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Article: Acute Effects of Remedial Exercises with and without Compression on Breast-Cancer-Related Lymphedema.

Gülören, Gülbala / Doğan, Yahya / Özgül, Serap / Gürşen, Ceren / Çinar, Gamze Nalan / İpekten, Funda / Akbayrak, Türkan

2023 Volume 11, Issue 22

Abstract: Remedial exercises are an important part of the treatment for lymphedema, but there is little evidence to support the acute effects of remedial exercises with or without compression. The aim of this study was to investigate whether and how daily ( ... ...

Abstract	Remedial exercises are an important part of the treatment for lymphedema, but there is little evidence to support the acute effects of remedial exercises with or without compression. The aim of this study was to investigate whether and how daily (performed within 24 h) remedial exercises with and without compression bandaging acutely affect the severity of lymphedema and its symptoms in breast-cancer-related lymphedema (BCRL). In total, 34 patients with BCRL completed three sets of remedial exercises (within 24 h) with and without compression bandaging in a randomized order separated by a 3-day wash-out period. The severity of lymphedema and extracellular water ratio were assessed before and 24 h post exercise by using bilateral circumferential measurements and bioimpedance spectroscopy (in L-dex score), respectively, and the severity of self-reported symptoms (swelling, heaviness, and tightness) was assessed using a visual analogue scale. While there was no difference in all outcomes at 24 h post exercise without compression (
Language	English
Publishing date	2023-11-11
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2721009-1
ISSN	2227-9032
ISSN	2227-9032
DOI	10.3390/healthcare11222949
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Article ; Online: Psychometric Properties and Cutoff Value of the Turkish Overactive Bladder Symptom Score.

Baran, Emine / Gürşen, Ceren / Ozgul, Serap / Çinar, Gamze Nalan / Nakip, Gulbala / Üzelpasaci, Esra / Ozgul, Nejat / Beksaç, Mehmet Sinan / Akbayrak, Türkan

Urogynecology (Philadelphia, Pa.)

2023

Abstract: Importance: The Overactive Bladder Symptom Score (OABSS) measures all overactive bladder (OAB) symptoms with graded answers, evaluates urgency symptoms, and reveals the subjective bladder control. However, the Turkish version and the cutoff value of the ...

Abstract	Importance: The Overactive Bladder Symptom Score (OABSS) measures all overactive bladder (OAB) symptoms with graded answers, evaluates urgency symptoms, and reveals the subjective bladder control. However, the Turkish version and the cutoff value of the questionnaire have not yet been studied. Objective: The aims of this study were to determine the psychometric properties of the 7-item OABSS and to estimate the cutoff value of the scale. Study design: This was an observational study. The internal consistency (Cronbach α) and test-retest reliability were analyzed, and exploratory factor analysis was performed. For the criterion validity, the correlations between the OABSS, the Overactive Bladder Questionnaire, the Bristol Female Lower Urinary Tract Symptoms questionnaire, and outcomes of a bladder diary were used. The cutoff value of the OABSS was analyzed by the receiver operating characteristics curve analysis. Results: Participants with (n = 49) and without (n = 38) OAB were included. The internal consistency was very strong (Cronbach α = 0.95). The test-retest reliability was very strong (intraclass correlation coefficients = 0.93-0.95, P = 0.001). The percentage of explanation of the total variance was calculated as 78%. There was a strong to very strong correlation between the OABSS and the Overactive Bladder Questionnaire and Bristol Female Lower Urinary Tract Symptoms scores and outcomes of the bladder diary. The cutoff value for the OABSS was determined as 10.5. Conclusions: The Turkish OABSS was found to be a valid and reliable scale to determine OAB symptoms and severity. Those who score more than 10.5 on the questionnaire can be considered as at risk of OAB syndrome.
Language	English
Publishing date	2023-12-28
Publishing country	United States
Document type	Journal Article
ISSN	2771-1897
ISSN (online)	2771-1897
DOI	10.1097/SPV.0000000000001446
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Article ; Online: Contributory effects of individual characteristics on pelvic floor distress in women with pelvic floor dysfunctions.

Özgül, Serap / Gürşen, Ceren / Toprak Çelenay, Şeyda / Baran, Emine / Üzelpasacı, Esra / Nakip, Gülbala / Çinar, Gamze Nalan / Beksaç, Mehmet Sinan / Akbayrak, Türkan

Physiotherapy theory and practice

2022 Volume 40, Issue 3, Page(s) 625–636

Abstract: Objective: To determine individual characteristics (i.e. sociodemographic and medical, obstetric and gynecological, and musculoskeletal and anthropometric parameters) for greater pelvic floor distress (PFD).: Methods: A cross-sectional study was ... ...

Abstract	Objective: To determine individual characteristics (i.e. sociodemographic and medical, obstetric and gynecological, and musculoskeletal and anthropometric parameters) for greater pelvic floor distress (PFD). Methods: A cross-sectional study was performed in 253 women with pelvic floor dysfunction. PFD was assessed using the Pelvic Floor Distress Inventory-20 (PFDI-20). The score of Urogenital Distress Inventory-6 (UDI-6) was used to perform secondary analyses. Sociodemographic, medical, and obstetric & gynecological parameters were recorded. Waist and hip circumferences and pelvic diameters were measured as anthropometric parameters. Pearson test, Results: Education level (r = -0.23, p < .001; r = -0.24, p < .001), number of vaginal births (r = 0.15, p = .012; r = 0.12, p = .048), total vaginal birth weight (r = 0.15, p = .021; r = 0.16, p = .019), and Body Mass Index (r = 0.12, p = .043; r = 0.16, p = .007) were significantly correlated with the higher PFDI-20 and UDI-6 scores. The maternal age at the first vaginal birth (r = -0.13, p = .049) and pelvic antero-posterior diameter (r = 0.17, p = .013) were also significantly correlated with higher UDI-6 score. Linear regression analyses revealed that younger age (Beta coefficient ( Conclusion: This study showed that younger age, chronic cough/constipation, higher total vaginal birth weight, greater symptom duration, and pelvic antero-posterior diameter can be contributors of greater PFD. We suggest further longitudinal studies that better reveal the causal relationship between individual characteristics and PFD.
MeSH term(s)	Pregnancy ; Female ; Humans ; Pelvic Floor Disorders ; Surveys and Questionnaires ; Pelvic Floor ; Cross-Sectional Studies ; Birth Weight ; Constipation ; Quality of Life
Language	English
Publishing date	2022-09-28
Publishing country	England
Document type	Journal Article
ZDB-ID	1045333-7
ISSN	1532-5040 ; 0959-3985
ISSN (online)	1532-5040
ISSN	0959-3985
DOI	10.1080/09593985.2022.2127137
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Article ; Online: Complex Decongestive Therapy in the Physical Therapist Management of Rosacea-Related Edema (Morbus Morbihan Syndrome): A Case Report With a New Approach.

Çinar, Gamze Nalan / Özgül, Serap / Nakip, Gülbala / Üzelpasaci, Esra / Baran, Emine / Gürşen, Ceren / Elçin, Gonca / Akbayrak, Türkan

Physical therapy

2021 Volume 101, Issue 9

Abstract: Objective: The aim of this case report was to describe the use of complete decongestive therapy (CDT) with a new approach in the management of a male with facial edema related to Morbus Morbihan Syndrome (MMS).: Methods: An 18-year-old male with MMS ... ...

Abstract	Objective: The aim of this case report was to describe the use of complete decongestive therapy (CDT) with a new approach in the management of a male with facial edema related to Morbus Morbihan Syndrome (MMS). Methods: An 18-year-old male with MMS after acne treatment was the subject of this case report. Volume assessment was performed with distance measurements of the facial area using standard reference points, the overflow method, and the measurement of the percentage of subdermal fluid. Participant-reported symptoms of lymphedema (feeling of swelling and tightness) and body image perception were evaluated with the visual analogue scale, and the severity of anxiety was evaluated with the State and Trait Anxiety Inventory. In addition, the participant's perception of improvement was determined using a Likert-type scale. Evaluations were performed at baseline, week 4 (during the treatment), and week 8 (immediately after treatment). CDT was applied to the participant in a total of 24 sessions, 3 d/wk for 8 weeks. Results: Compared with the baseline measurement, the facial distances (tragus-mental cavity, tragus-mouth corner, mandibula-nasal canal, mandibula-internal orbita, mandibula-external orbita, mental cavity-internal orbita, mental cavity-mandibula, right-left tragus, and hairline in the forehead-mental cavity), the volume, and the percentage of subdermal fluid of facial area were decreased at the week 4 and 8 measurements. The anxiety score, participant reports of feelings of swelling and tightness, and body image perception improved after the 8 weeks of treatment compared with baseline. Conclusion: This case report described the use of CDT in treating edema and participant symptoms in an individual with facial lymphedema related to MMS. Body image and level of anxiety improved.
MeSH term(s)	Adolescent ; Drainage/methods ; Edema/complications ; Edema/therapy ; Facial Dermatoses/etiology ; Facial Dermatoses/therapy ; Humans ; Lymphedema/complications ; Lymphedema/therapy ; Male ; Manual Lymphatic Drainage/methods ; Rosacea/complications ; Rosacea/therapy ; Treatment Outcome
Language	English
Publishing date	2021-05-17
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	415886-6
ISSN	1538-6724 ; 0031-9023
ISSN (online)	1538-6724
ISSN	0031-9023
DOI	10.1093/ptj/pzab133
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Article ; Online: Psychometric properties of the Turkish version of the Pregnancy Sexual Response Inventory.

Nakip, Gülbala / Gürşen, Ceren / Baran, Emine / Üzelpasaci, Esra / Çinar, Gamze Nalan / Özgül, Serap / Beksaç, Mehmet Sinan / Akbayrak, Türkan

Archives of gynecology and obstetrics

2021 Volume 304, Issue 1, Page(s) 101–107

Abstract: Purpose: The purpose of this study was to adapt the Pregnancy Sexual Response Inventory (PSRI) into Turkish and to determine the psychometric properties for pregnant women.: Methods: A total of 139 pregnant women were included in the study. The ... ...

Abstract	Purpose: The purpose of this study was to adapt the Pregnancy Sexual Response Inventory (PSRI) into Turkish and to determine the psychometric properties for pregnant women. Methods: A total of 139 pregnant women were included in the study. The psychometric features of the questionnaire were analyzed in terms of internal consistency, test-retest reliability, content and criterion validity. The Turkish version of the PSRI and the Female Sexual Function Index (FSFI) was completed by the pregnant women. Criterion validity was tested by measuring the correlations between the total and subscale scores of the PSRI and the FSFI. Results: The test-retest reliability of the Turkish PSRI was found to be moderate to very strong (ICC = 0.57-0.96, p < 0.001). The internal consistency [Cronbach's alpha (α) coefficient] was found to be 0.65-0.70 before pregnancy and 0.73-0.80 during pregnancy. The criterion validity of the PSRI was supported by moderate to strong correlations between the subscales of the FSFI (desire, arousal, orgasm, satisfaction, pain) and the subscales of the PSRI-during pregnancy (r = 0.59, r = 0.45, r = 0.64, r = 0.53, r = 0.41, p < 0.001, respectively). The total score of the PSRI was significantly correlated with the total score of the FSFI (r = 0.71, p < 0.001). Conclusion: The results of this study showed that the Turkish version of the PSRI has valid and reliable properties for assessing sexuality and sexual response during pregnancy.
MeSH term(s)	Female ; Humans ; Pregnancy ; Psychometrics/statistics & numerical data ; Reproducibility of Results ; Sexual Behavior/ethnology ; Sexual Behavior/psychology ; Sexual Dysfunctions, Psychological/diagnosis ; Sexual Dysfunctions, Psychological/psychology ; Surveys and Questionnaires/standards ; Turkey
Language	English
Publishing date	2021-01-21
Publishing country	Germany
Document type	Journal Article
ZDB-ID	896455-5
ISSN	1432-0711 ; 0932-0067
ISSN (online)	1432-0711
ISSN	0932-0067
DOI	10.1007/s00404-020-05933-4
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Article ; Online: Factors Related to Primary Dysmenorrhea in Turkish Women: a Multiple Multinomial Logistic Regression Analysis.

Çinar, Gamze Nalan / Akbayrak, Türkan / Gürşen, Ceren / Baran, Emine / Üzelpasacı, Esra / Nakip, Gülbala / Bozdağ, Gürkan / Beksaç, Mehmet Sinan / Özgül, Serap

Reproductive sciences (Thousand Oaks, Calif.)

2020 Volume 28, Issue 2, Page(s) 381–392

Abstract: This study aimed to evaluate the factors related to the severity of menstrual pain in Turkish women with primary dysmenorrhea (PD). The study included 504 women with PD aged 18 years or older. A Visual Analogue Scale (VAS), a self-developed structured ... ...

Abstract	This study aimed to evaluate the factors related to the severity of menstrual pain in Turkish women with primary dysmenorrhea (PD). The study included 504 women with PD aged 18 years or older. A Visual Analogue Scale (VAS), a self-developed structured questionnaire, the International Physical Activity Questionnaire-Short Form (IPAQ-SF), State and Trait Anxiety Inventory, Beck Depression Inventory, and Nottingham Health Profile (NHP) were used to measure outcomes. Multiple multinomial logistic regression analysis was used to determine the factors related to the severity of menstrual pain. In this model, categorical menstrual pain severity levels (mild, moderate, and severe) were considered as dependent variables and the category of "severe menstrual pain" was determined as the reference category. p value less than 0.05 was considered statistically significant. The individuals were divided into 3 groups according to their VAS scores: mild-pain group (n = 132, 26.19%), moderate-pain group (n = 189, 37.50%), and severe-pain group (n = 183, 36.30%). BMI increase (OR = 1.10 and OR = 1.09), decreased chocolate consumption (OR = 1.88), menstruation duration (OR = 2.48) and menstrual pain duration (OR = 1.33 and OR = 1.61), and increased physical activity level (OR = 1.10) were found to increase the tendency to have less severe pain. The positive family history (OR = 0.35), a decrease in the age of menarche (OR = 0.47), the presence of irregular menstruation (OR = 0.36), and decreased quality of life (OR = 0.98 for NHP pain and emotional reaction) were found to be associated with a reduced likelihood of less severe pain (p < 0.05). In Turkey as well as in the rest of the world, PD is an important public health problem and many factors are associated with menstrual pain in Turkish women.
MeSH term(s)	Adolescent ; Adult ; Age Factors ; Body Mass Index ; Chocolate/adverse effects ; Cross-Sectional Studies ; Dysmenorrhea/diagnosis ; Dysmenorrhea/etiology ; Dysmenorrhea/physiopathology ; Dysmenorrhea/psychology ; Exercise ; Female ; Humans ; Life Style ; Logistic Models ; Menarche ; Menstrual Cycle ; Mental Health ; Pain Measurement ; Prognosis ; Quality of Life ; Risk Assessment ; Risk Factors ; Severity of Illness Index ; Turkey ; Young Adult
Language	English
Publishing date	2020-08-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	2276411-2
ISSN	1933-7205 ; 1933-7191
ISSN (online)	1933-7205
ISSN	1933-7191
DOI	10.1007/s43032-020-00289-1
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Article: Trimester-based changes in urogenital symptoms and their impact on the quality of life in pregnant women: A preliminary report.

Uzelpasaci, Esra / Çinar, Gamze Nalan / Baran, Emine / Gürşen, Ceren / Nakip, Gülbala / Ozgul, Serap / Beksac, Kemal / Unal, Canan / Orgul, Gokcen / Beksac, Alp Tuna / Akbayrak, Turkan / Beksac, Mehmet Sinan

Current urology

2021 Volume 15, Issue 3, Page(s) 167–171

Abstract: Background: This study is aimed to determine the trimester-based changes in urogenital symptoms and their impact on the quality of life in pregnant women.: Materials and methods: Fifty-one pregnant women participated in this study. Self-reported ... ...

Abstract	Background: This study is aimed to determine the trimester-based changes in urogenital symptoms and their impact on the quality of life in pregnant women. Materials and methods: Fifty-one pregnant women participated in this study. Self-reported symptom-based questionnaires, Urogenital Distress Inventory-Short Form (UDI-6), Incontinence Severity Index (ISI), and Incontinence Impact Questionnaire (IIQ-7) were administered to determine urogenital symptoms, incontinence severity, and the quality of life in all participants in the first, second, and third trimesters. The findings obtained were analyzed with the Friedman and Spearman tests. Results: Irritative (urgency and frequency) and stress incontinence symptoms showed statistically significant changes ( Conclusions: Urogenital symptoms associated with urinary incontinence such as frequency, urgency, and stress incontinence were found to be increased over the course of the three trimesters of the pregnancy and the quality of life was negatively affected. Special care is essential for urinary incontinence during antenatal care.
Language	English
Publishing date	2021-05-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	2253664-4
ISSN	1661-7657 ; 1661-7649
ISSN (online)	1661-7657
ISSN	1661-7649
DOI	10.1097/CU9.0000000000000021
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Article ; Online: Musculoskeletal and anthropometric factors associated with urinary incontinence in pregnancy.

Baran, Emine / Akbayrak, Türkan / Özgül, Serap / Nakip, Gülbala / Çinar, Gamze Nalan / Üzelpasacı, Esra / Gursen, Ceren / Beksaç, Kemal / Aydin, Emine / Çağan, Murat / Beksaç, Mehmet Sinan

Physiotherapy theory and practice

2021 Volume 38, Issue 11, Page(s) 1789–1798

Abstract: Introduction: Urinary incontinence (UI) is a common pelvic floor dysfunction in pregnancy. The relationship between biomechanical changes and pregnancy-related UI has not been fully elucidated.: Objective: To investigate the association of various ... ...

Abstract	Introduction: Urinary incontinence (UI) is a common pelvic floor dysfunction in pregnancy. The relationship between biomechanical changes and pregnancy-related UI has not been fully elucidated. Objective: To investigate the association of various musculoskeletal and anthropometric changes in pregnancy that affect gestational UI. Methods: The study was conducted with 275 pregnant women. Ninety-three, 110 and 72 women were in first, second and third trimesters, respectively. Incontinence Impact Questionnaire for UI, Urogenital Distress Inventory-Short Form and Incontinence Severity Index were applied. Lumbar lordosis measurement was performed by Baseline Bubble Inclinometer while diastasis recti abdominis (DRA) measurement was carried out by finger-width method. Manual muscle test for rectus abdominis and right and left external oblique abdominal muscles, and Benign joint hypermobility test with Beighton scoring method were also applied as musculoskeletal measurements. Tape measurement at the waist, umbilical and hip levels, caliper with bi-iliac and bi-trochanteric diameters were also recorded as anthropometric measurements. Results: Significant associated factors for UI were: umbilical DRA (OR = 1.57; Conclusion: Changing musculoskeletal and anthropometric characteristics of pregnant women should be taken into consideration in UI follow-up during pregnancy.
MeSH term(s)	Abdominal Muscles ; Anthropometry ; Diastasis, Muscle/complications ; Female ; Humans ; Muscular Diseases ; Pregnancy ; Rectus Abdominis ; Urinary Incontinence/diagnosis ; Urinary Incontinence/etiology
Language	English
Publishing date	2021-01-31
Publishing country	England
Document type	Journal Article
ZDB-ID	1045333-7
ISSN	1532-5040 ; 0959-3985
ISSN (online)	1532-5040
ISSN	0959-3985
DOI	10.1080/09593985.2021.1878568
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Article ; Online: Cultural adaptation and validation of the Turkish CONTILIFE: a quality of life questionnaire for urinary incontinence.

Orhan, Ceren / Özgül, Serap / Baran, Emine / Üzelpasacı, Esra / Nakip, Gülbala / Çinar, Gamze Nalan / Beksaç, Mehmet Sinan / Akbayrak, Türkan

International urogynecology journal

2018 Volume 30, Issue 1, Page(s) 139–147

Abstract: Introduction and hypothesis: The objective of the present study was to adapt the CONTILIFE, a quality-of-life questionnaire, into Turkish and to reveal its psychometric properties in women suffering from stress urinary incontinence (SUI).: Methods: ... ...

Abstract	Introduction and hypothesis: The objective of the present study was to adapt the CONTILIFE, a quality-of-life questionnaire, into Turkish and to reveal its psychometric properties in women suffering from stress urinary incontinence (SUI). Methods: Ninety-eight patients with a symptom of SUI participated in the study and filled out the Turkish CONTILIFE. Cronbach's alpha (α) and intraclass correlation coefficients (ICCs) were evaluated for the internal consistency and test-retest reliability, respectively. Exploratory factor analysis was performed to determine the underlying structure. Criterion validity was analyzed using the correlation coefficients between the total and subscale scores of the CONTILIFE and King's Health Questionnaire (KHQ), the Incontinence Impact Questionnaire-7 (IIQ-7), and the Urinary Distress Inventory-6 (UDI-6). Results: Internal consistency was found to be strong to very strong (Cronbach's α: 0.90-0.96). Test-retest reliability was very strong (ICCs = 0.91-0.98, p < 0.001). Exploratory factor analysis revealed five significant factors, explained by 74% of the total variance. Total scores on the CONTILIFE were significantly correlated with the KHQ subscales (r = -0.43 - -0.81), IIQ-7 (r = -0.89), UDI-6 (r = -0.66), and ISI (r = -0.66); (p < 0.01). Conclusion: The Turkish CONTILIFE is a valid and reliable tool to determine the influence of SUI on health-related quality of life in Turkish women.
MeSH term(s)	Adult ; Female ; Humans ; Middle Aged ; Psychometrics ; Quality of Life ; Surveys and Questionnaires ; Turkey ; Urinary Incontinence, Stress/diagnosis ; Urinary Incontinence, Stress/psychology
Language	English
Publishing date	2018-11-20
Publishing country	England
Document type	Journal Article ; Validation Studies
ZDB-ID	1050631-7
ISSN	1433-3023 ; 0937-3462
ISSN (online)	1433-3023
ISSN	0937-3462
DOI	10.1007/s00192-018-3823-z
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