Person: ÖNERGE, KÜBRA
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ÖNERGE
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KÜBRA
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Publication Open Access Effects of Arm Swing on Plantar Pressure Behavior During Walking(İstanbul Üniversitesi-Cerrahpaşa Sağlık Bilimleri Fakültesi, 2023) Leblebici, Gökçe; AKALAN, NAZİF EKİN; ÖNERGE, KÜBRA; KUCHIMOV, SHAVKAT; Ören, MeryemObjective: This study aimed to investigate the influence of different arm swing conditions on plantar pressure behavior during walking in healthy individuals. Methods: The study included 29 healthy (22.55 ± 1.02 years) volunteers. The foot pressure was analyzed under 3 conditions: both arms should be freely swinging and the dominant arm should be restricted and should be held. Time and magnitudes of peak forces, gait velocity, duration of stance subphases, peak forces for 5 different areas in foot-sole, accelerations of the center of pressure, and mediolateral displacements of center of pressure were the interesting parameters. Results: When the arm swing was held, the onset of terminal stance was earlier and the anterior-posterior center of pressure acceleration decreased at the midfoot on the affected side (0.32 ± 0.04 seconds, 2.96 ± 0.27 m/ms 2) than on the contralateral side (0.34 ± 0.05 seconds, 3.12 ± 0.28 m/ms 2) (P = .04, P = .02). The differ- ences in anterior-posterior center of pressure acceleration between heel and forefoot and the mediolateral displacements of center of pressure were lower on the affected side at held (3.75 ± 0.31 m/ms 2, 0.06 ± 0.02 m, respectively) compared to the free swing (3.82 ± 0.30 m/ms 2, 0.07 ± 0.02 m) (P = .02, P = .01), while the peak force at the medial forefoot was lower on the contralateral side when the arm was held (28.87 ± 6.22 N) compared to the free swing (30.54 ± 5.86 N) (P= .01). Conclusion: The lack of arm swing may interact with ipsilateral early onset and longer late stance phase during walking in healthy individuals. The foot pressure behaviors during walking should be investigated for unilaterally affected patients.Publication Restricted Gait Characteristics and Effects of Early Treadmill Intervention in Infants and Toddlers with Down Syndrome: A Systematic Review(Taylor & Francis Ltd., 2022) Kınacı-Biber, Esra; ÖNERGE, KÜBRA; Mutlu, AkmerPurpose The aim of this study was to evaluate gait characteristics, and the effectiveness of treadmill interventions on gait in infants and toddlers with Down syndrome (DS). Materials and Methods A comprehensive search was performed on six databases for evidence published up to November 2020 for articles related to infants and toddlers with DS. The Clinical Appraisal Skills Programme Checklist assessed the methodological quality. Strength of evidence were evaluated Sackett's level. Results Nine articles analyzing instrumental gait met the inclusion criteria. Of these, 4 compared DS and typically developing (TD), and 5 included treadmill training interventions for DS. Kinematic analysis was applied in 8 studies and all articles presented evaluations at different times according to the walking experience. Analysis with EMG was used in only one of the intervention articles and in 3 of the 4 comparative articles. Conclusions Although similar improvements are seen in spatiotemporal parameters for toddlers with typical development and those with DS, the decrease in step width is not similar for DS. Early treadmill training can have a positively effect on the gait characteristics of DS infants. Further research should focus on the acquisition of gait characteristics, long-term evaluations, kinetics and EMG data, for these children.Publication Restricted The Effect of Wearing High Heels on Lower Extremity Kinematics During Walking for Female with Hypermobility(Elsevier Ireland Ltd., 2023) AYAN, BUSE; AKALAN, NAZİF EKİN; ÖNERGE, KÜBRA; KUCHIMOV, SHAVKAT; EVRENDİLEK, HALENURPublication Restricted Kinematic Analysis of Walking of Hypermobile and Non-Hypermobile Individuals with Heavy Backpack(Elsevier Ireland Ltd., 2023) OPAN, İREM; Uzunoğlu, Gamze Ertürk; AKALAN, NAZİF EKİN; ÖNERGE, KÜBRA; KUCHIMOV, SHAVKAT; EVRENDİLEK, HALENURPublication Restricted Residual Gait Deviations in Children Treated by Medial Open Reduction for Developmental Dysplasia of the Hip at Long-Term Follow-up: A Comparison With Healthy Controls(Springer, 2024) Demirel, Mehmet; EVRENDİLEK, HALENUR; AKALAN, NAZİF EKİN; Bilgili, Fuat; Meric, Emre; Kuchimov, Shavkat; ÖNERGE, KÜBRAPurpose This study aimed to analyze and compare gait patterns and deviations at long-term follow-up in children who received medial open reduction (MOR) before 18 months for unilateral or bilateral hip developmental dysplasia (DDH). Methods A retrospective chart review was conducted on children who underwent MOR. The study population was divided into two groups: the unilateral group, including unilateral (five children with unilateral) and bilateral (five children with bilateral DDH). Ten healthy children were recruited for the control group. Spatiotemporal, kinematic, stiff-knee gait (SKG), and kinetic gait characteristics were analyzed. Results Stance time was significantly shorter in both the unilateral (median [IQR]; 590 ms, [560.0-612.5] and bilateral (575 ms, [550-637.5]) groups than in the control group (650, [602.5-677.5]) (p < 0.001), whereas swing time did not differ substantially (p = 0.065) There was no considerable difference in the mean knee flexion at swing between the unilateral (31.6 degrees, [30-36]) and control (30.11 degrees, [27.8-33.6] groups (p > 0.05), but the bilateral group (28.5 degrees, [24.9-32.1]) showed the lower values than the other groups (p < 0.001 for bilateral vs unilateral group; p = 0.008 bilateral vs unilateral group). All the SKG parameters significantly differed among the groups in multi-group comparisons (p < 0.001 for each parameter). Three children had borderline SKG, and two had not-stiff limbs in the unilateral group. In the bilateral group, four children had stiff limbs, and one had borderline SKG. Most kinetic gait parameters were not statistically different between groups (p > 0.05). Conclusion This study has revealed notable deviations in gait patterns of children with DDH treated by MOR at long-term follow-up compared to healthy children's gait. MOR could negatively affect pelvic motion during gait due to impaired functions of the iliopsoas and adductor muscles, and SKG can be encountered secondary to iliopsoas weakness.Publication Open Access Correction to: Residual Gait Deviations in Children Treated by Medial Open Reduction for Developmental Dysplasia of the Hip at Long-Term Follow-up: A Comparison With Healthy Controls (International Orthopaedics, (2024), 48, 10, (2661-2671), 10.1007/s00264-024-06263-9)(Springer Nature, 2024) Demirel, Mehmet; EVRENDİLEK, HALENUR; AKALAN, NAZİF EKİN; Bilgili, Fuat; Meriç, Emre; Kuchimov, Shavkat; ÖNERGE, KÜBRAThe correct affiliation of Kübra Önerge should be affiliation 2: Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, İstanbul Kültür University, Istanbul, Turkey. and not affiliation 3. The original article has been corrected. © The Author(s) 2024.Publication Open Access Active Child, Healthy Child Project: The Effects on Dynamic Balance of an Increase in Femoral Anteversion in Healthy Developing Children(AVES, 2024) APTİ, ADNAN; AKALAN, NAZİF EKİN; AKEL, BURCU SEMİN; EVRENDİLEK, HALENUR; ÖNERGE, KÜBRA; NAS, İMGEObjective: Increased femoral anteversion (IFA) is defined as the anterior rotation of the femoral head in relation to the transcondylar axis of the knee. The aim of this study was to determine the frequency of IFA in healthy developing children and to investigate the effects of IFA on dynamic balance. Methods: School screening was conducted on 315 school-age children (6-14 years old, mean 9.9 ± 2 years), and IFA was determined in 26 children. From the same sample, 36 children with no IFA were selected as the control group. Data obtained from the Y balance test, handgrip strength with a digital dynamometer, IFA according to the Craig’s test, and joint hypermobility according to the Beighton score were compared between the groups. Independent sample t-test and Pearson’s correlation test were used in the statistical analysis. Results: This study was carried out on a narrow universe of children mean aged 9.9 ± 2 years, and the incidence of IFA was determined as 8.3%. The Y balance scores were found to be higher in the IFA group than in the controls (P=.049 right, P=.027 left). There was no correlation between Craig’s test and the Y balance test results (r=0.04). No difference was found between the groups for muscle strength and joint hypermobility scores associated with balance. Conclusion: Balance may not be one of the causes of frequent falls in children with IFA. Further studies are needed to further examine the biomechanical causes of falls, as studies to improve balance may not provide sufficient benefit to prevent fall-related trauma and injury in children with IFA. © 2024 AVES. All rights reserved.