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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
    (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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    Is physiotherapy effective on the occurrence of postoperative pulmonary complications in patients undergoing coronary artery bypass graft surgery? A randomized controlled trial
    (Baycinar Medical Publishing Unalan Mah., Unalan Cad., Bogazici Sitesi, 16. Blok, D:19, Uskudar,Istanbul 34700, 2015) Buran Cirak, Yasemin; Can Karahan, Zehra; Yilmaz Yelvar, Gul Deniz; Erden, Ilknur; Demirkiliç, Ufuk
    Background: This study aims to investigate the efficacy of a specific physiotherapy protocol on the occurrence of postoperative pulmonary complications, length of intensive care unit (ICU) and hospital stay, and duration of intibutation in patients undergoing coronary artery bypass graft (CABG) surgery with variable postoperative pulmonary complication risk profiles. Methods: Between June 2012 and October 2014, a total of 170 patients (116 males, 54 females; mean age 57.0±10.0 years; range 30 to 79 years) who underwent CABG surgery in our clinic were divided into two risk groups on the basis of their risk scores (low-risk ?1 point or high-risk ?2 point). A physiotherapy protocol consisted of four phases was performed from baseline until discharge. The incidence of postoperative pulmonary complications was scored by a blinded investigator on an ordinal scale of 1 to 4. Functional capacity was evaluated using a six-minute walk test (6MWT). Hospital Anxiety and Depression Scale (HADS) for anxiety and depression and Short Form-36 for quality of life were applied. Results: The incidence of postoperative pulmonary complications, length of stay in the hospital and ICU and duration of intubation were not statistically significant in high-risk group, compared to the low-risk group (p>0.05). There was a significant decrease in 6MWA distance from baseline to discharge for all patients; however, the decline was lower in high-risk group. There was no statistically significant differences in the quality of life and depression scores between the groups after treatment (p>0.05). We observed statistically significant differences in anxiety scores between the groups after treatment (p<0.05). Conclusion: This randomized, controlled trial demonstrated that physiotherapy might help patients in high-risk group for faster recovery after CABG. Physiotherapy is more critical in high-risk patients to obtain similar results as in low-risk group. © 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.