Fizyoterapi ve Rehabilitasyon Bölümü Koleksiyonu

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https://dspace.mudanya.edu.tr/handle/20.500.14362/86

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Browsing Fizyoterapi ve Rehabilitasyon Bölümü Koleksiyonu by All Authors "Kayış, Rukiye"

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    A Comparison of Physical Activity Level, Quality of Life, Sleep Quality and Depression Levels in Mothers of Disabled Children With and Without Musculoskeletal Pain
    (İstanbul Gelişim Üniversitesi, 2025-11) Yalçın, Gülay; Kayış, Rukiye; 308202
    Aim: This study aims to compare physical activity levels, quality of life, sleep quality, and depression levels in mothers of children with disabilities, distinguishing between those with and without musculoskeletal pain. Method: A total of 61 mothers aged 20–45 years participated in the study, including 27 mothers with musculoskeletal pain, as determined by the Visual Analog Scale (VAS), and 34 mothers without musculoskeletal pain. The physical activity levels of the mothers were assessed using the International Physical Activity Questionnaire – Short Form (IPAQ), pain status with the VAS, depression levels with the Beck Depression Inventory (BDI), sleep quality with the Pittsburgh Sleep Quality Index (PSQI), and quality of life with the Nottingham Health Profile (NHP). Results: Body mass index, NHP, PSQI, VAS and number of pregnancies were statistically significantly different between the two groups (p<0.05). There was no statistically significant difference between the two groups in the results of IPAQ, BDI, number of children, number of miscarriages, smoking, presence of care assistants, educational status and economic status (p>0.05). Conclusion: Musculoskeletal pain negatively affects the sleep quality and quality of life of mothers of children with disabilities. Depression levels and physical activity levels were high in both groups. In addition, factors such as sociocultural and number of children are also associated with musculoskeletal pain.
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    COMPARISON OF THE EFFECTS OF NERVUS VAGUS STIMULATION, TENS, AND BACKUP STIMULATION DEVICE ON THE AUTONOMIC NERVOUS SYSTEM AND PAIN IN FIBROMYALGIA PATIENTS
    (TÜRKİYE FİZYOTERAPİSTLER DERNEĞİ, 2025-09) Yalçın, Gülay; Kayış, Rukiye; Beceni, Esra; Külekçioğlu, Sevinç; 308202; 392833
    Purpose: This study aimed to compare the acute effects of vagus nerve stimulation (VNS), transcutaneous electrical nerve stimulation (TENS), and the backup stimulation device (Backup) on pain, sympathetic, and parasympathetic nervous system functions in fibromyalgia patients. Methods: Thirty fibromyalgia patients (aged 20-45) from a hospital in Bursa were randomly assigned to three groups: VNS, TENS, and Backup stimulation device. Each group received a 30-minute session once weekly for five sessions. Pain was assessed using the visual analog scale (VAS), and sympathetic and parasympathetic functions were measured with the Elite heart rate variability device. Parameters included heart rate, root mean square of successive differences, proportion of NN50 divided by total RR intervals, low-frequency/high-frequency (LF/HF) power, and LF/HF ratio. Results: No significant post-intervention changes were found in autonomic parameters across groups (p>0.05). However, all groups showed a significant reduction in VAS scores (p<0.05), indicating effective pain relief. Heart rate significantly decreased only in the Backup group (p<0.05), suggesting a shift toward parasympathetic dominance. Between-group analysis revealed significant differences in VAS scores between the TENS and VNS groups, and the VNS and Backup groups (p<0.05), indicating variability in pain response. Conclusion: TENS, VNS, and Backup stimulation devices effectively reduce pain in fibromyalgia patients. The heart rate reduction in the Backup group suggests a potential effect on autonomic regulation, which may offer a beneficial approach for managing fibromyalgia symptoms. Although autonomic parameters showed no significant changes overall, further research is needed to understand the long-term effects and clinical relevance of these treatments.