Scopus İndeksli Yayınlar Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/20.500.14627/7
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Article Investigating Compliance With a Home Exercise Program in People With Multiple Sclerosis(AVES, 2025) Tekeoğlu Tosun, A.; Yilmaz, N.; Eryildiz, E.; Işiklar, Ç.; Hotaman Kekli̇Cek, H.Objective: This study aims to evaluate the status of receiving home exercise programs and adherence among individuals with multiple sclerosis (MS), providing insights for clinical practice. Methods: Individuals diagnosed with MS, aged 18 and over, literate, and reached through the social media platforms of the MS Society of Türkiye, were included in the study. Individuals who did not fully complete the questions asked and/ or gave answers irrelevant to the topic, who reported comorbidities that may prevent participation in exercise along with MS, and those not meeting the specified age criteria were excluded from the study. Data were collected through an online questionnaire assessing MS patients’ sociodemographic and clinical characteristics and their engagement and adherence to home exercise programs. Results: A total of 217 people (n = 36) male, (n = 181) female, participated in the study. While the rate of having a prescribed home exercise program among all participants was 12.90%, this rate was 8.33% for men and 13.81% for women. When the compliance of the participants with home exercise programs was examined, all men stated they sometimes applied these programs. This rate was found to be 52% for women. Conclusion: The study demonstrated that a considerable proportion of individuals with MS did not engage with the prescribed home exercise programme. Furthermore, the adherence rates and frequency of exercise updates were found to be inadequate. Since the MS population is increasing steadily in Türkiye, it is vital to facilitate access to effective exercises for people with MS and to ensure lifelong compliance with these exercises. © 2025 AVES. All rights reserved.Article Citation - Scopus: 3Universal Design Approach To Analysis of Physical Environment for Users With Multiple Sclerosis(Universitat Politecnica de Catalunya, 2022) Çakır, H.S.; Tosun, A.The concept of Universal Design aims for the utilization of every product and environment for every individual without the need for further adaptation. The frequent occurrence of Multiple Sclerosis (MS) in societies has necessitated a more innovative and exploratory approach to the field of design. Many of the products and built environments encountered by individuals with MS in their daily lives fall short in terms of meeting safety and accessibility needs. It is essential to establish the correct design approach so that users with MS can meet their needs easily and safely without depending on others. In this research, the problems encountered by users with MS in their residences were evaluated within the framework of Universal Design principles, and design recommendations were stated using a sample case in Turkey. Throughout the study, accessibility challenges, mobility, fatigue and balance problems, vision and lighting conditions, climatization and noise sensitivity, and psychological issues were primarily considered. The residence of the sample user with MS was examined in detail, and an in-depth interview was conducted during the research. The difficulties and life routines of the user with MS were observed and identified. Home design solutions associated with Universal Design principles were represented so that the users with MS have safe and accessible housing regarding their physiological and psychological conditions. The highlighted proposals may contribute to architectural design to make modifications for comfortable and safe housing in related cases having similar symptoms with MS. Future research can benefit from these findings and proposals to provide innovative approaches, develop policies, and conduct interdisciplinary studies on related design issues. © 2022, Universitat Politecnica de Catalunya. All rights reserved.Article Citation - WoS: 2Citation - Scopus: 1Examining the Sensory Processing Skills and Occupational Performance of People With Multiple Sclerosis(Taylor & Francis inc, 2024) Aydoner, Selen; Bumin, GoncaThis study aimed to compare sensory processing skills and occupational performance between participants with multiple sclerosis and healthy controls. Eighty participants were enrolled in this study, 40 with multiple sclerosis and 40 with healthy controls. Participants were between 18 and 65 years of age and asked to complete the Adult Sensory Profile, and Canadian Occupational Performance Measure. The findings of the study revealed that participants with multiple sclerosis had a lower ability to register sensory input, a higher sensory sensitivity, and avoidance, as well as lower levels of performance and satisfaction in their daily occupations, compared to the healthy controls (p < 0.05). People with multiple sclerosis often experience difficulties with sensory processing and occupational performance in daily life. More research and practice are needed on the role of sensory processing and occupational performance in daily life in people with multiple sclerosis.Article Citation - WoS: 3Citation - Scopus: 3E-Health Literacy Status of Individuals With Multiple Sclerosis in Turkey(Mary Ann Liebert, inc, 2024) Tosun, Anil Tekeoglu; Isiklar, Cagdas; Yildirim, Merve; Coskunsu, Dilber KaragozogluBackground: This research aims to compare e-health literacy of technology users and nonusers in people with multiple sclerosis (MS) and to investigate whether there are correlations between age, duration of MS, gender, marital status, and e-health total scores.Methods: This descriptive study was carried out with a web-based questionnaire. The questionnaire was sent to 300 patients with MS who were registered at Istanbul University-Cerrahpasa Medical Faculty Neurology Department.Results: A total of 156 people (mean age: 35.33 +/- 10.47 years) participated in the survey. Smartphone 98.1% (n = 153) was the mostly used device. Rate of using Google and recommended websites about MS was 94.25% (n = 145) and 73.9% (n = 113), respectively. e-Health literacy of both the tablet and recommended websites users significantly differed from that of nonusers (p = 0.007 for both). Participants' e-health literacy total score was found to weakly, but significantly, correlate with their age, marital status, and education level (rho: -0.161, p = 0.044; rho: 0.172, p = 0.032; rho: -0.192, p = 0.016, respectively).Conclusions: With developments in digital technologies, it is important to identify the access status of people with MS to improve daily clinical management and implement further motor and cognitive rehabilitation. Therefore, determining the health literacy of individuals with MS and providing education on this subject will reduce the information pollution.Article Citation - WoS: 4Citation - Scopus: 5Therapeutic Effects of Line Dancing in People With Multiple Sclerosis: an Evaluator-Blinded, Randomized Controlled Study(Routledge Journals, Taylor & Francis Ltd, 2024) Basturk, Sultan; Ekici, Gamze; Kirteke, Fatos; Durak, Omer Faruk; Ekici, BerkayBackgroundLine dancing is a popular form of exercise shown to affect balance and mood positively. However, few studies examine its effectiveness in multiple sclerosis (MS). The study aims to investigate the effects of line dancing on balance, mood, and health-related quality of life in MS.MethodsParticipants were randomized into the line dance (n =15) and the control groups (n =16). Outcomes were measured using the Berg Balance Scale, Hospital Anxiety and Depression Scale, and Multiple Sclerosis Quality of Life-54 (MSQoL-54) at baseline and post intervention.ResultsPost-intervention in the line dancing group, significant improvements were observed in balance, anxiety status, and health-related quality of life. When the groups were compared, significant differences were found in balance, anxiety, and the mental health composite of the MSQoL-54.ConclusionThis study recommends the use of line dancing as a therapeutic intervention in MS. Nevertheless, comparisons with different intervention approaches and follow-up studies are needed.Article Citation - WoS: 5Citation - Scopus: 4The Efficiency of Mirror Therapy on Drop Foot in Multiple Sclerosis Patients(Wiley, 2021) Tekeoglu Tosun, Anil; Ipek, Yeldan; Razak Ozdincler, Arzu; Saip, SabahattinIntroduction Although the effectiveness of mirror therapy (MT) has been proved in stroke persons, there is no scientific evidence about the results in people with multiple sclerosis. The aim was to investigate whether adding MT to exercise training and neuromuscular electrical stimulation (NMES) has any effect on clinical measurements, mobility, and functionality in people with multiple sclerosis (MS). Methods Ambulatory people with MS, with unilateral drop foot, were included. MT group (n = 13) applied bilateral ankle exercise program with mirror following NMES for 3 days a week at hospital and exercise program for 2 days a week at home. Control group (n = 13) performed same treatment without mirror box (6 weeks). The later 6 weeks both groups performed only exercise program. Clinical measurements included proprioception, muscle tone of plantar flexor muscles (MAS), muscle strength of dorsiflexor, ankle angular velocity, and range of motion (ROM) of ankle. Functionality (Functional Independence Measurement-FIM), mobility (Rivermead Mobility Index-RMI), ambulation (Functional Ambulation Scale-FAS), duration of stair climb test, and 25-foot walking velocity were assessed at the beginning, in 6th and 12th weeks. Results More positive improvements were obtained in MT group than control group in terms of range of motion (0.012), muscle strength (0.008), proprioception (0.001), 25 feet walking duration (0.015), step test duration (0.001), FAS (0.005), RMI (0.001), and FIM (0.001) after 6 weeks treatment. It was seen that this improvement maintained to 12th week on all clinical and functional measurements (p < .05). Conclusion The trial revealed that adding MT to exercise training and NMES has more beneficial effects on clinical measurements, mobility, and functionality in people with multiple sclerosis with unilateral drop foot.Article Citation - WoS: 1Citation - Scopus: 1The Relationship Between Stress, Anxiety, and Depression Levels and Pseudobulbar Affect in Patients With Multiple Sclerosis(Routledge Journals, Taylor & Francis Ltd, 2022) Ozer, Duygu; Ata, Elvan Emine; Dikec, Gul; Demir, SerkanBackground Pseudobulbar affect (PBA) has recently been added to the list of mental disorders commonly observed in patients with Multiple Sclerosis (MS). The emotional changes experienced by MS patients may be associated with other mental problems and adversely affect disease prognosis. However, there are limited studies in the international and national literature on this subject. Aim This study aimed to evaluate the relationship between PBA and stress, anxiety, and depression levels in patients with MS. Design This is a descriptive, relational, and cross-sectional study. Methods A total of 442 MS patients followed in the neurology outpatient clinic of a hospital and registered with the MS Society in Turkey participated in this study. Data were collected using a personal information form, the Turkish version of the Center for Neurologic Study-Lability Scale (CNS-LS), and the Depression Anxiety Stress Scale (DASS). Results In this study, 63.3% of the patients had PBA, 21% had extremely severe depression, 41.6% had extremely severe anxiety, and 24.9% had severe stress. Correlation analysis revealed weak positive correlations between CNS-LS total score and DASS subscale and total scores. Depression, anxiety, and stress levels accounted for 22.5% of the variation in CNS-LS total score. Conclusion The results of this study indicate that a majority of MS patients in Turkey experience PBA, depression, anxiety, and stress, and that PBA is positively associated with depression, anxiety, and stress. Impact statement This study, indicates that should be increased consultation-liaison psychiatry services in Turkey, and MS patients should benefit from comprehensive psychiatric services.