Halime Arıkan

This study aimed to cross-culturally adapt and validate the Turkish version of the 7-item Headache Needs Assessment (HANA) survey in individuals with migraine. Structural validity was evaluated using Exploratory (EFA) and Confirmatory Factor Analysis (CFA) in 79 participants. Reliability was assessed via Cronbach's α, Intraclass Correlation Coefficient (ICC), and Bland-Altman plots. Convergent validity was analyzed by correlating HANA with the Headache Disability Inventory (HDI), Headache Impact Test-6 (HIT-6), Visual Analog Scale (VAS), and Migraine Disability Assessment (MIDAS). EFA revealed a two-factor structure for HANA A (explaining 68.81% of variance) and a single-factor structure for HANA B, confirmed by acceptable CFA indices. Cronbach's α exceeded 0.879 and ICC ranged from 0.784 to 0.836, indicating excellent reliability. HANA correlated moderately-to-strongly with HDI (p = .000; r = 0.622) and HIT-6 (p = .000; r = 0.481), but weakly with VAS (p = .000; r = 0.389) and MIDAS (p = .068; r = 0.206). The Turkish HANA possesses robust psychometric properties for clinical and research use. NCT06675279.

This study aimed to examine headache severity, head posture, cervical muscle endurance, cervical dysfunction, and quality of life in females with and without migraine, and to determine the relationships among these parameters in individuals with migraine. Seventy-one females participated in this study. Headache intensity with Visual Analog Scale, headache severity with Headache Impact Test (HIT-6), head posture with universal goniometer, cervical muscle endurance with deep neck flexor endurance and deep neck extensor endurance tests, cervical dysfunction with Bournemouth Questionnaire (BQ) and general health status with Nottingham Health Profile (NHP) were assessed. The Student's t-test or Mann-Whitney U test was used to evaluate differences between groups. Pearson's and Spearman's correlation tests examined relationships among scores. In individuals with migraines, compared to healthy controls, headache intensity, headache severity, and cervical dysfunction were greater, cervical extensor endurance was lower, and quality of life was poorer (p< 0.05). A notable correlation was found between section 1 of the NHP and the BQ (r = 0.441); section 2 of the NHP and headache intensity (r = 0.506); section 2 of the NHP and HIT-6 (r = 0.479); and section 2 of the NHP and the BQ (r = 0.542). Additionally, there was a very good correlation between HIT-6 and headache intensity (r = 0.651); and BQ and HIT-6 (r = 0.651). Understanding these relationships highlights the importance of addressing both headache symptoms and cervical dysfunction in a comprehensive treatment approach.

While triggering by physical activity is a criterion for the diagnosis of migraine, evaluations regarding fear of movement related to physical activity are lacking in the literature. This study aimed to investigate the validity and reliability of the Turkish version of the Tampa Scale of Kinesiophobia, adapted to headache (TSK-H), in patients with episodic migraine (EM) and chronic migraine (CM). This questionnaire is a newly developed version adapted for headache, based on but different from the original TSK used in low back pain, and has not been previously validated in Turkish for headache. Patients between the ages of 18–70 were included in the study. Demographic-clinical information was obtained after expert committee evaluation and cross-cultural adaptation of the questionnaire. Numerical Pain Rating Scale (NPRS), Migraine Disability Assessment (MIDAS), Headache Impact Test-6 (HIT-6), Hospital Anxiety and Depression Scale (HADS) and TSK-H were evaluated for structural validity. Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were performed. Intraclass Correlation Coefficient (ICC) and Cronbach’s α values ​​were analyzed for reliability. A total of 329 patients (n = 148 EM, n = 181 CM) with a mean age of 37.2 ± 10.6 years for EM and 39.8 ± 13.1 years for CM were included in the study. Headache intensity on NPRS was 6.89 ± 1.86 for EM and 7.56 ± 2.10 for CM. Item-total correlations ranged from − 0.030 to 0.758. Cronbach’s α was 0.925. TSK-H had good test-retest reliability (ICC = 0.866, n = 151) and high internal consistency (Cronbach’s α = 0.928). TSK-H was associated with NPRS, MIDAS, HIT-6 and HADS (p < 0.000 for each one). EFA identified a four-factor structure explaining 58.64% of the variance. CFA remained within acceptable limits. The Turkish version of the 23-item TSK-H is a valid and reliable tool for assessing kinesiophobia in patients with migraine and is significantly associated with physical, functional and psychosocial factors.

The aim of this study was to investigate the relationship between daily mobile phone screen time and neck pain intensity, disability, and neck awareness in university students with neck pain. A total of 92 university students (13 males, 79 females) with non-specific neck pain were included in the study. Demographic data and average daily mobile phone screen time (in minutes/day) of the individuals were recorded. Neck pain intensity was assessed using the Numerical Rating Pain Scale (NRPS), neck disability was assessed using the Neck Disability Index (NDI), and neck awareness was assessed using the Fremantle Neck Awareness Questionnaire (FreNAQ). Correlational and linear regression analyses were performed. The mean age of the individuals was 22.78 years and the mean screen time was 336.37 ± 111.51 minutes per day. A weak but statistically significant negative correlation was found between screen time and neck pain intensity (r=-0.211; p=0.044) and NDI scores (r=-0.207, p=0.048), while no significant correlation was found between screen time and FreNAQ scores (r=-0.109; p=0.303). Linear regression analyses supported that higher neck pain or disability was associated with lower screen time (p

Aim: This study evaluated the accuracy and explanation of ChatGPT 4.0 in providing cervical exercise instructions to individuals with nonspecific neck pain. Materials and Methods: The study was conducted between October 2024 and January 2025. Frequently recommended cervical exercises were selected through a literature review. ChatGPT 4.0 was asked to explain these exercises in different positions. Accuracy and explanation quality were assessed using the Learning Objective Review Tool by an expert team. Statistical analysis was performed using JASP software to calculate means and standard deviations for scores. Results: Craniocervical flexion exercises in the supine position had the highest accuracy score (3.65±0.518). However, explanation scores were lower, especially for exercises in standing and quadruped positions (1.5±0.535). Experts suggested corrections for clarity and detail. Conclusion: ChatGPT 4.0 shows promise for exercise recommendations, but accuracy and explanation need improvement. Future research should focus on integration of artificial intelligence collaboration with developers and healthcare professionals.

It was aimed to determine the relationship among smartphone head tilt, cervical, thoracic, and lumbar spine mobility, and disorders in young adults. Forty young individuals were included in the study. Head tilt with the universal goniometer, spine mobility with the bubble inclinometer (Baseline Bubble Inclinometer, White Plains, NY), neck impairment with Core Outcome Measures Index, back pain with Japanese Orthopaedic Association Back Pain Evaluation Questionnaire, low back pain with Bournemouth Questionnaire, spinal function with Spine Functional Index, and general health quality with Nottingham Health Profile were measured. The relationship between the variables was examined with the Pearson and Spearman correlation coefficients. A good correlation was found between cervical right lateral flexion and the mental health component of the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (r= -0.421); cervical left rotation with the Core Outcome Measures Index (r= -0.431) and social isolation component of the Nottingham Health Profile (r= -0.493); thoracic right rotation with the emotional reactions (r= -0.502), social isolation (r= -0.426), and section one (r= -0.408) components of the Nottingham Health Profile; and lumbar right (r= 0.476) and left (r= 0.415) lateral flexion with the emotional reactions component of the Nottingham Health Profile.This study, which examined the relationship between spinal mobility, spinal disorders, and quality of life in young adults, demonstrated that spinal mobility is better associated with psychosocial conditions.

Movements and lifestyle habits common in Japanese daily life are similar to those in Turkish culture. Therefore, the aim of this study was to adapt the Japanese Orthopedic Association Hip Disease Evaluation Questionnaire (JHEQ), developed by the Japanese Hip Society for hip joint diseases, to the Turkish population and to examine its reliability and validity. The study included 134 patients with hip disorders. Intraclass Correlation Coefficient (ICC) and Cronbach's alpha were evaluated for reliability. For construct validity, the relationship between JHEQ and Oxford Hip Score (OHS), International Hip Outcome Tool-12 (IHOT-12) and Short Form-36 (SF-36) was examined by Spearman correlation analysis. The ICC of the total JHEQ score was 0.951 and Cronbach's α was 0.975. The Bland-Altman plot graph revealed good test-retest reliability for the JHEQ. Spearman correlation analysis including the OHS, IHOT-12, and SF-36 subscales showed good correlations with OHS (-0.618), IHOT-12 (0.621), physical function (0.682), social functioning (0.453), bodily pain (0.550), and general health perception (0.424). The value of Minimal Detectable Change (11.64) was higher than the value of Standard Error Measurement (4.20), indicating that the JHEQ has adequate responsiveness. The Turkish adaptation of the JHEQ has proven to be a dependable and accurate instrument for assessing hip disease-related outcomes in clinical practice.

Aims: The aim of this study was to evaluate the pressure pain threshold (PPT), hand grip strength, neck disability, functional status, and quality of life in symptomatic and asymptomatic individuals with and without chronic neck pain, and to determine the differences in these parameters between the groups. Methods: A total of 47 individuals aged 21 to 49 years, including 24 with at least 3 months of neck pain and 23 without neck pain, were included in the study. PPT of the upper trapezius, sternocleidomastoid (SCM), levator scapula, and suboccipital muscles was assessed using a dolorimeter. Hand grip strength was measured with a Jamar® Hydraulic Hand Dynamometer. Neck disability were evaluated using the Bournemouth Questionnaire (BQ). The disability level associated with upper extremity functional status was assessed with the Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH). Quality of life was evaluated with the Nottingham Health Profile (NHP). Results: PPT values, except for SCM, were significantly lower in symptomatic individuals (p< 0.05). Neck disability, upper extremity function-related disability level, and quality of life were significantly worse in symptomatic individuals (p< 0.05). There were no significant differences between the groups in hand grip strength, PPT of the SCM, or NHP emotional reactions and social isolation scores (p> 0.05). Conclusion: It was found that PPT, neck functions, quality of life, and upper extremity function-related disability levels were more affected in symptomatic individuals with chronic neck pain without a specific diagnosis compared to asymptomatic individuals. Although hand grip strength was not affected in symptomatic individuals with chronic neck pain, other functional impairments may still be present.

Background: The only survey that assesses the ability of individuals with low back pain to self-manage their condition is the Patient Enablement Instrument for Back Pain (PEI-BP). Objective: The study aims to create a Turkish version of PEI-BP and test its validity and reliability. Methods: 67 individuals (47 females, 20 males) with low back pain participated, comprising. Reliability was evaluated through test-retest reliability, internal consistency, and repeatability measures. Validity was assessed via structural, content, face validity analyses. Floor and ceiling effects were examined to ensure a comprehensive evaluation. Additionally, the relationship between PEI-BP and pain intensity, Brief Illness Perception Questionnaire (BIPQ), Fear Avoidance Beliefs Questionnaire (FABQ), Oswestry Disability Index (ODI), and Short Form-36 (SF-36) was explored. Results: The Intraclass Correlation Coefficient value (0.795) and Cronbach's α (0.886) of PEI-BP were high. The goodness-of-fit values for the model, including fit indices and reference ranges, indicated strong validity. The PEI-BP demonstrated the absence of both floor and ceiling effects. Correlations between PEI-BP and pain intensity, BIPQ, FABQ, ODI, and SF-36 exhibited a range from weak to good (0.258 to −0.440). Conclusions: PEI-BP has demonstrated high reliability and good validity. PEI-BP can be used to evaluate Turkish-speaking individuals with low back pain. ClinicalTrials.gov ID: NCT06109246 (Date: 10/25/2023).

Dysmenorrhea is a gynecological condition that causes painful menstrual cramps in the uterus, most commonly seen in women of reproductive age. The aim was to perform the reliability and validity of the Turkish Working Ability, Location, Intensity, Days of Pain, Dysmenorrhea (WaLIDD) score for evaluating individuals with dysmenorrhea. The evaluation of the reliability and validity of the Turkish version of the WaLIDD tool in the Turkish population is essential to ensure its accuracy, consistency, and cultural relevance in assessing the impact of dysmenorrhea. Cross-sectional, psychometric questionnaire research. 113 individuals with dysmenorrhea were included in the study. The reliability of the WaLIDD was evaluated using internal consistency and test-retest analyses, while its validity (both convergent and divergent) was assessed through correlation analysis. For correlation analysis WaLIDD, Premenstrual Syndrome Impact Questionnaire (PMS-IQ), Pain Disability Index (PDI), and Big Five Inventory-10 (BFI-10) were used. The reliability analysis indicated that the questionnaire demonstrated an internal consistency value of 0.875 and an intraclass correlation coefficient (ICC) value of 0.778. Pearson correlation analysis indicated that the WaLIDD had a very well correlation with the PMS-IQ (0.726) and well correlation with the PDI (0.413). WaLIDD had a negligible correlation with the BFI-10 (0.088). There were no floor or ceiling effects observed in the Turkish version of the WaLIDD. WaLIDD was found to be a well-structured, valid, and reliable instrument that can be used to evaluate women with dysmenorrhea. The Turkish version of WaLIDD can be used in Turkish women in clinical practices and research. This study was registered in ClinicalTrials.gov (NCT05829512).