Browsing by Author "Alaca, Nuray"

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Comparison of the Effects of Treadmill Trainings on Walking and Balance Functions by Increasing the Speed and Incline in Chronic Patients with Stroke
(GALENOS PUBL HOUSE, 2020-01-01) Alipsatici, Cagri; Alaca, Nuray; Canbora, Mehmet Kerem
Objective: Improvement of walking is an important goal in stroke rehabilitation. This aim of this study was to compare the effects of treadmill training on walking and balance functions by increasing the speed or incline in patients with chronic stroke. Materials and Methods: Twenty-eight patients with chronic stroke who had symptoms of motor function plateau, were included in the study. Patients were divided into two groups: conventional treatment and treadmill training with increased speed {[}group (CTIS)
Comparison of the long-term effectiveness of progressive neuromuscular facilitation and continuous passive motion therapies after total knee arthroplasty
(SOC PHYSICAL THERAPY SCIENCE, 2015-01-01) Alaca, Nuray; Atalay, Ayce; Guven, Zeynep
{[}Purpose] The aim of this longitudinal study was to examine the long term functional effectiveness of proprioceptive neuromuscular facilitation (PNF) after total knee arthroplasty. {[}Subjects and Methods] We included 30 patients and they were randomly assigned to two groups. In addition to the standard rehabilitation program the PNF group received proprioceptive neuromuscular facilitation therapy and the CPM group received continuous passive motion therapy. The outcome measures included range of motion using a goniometer, pain scores using a numeric pain rating scale, days to reach functional benchmarks, the Beck depression scale and isokinetic torque and isometric strength measurements. {[}Results] There were no significant differences between the two groups in terms of baseline demographic data, clinical findings and length of stay. Days to reach range of motion benchmarks were similar in the two groups. Pain at the 8th week was slightly higher in the PNF group. With the exception of walking with a walker, days to reach functional benchmarks were statistically significantly fewer in patients of the PNF group despite similar isokinetic measurements. Administration of PNF resulted in earlier functional gains in patients after total knee arthroplasty. These functional accomplishments were more pronounced in the PNF group despite it having isokinetic torque measurements similar to those of the CPM group. {[}Conclusion] PNF techniques can positively affect functional outcomes over the long term.
Does physiotherapy applied in conjunction with compression brace treatment in patients with pectus carinatum have efficacy? A preliminary randomized-controlled study
(SPRINGER, 2020-01-01) Alaca, Nuray; Alaca, Ihsan; Yuksel, Mustafa
Purpose Non-invasive treatment of pectus carinatum (PC) deformity includes the use of a compression brace and exercises. In this study, we aimed to examine the effect of a physiotherapy protocol applied as adjunct to compression brace treatment in patients with PC. Methods The study included 30 male patients between 11 and 18 years of age. Patients were randomly assigned into two groups: a brace treatment only group (Group 1) and a brace and physiotherapy group (Group 2). Patient demographics and disease-related properties, protrusion measurements, postural evaluations, deformity perceptions, life quality, and treatment satisfaction were evaluated. Results Although both groups showed improvements based on external chest measurements related to PC protrusion following treatment (p < 0.001), Group 2 had more benefit from the treatment (effect size > 0.36) and displayed greater improvement in maximum protrusion degree and lateral length values (p < 0.05). Additionally, we found that patient perception of deformity, posture, psychological life quality, and treatment satisfaction scores were significantly better in Group 2 (p < 0.05). Conclusion Owing to the satisfaction and additional benefits observed in the physiotherapy group, we think that a proper cardiopulmonary and musculoskeletal exercise program should be applied concurrently with brace treatment for patients with PC deformity. Nevertheless, long-term outcomes need to be clarified in future studies.
EFFECT OF SIMULATED PATIENT USE ON LEARNING MOTIVATION AND STUDENT FEEDBACK IN PHYSIOTHERAPY AND REHABILITATION EDUCATION: A RANDOMIZED CONTROLLED TRIAL
(TURKEY ASSOC PHYSIOTHERAPISTS, 2020-01-01) Alaca, Nuray; Safran, Elif Esma; Cagri, Dilek; Feyzioglu, Ozlem
Purpose: This study aimed to investigate the effect of simulated patient (SP) use for cervical region assessment on learning motivation and student feedback in undergraduate physiotherapy and rehabilitation (PTR) education. Methods: Sixty volunteered second grade students (46 females) participating in PTR Measurement and Evaluation course were included. Students were randomly divided into three groups: theoretical-practical (TP) course, SP interaction course and TP-SP taking both courses. Pre-post knowledge test including 10 multiple-choice questions was applied before and immediately after the lessons. Instructional Materials Motivation Survey (IMMS) was applied after the lessons. Student feedback (anxiety-stress-motivation-usefulness) scores were recorded before, immediately after, and one week after the lessons. Results: The post knowledge test scores of the TP and TP-SP groups were significantly higher than the SP group (p<0.001). The pre-lesson anxiety of the SP and TP-SP groups was higher than the TP group (SP p=0,002 and TP-SP p=0,004). After the completion of the lessons, anxiety levels of the SP group were still higher than the TP group (p=0.002). Motivation level of the SP and TU group were increased after the training (p=0.001). Motivation level of the TP-SP was still higher than the TP group one week later (p=0.004). The TP-SP group's IMMS findings were statistically higher than the other groups (p=0.005). Conclusion: We suggest that cervical region assessment should be combined with the TP course and SP interaction in the learning process and that it is beneficial to use the SP interaction in PTR undergraduate education.
Physiotherapy in addition to vacuum bell therapy in patients with pectus excavatum
(OXFORD UNIV PRESS, 2020-01-01) Alaca, Nuray; Alaca, Ihsan; Yuksel, Mustafa
OBJECTIVES: Vacuum bell and exercise therapy are non-invasive treatments for pectus excavatum (PE). The purpose of this study was to determine the effects of the physiotherapy programme applied in addition to vacuum bell treatment in patients with PE. METHODS: The study included 26 male patients with PE aged 11-18 years. Patients were randomly divided into 2 groups: group 1 received only vacuum bell treatment
Proprioceptive based training or modified constraint-induced movement therapy on upper extremity motor functions in chronic stroke patients: A randomized controlled study
(IOS PRESS, 2022-01-01) Alaca, Nuray; Ocal, Numan Melik
BACKGROUND: The Modified Constraint-Induced Movement Therapy (mCIMT) method is a unilateral training that respectively avoids and activates less affected and affected sides of upper extremities