Person: AKEL, BURCU SEMİN
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AKEL
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BURCU SEMİN
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Publication Metadata only Pain and Hand Functioning Differences between Guitar and Oud Students(2019-06-17) AKEL, BURCU SEMİN; 114564Objective: Most musicians suffer from intermittent or permanent pain which starts impairing musicians at a very early stage of music education or career. Most of the studies about instruments and musculoskeletal pain are implemented with guitar, violin or piano players. Eastern instruments are not frequently analyzed and investigated in terms of pain and discomfort. Therefore, it is aimed to investigate pain and upper extremity motor performance differences between Oud and Guitar players. Materials and Methods: Eighteen guitar players and 13 Oud players participated in the study. Pain was assessed with The Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians (MPIIQM). Upper extremity motor performance was assessed with the Fine Finger Dexterity and Simulated Assembly tests of the VALPAR Work Samples. Results: The mean pain intensity score was 12,39± 11,28 whereas none of the oud players indicated any pain. The oud players' mean sub scores for the Fine Finger Dexterity were 71,42±24,82, 112,28+17,99 and 114,60+38,36 and the guitar players' mean sub-scores were 63,74+42,22, 82,09± 19,55 and 73,79± 10,29 respectively. The average Simulated Assembly score was 131,33±47,68 for oud players and 123,33+39,10 for the guitar players. The oud players' Fine Finger Dexterity scores were significantly higher than the guitar players (p=0,001 for the 1st subtest and p=0,029 for the 3rd subtest}. Also the pain intensity scores were significantly different between the groups (p=0,003). Conclusions: Oud players had higher hand functioning scores than the guitar players. Despite this fact, it was surprising that only two sub tests of Fine Motor Dexterity Test yielded significant differences. It was remarkable that the oud players did not indicate any pain whereas nearly all of the guitar players indicated moderate of high levels of pain. It was obvious that there is a significant difference between the instruments and there is a need for in-depth analysis of oud playing, training methods and of the instrument itself.Publication Restricted Investigation of the Effect of Task-Orientated Rehabilitation Program on Motor Skills of Children With Childhood Cancer: A Randomized-Controlled Trial(Lippincott Williams and Wilkins, 2020) Şahin, Sedef; AKEL, BURCU SEMİN; Huri, Meral; Akyüz, CananProblems have been reported in the execution and development of motor skills and its treatment as a cause of cancer in children. The purpose of this study was to examine the effect of the task-orientated rehabilitation program (ToRP) on motor skills of children with childhood cancer. Following the consort guideline, 93 children (49 males and 44 females) with pediatric cancer were randomized to either study (n = 52; 12.35 ± 3.43 years) or control (n = 41; 11.89 ± 3.56 years) groups. The study group received ToRP, and the control group received a home-based therapeutic strategies program for 20 sessions. Motor skill outcomes were assessed with Bruininks-Oseretsky Test of Motor Proficiency, Short Form (BOTMP-SF) by assessor who was blind to group allocation and interventions. The groups were homogenous in terms of demographic characteristics and motor skills. The study group showed a significant increase in both gross and fine motor skills (P values for all subtests: P 0.001), whereas running speed, bilateral coordination, strength, response speed and visual motor control did not show significant improvement with the control group (P > 0.05). The ToRP appears to provide beneficial effects in improving motor skills at the early stages of rehabilitation for children with childhood cancer.Publication Open Access Examination of Fatigue, Well-Being and Life Habits in Children with Cancer Diagnosis(Bezmiâlem Vakıf University, 2021) Sevgili, Sümeyye; Şahin, Sedef; AKEL, BURCU SEMİNObjective: In this study, it was planned to examine fatigue, well-being and life habits in children with cancer. Methods: This cross-sectional analytical study was conducted between September 2019-January 2020. "24-Hour Child Fatigue Scale", "Child Well-being Assessment" and Child Life Habit Questionnaire (LIFE-H for Children 1.0)" were administered to 20 children with cancer aged 5-15 years. Pearson's correlation coefficient was used to determine the statistical relationship between life habits, fatigue and well-being. Statistical significance level was accepted as p<0.05. Results: There were significant relationships between fatigue and personal care, shelter and mobility parameters of life habits (r=-0.66, r=0.54, r=0.45, p<0.01, respectively) and there were significant relationships between fatigue and negative emotions (r=0.46), overall life satisfaction (r=-0.52), general happiness (r=-0.49) and positive emotions (r=-0.44 *) parameters of well-being assessment. Life habits scale was found to be related with nutrition, physical fitness and communication parameters of Child Life Habit Questionnaire were found to be most related with the meaning and purpose parameter of the well-being assessment (p<0.01). There were significant relationships between positive emotions and recreation (r=0.45, p=0.04); optimism and communication (r=-0.44, p=0.04); personal care (r=-0.49, p=0, 02), social life (r=-0.46, p=0.04) and autonomy; and mobility and negative emotions (r=-0.45, p=0.04). Conclusion: Considering the relationships determined in this study, the evaluation of the children with cancer and treatment approaches can be shaped. The fact that fatigue affects all aspects of children's life reveals the importance of dealing with fatigue. It is recommended to focus on the meaning and purpose and regain autonomy for children in order to rearrange the life habits of the children and ensure their well-being.Publication Restricted Comparison of Motor Proficiency and Functional Ambulation in Duchenne Muscular Dystrophy With Healthy Peers(Taylor & Francis Ltd., 2020) Yıldız, Şulenur; Şahin, Sedef; Bulut, Numan; Tunca Yılmaz, Öznur; Karaduman, Aynur Ayşe; AKEL, BURCU SEMİNAims:The study was aimed to investigate the difference between boys with Duchenne muscular dystrophy (DMD) and healthy peers in terms of gross and fine motor proficiency, and determine the relationship between motor proficiency and ambulation. Methods:A total of 24 boys with DMD and 22 healthy peers were evaluated. Demographics and physical characteristics were recorded. The Bruininks Oseretsky Test of Motor Proficiency-Short Form (BOTMP-SF) was administered to evaluate gross and fine motor proficiency in both groups. The 6-minute walk test (6MWT) was performed to evaluate functional walking capacity and North Star Ambulatory Assessment (NSAA) was used to determine ambulatory status of boys with DMD. Results:The gross motor proficiency score was significantly lower in boys with DMD (p = 0.001). No difference was found between the groups in terms of fine motor proficiency (p = 0.962). The gross motor function of BOTMP-SF was significantly related to 6MWT distance (r = 0.696,p = 0.001) and NSAA (r = 0.738,p = 0.001). No relationship was found between BOTMP-SF fine motor proficiency and 6MWT distance (r = 0.210,p = 0.361), and NSAA (r= -0.020,p = 0.928). There were significant correlations between running speed and agility with 6MWT distance (r = 0.585,p = 0.005) and NSAA (r = 0.650,p = 0.056). Conclusions:Boys with DMD were more affected in aspects of gross motor proficiency than healthy peers, while fine motor proficiency were found same. The gross motor proficiency was found more related to the level of ambulation.Publication Metadata only Determination of Playing Related Postural Problems in Guitar Students(2019-06) AKEL, BURCU SEMİN; 114564Objective: A significant percentage (%37) of musicians suffer musculoskeletal disorders that are sufficiently serious to affect performance. A common risk factor for musculoskeletal disorders is a poor posture.ln this study, we aimed to determine of playing-related postural problems in guitar students. Materials and Methods: Nineteen guitar bachelor students participated. Demographic data were recorded and static and dynamic posture analysis were performed via observation and video recordings; which were analyzed by a physiotherapist, an occupationaltherapist and a guitarist. Awkward postures were recorded. Posture was evaluated both globally and for individual body regions. Overall posture was divided into 3 categories: rigid, slumped, physiological. Pain was assessed with The Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians. Results: Most of the individuals (55%) experienced pain or problems that might hinder their playing skills in the last year.The most common locations of pain or problems were: shoulder, wrist, scapula and neck.The overall static posture was poor in 38% of participants when standing(33%rigid, 5% slumped). During playing, the posture was more often slumped than rigid(66%). The location of the gravity axis in the sagittal plane were forward-shifted(%55), however the physiological posture was maintained at the frontal plane.The most common problems encountered were shoulder imbalance (%61), rotation of the head(%77), rotation of body(%72), right wrist excessive ulnar deviation(%33) and thumb positioning(%72). Conclusions: According to the posture analysis, rotation and slumpy positioning was the main problem. This situation puts greater problems on the muscles of the back and abdomen and may effect proper breathing. The regions that have poor posture was neck, shou Ider, wrist and thumb. Considering this, we believe that educating music students in proper playing posture and postural awareness can be beneficial in decreasing performance-related postural problems.Publication Restricted Time-Use, Occupational Balance, and Temporal Life Satisfaction of University Students in Turkey During Isolation Period of COVID-19(Taylor & Francis Australia, 2022) Salar, Sinem; Pekçetin, Serkan; Günal, Ayla; AKEL, BURCU SEMİNPeople all over the world have needed to adapt to social distancing, movement restrictions, and change in life routines due to Coronavirus disease 19 (COVID-19). This study aimed to explore the relationships between time-use, occupational balance, and temporal life satisfaction of university students in Turkey during the social isolation period due to the COVID-19 pandemic. The study was conducted online in May 2020, with 128 university students of a Turkish university with the mean age of 20.27 +/- 1.49 years (Min. 18 - Max. 26 years old) from 37 cities. The measures used were the Occupational Balance Questionnaire (OBQ), the Temporal Satisfaction with Life Scale (TSWLS), and a customized question about the time-use of the students in specific occupational domains. The results indicated that individuals with lower occupational balance had less present life satisfaction (p < .001). While the time allocated to study lessons, socialization, and exercise had small positive correlations with OBQ (p <.01), watching TV had a negative correlation with OBQ (p <.05) and with 'present TSWLS' (p <.01). The mean value of 'present TSWLS' (15.45 +/- 7.54) was lower than 'past TSWLS' (21.57 +/- 6.27) and 'future TSWLS' (22.64 +/- 4.60). Evaluation of occupational balance and the time use patterns of university students during the isolation periods could be important due to its relationship with life satisfaction. This issue raises the potential need for preventive occupation-based interventions to address the mental health of the community.Publication Restricted Translation, Psychometric and Concept Analysis of the Occupational Balance-Questionnaire Based on a Turkish Population(Taylor & Francis Inc., 2021) Bahadır, Zeynep; Yaran, Mahmut; Özkan, Esma; Ekici, Gamze; Huri, Meral; AKEL, BURCU SEMİNOccupational balance is a crucial concept in occupational therapy, accepted as a key component of health and well-being. The Occupational Balance-Questionnaire (OB-Quest) is designed as a standardized instrument to assess occupational balance. This study investigated the validity and reliability of the OB-Quest Turkish, which consisted of translation, cross-cultural adaptation, and analysis psychometric properties phases. The factor structure of the OB-Quest indicated a good model fit. The criterion-related validity showed a positive correlation with Beck Depression Inventory and a negative correlation with the 12-item Short Form Survey. The OB-Quest-Turkish showed questionable internal consistency and an excellent correlation between test-retest.Publication Restricted Cross-Cultural Adaptation, Reliability, and Validity of a Turkish Version of the Work Rehabilitation Questionnaire (WORQ-Turkish)(Springer Plenum, 2021) Aran, Orkun Tahir; Abaoğlu, Hatice; Çağlar, Gamze Ekici; AKEL, BURCU SEMİN; Aki, Esra; Karahan, Sevilay; Kayıhan, HülyaPurposeThe Work Rehabilitation Questionnaire (WORQ) is an instrument based on the International Classification of Functioning Vocational rehabilitation core set. The aim of this study was to analyze the validity, reliability and cross-cultural adaptation of the WORQ to Turkish and evaluate its psychometric properties.MethodsThe cross-cultural adaptation and translation procedures were conducted following Beaton's guidelines. The test-re-test reliability was examined by Spearman Brown Coefficient (split half analysis), internal consistency was examined by Cronbach's alpha. Criterion related validity of the WORQ was determined by Beck Depression Inventory using Pearson correlation coefficient and known group differences regarding age, gender, work and educational levels using one-way ANOVA and t test. Construct validity was examined by confirmatory factor analysis using AMOS.ResultsTwo hundred and fifty-seven participants with disabilities were included to the study from seven different provinces of Turkey. The WORQ-Turkish showed excellent internal consistency (0.906), good test-retest reliability (0.811), and good construct validity (good model fit indices). Criterion related validity analysis showed medium correlations between WORQ and Beck Depression Inventory (p < 0.001), however there were no statistical significant differences regarding known group parameters (p > 0.05).ConclusionsIn this study, the cross-cultural adaptation, and validity and reliability of WORQ-Turkish self-reported version were examined and the results indicated that WORQ-Turkish was a valid and reliable scale for analyzing vocational rehabilitation process of people with disabilities.Publication Restricted Occupational Self-Perception Level Effects on the Development of Kinesiophobia in Individuals With Total Knee Arthroplasty(Elsevier, 2023) Yılmaz, Güleser Güney; AKEL, BURCU SEMİN; SAİTOĞLU, YELİZ SEVİMLİ; Akı, EsraIntroduction: The development of kinesiophobia after Total Knee Arthroplasty (TKA) has been one of the important issues. However, the early results and the presence of kinesiophobia before surgery have not been adequately investigated. In addition, the effects of factors such as pain perception, postoperative pain level, and demographic characteristics were mentioned. However, occupational factors such as occupational expectations and occupational self-perception level have not been adequately investigated.Methods: Each assessment tool was administered three times: once on the first day of the preoperative period and then again at the third and sixth weeks after the surgery. The assessment tools employed were the Knee Injury and Osteoarthritis Outcome Score, Tampa Scale for Kinesiophobia, Occupational Self Assessment, and Timed Up and Go test. To analyze the differences in Tampa Scale for Kinesiophobia scores, a one-way ANOVA was con-ducted. Subsequently, the patients were categorized into two groups based on their level of kinesiophobia: high and low. Independent sample t-tests were employed to compare continuous and normally distributed data be-tween the two groups, while the Mann-Whitney U test was used for non-normally distributed data. The Pearson correlation coefficient was utilized to assess the relationship between continuous data, whereas the Spearman rank-order correlation was employed for non-normally distributed data. Results: High levels of kinesiophobia were identified in individuals both prior to and following surgery. Signif-icant differences were observed between the high and low kinesiophobia groups in terms of the mean OSA Competency (p < 0.05). However, no statistically significant differences were found between the groups in relation to the other evaluation scores during the follow-up periods. Furthermore, a negative correlation was observed between TSK score and OSA Competence results (p < 0.05).Conclusion: Occupational self-perception levels effect the level of kinesiophobia in individuals with TKA and high rates of kinesiophobia observed before the surgery intensified after the surgery, especially in the early period. It may be necessary to focus more on factors such as individual factors, individuals' values, habits, and beliefs.Publication Metadata only Fizyoterapi ve Rehabilitasyon Bölümü Öğrencilerinin Öğretim Üyesi Memnuniyeti ve Ders Memnuniyeti Arasındaki İlişkinin İncelenmesi(2019-10-17) Ertürk, Gamze; KARACA, GÜLŞAH; EVRENDILEK, HALENUR; akalan, ekin; APTI, ADNAN; AKEL, BURCU SEMİN; ÖNERGE, KÜBRA; 114564; 268636; 268498; 283338; 173320; 259584Giriş: Yükseköğretim kurumlarında akreditasyon çalışmaları Bologna sürecinin başlaması ile birlikte ağırlık kazanmıştır. Yükseköğretim Kurumu (YÖK) tarafından da eğitim-öğretimin ders süreçleri, ders yükleri, öğrencilerin katılımları, öğrencilerin ve öğretim üyelerinin memnuniyeti gibi konularda incelenmesi için gerekli çalışmaların yapılmasına hem destek hem de önem verilmektedir. Üniversitelerin iç paydaşlarından biri olan öğrencilerin öğretim üyesi ve ders memnuniyetinin değerlendirilmesi ve her iki değerlendirme parametresinin birbirleri ile olan ilişkisinin belirlenmesi önemlidir. Değerlendirme sonucunda elde edilecek sonuçlar, eğitimde kalitenin arttırılması; sağlık alanının insan yaşamı ile doğrudan ilgili olduğu göz önüne alındığında işini en doğru ve güvenilir şekilde yapabilecek donanıma sahip sağlık profesyonellerinin yetiştirilmesi; nitelikli yetişen profesyonellere bağlı olarak Türkiye'de sağlık sisteminin daha ileriye taşınması ve toplumsal refah seviyesinin arttırılması konusunda yapılması gerekenler için bir çıktı olacaktır. Amaç: Akreditasyon kapsamında öğretim üyesi ve ders memnuniyetinin değerlendirilmesi gerekmektedir. Fakat değerlendirmelerin sonucundaki memnuniyet düzeylerinin tutarlılığı konusunda net bir sonuç yoktur. Bu nedenle çalışmadaki amacımız Fizyoterapi ve Rehabilitasyon bölümü öğrencileri tarafından değerlendirilen öğretim üyesi memnuniyeti düzeyi (ÖÜMD) ve ders memnuniyeti düzeyi (DMD) arasındaki ilişkinin incelenmesidir. Gereç-Yöntem: Çalışmaya, İstanbul Kültür Üniversitesi Sağlık Bilimleri Fakültesi Fizyoterapi ve Rehabilitasyon Bölümü öğrencilerinden 34 kişi katıldı. Tüm öğrencilerin okulda geçirdikleri 2. ve 3. dönem verileri toplanarak analiz yapıldı. Her bir öğrenciden, fakülte öğretim üyeleri tarafından hazırlanan ve toplam 35 sorudan oluşan "Öğretim Üyesi ve Ders Değerlendirme Anketi"ni doldurmaları istendi. Anketin ilk 25 sorusu öğrencilerin ÖÜMD'ni değerlendiren sorulardan (öğretim elemanının öğrencilerle olan ilişkisi, kullandığı yöntemler, zaman yönetimi vb.) oluşurken diğer 10 soru ise DMD'ni değerlendiren sorulardan (dersin amaç ve içeriği, mesleki gelişime katkısı, değerlendirilme yöntemleri, ders kaynakları vb.) oluşmaktaydı. Her bir soru 0-5 puan (0=kesinlikle katılmıyorum,5=kesinlikle katılıyorum) arasında puanlandı. Anketler, öğrenciler tarafından toplam 20 ders (13 zorunlu,3 zorunlu seçmeli,4 alan içi seçmeli) ve 17 öğretim üyesi için dolduruldu. İstatiksel analiz için SPSS 25 programı kullanıldı. Veriler normal dağılımlarına göre değerlendirildikten sonra korelasyon analizi için Pearson Korelasyon Katsayısı testi kullanıldı. Korelasyon kuvvetini belirlemek için Cohen korelasyon sınıflaması kullanıldı. Sonuçlar: Öğretim üyesinden memnuniyet ortalaması 4.24±0.46, ders içeriğinden memnuniyet ortalaması ise 4.23+0.48 olarak bulundu, her iki değerlendirme arasında pozitif yönde çok yüksek dereceli korelasyon bulundu (p<0,05,r: 0,9s)1. Tartışma: Çalışmamızın sonucuna göre öğrencilerin ders memnuniyet düzeyi ile öğretim üyesi memnuniyet düzeyi birbiriyle ilişkilidir. Öğretim üyesinin öğrencilerin derse karşı olan memnuniyet düzeyini etkileyebileceği, bu durumun da öğrenci başarısında rol oynayabileceği düşünülmektedir. Bu nedenle öğretim üyelerinin yeterliliklerinin geliştirilmesine yönelik çalışmalar öğrenci memnuniyetinde rol oynayabilir. Öğrenci memnuniyetinin değerlendirilmesine ilişkin çalışmaların arttırılması yükseköğretim seviyesinde verilen eğitimin iyileştirilmesi için yararlı olabilir.