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Öğe The Comparison of Osteoporosis Knowledge and Awareness Levels of Patients with Hypothyroidism and Hyperthyroidism(Galenos Publ House, 2023) Karagul, Sevil; Kartaloglu, Isil FaziletObjective: Osteoporosis can be followed secondary to hypothyroidism and hyperthyroidism. In this study, we evaluated the awareness and knowledge of osteoporosis in patients with hypothyroidism and hyperthyroidism.Materials and Methods: A total of 148 patients and 148 volunteers, 80 of whom were diagnosed with hypothyroidism and 68 with hyperthyroidism, were included in the study. Demographic information and socioeconomic status of all patients and volunteers were recorded. Participants were evaluated using the osteoporosis knowledge test and osteoporosis awareness scale. For the osteoporosis knowledge questionnaire, correct answers of 13 and above were considered sufficient and answers below 13 were considered insufficient. First, the patient and volunteer groups were compared, and then the patient group was divided into two groups as hypothyroidism and hyperthyroidism. Questionnaires measuring osteoporosis awareness and osteoporosis knowledge levels of hypothyroid and hyperthyroid patients were compared.Results: There was no difference between the patient and control groups in terms of age, gender, education level, and income level (p>0.05). Both the patient and control groups had osteoporosis awareness, but there was no significant difference between the groups (p>0.05). The awareness of osteoporosis was high in the hypothyroid-hyperthyroid patient and control groups. When the osteoporosis knowledge levels of the patient and control groups were compared, a statistically significant difference was found in favor of the control group (p<0.05). No statistically significant difference was found regarding the osteoporosis awareness levels of hyperthyroid and hypothyroid patients (p>0.05). The osteoporosis knowledge level was low in patients with hypothyroidism and hyperthyroidism.Conclusion: Osteoporosis awareness was high in the hypothyroid and hyperthyroid patient and control groups. Considering the osteoporosis knowledge levels of the patient and control groups, although the knowledge level was insufficient in both groups, the decrease in the patient group was significant.Öğe The effect of single and dual-task balance exercises on balance performance in older adult patients with degenerative lumbar spinal stenosis: A randomized controlled trial.(Mosby-Elsevier, 2023) Karagul, Sevil; Kartaloglu, Isil FaziletBackground: Lumbar Spinal Stenosis (LSS) may present with balance disorder and risk of falling as a result of posture problems. The aim of the present study was to compare the effects of single-task and dual-task balance exercise programs on balance performance and activity-specific balance confidence in adults with LSS. Methods: Forty-three patients with LSS over the age of 65 were randomly divided into 2 groups as single-task balance training (group 1, n=21) and double-task balance training (group 2, n=22). Patients in both groups were given exercises by an experienced physiotherapist. Only balance exercises were applied to Group 1 under single task conditions, and Group 2 performed balance exercises accompanied by predetermined cognitive tasks. Patients were evaluated with Berg balance scale (BBS), timed up and go (TUG) test, and 10-meter walking test for single and dual tasks, Tinetti balance and gait test, single leg stance test, and activities-specific balance confidence (ABC) scale at baseline and at the end of four weeks. The Mann-Whitney U Test was used to compare the pre- and post-treatment differences in the groups. Results: Demographic data did not show any statistical significance between the two groups. When the preand post-treatment differences of the 10-meter walk test were compared between the single-task training group and the dual-task training group, it was observed that there was a difference in favor of the dual-task training group in the 10-meter walk test was performed separately in the single-task and dual-task training group (p < 0.05). When the differences before and after treatment were compared, no difference was observed in the BBS, TUG, Tinetti balance and gait test, single leg stance test, and ABC scale data between the groups (p > 0.05). Conclusion: Single- and dual-task exercises significantly improved static balance, dynamic balance, and activity-specific balance confidence in older adults with spinal stenosis. However, the dual-task exercise program was superior to the single-task exercise program in improving 10-meter walk test scores and walking speed, with or without cognitive dual-tasking.