Browsing by Author "Yildiz, Ramazan"

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Acute Effects of Three Different Stretching Techniques on Hamstring Flexibility in Professional Football Players
(Gdansk Univ Physical Education & Sport, 2023) Erol, Erkan; Yildiz, Ramazan; Yildiz, Aye; Dogan, Fatih Emre; Elbasan, Buelent
Introduction: Hamstring injuries are common in physically active people and athletes. Lack of hamstring flexibility is the one of the most important characteristics of hamstring injuries in athletes. The aim of this study was to investigate effects of three different stretching techniques on hamstring flexibility in professional football players. Materials and Methods: Fifty-five male football players between the ages of 18-20 years old were involved in the study. The participants were divided into 3 groups: static stretching, neuromobilization and Mulligan traction straight leg raise (TSLR), respectively. Each participant's dominant lower extremity was assessed with a straight leg raise test (SLR) using a goniometer before and after the intervention. Results: There was a significant difference in the SLR range of motion before and after the intervention in all groups. There was no difference in the range of SLR between the groups at the beginning and at the end. However, the increase in the SLR range of motion was significantly higher in the Mulligan TSLR group. Conclusions: It was concluded that all 3 stretching techniques are effective in increasing hamstring flexibility in football players. However, the Mulligan TSLR technique could provide a greater increase in the range of motion than other techniques.
Adölesan İdiyopatik Skolyozlu Çocuklarda Bel Farkındalığı ile Yaşam Kalitesi Arasındaki İlişki
(2025) Yildiz, Ramazan; Yildiz, Ayse; Eymir, Musa
Bu çalışma, Adölesan İdiopatik Skolyoz (AIS) olan çocuklarda bel farkındalığını değerlendirmeyi ve bel farkındalığı ile yaşam kalitesi arasındaki ilişkiyi incelemeyi amaçlamıştır. Çalışmada, AIS tanısı almış 40 çocuk ile sağlıklı 40 akranından veriler alınarak yürütülmüştür. Bel farkındalığı Fremantle Bel farkındalığı Anketi ile, yaşam kalitesi ise Scoliosis Research Society (SRS-22) formu ile değerlendirilmiştir. Bulgular, AIS grubunda bel farkındalığının sağlıklı çocuklara kıyasla anlamlı derecede düşük olduğunu ve bu farkındalığın yaşam kalitesi ile ilişkili olduğunu göstermiştir. SRS-22 toplam skorunda ve özellikle \"mental sağlık\" ve \"öz- imaj\" alt boyutlarında sağlıklı gruba göre anlamlı farklar saptanmıştır (p<0,05). Cobb açısı ile yaşam kalitesi arasında da orta düzeyde negatif korelasyon bulunmuştur (p<0,05). Bulgular, AIS olan çocuklarda bel farkındalığındaki azalmaların yaşam kalitesini olumsuz etkileyebileceğini ve bu bireylerde kişiselleştirilmiş tedavi yaklaşımlarının önemini vurgulamaktadır.
Effect of Plantar Sensory Stimulation on Sensorimotor Organization in General Joint Hypermobility: A Randomized Controlled Study
(MDPI, 2025) Yildiz, Ramazan; Yildiz, Ayse; Camli, Onur; Akkaya, Huseyin; Aydin, Mehmet; Basaran, Zekiye
Background: Individuals with generalized joint hypermobility (GJH) often exhibit altered sensorimotor control, which may contribute to balance and proprioception deficits. This study investigated the effects of sensory training applied to the plantar surface on sensorimotor organization components, including light touch, vibration, two-point discrimination, proprioception, muscle strength, and balance, in individuals with GJH. Methods: This randomized controlled trial included 65 asymptomatic individuals aged 18-25 years with a Beighton score of 5 or higher. The participants were randomly assigned to either the treatment (n = 32) or control (n = 33) group. The treatment group was given a 2-week home program that included plantar sensory training and an informative brochure on healthy foot care; the control group was given only the brochure. Light touch, two-point discrimination, vibration sense, proprioception, muscle strength, and balance parameters were assessed before and after the intervention. Results: Compared to the control group, the treatment group demonstrated significant improvements in light touch (p 0.05). The control group exhibited no meaningful pre-post changes. Conclusions: Sensory training directed at the plantar surface results in positive changes in various components of sensorimotor organization in individuals with GJH.
Effects of Safe Early Intervention Approach in the First Months of Life in Infants at Risk: A Randomized Controlled Study
(Wiley, 2025) Yildiz, Ayse; Yildiz, Ramazan; Apaydin, Umut; Efkere, Pelin Atalan; Gucuyener, Kivilcim; Hirfanoglu, Ibrahim Murat; Elbasan, Bulent
Background: This study aimed to examine the effects of the SAFE early intervention approach (Sensory strategies, Activity-based motor training, Family collaboration, and Environmental Enrichment), developed for at-risk infants, on motor, cognitive, language development, and sensory processing skills in the first 3 months of life. Methods: Twenty-six infants with a corrected age of 42 weeks were included in the study, and the infants were randomly distributed to the treatment and control groups. The SAFE early intervention approach was applied to 14 infants in the treatment group, and the Neurodevelopmental Treatment-based home programme was applied to 12 infants in the control group. All infants included in the study were evaluated at the corrected 42nd week before the intervention and at the corrected 12th week after the intervention by an evaluator blinded to the treatment. Bayley Scales of Infant and Toddler Development III (Bayley-III) to evaluate cognitive and motor development; Test of Infant Motor Performance (TIMP) to evaluate neuromotor development; Infant/Toddler Sensory Profile 2 (ITSP 2) to assess sensory processing t was used. The Infant/Toddler HOME Inventory was used to evaluate the home environment. Results: The interaction effects (time x group) revealed significant advantages for the SAFE early intervention group, evidenced by higher scores in the Bayley-III motor composite, TIMP elicited and HOME total assessments (p 0.05). The main effect for time was significant in all parameters (p < 0.05). Similarly, the main impact for groups was substantial in all evaluation parameters except the Bayley-III language composite score and TIMP observed score (p < 0.05). The interaction effects (time x group) demonstrated significant differences in favour of the SAFE early intervention group for the general processing score, auditory processing score, tactile processing score and total score of the ITSP 2 (p < 0.05). Conclusions: The SAFE early intervention approach enhanced motor and sensory outcomes and provided a more enriched home environment than the NDT-based home programme. It was concluded that neurodevelopmental improvement will be achieved with the SAFE early intervention approach in the early period in at-risk infants.
Examination of Foot Sensations in Children with Generalized Joint Hypermobility
(Elsevier Ireland Ltd, 2023) Akkaya, Kamile Uzun; Burak, Mustafa; Yildiz, Ramazan; Yildiz, Ayse; Elbasan, Bulent
Background: Generalized joint hypermobility (GJH) is a condition that can be observed in children and children with GJH may have problems such as clumsiness, proprioceptive sensory loss, balance and coordination disorders.Aims: To evaluate foot and ankle senses in children with GJH and compare them with their healthy peers.Study design: A cross-sectional study.Subjects: Children aged 5-14 years with and without GJH were included in the study. Outcome measures: After assessing the joint hypermobility of the children with the Beighton Score, tactile, vi-bration, two-point discrimination, and proprioception senses were evaluated.Results: A total of 40 children (15 females, 25 males, mean age 9.43 years, SD +/- 2.98 years, 20 with GJH and 20 without GJH) were included in the study. In children with GJH, foot sole tactile sense and ankle dorsiflexion and plantar flexion joint position sense were deficient in comparison with healthy controls (p < 0.05).Conclusions: There were deficiencies in foot and ankle tactile and proprioceptive senses in children with GJH. Neurosensorimotor examination of balance and coordination should be performed and appropriate intervention programs should be planned accordingly in children with GJH.
The Gait Outcomes Assessment List (Goal) Questionnaire: Test-Retest Reliability and Validity in Children with Cerebral Palsy in Turkiye
(Elsevier Ireland Ltd, 2024) Apaydin, Umut; Narayanan, Unni; Zorlular, Rabia; Adiguzel, Hatice; Yildiz, Ramazan; Yildiz, Ayse; Elbasan, Bulent
Background: Most questionnaires provide little information about children's or parents' views on functioning and do not attempt to understand their priorities or expectations. The Gait Outcomes Assessment List (GOAL) questionnaire was developed to fill this gap by identifying the most important goals of the patient and family for a gait intervention. Research question: To investigate the test-retest reliability and concurrent and discriminant validity of the GOAL questionnaire in children with cerebral palsy (CP) in Turkiye. Methods: In this study, we included 81 children with CP aged 5-18 years and their families. The parent and child version 5.0 of the GOAL was used. Standardized item, domain and total (across all domains) GOAL scores were calculated for each participant. Test-retest reliability was assessed with the intraclass correlation coefficient (ICC). The Gillette Functional Assessment Questionnaire (FAQ) was used for validation. Results: The mean age of the children was 10.4 +/- 3.3 years (range 5-18), and 64.2 % were boys. The test-retest reliability was excellent for the GOAL-Child and GOAL-Parent total GOAL scores (ICC: 0.97 for the child and ICC: 0.96 for the parent). All standard errors of measurement (SEMs) for domain scores and total scores were fewer than 20 points. The children's total scores on the GOAL questionnaire showed a significant difference between the GMFCS levels (p <0.001). The parents' total scores on the GOAL questionnaires also showed a significant difference between the GMFCS levels (p <0.001). There were moderate positive correlations between the GOAL child and parent questionnaire total scores and the FAQ walking level according to Spearman's rho (GOAL child and FAQ walking rho: 0.66, p<0.001; GOAL parent and FAQ walking rho: 0.58, p<0.001). Significance: The results demonstrate that the child and parent versions of the GOAL 5.0 are valid and reliable for the comprehensive assessment of Turkish children with CP.
Genel Eklem Hipermobilitesi Olan Genç Erişkinlerde Postüral Alışkanlıkların ve Farkındalığın Değerlendirilmesi
(2025) Yildiz, Ramazan; Yildiz, Ayse
Bu çalışmanın amacı Genel Eklem Hipermobilitesi (GEH) olan kişilerde postüral alışkanlık ve farkındalığın değerlendirilmesiydi. Gereç ve Yöntem: Çalışmaya 86 katılımcı (GEH olan 44 katılımcı ve GEH olmayan 42 katılımcı) dahil edildi. GEH, Beighton skoruyla belirlenirken, postüral farkındalık Postüral Alışkanlık ve Farkındalık Ölçeği (PAFÖ) ile değerlendirildi. Sonuçlar: PAFÖ'nün üç alt ölçeği olan, postüral alışkanlıklar ve farkındalık, pozisyonel farkındalık ve ergonomik farkındalık puanları GEH olan bireylerde daha düşüktü (p<0,05). Postürü bozan faktörlerin farkındalığı alt testindeki puanlar GEH grubu lehine daha yüksekti (p<0,05). Tartışma: Postüral alışkanlık ve farkındalık sonuçları, eklem hipermobilitesi olan 18-25 yaş arası genç bireylerde GEH olanlara göre anlamlı derecede farklıydı. Genel eklem hipermobilitesi olan bireylerde postüral egzersizler ve postür eğitimi, postüral farkındalığın geliştirilmesinde faydalı olabilir.
Impact of Prematurity and Maternal Bonding on Sensory Processing at 12 Months
(MDPI, 2025) Yildiz, Ayse; Yildiz, Ramazan; Basaran, Zekiye; Atalan Efkere, Pelin; Zorlular, Rabia; Celik, Halil Ibrahim; Elbasan, Bulent
Background/Objectives: This study examined the relationship between sensory processing skills, mother-infant bonding, and prematurity in 12-month-old infants. Methods: Twentytwo preterm infants with gestational age <34 weeks and 20 term infants were included in the study. At four months, mothers evaluated their bonding with infants using the Mother-to-Infant Bonding Scale (MIBS). At the age of 12 months, the sensory processing skills of infants were assessed using the Test of Sensory Functions in Infants (TSFI). Results: MIBS scores were significantly higher in the preterm group compared to the term group (p < 0.01). TSFI total scores and subdomains (tactile deep pressure, adaptive motor function, and vestibular stimulation) were significantly lower in preterm infants (p = 0.01, p = 0.02, p = 0.01, and p = 0.03, respectively). Multiple linear regression revealed that each one-point increase in bonding score (weaker bonding) was associated with a-0.65 decrease in the TSFI total score, a-0.61 decrease in tactile deep pressure, and a-0.63 decrease in vestibular stimulation scores, independent of gestational age. Conclusions: This study concluded that mother-to-infant bonding is associated with sensory processing skills, especially in the vestibular and tactile domains. Additionally, prematurity was found to be related to sensory processing.
An Investigation of Sensory Processing Skills in Toddlers with Joint Hypermobility
(Elsevier Ireland Ltd, 2024) Yildiz, Ayse; Yildiz, Ramazan; Burak, Mustafa; Zorlular, Rabia; Akkaya, Kamile Uzun; Elbasan, Bulent
Background: Children with Generalized Joint Hypermobility (GJH) may have a motor developmental delay in the early period and subluxation, fatigue, autonomic dysfunction, and pain arising from ligaments and other soft tissues in advanced ages. Additionally, there is a loss of proprioceptive sensation in children and adults with GJH. Aims: This study aimed to evaluate sensory processing skills in toddlers with GJH. Study Design: A cross-sectional study. Subjects: Fifty-eight children aged between 12 and 14 months were included in the study. These children were divided into two groups: with and without GJH (31 with GJH and 27 without GJH). Outcome measures: The sensory processing skills of the children in the study were evaluated with the Test of Sensory Functions in Infants (TSFI). Results: The scores in the subtests of TSFI in response to tactile deep pressure, adaptive motor functions, visual- tactile integration, and response to vestibular stimuli were higher in favor of children without GJH (p p < 0.05). The total TSFI score was higher in the group without GJH (p < 0.05). Conclusions: Sensory processing problems were found in toddlers with GJH. Sensory motor development should be evaluated in children with GJH, and an appropriate early intervention program should be planned.
Investigation of the Relationship Between Core Muscle Endurance and Postural Habits and Awareness in Young Adults
(2025) Yildiz, Ramazan; Yildiz, Ayse
The study investigated the relationship between core muscle endurance, postural habit, and awareness in young adults. Healthy individuals between the ages of 18 and 25 with no back or neck disorders were included in the study. Postural habits and understanding of the participants were assessed using the Postural Habits and Awareness Scale (PHAS), and core muscle endurance was measured using the Mcgill Core Endurance Tests. As a result of the study, a significant positive correlation was found between postural habit score and trunk flexor test time (r = 0.324; p = 0.047), trunk extensor test time (r = 0.529; p = 0.001), side bridge test time (r = 0.337; p = 0.039) and plank test time (r = 0.508; p = 0.001). However, no significant relationship was found between postural awareness score and core muscle endurance (p > 0.05). The study findings reveal that core muscle endurance is related to postural habits but is not directly related to postural awareness. As a result, it was emphasized that core muscle endurance is an essential factor in developing and maintaining postural habits. These findings indicate that improving postural habits may be essential to support musculoskeletal health.
Long-Term Neurodevelopmental Outcomes of the Safe Early Intervention in Infants at Risk: A Randomised Controlled Trial
(Wiley, 2025) Yildiz, Ramazan; Yildiz, Ayse; Apaydin, Umut; Efkere, Pelin Atalan; Gucuyener, Kivilcim; Hirfanoglu, Ibrahim Murat; Elbasan, Bulent
Background Early intervention for infants at risk of cerebral palsy (CP) plays a critical role in improving neurodevelopmental outcomes. Recently, approaches emphasising infant active participation and family collaboration have shown greater effectiveness compared to traditional methods.Aims This study aimed to evaluate the effects of the SAFE early intervention approach on cognitive, language, and motor development in infants at risk for CP, in comparison to conventional neurodevelopmental treatment (NDT) practices.Methods In this randomised controlled trial, 46 infants were assigned to either the SAFE intervention group (n = 23) or the control group receiving NDT-based care (n = 23). The intervention lasted for 3 months, with developmental assessments conducted at 6 and 12 months using the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III).Results Significant improvements were observed in motor and language composite scores in the SAFE group between baseline (T1) and the 3-month follow-up (T2), while cognitive scores showed a non-significant increase. Compared to the control group, the SAFE group demonstrated significantly higher scores across all Bayley-III domains at T2. However, the time x group interaction was significant in favour of the SAFE group for motor scores, while cognitive scores favoured the control group. No significant interaction was observed for language scores. Over time, both groups showed developmental progress in various domains, with the SAFE group exhibiting significant motor gains from T1 to T3. The control group showed significant cognitive improvements from T1 and T2 to T3.Conclusions The SAFE early intervention model appears to be a feasible and effective approach for infants at risk for CP, especially before a formal diagnosis is made. Its focus on active infant participation, family engagement, and enriched environments supports improved motor development outcomes.
Modeling the Cognitive Development Based on Fine Motor Skills in Preterm and Full-Term Toddlers Using Lasso Regression
(Wiley, 2025) Yildiz, Ramazan; Yildiz, Ayse; Camli, Onur; Elbasan, Bulent
BackgroundThe purpose of this study was to investigate the relationship between fine motor skills and cognitive development in preterm and term toddlers aged 12-15 months.MethodsA total of 150 participants, 79 preterm, and 71 term toddlers, were assessed using the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III), for cognitive development and the Peabody Developmental Motor Scales, Second Edition (PDMS-2), for fine motor skills. The relationship between fine motor skills and cognitive development was examined with the lasso regression model.ResultsThe study revealed that fine motor skills, particularly grasping, significantly influence cognitive development, with preterm toddlers demonstrating lower scores compared to term peers. Additionally, prenatal and perinatal factors, including gestational age and birth weight, were found to correlate with cognitive outcomes.ConclusionsThese findings emphasize the importance of integrating motor skill-based interventions into early childhood programs to enhance cognitive and overall developmental outcomes. Future research should explore the causal mechanisms underlying this relationship.
Predictive Value of the Early Spontaneous Movements for Preterm Infants' Neurodevelopmental Outcome at 12 Months' Corrected Age
(Wiley, 2025) Yildiz, Ayse; Yildiz, Ramazan; Apaydin, Umut; Efkere, Pelin Atalan; Zorlular, Rabia; Elbasan, Bulent
Purpose: Motor, cognitive, behavioral, and sensory problems may be seen in preterm infants. Early spontaneous movements' role in these developmental areas has yet to be sufficiently investigated. This study aimed to evaluate the effectiveness of the Motor Optimality Score-Revised (MOS-R) in predicting motor, cognitive, language, and sensory developmental outcomes in premature infants. Methods: Forty preterm children were examined. Early spontaneous movements were evaluated using the General Movement Assessment (GMA), which detects the MOS-R. Infants' language, cognitive, and motor development were assessed using the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III). Sensory development was evaluated using the Test of Sensory Functions in Infants (TSFI). Results: The mean score for the MOS-R was 23.13 +/- 4.6. Most infants (n = 31, 77.5%) showed typical fidgety movements. The sensitivity of the MOS-R for determining motor, cognitive, and language development at 12 corrected months was 86.7%, 80%, and 82%, respectively, and the specificity was 71.4%, 100%, and 100%, respectively. MOS-R scores did not predict sensory development outcomes (p > 0.05) Conclusions: At three months, the MOS-R demonstrated high sensitivity and specificity in detecting motor, cognitive, and language functions in preterm infants at 12 months corrected age.
Rasch Analysis, Reliability, and Validity of the Turkish Version of the Lumbar Spine Instability Questionnaire
(TÜBİTAK Scientific & Technological Research Council Turkey, 2023) Erol, Erkan; Apaydin, Umut; Yildiz, Ramazan; Yildiz, Ayse; Erturan, Sinem; Gokmen, Derya; Elbasan, Bulent
Background/aim: Lumbar instability is an important condition that can be seen frequently in people with low back pain, affecting both the progression and the choice of appropriate exercise. The Lumbar Spine Instability Questionnaire (LSIQ) is a simple and low-cost tool for evaluating disturbed back stability in people with low back pain. The aim of this study is to develop the Turkish version of the LSIQ (LSIQ-T) and to evaluate its psychometric properties using the Rasch model.Materials and methods: One hundred participants with chronic low back pain completed the LSIQ-T. The LSIQ-T was repeated for 30 participants after 1 week to establish its test-retest reliability. While internal and external construct validity were investigated using Rasch analysis and the Spearman correlation coefficient, respectively, reliability was evaluated in terms of internal consistency by Cron-bach's alpha and the Person Separation Index (PSI).Results: All items of the LSIQ-T were found to fit the Rasch model (chi-square: 34.07 (df = 15), p = 0.0033). The internal construct validity was good, the overall mean item fit residual was 0 (SD: 0.765), and the mean person fit residual was 0.322 (SD: 1.123). Internal consistency reliability was low with a PSI of 0.63 although Cronbach's alpha was acceptable (0.68). When the test-retest reliability was examined via differential item functioning (DIF) by time, none of the items showed DIF.Conclusion: The LSIQ-T is a valid unidimensional scale for the Turkish population. Although the LSIQ-T had low internal consistency, it demonstrated unidimensionality and is appropriate for use. Therefore, the LSIQ-T can be used in clinical practice and scientific re-search.
The Relationship Between Foot Proprioception and Balance Performance in Young Adults with Pes Planus
(2025) Yildiz, Ramazan; Yildiz, Ayse
This study was conducted to investigate the relationship between foot proprioception and balance performance in young adults with pes planus. Thirty-four young adults with pes planus (mean age 20.15 ± 1.23 years) were included in the study. Pes planus evaluation was divided into 3 categories according to the Feiss line. Balance performance of the participants was evaluated with the Y Balance test and foot proprioception was evaluated with a digital goniometer at plantar flexion and dorsiflexion angles. The relationship between the variables was analyzed by spearman correlation analysis. A significant correlation was found between plantar flexion absolute error value and balance results in anterior, posterolateral, and posteromedial directions (r:-0.473, p0.05). Significant negative correlations were identified between the severity of pes planus and Y-balance test scores in the anterior (r = -0.553, p < 0.05), posterolateral (r = -0.475, p < 0.05), and posteromedial (r = -0.387, p < 0.05) directions. Significant positive correlations were observed between the severity of pes planus and the absolute error values of ankle proprioception in plantar flexion (r = 0.516, p < 0.05) and dorsiflexion (r = 0.423, p < 0.05). This relationship should be taken into consideration in the evaluation and treatment programs of people with pes planus. The cross-sectional design of the study, the limited age range of the sample, and the fact that pes planus assessment was performed only in the static position limit the generalizability of the results and interpretations of causality.
The Relationship Between Selective Motor Control and Trunk Control in Children with Spastic Cerebral Palsy
(2025) Elbasan, Bulent; Yildiz, Ramazan; Yildiz, Ayse; Erol, Erkan; Apaydın, Umut; Sırrı, Bayram
Aim: Cerebral palsy (CP) can cause a variety of musculoskeletal issues that impact everyday functioning and activities, including reduced muscle tone and selective motor control. Appropriate evaluation of these problems and determination of their interrelationships are important in treatment planning. The aim of this study was to investigate the correlation between control of the trunk and selectivity of the lower limbs in children with CP. Material and Method: Sixty-eight children and adolescents with spastic CP, categorized as GMFCS levels I to III and aged between five and seventeen years, were enrolled in the present study. The Trunk Control Measurement Scale (TCMS) was utilized to evaluate the trunk control. The Selective Control Assessment of the Lower Extremity (SCALE) was performed to measure the selectivity of the lower extremity. Groups with varying GMFCS levels were analyzed using the Kruskal-Wallis test. For the relationship analysis, the Spearman rank correlation test was employed. Results: Significant differences in total SCALE scores between levels of the GMFCS were found in the group comparisons (Kruskal- Wallis H test: 44.145, p<0.001). SCALE scores and TCMS scores showed a substantial high association for dynamic sitting balance (rho:0.743, p<0.001), selective movement control (rho: 0.739, p<0.001), and overall TCMS scores (rho: 0.767, p<0.001). TCMS dynamic reaching (rho: 0.676) and static sitting balance (rho: 0.690) had a moderate positive correlation with SCALE score (p<0.001). Conclusion: The SCALE test, which is simple to administer in a clinical setting, may provide insight into the level of trunk control. To improve selectivity of the lower limbs, physiotherapy programs may include interventions related to trunk control.
Relationship Between Sensory Processing Skills and Motor Skills in 12-Month Infants
(Wiley, 2024) Yildiz, Ramazan; Yildiz, Ayse; Zorlular, Rabia; Elbasan, Bulent
IntroductionIdentifying sensory processing problems of 12-month-old preterm and term children and defining their relationship with motor skills are essential for appropriate interventions and optimal sensory-motor development. This study aimed to determine sensory processing difficulties in 12-month-old babies and examine their relationship with motor skills.Methods:This cross-sectional study included 61 infants (28 preterm and 33 full-term, ages 12 months). The infants' sensory processing skills were evaluated using the Test of Sensory Functions in Infants (TSFI), and their gross and fine motor skills were assessed with the Peabody Developmental Motor Scales-2 (PDMS-2).Results:Sensory processing difficulties were more common in preterm babies. Multiple linear regression models indicated a significant positive association between PDMS-2 gross/fine motor scores and TFSI total scores, reactivity to tactile deep pressure, and ocular-motor control in the total sample. Furthermore, there was a relationship between gross motor and adaptive motor function, and fine motor scores were found to be associated with visual-tactile integration sensory scores.ConclusionsPreterm babies are more likely than their full-term peers to have sensory processing problems around the age of one, which can affect their motor skills. The results support the relationship between children's sensory and motor processing skills. Practitioners such as occupational and physical therapists should be alert to this relationship in infants with sensory processing and motor problems. Taking this relationship into consideration when planning intervention programs can be a guide for an effective intervention. There is a relationship between children's sensory processing skills and gross/fine motor skills. image
Sensory Processing Difficulties in Children with Eosinophilic Esophagitis
(Wiley, 2025) Keles, Muserrefe Nur; Ertoy Karagol, Hacer Ilbilge; Yildiz, Ramazan; Egritas Gurkan, Odul; Sari, Sinan; Elbasan, Bulent; Bakirtas, Arzu
Background Eosinophilic esophagitis (EoE) is a chronic inflammatory esophageal disease associated with dysphagia, food impaction, feeding difficulties, vomiting, and failure to thrive in children. These symptoms result from dysregulated neural control and inflammation-induced tissue remodeling and may extend beyond esophageal dysfunction to impact sensory processing. This study aimed to evaluate the sensory processing difficulties in children with EoE. Methods This prospective case-control study included children with EoE and age-matched healthy controls. Sociodemographic data and medical histories were collected. Sensory processing abilities were evaluated using the sensory profile, which evaluates sensory performance across multiple domains. Results A total of 69 children aged 3-10 years participated in the study, including 22 diagnosed with EoE and 47 healthy controls. No significant demographic differences were found between groups (p > 0.05). Children with EoE exhibited significantly greater sensory processing difficulties in oral sensory processing, vestibular processing, and oral sensory sensitivity compared to healthy controls (p < 0.001). Conclusions Sensory processing difficulties in children with EoE extend beyond feeding challenges, affecting oral sensory and vestibular processing functions. Incorporating sensory processing assessments into clinical evaluations may improve the understanding of sensory-related challenges in this population. A multidisciplinary approach could help refine clinical management strategies.
Statistical Evaluation of Body Composition and Aerobic/Anaerobic Power in Young Adults with Generalized Joint Hypermobility: An Ancova-Based Study
(BMC, 2025) Yildiz, Ayse; Yildiz, Ramazan; Camli, Onur; Eymir, Musa
Background: Generalized joint hypermobility (GJH) is a highly prevalent condition that affects a person's exercise tolerance and is frequently associated with joint injuries. This study aimed to evaluate body composition and aerobic/ anaerobic power in young adults with asymptomatic GJH. Methods: Sixty university students aged 18-25 years (30 with GJH, 30 controls) participated in the study. GJH was defined using a Beighton score >= 5. Body composition was assessed using the Tanita BC-601 device. Aerobic power was measured with the shuttle run test, while anaerobic power was calculated using vertical jump height and the Lewis Nomogram formula. Analysis of covariance (ANCOVA) was applied to control for age and gender effects. Results: ANCOVA results revealed statistically significant differences between groups in mineral percentage (partial eta(2)(p) = 0.093, p =.020) and aerobic power (partial eta(2)(p) = 0.256, p .05). Gender significantly affected lean mass, muscle mass, fat percentage, and aerobic and anaerobic power (p <.05). Conclusions: The study demonstrated that GJH has a distinct and independent impact on aerobic capacity. Additionally, mineral percentage differences regarding body composition were noted between groups. Clinical trial number: Not applicable.
Upper Extremity Selective Voluntary Motor Control in Children with Unilateral Cerebral Palsy and Its Association with Upper Extremity Functions
(Turkey Association of Physiotherapists, 2024) Yildiz, Ayde; Yildiz, Ramazan; Elbasan, Bulent
Purpose: The study aimed to define the upper extremity selective voluntary motor control (SVMC) in children with unilateral Cerebral Palsy (CP). It was also aimed to investigate the relationship between upper extremity SVMC and upper extremity functions. Methods: Twenty-four children diagnosed with unilateral CP, aged between 6 and 18, were included in the study. The Quality of Upper Extremity Skills Test (QUEST) assessed the upper extremity functions. Manual dexterity was measured using the Jebsen-Taylor Hand Function Test (JTT) timed tasks. The SVMC of the upper extremity was measured using the Selective Control of Upper Extremity Scale (SCUES) using the videotape recording method. Results: Statistically significant decreases in SCUES scores from shoulder to fingers were recorded using the Page statistical test for trend (p<0.001). There was a significant positive correlation between the SCUES total score and the QUEST total score (r: 0.796; p <0.001). Also, score on SCUES showed a significant negative correlation with JTT (r:- 0.875; p <0.001). Conclusion: In children with unilateral CP, there was a relationship between upper extremity selective voluntary control and upper extremity functions. Deficiency in selective upper extremity movements disturbed functional manual skills, indicating these impairments' significance in assessing upper extremity functions and, potentially, rehabilitation.