Person: ÖZKAL, ÖZDEN
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ÖZKAL
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ÖZDEN
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Publication Examination of the relationship between foot-body posture and balance and gait in duchenne muscular dystrophy(Springer London Ltd, 2022-10-07) Yağcıoğlu, Güllü Aydın; Yılmaz, Öznur; Gürbüz, Ipek Alemdaroğlu; Bulut, Numan; Karaduman, Ayşe; Topuz, Semra; Özkal, Özden; ÖZKAL, ÖZDEN; Tıp Fakültesi; Fizik Tedavi ve Rehabilitasyon Ana Bilim Dalı; 0000-0002-8826-9930; Q-8729-2016Background Although the gait and balance disturbances of Duchenne muscular dystrophy (DMD) patients were evaluated by using different methods in literature, the impact of the foot and body posture on gait and balance has not been clearly described yet in DMD.Aim The aim of this study was to examine the relationship between foot-body posture and gait and balance in patients with DMD.Methods Ambulatory patients with DMD who had > 90 degrees range of motion at ankle joint were included in the study. Foot and body posture were evaluated with the Foot Posture Index (FPI-6) and the New York Posture Rating (NYPR). The limitation degree at the ankle joint (ALD) was recorded. Gait characteristics and balance were evaluated objectively by using the GAITRite system and the Bertec Balance Check Screener((TM)) force platform system, respectively.Results A total of 38 ambulatory patients with DMD (age: 92.44 +/- 17.91 months) were recruited. Both the right and left foot FPI-6 scores were correlated with GAITRite parameters such as ambulation time, gait speed, number of steps, and left and right stride lengths (p < 0.05). A relationship was determined between right foot FPI-6 score and anterior-posterior limits of stability (LoS) obtained by force platform (p < 0.05). NYPR score was also correlated with the postural control parameters such as left and right base of support and anterior posterior LoS (p < 0.05).Conclusion The current findings indicate a contribution of foot and body posture to gait and balance disorders of children with DMD.Publication Validity, reliability, and factorial structure of the Turkish version of the patient-reported outcomes in obesity questionnaire(Mary Ann Liebert, Inc, 2022-07-12) Demircioğlu, Arzu; Dağ, Osman; Özkal, Özden; ÖZKAL, ÖZDEN; Sağlık Bilimleri Fakültesi; Fizik Tedavi ve Rehabilitasyon Ana Bilim Dalı; 0000-0003-3432-6343; 0000-0002-8826-9930; 0000-0002-1750-8789; Q-8729-2016Background: The prevalence of being overweight and obesity is increasing at an alarming rate throughout the world. Health-related quality of life (HRQoL) is one of the most important issues to be investigated in obesity. The purpose of this study was to investigate the validity, reliability, and factorial structure of the Turkish version of the Patient Reported Outcomes in Obesity questionnaire (PROS).Methods: A total of 80 participants (40 overweight, 40 obese) were included in the study. The Impact of Weight on Quality of Life short version (IWQOL-lite) was used to determine validity. The PROS was readministered to 20 subjects after a 1-week interval for reliability analysis.Results: There was a high correlation between the PROS and IWQOL-lite mean scores (-0.855, p < 0.001). The test-retest reliability showed that the intraclass correlation coefficients (between 0.754 and 0.983) were significant for PROS. Factor analysis demonstrated a three-factor structure.Conclusions: PROS is a practical tool that is up-to-date, short, and easy to understand, implement, and calculate. The results of this study demonstrated that PROS is a valid and reliable questionnaire for measuring HRQoL in an overweight and obese Turkish population.Publication Treadmill versus overground gait training in patients with lower limb burn injury: A matched control study(Elsevier Sci Ltd, 2022-01-03) Kısmet, Kemal; Konan, Ali; Hayran, Mutlu; Topuz, Semra; ÖZKAL, ÖZDEN; Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Ana Bilim Dalı; 0000-0002-8826-9930; JAH-5263-2023Introduction: Gait impairment is commonly seen in patients with a lower limb burn injury (LLBI). Therefore, the aim of this study was to investigate the effects of two different gait training modes on gait symmetry, functional mobility and kinesiophobia in patients with LLBI. Methods: This matched control study was conducted between January 2017 and August 2018. Patients with LLBI (n= 28) were allocated to 2 different groups by matching according to burn localization, age, and gender. Group 1 (overground group: n=14) received overground gait training in addition to standard burn rehabilitation, and Group 2 (treadmill group: n= 14) received treadmill gait training in addition to standard burn rehabilitation. The rehabilitation program and gait training were started when the patient was admitted to the hospital and ended on discharge. These physical therapy interventions were performed 5 days per week. The gait training intensity, including walking speed and duration, was determined according to patient tolerance. Gait parameters, functional mobility, kinesiophobia and pain values were evaluated with GAITRite, the timed up-and-go test (TUG), Tampa Kinesiophobia Scale and Visual Analogue Scale, respectively. These evaluations were made twice; on admission and immediately prior to discharge. Gait symmetry was calculated using the Symmetry Index. Results: The baseline characteristics of the groups and initial outcome values were similar. In the comparison of the differences between the overground and treadmill groups, the change in kinesiophobia and TUG values were significantly higher in the treadmill group (p= 0.01, p= 0.02, respectively). The intragroup comparisons showed significant differences in SI in respect of step length (p= 0.004), swing (p= 0.006), stance (p= 0.008) and velocity (p= 0.001), cadence (p= 0.001), TUG (p= 0.001), kinesiophobia (p= 0.001) and pain (p= 0.001) in the overground group. Statistically significant differences were determined in step length (p= 0.01), swing (p= 0.01), stance (p= 0.02) and velocity (p= 0.001), cadence (p= 0.001), TUG (p= 0.001), kinesiophobia (p= 0.001) and pain (p= 0.001) in the treadmill group, when pre and post-training values were compared. Conclusions: The results of this study have shown that treadmill gait training was more effective in the improvement of functional mobility and reduction in kinesiophobia levels of patients with LLBI compared to overground gait training. Both overground and treadmill gait training also provide greater improvements in the velocity and cadence, and gait symmetry for step length, swing and stance in patients with LLBI. Clinical trial registration number: NCT03217526.Publication Letter to the editor concerning the article: "Efficacy of whole-body vibration on balance control, postural stability, and mobility after thermal burn injuries: A prospective randomized controlled trial"(Sage, 2022-04-25) Özkal, Özden; ÖZKAL, ÖZDEN; Sağlık Bilimleri Fakültesi; Fizyoterapi ve Rehabilitasyon Bölümü; 0000-0002-8826-9930; Q-8729-2016Publication Validity and reliability of turkish version of the recent physical activity questionnaire(Çukurova Universitesi, 2021-01-01) Demircioğlu, Arzu; Dağ, Osman; Özkal, Özden; Özkal, Özden; ÖZKAL, ÖZDEN; Sağlık Bilimleri FakültesiPurpose: Physical inactivity is an important determinant of chronic disease such as obesity, cardiovascular disease and certain types of cancer. Therefore, evaluation of physical activity becomes more important day by day. The purpose of the present study was to investigate the validity, reliability and Turkish version of The Recent Physical Activity Questionnaire (RPAQ) in healthy population.Materials and Methods: A total of 192 adults were included in the study. Standard "forward-backward" procedure used in translation of RPAQ. International Physical Activity Questionnaire-Long Form (IPAQ-LF) was used as the gold standard for the validity of RPAQ. It was re-adminestered on 50 participants one week interval for reliability of RPAQ analysis.Results: 122 (63.5%) were women, 70 (36.5%) were men of participants, and their mean age was 34.46 +/- 9.45 years. There was a high correlation between total score of IPAQ-LF and RPAQ (r: 0.747, p<0.001). When analysed validity for sub-scales, there was significant relationship between the subscales related to work and leisure activities while no significant relationship was found in scores for home and tranport domains. The test-retest reliability was showed that the Intraclass Correlation Coefficient (ICC) (between 0.978 and 1) were significant for RPAQ.Conclusion: RPAQ is a valid and reliable tool for measuring physical activity in Turkish people. The Turkish version of the RPAQ is a powerful measurement for assessing the physical activity levels of adult individuals.Publication Letter to the editor concerning the article: "Treadmill versus overground gait training in patients with lower limb burn injury: A comparative study" is there just a title similarity?(Oxford Univ Press, 2023-06-22) Özkal, Özden; ÖZKAL, ÖZDEN; Sağlık Bilimleri Fakültesi; Fizyoterapi ve Rehabilitasyon Bölümü; 0000-0002-8826-9930; IXS-7215-2023Publication Multiple factors affecting health-related quality of life in women with chronic multisite musculoskeletal pain: A cross-sectional study in ankara, turkey(Sage Publications Inc, 2021-09-27) Demircioğlu, Arzu; Özkal, Özden; Dağ, Osman; ÖZKAL, ÖZDEN; Sağlık Bilimleri Fakültesi; Fizyoterapi ve Rehabilitasyon Bölümü; 0000-0002-8826-9930; Q-8729-2016Although chronic multi-site musculoskeletal pain is known to cause decreased physical function and impair work and social life, there is insufficient research about its impact on health-related quality of life (HRQoL) in women. The aim of this study was to investigate multiple factors affecting HRQoL in women with chronic multi-site musculoskeletal pain. This study included 227 women with two or more musculoskeletal areas which were painful during the last 3 months. The HRQoL and musculoskeletal system symptoms were evaluated with the Nottingham Health Profile (NHP) and the Nordic Musculoskeletal Questionnaire (NMQ), respectively. Physical activity level, social functionality and depressive symptoms were assessed with the International Physical Activity Questionnaire-Short Form (IPAQ- SF), Social Functioning Scale (SFS) and Beck Depression Inventory (BDI), respectively. Significant predictors for the total score on the NHP were found to be the number of children (p < 0.001), social engagement/withdrawal scale (p:0.094), the number of regions with musculoskeletal pain during the last year (p:0.002) and last 7 days (p:0.036), depressive symptoms (p < 0.001), current employment status (p:0.084), and the presence of chronic disease (p < 0.001). The results of this study demonstrated that both sociodemographic characteristics, and social and psychological factors may affect the HRQoL in women with chronic multi-site musculoskeletal pain.Publication Lower limb functional status and its determinants in moderate/major burns 3-6 months following injury: A two-center observational study(Elsevier, 2021-05-07) Özkal, Özden; Seyyah, Mine; Topuz, Semra; Konan, Ali; ÖZKAL, ÖZDEN; Sağlık Bilimleri Fakültesi; Fizyoterapi ve Rehabilitasyon Bölümü; 0000-0002-8826-9930; Q-8729-2016Introduction: Severe complications which may cause impaired physical functionoften develops over time following severe burn to the lower extremities. The purpose of this study was to clarify the clinical determinants of lower limb functional status, functional mobility and exercise capacity in moderate/major burns 3-6 months following the injury.Methods: The study included 42 patients, 12 with moderate injury and 30 with major injury, aged 19-59 years old. Lower Limb Functional Index was used to determine the lower limb functional status. Functional mobility and exercise capacity were evaluated with the Timed Up and Go test and the 6-min walk test, respectively. Scar quality and kinesiophobia were assessed with the Patient and Observer Scar Assessment Scale (POSAS) and the Tampa Scale for Kinesiophobia, respectively. Active range of motion (ROM) was measured with a universal goniometer.Results: Significant and independent predictors of lower limb functional status, functional mobility and exercise capacity related to POSAS score, kinesiophobia level, gender, burn severity, the number of operations, the presence of burnsinvolving any of the lower limb joints, knee ROM limitations, limitation in any of the lower limb joint ROMs, comorbidities, and truncal burns (p < 0.05).Conclusions: Burn characteristics and clinical evaluations of patients are important determinants of the lower limb functional status, mobility and exercise capacity in burn patients. These predictors should be considered to improve physical functions related to the lower limb when creating a personalized rehabilitation program.Publication Letter to the editor in response to "lower limb functional status and its determinants in moderate/major burns 3-6 months following injury: A two-center observational study"(Elsevier Sci Ltd, 2021-05-07) Seyyah, Mine; Topuz, Semra; Konan, Ali; Özkal, Özden; ÖZKAL, ÖZDEN; Sağlık Bilimleri Fakültesi; 0000-0002-8826-9930; Q-8729-2016; I-7956-2019