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    COGNITIVE AND MOTOR PERFORMANCES IN DUAL TASKS IN OLDER ADULTS WITH CHRONIC NECK PAIN: A RANDOMIZED CONTROLLED CLINICAL TRIAL
    (Turkish Geriatrics Soc, 2023) Apaydin, Aydin Sinan; Soylemez, Emre
    Aim: There is limited information on dual-task performance in older individuals with chronic neck pain. This study aims to investigate cognitive and motor performances during dual tasks in older adults with chronic neck pain. Methods: Thirty-five older adults with chronic neck pain and 35 older adults without neck pain were included in the study. The timed up and go test evaluated individuals' single-task performance. To assess the dual-task performances of the groups, the individuals were given motor and cognitive (forward and backward digit span) tasks simultaneously with the timed up and go test. During cognitive dual-task, the cognitive performances of individuals were evaluated and the duration of their timed up and go test was recorded. Results: There was no difference between the groups in terms of singletask timed up and go test (p >0.05). There was also no difference between the groups in terms of cognitive-forward and cognitive-backward (p >0.05). However, cognitive performance of the chronic neck pain group during dual-task was worse than that of the control group (p <0.05). Additionally, the motor dual-task of older adults in the chronic neck pain group was worse than the control group (p <0.05). Conclusion: Older adults with chronic neck pain struggle more in motor dual-task situations than asymptomatic older adults. Therefore, gait assessment with a motor dual task should be performed for older adults with chronic neck pain. In addition, during cognitive dual-task conditions, the cognitive performance of older adults should be evaluated in addition to their gait performance.
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    Gender Differences in Balance, Lumbar Multifidus Muscle, Pain, and Kinesiophobia in Patients with Lumbar Spinal Stenosis
    (Duzce Univ, Fac Medicine, 2024) Apaydin, Aydin Sinan; Gunes, Musa; Koremezli Keskin, Nevin
    Aim: The aim of this study was to examine balance, lumbar multifidus muscle thickness and cross-sectional area (CSA), pain, disability and kinesiophobia levels, and to compare these parameters in terms of gender in patients with lumbar spinal stenosis (LSS). Material and Methods: This cross-sectional study included 59 patients, 33 (55.9%) female and 26 (44.1%) male, diagnosed with LSS by magnetic resonance imaging (MRI). Low back and leg pains, dynamic and static balances, disability and kinesiophobia levels of patients with LSS were evaluated. Lumbar multifidus muscle thickness and total CSA were obtained from MRI images. Obtained data were compared according to gender. Results: Females had significantly more low back pain than males (p=0.043), in patients with LSS. Additionally, females with LSS had worse dynamic and static balances (p=0.005, and p=0.001, respectively) and higher levels of disability (p=0.001), and kinesiophobia (p=0.001). Females with LSS had less lumbar multifidus muscle thickness and CSA than males on both the right and left sides. Also, right multifidus muscle thickness correlated with both dynamic (r=-0.289; p=0.027) and static (r=0.349; p=0.007) balances. Significant correlations were detected between low back and leg pain with dynamic and static balances, disability, and kinesiophobia in patients with LSS. Conclusion: Females with LSS have higher levels of pain, disability, and kinesiophobia than males. Also, LSS affects females' balance functions more and causes further degeneration of the multifidus muscle. Therefore, gender differences should be examined during the clinical follow-up process in LSS.
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    Gender Inequality in Leadership Positions in Neurology and Neurosurgery Journals and Societies
    (Elsevier Science Inc, 2024) Apaydin, Aydin Sinan; Emekli, Inci
    OBJECTIVE: Gender inequalities persist in several areas of medicine, despite the growing number of female doctors and medical students. In this study, we aimed to reveal the gender inequality in the top journals ' editorial boards and national societies ' leadership positions in the field of neurology and neurosurgery. METHOD: This is a cross-sectional study that uses public information accessed through the internet via journals ' and academic societies ' public websites. The medical journals are selected and included according to their h5 -index in the field of neurology and neurosurgery. We evaluated the gender composition of the editorial boards and academic societies ' leadership positions. RESULTS: The female editorial board member ratio was 44.0% in the top 10 neurology journals. However, this ratio was significantly decreased to 29.7% in the other journals( P < 0.001). The top 10 neurosurgery journals had a female editorial board member ratio of 13.7%. This ratio was significantly decreased to 5.3% in the other 10 journals with lower h5-index( P < 0.001). A significantly lower - umber of female individuals are present in the editorial boards of the neurosurgery journals than in neurology( P < 0.001). The female president or delegate ratio was 19.3% in the World Federation of Neurology -affiliated countries, and it was 4% in the World Federation of Neurosurgical Societies -affiliated countries. CONCLUSIONS: In conclusion, there is a significant gender inequality among editorial board members. The position of neurosurgical societies and journals is far different than the field of neurology. Furthermore, these findings should be evaluated as a continuum of the gender inequality in the professional societies ' executive boards and delegates representing the national academical community.
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    Relationships between stenosis severity, functional limitation, pain, and quality of life in patients with cervical spondylotic radiculopathy
    (Tubitak Scientific & Technological Research Council Turkey, 2024) Apaydin, Aydin Sinan; Gunes, Musa
    Background/aim: This study aimed to examine the relationships between severity of stenosis, pain, functional limitation, disability, and quality of life in patients with cervical spondylotic radiculopathy. Materials and methods: Patients (45 female, 19 male) with radiculopathy due to spondylotic changes in the cervical spine were included in this study. Stenosis severity (thecal sac cross-sectional area (CSA)), numbness, neck and arm pain severity, functional limitation (Cervical Radiculopathy Impact Scale), disability, and quality of life (EQ-5D-3L General Quality of Life Scale) were evaluated. The study was registered at ClinicalTrials.gov as NCT06001359. Results: According to CSA values, 28 (43.75%) patients had severe stenosis and 36 (56.25%) had moderate stenosis, and the average CSA was 81.65 +/- 10.08 mm2. 2 . Positive correlations were found between both neck and arm pain and neck disability (r = 0.597, r = 0.359), and negative correlations were found for the General Quality of Life Scale index score and EQ-5D-3L visual analog scale (r = -0.787, r = -0.518). There were significant positive correlations between Cervical Radiculopathy Impact Scale subscales and severity of stenosis, neck and arm pain, numbness, and disability (p < 0.05 for all). A significant negative correlation was observed between Cervical Radiculopathy Impact Scale subscales and quality of life (p < 0.01). Stenosis severity was correlated with pain, neck disability, and quality of life (p < 0.01 for all). Conclusion: There are direct relationships between cervical spondylotic radiculopathy and neck and arm pain, numbness, disability, and quality of life. Additionally, an increase in the severity of cervical stenosis is associated with an increase in pain and disability.