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Öğe Ankilozan Spondilite Bağlı Pulmoner Tutulumun Bath indeksleri, Yaşam Kalitesi ve Psikolojik Semptomlar Üzerine Etkisi(2009) Karapolat, Hale Üzümcügil; Atamaz, Funda; Akkoç, Yeşim; Gürgün, Alev; Savaa, Recep; Kirazlı, Yeşim; Kirazlı, NurullahAmaç: Ankilozan spondilit (AS) hastalarında ağrı, tutukluk nedeniyle bozulan psikolojik durum ve yaşam kalitesi, buna ek olarak eklenen pulmoner tutulumunun ortaya çıkmasıyla daha da çok kötüleşmektedir. Bu açıdan, AS hastalarının pulmoner tutulumunun belirlenmesi önemlidir. Bu çalışmada, AS hastalarında pulmoner tutulumu saptamak ve pulmoner tutulumunun Bath indeksleri, yaşam kalitesi ve psikolojik semptomlar üzerine olan etkisini incelemek amaçlanmıştır.Yöntem ve Gereçler: Yirmialtı AS hastası (ortalama yaş: 47.5±10.8 yıl) çalışmaya alındı. Hastaların pulmoner sisteme ait durumları spirometrik ölçüm ve radyografik yöntemlerle [(akciğer grafisi ile yüksek rezolüsyonlu bilgisayarlı tomografi (YRBT)], klinik durumları Bath indeksleri [Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Spondylitis Metrology Index (BASMI), Bath Ankylosing Spondylitis Radiology Index (BASRI)], yaşam kalitesi Nottingham Health Profile-1 (NHP) ve St. George Solunum Anketi (SGRQ), psikolojik semptomları ise Beck Depresyon Ölçeği (BDÖ) ile değerlendirildi. Bulgular: Hastaların %15.4'ünde (n: 3/1, restriktif/obstrüktif) solunum fonksiyon testlerinde bozukluk görüldü. Hastaların %20.9'unda (n: 5) YRBT'de akciğerde patolojik bulgu saptandı. FEV1 % ile BASFI (r=-0.56, p<0.01) arasında anlamlı negatif ilişki bulundu. Diğer solunum fonksiyon testleri ve YRBT ile hastalık süresi, Bath indeksleri, NHP, SGRQ ve BDÖ arasında anlamlı ilişki bulunmadı (p>0.05). Sonuç: Çalışmamızda sigara içmeyen, hastalık süresi uzun olan AS hastalarında pulmoner tutulumun görülebildiği ancak pulmoner tutulumun klinik, yaşam kalitesi ve psikolojik semptomlar üzerinde etkili olmadığı sonucuna varılmıştırÖğe Bilateral common peroneal nerve palsy following cardiac surgery(2008) Durmaz, Berrin; Atamaz, Funda; On, Arzu[Özet Yok]Öğe A comparison of four disability scales for Turkish patients with neck pain(Foundation Rehabilitation Information, 2007) Kose, Gulsah; Hepguler, Simin; Atamaz, Funda; Oder, GoncaObjective: The Neck Disability Index, the Northwick Park Pain Questionnaire, the Copenhagen Neck Functional Disability Scale and the Neck Pain and Disability Scale are widely used scales for assessing neck pain or disability. The aim of this study was to determine the most suitable scale for Turkish patients with neck pain. Methods: All scales were translated into Turkish, administered to 102 patients with neck pain, then compared with regard to their construct validity, reliability, responsiveness, acceptability and usefulness. Results: The scales were similar in their high validity, reliability standards and sensitivity to change, but differed in their acceptability and usefulness. The item about driving in the Neck Disability Index and the Northwick Park Pain Questionnaire was omitted by 69.6% of patients for reasons other than a neck problem. Conclusion: All scales were reliable, valid and sensitive instruments, with similar psychometric properties. The scale that most adequately reflects the patient should be chosen.Öğe A comparison of two different intra-articular hyaluronan drugs and physical therapy in the management of knee osteoarthritis(Springer Heidelberg, 2006) Atamaz, Funda; Kirazli, Yesim; Akkoc, YesimThe aim of this study was to compare the effects of physical therapy agents (PTA) and two different intra-articular hyaluronan drugs (sodium hyaluronate (NaHA) and hylan G-F 20) on knee osteoarthritis (OA). The randomised, single-blind study, with 12 months of follow-up, was performed on 80 patients diagnosed as knee OA. The patients were randomly divided into two treatment groups: patients in group 1 were given weekly intra-articular hyaluronan treatment which consisted of either hylan G-F 20 or NaHA during the first 3 weeks and in the sixth month; PTA was applied to each patient in group 2 five times a week for 3 weeks with a series of infrared, short-wave diathermy-pulsed patterns and interferential therapy. Clinical assessments for each patient were made at 1, 3, 6, 9 and 12 months using the following measures: spontaneous pain, pain at rest, pain at night, pain on touch, pain on movement, 15 m walking time, range of motion, short form 36 (SF-36), Western Ontario and McMaster University Osteoarthritis Index (WOMAC) global assessment. There was significant improvement in all variables measured in both groups during the follow-up except the WOMAC-stiffness and range of the motion. The improvement of pain (at night, at rest, SF-36) and SF-36 social functioning subscales was greater in the PTA group. Consequently, in the subgroup analyses, there was no difference between PTA and hylan groups for this improvement. In the comparison of two drugs, the reduction of pain on touch and WOMAC-function was greater in hylan group than that of NaHA. No serious local or systemic effects were observed following injections. Although all patients had improvement, PTA was superior to hyaluronan group for no activity-related pain and functional performance. On the other hand, this study supports the preferential use of hylan over NaHA in patients with knee OA.Öğe Diz osteoartritinde ağrı ve özürlülükle ilişkili faktörler(2006) Atamaz, Funda; Hepgüler, Simin; Öncü, JülideAmaç: Diz osteoartritli (OA) hastalarda ağrı ve özürlülükle ilişkili faktörleri değerlendirmek. Gereç ve Yöntem: Diz OA'li, 40-80 yaş aralığındaki 141 hasta çalışmaya dahil edildi. Ağrı WOMAC (Western Ontario and McMaster Universities Arthritis Index) ve vizüel analog skala (VAS) ile ölçüldü. Özürlülük WOMAC ile değerlendirildi. Tüm hastalardan detaylı demografik, sosyal, morfolojik ve tıbbi öyküleri alındı. Diz radyografileri Kellgren-Lawrence evreleme sistemi kullanılarak değerlendirildi. Bulgular: Demografik verilerle (yaş, vücut kütle indeksi-VKİ, eğitim düzeyi ve ağrı süresi) WOMAC-ağrı ve fonksiyon, VAS ve radyolojik evre arasında orta-yüksek evreli korelasyonlar mevcuttu (p<0,05). Obez hastalar tüm değerlendirme parametreleri için anlamlı olarak daha kötü skorlara sahipti (p<0,05). Kellgren-Lawrence radyolojik evresi VAS ve WOMAC-fonksiyon ile koreleydi. Erkeklerle karşılaştırıldığında, WOMAC-ağrı ve fonksiyon ve Kellgren-Lawrence radyolojik evresi anlamlı olarak kadınlarda daha yüksekti (p<0,05). Tıbbi problemler arasında, ağrı ve özürlülükle bir ilişki mevcut değildi. Sonuç: Bu çalışma diz OA'da; ileri yaşın, artmış VKİ'nin, düşük eğitim düzeyinin, kadın cinsiyetin ve yüksek radyolojik evrenin ağrı ve özürlülükle ilişkili faktörler olduğunu göstermektedir.Öğe Do the benefits gained using a short-term pulmonary rehabilitation program remain in COPD patients after participation?(Springer, 2007) Karapolat, Hale; Atasever, Alev; Atamaz, Funda; Kirazh, Yesim; Elmas, Funda; Erdinc, ErturkThe aim of this study was to evaluate the short-term benefits of a pulmonary rehabilitation program in chronic obstructive pulmonary disease (COPD) patients. The study was a randomized controlled trial that included 54 mild and moderate COPD patients. Patients were assigned to either an 8-week-long pulmonary rehabilitation program, which consisted of exercise plus education (rehabilitation group), or were controls. All the patients were evaluated at baseline at the completion of the 8th week of the program and one month after the completion of the pulmonary rehabilitation program using five instruments: arterial blood gas analysis, postbronchodilator pulmonary function test, 6-minute walk test (6MWT), Saint George Respiratory Questionnaire (SGRQ), and the dyspnea visual analog scale (VAS) There were no statistically significant differences in the pulmonary functions and pulmonary gas analysis between baseline, discharge (8th week), and the 12th-week visit in both groups (p > 0.05). Rehabilitation resulted in significant improvements in both the VAS and the 6MWT at the 8th week, but by the 12th week all of these improvements had deteriorated. All of the SGRQ domains improved both at the 8th and the 12th week, with a significant difference between the groups (p < 0.05). We conclude that rehabilitation resulted in improvements in exercise capacity, health status, and dyspnea. All of these benefits, however, tend to deteriorate in the first month after rehabilitation. Therefore, it is strongly recommended that all patients with COPD be kept motivated in order to continue with rehabilitation and maintain the benefits gained.Öğe Effect of Pulmonary Involvement on Bath Indexes, Quality of Life and Psychological Symptoms in Patients with Ankylosing Spondylitis(Turkish League Against Rheumatism, 2009) Karapolat, Hale; Atamaz, Funda; Akkoc, Yesim; Gurgun, Alev; Savas, Recep; Kirazli, Yesim; Akkoc, NurullahObjective: Pain and stiffness disturb the psychological status and quality of life in ankylosing spondylitis ( AS) patients, which may be further deteriorated by pulmonary involvement. Therefore, detection of pulmonary involvement in AS patients is important. In this study, we aimed to detect pulmonary involvement in AS patients and to assess the effects of pulmonary involvement on Bath indexes, quality of life and psychological symptoms. Material and Methods: The study included 26 AS patients ( mean age: 47.5 +/- 10.8 years). Pulmonary status of the patients was assessed by spirometric measurements and radiographic methods ( chest X-ray, high resolution computerized tomography [HRCT]); clinical status was assessed by Bath indexes ( Bath Ankylosing Spondylitis Disease Activity Index [BASDAI], Bath Ankylosing Spondylitis Functional Index [BASFI], Bath Spondylitis Metrology Index [BASMI], Bath Ankylosing Spondylitis Radiology Index [BASRI]); quality of life was assessed by Nottingham Health Profile-1 (NHP) and St. George Respiratory Questionnaire (SGRQ); and psychological symptoms were assessed by Beck Depression Scale (BDS). Results: Respiratory function tests were impaired in 15.4% of the patients (n: 3/1, restrictive/obstructive). HRCT revealed pathologic findings in 20.9% of the patients ( n: 5). A negative correlation was detected between forced expiratory volume in 1 second (FEV1%) and BASFI (r=-0.56, p<0.01). No significant correlation was observed between the other respiratory function tests and HRCT, duration of disease, Bath indexes (BASDAI, BASFI, BASMI, BASRI), NHP, SGRQ, and BDS (p>0.05). Conclusion: Our study showed that pulmonary involvement may be observed among non-smoker AS patients with longer duration of disease; however, pulmonary involvement is not related with clinical status, quality of life or psychological symptoms. (Turk J Rheumatol 2009; 24: 183-9)Öğe Effects of platelet-rich plasma on nerve regeneration in a rat model(Turkish Assoc Orthopaedics Traumatology, 2014) Kucuk, Levent; Gunay, Huseyin; Erbas, Oytun; Kucuk, Ulku; Atamaz, Funda; Coskunol, ErhanObjective: The aim of this study was to determine whether platelet-rich plasma has a regenerative effect on a sciatic nerve injury model in rats. Methods: A sciatic nerve cut model was created in 24 nerves of 12 rats. All nerves were repaired with epineural sutures by the same surgeon. Rats were randomly divided into two groups; platelet-rich plasma was applied to the injury site in the platelet-rich plasma group and saline only to the same area in the control group. Motor and electromyographic assessments were performed at the end of 12th postoperative week and all rats were euthanized for histological specimens. Results: Motor recovery was significantly better in the platelet-rich plasma group than the control group. The differences in electromyographic and histomorphometric findings between the groups were significant (p<0.05). Conclusion: Our experimental study demonstrated positive effects of platelet-rich plasma on nerve regeneration.Öğe EFFICACY OF NECK STABILIZATION EXERCISES FOR NECK PAIN: A RANDOMIZED CONTROLLED STUDY(Foundation Rehabilitation Information, 2009) Dusunceli, Yesim; Ozturk, Cihat; Atamaz, Funda; Hepguler, Simin; Durmaz, BerrinObjective: To determine the efficacy of neck stabilization exercises in the management of neck pain. Patients and methods: Sixty patients with neck pain were randomized to 3 groups, as follows: group 1 - physical therapy agents including transcutaneous electrical nerve stimulation, continuous ultrasound and infra-red irradiation; group 2 physical therapy agents + isometric and stretching exercises; and group 3 - physical therapy agents + neck. stabilization exercises. The exercises were performed as a home training programme following a 3-week supervised group exercise. The patients were evaluated with a visual analogue scale, by intake of paracetamol, Neck Disability Index, Beck Depression Scale and range of motion in the 3 planes at baseline and at months 1, 3, 6, 9 and 12 Results: Compared with baseline, all groups showed a significant decrease in visual analogue scale scores during the first 6 months. However, this improvement was maintained only in group 3 at 9 and 12 months, with a significant difference among the groups (p<0.05). During the study, the improvement in disability was marked in group 3 with respect to Neck Disability Index, Beck Depression Scale and range of motion in the frontal plane (p < 0.05). Conclusion: This study demonstrates the superiority of the neck stabilization exercises, with some advantages in the pain and disability outcomes, compared with isometric and stretching exercises in combination with physical therapy agents for the management of neck pain.Öğe Impact of post-polio-related fatigue on quality of life(Foundation Rehabilitation Information, 2006) Yagiz, Arzu; Oncu, Julide; Atamaz, Funda; Durmaz, BerrinObjective: To assess the impact of post-polio-related fatigue on quality of life. Design: Cross-sectional case control study. Subjects: Patients without additional health problems that may induce fatigue were selected from among 82 polio survivors. Twenty-six patients with post-polio syndrome and 10 without post-polio syndrome were included. Control group consisted of 30 healthy volunteers. Methods: We assessed presence and severity of fatigue by Fatigue Severity Scale, quality of life by Nottingham Health Profile, and impact of fatigue on quality of life by Fatigue Impact Scale. Leg muscle strength was measured by manual muscle testing. Results: Strength of leg muscles showed no differences between the patients with and without post-polio syndrome. Patients with post-polio syndrome reported significantly higher levels of fatigue and reduced quality of life compared with both patients without post-polio syndrome and control group. Fatigue Impact Scale revealed that fatigue did not significantly impair mental health, but had a negative impact especially on physical and psychosocial functioning of the patients with post-polio syndrome. Conclusion: Post-polio-related fatigue seems to be an important factor for further impairment of quality of life in polio survivors.Öğe İnme ve hayat kalitesi. Türk Fiz Tıp Rehab Derg 2006:52 (Özel Ek B):B45-B49.(2006) Durmaz, Berrin; Atamaz, Funda…Öğe Interferential Current Therapy in Patients with Knee Osteoarthritis Comparison of the Effectiveness of Different Amplitude-Modulated Frequencies(Lippincott Williams & Wilkins, 2012) Gundog, Meltem; Atamaz, Funda; Kanyilmaz, Selcen; Kirazli, Yesim; Celepoglu, GunayGundog M, Atamaz F, Kanyilmaz S, Kirazli Y, Celepoglu G: Interferential current therapy in patients with knee osteoarthritis. Am J Phys Med Rehabil 2012; 91: 107-113. Objective: This study aimed to compare the effectiveness of different amplitude-modulated frequencies of interferential current (IFC) and sham IFC on knee osteoarthritis. Design: A randomized and single-blind study was performed on 60 patients diagnosed with knee osteoarthritis. The patients were allocated to three active IFC groups (40, 100, and 180 Hz), and one sham IFC group. Treatments were performed 5 times a week for 3 wks consecutively. Each patient was assessed at the end of the treatments and at the first month using the following measurements: visual analog scale (pain at rest, pain on movement and disability), physician and patient judgments regarding treatment effectiveness, 15-m walking time (in minutes), range of motion (ROM), the Western Ontario and McMaster University Osteoarthritis Index (WOMAC), and paracetamol intake (g/wk). Results: Although there were significant improvements in all variables, except WOMAC stiffness and range of motion, measured in all groups at the end of the treatment and during the follow-up, this improvement was greater in active IFC groups than in the sham group. The improvement in WOMAC stiffness was observed only in active IFC treatment groups (P < 0.05). No significant difference between different amplitude-modulated frequencies of IFC treatments was observed. Conclusions: This study demonstrated the superiority of the IFC with some advantages on pain and disability outcomes when compared with sham IFC for the management of knee osteoarthritis. However, the effectiveness of different amplitude-modulated frequencies of IFC was not superior when compared with each other.Öğe Intracranial dural arteriovenous fistula draining into spinal perimedullary veins: A rare cause of myelopathy(Korean Acad Medical Sciences, 2006) Akkoc, Yesim; Atamaz, Funda; Oran, Ismail; Durmaz, BerrinWe report a rare case of progressive myelopathy caused by intracranial dural arteriovenous fistula with venous drainage into the spinal perimedullary veins. A 45-yr-old man developed urinary and fecal incontinence and muscle weakness in the lower limbs. Magnetic resonance imaging revealed brainstem, edema and dilated veins of the brainstem and spinal cord. Cerebral angiography showed a dural arteriovenous fistula fed by the neuromeningeal branch of the left ascending pharyngeal artery. Occlusion of the fistula could be achieved by embolization after a diagnostic and subsequent therapeutic delay. There was no improvement in clinical condition. For the neurologic outcome of these patients it is important that fistula must be treated before ischemic and gliotic changes become irreversible.Öğe Isokinetic findings in scoliosis: Their relationship to clinical measurements and reliability studies(Ios Press, 2007) Le Blay, Gregoire; Atamaz, Funda; Biot, Bernard; Calmels, Paul; Mouilleseaux, BrigitteStudy design: This study assessed the applicability of dynamometric muscle evaluation in scoliosis. Objective: To assess the clinical applicability of the dynamometric muscle evaluation in scoliosis by reliability studies, its relations with the clinical measures, and comparison analysis with healthy subjects. Methods: Thirty five scoliotic female patients and 27 healthy women were evaluated dynamometrically muscle strengths, additionally the scoliotic women were evaluated by clinical measures. To assess the reliability of isokinetic muscle testing 20 scoliotic women were tested twice 1 week apart. Results: The ICCs ranged 0.81-0.96, except in the case of the knee extensor strength at 120 degrees/s. Curve angle was weakly correlated to trunk flexor strength at 90 degrees/s (r = 0.40), the curve pattern was moderately related to knee muscles' strengths (-0.46 < r < -0.57). Scoliotic women showed weaker isokinetic muscles strengths except the trunk extensors at 90 degrees/s. Conclusion: Isokinetic evaluation of trunk muscle strength may be an additional tool in assessing this patient group.Öğe Isolated spinal accessory nerve palsy after coronary artery bypass - An unusual complication(Lippincott Williams & Wilkins, 2007) Durmaz, Berrin; Kirazli, Yesim; Atamaz, FundaIsolated spinal accessory nerve palsy after coronary artery bypass graft (CABG) surgery is a rare complication. We report a case of a 52-yr-old male patient who presented with right shoulder weakness, drooping of shoulder, and weakness of forward elevation after CABG. A program of neuromuscular electrical stimulation and exercises was started after the diagnosis of right isolated spinal accessory nerve palsy by physical examination and electromyographic study. Involved muscle function recovered after 6 mos of physical therapy and rehabilitation. This case report suggests that isolated spinal accessory nerve palsy should be considered in cases of shoulder pain or weakness after CABG, and conservative treatment is recommended if palsy develops.Öğe Öğe Occupational therapy assessment and treatment approach in patients with subacute and chronic stroke: A single-blind, prospective, randomized clinical trial(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2020) Eroglu, Mehmet; Karapolat, Hale; Atamaz, Funda; Tanigor, Goksel; Kirazli, YesimObjectives: the aim of this study was to examine the effects of occupational therapy (OT) combined with standard rehabilitation (SR) on the activities of daily living, quality of life, and psychological symptoms of hemiplegic patients. Patients and methods: Between August 2014 and February 2016, a total of 35 hemiplegic patients with post-diagnostic periods (19 males, 16 females; mean age 58.3 years; range 37 to 77 years) were included. the patients were randomized into two groups as OT+SR group (n=17) and SR only group (n=18). the study was completed by 16 patients in each group. the patients in the OT group were given 45-min SR five days a week plus 45-min OT three days a week over an eight-week period, while the patients in the SR group received SR only (of the same duration and frequency as the OT group). the patients were assessed at enrolment (pre-treatment), and again after eight weeks of treatment using the Pinch and Grip Strength and the Purdue Pegboard tests, Global Daily Living Activities Scale, Performance Assessment of Self-care Skills (PASS), Nottingham Extended Activities of Daily Living (NEADL) Scale, Quality of Life Short Form (SF-36) Questionnaire, and Hospital Anxiety and Depression Scale (HAD) for their psychological state. Results: Significant improvements were observed in within-group scores for PASS, Pinch and Grip Strength Test, NEADL Scale, and Purdue Pegboard test (p<0.05). After treatment, a significant increase was found in the SF-36 physical function, general health and physical total in-group scores of the OT group, whereas a significant increase was observed only in the physical total scores of the SR group (p<0.05). There was no significant improvement in the HAD scores within both groups (p>0.05). Inter-group comparisons revealed a further significant improvement in PASS instrumental daily activity index-physical subscale and Purdue Pegboard Test scores of the OT group (p<0.05). However, there was no significant difference in PASS activity, self-care and instrumental daily activity cognitive subscale, SF-36, HAD and hand grip and pinch strength scores between the groups (p>0.05). Conclusion: Occupational therapy combined with SR applications has a beneficial impact on certain daily living activities and hand functions. Occupational therapy does not have any additional benefits on the quality of life, pinch and grip strength, and the psychological state.Öğe Occupational therapy assessment and treatment approach in patientswith subacute and chronic stroke: A single-blind, prospective,randomized clinical trial(2020) Karapolat, Hale; Tanıgör, Göksel; Kirazlı, Yeşim; Eroğlu, Mehmet; Atamaz, FundaObjectives: The aim of this study was to examine the effects of occupational therapy (OT) combined with standard rehabilitation (SR) on the activities of daily living, quality of life, and psychological symptoms of hemiplegic patients.Patients and methods: Between August 2014 and February 2016, a total of 35 hemiplegic patients with post-diagnostic periods (19 males, 16 females; mean age 58.3 years; range 37 to 77 years) were included. The patients were randomized into two groups as OT+SR group (n=17) and SR only group (n=18). The study was completed by 16 patients in each group. The patients in the OT group were given 45-min SR five days a week plus 45-min OT three days a week over an eight-week period, while the patients in the SR group received SR only (of the same duration and frequency as the OT group). The patients were assessed at enrolment (pre-treatment), and again after eight weeks of treatment using the Pinch and Grip Strength and the Purdue Pegboard tests, Global Daily Living Activities Scale, Performance Assessment of Self-care Skills (PASS), Nottingham Extended Activities of Daily Living (NEADL) Scale, Quality of Life Short Form (SF-36) Questionnaire, and Hospital Anxiety and Depression Scale (HAD) for their psychological state.Results: Significant improvements were observed in within-group scores for PASS, Pinch and Grip Strength Test, NEADL Scale, and Purdue Pegboard test (p<0.05). After treatment, a significant increase was found in the SF-36 physical function, general health and physical total in-group scores of the OT group, whereas a significant increase was observed only in the physical total scores of the SR group (p<0.05). There was no significant improvement in the HAD scores within both groups (p>0.05). Inter-group comparisons revealed a further significant improvement in PASS instrumental daily activity index-physical subscale and Purdue Pegboard Test scores of the OT group (p<0.05). However, there was no significant difference in PASS activity, self-care and instrumental daily activity cognitive subscale, SF-36, HAD and hand grip and pinch strength scores between the groups (p>0.05).Conclusion: Occupational therapy combined with SR applications has a beneficial impact on certain daily living activities and hand functions. Occupational therapy does not have any additional benefits on the quality of life, pinch and grip strength, and the psychological state.Öğe Omurilik yaralanmalı hastaların temiz aralıklı kateterizasyona uzun dönemde gösterdikleri uyum.(2004) Akkoç, Yeşim; Atamaz, Funda; Ozdedelı, S.; Kirazlı, Yeşim; Hepgüler, Simin; Durmaz, Berrin…Öğe Psychometric properties of fatigue severity and fatigue impact scales in postpolio patients(Lippincott Williams & Wilkins, 2013) Oncu, Julide; Atamaz, Funda; Durmaz, Berrin; On, ArzuWe evaluate the reliability, validity, and responsiveness of the Fatigue Severity Scale (FSS) and the Fatigue Impact Scale (FIS) and to determine whether these scales are potentially applicable for measuring fatigue in postpolio patients (PPS). After the Turkish adaptation of FSS and FIS using a forward-backward procedure, the scales were administered to 48 PPS patients without additional health problems that may induce fatigue. Reliability studies were carried out by determination of intraclass correlation coefficient and internal consistency by the Cronbach-alpha coefficient. Validity was tested by within-scale analyses and analyses against the external criteria including convergent validity and discriminant validity. Correlations with the Notthingham Health Profile (NHP), fatigue, pain and cramp severity (visual analog scale), and manual muscle testing were performed. Sensitivity to changes was determined by standardized response mean values. All patients completed scales, suggesting their satisfactory acceptance. Reliability studies were satisfactory, with higher Cronbach-a values and intraclass correlation coefficients than 0.80. The FSS score was correlated moderately with visual analog scale-fatigue (r=0.41) and the NHP-energy dimension (r=0.29). All FIS scores except cognitive scores were moderately related to the NHP-social isolation score (r=0.40, 0.37, and 0.43 for FIS-physical, social, and total scores, respectively). There was also a significant correlation between the FIS-physical score and the NHP-energy score (r=0.31). On the basis of the standardized response mean values, response to treatment for these two questionnaires was satisfactory (P=0.00). The Turkish versions of FSS and FIS were reliable, sensitive to clinical changes, and also well accepted by patients with PPS. Although they had somewhat satisfactory convergent validity, the absence of strong correlations did not support the validity entirely.
