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    Effect of sustained natural apophyseal glides on stiffness of lumbar stabilizer muscles in patients with nonspecific low back pain: randomized controlled trial
    (Elsevier Inc., 2021) Buran Çırak, Yasemin; Yurdaışık, Işıl; Dürüstkan Elbaşı, Nurgül; Tütüneken, Yunus Emre; Köçe, Kübra; Çınar, Betül
    Objective: The aim of this study was to investigate the immediate effect of Mulligan sustained natural apophyseal glides (SNAGs) on muscular stiffness by using ultrasound shear wave elastography, pain, and function in patients with nonspecific low back pain. Methods: In a prospective, randomized, controlled, double-blinded study, 30 participants with nonspecific low back pain were randomly divided into 2 groups: a real SNAG group (aged 21.0 ± 1.7, 5 men, 10 women) and sham SNAG group (aged 20.4 ± 0.5, 4 men, 11 women). Muscular stiffness of the multifidus and erector spinal muscles with ultrasound shear wave elastography, visual analog scale, the sit and reach, flamingo balance, the functional reach, side bridge, and Biering-Sorensen tests were made before and immediately after intervention. The Oswestry Disability Index score was recorded only baseline. Results: After intervention, the change in visual analog scale, sit and reach, Biering-Sorensen, and side bridge tests scores were significantly different between real SNAG and sham SNAG groups (P < .05), but there was no significant difference in functional reach and flamingo balance test scores between the groups (P > .05). There was no significant difference for all measurements between pre- and post-intervention in sham SNAG group (P > .05). There was a significant reduction in muscular stiffness in the real SNAG group. But there was no change in muscular stiffness between pre- and postintervention in the sham group (P > .05). Conclusions: This study demonstrated that the Mulligan SNAG technique had a positive effect on pain severity, flexibility, trunk muscle endurance, and muscle stiffness in patients with nonspecific LBP.
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    The effects of virtual reality on pulmonary functions, functional level and pain in the early period after open heart surgery
    (EUROPEAN RESPIRATORY SOC JOURNALS LTD, 2020) Taşcı, Zübeyr; Buran Çırak, Yasemin; Dürüstkan Elbaşı, Nurgül; Tütüneken, Yunus Emre; Pamukçu, Burcu; Asalıoğlu, Ayşegül
    [No Abstract Available]
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    Immediate effect of manual therapy on respiratory functions and respiratory muscle strength in stroke patients
    (Türkiye Fizyoterapistler Derneği, 23 Aralık 2024) Atıcı, Emine; Gül, Kenan; Kardeş, Kübra; Tütüneken, Yunus Emre; Elbaşı, Nurgül Dürüstkan; Çırak, Yasemin
    Purpose: Although the benefits of manual therapy (MT) are known, studies on its effect on stroke patients are limited. The aim of this study was to evaluate the immediate effects of MT on respiratory function and respiratory muscle strength in stroke patients. Methods: A total of forty-seven patients, comprising 33 men and 14 women, were enrolled in the study and then randomly assigned to either the MT group (n=31) or the control group (n=16). All participants met with initial pulmonary function and respiratory muscle testing and then rested supine for 10 minutes before the procedure. The respiratory tests were repeated immediately after the procedure. Tests included: maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV1/FVC, and peak expiratory flow (PEF). Results: In intra-group comparisons, a significant improvement was observed in all measured parameters in the MT group (p<0.05), while no significant change was observed in the control group except FEV1 and FEV1/FVC values ​​(p>0.05). In comparisons between groups, a statistically significant difference was found in FEV1, FEV1/FVC, PEF and MEP values(p<0,05) Conclusions: This study demonstrated that manual therapy had a immediate positive effect on lung function and respiratory muscle strength in stroke patients.
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    IS MINDFULNESS-BASED PROGRAM APPLIED VIA TELEREHABILITATION EFFECTIVE ON MENTAL AND PHYSICAL HEALTH IN POSTMENOPAUSAL WOMEN?
    (2023) Çırak, Yasemin Buran; Seyran, Zeynep; Tütüneken, Yunus Emre; Yılmaz Yelvar, Gül Deniz; Kardeş, Kübra; Işıkcı, Burcu; Dürüstkan Elbaşı, Nurgül
    Objective: To compare the effects of mindfulness-based intervention with supervised telerehabilitation (ST) or video-based telerehabilitation (VBT) on endurance, sleep quality, mental health, quality of life, body awareness, physical activity level, and pelvic floor dysfunction symptoms in postmenopausal women. Methods: Fifty postmenopausal women aged 50-65 years were randomly allocated to either the supervised telerehabilitation group (STG) (n=26) or the video-based telerehabilitation group (VBTG) (n=24). In both groups, 20 minutes of mindfulness-based intervention was applied every day for six weeks. Before and after intervention, Brief Resilience Scale, Beck Depression Inventory, Richard–Campbell Sleep Scale, Nottingham Health Profile, Body Awareness Questionnaire, short forms of International Physical Activity Questionnaire, and Pelvic Floor Distress Inventory were applied for assessment. Results: The groups were similar in terms of sociodemographic characteristics and outcome measures (p>0.05). There was a statistically significant difference in all parameters measured in the STG before and after the intervention, and only in short forms of International Physical Activity Questionnaire, and Nottingham Health Profile scores in the VBTG (p<0.05). When the difference between groups was compared, there was a statistically significant difference between the groups in terms of Brief Resilience Scale, Nottingham Health Profile (except social isolation subscale score), Body Awareness Questionnaire, and Pelvic Floor Distress Inventory-20 scores (p<0.05). Conclusion: These results suggest that Mindfulness-based intervention with ST is more effective than VBT in improving resilience, mental health, sleep quality, quality of life, body awareness, and pelvic floor dysfunction symptoms in postmenopausal women, and ST is an alternative approach.
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    Relation of functional independence to balance, exercise capacity, and peripheral muscle strength in individuals with chronic stroke: a cross-sectional study
    (Churchill livingstone, 2024) Tütüneken, Yunus Emre; Yeldan, İpek
    Purpose: This cross-sectional study determined the relationship between functional independence and balance, functional exercise capacity, and knee extensor strength in individuals with chronic stroke. Material and methods: The study included fifty-four individuals with chronic stroke. A single physiotherapist evaluated clinical features. Assessments included the Functional Independence Measure (FIM), the Tinetti Performance Oriented Mobility Assessment (POMA), the Timed-Up and Go Test (TUG), the 6-min Walk Test (6MWT), and Knee Extensor Strength (KES). Results: Patients' mean age and body mass index were 60.5 ± 7.13 years and 27.08 ± 4.65 kg/m2. FIM was significantly associated with the POMA (r = 0.644, p = 0.000), TUG (r = -0.723, p = 0.000), and 6MWT (r = 0.569, p = 0.000). FIM was not significantly associated with KES of the paretic side (r = 0.264, p = 0.054), and KES of the non-paretic side (r = 0.207, p = 0.133). However, mFIM was significantly associated with KES of the paretic side (r = 0.432, p = 0.001), and KES of the non-paretic side (r = 0.348, p = 0.010). Outcomes: It was established that there was no relationship between KES and FIM, but that a relationship existed between KES and mFIM. Functional independence is associated with balance ability and functional exercise capacity.
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    Staying Physically and Psychologically Healthy in Social Isolation: Video-Based Exercise Program for Adults: A Randomized Controlled Trial
    (2022) Kardeş, Kübra; Tütüneken, Yunus Emre; Yelvar, Gül; Elbaşı, Nurgül; Çırak, Asemin; Inal, Habibe Serap
    Objective: The study was to determine the physical activity (PA) levels of adults socially isolated at home due to the coronavirus disease-2019 pandemic and to search the effects of the video-based exercise program (VBEP). Material and Methods: Healthy individuals (n=128; 90F, 38M) aged 40-60 years have participated through online questionnaire software in social media. Participants were randomly divided into as study (n=65) and control (n=63). Their PA level, quality of life (QoL), emotional state, sleep quality, and functional status were evaluated by International Physical Activity Questionnaire (IPAQ), Nottingham Health Profile (NHP), Beck Depression and Anxiety Inventory (BDI) (BAI), Pittsburgh Sleep Quality Index (PSQI) and timed up-go test, respectively. Specially prepared 30-minute exercise videos (breathing, warm-up, aerobics, strengthening-cooldown exercises) were to the study group according to their PA levels (low, medium, high) determined by IPAQ, they were asked to perform these exercises daily for 6 weeks. No exercise program was given for the control group. Results: Groups were similar in terms of sociodemographic measures except for education level (p>0.05). In the study group all parameters and the control group only in the BDI, BAI, and NHP emotional reactions subscale scores (p<0.05) were significant. In group comparison, a significant difference was found in favor of the study group in IPAQ, BAI, PSQI, and NHP scores (except social isolation subscale score) (p<0.05). Conclusion: During social isolation, we found that VBEP is effective in improving the level of PA, QoL, sleep quality, emotional and functional status of the individuals. Therefore, we consider it effective in terms of preventive health. Also, VBEP can be used as an alternative method in the adult population.
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    Video-based physical exercise effects on young adults in social ısolation during the coronavirus pandemic
    (İstanbul Gelişim Üniversitesi, 5 Ocak 2024) Çırak, Yasemin Buran; Işıkcı, Burcu; Kardeş, Kübra; Tütüneken, Yunus Emre; Yelvar, Gül Deniz Yılmaz; İnal, Habibe Serap
    Aim: The aim of this study is to evaluate the effectiveness of video-based exercises on the physical activity levels of individuals between the ages of 18-40 in social isolation to prevent the spread of the COVID-19 pandemic. Method: 64 volunteers participated as the control and 64 study groups were divided randomly and equally into two groups, the video-based exercise group (VEG) and the control group (CG). The video-based exercise group was included in an exercise program for 20 minutes, 7 days a week for 6 weeks. The primary outcome measure was the International Physical Activity Questionnaire (Short Form) (IPAQ-SF). Secondary outcome measures were the Nottingham Health Profile (NHP), Pittsburgh Sleep Quality Index (PSQI), Beck Anxiety Inventory (BAI), Distress Tolerance Scale (DTS), sit and reach test, shoulder flexibility test, squat test, plank test, lateral bridge test (LBT), crunch test and single leg stance test (SLST). Tests were applied to the groups at the beginning and the end of the study. Results: There was a statistically significant difference in all parameters in the study group before and after the application (p<0.05). According to the intergroup comparisons, there was a statistically significant increase between the groups in IPAQ-SF, Sit and Reach Test, Push Up Test, Plank Test, LBT, and SLST Tests; there was a statistically significant decrease between the groups in DTS, BAI, PSQI, and NHP scores (except for pain and social isolation scores) (p<0.05). Conclusion: Our findings will shed light on the management of the physiotherapy and rehabilitation process by contributing to the increasing evidence in the literature on the effectiveness of video-based exercises and improving health-related multifaceted parameters in various post-pandemic situations where access to health services and preventive rehabilitation is restricted.