Epilepsili çocuklarda ‘impact of childhood neurological disability scale’ skalasının Türkçe versiyonunun geçerlilik ve güvenirliliği

Objectives: The Impact of Childhood Neurological Disability Scale (ICNDS) was developed by Carol Camfield in 1999. The assessment evalu-ates the effects of various conditions on overall health, relationships, social life, academic success, the child’s self-esteem, hopes for the child and caregiver, and family activities in children with epilepsy. At the end of the assessment, a visual scale is provided to orally score quality of life between 1 (very poor) and 6 (excellent). The aim of this study was to translate and adjust the ICNDS scale for use in Turkey, and to ensure the validity and reliability of the tool. Methods: The scale was translated into Turkish using the appropriate translation methods. Internal structure consistency and test-retest reli-ability were measured. Cronbach’s alpha coefficient was calculated for all of the subscales, and scale and item-total correlations were deter-mined. Test-retest reliability was assessed statistically using the Pearson correlation test for validity. The demographic data of 80 young patients with epilepsy were recorded. The scale was administered twice. Results: A total of 28 girls (35%) and 52 boys (65%) were included in the study. The mean age was 6.94±1.45 years, and the mean birth weight was 3049±520 g. A 95% confidence interval for Cronbach’s coefficient alpha ranged from 0.973 to 0.989 in the different sections of the tool, and the intraclass correlation coefficient was 0.983 (r=0.966; p=0.000). Conclusion: The Turkish version of the ICNDS is a valid and reliable measurement to assess the impact of epilepsy in children.Amaç: “Çocukluk Çağı Nörolojik Bozukluk Etki Ölçeği (ÇNBÖ)” 44 maddelik 1999’da Carol Camfield tarafından geliştirilmiştir. Değerlendirmenin skorlanması genel sağlık, ilişkiler, sosyal yaşam, okul-akademik başarı, çocuğun benlik saygısı, çocuğun kendi için umutları ve aile aktiviteleri başlıklarını içerir. Ölçeğin sonunda yaşam kalitesini sözel olarak sorgulayan 1 (çok kötü) – 6 (mükemmel) şeklinde skorlanan bir visüel analog skala yer alır. Bu çalışmada amacımız, ÇNBÖ’nün Türkçe geçerliliğini araştırarak, ülkemizdeki epilepsili çocuklarda güvenirliliğini belirlemektir. Gereç ve Yöntem: Skalanın uygun validasyon adımlarını takip ederek Türkçe validasyonu yapıldı. Hastaların demografik bilgileri kaydedildi. İç yapı tutarlılığı ve test-tekrar test güvenirliliği hesaplandı. Cronbach alfa katsayıları, her maddenin tüm alt ölçekleri için ayrı ayrı ve ölçek ve madde-toplam korelasyon hesaplandı. Test-tekrar test güvenilirliği için, skala başlangıç ve iki hafta sonra aynı fizyoterapist tarafından tekrar uygulandı. Test-tekrar test güvenirliği, ‘geçerlik geçerliliği’ için Pearson korelasyon testi kullanılarak istatistiksel olarak değerlendirildi. Bulgular: Yirmi sekiz kız (%35), 52 erkek (%65) 80 hasta dahil edildi. Ortalama yaşları 6.94±1.45 yıl, doğum ağırlıkları 3049±520 gr idi. %95 güven aralığı değerlendirmesinde Cronbach alfa 0.973–0.989 arasında; Intraclass Correlation Coefficiancy (ICC) ise 0.983 (r=0.966; p=0.000) bulundu. Sonuç: ICNDS, Türkiye’de epilepsili çocuklarda fonksiyonların değerlendirilmesi için geçerli ve güvenilir bir ölçümdür

Rehabilitation in Multiple Sclerosis

Scientific background: Multiple Sclerosis (MS) is a chronic neurologic disease with diverse variable symptoms which creates varying levels of disability inducing functional impairments. In recent years, most emphasis was brought on the means of managing MS caused disability. Thus rehabilitation is gaining a special importance for MS patients. Objectives: The aim of this article is to review the rehabilitation methods for MS in the light of current information. Patients and methods: In this article, we evaluate the data obtained from the rehabilitation of patients who referred to the MS outpatient clinic and Neuroimmunology Unit of Cerrahpaşa School of Medicine, Istanbul University and review the literature pertaining to this subject. Results: Due to the existence of considerable patient dependent differences in the course of MS, the rehabilitation programs must be individually tailored. Patients must be rehabilitated considering their personal requirements and targets with due respect to their existing disability level. Maximal independence in daily living activities should be aimed to by recommending suitable assisting devices. Conclusions: Although not effecting the course of the disease, a multi-disciplinary approach to rehabilitation often results in symptomatic alleviation of neurological disorders, reducing disability level and increasing the quality of life of the patients and there is consensus on the need of starting rehabilitation as early as possibl

Effect of Treadmill Backward Walking Training on Motor Capacity in Cerebral Palsy: A Randomized Controlled Study

Objective To evaluate treadmill backward walking training (BWT) effects on walking speed, balance, mobility, and walking endurance in children with cerebral palsy (CP). Methods The study evaluated 41 children with CP (age, 6–18; Gross Motor Function Classification System levels I and II). They were randomly allocated into control and BWT groups. BWT was applied (two sessions/week, 15 min/session for 8-week) to BWT group after the neurodevelopmental-based physiotherapy program routinely followed by all participants while the control group did not receive BWT. 10-Meter Walk Test (10MWT), Pediatric Balance Scale (PBS), Timed Up and Go Test (TUG), and Two-Minute Walk Test (2MWT) were selected as outcome measures for assessing walking speed, balance, mobility and endurance respectively. Results In BWG, 2MWT distance (3.5%), PBS (3.5%) increased significantly, and TUG decreased by 5.1% (all p<0.001) after training, 10MWT was shorter by 6.1% for BWG, corresponding to 7.4% faster walking speed (p<0.01). Control group assessment variations were stationary and not statistically significant. Conclusion Backward treadmill walking training induces small but statistically significant motor capacity improvements in children with CP

Effect of community-based group exercises combined with action observation on physical and cognitive performance in older adults during the Covid-19 pandemic: A randomized controlled trial.

ObjectiveThis study investigates the impact of community-based exercises with action observation therapy (AOT) on the physical and cognitive performance of older adults experiencing social isolation during the COVID-19 pandemic.MethodsOne hundred participants aged 65-80 years were randomly divided into two groups: the AOT group, which engaged in balance, strengthening, and mobility exercises guided by 15-minute action observation videos before a 45-minute exercise session, and the control group, which performed the same exercises without action observation. Both groups underwent three sessions per week for eight weeks (24 sessions in total). The assessment tools used in this study included the following: For evaluating mobility and fall risk in older adults, the Timed Up-and-Go (TUG) Test was employed. To assess functional strength of lower extremities, balance, and fall risk, the Five Times Sit-to-Stand (5XSST) Test was administered. Balance and gait were measured using the Tinetti Balance and Gait Assessment (TBGA), utilizing the Tinetti Scale. Individuals' confidence in performing daily activities without falling or losing balance was assessed using the Activities-Specific Balance Confidence Scale (ABC). Furthermore, cognitive functions across multiple domains, including attention-concentration, executive function, memory, language, visual construction skills, abstract thinking, calculation, and orientation, were evaluated using the Montreal Cognitive Assessment (MoCA) Tests.ResultsResults revealed significant improvements in both groups. Group I, which received Action Observation Therapy (AOT) in addition to exercise, demonstrated superior outcomes in the 5XSit-to-Stand test (Δ = -1.92, p ConclusionThese findings underscore the effectiveness of AOT-enhanced community-based exercises in enhancing both physical and cognitive performance among older adults facing social isolation during the pandemic, with Group I (AOT + exercise) showing particularly promising results.Trial registrationThis study was registered with ClinicalTrials.gov Identifier: NCT04759690, ClinicalTrials Protocol ID: p3957ghb

Reliability and validity 'impact of pediatric epilepsy scale' of Turkish version in children with epilepsy

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Quality of life assessment of Turkish stroke patients

WOS: 000345767700667

Eficacia de una intervención basada en realidad virtual en niños con meduloblastoma: Serie de casos

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SF-36 metric as a diagnostic aid for conversion disorder

Joint Congress of European Neurology -- MAY 31-JUN 03, 2014 -- Istanbul, TURKEYWOS: 000347674000505…European Federation of Neurological Societie

The results of differences between mothers self and researcher reading for "impact of pediatric epilepsy scale"

32nd International Epilepsy Congress -- SEP 02-06, 2017 -- Barcelona, SPAINWOS: 000417566600417