Fizyoterapi Rehabilitasyon

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ISSN 1300-8757

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    ABSTRACT: Purpose: Individual multidimensional characteristics of each student should be investigated in order to understand the information acquisition and processing styles while determining and evaluating their subjective learning styles. Since being practice-based and multidisciplinary in nature, physiotherapy education involves different competencies and skills than other health professions. Therefore, it is far important to identify the learning styles of students. The aim of this study was to investigate learning styles of the physiotherapy students and so, developing recommendations for effective and efficient physiotherapy education. Method: Individual learning styles of 63 undergraduate level physiotherapy students were determined by using 44 variables of The Turkish Version of Learning Styles Questionnaire which was developed by Barbara A. Soloman and Richard M. Felder. In the survey, there are 11 variables in each of the four sub-parameters: processing knowledge (active-reflective), knowledge detection (sensing-intuitive), data input (visual-verbal), and knowledge comprehension (sequential-global). Results: In active/reflective category, 33.3% of the students were found to be extrovert-balanced and 31.7% introvert-balanced. In sensitive/intensive category, 44.4% of the students were found to be sensitive moderate. 39.7% of the students were found to be visual moderate. In sequential/global category 41.3% of the students were found to be sequential moderate. Discussion: Results of moderate and balanced preferences show that physiotherapy students can learn more easily if educational settings were made according to the preferences into four categories "reflective, sensitive, visual and sequential". In other words, physiotherapy education which is designed by taking these four dimensions (reflective, sensitive, visual and sequential) into consideration will be more significant for physiotherapy students.
    No preview · Article · Jan 2014 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Results: 24 DMD children, 12 control and 12 study subjects, respectively with mean age 9.33±1.37 and 9.50±1.38 were evaluated. Statistically significant differences were found in favor of study group in standing from supine position and T-shirt wearing time after exercise program (p<0.05). Significant increase was found in PEF liter value in study group (p<0.01). There were positive, moderate correlation between PedsQL-child scores and PEF (r=0.590; p<0.05); negative, strong correlation between PEF and T-Shirt wearing time (r=-0.629; p<0.05).
    No preview · Article · Jan 2014 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Purpose: The aim of this study was to compare the short-term effects of rigid taping and night splinting in addition to classical physiotherapy and rehabilitation modalities of conservative treatment, on symptoms of patients with Carpal Tunnel Syndrome. Material and Method: The study included 30 patients (mean age: 46.2years) diagnosed as moderately severe Carpal Tunnel Syndrome, according to the electroneuromyographic findings. In addition to classical physiotherapy and rehabilitation modalities night splint was applied to a group of patients and rigid taping to other one for 21 sessions. Patients were evaluated by the same physiotherapist both before and after treatments, in regards to pain, paresthesia and function, using Symptom and Functional Scales of Boston Questionnaire, and 100 mm visual analogue scale. Results: Demographic data were similar in each group. At the end of treatments, both groups showed significant improvements in Boston Questionnaire and visual analog scale scores, compared with baseline (p<0.05). In inter-group comparisons, rigid taping group showed more improvement in Boston Questionnaire and visual analog scale scores compared with night splinting group (p<0.05). Discussion: In this study, both physical therapy and rehabilitation modalities, were found to be effective in decreasing pain and improving function in patients with carpal tunnel syndrome. However, it was concluded that, rigid taping around the wrist is more effective than night splinting in decreasing symptoms of carpal tunnel syndrome.
    No preview · Article · Jan 2014 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Purpose: This study was planned to compare the attitudes toward menstruation and stress levels of women with and without dysmenorrhea.
    No preview · Article · Jan 2014 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Purpose: investigate the effects of long-term regular aerobic exercise to physical fitness and quality of life in older women.
    No preview · Article · Jan 2014 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Purpose: Dyspnea and fatigue are frequent symptoms in patients with pulmonary arterial hypertension (PAH). This study was aimed to investigate the effects of inspiratory muscle strength on dyspnea and functional capacity in patients with PAH. Methods: Thirty one patients with PAH, (6 males, 25 females, mean age=49.74±12.40 years), from New York Heart Association (NYHA) Class II and III were included in the study. Respiratory muscle strength was assessed using a portable mouth pressure device. The Modified Medical Research Council (MMRC) scale was used to evaluate dyspnea perception. Functional capacity was measured using the six-minute walk test (6MWT). Oxygen saturation, heart rate, fatigue and dyspnea perception were recorded before and after the 6MWT. Results: Of 16 patients (51.6%) were found to have inspiratory muscle weakness. Inspiratory muscle strength showed a significant relationship with MMRC score (r=-0.61, p<0.0001), NYHA class (r=-0.38, p=0.03), 6MWT distance (r=0.58, p=0.001), dyspnea perception during exercise (r=-0.40, p=0.03), and exercise oxygen saturation (r=0.37, p=0.04). The MMRC and 6MWT distance are the factors independently predicting inspiratory muscle strength (R=0.68, R2=0.46, F(1-27)=4.625, p=0.041). MMRC dyspnea score independently explained 36.7% of the variance in inspiratory muscle strength. It was determined that 6MWT distance independently explain 9.3% of the variance in inspiratory muscle strength (p <0.05). Discussion: Inspiratory muscle weakness is common in patients with PAH. Increased dyspnea perception in activities of daily living and exercise, and reduced functional capacity are the factors determining inspiratory muscle weakness in PAH. The effects of pulmonary rehabilitation programs aiming at increasing the inspiratory muscle strength on dyspnea and functional capacity should be investigated in PAH.
    No preview · Article · Jan 2014 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Purpose: To investigate the physiotherapy and rehabilitation faculty department/schools in Turkey and analyze their curriculums. Methods: The faculty department/schools that are giving the education in the physiotherapy and rehabilitation field of science were determined from the websites of 'The Council of Higher Education' and 'Turkish Republic Student Selection and Placement Center'. The establishment dates, quotas, graduations, curriculums and instructors of these department/schools were analyzed. Results: Fifty-six university [32 government (%57.14), 24 foundation (%42.85)] in physiotherapy and rehabilitation field of science were determined according to the 2012 records. Thirty-seven (%66.07) universities and 2556 students have started the education and student quota was aproximately 64.86±19.62 people. Twenty-five (%67.5) of 37 faculty department/school's curriculum were available on website. Means of total course credits was 184.74±26.38, number of courses was 81,96±20.86 and hours was 245.08±43.64. Means of total number of professional courses, credits and hours were, respectively, 35.48±6.66, 88.18±15.68 and 161.60±30.01. A total of 191 lecturers were found to exist in faculty department/schools and 148 (%77.48) of them were physiotherapists. It was determined that the number of physiotherapist lecturers per faculty department/schools was 4.54±6.18. Discussion: Insufficient number of physiotherapist lecturers caused the problem to open quotas and give education after graduation in some faculty department/schools. When the numbers and hours of the professional courses are considered, the necessity of physiotherapist lecturers in the opening of physiotherapy and rehabilitation faculty department/schools is determined. It must be indicated that curriculums should be standardized and websites should be updated.
    No preview · Article · Jan 2014 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Purpose: This study was carried out to investigate the relationship of reintegration to normal living process with quality of life and functional level and to determine the factors effecting reintegration to normal living process. Methods: 120 subjects aged between 18-50 years who had unilateral extremity amputation were included. Turkish version of Reintegration to Normal Living Index (RNLI) survey was used to evaluate reintegration. Trinity Amputation and Prosthesis Experience Scale (TAPES) was used to determine the factors regarding the use of prosthesis and the level of compliance with the prosthesis and to evaluate the functional level for amputees. Quality of life was assessed by Short Form-36 (SF-36). A general amputee assessment questionnaire including information about demographics, amputation and prosthetics and occupation which was developed by the researchers was used. Results: Statistically significant relationships were found between subdivisions and total scores of RNLI and subdivisions and summary scales of SF-36 (p<0.05). Statistically significant relationships were found between subdivisions of RNLI and subdivisions of TAPES that includes psychosocial adjustment, activity limitation, satisfaction with the prosthesis (p<0.05). Reintegration to normal living was impressed by education level, status of receiving rehabilitation, stump and phantom pain, perception of general health status and general physical capacity (p<0.05). Discussion: This study was showed that reintegration to normal living process was associated with quality of life and functional level.
    No preview · Article · Jan 2014 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Purpose: To compare two different exercises programs in the treatment of chronic low back pain. Methods: This study was performed with 63 patients with chronic low back pain. The control group consisted of 32 patients. Classical Strength Exercises (CSE) consisting of stretching and strengthening exercises were applied to the control group. The experimental group consisted of 31 patients. Muscle Endurance Training (MET) consisting of warm-up, endurance exercises and cool down were applied on the experimental group. At the end of the treatment session, a hot-pack was applied to the patients in both of the groups. Postural education and back care advice were also given. Patients attended a therapy program 3 days a week for 6 weeks. The disability, pain and muscle endurance were assessed in the 1st, 3rd and 6 th weeks. Results: The 6th week measurement of disability was lower in the MET group than that of the CSE group (p<0.05). There was no significant difference in the VAS score and abdominal muscle endurance. In the 3rd and 6th week, back muscle endurance time was significantly higher in the MET group than that of the control group (p<0.05). Conclusion: Recent studies show that muscle endurance has a great importance in the prevention of Lower Back Pain (LBP). Therefore in the treatment of Chronic Low Back Pain, muscle endurance exercises that increase the level of endurance should be added to the treatment program.
    No preview · Article · Jan 2014 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Purpose: Breast cancer is the most commonly diagnosed cancer in women in Turkey as well as all over the world. Treatments may affect respiratory function. The purpose of the study was to compare pulmonary function and respiratory muscle strength in women with breast cancer and healthy subjects. Methods: A total of 40 women, 20 women with breast cancer (Stage I and II, age: 43.6 ± 4.7 years, disease duration: 5.3±0.4 years) and 20 healthy volunteers (age: 40.1 ±8.3 years), were included in the study. Subjects' physical and demographic characteristics were recorded. Time from the diagnosis and medical treatments were recorded. Pulmonary function testing was performed. Forced vital capacity (FVC), forced expiratory volume in one second (FEV1), FEV1/FVC ratio, peak expiratory flow rate (PEF) and forced expiratory flow from 25% to 75% (FEF25-75%) were recorded. Inspiratory and expiratory muscle strength (MIP and MEP, respectively) was measured using a portable mouth pressure device. Results: Breast cancer patients' FEV1, FEV1/FVC ratio, PEF, and FEF25-75% values were significantly lower than those of healthy subjects (p<0.05). There were no statistically significant differences in MIP and MEP between the groups (p>0.05). Conclusion: According to the results of the study, pulmonary function testing in patients with breast cancer is affected whereas respiratory muscle strength was preserved. Assessment of pulmonary function is thought to be necessary in individuals with breast cancer beginning from the diagnosis of the disease.
    No preview · Article · Jan 2014 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Purpose: This study was planned to investigate depression, anxiety and quality of life (QoL) and psychosocial support needs of mothers have a child with disabilities.
    No preview · Article · Jan 2014 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Purpose: The purpose of this study is to investigate the effects of inserts that are used for conservative treatment of excessive foot pronation, on plantar contact areas and pressure distribution.
    No preview · Article · Jan 2014 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Purpose: in this study, we aimed to investigate the impact of the ankle limitation on the walking ability among two groups that have different spatial distribution of the weakness.
    No preview · Article · Jan 2014 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Purpose: Physical activity and stress are the risk factors playing role in the development of acute coronary syndromes. The aim of the study was to investigate the relationship between physical activity, quality of life, and depression in patients with acute coronary syndromes. Methods: Thirty-seven patients with acute coronary syndromes (30 males, 7 females) were included in the study. Physical activity levels of the patients were evaluated with the International Physical Activity Questionnaire-Short Form (IPAQ). Anxiety and depression levels were assessed using the Hospital Anxiety and Depression Scale. Quality of life was evaluated using the MacNew Health-related Quality of Life Heart Disease Questionnaire (QMacNew). Results: There was a significantly positive correlation between IPAQ vigorous score and Q-MacNew emotional (r=0.46), physical (r=0.48) and total (r=0.58) scores (p<0.05). A significantly positive relationship was found between IPAQ walking score and Q-MacNew total score (r=0.39) (p<0.05). There was a significantly negative correlation between HADS depression (r=-0.39) and HADS total (r=-0.35) scores (p<0.05). There was a significantly positive correlation between IPAQ total score and Q-MacNew physical (r=0.38) and Q-MacNew total scores (r=0.54) (p<0.05). A significantly negative correlation was found between IPAQ total score and HADS depression (r=-0.38) and total (r=-0.37) scores (p<0.05). The IPAQ sitting score was negatively related with Q-MacNew physical (r=-0.37) score (p<0.05). There was significantly positive relationship between The IPAQ sitting and HADS depression (r=0.35) scores (p<0.05). Conclusion: In acute coronary syndromes, physical activity level is associated with health related quality of life and psychosocial function. Effects of cardiac rehabilitation programs on physical activity, psychosocial function, and quality of life in patients with acute coronary syndrome should be investigated.
    No preview · Article · Aug 2013 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Purpose: The aim of this pilot study was to evaluate psychosocial health and quality of life levels in patients with lumbar spondylosis and chronic low back pain and in patients with musculoskeletal pain without low back pain. Methods: Eighty patients with lumbar spondylosis, chronic low back pain and 60 patients with musculoskeletal pain (wihout low back pain) participated in the study. Pain, health-related quality of life, disability associated with back pain, depression, well-being, life satisfaction and functional back performance were evaluated in both groups. Result: Two groups were similar for pain intensity, well-being and life satisfaction (p>0.05). When compared to the other group, disability associated with back pain and depression level were higher; functional back performance and quality of life level were lower in the low back pain group (p<0.05). Conclusion: This pilot study showed that the negative effects of chronic low back pain on psychosocial health and quality of life were more significant than other musculoskeletal pain conditions. More comprehensive studies are needed on this issue.
    No preview · Article · Apr 2013 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Purpose: The aim of this study was to compare balance and physical performance in aged 60 years and over prisoner and non-prisoner males. Methods: Fifty-nine prisoners (67±4.39 years of age), 59 controls (66.98±5.19 years of age), a total of 118 male subjects took part in the study. Demographic information was recorded in both groups, functional balance tests and physical performance parameters were compared between groups. Functional balance was evaluated by timed up and go test, sit to stand test, and the Berg Balance Scale. Physical performance was evaluated using the six-minute walking test. Results: There were no significant differences for age, body weight, body mass index, and medication between the groups (p>0.05). A statistically significant difference was found between the groups in the Berg Balance Scale score and six-minute walking distance (p<0.05). No significant difference was found between groups in timed up and go test and sit to stand test (p>0.05). Conclusion: The balance performance of elderly male prisoners was negatively affected. However, physical performance of male prisoners was better than elderly non male prisoners.
    No preview · Article · Apr 2013 · Fizyoterapi Rehabilitasyon
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    ABSTRACT: Aim: In Turkey, prostheses and orthoses have been manufactured early nineteenth century. The aim of this study is to analyse prosthetics and orthotics, which have been manufactured in Turkey over the last five years and create the infrastructure for scientific studies on this issue and to determine resource consumption. Material and Methods: In the last five years with applied prosthetic and orthotic manufactures were analysed based on the data achieved from Social Security Administration of Turkey. Results: 26236 prostheses and orthoses were manufactured during the last five years. 19381 of them were orthoses and 6755 were prostheses. 9588 lower limb orthoses, 8214 spinal orthoses, and 1579 upper limb orthoses, constitutes orthotics manufacturing and fitting. 6062 lower limb prostheses and 693 upper limb prostheses constitute all prosthetic manufacturing and fitting. According to the results, Knee-Ankle-Foot orthosis (KAFOs) are the most widely applied in the lower extremity orthotics. KAFOs constitute 74% of lower limb orthotics, 37% of orthotics and 27% of all prosthetic-orthotic applications. In addition to that, the most widely applied lower limb prostheses are modular transtibial (TT) prostheses. Modular TT prostheses constitute 63% of lower limb orthotic applications, 57% of prosthetic applications and 15% of prosthetic-orthotic applications. Conclusion: The numbers of KAFOs and modular TT prostheses are 10969 which is nearly 40% of 26236 prosthetic-orthotic applications.
    No preview · Article · Apr 2013 · Fizyoterapi Rehabilitasyon