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Article ; Online: Physical activity levels of individuals with chronic musculoskeletal disorders: Their relationship with barriers and facilitators.

Kalın, Ayse Sevim / Aytur, Yesim Kurtais

2023 Volume 21, Issue 3, Page(s) 797–805

Abstract: Background: Individuals with chronic musculoskeletal disorders (MSD) often avoid physical activity (PA) and exercise although these are the key factors in managing their condition and pain.: Objectives: To determine the PA levels of individuals with ... ...

Abstract	Background: Individuals with chronic musculoskeletal disorders (MSD) often avoid physical activity (PA) and exercise although these are the key factors in managing their condition and pain. Objectives: To determine the PA levels of individuals with chronic MSD and their relationship with barriers and facilitators. Design: Three hundred and five subjects with five MSD groups; fibromyalgia, myofascial pain, osteoarthritis, periarticular regional pain and degenerative spine problems were included in the study. The visual analogue scale was used to assess pain, the Hospital Anxiety and Depression Scale to assess emotional impact, and the Nottingham Health Profile (NHP) to assess quality of life. PA levels were categorised by the International Physical Activity Questionnaire-Short Form. Perceived barriers and facilitators for PA/exercise were determined by questionnaire. Results: 66 (21.6%) were male, 239 (78.4%) were female. 196 (64.3%) of the subjects were physically inactive, 94 (31.1%) low-active, and 15 (4.6%) sufficiently active. The most frequently reported barriers for PA/exercise were fatigue/feeling too tired (72.1%), pain (66.2%), and lack of motivation/willingness (54.4%). The most frequently reported facilitators were the desire to be in good health (72.8%), enjoying exercise (59.7%), and the desire to keep fit and lose weight (59%). Conclusion: The level of PA in individuals with MSD was quite low. Identifying the underlying causes of PA is important since PA/exercise is beneficial for musculoskeletal health. Yet, barriers and facilitators for PA were revealed for this study population. Identifying and understanding these barriers and facilitators would facilitate the individualised PA/exercise programs for both clinical practice and research.
MeSH term(s)	Humans ; Male ; Female ; Quality of Life ; Qualitative Research ; Exercise/psychology ; Musculoskeletal Diseases ; Osteoarthritis ; Motivation ; Fatigue
Language	English
Publishing date	2023-03-06
Publishing country	England
Document type	Journal Article
ZDB-ID	2171452-6
ISSN	1557-0681 ; 1478-2189
ISSN (online)	1557-0681
ISSN	1478-2189
DOI	10.1002/msc.1754
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Zs.A 6046: Show issues

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Article ; Online: Assessment for cardiovascular fitness in patients with stroke: which cardiopulmonary exercise testing method is better?

Mustafa, Esra / Aytür, Yesim Kurtais

Topics in stroke rehabilitation

2021 Volume 29, Issue 5, Page(s) 347–355

Abstract: Background: Assessment for cardiovascular disease (CVD) is important in stroke patients, both being one of the main factors limiting success in stroke rehabilitation and its increased risk in stroke patients. Reduced exercise capacity after stroke ... ...

Abstract	Background: Assessment for cardiovascular disease (CVD) is important in stroke patients, both being one of the main factors limiting success in stroke rehabilitation and its increased risk in stroke patients. Reduced exercise capacity after stroke decreases patients' functionality and further increases the risk of CVD. Carefully selected cardiopulmonary exercise testing (CPET) can be safely used to determine the risk of CVD and to prescribe exercise program in stroke rehabilitation. Objectives: The primary purpose of this study is to determine the most appropriate CPET in patients with stroke. The secondary aim is to determine the relationship between cardiorespiratory fitness and functional status of the patients. Methods: Two CPETs using treadmill and bicycle ergometer protocols determined with a preliminary study were performed on participants. The main outcome measure was VO Results: In total, 38 patients reached higher VO Discussion: The results of this study indicate that CPET can be performed safely in stroke patients when appropriate protocol was selected and that treadmill was more appropriate to determine cardiorespiratory fitness in this study population.
MeSH term(s)	Cardiorespiratory Fitness ; Exercise ; Exercise Test/methods ; Humans ; Oxygen Consumption ; Stroke/complications ; Stroke Rehabilitation
Language	English
Publishing date	2021-05-22
Publishing country	England
Document type	Journal Article
ZDB-ID	1213112-x
ISSN	1945-5119 ; 1074-9357
ISSN (online)	1945-5119
ISSN	1074-9357
DOI	10.1080/10749357.2021.1929010
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Zs.A 4139: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Effects of pulmonary rehabilitation on diaphragm thickness and contractility in patients with chronic obstructive pulmonary disease.

Güneş, Seçilay / Genç, Aysun / Aytür, Yesim Kurtaiş / Çiftçi, Fatma / Hayme, Serhat / Kaya, Akın

Turkish journal of medical sciences

2022 Volume 52, Issue 1, Page(s) 89–96

Abstract: Background: Studies are showing that pulmonary rehabilitation (PR) increases diaphragmatic excursion by decreasing hyperinflation in patients with chronic obstructive pulmonary disease (COPD). However, there is a lack of knowledge about its effects on ... ...

Abstract	Background: Studies are showing that pulmonary rehabilitation (PR) increases diaphragmatic excursion by decreasing hyperinflation in patients with chronic obstructive pulmonary disease (COPD). However, there is a lack of knowledge about its effects on the diaphragm thickness (dt) and contractility. This study aims to evaluate the dt and contractility before and after PR in patients with COPD. Methods: All subjects participated in an out-patient PR of 6 weeks and 3 sessions per week prospectively. Dyspnea severity, the disease-specific quality of life (St. Georges Respiratory Questionnaire-SGRQ), pulmonary function tests (PFT), exercise capacity, the dt at the end of the expiration and at maximal inspiration (B-mode ultrasound) were evaluated at baseline and after PR. Results: A total of 34 patients with a mean age and FEV1 61.05 ± 8.22 years and 57.9 ± 20.4% predicted respectively showed improvements in exercise capacity and some items of PFT and SGRQ. Diaphragmatic thickness at the end of the expiration also significantly improved regardless of the disease severity and was positively correlated with functional performance. The 6-weeks of PR didn't result in a significant difference in diaphragm contractility.
MeSH term(s)	Humans ; Diaphragm/diagnostic imaging ; Quality of Life ; Pulmonary Disease, Chronic Obstructive ; Dyspnea ; Respiratory Function Tests
Language	English
Publishing date	2022-02-22
Publishing country	Turkey
Document type	Journal Article
ZDB-ID	1183461-4
ISSN	1303-6165 ; 1300-0144
ISSN (online)	1303-6165
ISSN	1300-0144
DOI	10.3906/sag-2105-345
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Zs.A 3242: Show issues

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Article ; Online: Does fear of activity predict exercise capacity in patients with coronary artery disease in both sexes? A cross-sectional multicenter study.

Turkish journal of physical medicine and rehabilitation

2024 Volume 70, Issue 1, Page(s) 73–80

Abstract: Objectives: This study aimed to identify whether fear of activity predicts exercise capacity in patients with coronary artery disease (CAD) and whether there is a difference between sexes regarding this relationship.: Patients and methods: One ... ...

Abstract	Objectives: This study aimed to identify whether fear of activity predicts exercise capacity in patients with coronary artery disease (CAD) and whether there is a difference between sexes regarding this relationship. Patients and methods: One hundred ninety-seven patients (145 males, 52 females; mean age: 56.3±10.8 years; range, 22 to 80 years) with a diagnosis of CAD or cardiac event in the previous one to 60 months were enrolled in this cross-sectional multicenter study between November 2015 and February 2017. Demographic and clinical features were recorded. Fear of activity was assessed by the fear of activity scale in patients with CAD (FactCAD). A 6-min walk test was used to assess exercise capacity. Results: Female participants were older, less educated, and less employed (p=0.045, p=0.048, and p<0.001, respectively) than males. Prevalence of myocardial infarction was higher in males. Comorbidities were higher in females. Multiple linear regression predicted 6-min walk distance (6MWD) based on FactCAD, sex, and education level with an r-squared of 0.321 (p<0.001). Fear of activity had an effect on walking distance in males (each additional score of FactCAD predicts a decrease of 1.3 m in 6MWD), together with disease duration, presence of chronic pulmonary disease, and low back pain, whereas fear of activity was not a predicting factor on walking distance in females. Age, education, and presence of angina predicted 6MWD in females. Conclusion: This study emphasizes that fear of activity is one of the predictors of 6MWD in males with CAD, and its assessment is recommended as a possible barrier to rehabilitation.
Language	English
Publishing date	2024-02-01
Publishing country	Turkey
Document type	Journal Article
ZDB-ID	2712472-1
ISSN	2587-1250 ; 2587-1250 ; 1308-6316
ISSN (online)	2587-1250
ISSN	2587-1250 ; 1308-6316
DOI	10.5606/tftrd.2024.12956
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Article ; Online: COVID-19, cardiac involvement and cardiac rehabilitation: Insights from a rehabilitation perspective - State of the Art.

Sonel Tur, Birkan / Köseoğlu, Belma Füsun / Kutay Ordu Gökkaya, Nilüfer / Kurtaiş Aytür, Yeşim / Özyemişci Taşkıran, Özden / Demirbağ Kabayel, Derya / Kesiktaş, Nur / Tıkız, Canan / Özdemir, Hande / Alemdaroğlu, Ebru / Bilir Kaya, Başak / Genç, Aysun / Tomruk Sütbeyaz, Serap

Turkish journal of physical medicine and rehabilitation

2022 Volume 68, Issue 3, Page(s) 317–335

Abstract: Since the beginning of the pandemic, many novel coronavirus disease 2019 (COVID-19) patients have experienced multisystem involvement or become critically ill and treated in intensive care units, and even died. Among these systemic effects, cardiac ... ...

Abstract	Since the beginning of the pandemic, many novel coronavirus disease 2019 (COVID-19) patients have experienced multisystem involvement or become critically ill and treated in intensive care units, and even died. Among these systemic effects, cardiac involvement may have very important consequences for the patient's prognosis and later life. Patients with COVID-19 may develop cardiac complications such as heart failure, myocarditis, pericarditis, vasculitis, acute coronary syndrome, and cardiac arrhythmias or trigger an accompanying cardiac disease. The ratio of COVID-19 cardiac involvement ranges between 7 and 28% in hospitalized patients with worse outcomes, longer stay in the intensive care unit, and a higher risk of death. Furthermore, deconditioning due to immobility and muscle involvement can be seen in post-COVID-19 patients and significant physical, cognitive and psychosocial impairments may be observed in some cases. Considering that the definition of health is "a state of complete physical, mental and social well-being", individuals with heart involvement due to COVID-19 should be rehabilitated by evaluating all these aspects of the disease effect. In the light of the rehabilitation perspective and given the increasing number of patients with cardiac manifestations of COVID-19, in this review, we discuss the rehabilitation principles in this group of patients.
Language	English
Publishing date	2022-08-25
Publishing country	Turkey
Document type	Journal Article ; Review
ZDB-ID	2712472-1
ISSN	2587-1250 ; 2587-1250 ; 1308-6316
ISSN (online)	2587-1250
ISSN	2587-1250 ; 1308-6316
DOI	10.5606/tftrd.2022.11435
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Article: Does aerobic exercise affect the hypothalamic-pituitary-adrenal hormonal response in patients with fibromyalgia syndrome?

Genc, Aysun / Tur, Birkan Sonel / Aytur, Yesim Kurtais / Oztuna, Derya / Erdogan, Murat Faik

Journal of physical therapy science

2015 Volume 27, Issue 7, Page(s) 2225–2231

Abstract: Purpose] The hypothalamic-pituitary-adrenal (HPA) axis in the etiopathogenesis of fibromyalgia is not clear. This study aimed to analyze the effects of a 6-week aerobic exercise program on the HPA axis in patients with fibromyalgia and to investigate ... ...

Abstract	[Purpose] The hypothalamic-pituitary-adrenal (HPA) axis in the etiopathogenesis of fibromyalgia is not clear. This study aimed to analyze the effects of a 6-week aerobic exercise program on the HPA axis in patients with fibromyalgia and to investigate the effects of this program on the disease symptoms, patients' fitness, disability, and quality of life. [Subjects and Methods] Fifty fibromyalgia patients were randomized to Group 1 (stretching and flexibility exercises at home for 6 weeks) and Group 2 (aerobic exercise three times a week and the same at-home exercises as Group 1 for 6 weeks). Serum levels of cortisol, adrenocorticotropic hormone, insulin-like growth factor-1, and growth hormone were analyzed at baseline and at the end of, and 1 hr after an exercise stress test. [Results] Group 2 showed better improvement in morning stiffness duration and pain. Growth hormone levels significantly increased after intervention and cortisol levels significantly decreased at time-time interaction in both groups. No significant differences in adrenocorticotropic hormone and insulin-like growth factor-1 were found. [Conclusion] The results of this study seem to support the hypothesis that there is a dysregulation of the HPA axis in patients with FM, and that a six-week exercise program can influence symptoms and affect the HPA axis hormones.
Language	English
Publishing date	2015-07-22
Publishing country	Japan
Document type	Journal Article
ZDB-ID	2038898-6
ISSN	0915-5287
ISSN	0915-5287
DOI	10.1589/jpts.27.2225
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Article ; Online: Development and Validation of a Scale to Measure Fear of Activity in Patients With Coronary Artery Disease (Fact-CAD).

Ozyemisci-Taskiran, Ozden / Demirsoy, Nesrin / Atan, Tugba / Yuksel, Selcen / Coskun, Ozlem / Aytur, Yesim Kurtais / Tur, Birkan Sonel / Karakas, Merve / Turak, Osman / Topal, Salih

Archives of physical medicine and rehabilitation

2019 Volume 101, Issue 3, Page(s) 479–486

Abstract: Objective: To develop and validate a scale to measure fear of activity in patients with coronary artery disease.: Design: Psychometric study.: Setting: Outpatient cardiology clinics.: Participants: The scale was applied to patients who had ... ...

Abstract	Objective: To develop and validate a scale to measure fear of activity in patients with coronary artery disease. Design: Psychometric study. Setting: Outpatient cardiology clinics. Participants: The scale was applied to patients who had myocardial infarction, coronary artery bypass grafting, or percutaneous coronary intervention within the last 12 months (N=250). Interventions: A scale for fear of activity in patients with coronary artery disease (Fact-CAD) was created through semistructured focus group interviews with patients. Face and content validity of Fact-CAD was verified. Main outcome measures: Psychometric analysis included model fit, unidimensionality, reliability, local dependency, differential item functioning, and external construct validity. Analyses were performed using the Rasch Analysis Model. Results: Fact-CAD scale was a reliable (high Person Separation Index of 0.89) and valid (unidimensional, no misfit, local independency supported, no residual correlations) measure of fear of activity. Three items showed differential item functioning according to employment status, marital status, and angina pectoris, which were not assigned as real item bias by experts and remained in the model. Conclusion: Fact-CAD was supported by Rasch analysis as a psychometrically valid scale to evaluate fear of activity in patients with coronary artery disease.
MeSH term(s)	Coronary Artery Disease/psychology ; Coronary Artery Disease/surgery ; Exercise/psychology ; Fear/classification ; Fear/psychology ; Female ; Focus Groups ; Humans ; Male ; Middle Aged ; Psychometrics ; Reproducibility of Results
Language	English
Publishing date	2019-09-25
Publishing country	United States
Document type	Journal Article ; Validation Study
ZDB-ID	80057-0
ISSN	1532-821X ; 0003-9993
ISSN (online)	1532-821X
ISSN	0003-9993
DOI	10.1016/j.apmr.2019.09.001
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Article ; Online: Assessment of the relatives or spouses cohabiting with the fibromyalgia patients: is there a link regarding fibromyalgia symptoms, quality of life, general health and psychologic status?

Dogan, Sebnem Koldas / Aytur, Yesim Kurtais / Atbasoglu, Cem

Rheumatology international

2010 Volume 31, Issue 9, Page(s) 1137–1142

Abstract: It was aimed to investigate the existence of the symptoms related to fibromyalgia in the first-degree relatives or spouses of the patients and to assess the psychologic and general health status of these individuals and the correlation of these with the ... ...

Abstract	It was aimed to investigate the existence of the symptoms related to fibromyalgia in the first-degree relatives or spouses of the patients and to assess the psychologic and general health status of these individuals and the correlation of these with the patients' status. Thirty-seven patients with FS, 32 first-degree relatives or spouses of the patients and 30 healthy subjects as a control group were included. Symptoms related to FS were recorded in all subjects. Fibromyalgia Impact Questionnaire and Nottingham Health Profile were used to assess the components of functional status and quality of life. General health status was evaluated by General Health Questionnaire. Beck Depression Inventory and Beck Anxiety Inventory were used to assess the psychologic status. There were significant differences in the frequency of the symptoms between three groups (P < 0.05). Symptoms and signs related to of relatives/spouses of the patients and healthy controls were found to be significantly lower than those of the patients. GHQ, BAI and BDI scores of patients were found to be significantly higher than relative/spouses and control groups (P < 0.05). There were statistically significant differences between three groups in energy level, pain, sleep and physical abilities subscores of NHP (P < 0.05). No significant differences were detected in NHP subscores between relative/spouses of the patients and controls (P > 0.05). No fibromyalgia symptoms or signs were detected in the relatives/spouses. The general health status, psychologic status and quality of life were found to be not impaired in relatives/spouses of the patients with FS.
MeSH term(s)	Caregivers/psychology ; Fatigue/psychology ; Female ; Fibromyalgia/psychology ; Health Status ; Humans ; Male ; Middle Aged ; Pain/psychology ; Personality Inventory ; Quality of Life/psychology ; Surveys and Questionnaires
Language	English
Publishing date	2010-03-26
Publishing country	Germany
Document type	Journal Article
ZDB-ID	8286-7
ISSN	1437-160X ; 0172-8172
ISSN (online)	1437-160X
ISSN	0172-8172
DOI	10.1007/s00296-010-1422-5
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Zs.A 1639: Show issues

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Article ; Online: The Relationship Between the Tender Point Ultrasound Shear Wave Elastography Velocities and the Symptoms and Quality of Life in Fibromyalgia Syndrome

Aysun Genç / Uğur Kuş / Ali Ağuş / Hacı Musab Kıymaz / Onur Bozdağ / Yeşim Kurtaiş Aytür / Sehim Kutlay

Ankara Üniversitesi Tıp Fakültesi Mecmuas, Vol 72, Iss 2, Pp 150-

2019 Volume 155

Abstract: Objectives:The primary objective of the study was to determine the potential tissue changes and ultrasound elastography flow rates at the sensitive points in patients with fibromyalgia syndrome and to obtain objective data; secondary aim is to determine ... ...

Abstract	Objectives:The primary objective of the study was to determine the potential tissue changes and ultrasound elastography flow rates at the sensitive points in patients with fibromyalgia syndrome and to obtain objective data; secondary aim is to determine the relationship between these flow rates and disease symptoms and quality of life and to determine the usefulness of these data in the follow-up of functional status and treatment of patients.Materials and Methods:Twenty-four female patients diagnosed as fibromyalgia syndrome with sensitive points in the upper trapezius and supraspinatus regions were questioned for morning stiffness, sleep quality, pain level (visual analog scale), mental status (Beck Depression Scale), functional status (Fibromyalgia Impact Questionnaire) and quality of life (SF-36). The ultrasound elastography flow velocities at the sensitive upper trapezoidal and supraspinatus points were measured with the Acuson S2000 ultrasound system (Siemens Medical Solutions, Mountain View, CA). All data were analysed statistically for correlation.Results:The mean age was 51.4 years (min-max=26-74). There was a positive correlation between ultrasound elastography flow rates and some SF-36 subscores and left trapezoidal neutral position and Visual Analogue Score (r=0.510, p=0.013).Conclusion:The data is not sufficient to use ultrasound elastography flow rates as a quantitative diagnostic criterion in fibromyalgia syndrome. Further studies involving enough sample size and including a control group will allow the questioning of the true value of the significant correlations that we find.
Keywords	Fibromyalgia Syndrome ; Shear-wave Elastography ; Quality of Life ; Medicine (General) ; R5-920
Subject code	610
Language	English
Publishing date	2019-08-01T00:00:00Z
Publisher	Galenos Publishing House
Document type	Article ; Online
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Article ; Online: Pulmonary rehabilitation principles in SARS-COV-2 infection (COVID-19): The revised guideline for the acute, subacute, and post-COVID-19 rehabilitation.

Turkish journal of physical medicine and rehabilitation

2021 Volume 67, Issue 2, Page(s) 129–145

Abstract: Coronavirus disease 2019 (COVID-19) is a contagious infection disease, which may cause respiratory, physical, psychological, and generalized systemic dysfunction. The severity of disease ranges from an asymptomatic infection or mild illness to mild or ... ...

Abstract	Coronavirus disease 2019 (COVID-19) is a contagious infection disease, which may cause respiratory, physical, psychological, and generalized systemic dysfunction. The severity of disease ranges from an asymptomatic infection or mild illness to mild or severe pneumonia with respiratory failure and/or death. COVID-19 dramatically affects the pulmonary system. This clinical practice guideline includes pulmonary rehabilitation (PR) recommendations for adult COVID-19 patients and has been developed in the light of the guidelines on the diagnosis and treatment of COVID-19 provided by the World Health Organization and Republic of Turkey, Ministry of Health, recently published scientific literature, and PR recommendations for COVID-19 regarding basic principles of PR. This national guideline provides suggestions regarding the PR methods during the clinical stages of COVID-19 and post-COVID-19 with its possible benefits, contraindications, and disadvantages.
Language	English
Publishing date	2021-05-25
Publishing country	Turkey
Document type	Journal Article
ZDB-ID	2712472-1
ISSN	2587-1250 ; 2587-1250 ; 1308-6316
ISSN (online)	2587-1250
ISSN	2587-1250 ; 1308-6316
DOI	10.5606/tftrd.2021.8821
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