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    A possible relationship between respiratory muscle weakness and familial mediterranean fever: A case report
    (Turkish Physiotherapy Association, 2014) Buran Cirak, Yasemin; Yılmaz, Gül Deniz; Parlak Demir, Yasemin; Can Karahan, Zehra; Dalkilinç, Murat
    To Familial Mediterranean Fever (FMF) is an autoinflammatory disorder with genetic origin. Pleuritis is most common in FMF. Long-term sequelae of respiratory system haven't been described in FMF. We documented pulmonary manifestations in patient with FMF. A 61-year-old woman presented with dyspnea, unilateral chest pain, generalized myalgia and FMF. Physical examination was unremarkable. Radiological data showed left-sided pleuritis, minimal pleural effusion. Pleural effusion resolved spontaneously in one week later but patient had still dyspnea. Pulmonary function tests (PFT) was normal. Further examination detected respiratory muscle weakness and decreased functional capacity. Patient then underwent inspiratory muscle training (IMT) for six weeks. After training, inspiratory muscle strength and functional capacity increased. Perception of dyspnea and fatique decreased. In long-term follow-up, frequency of attacks decreased. To our knowledge, there is no study on respiratory muscle weakness and IMT in FMF. Although this report doesn't provide direct evidence, it may provide recommendation for investigation of respiratory muscle weakness and treatment with IMT in FMF with respiratory impairments. Randomized controlled trials are needed. © 2020 Elsevier B.V., All rights reserved.
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    AGE-AND SEX-RELATED DIFFERENCES IN PHYSICAL FITNESS AND PHYSICAL ACTIVITY LEVELS OF THE PHYSICALLY INDEPENDENT COMMUNITY-DWELLING OLDER ADULTS
    (Gunes Kitabevi Ltd Sti, 2015) Cirak, Yasemin; Yilmaz Yelvar, Gul Deniz; Parlak Demir, Yasemin; Dalkilinc, Murat; Mustafa, Korkmaz; Tagil, Suleyman Murat
    Introduction: The aim of the study was to assess health-related physical fitness and physical activity levels of young elderly (60-69 years) and old elderly (70-80 years) people and to show the differences with age and gender. Materials and Method: The level of physical activity was evaluated using the International Physical Activity Questionnaire(IPAQ-short) and each participant completed a battery of health-releated physical fitness tests adapted from ALPHA-FIT test batteries. Results: A sample of 143 participants aged between 60 to 80 years, of which 70 were in young elderly group (60-69 years) and 73 were in old elderly group (70-80 years) was recruited. One leg stand, figure of eight walk and shoulder neck mobility showed a statistically significant difference (p<0.05) between young elderly (60-69 years) and old elderly women (70-80 years). But there is no statistically significant difference in the distance of six minute walk test for the cardiorespiratory fitness between young elderly and old elderly women. Hand grip and shoulder neck mobility showed a statistically significant difference (p<0.05) between age groups. In the body composition, no statistically significant difference were observed between two age groups in the waist circumference and BMI regardless of gender. There is no statistically significant difference in the total score of physical activity between young elderly and old elderly men. But a significant difference (p<0.05) between young elderly and old elderly women was found. Conclusions: Our results indicate that women had much more decreased physical fitness and physical activity level with age.
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    Age-and sex-related differences in physical fitness and physical activity levels of the physically independent community-dwelling older adults
    (Geriatrics Society, 2015) Buran Cirak, Yasemin; Yilmaz Yelvar, Gul Deniz; Parlak Demir, Yasemin; Dalkilinç, Murat; Mustafa, Korkmaz; Tağil, Süleyman Murat
    Introduction: The aim of the study was to assess health-related physical fitness and physical activity levels of young elderly (60-69 years) and old elderly (70-80 years) people and to show the differences with age and gender. Materials and Method: The level of physical activity was evaluated using the International Physical Activity Questionnaire(IPAQ-short) and each participant completed a battery of healthreleated physical fitness tests adapted from ALPHA-FIT test batteries. Results: A sample of 143 participants aged between 60 to 80 years, of which 70 were in young elderly group (60-69 years) and 73 were in old elderly group (70-80 years) was recruited. One leg stand, figure of eight walk and shoulder neck mobility showed a statistically significant difference (p<0.05) between young elderly (60–69 years) and old elderly women (70–80 years). But there is no statistically significant difference in the distance of six minute walk test for the cardiorespiratory fitness between young elderly and old elderly women. Hand grip and shoulder neck mobility showed a statistically significant difference (p<0.05) between age groups. In the body composition, no statistically significant difference were observed between two age groups in the waist circumference and BMI regardless of gender. There is no statistically significant difference in the total score of physical activity between young elderly and old elderly men. But a significant difference (p<0.05) between young elderly and old elderly women was found. Conclusions: Our results indicate that women had much more decreased physical fitness and physical activity level with age. © 2016 Elsevier B.V., All rights reserved.
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    The importance of individual learning styles in physiotherapy students
    (Turkish Physical Therapy Association yyakut@haceteppe.edu.tr, 2014) Parlak Demir, Yasemin; Buran Cirak, Yasemin; Yilmaz y, Gül Deniz; Dalkilinç, Murat; Kömürcü, Mahmut
    Purpose: Individual multidimensional characteristics of each student should be investigated in order to understand the information acquisition and processing styles while determining and evaluating their subjective learning styles. Since being practice-based and multidisciplinary in nature, physiotherapy education involves different competencies and skills than other health professions. Therefore, it is far important to identify the learning styles of students. The aim of this study was to investigate learning styles of the physiotherapy students and so, developing recommendations for effective and efficient physiotherapy education. Method: Individual learning styles of 63 undergraduate level physiotherapy students were determined by using 44 variables of The Turkish Version of Learning Styles Questionnaire which was developed by Barbara A. Soloman and Richard M. Felder. In the survey, there are 11 variables in each of the four sub-parameters: processing knowledge (active-reflective), knowledge detection (sensing-intuitive), data input (visual-verbal), and knowledge comprehension (sequential-global). Results: In active/reflective category, 33.3% of the students were found to be extrovert-balanced and 31.7% introvert-balanced. In sensitive/intensive category, 44.4% of the students were found to be sensitive moderate. 39.7% of the students were found to be visual moderate. In sequential/global category 41.3% of the students were found to be sequential moderate. Discussion: Results of moderate and balanced preferences show that physiotherapy students can learn more easily if educational settings were made according to the preferences into four categories "reflective, sensitive, visual and sequential". In other words, physiotherapy education which is designed by taking these four dimensions (reflective, sensitive, visual and sequential) into consideration will be more significant for physiotherapy students. © 2014 Elsevier B.V., All rights reserved.
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    The increase of mean platelet volume in patients with Alzheimer disease
    (Tubitak Scientific & Technological Research Council Turkey, 2014) Koc, Emine Rabia; Uzar, Ertugrul; Cirak, Yasemin; Parlak Demir, Yasemin; Ilhan, Atilla
    Background/aim: Vascular risk factors play an important role in the progression of Alzheimer disease (AD). Mean platelet volume (MPV) is a determinant of platelet functionality and increased MPV is associated with an increased risk of vascular inflammation. Here we aimed to examine whether MPV could be used as a marker of vascular damage in AD and to discuss the relation between MPV and other vascular risk factors. Materials and methods: A total of 109 outpatients with AD and 81 healthy controls were included in this study. Diagnosis of AD was made according to defined criteria. The Turkish version of the Mini Mental State Examination (MMSE) was used for cognitive assessment. According to the test results, patients were divided into 2 subgroups, mild (MMSE >= 18) and moderate (MMSE < 18), and their MPV levels were compared. Results: MPV levels were higher in the AD group. There was no statistically significant difference between the moderate group and the mild group according to MPV values. Conclusion: Increased MPV in patients with AD may point to platelet dysfunction. MPV is an indicator of increased in vivo platelet activation. Hence, platelets could be the link between vascular risk factors and AD. The assessment of MPV in patients with AD may help identify the patients that could benefit from additional antiplatelet therapy.