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Öğe Comparison of the effects of pulmonary and cognitive telerehabilitation in severe COPD(European Respiratory Society Journals Ltd, 2023) Ataç, Amine; Pehlivan, Esra; Karaahmetoğlu, Fulya Senem; Özcan, Zeynep Betül; Çınarka, Halit; Çörtük, Mustafa; Baydili, Kürşad Nuri; Çetinkaya, Erdoğan...Öğe Effect of telerehabilitation based high intensity interval training on biochemistry parameters and symptoms in patients with fibromyalgia(Dokuz Eylül University, 2025) Akıl Ağdere, Selin; Pehlivan, Esra; Kat, Ezgi; Helvacı, Nazlı; Kural, Alev; Vural, MeltemPurpose: The aim of this study was to evaluate the effect of telerehabilitation-based high intensity interval training (HIIT) on biochemistry parameters and disease symptoms in fibromyalgia patients. Fibromyalgia syndrome (FMS) is a chronic musculoskeletal disease of unknown etiology accompanied by symptoms such as pain, hyperalgesia, sleep disorders, fatigue and mood disorders. Material and Methods: 33 fibromyalgia patients were randomly assigned as HIIT (n = 11), moderate-intensity continuous training (MICT)(n = 11) and control group (CG)(n = 11). While the patients in the study groups were given upper extremity exercise with telerehabilitation for 6 weeks, no intervention was applied to the CG. Disease symptoms and blood parameters were evaluated before and after treatment. Results: After the treatment, significant changes were found in the results of superoxide dismutase (SOD), malondialdehyde (MDA), glutathione peroxidase GSH(Px), right hand grip strength, pressure pain threshold, fatigue severity and disability in the HIIT group, and in the results of SOD, myeloperoxidase (MPO), left hand grip strength and fatigue severity in the MICT group (p<0.05).Öğe Exercise-induced muscle oxygenation changes in fibrosing interstitial lung diseases: a near-infrared spectroscopy study(Mattioli 1885, 2025) Pehlivan, Esra; Zeren, Melih; Özcan, Zeynep Betül; Karaahmetoğlu, Fulya Senem; Demirkol, Barış; İlhan, Umut; Ataç, Amine; Çetinkaya, ErdoğanBackground: The impact of fibrosing interstitial lung disease (F-ILD) on the oxygenation of peripheral and respiratory muscles during exercise remains poorly understood. Specifically, it's unclear whether regional blood flow influences exercise capacity in these patients, and if so, to what degree. Objectives: This study aimed to investigate changes in oxygenation and blood flow volume of the intercostal (IC) and quadriceps femoris (QF) muscles during exercise in patients with F-ILD. Methods: Muscle oxygenation (SmO2) and total haemoglobin (tHb) changes of IC and QF were measured in 36 F-ILD patients using near-infrared spectroscopy (NIRS) during six-minute walking test (6MWT). Resting, minute-by-minute change, and average data were analyzed. Results: At rest, SmO(2)was significantly higher in IC compared to QF (p<0.001). When adjusted for SmO(2)at rest, SmO(2)at the different time points during 6MWT, average SmO(2)during 6MWT, and lowest SmO2 during 6MWT did not differ between QF and IC muscles. Also, SmO(2 )did not vary significantly during 6MWT in either QF (F=2.193) or IC muscle (F=1.262). THb increased more in QF than in IC. THb of IC inversely correlated to respiratory functions and 6MWT distance. Conclusion: Peripheral and respiratory muscle oxygenation in F-ILD seems to be normal. However, blood flow volume in exercising muscle, not muscle oxygenation, may be a contributing factor to exercise intolerance. Patients with poorer respiratory function may require excessive blood flow in their respiratory muscles which in turn may limit the blood flow available for exercising peripheral muscles.Öğe Investigation of burnout status, self-esteem, communication skills and academic self-efficacy levels of students in online education process in the COVID 19 pandemic(2023) Ataç, Amine; Çorum, Muammer; Çorum, Emine Nur; Pehlivan, Esra; Kunduracılar, ZuhalAim: The study was designed based on the hypothesis that the online education process affected students' communication skills, burnout, self-confidence, and academic self-efficacy during the COVID-19 period. We aimed to investigate students' communication skills, burnout, self-esteem, and academic self-sufficiency in the online education process during the COVID-19 period. Material and Method: In our study, undergraduate students between the ages of 18-25 who are continuing their academic training in Istanbul were included. The burnout level of the participants was evaluated using the Maslach Burnout InventoryStudent Form, self-esteem Rosenberg Self-Esteem Scale, communication ability Communication Skills Scale, and academic competence using the Academic Self-Efficacy Scale. Results: 220 students were included in the research. 170 males (77.3%) and 50 females (22.7%) who met the inclusion criteria, were analyzed. According to the results of Pearson correlation analysis, a positive moderate correlation (r=0.448, p<0.001) between participants' burnout level scores and self- esteem scores, and a moderate negative correlation was found with academic self-efficacy scores (r=- 0.451, p<0.001). Conclusion: According to other studies in the literature, in our results, students' communication skills and academic self-efficacy are at the forefront during the COVID-19 period of the online education process. It can be said that more research is needed on how to improve communication skills and social interaction to improve academic self-efficacy.Öğe Investigation of inspiratory muscle training efficiency before bronchoscopic lung volume reduction: a randomized controlled trial(Sociedad Espanola de Neumologia y Cirugia Toracica (SEPAR), 2025) Pehlivan, Esra; Çetinkaya, Erdoğan; Özcan, Zeynep Betül; Karaahmetoğlu, Fulya Senem; Çörtük, Mustafa; Ataç, Amine; Çınarka, HalitIntroduction: Pulmonary rehabilitation (PR) is recommended prior to bronchoscopic lung volume reduction (BLVR) procedures to optimize patient outcomes. However, there's a lack of clear guidance on PR content. The aim of our study is to examine the effect of adding inspiratory muscle training (IMT) to standard PR before BLVR on exercise capacity, dyspnea, fatigue level and quality of life. Methods: Sixty-four patients were randomly assigned to either the PR Group (PRGr) or the PR with IMT group (IMTGr). Both groups underwent an 8-week standard PR program, including breathing exercises, muscle strengthening, and walking. Additionally, IMTGr received IMT sessions. Outcome measures comprised six-minute walking distance (6MWD), maximal inspiratory and expiratory pressures (MIP, MEP), peripheral muscle strength, modified Medical Research Council dyspnea score, fatigue symptom scale, spirometric parameters, Saint George Quality of Life Questionnaire (SGRQ), International Physical Activity Questionnaire Short Form (IPAQ-SF), and Hospital Anxiety and Depression Scale. Results: Our study found no significant difference in exercise capacity improvement between IMTGr and PRGr. However, IMTGr showed significant improvement in MIP compared to PRGr. Both groups experienced improvements in dyspnea, fatigue, and depression scores, as well as enhancements in 6MWD, MEP, peripheral muscle strength, IPAQ-SF and SGRQ scores. Conclusion: Adding IMT to PR did not show a significant difference between groups among BLVR-eligible patients. However, improved respiratory muscle strength may have positive clinical implications. Further research is needed to explore short and long-term effects.Öğe Normative values and calculation formulas of respiratory muscle strength of adults in Turkish society: a population-based study(AVES, 2024) Pehlivan, Esra; Çınarka, Halit; Baydili, Kürşad Nuri; Uyaroğlu, Mehmet Burak; Baştürk, Pınar; Ataç, AmineOBJECTIVE: This study aimed to establish normative values for maximum inspiratory pressure and maximal expiratory pressure in the Turkish population while creating specific equations to calculate these values. MATERIAL AND METHODS: The study involved 219 healthy adults, with a minimum of 50 individuals in specific age ranges: 20–29, 30–39, 40–49, and 50–60 years. Each age group comprised at least 25 males and 25 females. Participants were required to be free from health conditions influencing respiratory muscle strength and non-smokers. Measurements of maximum inspiratory pressure and maximal expiratory pressure were recorded for all participants. RESULTS: As a result of the regression analysis performed for the maximum inspiratory pressure values, the model P value was <.001, and the R2 value was found to be 0.261. The equation obtained as a result of the model was: 82.583 ? 3.218 × gender ? 0.093 × age + 9.534 × height + 0.343 × weight. As a result of the regression analysis performed for maximal expiratory pressure values, the model P value was <.001, and the R2 value was found to be 0.285. The equation obtained as a result of the model was: 157.165 ? 35.522 × gender ? 0.271 × age–42.036 × height + 0.787 × weight. CONCLUSIONS: The newly developed equations offer valuable tools for evaluating respiratory muscle strength in the Turkish population. These results confirm the importance of using maximum inspiratory pressure and maximal expiratory pressure to monitor changes in each patient, while also emphasizing the necessity of reliable reference equations.Öğe Onkolojik hastalarda son yılların gözde tedavi yöntemleri teletıp ve telerehabilitasyon kullanımının artışı(Sağlık Bilimleri Üniversitesi, 2022) Ataç, Amine; Pehlivan, EsraTelesağlık, hastalar ve sağlık profesyonelleri arasında veri alışverişi ve iletişim sağlayan hastalara uzaktan kişiselleştirilmiş sağlık bakımı sağlamak için teknolojinin kullanımını ifade eder. Telerehabilitasyon; hastaların hastane tabanlı programa alternatif olarak ev tabanlı bir ortamda programa katılmasını sağlayan telesağlık hizmetlerinden oluşmaktadır. Bu çalışma kanser hastalarında 10 yıl önceki teletıp ve telerehabilitasyon hakkındaki literatür bilgilerini günümüz ile karşılaştırıp derlemeyi amaçlamaktadır. PUBMED veri tabanında "telehealth" AND "cancer" ile "telerehabilitation" AND "cancer" şeklinde filtresiz, randomize kontrollü çalışma, derleme, sistematik derleme şeklinde arama yapıldı ve ilgili makaleler incelendi. Google schoolar arama motorunda da aynı arama terimleri aratılıp literatür araması yapıldı. PUBMED veri tabanında filtresiz arama yapıldığında; "telehealth" AND "cancer" 609 sonuç, "telerehabilitation" AND "cancer" için 44 sonuç çıkmaktadır. 2011 öncesi yayınlara bakıldığında "telehealth" AND "cancer" için 32 sonuç bulunurken, "telerehabilitation" AND "cancer" için ise hiçbir sonuca erişilemedi. Google schoolar arama motorunda; "telehealth" AND "cancer" aramasında 2011 yılı öncesi ise 7,960 sonuç bulunmaktadır. "telerehabilitation" AND "cancer" şeklinde arama yapıldığında 2011 yılı öncesi ise 500 sonuç yer almaktadır. Çalışmamız sonucunda değişen ihtiyaçlar nedeniyle teletıp ve telerehabilitasyon yöntemlerine olan ilginin günümüzde arttığı ve artmaya devam ettiği görüldü. Literatürün ve günümüzün gözdesi teletıp ve telerehabilitasyon yöntemleri ile ilgili olan çalışma sayısının; hızla değişen teknolojik imkanlar ve günümüzde bu yöntemlere olan ihtiyacın artması sebebi ile daha da artacağını tahmin ediyoruz.Öğe The impact of different telerehabilitation methods on peripheral muscle strength and aerobic capacity in COPD patients: a randomized controlled trial(Multidisciplinary Digital Publishing Institute (MDPI), 2024) Ataç, Amine; Pehlivan, Esra; Karaahmetoğlu, Fulya Senem; Özcan, Zeynep Betül; Çınarka, Halit; Çörtük, Mustafa; Baydili, Kürşad Nuri; Çetinkaya, ErdoğanLung diseases have profound effects on the aging population. We aimed to hypothesize and investigate the effect of remote pulmonary telerehabilitation and motor imagery (MI) and action observation (AO) methods on the clinical status of elderly chronic obstructive pulmonary disease (COPD) patients. Twenty-six patients were randomly assigned to pulmonary telerehabilitation (PtR) or cognitive telerehabilitation (CtR) groups. The programs were carried out 3 days a week for 8 weeks. The 6-min walk test (6MWT), modified Medical Research Council dyspnea score, blood lactate level (BLL), measurement of peripheral muscle strength (PMS), and electromyography activation levels of accessory respiratory muscles were the main outcomes. There was a statistically significant improvement (p < 0.05) in both groups in the 6MWT distance and in secondary results, except for BLL. Generally, in the mean muscle activity obtained from the electromyography measurement after the program, there were statistically significant increases in the PtR group and decreases in the CtR group (p < 0.05). There was a statistically significant increase in PMS in both groups. An active muscle-strengthening program has the same benefits as applying the muscle-strengthening program to the patient as MI and AO. CtR can be a powerful alternative rehabilitation method in respiratory patients who cannot tolerate active exercise programs.
