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DEMİR TÜRE, SEVDA

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DEMİR TÜRE

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2018 - 201912020 - 20221
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    Publication
    The impact of whole body vibration therapy on spasticity and disability of the patients with poststroke hemiplegia
    (Hindawi Ltd, 2018-01-01) ALP, ALEV; Alp, Alev; Efe, Bilge; Adalı, Mihriban; Bilgiç, Adnan; Türe, Sevda Demir; DEMİR TÜRE, SEVDA; Karabulut, Merve; Coşkun, Feyma; Günay, Selim Mahmut; Ertem, Uğur; ERTEM, UĞUR; Tıp Fakültesi; Fizik Tedavi ve Rehabilitasyon Ana Bilim Dalı; 0000-0003-2142-2264; 0000-0002-7550-5244; ABG-2019-2020; AAD-2089-2021
    Objective. To determine if whole body vibration therapy (WBV) effectively improves functional outcome in patients with poststroke hemiplegia. Materials and Methods. In this single-blind RCT, WBV group (n = 10) had 40 hz frequency/4 mm amplitude vibration during 5 minutes/session, 3 days a week, for a duration of 4 weeks. The control group (n = 11) had no vibration therapy for the same duration while standing on the same platform. Patients in both of the groups did 15 minutes of stretching and active range of motion exercises before the intervention. Outcome measures were Modified Ashworth Scale (MAS), Functional Independence Measurement (FIM), and Timed 10-Meter Walk Test (10 mWT). Results. Only 10 mWT improved at the 1st week (p = 0.002), 1st month (p < 0.001), and 3rd month (p < 0.001) in favor of the intervention group. There was positive correlation also between 10 mWT and ankle spasticity (p < 0.001, r = 0.931). Conclusion. This study suggests that WBV therapy may be a complementary therapy in gait rehabilitation and functional outcome of the patients with calf muscle spasticity.
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    Relationship between neurogenic bowel dysfunction severity and functional status, depression, and quality of life in individuals with spinal cord injury
    (Taylor & Francis Ltd, 2022-02-03) Türe, Sevda Demir; SİVRİOĞLU, KONÇUY; DEMİR TÜRE, SEVDA; Sivrioğlu, Koncuy; Özkaya, Güven; ÖZKAYA, GÜVEN; Tıp Fakültesi; Biyoistatistik Ana Bilim Dalı; 0000-0003-3901-2589; 0000-0003-0297-846X; AAG-8211-2021; A-4421-2016
    Objectives/Context To evaluate the relationship between severity of neurogenic bowel dysfunction (NBD) and functional status, depression, and quality of life in individuals with spinal cord injury (SCI) and to determine the factors associated with developing moderate-to-severe NBD. Design Cross-sectional study. Setting University hospital rehabilitation outpatient clinic. Participants Individuals with traumatic SCI, at least one year post-injury (N = 92). Interventions Not applicable. Main Outcome Measures Neurogenic Bowel Dysfunction Score, Functional Independence Measure (FIM), Beck Depression Inventory (BDI), and Short Form-36 (SF-36). Results In the current sample, we found that half of the individuals with SCI had moderate-to-severe NBD. Individuals with moderate and severe NBD had lower motor FIM (P = 0.008 and P = 0.006, respectively) and SF-36 physical functioning (PF) scale (P = 0.020 and P = 0.031, respectively) scores than individuals with very minor NBD. There was no difference in the BDI scores among individuals with different levels of NBD. Individuals with American Spinal Injury Association Impairment Scale (AIS) A injuries were more likely to develop moderate-to-severe NBD than those with AIS C (odds ratio (OR) = 6.52; 95% confidence interval (CI) 1.13-37.79; P = 0.005) or AIS D (OR = 17.19; 95% CI 3.61-81.82; p < 0.001) injuries. Conclusion Individuals with moderate-to-severe NBD had higher levels of dependency in activities of daily living and lower SF-36 PF scale scores than individuals with very minor NBD. Among individuals with SCI, completeness of injury was a significant factor for developing moderate-to-severe NBD.