Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleYayıncıda açık erişim2026Scopus SJRQ1Immersive virtual reality vs. traditional instruction for short-term learning and follow-up outcomes in the Bobath concept: a randomized controlled trial
Cinarli, Sena; Aydogan, Gamze; Sever, Ebru; Gulcelik, Gönül Ertunc; Atmaca, Halil
Background: Although virtual reality has increasingly been incorporated into health professions education, its effectiveness for teaching structured neurorehabilitation frameworks within physiotherapy remains insufficiently explored. Purpose: This study aimed to compare immersive virtual reality–based instruction with traditional education by evaluating theoretical knowledge and practical skills at short-term (2 days) and follow-up (2 weeks) assessments following Bobath concept instruction among physiotherapy students. Methods: In this assessor-blinded randomized controlled trial, 20 third-year physiotherapy students (mean age: 21.3 ± 1.1 years) were randomly assigned to immersive virtual reality–based instruction or traditional instruction. Both groups received standardized 45-minute training on postural control strategies within the Bobath concept. Learning outcomes were assessed using a multiple-choice theoretical test and a practical examination at 2 days (short-term) and 2 weeks (follow-up) after instruction. Results: Both groups showed a decrease in theoretical scores from the short-term to the follow-up assessment, with no significant between-group difference in change scores (p = 0.817). In contrast, between-group comparison of practical change scores showed a significant difference favoring the virtual reality group (p = 0.017, r = 0.54), with a median difference of + 15 points (95% CI: +5 to + 30). Within-group analyses indicated a significant decline in the traditional instruction group (p = 0.011, r = 0.81), whereas no significant change was observed in the virtual reality group (p = 0.666, r = 0.14). Practical scores increased by approximately 3% in the virtual reality group but decreased by 17% in the traditional instruction group from short-term to follow-up assessment. Conclusion: These findings suggest that immersive virtual reality may support the preservation of practical performance over time in physiotherapy education and may represent a promising instructional approach for teaching complex neurorehabilitation skills. Clinical trial number: ClinicalTrials.gov identifier: NCT07270107 (retrospectively registered on December 8, 2025).
- Derleme MakaleAçık Erişim2026Scopus SJRQ3Acute effect of hippotherapy applied on different sitting surfaces in children with special needs
Gulcelik, Gonul Ertunc; Sever, Ebru; Atalay, Burak; Dursun, Emirhan; Memisoglu, Irem
PurposeThis study aimed to assess the acute effects of hippotherapy performed on different seating surfaces on sitting balance and walking speed in children with special needs.Materials and MethodsChildren aged 3-18 years with special needs were included. Participants were assigned to three groups: Group 1 (Saddle), Group 2 (No saddle, direct horse contact), and Group 3 (Saddle with additional texture material). Each group received a 30-min hippotherapy session in a riding arena. Sitting balance was measured with the BeCure balance system, and walking speed was assessed using the 10-meter walk test before and immediately after the session.ResultsNo significant improvement was found in sitting balance in any group after the intervention. However, Group 3 showed increased walking speed compared to Groups 1 and 2. Intergroup comparisons showed no statistically significant differences in sitting balance or walking speed.ConclusionDifferent texture materials used on saddles may provide more noticeable acute effects in hippotherapy. Future research should involve larger sample sizes and explore subacute and long-term outcomes.
AtıfWoS1
İncele - MakaleAçık Erişim2025Comparison of Fatigue Severity in Individuals with Vestibular Hypofunction
Kılıç, Gamze; Gülçelik, Gönül Ertunç; Aktürk, Adem; Sever, Ebru
Aim: The aim is to compare fatigue severity in patients with unilateral and bilateral vestibular hypofunction. Method: Patients with complaints of dizziness and balance were included in the study. The degree and direction of hypofunction of the patients were determined with videonystagmography test. Numerical Pain Scale was used to evaluate fatigue severity. Fatigue severity in patients with unilateral and bilateral vestibular hypofunction (VH) was compared. Results: 100 patients with a mean age of 49.25±14.67 years were included in the study. It was observed that 37% of these patients had Right VH, 30% had Left VH and 33% had Bilateral VH. According to the hypofunction table, the fatigue severity of the groups was 6.57±1.96 in Right VH, 6.79±1.34 in Left VH and 7.51±1.44 in Bilateral VH. When fatigue severity was compared between the groups, no statistical superiority was found (p≥0.05). Conclusion: There is no difference between the fatigue levels in Unilateral and Bilateral VH patients.
- MakaleAçık Erişim2025Baş Boyun Ağrısında Akla Getirilmesi Gereken Bir Anomali: Kimmerle Anomalisi
Terzi, Rabia; Gülçelik, Gönül Ertunç; Aydoğan, Gamze; Sever, Ebru; Çoban, Hafize
Kimmerle anomalisi (KA), servikal birinci vertebranın posterior arkı ve superior faset eklemin posterior marjini arasında ossifiye kemik köprü olarak tan ımlanmış bir anatomik varyantt ır. Komplet ya da in- komplet, tek ya da çift taraflı olabilir. Genellikle asemptomatik bir ano- mali olmas ına ra ğmen, bazen vertebral arter ve ona kom şu nöral yapılarda kompresyon olu şması sonucunda semptomatik hale gelebi- lir. Nedeni aç ıklanamayan baş boyun ağrıları ve vertebrobaziler yet- mezlik bulgular ı ile klini ğe ba şvuran genç yeti şkin bireylerde KA mutlaka akla getirilmesi gereken bir klinik durumdur. Bu hastaların ser- vikal travmalardan, manipülatif uygulamalardan kaç ınmaları öneril- melidir. Operasyon öncesi hasta de ğerlendirirken bu anomalinin dikkatlice değerlendirilmesi olası komplikasyonların gelişimini engel- lemek açısından önemlidir.
- MakaleAçık Erişim2025Scopus SJRQ1Virtual reality-based home accident control simulation combined with first aid training to enhance awareness in parents of children with special needs: protocol for a single-group pre-post quasi-experimental study
Ertunc Gulcelik, Gonul; Ortabag, Tulay; Yilmaz, Sila; Sever, Ebru; Eryigit, Tuba
Introduction Children with special needs frequently experience accidents and injuries due to motor control difficulties. The most common home accidents include falls, burns, poisoning, drowning and choking. Compared to their typically developing peers, children with special needs are at a higher risk of home accidents and emergency department visits. Falls related to balance impairments are especially common in this population. The aim of this study is to assess the effects of a virtual reality-based home accident control simulation combined with first aid training on the awareness and initial responses to home accidents of parents of children with special needs, using a single-group pre-post quasi-experimental design. Methods and analysis This quasi-experimental study, using a pre-test/post-test design, is planned to include 100 volunteer parents of children with special needs who are registered at a Barrier-Free Life Application and Research Centre. The parents will receive training on home accidents via virtual reality simulation, supplemented by first aid and transfer training. Data will be collected using the Descriptive Information Form and the Home Accident Awareness Questionnaire for Parents of Children with Special Needs. Children’s balance status will be assessed to determine their fall risk using the Children’s Balance Assessment Form, the Tinetti Balance and Gait Assessment and the Nintendo Wii Fit Balance Board. Ethics and dissemination Ethical approval was obtained from the Ethics Committee of Istanbul Topkapi University. The results will be disseminated through peer-reviewed journals and academic conferences.
AtıfScopus1WoS1OpenAlex1İncele - Derleme MakaleAçık Erişim2025Scopus SJRQ1Acute and Chronic Immunological Responses to Different Exercise Modalities: A Narrative Review
Sever, Ebru; Yılmaz, Sıla; Koz, Mitat
The relationship between exercise and immune function has been widely studied, yet findings remain inconsistent regarding how different exercise modalities and intensities influence acute and chronic immunological responses. Previous reviews have often focused on single exercise types or limited outcomes, leaving a gap for an integrated synthesis. This narrative review aims to address this gap by summarizing and comparing immunological effects across aerobic exercise, resistance training, high-intensity interval training (HIIT), blood flow restriction (BFR), isometric exercise, mind–body interventions, and hypoxic training. A structured narrative approach was adopted. Literature published between January 2000 and December 2024 was searched in PubMed, Scopus, and Web of Science. Experimental and observational studies on humans and animal models were included, with study selection and data extraction performed by two reviewers. Findings were synthesized thematically by exercise modality to capture both acute and chronic immune responses. Twenty-four eligible studies were identified. Aerobic and mind–body exercises consistently demonstrated anti-inflammatory and immunoprotective effects, including increased IL-10 production, improved T cell profiles, and reduced inflammatory markers. Isometric training showed favorable modulation of cytokines and T cell balance, while resistance training evidence was limited but suggested cortisol-lowering benefits. HIIT, BFR, and hypoxic exercise produced mixed results, often combining transient pro-inflammatory responses with immunological benefits. Acute and chronic immunological responses to exercise are highly modality- and intensity-dependent. Aerobic and mind–body interventions provide the most consistent benefits, whereas HIIT, BFR, and hypoxic training show variable effects. Further high-quality trials are needed to clarify mechanisms and guide exercise-based immune recommendations.
AtıfScopus11WoS8OpenAlex9İncele
