Publications by authors named "Birgul Balcı"

10 Publications

  • Page 1 of 1

Impact of the COVID-19 pandemic on physical activity, anxiety, and depression in patients with Parkinson's disease.

Int J Rehabil Res 2021 06;44(2):173-176

Department of Neurology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.

The coronavirus disease 2019 pandemic has yielded containment measures with detrimental effects on the physical and mental health of the general population. The impacts of lockdown on clinical features in Parkinson's disease are not well known. We aimed to compare the physical activity, anxiety-depression levels between Parkinson's disease patients and controls during lockdown. Forty-five Parkinson's disease patients and 43 controls were evaluated with the Physical Activity Scale for the Elderly (PASE) and Hospital Anxiety and Depression Scale (HADS) via telephone interview. The patients' disease-related symptoms were worsened during lockdown though regular Parkinson's disease medication use. The PASE scores were low in both groups. The HADS scores of groups were below the cutoff point of anxiety-depression presence. Pandemic restrictions could lead to worsening of the motor and nonmotor symptoms in Parkinson's disease.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1097/MRR.0000000000000460DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8103842PMC
June 2021

Beliefs toward mental illness in Turkish physiotherapists.

Physiother Theory Pract 2021 Jan 21:1-7. Epub 2021 Jan 21.

School of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey.

Physiotherapists (PTs) are responsible for the prevention and promotion of physical and mental health. Their beliefs toward mental illness (MI) are important to disclose stigmatization. To investigate the beliefs of PTs toward MI. Beliefs toward Mental Illness Scale were sent to an e-mail network of Turkish Physiotherapy Association. The scale has three subscales: 1) Dangerousness; 2) Incurability and Poor Social and Interpersonal Skills (IPSIS); and 3) Shame. Total and subscale scores were used for analysis as higher scores indicated more negative beliefs. In total, 155 PTs completed the questionnaires. The median total score was 45/105, while Dangerousness, IPSIS, and Shame scores were 20/40, 23/55, and 0/10, respectively. Dangerousness score was higher in PTs with a bachelor's degree compared to PTs with a postgraduate education ( = .049). IPSIS score was higher in PTs who did not consult a health professional in the presence of MI compared to PTs who consulted ( = .023). Total and IPSIS scores were higher in PTs exposed to an individual with MI during physiotherapy sessions compared to PTs having a family member with MI ( = .006 and = .012, respectively). Postgraduate education may affect the positivity of the beliefs regarding the dangerousness of MI. Negative beliefs about the curability of MI, frustration in interpersonal relationships, and perception that the mentally ill are untrustworthy may hinder the health-seeking behavior, even the individual is a health-care professional. Having a family member with MI may positively affect the beliefs of PTs in case of an exposure to a patient with MI during physiotherapy sessions.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1080/09593985.2020.1870251DOI Listing
January 2021

Physical activity in patients with Parkinson's disease: A holistic approach based on the ICF model.

Clin Neurol Neurosurg 2020 11 4;198:106132. Epub 2020 Aug 4.

Department of Neurology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.

Objectives: The International Classification of Functioning, Disability and Health (ICF) is a framework providing information on disability and health. Physical activity's behavior is complex and affected by various factors. We aimed to examine the ICF domains in Parkinson's disease (PD) patients; to compare them in sedentary and non-sedentary PD patients and their association with activity level.

Patients And Methods: Sixty PD patients (25 sedentary PD group, 35 non-sedentary PD group) were included in this retrospective study. Functional disability was evaluated using the Movement Disorder Society Unified Parkinson's Disease Rating Scale. The physical activity level was measured by the SenseWear Arm Band activity monitor. Patients' cognitive function, severity of depression and anxiety, the functional impact of fatigue, balance performance (NeuroCom Balance Master System), functional mobility (Timed Up and Go Test, TUG), walking capacity (Six-Minute Walk Test, 6MWT), fear of falling, health-related quality of life are also analyzed.

Results: Sedentary PD patients had worse scores in NeuroCom Balance Master System parameters, TUG score, and 6MWT distance in activities domains of the ICF model as a guide than non-sedentary group (p < 0.05). No statistically significant differences were found in the body structures and function, participation, personal and environmental domains of the ICF model between sedentary and non-sedentary PD groups (p > 0.05). There was no correlation between steps taken per day and NeuroCom Balance Master System parameters, TUG score, and 6MWT distance in both groups (p > 0.05).

Conclusion: Patients with sedentary lifestyle had worse scores in postural control/balance, sit-to-stand and walking performance. However, deteriorated dynamic balance may not lead to sedentary lifestyle. Physiotherapy programs should be including the behavior change interventions and motivational strategies to promote activity level in PD.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.clineuro.2020.106132DOI Listing
November 2020

Imbalance, motion sensitivity, anxiety and handicap in vestibular migraine and migraine only patients.

Auris Nasus Larynx 2020 Oct 13;47(5):747-751. Epub 2020 Mar 13.

Department of Neurology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.

Objective: The aim of this study is to compare the balance ability, anxiety level and motion sickness susceptibility in Vestibular Migraine (VM) patients, migraineurs without history of vertigo (Migraine-only, MO) and healthy controls (HC). We tested the hypothesis that VM patients have worse balance performance and higher anxiety level and motion sickness than MO and HC group.

Methods: This cross-sectional study included of 123 definite VM patients, 58 MO patients and 49 HCs. All subjects were evaluated with the Dynamic Gait Index (DGI), the modified Clinical Test of Sensory Integration and Balance (mCTSIB), the Motion Sickness Susceptibility Questionnaire Short-Form (MSSQ-Short), the Panic Agoraphobic Spectrum Self-Report version (PAS-SR) and the Dizziness Handicap Inventory (DHI).

Results: The main balance outcomes indicated that DGI and mCTSIB scores were worse in VM than in MO patients and worse in MO patients than in HCs. Almost 50% of the VM patients fell in the most challenging mCTSIB conditions compared with 20% of MO patients and none of the HCs. VM patients had more marked motion sickness susceptibility, higher anxiety and DHI scores than MO patients and HCs. VM patients who fell had higher DHI and anxiety scores than those who did not.

Conclusion: Balance problems, motion sickness, anxiety, and disability are more marked in VM patients than in MO patients and more marked in MO patients than in HCs. Focused treatments of these problems which could help VM patients need further study.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.anl.2020.02.015DOI Listing
October 2020

Does the postural stability of patients with Parkinson's disease affect the physical activity?

Int J Rehabil Res 2020 Mar;43(1):41-47

School of Physiotherapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey.

Postural instability is one of the cardinal features in Idiopathic Parkinson's disease. It is a significant factor of disability in Parkinson's disease. We aimed to examine the physical activity levels in patients with Parkinson's disease comparing with healthy subjects and their association with the postural stability. Fifty-six Parkinson's disease patients and 58 healthy subjects were involved. The disease-specific disability of patients was determined by using Modified Hoehn and Yahr Scale and Movement Disorder Society Unified Parkinson's Disease Rating Scale. The physical activity levels of participants were evaluated using SenseWear Arm Band activity monitor. The participants used the activity monitor for seven consecutive days. The postural stability was assessed using NeuroCom Balance Master system. The Parkinson's disease group was found to take fewer steps and to have shorter duration of sleep and sedentary behavior but a higher level of energy expenditure than the healthy control group (P < 0.05). In Parkinson's disease group, the data obtained from the activity monitor were found to be in correlation with disease-specific disability and the parameters of NeuroCom Balance Master system (P < 0.05). We found that the physical activity levels of patients with a mild or moderate stage of Parkinson's disease were lower compared to healthy subjects and were affected by the disease-specific symptoms, dynamic postural instability, and walking function. To increase the activity level in Parkinson's disease, these factors should be aimed to improve, as well as designing the personalized physiotherapy programs starting from the early-mid stage.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1097/MRR.0000000000000382DOI Listing
March 2020

Definition of Balance and Cognition Related to Disability Levels in Vestibular Migraine Patients.

Noro Psikiyatr Ars 2018 Mar 19;55(1):9-14. Epub 2018 Mar 19.

Department of Neurology, Dokuz Eylül University Medical Faculty, İzmir, Turkey.

Objective: To compare the balance and cognition of vestibular migraine (VM) patients with migraineurs without vertigo history and healthy subjects, and to examine the effects of disability level on these functions.

Material-method: The study consisted of 32 VM patients, 32 migraineurs and 31 healthy subjects with similar sex and age. Balance functions were assessed with Balance Evaluation Systems Test (BEST), dizziness and headache severity with Visual Analogue Scale (VAS), disability related to dizziness with Dizziness Handicap Inventory (DHI), cognition with Stroop test.

Results: There was no statistical significant difference among the three groups in terms of age, gender, height, weight, marital status and education levels (p>0.05). Headache severity was higher in migraineurs than vestibular migraineurs and healthy subjects, also dizziness severity was higher in vestibular migraineurs than migraineurs and healthy subjects (p<0.0167). The outcomes of BEST 4, 5, 6 and BEST-total were significantly impaired in VM patients than migraineurs and healthy subjects, and worse in migraineurs rather than healthy subjects (p<0.0167). Stroop effect of cognitive examination was worse in VM and migraine patients rather than healthy subjects (p<0.0167). There was no significantly difference between VM and migraineurs (p>0.0167). There was a negative correlation between Stroop effect and BEST-total in VM patients significantly (r=-0.509, p=0.003), and no significant correlation in migraineurs (p>0.05). Disability levels of VM patients were low in 38.7%, mild in 51.6% and severe in 9.7% related to DHI. There was no significant difference between balance and cognition function in terms of disability levels (p>0.05).

Conclusion: The balance and cognition in VM patients and migraineurs were impaired rather than healthy subjects. The patient groups differed from each other in terms of vertiginous complaints rather than cognition. Solving the functional limitations with further longitudinal examinations can facilitate the treatment. The appropriate physiotherapy programs and patient education methods can be planned for these various issues.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.29399/npa.12617DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6045802PMC
March 2018

Vestibular migraine patients are more anxious than migraine patients without vestibular symptoms.

J Neurol 2017 Oct 9;264(Suppl 1):37-41. Epub 2017 Mar 9.

Department of Psychiatry, Faculty of Medicine, Dokuz Eylül University, İzmir, Turkey.

The link between vertigo and anxiety is well known. The aim of this study is to compare anxiety disorders in 3 groups: patients with vestibular migraine (VM), patients with migraine but without vertigo (MO) and healthy controls (HC).We performed cross-sectional analysis of following tests: (a) Hamilton Anxiety Rating Scale (HAMA); (b) State-Trait Anxiety Inventory (STAI-X1 and STAI-X2); (c) Beck Depression Inventory (BDI); (d) Panic-Agoraphobic Scale and (e) Penn State Worry Questionnaire (PSWQ). ANOVA, Kruskal-Wallis and Chi-square tests were used for comparisons and least significant difference was used for further post-hoc analysis. There were 35 definite VM patients, 31 MO patients and 32 volunteer HC. There were no significant differences between three groups in age, total years of education or duration of headaches in VM and MO patients. On the other hand, vertigo severity  was moderately and positively correlated with headache severity and with headache duration. There were significant differences in scores of HARS, BDI, PSWQ, and various PAS-R sub-scales between the three groups. Our study shows that VM patients are significantly more anxious and agoraphobic than MO patients and HC, displaying higher sensitivity to separation and being more prone to seeking medical reassurance.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00415-017-8439-6DOI Listing
October 2017

Beliefs towards mental illness in Turkish physiotherapy students.

Physiother Theory Pract 2015 22;31(7):461-5. Epub 2015 Jul 22.

b Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences , Marmara University , Istanbul , Turkey.

Mental health is a new area of specialization for physiotherapists. However, they usually meet patients with psychiatric co-morbidities secondary to other chronic diseases. It is important to explore the beliefs of future physiotherapists regarding mental illness in order to implement effective strategies to avoid possible stigmatizing attitudes that may interfere with the rehabilitation process. Moreover, the psychiatric field should be introduced to physiotherapists as a clinical and research area. Therefore, we aimed to question the beliefs of physiotherapy students regarding mental illness using the Beliefs towards Mental Illness Scale in two different universities in Turkey. The total score of 524 students was 46.5 ± 14.5 out of 105 while the Dangerousness Subscale score was 21.2 ± 5.8/40; Incurability and Poor Social and Interpersonal Skills Subscale score was 24.2 ± 9.3/55 and Shame Subscale score was 1.1 ± 1.9/10. Students who had a relationship with an individual having a mental problem and students who had consulted a psychiatrist/psychologist for any mental problem showed more positive beliefs. Future physiotherapists should be informed and trained regarding people with mental illness both to avoid stigma and to be aware of this area in physiotherapy settings. Therefore, it is important to implement new curricula for schools providing physiotherapy education including courses, lectures and clinical practices in the psychiatry field.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.3109/09593985.2015.1025321DOI Listing
July 2016

Vestibular rehabilitation in acute central vestibulopathy: a randomized controlled trial.

J Vestib Res 2013 ;23(4-5):259-67

School of Physiotherapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey.

Objective: To investigate the effects of two different rehabilitation programs in acute central vestibulopathy secondary to posterior circulation stroke.

Method: A prospective randomized controlled study was conducted on 25 patients with posterior circulation stroke. Patients were instructed in routine balance and mobility exercises during the acute hospitalization period. At discharge, patients were assigned to either a rehabilitation or home exercise group. The home exercise group was instructed to perform the same exercise program provided in the course of hospitalization period. The rehabilitation group was randomized into the visual feedback posturography training or vestibular rehabilitation group. The balance and gait performance were assessed with clinical and objective measurements before and after 6 weeks of training.

Results: The balance and gait scores were significantly improved in both rehabilitation groups and in the home exercise group (p< 0.05), but no significant difference was found between the groups in terms of post-treatment values (p> 0.05).

Conclusion: The improvements of balance and gait function in rehabilitation groups did not differ from the home exercise group. Rehabilitation programs were equally effective to improve the recovery in acute central vestibulopathy.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.3233/VES-130491DOI Listing
July 2014

A longitudinal study of balance in migraineurs.

Acta Otolaryngol 2012 Jan 18;132(1):27-32. Epub 2011 Dec 18.

Department of Neurology, Dokuz Eylül University, Faculty of Medicine, Inciralti, Izmir, Turkey.

Conclusion: Balance in migraineurs, even in those without vestibular symptoms, deteriorates slightly over 1 year in the most challenging test conditions, when measured with posturography.

Objective: To discover by a longitudinal study of a group of migraineurs and their controls, whether the well-known, mild imbalance found on posturography in migraineurs is static or progressive.

Methods: Posturographic measures of sway under incrementally more challenging conditions (up to eyes closed standing on a foam surface with the head extended) using the modified clinical test of sensory interaction on balance, limits of stability test, and tandem gait tests in a group of 19 migraineurs and 19 age- and gender-matched controls, all of whom who had been tested over 1 year before.

Results: After 1 year migraineurs showed a slight but statistically significant deterioration: in postural sway especially, when measured with eyes closed standing on a foam surface with the head extended backwards; in reaction time; and in maximal excursion on the limits of the stability test; and perhaps in walk speed and step width on the tandem walk test.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.3109/00016489.2011.616532DOI Listing
January 2012