Person: GÜRSES, HÜLYA NILGÜN
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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 Metadata only The effects of preoperative short-term intense physical therapy in lung cancer patients: a randomized controlled trial.(2011-01-01T00:00:00Z) PEHLIVAN, E; TURNA, A; GURSES, A; Gurses, HÜLYA NİLGÜN; GÜRSES, HÜLYA NILGÜNPublication Open Access Atrial Fibrillation Impact Questionnaire (AFImpact): Validity and reliability of the Turkish version(2021-07-01T00:00:00Z) Zeren, Melih; Demir, Rengin; Karci, Makbule; Yigit, Zerrin; Uzunhasan, Isil; GÜRSES, Hülya Nilgün; GÜRSES, HÜLYA NILGÜNObjective: Guidelines recommend measuring and addressing health-related quality of life in the management of atrial fibrillation (AF); however, a disease-specific questionnaire is lacking for the Turkish language. Our aim was to translate and adapt the Atrial Fibrillation Impact Questionnaire (AFImpact) into Turkish and to explore its psychometric properties. Methods: This cross-sectional study was conducted in two phases, including the translation and cultural adaptation of AFImpact into Turkish language and the analysis of psychometric properties of the translated questionnaire. 98 patients diagnosed with AF were evaluated using the Turkish version of AFImpact, Short Form-36 (SF-36) and Pittsburg Sleep Quality Index (PSQI). Reliability, validity, and factor structure of the Turkish version of AFImpact was explored. Results: Cronbach's alpha coefficients for vitality, emotional distress, and sleep domains of AFImpact was 0.956, 0.955, and 0.819, respectively, indicating good-to-excellent internal consistency. No significant difference was detected between the initial and retest scores, and intraclass correlation coefficients of each domain varied between 0.991 and 0.996, indicating excellent test-retest reliability. Each domain of AFImpact highly correlated with similar domains of SF-36 and PSQI, having correlation coefficients between -0.484 and -0.699. AFImpact was able to discriminate between the patients in different functional classes, confirming know-groups validity. Factor analysis revealed AFImpact had the same factorial structure as the original questionnaire. Conclusion: The Turkish version of AFImpact is a valid and reliable questionnaire for evaluating health-related quality of life in patients with AF.Publication Metadata only Effects of Inspiratory Muscle and Balance Training in Children with Hemiplegic Cerebral Palsy: A Randomized Controlled Trial.(2021-04-01T00:00:00Z) Kepenek-Varol, Büşra; Gürses, Hülya Nilgün; İçağasıoğlu, Dilara Füsun; GÜRSES, HÜLYA NILGÜNPublication Metadata only Walking training augments the effects of expiratory muscle training in Parkinson-s disease.(2021-08-30T00:00:00Z) Oguz, Semra; Gurses, Hülya Nilgün; Kuran Aslan, Goksen; Demir, Rengin; Ozyilmaz, Semiramis; Karantay Mutluay, Fatma; Apaydin, Hulya; GÜRSES, HÜLYA NILGÜN; ÖZYILMAZ, SEMIRAMISPublication Metadata only Does the effect of comprehensive respiratory physiotherapy home-program differ in children with cystic fibrosis and non-cystic fibrosis bronchiectasis?(2022-01-01T00:00:00Z) GÜRSES, Hülya Nilgün; Ucgun, Hikmet; Zeren, Melih; Denizoglu Kulli, Hilal; ÇAKIR, Erkan; GÜRSES, HÜLYA NILGÜN; ÇAKIR, ERKAN© 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.Bronchiectasis is a form of airway damage as a consequence of endobronchial infection and inflammation and may be present in different diseases. The underlying aetiologies include both cystic fibrosis (CF) and a group of non-cystic fibrosis diseases (NCFB) such as immunodeficiency, primary ciliary dyskinesia, or severe pulmonary infection. Although children with CF and non-cystic fibrosis bronchiectasis (NCFB) have many similar clinical features, their responses to exercise may be different. The aim of this study was to compare the efficacy of a comprehensive respiratory physiotherapy (CRP) home-program in children with CF and NCFB. Thirty children with CF and thirty children with NCFB were included in the study. Both groups performed the CRP home-program twice daily for 8 weeks. Pulmonary function, exercise capacity, and respiratory and peripheral muscle strength were assessed at baseline and after 8 weeks of training. Both groups experienced significant improvements in pulmonary function, exercise capacity, and respiratory and peripheral muscle strength (p < 0.001). Maximum expiratory pressure, exercise capacity, and peripheral muscle strength were further improved in NCFB group compared to CF (p < 0.05); however, there was a great variability in the improvements for each variable. Conclusion: CRP is beneficial both for children with CF and NCFB and adherence to the program was high in both groups.What is Known:• Different physiotherapy approaches in the management of non-cystic fibrosis bronchiectasis have been based on the experience gained from the research studies performed in cystic fibrosis.• Although having similar pathophysiology, these two diseases show variation in some pulmonary and extrapulmonary features.What is New:• The respiratory muscle strength and the efficacy of comprehensive respiratory physiotherapy have been compared for the first time in children with cystic fibrosis and non-cystic fibrosis bronchiectasis.• Comprehensive respiratory physiotherapy provides higher increases in children with non-cystic fibrosis bronchiectasis in exercise capacity and expiratory and peripheral muscle strength; however, there was a great variability in these improvements. Nevertheless, it can be concluded that both groups significantly benefited from the CRP program.Publication Open Access Effects of inspiratory muscle training on postural stability, pulmonary function and functional capacity in children with cystic fibrosis: A randomised controlled trial(2019-03-01) Zeren, MELİH; Cakir, ERKAN; Gurses, HÜLYA NİLGÜN; ZEREN, MELIH; ÇAKIR, ERKAN; GÜRSES, HÜLYA NILGÜNBackground: Previous research has found conflictive results regarding the benefits of inspiratory muscle training (IMT) for cystic fibrosis (CF) patients. Also, involvement of postural stability is a rising concern in chronic lung diseases but its role in CF patients is poorly understood. Our aim was to investigate the effects of IMT in CF patients as well as analysing the factors which may be related to postural stability.Publication Metadata only Inspiratory Muscle Training in Late-Onset Pompe Disease: The Effects on Pulmonary Function Tests, Quality of Life, and Sleep Quality(2016-08-01T00:00:00Z) Aslan, Goksen Kuran; Huseyinsinoglu, Burcu Ersoz; Oflazer, Piraye; Gurses, Nilgun; Kiyan, Esen; GÜRSES, HÜLYA NILGÜNLate-onset Pompe disease (LOPD) is characterized by progressive skeletal and respiratory muscle weakness. Little is known about the effect of inspiratory muscle training (IMT) on pulmonary function in subjects with LOPD. The aim of the present study was to investigate the effect of an 8-week IMT program on pulmonary function tests, quality of life, and sleep quality in eight patients with LOPD who were receiving enzyme replacement therapy (ERT).Publication Metadata only INVESTIGATION AND CURRICULUM ANALYSIS OF THE PHYSIOTHERAPY AND REHABILITATION FACULTY DEPARTMENT/SCHOOLS IN TURKEY(2014-04-01T00:00:00Z) GÜRSES, Hülya Nilgün; Alemdaroglu, Ipek; TANRIVERDİ, Müberra; GÜRSES, HÜLYA NILGÜN; TANRIVERDİ, MÜBERRAPurpose: To investigate the physiotherapy and rehabilitation faculty department/schools in Turkey and analyze their curriculums.
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