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Öğe Effects of additional manual therapy over inspiratory muscle training in patients with chronic obstructive pulmonary disease: A randomized controlled trial(European Respiratory Soc Journals Ltd, 2015) Cirak, Yasemin; Yelvar, Gul Deniz Yilmaz; Demir, Yasemin Parlak; Dalkilinc, Murat; Kizilirmak, Deniz; Bozkurt, Bulent[Abstract Not Available]Öğe Immediate effect of manual therapy on respiratory functions and inspiratory muscle strength in patients with COPD(Dove Medical Press Ltd, 2016) Yelvar, Gul Deniz Yilmaz; Cirak, Yasemin; Demir, Yasemin Parlak; Dalkilinc, Murat; Bozkurt, BulentObjective: The objective of this study was to investigate the immediate effect of manual therapy (MT) on respiratory functions and inspiratory muscle strength in patients with COPD. Participants and methods: Thirty patients with severe COPD (eight females and 22 males; mean age 62.4 +/- 6.8 years) referred to pulmonary physiotherapy were included in this study. The patients participated in a single session of MT to measure the short-term effects. The lung function was measured using a portable spirometer. An electronic pressure transducer was used to measure respiratory muscle strength. Heart rate, breathing frequency, and oxygen saturation were measured with a pulse oximeter. For fatigue and dyspnea perception, the modified Borg rating of perceived exertion scale was used. All measurements were taken before and immediately after the first MT session. The ease-of-breathing visual analog scale was used for rating patients' symptoms subjectively during the MT session. Results: There was a significant improvement in the forced expiratory volume in the first second, forced vital capacity, and vital capacity values (P < 0.05). The maximal inspiratory pressure and maximal expiratory pressure values increased significantly after MT, compared to the pre-MT session (P < 0.05). There was a significant decrease in heart rate, respiratory rate (P < 0.05), and dyspnea and fatigue perception (P < 0.05). Conclusion: A single MT session immediately improved pulmonary function, inspiratory muscle strength, and oxygen saturation and reduced dyspnea, fatigue, and heart and respiratory rates in patients with severe COPD. MT should be added to pulmonary rehabilitation treatment as a new alternative that is fast acting and motivating in patients with COPD.Öğe Immediate effects of manual therapy in patients with chronic obstructive pulmonary disease(European Respiratory Soc Journals Ltd, 2015) Yelvar, Gul Deniz Yilmaz; Cirak, Yasemin; Demir, Yasemin Parlak; Dalkilinc, Murat; Kizilirmak, Deniz; Bozkurt, Bulent[Abstract Not Available]Öğe Impairments of postural stability, core endurance, fall index and functional mobility skills in patients with patello femoral pain syndrome(Ios Press, 2017) Yelvar, Gul Deniz Yilmaz; Cirak, Yasemin; Dalkilinc, Murat; Demir, Yasemin Parlak; Baltaci, Gul; Komurcu, MahmutBACKGROUND: Postural control allows performance of daily and sports activities. The previous studies show that postural sway inceases in orthopaedic injuries such as osteoarthritis and total knee arthroplasty. OBJECTIVE: To compare postural sway, risk of falling and function between individuals with and without patellofemoral pain syndrome (PFS). METHODS: This study included 22 subjects with patellofemoral pain syndrome, age-matched pain-free 22 females serving as a control group. Visual anolog scale and Kujala were used to evaluate the pain. Posturographic assesment was performed by Tetrax posturographic device. Biering Modified Sorenson test for extensor endurance and sit-up test for flexor endurance were used for the evaluation of trunk endurance. Timed get-up and go test was used for lower extremity function. The Student's t Test was used to compare variables between the groups. The Pearson correlation coefficients were calculated to examine correlation between the quantitative variables. RESULTS: Postural sway included eyes open without pillow, eyes open on pillow, eyes closed on pillow, risk of falling, function and postural stabilization included flexor endurance, extansor endurance are impared in patient with patellofemoral pain syndrome when compare to controls. In subjects with PFPS increased postural sway significantly associated with body mass index (r = 0.52), pain duration (r = 0.43), postural control (extansor endurance) (r = -0.50) and risk of falling (r = 0.62) on pillow with open eyes. In addition we found function significantly related with postural control (extansor endurance and flexor endurance) (r = -0.59 and r = -0.59) and risk of falling (r = 0.77) . CONCLUSIONS: Decreased neuromuscular control of the trunk core and increased postural sway and falling risk were found in patients with PFPS. Patients may be evaluated for deficits in postural control and falling risk before treatment.Öğe Is physiotherapy integrated virtual walking effective on pain, function, and kinesiophobia in patients with non-specific low-back pain? Randomised controlled trial(Springer, 2017) Yelvar, Gul Deniz Yilmaz; Cirak, Yasemin; Dalkilinc, Murat; Demir, Yasemin Parlak; Guner, Zeynep; Boydak, AysenurAccording to literature, virtual reality was found to reduce pain and kinesiophobia in patients with chronic pain. The purpose of the study was to investigate short-term effect of the virtual reality on pain, function, and kinesiophobia in patients with subacute and chronic non-specific low-back pain This randomised controlled study in which 44 patients were randomly assigned to the traditional physiotherapy (control group, 22 subjects) or virtual walking integrated physiotherapy (experimental group, 22 subjects). Before and after treatment, Visual Analog Scale (VAS), TAMPA Kinesiophobia Scale (TKS), Oswestry Disability Index (ODI), Nottingham Health Profile (NHP), Timed-up and go Test (TUG), 6-Minute Walk Test (6MWT), and Single-Leg Balance Test were assessed. The interaction effect between group and time was assessed by using repeated-measures analysis of covariance. After treatment, both groups showed improvement in all parameters. However, VAS, TKS, TUG, and 6MWT scores showed significant differences in favor of the experimental group. Virtual walking integrated physiotherapy reduces pain and kinesiophobia, and improved function in patients with subacute and chronic non-specific low-back pain in short term.
