Person: GÜRSES, HÜLYA NILGÜN
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Publication Metadata only Effect of Different Types of Inputs Combined with Contralateral Force Irradiation on Hand Function and Strength in Hemiplegia: (A Pilot study)(2019-10-11T00:00:00Z) Denizoğlu Külli, Hilal; Durgut, Elif; Alpay, Kübra; Zengin Alpözgen, Ayşe; Gürses, Hülya Nilgün; DENİZOĞLU KÜLLİ, HİLAL; DURGUT, ELİF; ALPAY, KÜBRA; GÜRSES, HÜLYA NILGÜNIntroduction: The contralateral force irradiation is based on fact that the stimulation of strong and preserved muscles produces activation of contralateral injured/weak muscles. Recent studies presented that somatosensorial inputs such as electrical stimulation or visual input increase the effect of force irradiation. Objectives:The aim of the study is to determine the effect of single-session only unilateral exercise training, pressure splint with unilateral exercise training and visual feedback with unilateral exercise training on hand function and strength in hemiplegia.Patients & methods:Hemiplegic patients (N=15) who applied to our clinic and whose mean age was 55.3±9.1 years, were randomly assigned to three groups (mirror (M), splint (S) and control (C) groups). All patients asked to squeeze the exercise ball 300 times with the unaffected hand. The affected limbs are into the mirror box in M group; into the Johnstone Splint in S group; on the table in C group without moving. Box-block test (BBT), hand grip strength (HGS (with a dynamometer) and pinch strength (PS) (with pinchmeter) were evaluated bilaterally before and after treatment. Wilcoxon Signed Ranks Test were performed for statistical analysis by using SPSS (Version 16.0; SPSS; Chicago, IL, USA). Results:The comparison between pre and post-treatment values showed that statistical significance was determined only in the mirror group of the affected hand on the BBT and PS scores (p=0.041, p=0.047, respectively). However, there was no significant difference in favor of a group in the pre and post-treatment changes of affected and unaffected hand (p>0.05).Conclusion: The studies showed that somatosensorial inputs promote contralateral force irradiation. We used mirror treatment as a visual input and Johnstone Splint as a proprioceptive input. The results of our study suggest that the kind of somatosensorial inputs altered the amount of contralateral force irradiation.Keywords: force irradiation, hemiplegia, visual feedback, air pressure splint.Publication Metadata only Bronşektazili Çocuklarda ve Sağlıklı Kontrollerde Otur-Kalk Testinin Fonksiyonel Egzersiz Kapasitesini Değerlendirme Amacıyla Kullanımı(2020-03-05T00:00:00Z) Zeren, Melih; Çakır, Erkan; Uçgun, Hikmet; Denizoğlu Külli, Hilal; Gürses, Hülya Nilgün; GÜRSES, HÜLYA NILGÜN; DENİZOĞLU KÜLLİ, HİLAL; UÇGUN, HİKMET; ÇAKIR, ERKANPublication Metadata only Bronşektazili Çocuklarda Fonksiyonel Kapasitenin Belirleyicileri(2021-12-05T00:00:00Z) Kaya, Meltem; Uçgun, Hikmet; Denizoğlu Külli, Hilal; Zeren, Melih; Çakır, Erkan; Gürses, Hülya Nilgün; KAYA, MELTEM; UÇGUN, HİKMET; ÇAKIR, ERKAN; GÜRSES, HÜLYA NILGÜNPublication Metadata only NEW ASSISTIVE DEVICE: RGO-CHAIR(2018-05-09T00:00:00Z) Gökdemir, Fuat; Denizoğlu Külli, Hilal; Gürses, Hülya Nilgün; GÖKDEMİR, FUAT; DENİZOĞLU KÜLLİ, HİLAL; GÜRSES, HÜLYA NILGÜNPublication Metadata only Etyolojisi Farklı Olan Bronşektazili Çocuklarda Fonksiyonel Kapasite ve Solunum Fonksiyonlarının Karşılaştırılması(2019-10-29) Uçgun, Hikmet; Kaya, Meltem; Denizoğlu Külli, Hilal; Zeren, Melih; Gürses, Hülya Nilgün; Çakır, Erkan; UÇGUN, HİKMET; GÜRSES, HÜLYA NILGÜN; DENİZOĞLU KÜLLİ, HİLAL; KAYA, MELTEM; ÇAKIR, ERKAN; ZEREN, MELIHPublication Metadata only Diastasis Recti Hastalarında Fizyoterapi Rehabilitasyon(2019-04-19T00:00:00Z) Bilgiç, Merve; Yıldırım, Melike; Kara, Pınar; Denizoğlu Külli, Hilal; Özyılmaz, Semiramis; Gürses, Hülya Nilgün; DENİZOĞLU KÜLLİ, HİLAL; ÖZYILMAZ, SEMIRAMIS; GÜRSES, HÜLYA NILGÜNPublication Metadata only Akut alevlenmeyle servise yatırılan genç KOAH hastalarında iki farklı solunum rehabilitasyonu programının hemodinamik yanıtlar ve taburculuk süresi üzerine etkisi(2019-10-26) Denizoğlu Külli, Hilal; Zeren, Melih; Kaya, Meltem; Uçgun, Hikmet; Okyaltırık, Fatmanur; Gürses, Hülya Nilgün; DENİZOĞLU KÜLLİ, HİLAL; ZEREN, MELIH; KAYA, MELTEM; UÇGUN, HİKMET; OKYALTIRIK, FATMANUR; GÜRSES, HÜLYA NILGÜNPublication 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 Kistik Fibrozisli Çocuk Hastalarda Fonksiyonel Kapasitenin Belirleyicilerinin Araştırılması Ve Sağlıklı Popülasyon Referans Değerleri İle Karşılaştırılması(2019-10-29) Zeren, Melih; Uçgun, Hikmet; Kaya, Meltem; Denizoğlu Külli, Hilal; Gürses, Hülya Nilgün; Çakır, Erkan; ZEREN, MELIH; GÜRSES, HÜLYA NILGÜN; DENİZOĞLU KÜLLİ, HİLAL; KAYA, MELTEM; UÇGUN, HİKMET; ÇAKIR, ERKANPublication Metadata only Pnömoni Tanısı ile Yatarak Tedavi Gören Hastalarda Fizyoterapi Seansındaki Hemodinamik Değişimlerin Yaş Gruplarına Göre İncelenmesi(2019-10-29) Kaya, Meltem; Denizoğlu Külli, Hilal; Uçgun, Hikmet; Zeren, Melih; Özyılmaz, Semiramis; Kostanoğlu, Alis; Okyaltırık, Fatmanur; Gürses, Hülya Nilgün; KAYA, MELTEM; DENİZOĞLU KÜLLİ, HİLAL; UÇGUN, HİKMET; ZEREN, MELIH; KOSTANOĞLU, ALİS; OKYALTIRIK, FATMANUR; GÜRSES, HÜLYA NILGÜN