Publications by authors named "Burcin Aktar"

3 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.
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http://dx.doi.org/10.1097/MRR.0000000000000460DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8103842PMC
June 2021

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

Clin Neurol Neurosurg 2020 Nov 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.
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http://dx.doi.org/10.1016/j.clineuro.2020.106132DOI Listing
November 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.
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http://dx.doi.org/10.1097/MRR.0000000000000382DOI Listing
March 2020