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

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

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

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

SF-36 metric as a diagnostic aid for conversion disorder

Joint Congress of European Neurology -- MAY 31-JUN 03, 2014 -- Istanbul, TURKEYWOS: 000337563600506…European Federation of Neurological Societie

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

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

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Immediate effects of whole-body vibration exposure on perceived exertion and peripheral hemodynamics in overweight and obese individuals

Objective: The study aim was to investigate the immediate effects of whole-body vibration (WBV) exposure in combination with physical exercises on perceived exertion and peripheral hemodynamic responses in overweight and obese individuals.Methods: Thirty-six individuals who were overweight or obese (44% males, mean age = 44.17 (9.43) years, mean BMI = 33.29 (3.19) kg/m(2)) were recruited. Participants were randomly allocated to two groups: control (n = 17) and the WBV (n = 19) group with vibration at 30 Hz and amplitude of 2 mm for a 20min single vibration session. All participants completed static and dynamic exercises on the sinusoidal-vertical vibration plate but without vibration exposure in the control group. The Borg Rating of Perceived Exertion Scale (RPE) was used to evaluate perceived exertion. Hemodynamic responses were measured with heart rate (HR), arterial blood pressure (aBP) and peripheral capillary oxygen saturation (SpO(2)) in the pre-WBV, post-WBV, and the recovery period.Results: A prolonged increase in perceived exertion was observed in the WBV group (ES = 0.48, p = 0.025), as compared to the control group (ES = 0.10, p = 0.668) in the recovery period. However, the Borg RPE between-groups comparison showed no significant differences in the pre-WBV, post-WBV, and recovery periods. No significant differences in group-time interaction were found for HR, aBP, and SpO2 hemodynamics.Conclusions: WBV exposure had no significant positive effect on perceived exertion and hemodynamic responses in overweight and obese individuals