (p < .05). Conclusions: This randomized controlled trial supports the claim that Wii Fit exercises can reduce the fear of falling in older adults with Alzheimer's disease.
An investigation of machine learning algorithms for prediction of temporomandibular disorders by using clinical parameters
(Lippincott Williams & Wilkins, 2024) Yıldız, Nazım Tolgahan; Kocaman, Hikmet; Yıldırım, Hasan; Canlı, Mehmet
This study aimed to predict temporomandibular disorder (TMD) using machine learning (ML) approaches based on measurement parameters that are practically acquired in clinical settings. 125 patients with TMD and 103 individuals without TMD were included in the study. Pain intensity (with visual analog scale), maximum mouth opening (MMO) and lateral excursion movements (with millimeter ruler), cervical range of motion (with goniometer), pressure pain threshold (PPT; with algometer), oral parafunctional behaviors (with Oral Behaviors Checklist), psychological status (with Hospital Anxiety and Depression Scale), and quality of life (with Oral Health Impact Profile) were evaluated. The measurements were analyzed via over 20 ML algorithms, taking into account an extensive parameter tuning and cross-validation process. Results of variable importance were also provided. Bagging algorithm using Multivariate Adaptive Regression Spline (MARS) algorithm (accuracy = 0.8966, area under receiver operating characteristic curve = 0.9387, F1-score = 0.9032) was the best performing model regarding the performance criteria. According to this model, the 5 most important variables for predicting TMD were pain intensity, MMO, lateral excursion and PPT values of masseter and temporalis anterior muscles, respectively. The Bagging algorithm using the MARS algorithm is a robust model that, in combination with clinical parameters, assists in the detection of patients with TMD in settings with limited capabilities. The clinical parameters and ML algorithm proposed in this study may assist clinicians inexperienced in TMD to make a preliminary detection of TMD in clinics where diagnostic imaging tools are limited.
Could There Be a Relationship Between Paranasal Sinus and Migraine Etiology?
(2024) Payas, Ahmet; Göktürk, Şule; Göktürk, Yasin; Koç, Ali; Tokpınar, Adem; Kocaman, Hikmet
Aim: Migraine is a complex neurological disease with a neurogenic inflammatory component in which nitric oxide (NO) levels increase. Studies have shown that the NO level produced in adults is closely related to the paranasal sinus volume. The aim of this study is to investigate the differences in paranasal sinus volumes responsible for NO synthesis in migraine patients. Material and Method: The paranasal sinuses of migraine patients (n=50) and healthy subjects (n=50) were examined using cranial T1-weighted magnetic resonance images (MRI). Right and left maxillary, sphenoid and frontal-ethmoid sinus volumes of the groups were calculated in 3D Slicer program and recorded in mm3. Statistical analysis of the study was performed with IBM SPSS 23.0 and p<0.05 values were considered significant. Results: A statistically significant difference was observed between migraine patients and healthy subjects across all sinus volumes, with the sinus volumes of migraine patients being higher than those of healthy subjects (p<0.05). Conclusion: We think that the fact that the paranasal sinus volume, which is primarily responsible for NO synthesis, was found to be high in migraine patients may be related to the high NO level in migraine patients.
Aşil Tendon Yaralanmaları ve Erken Dönem Fonksiyonel Rehabilitasyon Uygulamaları
(2022) Ceylan, Ali; Demirdel, Ertuğrul
Aşil, vücudumuzun en güçlü ve büyük kuvvetlere karşı koyabilen tendonudur. Günlük yaşam ve spor aktiviteleri sırasında görülen aşil tendon yaralanmaları, tendonun yapışma noktası olan kalkeneusun 2-6 cm proksimalindeki nispeten avasküler bölgesinde gerçekleşmektedir. Yaralanmada cerrahi veya konservatif tedavi tercihleri hastanın yaşı, yırtığın tipi ve lokalizasyonu, hastanın mesleği, kronik hastalık gibi durumlardan etkilenmektedir. Özellikle uzun süreli atel veya alçı ile gerçekleştirilen immobilizasyonun cerrahi sonrası tercih edilmemesi ve uzun bacak alçılamasından kaçınılması gerekmektedir. İmmobilizasyonun kaslarda atrofi, adhezyon, eklem sertliği, tendonda kısalıklara neden olması fonksiyonel rehabilitasyona olan ilgiyi artırmıştır. Erken fonksiyonel rehabilitasyon cerrahi olsun veya olmasın erken dönemde ağırlık aktarma, kontrollü eklem hareket açıklığı ve her ikisinin kombinasyonu egzersizlerle dinamik bir rehabilitasyonu ve mobilizasyon sürecini içermektedir. İmmobilizasyon uygulamalarının aksine erken dönemde verilecek mobilizasyon eğitimleri (ayak bileği egzersizler, erken ağırlık taşıma aktiviteleri vb) hızlı bir fonksiyonel iyileşme sağlamakta, işe dönüşü, yaşam kalitesini ve hasta memnuniyetini olumlu etkilemektedir. Doğru planlanıp yapılandırılan rehabilitasyon programlarının sağlığın korunması ve devam ettirilmesi ile hastalıkların önlenmesinde önem arz etmektedir. Hastanın ihtiyaçları doğrultusunda klinik becerilerini ortaya koyan ve literatürü yakından takip eden fizyoterapistlerin gözetiminde multidisipliner yaklaşımlarla gerçekleştirilecek erken dönem fonksiyonel rehabilitasyon uygulamalarının hastanın yaşam kalitesi ve aktivitelere dönüşünde oldukça önemlidir.
Carpal tunnel syndrome prediction with machine learning algorithms using anthropometric and strength-based measurement
(Public Library of Science, 2024) Yetiş, Mehmet; Kocaman, Hikmet; Canlı, Mehmet; Yıldırım, Hasan; Yetiş, Aysu; Ceylan, İsmail
Objectives Carpal tunnel syndrome (CTS) stands as the most prevalent upper extremity entrapment neuropathy, with a multifaceted etiology encompassing various risk factors. This study aimed to investigate whether anthropometric measurements of the hand, grip strength, and pinch strength could serve as predictive indicators for CTS through machine learning techniques. Methods Enrollment encompassed patients exhibiting CTS symptoms (n = 56) and asymptomatic healthy controls (n = 56), with confirmation via electrophysiological assessments. Anthropometric measurements of the hand were obtained using a digital caliper, grip strength was gauged via a digital handgrip dynamometer, and pinch strengths were assessed using a pinchmeter. A comprehensive analysis was conducted employing four most common and effective machine learning algorithms, integrating thorough parameter tuning and cross-validation procedures. Additionally, the outcomes of variable importance were presented. Results Among the diverse algorithms, Random Forests (accuracy of 89.474%, F1-score of 0.905, and kappa value of 0.789) and XGBoost (accuracy of 86.842%, F1-score of 0.878, and kappa value of 0.736) emerged as the top-performing choices based on distinct classification metrics. In addition, using variable importance calculations specific to these models, the most important variables were found to be wrist circumference, hand width, hand grip strength, tip pinch, key pinch, and middle finger length. Conclusion The findings of this study demonstrated that wrist circumference, hand width, hand grip strength, tip pinch, key pinch, and middle finger length can be utilized as reliable indicators of CTS. Also, the model developed herein, along with the identified crucial variables, could serve as an informative guide for healthcare professionals, enhancing precision and efficacy in CTS prediction. © 2024 Yetiş et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
The Turkish minimum dataset for chronic low back pain research: a cross-cultural adaptation of the National Institutes of Health Task Force Research Standards
(Taylor and Francis Ltd., 2024) Maraş, Gökhan; Ölmez, Sevim Beyza; Maraş, Belma Değerli; Citaker, Seyit
Background: The US National Institutes of Health (NIH) has produced a minimal data set to promote more accurate and consistent reporting of clinical trials, facilitating easier comparison of research on low back pain patients worldwide. The NIH-minimal dataset has not been previously translated into Turkish, and its features are currently unknown. This study aimed to adapt the NIH-Minimal Data Set into Turkish and investigate its validity and reliability in Turkish-speaking patients with chronic low back pain (CLBP). Methods: In the study, 245 patients with CLBP were included. Test-retest and internal consistency analyzes were performed to evaluate the reliability of the NIH-minimal dataset. The intraclass correlation coefficient (ICC2,1) value was used to assess test-retest analysis. Cronbach's alpha value was calculated for internal consistency. Total impact scores of the NIH-minimal dataset were compared with total scores of the Roland Morris Disability Questionnaire (RMDQ) and Oswestry Disability Index (ODI) to assess construct validity. The minimal detectable change (MDC95) was calculated based on the standard error of measurement (SEM95). Results: The NIH-Minimal Data Set was found to have high test-retest reliability (ICC2,1 = 0.928) and high internal consistency (Cronbach alpha = 0.905). The NIH-minimal dataset correlated well with RMDQ and ODI (r = 0.750 and 0.810, respectively). There were no floor or ceiling effects. Also, SEM95 and MDC95 for the total score were 4.57 and 12.55, respectively. Conclusion: Considering all these data, it was concluded that the Turkish version of the NIH-minimal dataset is a valid and reliable outcome measure for evaluating patients with CLBP.
Validity and reliability of the modified four square step test in individuals with ankle sprain
(BioMed Central Ltd., 2024) Yetiş, Mehmet; Kocaman, Hikmet; Canli, Mehmet; Yıldırım, Hasan; Yıldız, Nazım Tolgahan
Background: Postural instability and gait abnormalities are frequently observed after an ankle sprain. A modified Four Square Step Test (mFSST) was developed to assess dynamic balance during gait. The aim of this study was to evaluate the reliability and validity of the mFSST in individuals with ankle sprains. Methods: The study included 39 individuals with grade 1 and 2 ankle sprains with a mean age of 30.36 ± 6.21 years. The dynamic balance of the participants was assessed with the mFSST and Timed Up & Go test (TUG). To determine the test-retest reliability of the mFSST, the test was repeated approximately 1 h apart. Results: The test-retest reliability of the mFSST was excellent (ICC = 0.85). Furthermore, when the concurrent validity of the mFSST was examined, a high correlation was found between with the TUG (r = 0.78, p < 0.001). Conclusion: The mFSST is a valid and reliable clinical assessment method for evaluating dynamic balance during walking in individuals with ankle sprains. We think that the mFSST is preferable in clinical evaluations because its platform is easy to prepare and requires very little equipment.
Validity and reliability of the Turkish version of the 20-item jaw functional limitation scale
(Taylor and Francis Ltd., 2024) Yıldız, Nazım Tolgahan; Kocaman, Hikmet; Bingöl, Hasan
Purpose: This study aimed to translate the 20-item Jaw Functional Limitation Scale (JFLS-20) into Turkish (JFLS-20-TR) and investigate the psychometric properties of the JFLS-20-TR. Methods: This study included 232 patients with temporomandibular disorder (TMD) and 130 individuals without TMD. Structural (with confirmatory factor analysis [CFA]), convergent (with pain intensity, Fonseca Anamnestic Index [FAI], and Oral Health Impact Profile [OHIP-14]), discriminant (with maximum mouth opening [MMO]) and known-group validity were investigated to assess the construct validity. Cronbach's alpha for internal consistency and the intraclass correlation coefficient (ICC2,1) for test-retest reliability were calculated. Additionally, content and face validity, smallest detectable change (SDC95), and floor/ceiling effects were evaluated. Results: According to CFA, the model fit indices were acceptable for JFLS-20-TR, confirming structural validity. Strong correlations were found between the global and subdomain scores of the JFLS-20-TR and pain intensity (r >= 0.80), FAI (r >= 0.83), OHIP-14 (r >= 0.76), and MMO (r >= -0.79) scores, confirmed the convergent and discriminant validity of the JFLS-20-TR. In addition, JFLS-20-TR differentiated between patients with TMD and individuals without TMD (p < .05). Internal consistency (Cronbach's alpha values: 0.91-0.93) was excellent, and test-retest reliability (ICC2,1 values: 0.91-0.95) was high. Content and face validity were satisfactory. The SDC95 values ranged from 0.79 to 1.43. No floor or ceiling effects were observed. Conclusion: The JFLS-20-TR is a valid, reliable, and useful tool for assessing jaw functional limitations in Turkish-speaking patients with TMD.
Timed 360° turn test following anterior cruciate ligament reconstruction: A cross-sectional reliability and validity study
(Erciyes University, 2024) Kocaman, Hikmet; Canlı, Mehmet; Alkan, Halil; Yıldırım, Hasan; Yıldız, Nazım Tolgahan
Objective: This study aims to evaluate the validity and reliability of the Timed 360 degrees Turn Test (360 degrees-TTT) in measuring dynamic balance in patients who have undergone anterior cruciate ligament reconstruction (ACL-R) surgery. Materials and Methods: Forty patients who underwent ACL-R surgery were included in this study. The reliability analysis involved evaluating the inter -rater and test -retest reliability of the test duration and number of steps of the 360 degrees-TTT by calculating intraclass correlation coefficients (ICCs). To assess the concurrent validity of the 360 degrees-TTT, correlations between the test duration and number of steps of the 360 degrees-TTT and the Berg Balance Scale (BBS) and Time Up and Go (TUG) test were examined. Additionally, standard error of measurement(95 )(SEM95) and minimal detectable change(95) (MDC95) values were computed for the test duration and number of steps of the 360 degrees-TTT. Results: The inter -rater and test -retest reliability for both the test duration and the number of steps within the 360 degrees-TTT demonstrated excellence, with ICCs of 0.83, 0.91, 0.88, and 0.87, respectively. A statistically significant correlation was observed between the 360 degrees-TTT and both the BBS and the TUG (p<0.001). The inter -rater and test -retest reliability of the raters was visually confirmed using Bland -Altman plots, further affirming the consistency of outcomes. The SEM95 and MDC95 values for the test duration and number of steps of the 360 degrees-TTT were 0.09, 0.24, 0.18, and 0.49, respectively. Conclusion: The 360 degrees-TTT is a reliable and valid method for evaluating dynamic balance in patients undergoing ACL-R surgery.
An analysis of spatial designs produced through mid-journey in relation to creativity standards
(2023) Müezzinoğlu, Menşure Kübra; Akan, Serpil; Dilek, Halil Yasin; Güçlü, Yelda
The purpose of this study is to comprehend how the artistic spaces developed by designer Hassan Ragab using Midjourney, one of the artificial intelligence technologies whose significance is growing every day, fit into the intersection of architecture and art. Using the random sampling method, six space modellings with three distinct forms and functions were selected for the study from the artistic spaces made by Hassan Ragab via Midjourney. People who have received or are undergoing design training were surveyed to analyze their perception of creative design principles in selected works. A total of 200 participants from two distinct design sub-professional groups were subjected to the research. According to the study, artificial intelligence offers a way for people without artistic ability to access art. Midjourney is an AI research lab with its own program and online platform that generates artwork from provided text. By using Midjourney, architectural designs can be turned into artistic works. Experts have found that most spatial designers have yet to try Midjourney and that the program has a significant impact on creative design principles like fluency, flexibility, elaboration, originality and freedom.
Computed tomography reconstruction and morphometric analysis of the humerus and femur in New Zealand rabbits
(2023) Selcuk, Muhammet Lutfi
Aim: This study was carried out to create three-dimensional (3D) models of the humerus and femur using computed tomography (CT) images of the New Zealand rabbit and to reveal whether there are differences between sexes and the right and left sides. Materials and Methods: The study was applied on 14 month old (10 male and 10 female) New Zealand rabbits. First, 0.5 mm thick images of the animals were taken by computed tomography (CT) and saved in DICOM format. Then, 3D models of the humerus and femur were obtained by reconstructing the images with the MIMICS 20.1 program. Morphometric data were obtained from the obtained 3D model. After this procedure, the rabbits were dissected and the weights of the humerus and femur were measured. Results: It was determined that the right humerus and femur volume and surface area in male rabbits were larger from the left side (p<0.05). There was no difference between the other morphometric values examined and rabbit bones did not show homotypic variation. In addition, it was thought that the humerus and femur bones could not be used to determine gender because the differences between the sexes were insignificant. Conclusion: It was thought that this study would provide the basis for studies and experimental models on rabbits by revealing the morphological features of the humerus and femur and would help the physician in the diagnosis of diseases by forming the basis of the data obtained with the imaging systems used in the clinical field.
Examination of functional ankle instability in soccer players: a prospective study
(Kamuzu Univ Health Sciences - Kuhes, 2023) Ünver, Gülşah; Kocaman, Hikmet; Eroğlu, Hüseyin
Aim The foot area is one of the most active body parts in soccer branch. There may be various loads on the foot in soccer players and ankle instability may be occur. The present study aimed to evaluate functional ankle instability in soccer players and examine it in terms of some variables. Methods A total of 175 male soccer players were included in the present study. The ankle instability of soccer players was evaluated with the Identification of Functional Ankle Instability (IdFAI) scale. Results It was determined that 35.4% of the soccer players had functional ankle instability in their right foot, 29.7% in their left foot, and 46.3% on at least one side. The average IdFAI total score of the all players was 9.39 +/- 6.18 for the right side and 8.20 +/- 5.55 for the left side. When the soccer players were evaluated regarding the position they played, it was determined that the mean of the IdFAI total score for both feet was higher in the midfielders. Conclusions It is thought that the results of the study may contribute to the determination of risk factors for the foot part and shed light on the development of prevention strategies for injuries in soccer players.
Factors influencing of quality of life in adolescent idiopathic scoliosis
(Elsevier, 2022) Kaya, Mehmet Hanifi; Erbahçeci, Fatih; Alkan, Halil; Kocaman, Hikmet; Büyükturan, Buket; Canlı, Mehmet; Büyükturan, Öznur
Background: Adolescent idiopathic scoliosis (AIS) is the lateral and horizontal deformity of the vertebral column which occurs idiopathically during adolescence. The aim of this study is to identify independent predictors of quality of life in AIS patients. Methods: In total, 31 adolescent patients diagnosed with AIS aged between 10 and 18 years old were included in the study. The scoliosis severity was determined for each patient according to the Cobb method, and their scoliosis perception using the Walter Reed Visual Assessment Scale, a pain assessment was conducted based on the Visual Analog Scale, quality of life using the Scoliosis Research Society-22 questionnaire, and depression level according to the Children's Depression Scale. Multiple Linear Regression analysis was then performed in order to determine the independent determinants of health-related quality of life. Findings: According to the Linear Regression analysis results, children's depression scale, walter reed visual assessment scale, cobb, and anterior trunk rotation explained 52.7% of the variance as independent determinants of SRS-22. Interpretation: The study examined the determinants affecting the quality of life in AIS patients. The results of the study showed that scoliosis severity, perception of cosmetic deformity, degree of rotation, and depression level to be predictors of quality of life in AIS patients. "This trail registered with NCT05242601."

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