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    Assessment of Functional Status and Quality of Life in Children with Spina Bifida
    (AVES, 2014) Şahin, Nilay; Albayrak, İlknur; Durmuş, Bekir; Güngör, Tayfun; Cingöz, Havva Turaç
    Objective: The aim of this study was to determine functional status and QoL of children with spina bifida (SB) by using the Functional Independence Measure for Children (WeeFIM) and the Child Health Questionnaire PF-50 (CHQPF-50) and to compare the functional status data of pediatric SB patients with those of healthy children. Material and Methods: Forty children with SB and 40 healthy children aged between 36 and 143 months were enrolled in the study. Both pediatric SB patients and healthy children were divided into three age groups: Group 1: 36-71 months, Group 2: 72-107 months, and Group 3: 108-143 months. The WeeFIM and CHQPF-50 were completed for children with SB, whereas the WeeFIM was completed only for healthy children. Results: In both assessments, the total score and subscale scores were lower than normal values in children with SB. However, improvement was found in self-care; communication; social, emotional, and mental status; and family factors with increasing age. On the other hand, there was no improvement in physical score, transfer, mobility, and sphincter control with increasing age. Functional status of children with SB was significantly lower compared to healthy children. Conclusion: There was progress in self-care, communication, family factors, and social, emotional and mental status in children with SB with increasing age.
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    EFFECTIVENESS OF BACK SCHOOL FOR TREATMENT OF PAIN AND FUNCTIONAL DISABILITY IN PATIENTS WITH CHRONIC LOW BACK PAIN: A RANDOMIZED CONTROLLED TRIAL
    (FOUNDATION REHABILITATION INFORMATION, 2011) Şahin, Nilay; Albayrak, İlknur; Durmuş, Bekir; Uğurlu, Hatice
    Objective: To evaluate the effectiveness of the addition of back school to exercise and,physical treatment modalities in relieving pain and improving the functional status of patients with chronic low back pain. Design: A randomized controlled trial. Patients: A total of 146 patients with chronic low back pain were enrolled in the study. Methods: Subjects were divided into 2 groups: the back school group received exercise, physical treatment modalities and a back school programme; and the control group received exercise and physical treatment modalities. Treatment efficacy was evaluated at the end of treatment and 3 months post-treatment, in terms of pain, measured with the Visual Analogue Scale, and functional status, measured with the Oswestry Low Back Pain Disability Questionnaire. Results: In both groups, Visual Analogue Scale and Oswestry Low Back Pain Disability Questionnaire were significantly reduced after therapy (p<0.01), but the difference between the scores at the end of treatment and 3 months post-treatment was not significant. There was a significant improvement in Visual Analogue Scale and Oswestry Low Back Pain Disability Questionnaire in the back school group compared with the control group at the end of therapy and 3 months post-treatment (p<0.05). Conclusion: The addition of back school was more effective than exercise and physical treatment modalities alone in the treatment of patients with chronic low back pain.
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    Spina Bifidalı Çocuklarda Yaşam Kalitesi ve Fonksiyonel Durumun Değerlendirilmesi
    (2014) Şahin, Nilay; Albayrak, İlknur; Durmuş, Bekir; Güngör, Tayfun; Turaç, Havva Cingöz
    Amaç: Bu çalışmanın amacı, spina bifidalı (SB) çocuklarda fonksiyonel bağımsızlık indeksi (WeeFIM) ile çocukluk çağı sağlık değerlendirme sorgu formu PF-50 (CHQPF-50) kullanılarak fonksiyonel durumu ve yaşam kalitesini belirlemek ve fonksiyonel durum açısından elde edilen sonuçları sağlıklı çocuklarla karşılaştırmaktır. Gereç ve Yöntemler: Yaşları 36-143 ay arasındaki, 40 SB'li ve 40 sağlıklı çocuk çalışmaya alındı. Pediatrik SB hastaları ve sağlıklı çocuklar yaşlarına göre 3 gruba ayrıldı: Grup 1: 36-71 ay, Grup 2: 72-107 ay, Grup 3: 108-143 ay idi. Spina bifidalı çocuklarda WeeFIM ve CHQPF-50; sağlıklı çocuklarda ise WeeFIM dolduruldu. Bulgular: Her iki değerlendirmede toplam skor ve alt grupların skorları SB'li çocuklarda normal değerlerden daha düşüktü. Ancak kendine bakım, iletişim, sosyal, ruhsal ve mental durum ve ailesel faktörlerin yaşla birlikte iyileştiği tespit edildi. Öte yandan fiziksel skor, transfer, mobilite ve sfinkter kontrolünde yaş artışıyla birlikte iyileşme saptanmadı. Sağlıklı çocuklara göre, SB'li çocukların fonksiyonel durumunda anlamlı bir düşüklük elde edildi.Sonuç: Sonuçta SB'li çocuklarda kendine bakım, iletişim, ailesel faktörler ile sosyal, ruhsal ve mental durumlarda yaş arttıkça ilerleme olmaktadır.