Telerehabilitasyon: Deprem Sonrası Rehabilitasyon İçin Umut Vadeden Bir Çözüm

Telerehabilitation, the use of telecommunication technologies to provide rehabilitation services to individuals remotely, has emerged as a promising solution for postearthquake rehabilitation. Earthquakes can cause severe physical and psychological damage, and the affected individuals often require rehabilitation services to recover. However, the traditional delivery of rehabilitation services may not be feasible in postearthquake scenarios due to the destruction of infrastructure and limited availability of healthcare providers. Telerehabilitation offers a cost-effective and accessible alternative for providing rehabilitation services in such situations. This review article explores the current state of telerehabilitation in post-earthquake scenarios. It discusses the advantages and challenges of telerehabilitation and presents examples of successful implementation in earthquake-affected areas. The article also examines the effectiveness of telerehabilitation in various domains. The article highlights the importance of proper planning and infrastructure for successful implementation of telerehabilitation. It also emphasizes the need for training healthcare providers and patients to effectively use telecommunication technologies for rehabilitation services. The advantages of telerehabilitation, including cost-effectiveness and accessibility, make it a viable alternative to traditional rehabilitation services. However, successful implementation requires proper planning, infrastructure, and training. Further research is needed to explore the effectiveness of telerehabilitation in various post-earthquake scenarios and to address its ethical and legal implications

Comparison of Physical Fitness of University Students with and without Regular Physical Activity and Exercise Habits: Preliminary Study

Amaç: Düzenli fiziksel aktivite ve egzersiz alışkanlığının çok sayıda fizyolojik yararı olduğu bilinmesine rağmen, genç yetişkinlerde fiziksel uygunluğa etkisi net değildir. Bu çalışmanın amacı düzenli fiziksel aktivite ve egzersiz alışkanlığı olan ve olmayan üniversite öğrencilerinin sağlıkla ilişkili fiziksel uygunluk parametrelerinden kardiyorespiratuar endurans ve vücut kompozisyonlarının karşılaştırılmasıdır. Gereç ve Yöntem: Çalışmaya 16’sı erkek toplam 29 üniversite öğrencisi (ortalama yaş; 20.4 ± 1.5 yıl) katıldı. Öğrencilerin demografik özellikleri ve kardiyovasküler risk faktörleri sorgulandı. Fiziksel aktivite ve egzersiz alışkanlıkları kaydedildi. Haftada en az 3 kez orta şiddette fiziksel aktivite yapan öğrenciler düzenli fiziksel aktivite ve egzersiz alışkanlığı olan grup olarak belirlendi. Fiziksel uygunluk değerlendirmesinde, vücut kompozisyonu; beden kütle indeksi, bel kalça oranı ve biyoelektriksel impedans analizi kullanılarak, kardiyorespiratuar endurans ise UKK 2 km Yürüme Testi ile değerlendirildi. Bulgular: Çalışmaya katılan öğrencilerin 15’inde (%51,7) düzenli fiziksel aktivite ve egzersiz alışkanlığı vardı. Düzenli fiziksel aktivite ve egzersiz alışkanlığı olan ve olmayan öğrencilerin vücut kompozisyonları benzer bulundu (p>.05). Düzenli fiziksel aktivite ve egzersiz alışkanlığı olan grubun yürüme testini bitirme süresi daha kısa ve maksimal oksijen tüketimi daha yüksekti (p<.05). Sonuç: Düzenli fiziksel aktivite ve egzersiz alışkanlığı olan üniversite öğrencilerinde kardiyorespiratuar endurans değerleri düzenli fiziksel aktivite ve egzersiz alışkanlığı olmayanlara göre daha yüksektir. Üniversite öğrencileri sağlığı geliştirici düzenli fiziksel aktivite ve egzersiz alışkanlığı kazanmaları doğrultusunda bilgilendirilmeli ve bu alışkanlığı arttırmaya yönelik programlara yönlendirilmelidir.Objective: Although it is known that regular physical activity and exercise habits have numerous physiological benefits, its effect on physical fitness in young adults is not clear. The aim of this study is to compare the cardiorespiratory endurance and body composition of university students, which is a health-related physical fitness parameter, with and without regular physical activity and exercise habits. Material and Method: A total of 29 university students, 16 of them were male (mean aged 20.4 ± 1.5 years) participated in the study. Demographic characteristics and cardiovascular risk factors were questioned. Physical activity and exercise habits were recorded. Students with moderate physical activity at least 3 times per week were identified as having regular physical activity and exercise habits. For physical fitness assessment, body composition was evaluated by body mass index, waist hip ratio, and bioelectrical impedance analysis, and cardiorespiratory endurance was evaluated by UKK 2 km Walk Test. Findings: Of the 29 students who participated in the study, 15 (51.7%) had regular physical activity and exercise habits. The body composition of groups was similar (p>.05). The group with regular physical activity and exercise habits had shorter duration of running and higher maximal oxygen consumption (p<.05). Conclusion: Cardiorespiratory endurance of university students with regular physical activity and exercise habits are higher than those without exercise habits. University students should be informed about health promoting regular physical activity and exercise habits and should be directed to habitenhancing programs

FOOT PLACEMENT EFFECTS THEPROPORTION OF MAXIMAL KNEE EXTENSORMOMENT PRODUCED IN SIT TO STAND ANDSTAND TO SIT ACTIVITIES

The sit-to-stand task is a fundamental activity of daily living and a key component of the functional independence. The aim of the study was to identify the effects of foot placement on generated moments during sit-to-stand and stand-to-sit activities. Two healthy adults (1M, 1F) volunteered for the study. Isokinetic measurements were conducted by use of Cybex? dynamometer. Sit-to-stand performance has been analysed using CODA?mpx30. AMTI? has been used to measure the force and moment components of foot. The data from sit-to-stand activity has been compared with concentric peak knee extensor moments and the data from stand-to-sit task has been compared with eccentric peak extensor moments. Peak knee extensor moments from Cybex? represent maximal achievable force. Knee moments recorded by CODA? has been converted to a proportion of this maximum. Participants had greater peak knee extensor moments in dominant side comparing to non-dominant side in symmetrical and left foot forward positions during sit-to-stand task. When right foot placed forward non-dominant side had greater peak knee extensor moments than dominant side. Similar to findings from sit-to-stand tasks, participants had greater peak knee moments in dominant side during feet symmetrical and left foot forward positions during stand-to-sit task performance. This study confirms the generation of a knee extensor moment as a key component for an appropriate sit-to-stand performance. During sit-to-stand, right and left sides produce different amount of torque and before a sit-to-stand, positioning the stronger side forward results in an increase in peak knee extensor moment on the weaker side

SAĞLIKLI BİREYLERDE CİNSİYETLER ARASINDA ÜST EKSTREMİTE FONKSİYONELLİĞİ AÇISINDAN FARK VAR MIDIR?

El fonksiyonlarının incelenmesi, uygun bir tedavi planı oluşturma ve tedavinin etkinliğini değerlendirme sırasında, limitasyonların ve fonksiyonel kapasiteninbelirlenmesindeki en önemli unsurlardan biridir. Literatürde, üst ekstremite ile ilişkili aktiviteler sırasında erkek bireylerin daha yüksek miktarda kas kuvveti açığaçıkardığı gösterilmiştir. Ancak fonksiyonel aktiviteleri tamamlama süreleri bakımından cinsiyetler arasında fark olup olmadığı yeterince araştırılmamıştır. Bu nedenle,bu çalışmada sağlıklı genç yetişkinlerde cinsiyetler arasında el performansı ve el becerilerini karşılaştırmak amaçlanmıştır. Çalışmaya 20-30 yaş arasında çalışmayakatılmak için gönüllü olan, üst ekstremite performansını etkileyecek herhangi bir problemi bulunmayan, sağ el dominant sağlıklı bireyler dahil edildi. Çalışmakapsamında katılımcıların yaş, boy, vücut ağırlığı gibi demografik verileri toplandıktan sonra, bireyler Jebsen-Taylor El Fonksiyon Testi (JTEFT) ve Dokuz DelikliÇivi Testini (DDÇT) yazı-tura yöntemi kullanılarak rastgele şekilde uyguladı. Çalışmayı 49 kadın 36 erkek olmak üzere toplam 86 sağlıklı birey dahil edildi. Kadınkatılımcıların yaş ortalaması 21,20±0,979 yıl, erkeklerin yaş ortalaması 21,16±1,068 yıl idi. Cinsiyetler arasında dominant olmayan el performansı karşılaştırıldığındasadece JTEFT geniş-ağır cisimleri toplama alt testinde erkek bireylerin kadınlara göre istatistiksel olarak anlamlı derecede testi daha hızlı tamamladıkları bulundu(p=0,024). Diğer alt testler, toplam süre ve DDÇT performansları incelendiğinde cinsiyetler arasında fark bulunmadı (p&gt;0,05). Dominant el performanslarıincelendiğinde erkek katılımcılar kadın katılımcılara göre kart çevirme, geniş-hafif cisimleri toplama ve geniş-ağır cisimleri toplama alt testlerini istatiksel olarakanlamlı derecede hızlı tamamladı (sırasıyla; p=0,004, p=0,009, p=0,006). Ayrıca, erkek katılımcıların testi tamamlama süreleri kadın katılımcılara göre daha kısaydı(p=0,008). Kadın katılımcıların yazı yazma alt testi süreleri daha kısaydı (p=0,024). Obje toplama, beslenme simülasyonu, pul dizme ve DDÇT performanslarıbakımından cinsiyetler arasında fark yoktu (p&gt;0,05). Çalışmada el hızının cinsiyetler arasında benzer olduğu fakat özellikle dominant elde olmak üzere elfonksiyonlarının kadın ve erkek genç sağlıklı bireylerde farklılıklar gösterdiği bulundu. Bu öncü çalışmanın sonuçlarının daha geniş yaş gruplarını ve hastalığa sahipbireyleri dahil edecek şekilde ileriki çalışmalarda genişletilmesi önerilmektedir.Anahtar Kelimeler: Cinsiyet; el fonksiyonları; Jebsen-Taylor el fonksiyon testi; dokuz delikli çivi testi&nbsp;&nbsp;</p

<p>Pelvic floor muscle training on urinary incontinence and sexual function in people with multiple sclerosis: A systematic review</p>

Objective: This systematic review evaluates and summarizes the effects of pelvic floor muscle training on urinary incontinence and sexual function in people with multiple sclerosis.& nbsp;Data sources: PubMed, Scopus, PEDro, CINAHL, Web of Science, and ULAKBIM databases with keywords multiple sclerosis, urinary incontinence, sexual function, and pelvic floor muscle training were screened for randomized controlled studies and clinical trials from the beginning until July 2020 (updated in August 2021).& nbsp;Review methods: Two authors independently made the study selection. Turkish and English publications were taken into consideration. The risk of bias for the included studies was assessed using the Revised Cochrane risk -of-bias tool for randomized trials. The Tool for the assEssment of Study qualiTy and reporting in EXercise (TESTEXT) was used to assess the methodological quality of studies. Data extraction was performed by two researchers independently.& nbsp;Results: Initial search identified a total of 2831 studies, after removing duplicates, 2180 records were screened and 7 studies with 248 participants [mean age (years): 50.0 +/- 11.11 and range: 20-67; mean Expanded Disability Status Scale score: 4.2 +/- 1.64 and range: 1.5-7.5] met the inclusion criteria. Only one study included male people with multiple sclerosis. Five studies were judged as being of some concerns and two studies were judged as being of high risk of bias. The TESTEXT scores ranged from 5 to 9 out of 15. The outcome measures were the health-related quality of life (6 studies), severity of overactive bladder (5 studies), leakage episodes (4 studies), severity of urinary incontinence (3 studies), 24-h pad test (2 studies), pad usage, sexual function, and anxiety and depression (1 study). Significant improvements were observed in all specified outcome measures in the groups that received pelvic floor muscle training in majority of the studies.& nbsp;Conclusion: Current evidence suggests that pelvic floor muscle training seems to be an effective treatment mo-dality for improving health-related quality of life and reducing the severity of urinary incontinence and over-active bladder symptoms in people with multiple sclerosis. It also can reduce leakage episodes, pad usage, anxiety, and depression and improve sexual function. However, it should be noted that all included studies had some concerns or a high risk of bias in at least one domain of risk of bias assessment, and most of the studies did not have high quality

Attitudes of physiotherapy students toward neurology: does "neurophobia" exist among physiotherapy students?

Background: Evidence is accumulating that medical students and practitioners have particular difficulty in neurology and have neurophobia. However, little is known about attitudes toward neurology in physiotherapy students. Purpose: This study aimed to assess the attitudes of physiotherapy students toward neurology and compare it with other core specialties, identify contributors to difficulties of neurology, and obtain feedback for improving the quality of neurology and neurological rehabilitation education.Methods: A structured survey was distributed to final-year physiotherapy students in different universities across Turkey. Perceived level of knowledge, confidence, interest, difficulty, and desire to pursue a career in four main physiotherapy specialty areas (neurology, musculoskeletal, cardiopulmonary, and pediatric) were assessed. Reasons for perceived difficulty and ways to improve neurological physiotherapy education were asked by Likert-type and open-ended questions. Results: Three hundred ninety-one students participated from 12 universities. Neurology was perceived as the most challenging discipline (p < .001), but a lack of knowledge, interest, and confidence were not reported. The reasons for perceived difficulties with neurology were the need-to-know basic neuroanatomy and neurophysiology, difficulty integrating information into the clinic, and the complexity of the subject. To improve learning, most students recommended increasing clinical teaching, including bedside tutorials, exposure to more patients, and case discussions. Conclusion: Physiotherapy students considered neurology as the most challenging discipline. Improving the integration of basic neurosciences into the clinic may improve neurology learning along with increased clinical teaching