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KAYA, MELTEM

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MELTEM
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    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, ERKAN
    Background 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.
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    Results of home-based modified combined decongestive therapy in patients with lower extremity lymphedema
    (2019-04-01) KOSTANOĞLU, ALİS; RAMOĞLU, MELTEM; GÜNEREN, ETHEM; KOSTANOĞLU, ALİS; KAYA, MELTEM; GÜNEREN, ETHEM
    Background/aim: The aim of this study is to present the results of modified combined decongestive therapy (CDT) in patients with lower extremity lymphedema (LEL).
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    The Effect of Lower Limb Lymphedema on Postural Stabilization
    (2019-01-01) Kostanoğlu, Alis; Kaya, Meltem; Uçgun, Hikmet; KOSTANOĞLU, ALİS; KAYA, MELTEM; UÇGUN, HİKMET
    ABSTRACTObjectives: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