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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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    AGE-AND SEX-RELATED DIFFERENCES IN PHYSICAL FITNESS AND PHYSICAL ACTIVITY LEVELS OF THE PHYSICALLY INDEPENDENT COMMUNITY-DWELLING OLDER ADULTS
    (Gunes Kitabevi Ltd Sti, 2015) Cirak, Yasemin; Yilmaz Yelvar, Gul Deniz; Parlak Demir, Yasemin; Dalkilinc, Murat; Mustafa, Korkmaz; Tagil, Suleyman 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 health-releated 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.
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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 effect of postural stabilization exercises on pain and function in females with patellofemoral pain syndrome
    (Turkish Assoc Orthopaedics Traumatology, 2015) Yilmaz Yelvar, Gul Deniz; Baltaci, Gul; Bayrakci Tunay, Volga; Atay, Ahmet Ozgur
    Objective: This study aimed to investigate the effect of postural stabilization exercises on pain, muscle strength and function in females with patellofemoral pain. Methods: Forty-two volunteers with patellofemoral pain syndrome (PFPS) were included in this study. The subjects were randomly divided into two groups: Group 1 performed therapeutic knee and postural stabilization exercises (n=22); Group 2 performed therapeutic knee exercises only (n=20). All patients were evaluated for pain, hamstring flexibility, function, lower extremity strength and postural control before and after treatment and at the 12th week. A two-way ANOVA was done within each group before and after treatment and at the 12th week. The level of significance was set at p<0.05, and when this was observed, the Tukey test was used to determine which group had caused the significance. Results: The results were statistically significant between the groups in terms of pain, flexibility, function, strength, endurance, postural control and the parameters of the Kujala patellofemoral pain scale (p <0.05). For all parameters, Group 1 achieved the greater success after treatment (p<0.05). Conclusion: The implementation of physiotherapy and rehabilitation programs including postural stabilization exercises may improve strength and function and reduce pain in patients with PFPS.