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THE COMPARISON OF THE PHYSICAL AND SOCIAL INFLUENCES OF THE COVID-19 PANDEMIC IN CONVALESCENTS AND CONTROLS: A CASE-CONTROL STUDY

Yıl 2023, Cilt: 34 Sayı: 2, 189 - 198, 31.08.2023
https://doi.org/10.21653/tjpr.1107776

Öz

Purpose: To compare the fatigue and dyspnea level, respiratory function, mental fatigue, sleep quality, and social influence of the COVID-19 pandemic in convalescent and controls and to explore the relationship between these characteristics in both groups.
Methods: A total of 352 participants, including COVID-19 convalescent (n=176) and controls (n=176), participated in this study. The following instruments were used by online technologies: Visual Analog Scale (VAS) to investigate fatigue and dyspnea level, Single Breath Counting (SBC) test to measure respiratory function, Wood Mental Fatigue Inventory (WMFI) to evaluate mental fatigue, Pittsburg Sleep Quality Index (PSQI) to assess the sleep quality and Social Influences Survey Questionnaire (SISQ) to investigate social influences of the pandemic.
Results: COVID-19 convalescents reported higher levels of tiredness, dyspnea, and mental fatigue than controls (p<0.05). In both groups, there was a moderate-low positive relationship between fatigue and dyspnea levels. The respiratory functions and sleep quality of COVID-19 convalescents were lower than controls. There was a positive correlation between mental fatigue and sleep quality for the COVID-19 convalescents (p<0.05). Furthermore, the social influences of the pandemic were comparable in COVID-19 convalescents and controls (p>0.05).
Conclusion: Even after long-term COVID-19 recovery, symptoms like increased fatigue and dyspnea, mental fatigue, poor respiratory function, and sleep disturbances persist. Therefore, it is necessary to develop treatment strategies in order to alleviate these problems.

Destekleyen Kurum

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Proje Numarası

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Kaynakça

  • 1. World Health Organization. WHO Director-General’s opening remarks at the media briefing on COVID-19[Internet]. Geneva: World Health Organization; 2020 [cited 2021 Aug 19]. Available from: https://www.who.int/director general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
  • 2. Andrade BS, Siqueira S, de Assis Soares WR, de Souza Rangel F, Santos NO, Dos Santos Freitas A, et al. Long-covid and post-covid health complications: An up-to-date review on clinical conditions and their possible molecular mechanisms. Viruses. 2021; 13(4): 700-725.
  • 3. Ramani SL, Samet J, Franz CK, Hsieh C, Nguyen C V., Horbinski C, et al. Musculoskeletal involvement of COVID-19: review of imaging. Skelet Radiol. 2021;50(9):1763–73.
  • 4. Miyazato Y, Morioka S, Tsuzuki S, Akashi M, Osanai Y, Tanaka K, et al. Prolonged and Late-Onset Symptoms of Coronavirus Disease 2019. Open Forum Infect Dis. 2020; 7(11): 507.
  • 5. Shah W, Hillman T, Playford ED, Hishmeh L. Managing the long term effects of covid-19: Summary of NICE, SIGN, and RCGP rapid guideline. BMJ. 2021;372(136).
  • 6. Moradian ST, Parandeh A, Khalili R, Karimi L. Delayed symptoms in patients recovered from covid-19. Iran J Public Health. 2020;49(11):2120–7.
  • 7. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912–20.
  • 8. Ammar A, Trabelsi K, Brach M, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of home confinement on mental health and lifestyle behaviours during the COVID-19 outbreak: Insights from the ECLB-COVID19 multicentre study. Biol Sport. 2021;38(1):9–21.
  • 9. Clemente-Suárez VJ, Dalamitros AA, Beltran-Velasco AI, Mielgo-Ayuso J, Tornero-Aguilera JF. Social and Psychophysiological Consequences of the COVID-19 Pandemic: An Extensive Literature Review. Front Psychol. 2020;11:580225.
  • 10. Lee K, Hicks G, Nino-Murcia G. Validity and reliability of a scale to assess fatigue. Psychiatry Res. 1991;36(3):291–8.
  • 11. Ambrosino N, Scano G. Measurement and treatment of dyspnoea. Respir Med. 2001;95(7):539–47. 12. Van Roo JD, Lazio MP, Pesce C, Malik S, Courtney DM. Visual analog scale (VAS) for assessment of acute mountain sickness (AMS) on aconcagua. Wilderness Environ Med. 2011;22(1):7–14.
  • 13. Li DJ, Kao WT, Shieh V, Chou FHC, Lo HWA. Development and implementation of societal influences survey questionnaire (Sisq) for peoples during covid-19 pandemic: A validity and reliability analysis. Int J Environ Res Public Health. 2020;17(17):1–13.
  • 14. Luiza Escóssio A, Cappato de Araújo R, Oliver N, Chagas Costa E, Ângelo Rizzo J, Sávio Cavalcanti Sarinho E, et al. Accuracy of single-breath counting test to determine slow vital capacity in hospitalized patients. Revista CEFAC. 2019;21(2):2119.
  • 15. Bentall RP, Wood GC, Marrinan T, Deans C, Edwards RHT. A brief mental fatigue questionnaire. Br J Clin Psychol. 1993;32(3):375–7.
  • 16. Buysse D, Reynolds C, Monk T, Berman S, Kupfer D. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.
  • 17. Michael G, Daniel K, In-Young Y, Youngstedt Shawn. Criterion validity of the Pittsburgh Sleep Quality Index. Sleep Biol Rhythm. 2006;4(2):129–39.
  • 18. Backhaus J, Junghanns K, Broocks A, Riemann D, Hohagen F. Test-retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia. J Psychosom Res. 2002;53(3):737–40.
  • 19. Hinkle, DE Wiersma, W Jurs S. Applied Statistics for the Behavioral Sciences. 5th ed. Boston: Houghton Mifflin; 2003.
  • 20. Goërtz YMJ, Van Herck M, Delbressine JM, Vaes AW, Meys R, Machado FVC, et al. Persistent symptoms 3 months after a SARS-CoV-2 infection: the post-COVID-19 syndrome? ERJ Open Res. 2020;6(4):00542–2020.
  • 21. Özkeskin M, Özden F, Karaman B, Ekmekçi Ö, Yüceyar N. The comparison of fatigue, sleep quality, physical activity, quality of life, and psychological status in multiple sclerosis patients with or without COVID-19. Mult Scler Relat Disord. 2021;55:103180.
  • 22. Serviente C, Decker ST, Layec G. From heart to muscle: pathophysiological mechanisms underlying long-term physical sequelae from SARS-CoV-2 infection. J Appl Physiol. 2022;132(3):581–92.
  • 23. Morgul E, Bener A, Atak M, Akyel S, Aktaş S, Bhugra D, et al. COVID-19 pandemic and psychological fatigue in Turkey. Int J Soc Psychiatry. 2021;67(2):128–35.
  • 24. Wirth KJ, Scheibenbogen C. Dyspnea in Post-COVID Syndrome following Mild Acute COVID-19 Infections: Potential Causes and Consequences for a Therapeutic Approach. Medicina (Kaunas).2022;58(3):419.
  • 25. Lewis KL, Helgeson SA, Tatari MM, Mallea JM, Baig HZ, Patel NM. COVID-19 and the effects on pulmonary function following infection: A retrospective analysis. EClinicalMedicine. 2021;39:101079.
  • 26. Liang L, Yang B, Jiang N, Fu W, He X, Zhou Y, et al. Three-month Follow-up Study of Survivors of Coronavirus Disease 2019 after Discharge. J Korean Med Sci. 2020;35(47):e418.
  • 27. Torrente F, Yoris A, Low DM, Lopez PL, Bekinschtein P, Vazquez G, et al. Emotional symptoms, mental fatigue and behavioral adherence after 72 continuous days of strict lockdown during the COVID-19 pandemic in Argentina. medRxiv. 2021;04(21).
  • 28. Ruiz FJ, Sáiz PA, García-Portilla MP, González-Blanco L, García-Álvarez L, Madera PZ, et al. Does COVID-19 psychological fatigue exist? Results of three online cross-sectional studies conducted in Spain from April 2020 to March 2021. J Glob Health. 2022;12:05001.
  • 29. Pinto J, van Zeller M, Amorim P, Pimentel A, Dantas P, Eusébio E, et al. Sleep quality in times of Covid-19 pandemic. Sleep Med. 2020;74:81–5.
  • 30. Zhang L, Li T, Chen L, Wu F, Xia W, Huang M, et al. Association of sleep quality before and after sars-cov-2 infection with clinical outcomes in hospitalized patients with covid-19 in China. EXCLI J. 2021;20:894–906.
  • 31. Gupta R, Grover S, Basu A, Krishnan V, Tripathi A, Subramanyam A, et al. Changes in sleep pattern and sleep quality during COVID-19 lockdown. Indian J Psychiatry. 2020;62(4):370.
  • 32. Markel H, Lipman HB, Navarro JA, Sloan A, Michalsen JR, Stern AM, et al. Nonpharmaceutical Interventions Implemented by US Cities During the 1918-1919 Influenza Pandemic. JAMA. 2007;298(6):644–54.
  • 33. Baack BN, Abad N, Yankey D, Kahn KE, Razzaghi H, Brookmeyer K, et al. COVID-19 Vaccination Coverage and Intent Among Adults Aged 18–39 Years-United States, March- May 2021. MMWR Morb Mortal Wkly Rep. 2021;70(25):928–33.

COVID-19 GEÇİRİP İYİLEŞMİŞ KİŞİLER VE KONTROLLERDE COVID-19 PANDEMİSİNİN FİZİKSEL VE SOSYAL ETKİLERİNİN KARŞILAŞTIRILMASI: BİR VAKA KONTROL ÇALIŞMASI

Yıl 2023, Cilt: 34 Sayı: 2, 189 - 198, 31.08.2023
https://doi.org/10.21653/tjpr.1107776

Öz

Amaç: COVID-19 pandemisinin hastalığı geçirip iyileşmiş kişiler ve kontrollerde yorgunluk ve dispne düzeyi, solunum fonksiyonu, zihinsel yorgunluk, uyku kalitesi ve sosyal etkilerini karşılaştırmak ve her iki grupta bu özellikler arasındaki ilişkiyi araştırmaktır.
Yöntem: Bu çalışmaya COVID-19 hastalığı geçirip iyileşmiş kişiler (n=176) ve kontroller (n=176) olmak üzere toplam 352 katılımcı katıldı. Aşağıdaki ölçekler çevirim-içi olarak kullanıldı: Yorgunluk ve dispne düzeyini araştırmak için Görsel Analog Skalası (GAS), solunum fonksiyonunu ölçmek için Tek Nefes Sayımı (TNS) testi, zihinsel yorgunluğu değerlendirmek için Wood Mental Yorgunluk Envanteri (WMYE), bireylerin uyku kalitesini değerlendirmek için Pittsburg Uyku Kalitesi İndeksi (PUKİ) ve pandeminin sosyal etkilerini araştırmak için Sosyal Etkiler Anketi (SEA).
Sonuçlar: COVID-19 hastalığı geçirip iyileşmiş kişilerde kontrollere göre daha yüksek düzeyde yorgunluk, dispne ve zihinsel yorgunluk bildirildi (p<0,05). Her iki grupta da yorgunluk ve dispne düzeyleri arasında orta-düşük düzeyde pozitif ilişki tespit edildi. COVID-19 hastalığı geçirip iyileşmiş kişilerde solunum fonksiyonları ve uyku kalitesinin kontrollerden daha düşük olduğu görüldü. COVID-19 hastalığı geçirip iyileşmiş kişilerde zihinsel yorgunluk ile uyku kalitesi arasında pozitif bir ilişki mevcuttu (p<0,05). Ayrıca, pandeminin sosyal etkilerinin COVID-19 hastalığı geçirip iyileşmiş kişilerde ve kontrollerde benzer olduğu bulundu (p>0,05).
Tartışma: Uzun süreli COVID-19 iyileşme süresinden sonra bile yorgunluk ve nefes darlığı, zihinsel yorgunluk, zayıf solunum fonksiyonu ve uyku bozuklukları gibi semptomlar devam etmektedir. Bu nedenle, COVID-19 hastalığı geçirip iyileşmiş kişilerde bu sorunları azaltabilmek amacıyla tedavi stratejileri geliştirilmesi gereklidir.

Proje Numarası

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Kaynakça

  • 1. World Health Organization. WHO Director-General’s opening remarks at the media briefing on COVID-19[Internet]. Geneva: World Health Organization; 2020 [cited 2021 Aug 19]. Available from: https://www.who.int/director general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
  • 2. Andrade BS, Siqueira S, de Assis Soares WR, de Souza Rangel F, Santos NO, Dos Santos Freitas A, et al. Long-covid and post-covid health complications: An up-to-date review on clinical conditions and their possible molecular mechanisms. Viruses. 2021; 13(4): 700-725.
  • 3. Ramani SL, Samet J, Franz CK, Hsieh C, Nguyen C V., Horbinski C, et al. Musculoskeletal involvement of COVID-19: review of imaging. Skelet Radiol. 2021;50(9):1763–73.
  • 4. Miyazato Y, Morioka S, Tsuzuki S, Akashi M, Osanai Y, Tanaka K, et al. Prolonged and Late-Onset Symptoms of Coronavirus Disease 2019. Open Forum Infect Dis. 2020; 7(11): 507.
  • 5. Shah W, Hillman T, Playford ED, Hishmeh L. Managing the long term effects of covid-19: Summary of NICE, SIGN, and RCGP rapid guideline. BMJ. 2021;372(136).
  • 6. Moradian ST, Parandeh A, Khalili R, Karimi L. Delayed symptoms in patients recovered from covid-19. Iran J Public Health. 2020;49(11):2120–7.
  • 7. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912–20.
  • 8. Ammar A, Trabelsi K, Brach M, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of home confinement on mental health and lifestyle behaviours during the COVID-19 outbreak: Insights from the ECLB-COVID19 multicentre study. Biol Sport. 2021;38(1):9–21.
  • 9. Clemente-Suárez VJ, Dalamitros AA, Beltran-Velasco AI, Mielgo-Ayuso J, Tornero-Aguilera JF. Social and Psychophysiological Consequences of the COVID-19 Pandemic: An Extensive Literature Review. Front Psychol. 2020;11:580225.
  • 10. Lee K, Hicks G, Nino-Murcia G. Validity and reliability of a scale to assess fatigue. Psychiatry Res. 1991;36(3):291–8.
  • 11. Ambrosino N, Scano G. Measurement and treatment of dyspnoea. Respir Med. 2001;95(7):539–47. 12. Van Roo JD, Lazio MP, Pesce C, Malik S, Courtney DM. Visual analog scale (VAS) for assessment of acute mountain sickness (AMS) on aconcagua. Wilderness Environ Med. 2011;22(1):7–14.
  • 13. Li DJ, Kao WT, Shieh V, Chou FHC, Lo HWA. Development and implementation of societal influences survey questionnaire (Sisq) for peoples during covid-19 pandemic: A validity and reliability analysis. Int J Environ Res Public Health. 2020;17(17):1–13.
  • 14. Luiza Escóssio A, Cappato de Araújo R, Oliver N, Chagas Costa E, Ângelo Rizzo J, Sávio Cavalcanti Sarinho E, et al. Accuracy of single-breath counting test to determine slow vital capacity in hospitalized patients. Revista CEFAC. 2019;21(2):2119.
  • 15. Bentall RP, Wood GC, Marrinan T, Deans C, Edwards RHT. A brief mental fatigue questionnaire. Br J Clin Psychol. 1993;32(3):375–7.
  • 16. Buysse D, Reynolds C, Monk T, Berman S, Kupfer D. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.
  • 17. Michael G, Daniel K, In-Young Y, Youngstedt Shawn. Criterion validity of the Pittsburgh Sleep Quality Index. Sleep Biol Rhythm. 2006;4(2):129–39.
  • 18. Backhaus J, Junghanns K, Broocks A, Riemann D, Hohagen F. Test-retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia. J Psychosom Res. 2002;53(3):737–40.
  • 19. Hinkle, DE Wiersma, W Jurs S. Applied Statistics for the Behavioral Sciences. 5th ed. Boston: Houghton Mifflin; 2003.
  • 20. Goërtz YMJ, Van Herck M, Delbressine JM, Vaes AW, Meys R, Machado FVC, et al. Persistent symptoms 3 months after a SARS-CoV-2 infection: the post-COVID-19 syndrome? ERJ Open Res. 2020;6(4):00542–2020.
  • 21. Özkeskin M, Özden F, Karaman B, Ekmekçi Ö, Yüceyar N. The comparison of fatigue, sleep quality, physical activity, quality of life, and psychological status in multiple sclerosis patients with or without COVID-19. Mult Scler Relat Disord. 2021;55:103180.
  • 22. Serviente C, Decker ST, Layec G. From heart to muscle: pathophysiological mechanisms underlying long-term physical sequelae from SARS-CoV-2 infection. J Appl Physiol. 2022;132(3):581–92.
  • 23. Morgul E, Bener A, Atak M, Akyel S, Aktaş S, Bhugra D, et al. COVID-19 pandemic and psychological fatigue in Turkey. Int J Soc Psychiatry. 2021;67(2):128–35.
  • 24. Wirth KJ, Scheibenbogen C. Dyspnea in Post-COVID Syndrome following Mild Acute COVID-19 Infections: Potential Causes and Consequences for a Therapeutic Approach. Medicina (Kaunas).2022;58(3):419.
  • 25. Lewis KL, Helgeson SA, Tatari MM, Mallea JM, Baig HZ, Patel NM. COVID-19 and the effects on pulmonary function following infection: A retrospective analysis. EClinicalMedicine. 2021;39:101079.
  • 26. Liang L, Yang B, Jiang N, Fu W, He X, Zhou Y, et al. Three-month Follow-up Study of Survivors of Coronavirus Disease 2019 after Discharge. J Korean Med Sci. 2020;35(47):e418.
  • 27. Torrente F, Yoris A, Low DM, Lopez PL, Bekinschtein P, Vazquez G, et al. Emotional symptoms, mental fatigue and behavioral adherence after 72 continuous days of strict lockdown during the COVID-19 pandemic in Argentina. medRxiv. 2021;04(21).
  • 28. Ruiz FJ, Sáiz PA, García-Portilla MP, González-Blanco L, García-Álvarez L, Madera PZ, et al. Does COVID-19 psychological fatigue exist? Results of three online cross-sectional studies conducted in Spain from April 2020 to March 2021. J Glob Health. 2022;12:05001.
  • 29. Pinto J, van Zeller M, Amorim P, Pimentel A, Dantas P, Eusébio E, et al. Sleep quality in times of Covid-19 pandemic. Sleep Med. 2020;74:81–5.
  • 30. Zhang L, Li T, Chen L, Wu F, Xia W, Huang M, et al. Association of sleep quality before and after sars-cov-2 infection with clinical outcomes in hospitalized patients with covid-19 in China. EXCLI J. 2021;20:894–906.
  • 31. Gupta R, Grover S, Basu A, Krishnan V, Tripathi A, Subramanyam A, et al. Changes in sleep pattern and sleep quality during COVID-19 lockdown. Indian J Psychiatry. 2020;62(4):370.
  • 32. Markel H, Lipman HB, Navarro JA, Sloan A, Michalsen JR, Stern AM, et al. Nonpharmaceutical Interventions Implemented by US Cities During the 1918-1919 Influenza Pandemic. JAMA. 2007;298(6):644–54.
  • 33. Baack BN, Abad N, Yankey D, Kahn KE, Razzaghi H, Brookmeyer K, et al. COVID-19 Vaccination Coverage and Intent Among Adults Aged 18–39 Years-United States, March- May 2021. MMWR Morb Mortal Wkly Rep. 2021;70(25):928–33.
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Fizyoterapi
Bölüm Araştırma Makaleleri
Yazarlar

Gözde İyigün 0000-0001-8346-9952

Sevim Öksüz 0000-0002-8980-2629

Zehra Güçhan Topçu 0000-0001-8587-7407

Özde Depreli 0000-0001-7456-8895

Aytül Özdil 0000-0002-0392-9953

Proje Numarası -
Yayımlanma Tarihi 31 Ağustos 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 34 Sayı: 2

Kaynak Göster

APA İyigün, G., Öksüz, S., Güçhan Topçu, Z., Depreli, Ö., vd. (2023). THE COMPARISON OF THE PHYSICAL AND SOCIAL INFLUENCES OF THE COVID-19 PANDEMIC IN CONVALESCENTS AND CONTROLS: A CASE-CONTROL STUDY. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 34(2), 189-198. https://doi.org/10.21653/tjpr.1107776
AMA İyigün G, Öksüz S, Güçhan Topçu Z, Depreli Ö, Özdil A. THE COMPARISON OF THE PHYSICAL AND SOCIAL INFLUENCES OF THE COVID-19 PANDEMIC IN CONVALESCENTS AND CONTROLS: A CASE-CONTROL STUDY. Turk J Physiother Rehabil. Ağustos 2023;34(2):189-198. doi:10.21653/tjpr.1107776
Chicago İyigün, Gözde, Sevim Öksüz, Zehra Güçhan Topçu, Özde Depreli, ve Aytül Özdil. “THE COMPARISON OF THE PHYSICAL AND SOCIAL INFLUENCES OF THE COVID-19 PANDEMIC IN CONVALESCENTS AND CONTROLS: A CASE-CONTROL STUDY”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 34, sy. 2 (Ağustos 2023): 189-98. https://doi.org/10.21653/tjpr.1107776.
EndNote İyigün G, Öksüz S, Güçhan Topçu Z, Depreli Ö, Özdil A (01 Ağustos 2023) THE COMPARISON OF THE PHYSICAL AND SOCIAL INFLUENCES OF THE COVID-19 PANDEMIC IN CONVALESCENTS AND CONTROLS: A CASE-CONTROL STUDY. Türk Fizyoterapi ve Rehabilitasyon Dergisi 34 2 189–198.
IEEE G. İyigün, S. Öksüz, Z. Güçhan Topçu, Ö. Depreli, ve A. Özdil, “THE COMPARISON OF THE PHYSICAL AND SOCIAL INFLUENCES OF THE COVID-19 PANDEMIC IN CONVALESCENTS AND CONTROLS: A CASE-CONTROL STUDY”, Turk J Physiother Rehabil, c. 34, sy. 2, ss. 189–198, 2023, doi: 10.21653/tjpr.1107776.
ISNAD İyigün, Gözde vd. “THE COMPARISON OF THE PHYSICAL AND SOCIAL INFLUENCES OF THE COVID-19 PANDEMIC IN CONVALESCENTS AND CONTROLS: A CASE-CONTROL STUDY”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 34/2 (Ağustos 2023), 189-198. https://doi.org/10.21653/tjpr.1107776.
JAMA İyigün G, Öksüz S, Güçhan Topçu Z, Depreli Ö, Özdil A. THE COMPARISON OF THE PHYSICAL AND SOCIAL INFLUENCES OF THE COVID-19 PANDEMIC IN CONVALESCENTS AND CONTROLS: A CASE-CONTROL STUDY. Turk J Physiother Rehabil. 2023;34:189–198.
MLA İyigün, Gözde vd. “THE COMPARISON OF THE PHYSICAL AND SOCIAL INFLUENCES OF THE COVID-19 PANDEMIC IN CONVALESCENTS AND CONTROLS: A CASE-CONTROL STUDY”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, c. 34, sy. 2, 2023, ss. 189-98, doi:10.21653/tjpr.1107776.
Vancouver İyigün G, Öksüz S, Güçhan Topçu Z, Depreli Ö, Özdil A. THE COMPARISON OF THE PHYSICAL AND SOCIAL INFLUENCES OF THE COVID-19 PANDEMIC IN CONVALESCENTS AND CONTROLS: A CASE-CONTROL STUDY. Turk J Physiother Rehabil. 2023;34(2):189-98.