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Öğe Agreement between video-based clinician-rated tools and patient-reported outcomes on gait assessment in individuals with multiple sclerosis(Springer-Verlag Italia Srl, 2023) Özden, Fatih; Özkeskin, Mehmet; Ekici, Ece; Yüceyar, NurPurposeTo our knowledge, no studies compared the video-clinician-based tools and patient-reported questionnaires in assessing gait and balance in people with MS (pwMS). The present study investigated the correlation and agreement between video-clinician-based objective measurement tools and patient-reported outcome measures (PROMs) in gait and balance evaluation.MethodsA prospective cross-sectional study was conducted with 55 pwMS. Video analysis-based gait was evaluated by the Tinetti Gait Assessment (TGA), Gait Assessment and Intervention Tool (GAIT), and Functional Ambulation Classification Scale (FACS) by the clinician. Participants' self-reported gait and balance were assessed with the Multiple Sclerosis Walking Scale-12 (MSWS-12) and Activity-Specific Balance Confidence Scale (ABC).ResultsThere was a moderate positive correlation between ABC with TGA and FACS (r(1): 0.552, r(2): 0.510, p < 0.001). ABC was strongly correlated with GAIT (r: - 0.652, p < 0.001). A moderate positive correlation was observed between MSWS-12 with TGA and FACS (r(1): - 0.575, r(2): - 0.524, p < 0.001). In addition, there was a strong positive correlation between MSWS-12 and GAIT (r: - 0.652, p < 0.001). Clinician-rated tools and PROMs were within the agreement limits regarding the unstandardized beta values p < 0.001).ConclusionsClinician-based gait and balance tools demonstrate consistent results with PROMs in pwMS. Considering the low cost and practical use of PROMs, in cases where video-based clinician-based measurements cannot be provided (time, space, and technical inadequacies), questionnaires can provide concordant results at moderate and severe levels compared with objective tools.Öğe Comparison of physical performance, gait, balance, falls efficacy, and step reaction time in individuals with multiple sclerosis(Elsevier, 2023) Özden, Fatih; Özkeskin, Mehmet; Tümtürk, İsmet; Yüceyar, NurObjective: The study aimed to investigate the physical performance, gait, balance, falls efficacy, and step reaction time in individuals with MS.Methods: A total of 60 individuals (30 individuals with MS and 30 age and sex-matched healthy controls) were enrolled. Individuals' physical performance was evaluated with the Timed Up and Go Test (TUG) and Five Times-Sit-to-Stand Test (FTSTS). Activities-specific Balance Confidence (ABC) Scale, 12-item Multiple Sclerosis Walking Scale (MSWS-12v2) and Falls Efficacy Scale International (FES-I) were used to assess the balance, gait and fall efficacy of the participants. Individuals' step reaction time (SRT) was calculated with video-based software. The time between the step command and the first contact of the foot with the ground in the first step was recorded.Results: The mean age of the individuals with MS and the control group was 38.5 & PLUSMN; 9.4 years and 33.9 & PLUSMN; 11.7 years, respectively. Significant differences existed between the groups in SRT, FES-I, ABC, and FTSTS (p < 0.05). There was no significant correlation between SRT with any other parameter (p > 0.05). TUG was moderately correlated with MSWS-12 and FES-I (r1 =0.426, r2 =0.495, p < 0.05). Besides, there was a moderate correlation between ABC with TUG and FTSTS (r1 =-0.605, r2 =-0.468, p < 0.05). A high degree correlation was found between MSWS-12 with FES-I and ABC (r1 =0.843, r2 =-0.834, p < 0.05).Conclusion: Individuals with MS have decreased SRTs. However, this condition was not found to be related to physical performance. Further studies should focus on the association of SRT with cognitive and psychosocial parameters.Öğe Cross-cultural adaptation, reliability and validity of the Turkish version of the Goal Content for Exercise Questionnaire(2023) Özden, Fatih; Özkeskin, MehmetAim: The aim of the study was to demonstrate the cross-cultural adaptation, reliability and validity of the Turkish version of the Goal Content for Exercise Questionnaire (GCEQ). Materials and Methods: A prospective and cross-sectional study was carried out with 100 healthy young individuals. Participants were assessed with GCEQ. One week later, 39 individuals refilled the GCEQ. Reliability was evaluated with the Intraclass correlation coefficient (ICC) and Cronbach's ? coefficient. Construct validity was determined by correlational and explanatory factor analysis. The cut off value of GCEQ was discriminated with the Receiver Operating Characteristic (ROC) curve. On the other hand, the minimum detectable change (MDC95) and Standard error of measurement (SEM95) values of the GCEQ were calculated. Results: A total of 100 individuals (21.1±2.9 years, 72% female) were included in the study. The alpha coefficient was >0.80 for the total and sub scores (except for the image sub score). On the other hand, all scores were scored above 0.80 in ICC analysis. The SEM95 and MDC95 values of the GCEQ were 4.83 and 13.3, respectively. The GCEQ total score had a correlation coefficient of >0.50 with all other sub scores (r=0.55 to 0.80, p<0.01). On the other hand, the sub scores' correlation with each other was below 0.80 within the scope of discriminant validity (r=0.15 to 0.73). According to the exploratory factor analysis results, the GCEQ had a 4-factor structure. The cut-off value of the GCEQ was determined as 109.4. Conclusion: The Turkish version of the GCEQ is a valid and reliable scale for healthy individuals. In addition, the SEM95, MDC95 and cut-off values of the GCEQ were determined to provide clinicians and physiotherapists with norm values for individuals' physical activity orientations.Öğe The effect of SARS-CoV2 disease on fatigue, sleep, physical activity, and kinesiophobia in patients with systemic hypertension(2023) Özden, Fatih; Yuvakgil, Zahide; Özkeskin, Mehmet; Altın, ZeynepAim: No other studies investigated fatigue, sleep, physical activity, and kinesiophobia in individuals with hypertension. The present study aimed to investigate the effect of SARS-CoV2 disease on fatigue, sleep, physical activity, and kinesiophobia in individuals with systemic hypertension. Materials and Methods: A prospective cross-sectional study was carried out with a total of 99 people with hypertension, including 53 of them with SARS-CoV2 disease history. Patients were evaluated with the “International Physical Activity Questionnaire Short Form (IPAQ-SF), Fatigue Severity Scale (FSS), Tampa Scale of Kinesiophobia for Heart (TSK Heart), and Pittsburgh Sleep Quality Index (PSQI)”. Results: People with hypertension in the SARS-CoV2 positive group had a significantly higher moderate PA sub score of the IPAQ (Metabolic Equivalent of Task (MET) minutes per week) (p=0.014). Besides, the FSS scores of SARS-CoV2 positive patients were significantly higher (p=0.019). FSS was moderately associated with TSK Heart and PSQI (r1=0.575, r2=0.654, respectively). TSK Heart was moderately correlated with moderate PA sub score of the IPAQ and IPAQ-Total score (r1=-0.394, r2=-0.436, respectively). Conclusion: SARS-CoV2 was found to be responsible for fatigue in people with hypertension. Kinesiophobia was related with both total and moderate PA in COVID-19 positive hypertension patients. Besides, fatigue was correlated with kinesiophobia and sleep quality.Öğe Effects Of Dual-Task Training On Mobility, Cognitive Function, Fatigue, Dual-Task Performance in People with Multiple Sclerosis:Preliminary Results(Sage Publications Ltd, 2023) Ekici, Ece; Özkeskin, Mehmet; Yüceyar, Nur[No abstract available]Öğe The efficacy of derotation taping in femoral internal rotation deformity of children with cerebral palsy: a randomized controlled trial(2023) İmerci, Ahmet; Özden, Fatih; Uysal, İsmail; Tümtürk, İsmet; Özkeskin, MehmetAim: The present study aimed to investigate the effect of the derotation method of Kinesio Taping in addition to conventional rehabilitation in children with hemiplegic cerebral palsy with femoral internal rotation deformity. Materials and Methods: A total of 30 children with unilateral hemiplegic spastic cerebral palsy were randomized into the Kinesio Taping and control group (Conventional Rehabilitation). All included participants have spasticity-related rotation deformity and in-toeing gait. Kinesio Taping group was treated with derotation-tape in addition to conventional rehabilitation. Data was collected before and immediately after the intervention, and also 3 days after the first assessment. The 6-Meter Walk Test, Pediatric Berg Balance Test, Modified Ashworth Scale, Edinburgh Visual Gait Score and Generic Quality-of-Life Instrument for Children were used to assess the children. Results: There was no significant difference between the groups regarding spasticity scores (p>0.05). Spasticity was decreased in hip internal rotators and knee flexors in immediate and acute periods after the intervention in the Kinesio Taping group (p<0.05). There was no difference between the two groups regarding balance, walking, and quality-of-life (p>0.05). Post-intervention improvement in 6- Meter Walk Test, Pediatric Berg Balance Test and Edinburgh Visual Gait Score scores was significant only in the Kinesio Taping group (p<0.05). Quality-of-life increased significantly after treatment in both groups. Conclusion: The results revealed that derotation Kinesio Taping reduces spasticity in the hip internal rotator and knee flexor muscles in the immediate and acute period in children with spastic hemiplegic cerebral palsy. Besides, Kinesio Taping improved balance and walking in the acute period.Öğe Investigation of Motor Activity, Movement Kinematics and Forward-Backwards Gait in Children with Cerebral Palsy(Sage Publications Inc, 2023) Özden, Fatih; Uysal, İsmail; Tümtürk, İsmet; Özkeskin, MehmetOur aim in this study was to examine relationships between the motor activity ability, sensor-based kinematics and forward-backwards gait characteristics of children with cerebral palsy (CP). In this prospective cross-sectional study we studied 40 children with CP. We used the Pediatric Motor Activity Log Revised (PMAL-R) to assess motor activity, evaluated motion kinematics (acceleration and angular velocity) with a sensor-based application, applied the Edinburgh Visual Gait Score (EVGS) and the Timed Up and Go Test (TUG) to observe gait performance, and used the Three Meter Backward Walk Test (3MBWT) to assess backward gait. We found moderately positive significant correlations (r(1) = 0.416, r(2) = 0.418, p < 0.05) between the chilidren's minimum angular velocity on PMAL-R motor activity frequency (how often) and quality (how well) scores, respectively. We also found moderately negative significant correlations (r(1) = -0.529, r(2) = -0.521, p < 0.05) between PMAL-R frequency (how often) and quality (how well) scores with TUG, respectively. There were moderately high positive correlations (r(1) = 0.415, r(2) = 0.726, p < 0.05) between EVGS scores and 3MBWT and TUG scores, respectively. We concluded that angular velocity ability was moderately related to children's motor activity and showed that physical performance tests (TUG and 3MBWT) could monitor gait function and upper extremity motor activity level, including both forward and backward walking tasks, in children with CP.Öğe The Reliability and Validity of the Turkish Version of the Fatigue Assessment Scale in Patients with Multiple Sclerosis(2022) Özkeskin, Mehmet; Özden, Fatih; Yüceyar, NurObjective: To demonstrate the psychometric properties of the Turkish Fatigue Assessment Scale (FAS). Materials and Methods: A total of 104 patients were recruited. The patients were assessed twice, 1 week apart. Patients completed the FAS, Fatigue Severity Scale (FSS), EuroQol 5 dimensions 3 L (EQ 5D 3 L), and Beck Depression Scale (BDS) in the initial assessment. Thirty four patients completed the FAS again in the second assessment. Results: The mean age of the patients with multiple sclerosis (MS) was 37.6 ± 10.1 years. The intraclass correlation coefficient (ICC) of the FAS was excellent (ICC = 0.812). The Cronbach alpha coefficient of the FAS was 0.914. The alpha of the FAS was excellent (>0.80). Standard error of measurement and minimal detectable change of the FAS were 3.51 and 9.73 respectively. The relationship between the FAS (test, retest) and the FSS was excellent (r1 = 0.767, r2 = 0.782, P < 0.01). The EQ 5D 3 L index score was both strongly related with FAS (test, retest) (r1 = ?0.500, r2 = ?0.745, P < 0.01). The EQ 5D 3 L Visual Analog Scale score was also highly correlated with FAS (test, retest) (r1 = ?0.536, r2 = ?0.764, P < 0.01). Besides, FAS (test, retest) scores were strongly correlated with BDS total scores (r1 = 0.540, r2 = 0.571, P < 0.01). Conclusions: The Turkish FAS is a reliable and valid scale for individuals with MS.Öğe TÜRKİYE’DE FİZYOTERAPİSTLERİN TIBBİ HATA (MALPRAKTİS) İLE İLGİLİ FARKINDALIĞI VE BİLGİDÜZEYLERİNİN DEĞERLENDİRİLMESİ(2018) Özkeskin, Mehmet; Çınarlı, Serkan; Bakırhan, Serkan; Aykar, Fisun ŞenuzunÜlkemizde tıbbi hataya yönelik yapılmış çalışmalar incelendiğin-de, tıbbi uygulamadan kaynaklı hukuki sorumluluk açısından sadece hekim, hemşire ebe ve acil tıp teknisyenlerini kapsayan çalışmaların yapılmış olduğu görülmektedir. Oysaki hasta ile doğrudan temas halinde olan fizyoterapistler, tıbbi uygulama hatası kaynaklı hukuki sorumluluk tehdidi altındadır. Bu çalışmada, hem hukuki durum hem de fizyotera-pistlerin konu hakkındaki farkındalık ve bilgi düzeyi değerlendirilmiştir.Öğe Türkiye’de Fizyoterapistlerin Tıbbi Hata (Malpraktis) ile İlgili Farkındalığı ve Bilgidüzeylerinin Değerlendirilmesi(2018) Özkeskin, Mehmet; Çınarlı, Serkan; Bakırhan, Serkan; Aykar, Fisun ŞenuzunÜlkemizde tıbbi hataya yönelik yapılmış çalışmalar incelendiğin-de, tıbbi uygulamadan kaynaklı hukuki sorumluluk açısından sadece hekim, hemşire ebe ve acil tıp teknisyenlerini kapsayan çalışmaların yapılmış olduğu görülmektedir. Oysaki hasta ile doğrudan temas halinde olan fizyoterapistler, tıbbi uygulama hatası kaynaklı hukuki sorumluluk tehdidi altındadır. Bu çalışmada, hem hukuki durum hem de fizyotera-pistlerin konu hakkındaki farkındalık ve bilgi düzeyi değerlendirilmiştir.
