Person: UÇGUN, HİKMET
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Publication Metadata only Video game-based exercise in children and adolescents with non-cystic fibrosis bronchiectasis: A randomized comparative study of aerobic and breathing exercises(2022-06-01T00:00:00Z) UÇGUN, HİKMET; GÜRSES, Hülya Nilgün; KAYA, MELTEM; ÇAKIR, Erkan; UÇGUN, HİKMET; GÜRSES, HÜLYA NILGÜN; KAYA, MELTEM; ÇAKIR, ERKANBackground Video game-based systems have been proposed to improve effectiveness and compliance with exercise training in children and adolescents with noncystic fibrosis bronchiectasis (NCFB). This study aimed to investigate the effects of aerobic and breathing video game-based exercises (VGE) on pulmonary function, respiratory and peripheral muscle strength, functional capacity, and balance in children and adolescents with NCFB. Method Thirty-nine children and adolescents aged between 8 and 18 years with NCFB were randomly allocated into three groups as -home-based chest physiotherapy group- (CP), -aerobic VGE given in addition to home-based chest physiotherapy group- (CP + aerobic VGE), and -breathing VGE given in addition to home-based chest physiotherapy group- (CP + breathing VGE). All three groups performed chest physiotherapy program twice a day for 7 days per week for 8 weeks. Pulmonary function, respiratory and peripheral muscle strength, functional capacity, and balance were assessed at baseline and after 8 weeks of training. Results The improvement in maximum expiratory pressure and balance scores were significantly higher in both CP + aerobic and CP + breathing VGE groups. The significant improvement in maximum inspiratory pressure was greater in the CP + breathing VGE group. The changes in peripheral muscle strength and functional capacity were significantly higher in the CP + aerobic VGE group. Conclusions The present study showed that aerobic VGE provides additional benefits in improving peripheral muscle strength and functional capacity, while breathing VGE provides further increase in improving respiratory muscle strength. In addition, both aerobic and breathing VGE were effective in improving balance, but they were not superior to each other.Publication Metadata only Do Pulmonary and Extrapulmonary Features Differ Among Cystic Fibrosis, Primary Ciliary Dyskinesia and Healthy Children?(2020-09-02T00:00:00Z) Kulli, Hilal; Gürses, Hülya Nilgün; Zeren, Melih; Ucgun, HİKMET; Çakır, Erkan; DENİZOĞLU KÜLLİ, HİLAL; GÜRSES, HÜLYA NILGÜN; UÇGUN, HİKMET; ÇAKIR, ERKANPublication Open Access Sit-to-stand test in children with bronchiectasis: Does it measure functional exercise capacity?(2020-09-01T00:00:00Z) Zeren, Melih; Gürses, Hülya Nilgün; Denizoğlu Külli, Hilal; Uçgun, Hikmet; Çakır, Erkan; GÜRSES, HÜLYA NILGÜN; DENİZOĞLU KÜLLİ, HİLAL; UÇGUN, HİKMET; ÇAKIR, ERKANBackground Similar to six-minute walk test (6MWT), sit-to-stand test (STST) is a self-paced test which elicits sub-maximal effort; therefore, it is suggested as an alternative measurement for functional exercise capacity in various pulmonary conditions including COPD and cystic fibrosis. We aimed to investigate the association between 30-second STST (30s-STST) and 6MWT in both children with bronchiectasis (BE) and their healthy counterparts, as well as exploring cardiorespiratory burden and discriminative properties of both tests. Methods Sixty children (6 to 18-year-old) diagnosed with non-cystic fibrosis BE and 20 age-matched healthy controls were included. Both groups performed 30s-STST and 6MWT. Test results, and heart rate, SpO2 and dyspnea responses to tests were recorded. Results Univariate analysis revealed that 30s-STST was able to explain 52% of variance in 6MWT (r = 0.718, p<0.001) in BE group, whereas 20% of variance in healthy controls (r = 0.453, p = 0.045). 6MWT elicited higher changes in heart rate and dyspnea level compared to 30s-STST, indicating it was more physically demanding. Both 30s-STST (21.65±5.28 vs 26.55±3.56 repetitions) and 6MWT (538±85 vs 596±54 m) were significantly lower in BE group compared to healthy controls (p<0.01). Receiver operating characteristic (ROC) curve analysis revealed an area under the ROC curve (UAC) of 0.765 for 30s-STST and 0.693 for 6MWT in identifying the individuals with or without BE (p<0.05). Comparison between AUCs of 30s-STST and 6MWT yielded no significant difference (p = 0.466), indicating both tests had similar discriminative properties. Conclusions 30s-STST is found to be a valid alternative measurement for functional exercise capacity in children with BE.Publication Metadata only The Effect of Lower Limb Lymphedema on Postural Stabilization(2019-01-01) Kostanoğlu, Alis; Kaya, Meltem; Uçgun, Hikmet; KOSTANOĞLU, ALİS; KAYA, MELTEM; UÇGUN, HİKMETABSTRACTObjectives:Lymphedema is a chronic and serious condition thatcauses asymmetric weight dispersion between extremities. Patientscommonly report symptoms such as decreased mobility of thelimb, pain, tissue fibrosis and associated skin changes due to theswelling. These symptoms may involve postural disorders thataffect the whole body. The aim of this study was to investigatewhether there is a change in overall postural stability and limits ofstability in patients with unilateral lower limb lymphedema.Methods:Fifteen (10 female, 5 male) patients (43.2±13.08 years)diagnosed with lower limb lymphedema were included in thestudy. The mean volume difference between the two extremitieswas 548±492 ml. Lymphedema severity was evaluated andclassified as mild, moderate and severe for 2, 7 and 6 patientsrespectively. Fifteen healthy people with similar ages (43.33±8.29)were recruited for the control group. All the participants wereassessed by using the Biodex Balance System. Postural stability,which is the ability of the patient to maintain a static posturalbalance, and limit of stability, which is the ability of directionalcontrol of the body by displacing the center of gravity, wereassessed. All evaluations were carried out on a firm and stableplatform with open eyes. The data were analyzed with the SPSS21.0 program. Mann-Whitney U Test was used for intergroupcomparisons.Results:There was no significant difference between the patientsand the control group in overall, anterior-posterior andmediolateral postural stability indexes (p<0.05). However, thelymphedema group had worse overall, forward and backwardlimits of stability scores in comparison to the control group(42.33±12.5 vs 60.29±14.1; 50.73±18.6 vs 73.93±16.08;49.60±22.8 vs 67.79±21.2 respectively) (p<0.05).Conclusion:These results lead us to think that asymmetric fluiddistribution in the lower body parts deteriorate directional control in patients with unilateral lymphedema in comparison to thehealthy group. Further studies are needed to confirm the changesof postural stability and limits of stability in these patients.Abbreviations: BW = body weight, CoG = center of gravity, LLL = lower limb lymphedema, LoS = limits of stability, PoS = postural stabilityKeywords:Unilateral Lower Limb Lymphedema, Biodex BalanceSystem, Postural Stability