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    Efficiency of back pain-school program in the treatment of patients with chronic mechanical back pain
    (Marmara Univ, Fac Medicine, 2014) Altinbilek, Turgay; Colak, Tugba Kuru; Dereli, Elif Elcin; Pehlivan, Yekta; Cavun, Suheyla Sancak
    Objective: The aim of the study was to investigate the efficiency of back pain-school programs in the treatment of patients with chronic mechanical back pain. Patients and Methods: Fifty nine (35 females, 24 males) patients diagnosed with chronic mechanical back pain were divided into two groups. Both groups received traditional physical therapy consisting of hot pack, conventional transcutaneous electrical nerve stimulation (TENS), therapeutic ultrasound, Williams and mobilization exercises for three weeks (15 sessions). Patients in the 1st group received back pain-school program in addition. Patients were evaluated for pain (Visual Analogue Scale), depression (Beck Depression Scale) and functional disability (Oswestry Disability Index) before, after and 4 weeks after the treatment. Results: Pain scores were significantly reduced after treatment and in the follow up assessments (p=0.000) in the back painschool group. The depression scores did not differ significantly in both groups. Functional disability improved in the back pain-school group (p=0.000). The back pain-school group had superior results in pain and function scores in the follow up assessment. Conclusion: Attending the back pain-school program in addition to traditional physical therapy in the management of patients with chronic back pain has positive effects on improving pain and function, especially in the long term.
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    Guidelines for the conservative treatment of spinal deformities - Questionnaire for a Delphi consensus
    (Aosis, 2021) Dereli, Elif E.; Gong, Shaopeng; Colak, Tugba Kuru; Turnbull, Deborah
    Background: Spinal deformity is the oldest disease known to humankind. Many types of treatment methods, including both conservative and surgical, are in use. Objective: We aimed to validate a published guideline protocol based on the conservative treatment of spinal deformities. Method: A modified Delphi technique was used with a questionnaire sent out to professionals worldwide regarding the conservative treatment of spinal deformities. Results: Our study was completed after two rounds. A strong level of agreement of 80% and more (consensus cut-off point) was achieved in most questions in the first round. Some statements were below this margin, and they were sent to the participants via email in the second round for re-evaluation. Consensus was achieved in almost all of the statements in the second round. Only two items did not reach the cut-off point but were close to this value. Conclusion: This proposed Guideline Protocol was approved by the participants using the Delphi method and can be used as a valid tool for the conservative treatment of spinal deformities. Clinical implications: A conservative treatment guideline in spinal deformity management, will provide consistency in treatment and will facilitate comparability with surgery. It will be useful in determining the cost-effectiveness of treatment and in choosing the right patient for the right method of treatment. This guideline might help in this context, and may also create a systematic method for clinicians to use as a reference in both research and clinical practice.
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    Health related quality of life and perception of deformity in patients with adolescent idiopathic scoliosis
    (Ios Press, 2017) Colak, Tugba Kuru; Akgul, Turgut; Colak, Ilker; Dereli, Elif Elcin; Chodza, Mehmet; Dikici, Fatih
    BACKGROUND: Quality of life and cosmethic appearance have gained importance as outcomes in AIS treatment. Improving aesthetic appearance and quality of life are defined as the primary aims of scoliosis treatment by health professionals. Studies that assess and compare the different treatment results in the field of quality of life and cosmethics are some what limited. OBJECTIVE: A cross-sectional study was designed to compare quality of life and deformity perception in patients with adolescent idiopathic scoliosis (AIS) received conservative (exercise or exercise +brace) or surgical treatment. METHODS: A total of 68 (58 females) patients aged 10-18 years with AIS received conservative (exercise or exercise+brace) or surgical treatment were invited to participate in the study. Quality of life (Scoliosis Research Society-23 (SRS-23)) and perception of deformity (Walter Reed Visual Assessment (WRVAS)) were assessed. RESULTS: Conservatively treated patients had significantly superior scores in function domain of SRS-23 than surgically treated patients (exercise/surgery, exercise+brace/surgery; p = 0.009, 0.004). Otherwise, surgically treated patients had significantly superior scores in self-image (p = 0.000, 0.000), and satisfaction with management (p = 0.001, 0.006) domains of SRS-23, and WRVAS (p = 0.000, 0.000) than conservative groups. CONCLUSION: In addition to radiographic assessments, quality of life, aesthetic perception, functionality, satisfaction with management, psycho-social status should carefully be taken into consideration by health professionals in the teratment of AIS.
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    Low back pain during pregnancy and Kinesio tape application
    (Ios Press, 2017) Reyhan, Aycan Cakmak; Dereli, Elif Elcin; Colak, Tugba Kuru
    BACKGROUND AND OBJECTIVE: Low back pain is a common problem during pregnancy. Although the pain usually occurs in the third trimester, it might be seen in the first trimester, too. There are various types of applications for the treatment of low back pain during pregnancy. However, there is a lack of evidence for the effectiveness of each method. If there is not an obvious deficit, bed rest, exercise, conventional physiotherapy, using protective principles for the lumbar area are recommended, since the main and the only complaint is low back pain. It is aimed in the current review to investigate the use of Kinesio tape in the low back pain seen during pregnancy and to review the literature related to this subject. CONCLUSION: There are only a few studies investigating the effect of Kinesio tape during pregnancy in the literature and they mostly did not aim to study the low back pain, further evidence and studies are needed to investigate the use of Kinesio tape for the low back pain seen during pregnancy as there is not evidence strong enough. Kinesiotape application aims to increase circulation and mobility, and regarding these gains decreased pain and increased performance are expected.
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    Translation, reliability and validity of the Turkish version of Scoliosis Japanese Questionnaire-27 in adolescent idiopathic scoliosis
    (Springer, 2023) Colak, Tugba Kuru; Apti, Adnan; Colak, Ilker; Akcay, Burcin; Dereli, Elif Elcin
    PurposeDisease-specific scales which evaluate QoL are needed to evaluate treatment outcomes, and to compare the effects of different treatments. The outcome measures evaluating quality of life in adolescent idiopathic scoliosis are limited. The purpose of this study was to examine the validity and reliability of the Turkish version of the Scoliosis Japanese Questionnaire-27 (SJ-27) in adolescent idiopathic scoliosis.MethodsThe SJ-27 questionnaire was translated into Turkish and 61 female patients filled out the translated version (TRv.SJ-27) twice to measure the test-retest reliability of the scale. Internal reliability of the questionnaire was estimated using Cronbach's alpha coefficient. The intraclass correlation coefficient was analysed for each item. Discriminant validity and convergent validity were determined by correlations with Cobb angle, ATR and the SRS-22r scale.ResultsThe mean Cobb angle was 25.8 degrees and the ATR angle was 8.8 degrees. Cronbach's alpha value was estimated as 0.935. The test-retest correlation coefficient for the item-total score was 0.877 (p = 0.000). Validity analysis showed a significantly positive correlation between the TRv.SJ-27 total score and Cobb and ATR angles, and a significantly negative relationship was found between the TRv.SJ-27 and SRS-22r scores.ConclusionsIt would be useful to use different outcome measures to assess the scoliosis-specific quality of life in clinical practice and research. The findings suggest that the Turkish version of Scoliosis Japanese Questionnaire-27 is a valid and reliable measure to assess Turkish patients with AIS.