Fizyoterapi ve Rehabilitasyon Bölümü Makale Koleksiyonu

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https://hdl.handle.net/20.500.12713/194

Listeleniyor 1 - 20 / 41

Impact of blood flow restriction intensity on pain perception and muscle recovery post-eccentric exercise
(John Wiley and Sons Inc, 2025) Sürenkök, Özgür; Aydın, Gamze; Aloğlu Çiftçi, Ebru; Kendal, Kübra; Atıcı, Emine
Background: Delayed onset muscle soreness (DOMS) is a well-established phenomenon characterized by ultrastructural muscle damage that typically develops following unfamiliar or high-intensity exercise. DOMS manifests with a constellation of symptoms, including muscle tenderness, stiffness, edema, mechanical hyperalgesia, and a reduced range of joint motion. In recent years, the application of blood flow restriction (BFR) has garnered attention for its potential impact on DOMS. Objective: This study aimed to investigate the effects of different BFR intensities on biomechanical alterations induced by DOMS in healthy individuals. Design and Methods: Thirty participants were split into two groups receiving either 80% or 20% BFR applied during low-intensity resistance exercise following DOMS induction. Pain perception, pressure pain threshold, muscle biometric characteristics, and strength were assessed before DOMS, after DOMS, and following BFR application at 24, 48, and 72 h. Results: The 80% BFR group experienced faster reductions in pain perception compared to the 20% BFR group. Muscle strength recovery was also statistically faster in the 80% BFR group. No significant differences were observed between groups in muscle stiffness, flexibility, or other mechanical properties. Conclusions: These findings suggest that BFR, particularly at higher intensities, may alleviate DOMS symptoms and accelerate muscle strength recovery. However, the lack of a control group and limitations in muscle property assessment warrant further research to definitively determine BFR's efficacy in managing DOMS. © 2024 Scandinavian Society of Clinical Physiology and Nuclear Medicine.
Relation of functional independence to balance, exercise capacity, and peripheral muscle strength in individuals with chronic stroke: a cross-sectional study
(Churchill livingstone, 2024) Tütüneken, Yunus Emre; Yeldan, İpek
Purpose: This cross-sectional study determined the relationship between functional independence and balance, functional exercise capacity, and knee extensor strength in individuals with chronic stroke. Material and methods: The study included fifty-four individuals with chronic stroke. A single physiotherapist evaluated clinical features. Assessments included the Functional Independence Measure (FIM), the Tinetti Performance Oriented Mobility Assessment (POMA), the Timed-Up and Go Test (TUG), the 6-min Walk Test (6MWT), and Knee Extensor Strength (KES). Results: Patients' mean age and body mass index were 60.5 ± 7.13 years and 27.08 ± 4.65 kg/m2. FIM was significantly associated with the POMA (r = 0.644, p = 0.000), TUG (r = -0.723, p = 0.000), and 6MWT (r = 0.569, p = 0.000). FIM was not significantly associated with KES of the paretic side (r = 0.264, p = 0.054), and KES of the non-paretic side (r = 0.207, p = 0.133). However, mFIM was significantly associated with KES of the paretic side (r = 0.432, p = 0.001), and KES of the non-paretic side (r = 0.348, p = 0.010). Outcomes: It was established that there was no relationship between KES and FIM, but that a relationship existed between KES and mFIM. Functional independence is associated with balance ability and functional exercise capacity.
Correlation between morphometry of fetal foot and gestational age: a cadaver study
(Society of Anatomy and Clinical Anatomy, 30 Ağustos 2024) Canbaloğlu, Abdurrahim Eyüp; Dursun, Ahmet; Öztürk, Kenan; Kastamoni, Yadigar
Objectives: This study was conducted on a collection of fetal cadavers to describe the relationship between gestational age and foot parameters specifically in the Turkish population. Methods: The study involved 83 fetal cadavers (45 males, 38 females) ranging from 13 to 40 weeks of gestation, without external anomalies or pathologies. Various foot parameters were measured, including foot width (FW), heel width (HW), foot length (FL), heel-metatarsophalangeal fold (HMF), bimalleolar width (BW), foot dorsum length (FDL), ankle-metatarsophalangeal fold (AMF), malleolus medialis height (MMH), malleolus lateralis height (MLH), and finger length (FiL). These parameters were measured using a digital caliper with a precision of 0.01 mm. The fetuses were grouped by gestational month, and morphometric measurements were taken. Results: A strong and positive correlation was found between all foot parameters and gestational age (months). All parameters increased consistently throughout the fetal period. No significant differences were observed based on gender or side comparisons for any of the parameters. Linear regression equations were developed to estimate gestational age using fetal foot parameters. These parameters explained 72% to 90% of the variation in gestational age. Conclusion: Fetal foot length and related foot parameters can reliably be used to estimate gestational age. Due to the simplicity of these measurements, fetal foot parameters can be utilized to estimate age for babies born outside a hospital setting without the need for specialist equipment. Additionally, for premature babies receiving treatment in neonatal units, foot measurements offer a practical and easily accessible method for age estimation.
Effect of Telerehabilitation on Exercise Capacity, Cardiac Function and Physical Activity in a Patient with Systemic Arterial Hypertension: A Case Report
(Hacettepe University, 31 Ocak 2025) Durukan, Beyza Nur; Jam, Farzin; Çırak, Yasemin; Ozan, Zeynep; Şener, Yusuf Ziya; Yaglı, Naciye Vardar
Aim: The aim of this study was to investigate the effects of calisthenic-based aerobic exercise training applied via real-time telerehabilitation on cardiac functions, exercise capacity, physical activity and body composition in an adult patient with systemic hypertension. Methods: A 48-year-old female case is presented in this study. The hypertensive individual who applied to the Sorgun State Hospital Department of Cardiology was consulted for cardiac rehabilitation (CR). Since the patient did not have access to outpatient CR, the physical therapist decided to perform synchronous telerehabilitation. Before and at the end of the exercise training, exercise capacity was assessed with 6-minute stepper test and maximal stress test, physical activity level with the International Physical Activity Scale and smart watch, body composition with bioelectrical impedance analysis, and systolic and diastolic functions with echocardiography. The patient underwent submaximal exercise training via video conference for 24 sessions and real-time heart rate monitoring was performed with a smart watch during the exercise. Results: The patient (height: 155 cm, body mass index: 31.61 kg/m²) completed all 24 sessions (100%). No adverse events were observed during the exercise sessions. At the end of the exercise training, there were improvements in the patient’s systolic and diastolic functions as well as in 24-hour blood pressure monitoring. Moreover, there was a significant increase in predicted oxygen consumption and exercise capacity levels. In addition, positive changes were observed in the patient’s physical activity level and body composition. Discussion: Hypertension, a major cause of morbidity and mortality, can benefit from aerobic exercise training delivered via telerehabilitation, which has demonstrated significant improvements in cardiometabolic health. Given the high adherence rate, cost-effectiveness, and feasibility, cardiac telerehabilitation appears to be a promising intervention for managing hypertension in clinical practice.
The Acute Effect Of Proprıoceptıve Neuromuscular Facılıtatıon On Cervıcal Range Of Motıon, Strength, And Proprıoceptıon
(Türkiye Fizyoterapistler Derneği, 23 Aralık 2024) Aljallad, Mohammad; Günday, Çiçek; Hantal, Feyza Şule Badıllı
Purpose: This double-blind randomized controlled study aimed to investigate the acute influence of two different proprioceptive neuromuscular facilitation (PNF) exercise, targeting stretching and strengthening, on cervical proprioception, range of motion (ROM) and strength among healthy university students. Methods: Healthy subjects were randomly divided into three groups as PNF stretching (PNFS) (n=36), resistive PNF pattern (PNFP) (n=35), and control group (CG) (n=33) which received only passive range of motion (ROM) exercises without causing any stretch. All participants were assessed in terms of cervical proprioception, ROM and muscle strength before and after one intervention session. Results: Within-group analysis of the PNFS group showed a significant difference only in extension proprioception and right rotation ROM (p≤0.05) while the PNFP group showed a significant difference in extension, right rotation, right and left lateral flexion proprioception; extension and right rotation ROM, and right and left rotation muscle strength (p≤0.05). For the CG, the within-group analysis showed a significant difference in flexion, extension, right rotation and right lateral flexion proprioception, extension, and left and right lateral flexion ROM (p≤0.05). Between-group analysis showed a significant difference only in cervical flexion proprioception (p=0.023) for PNFP over the CG. Conclusion: Although a lack of significant difference found in the between-group analysis, the within-group analysis showed that PNF patterns applied with resistance may be a promising technique to improve cervical proprioception, muscle strength and ROM.
The Relationships Between Wrist Joint Position Sense, Anthropometric Characteristics and Grip Strength of the Hand in Healthy Individuals
(Galenos Yayınevi, 22.10.2024) Abalay, Arzu; Cemel, Yakup; Varhan, Berrak; Yavuzer, Güneş
Objective: The hand is an extremely unique structure with its own characteristics that should be better understood. To determine the relationship between joint position sense (JPS), hand anthropometrics, and grip strength (GS) in healthy individuals. Methods: Both hands of 50 healthy adults were evaluated. The anthropometric characteristics (AC) were determined using small paper insertion tape. Hand and finger strength were measured using hand dynamometry and a pinchometer, respectively. The wrist JPS was evaluated for wrist flexion, extension, and deviations via a position error test using a goniometer. Results: AC and GS were positively correlated with both the dominant and non-dominant sides in all parameters (p<0.05). There was a significant positive relationship between palmar GS and wrist flexion JPS error on the dominant side (p=0.039, r=0.292) and on the non-dominant side (p=0.033, r=-0.303). There was no significant relationship between JPS and the AC of any other GS parameters (p>0.05). Conclusion: The use of anthropometric data in calculating GS, as well as other complimentary data, can be utilized to determine the type and diversity of exercise for physiotherapy and rehabilitation program organization. The results showed a weak correlation between wrist JPS, AC, and GS. In conclusion, our study showed that AC can be used as an indicator of GS, but GS alone is insufficient to indicate joint position.
Cultural adaptation, reliability and validity of the pelvic girdle questionnaire in pregnant
(Ankara Yıldırım Beyazıt University, 2019) Yelvar, Gül Deniz Yılmaz; Çırak, Yasemin; Demir, Yasemin Parlak; Türkyılmaz, Emine Seda
Objectives: The aims of this study were to translate the Pelvic Girdle Questionnaire (PGQ) to Turkish and to assess its test-retest reliability and validity in pregnant women. Materials and Methods: One hundred and thirty-five pregnant with pelvic girdle pain were recruited in the study. Visual analog scale was used to evaluate pain intensity, PGQ for condition-specific health related quality of life, Nottingham Health Profile for health-related quality of life, Oswestry Disability Index for disability level, The guidelines for cross-cultural adaptation in PGQ was used. Results: A total of 135 pregnant with a mean age of the 30±4.77 years included in the study. Interclass correlation coefficient score for test-retest reliability was 0.972 (95% CI= 0.968-0.977) for PGQ activity subscale, 0.910 (95% CI=0.905-0.915) for PGQ symptom subscale and 0.979 (95% CI= 0.975-0.983) for PGQ total. Conclusion: The study demonstrated that Turkish version of PGQ is a valid and reliable tool for measuring both disability and symptom and good psychometric properties in Turkish speaking pregnants with pelvic girdle pain. © 2018 Ankara Yildirim Beyazit University. All rights reserved.
Investıgatıon Of Clınıcal Factors Affectıng Perceıved Paın Intensıty In Female Patıents Wıth Knee Osteoarthrıtıs
(Kılıçhan Bayar, 30 Nisan 2024) Birinci, Tansu; Veer, Pınar Van Der; Kolbaşı, Esma Nur; Altun, Süleyman; Ergin, Ömer Naci
Objective: The present study aimed to identify the clinical variables influencing perceived pain intensity at rest, during activity, and at night in female patients with knee osteoarthritis (OA). Method: One hundred-six female patients with knee OA (mean age, 58.50±9.48 years; mean BMI, 30.73±5.53 kg/m2) were included. The Visual Analogue Scale (VAS), active range of motion (AROM), strength of the iliopsoas, gluteus medius, quadriceps femoris, and hamstring muscles, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Short Form-12 (SF-12) were outcome measures. A multivariate or univariate regression analysis was conducted to examine the relationship between the VAS ratings and AROM, muscle strength, WOMAC, SF-12, and Kellgren-Lawrence classification. Results: The mean values for VAS-rest, VAS-activity, and VAS-night were 3.02±2.32, 6.62±1.96, and 3.89±2.72, respectively. A significant correlation was found between VAS-rest and quadriceps femoris muscle strength, as well as the WOMAC score. Similarly, VAS-activity showed a significant association with hip flexion and knee extension AROM, quadriceps femoris muscle strength, Grade 3 or Grade 4 OA, physical component score of SF-12, and WOMAC score (p<0.05). There was also a significant association between VAS-activity and age (β:-0.194, 95%CI:-0.043 - 0.021, p=0.04). Conclusion: The quadriceps femoris muscle strength and functional level of the patients with knee OA significantly predict both pain intensity at rest and during activity. In addition, pain intensity during activity was found to be associated with hip flexion and knee extension AROM, Kellgren-Lawrence grading, the physical component of quality of life, and age.
Examination of Early Results of Physical Activity Counseling after Coronary Artery Bypass Graft Surgery
(İzmir Katip Çelebi Üniversitesi, 30 Ocak 2024) Karahan, Zehra Can; Çırak, Yasemin Buran; Arıkan, Hülya
Objective: Physical inactivity, an important risk factor for coronary artery disease, should be increased after coronary artery bypass graft (CABG) surgery. The aim of this study was to examine the effects of early physical acitivity (PA) counseling in CABG patients. Material and Method: Thirty male patients included in the study were randomly divided into two groups. Fifteen patients received PA counseling and routine physiotherapy, while the others received only standard physiotherapy. PA, exercise capacity, daily living activities, sleep quality, depression, and anxiety were assessed before and two weeks after surgery. All patients received an activity monitor (MF-SenseWear Armband) upon discharge for PA and energy expenditure evaluation. Energy expenditure, average MET, PA duration, laying and sleeping time, and daily steps were monitored for seven days after discharge. Results: The 6-minute walking distance decreased from 507.87±77.70 m to 470.46±69.83 m in the PA group (p=0.001) and from 499.80±82.93 m to 448.00±64.25 m in the control group (p=0.002), but the difference was not significant (p=0.610). PA counseling did not significantly affect total energy expenditure (8516.10±1489.75 vs. 8568.75±999.68 joules, p=0.910), active energy expenditure (307.43 joules (min 13.57- max 3300.57) vs. 303.68 joules (min 30.71-max 11.68), p=0.412), mean metabolic equivalent (1.30±0.16 vs 1.17±0.17, p=0.057), PA duration (16.57 minutes (min 0.71-max 180) vs 16.85 minutes (min 3.57-max 58.71), p=0.367), the number of steps (723.86 steps (min 198.57-max 5944.14) vs 796.28 (min73.86-max 4217.86), p=1.000). Conclusion: Our PA counseling did not improve PA and clinical outcomes after CABG surgery more than conventional treatment. Longer follow-ups are needed to demonstrate efficacy.
The Acute Effect Of Proprıoceptıve Neuromuscular Facılıtatıon On Cervıcal Range Of Motıon, Strength, And Proprıoceptıon
(H. Serap İnal, 2024) Aljallad, Mohammad; Günday, Çiçek; Badilli, Feyza Sule
Purpose: This double-blind randomized controlled study aimed to investigate the acute influence of two different proprioceptive neuromuscular facilitation (PNF) exercise, targeting stretching and strengthening, on cervical proprioception, range of motion (ROM) and strength among healthy university students. Methods: Healthy subjects were randomly divided into three groups as PNF stretching (PNFS) (n=36), resistive PNF pattern (PNFP) (n=35), and control group (CG) (n=33) which received only passive range of motion (ROM) exercises without causing any stretch. All participants were assessed in terms of cervical proprioception, ROM and muscle strength before and after one intervention session. Results: Within-group analysis of the PNFS group showed a significant difference only in extension proprioception and right rotation ROM (p≤0.05) while the PNFP group showed a significant difference in extension, right rotation, right and left lateral flexion proprioception; extension and right rotation ROM, and right and left rotation muscle strength (p≤0.05). For the CG, the within-group analysis showed a significant difference in flexion, extension, right rotation and right lateral flexion proprioception, extension, and left and right lateral flexion ROM (p≤0.05). Between-group analysis showed a significant difference only in cervical flexion proprioception (p=0.023) for PNFP over the CG. Conclusion: Although a lack of significant difference found in the between-group analysis, the within-group analysis showed that PNF patterns applied with resistance may be a promising technique to improve cervical proprioception, muscle strength and ROM.
The effects of connective tissue manipulation on balance and proprioception among university students: randomized controlled study
(Elsevier Australia, 2025) Günday, Çiçek; Hantal, Feyza Şule Badıllı
Background and Purpose: Manual therapy approaches (MTA) could stimulate the proprioceptors of the fascia. Connective tissue manipulation (CTM) is an MTA that could affect musculocutaneous and nervous systems together. Thus, it could be a more promising technique than other MTA to stimulate the fascial proprioceptors. This single-blind randomized-controlled study aimed to investigate the effects of CTM applied to the lumbar, thoracal, and cervical regions on balance and proprioception. Materials and Methods: 40 university students were randomly divided into exercise (16 females, 4 males; mean age: 20.87 ± 3.15) and exercise+CTM (14 females, 6 males; mean age: 22.55 ± 2.39) groups. Both groups performed home exercises to improve balance, flexibility and strength for 2 sessions a week for 6 weeks. Additionally, CTM was applied in exercise+CTM group for 6 weeks, twice-a-week. Before/after assessments were done with Biodex Balance System, Cervical Range of Motion Tester, and StabilizerTM Pressure Biofeedback Unit. Results: Exercise group showed a significant improvement in proprioception only for cervical flexion to the right with (p = 0.021) and without (p = 0.002) vision while balance was improved especially on dynamic platforms (p < 0.05). Exercise+CTM group showed an improvement in without-vision cervical proprioception in flexion (p = 0.001), flexion to the right (p = 0.003) and left (p = 0.010) and lumbar proprioception (p ≤ 0.001). Balance scores were improved in both static and dynamic platforms (p < 0.05). Improvements in proprioception of cervical flexion with (p = 0.017) and without vision (p = 0.044), and posterior pelvic tilt (p ≤ 0.001) differed between the groups after the study. Unilateral balance scores on static platform (left foot p = 0.016, right foot p = 0.001), and right-foot-stance and bilateral-stance balance scores on dynamic platform (p = 0.008 and p = 0.048 respectively) were improved more in exercise+CTM group. Conclusion: CTM with exercise improves cervical/lumbar proprioception and balance, especially static balance in comparison to exercise only. Future studies should be done with different populations such as patients with neurological conditions or athletes.
Immediate effect of manual therapy on respiratory functions and respiratory muscle strength in stroke patients
(Türkiye Fizyoterapistler Derneği, 23 Aralık 2024) Atıcı, Emine; Gül, Kenan; Kardeş, Kübra; Tütüneken, Yunus Emre; Elbaşı, Nurgül Dürüstkan; Çırak, Yasemin
Purpose: Although the benefits of manual therapy (MT) are known, studies on its effect on stroke patients are limited. The aim of this study was to evaluate the immediate effects of MT on respiratory function and respiratory muscle strength in stroke patients. Methods: A total of forty-seven patients, comprising 33 men and 14 women, were enrolled in the study and then randomly assigned to either the MT group (n=31) or the control group (n=16). All participants met with initial pulmonary function and respiratory muscle testing and then rested supine for 10 minutes before the procedure. The respiratory tests were repeated immediately after the procedure. Tests included: maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV1/FVC, and peak expiratory flow (PEF). Results: In intra-group comparisons, a significant improvement was observed in all measured parameters in the MT group (p<0.05), while no significant change was observed in the control group except FEV1 and FEV1/FVC values (p>0.05). In comparisons between groups, a statistically significant difference was found in FEV1, FEV1/FVC, PEF and MEP values(p<0,05) Conclusions: This study demonstrated that manual therapy had a immediate positive effect on lung function and respiratory muscle strength in stroke patients.
The effects of classical music on pain and spinal mobility during stretching exercises in healthy ındividuals
(İstanbul Gelişim Üniversitesi, 31 Ağustos 2024) Sener, Sanem; Cantürk, Elif; Topal, Eda Ezgi
Aim: The aim of this study was to examine the immediate effects of listening to classical music as a cognitive relaxation technique during stretching exercises on trunk flexibility and exercise-induced pain. Method: This study was a randomized controlled trial in which 34 healthy male and female individuals aged between 18-22 years were divided into two groups: classical music listening group (n=17) and control group (n=17). Both groups performed static stretching exercises on the lumbal region and hamstring muscle groups for a total of 15 minutes. During the exercise, participants in the Classical Music Group listened to music with headphones. Control group did not listen to any music. Both groups underwent evaluation of their forward (Sit Reach Test) and lateral trunk flexibility (Trunk Lateral Flexion Test) before and after the exercise. Pain intensity during exercise was measured with Visual Analog Scale. Statistical analysis was performed using the R-Studio 1.4.1103 program, with a significance level of p<0.05. Results: In both groups, there was an increase in all flexibility values compared to before the stretching exercise (p<0.001). Classical Music Group demonstrated greater improvements in flexibility values compared to the Control Group, except for the forward flexibility of the trunk (p<0.05). The two groups had no significant difference in pain levels experienced during static stretching exercises (p>0.05). Conclusion: Performing stretching exercises while listening to classical music has been shown to increase the pain threshold. This decreased sensation of pain resulting from exercise can also lead to increased flexibility.
Video-based physical exercise effects on young adults in social ısolation during the coronavirus pandemic
(İstanbul Gelişim Üniversitesi, 5 Ocak 2024) Çırak, Yasemin Buran; Işıkcı, Burcu; Kardeş, Kübra; Tütüneken, Yunus Emre; Yelvar, Gül Deniz Yılmaz; İnal, Habibe Serap
Aim: The aim of this study is to evaluate the effectiveness of video-based exercises on the physical activity levels of individuals between the ages of 18-40 in social isolation to prevent the spread of the COVID-19 pandemic. Method: 64 volunteers participated as the control and 64 study groups were divided randomly and equally into two groups, the video-based exercise group (VEG) and the control group (CG). The video-based exercise group was included in an exercise program for 20 minutes, 7 days a week for 6 weeks. The primary outcome measure was the International Physical Activity Questionnaire (Short Form) (IPAQ-SF). Secondary outcome measures were the Nottingham Health Profile (NHP), Pittsburgh Sleep Quality Index (PSQI), Beck Anxiety Inventory (BAI), Distress Tolerance Scale (DTS), sit and reach test, shoulder flexibility test, squat test, plank test, lateral bridge test (LBT), crunch test and single leg stance test (SLST). Tests were applied to the groups at the beginning and the end of the study. Results: There was a statistically significant difference in all parameters in the study group before and after the application (p<0.05). According to the intergroup comparisons, there was a statistically significant increase between the groups in IPAQ-SF, Sit and Reach Test, Push Up Test, Plank Test, LBT, and SLST Tests; there was a statistically significant decrease between the groups in DTS, BAI, PSQI, and NHP scores (except for pain and social isolation scores) (p<0.05). Conclusion: Our findings will shed light on the management of the physiotherapy and rehabilitation process by contributing to the increasing evidence in the literature on the effectiveness of video-based exercises and improving health-related multifaceted parameters in various post-pandemic situations where access to health services and preventive rehabilitation is restricted.
Amatör erkek basketbol oyuncularında tüm vücut vibrasyon egzersizlerinin spor performansı üzerine etkisi
(Haliç Üniversitesi, 4 Haziran 2024) Kardeş, Kübra; Büyük, Cemre; Tanrıverdi, Pervin; Nidal, Lamia; Attar, Youssef; Veer, Pınar Van Der
Basketbol, oyuncuların spor ile ilişkili özel beceri ve yeteneklere sahip olmasını gerektiren bir spor dalıdır. Fiziksel performansı geliştirmek için tüm vücut vibrasyonunun (TVV) atletler üzerindeki etkisi araştırılmış ancak bunun basketbol oyuncularının ısınma programına eklediğinde ortaya çıkan etkisi yeterince incelenmemiştir. Bu çalışmada, ısınma programına eklenen TVV aleti ile yapılan egzersizlerin, amatör basketbol oyuncularının performansını oluşturan kuvvet, endurans, zıplama, çeviklik, hız ve basketbola özgü şut performansı gibi parametrelere olan etkisini araştırmak amaçlanmıştır. Çalışmaya yaş ortalamaları 19,59 olan 17 amatör erkek basketbol oyuncusu dahil edildi. Katılımcıların sosyodemografik bilgileri ve antropometrik ölçümleri kaydedildi. Sporcuların alt ekstremite kas kuvveti handheld dinamometre ve vertikal sıçrama testi, esneklikleri otur uzan testi, enduransları Beiring Sorenson testi, çeviklikleri T testi, hızları 10 metre sprint testi, isabetleri AAHPERD şut performans testi ve kavrama kuvvetleri jamar ile ölçüldü. Basketbolcular, 4 hafta boyunca, rutin ısınma programına eklenen TVV ile squat, şınav ve lunge egzersizlerini yaptılar. Uygulanan 4 haftalık program sonrasında TVV’nin quadriceps femoris (p=0,001), tibialis anterior (p=0,002), gluteus maximus (p=0,019), gluteus medius (p=0,003), gastrosoleus (p=0,006), rectus abdominis (p=0,040) ve el kavrama (p=0,006) kuvvetlerini arttırdığı bulundu. TVV’nin performansı gösteren T testi (p=0,047), vertikal zıplama (p=0,008) ve Y denge testi (sol posteriolateral p=0,008, sağ posteriomedial p= 0,019) sonuçlarına da anlamlı katkısı olurken esneklik, endurans, hız ve basketbola özgü şut performansı sonuçlarına etkisi görülmedi (p>0,05). Çalışmamızın sonucunda TVV’nin kas kuvvetine etkisi görülürken basketbola özgü performansa ait değerleri geliştirmediği gösterilmiştir. Bu nedenle TVV’nin performansa uzun süreli etkisinin araştırılması gerekmektedir.
The relationships between wrist joint position sense, anthropometric characteristics and grip strength of the hand in healthy individuals
(Galenos publishing house, 2024) Abalay, Arzu; Cemel, Yakup; Varhan, Berrak; Yavuzer, Melek Güneş
Objective: The hand is an extremely unique structure with its own characteristics that should be better understood. To determine the relationship between joint position sense (JPS), hand anthropometrics, and grip strength (GS) in healthy individuals. Methods: Both hands of 50 healthy adults were evaluated. The anthropometric characteristics (AC) were determined using small paper insertion tape. Hand and finger strength were measured using hand dynamometry and a pinchometer, respectively. The wrist JPS was evaluated for wrist flexion, extension, and deviations via a position error test using a goniometer. Results: AC and GS were positively correlated with both the dominant and non-dominant sides in all parameters (p<0.05). There was a significant positive relationship between palmar GS and wrist flexion JPS error on the dominant side (p=0.039, r=0.292) and on the non-dominant side (p=0.033, r=-0.303). There was no significant relationship between JPS and the AC of any other GS parameters (p>0.05). Conclusion: The use of anthropometric data in calculating GS, as well as other complimentary data, can be utilized to determine the type and diversity of exercise for physiotherapy and rehabilitation program organization. The results showed a weak correlation between wrist JPS, AC, and GS. In conclusion, our study showed that AC can be used as an indicator of GS, but GS alone is insufficient to indicate joint position.
Effects of Different Taping Techniques in Individuals with Myofascial Pain Syndrome with a Trigger Point in the Trapezius Muscle: A Sham-controlled Randomized Study
(Galenos Publishing House, 2024) Kardes, K.; Van, Der, Veer, P.; Tutuneken, Y.E.; Aykac, H.N.; Arslan, E.; Aksoy, A.; Buran Cirak Y.
Objective: This study aimed to compare the effects of three different kinesio taping (KT) techniques in individuals with myofascial pain syndrome (MPS) who have a trigger point in the trapezius muscle. Methods: The individuals included in our study were randomly divided into four groups: Group 1: Functional correlation technique, group 2: Fascia correlation technique, group 3: Star taping technique (STT), and group 4: Sham group. The visual analog scale was used to assess pain, cervical joint range of motion (ROM) with a universal goniometer, grip strength with a hand dynamometer, number of active trigger points by palpation, pressure-pain threshold with an algometer, quality of life with the Nottingham Health Profile and functional level with the Neck Disability index were evaluated before and after treatment. Results: There was no difference between the groups in terms of demographic data and pre-treatment outcome measures (p>0.05). There was a significant difference in the pain score between the groups after treatment (p<0.05). A statistically significant difference was found in the cervical flexion ROM of all groups after treatment (p<0.05). In pairwise comparisons, these differences were found due to group 3 (p<0.05). Conclusions: The three KT techniques are effective in reducing pain, increasing ROM, reducing the number of active trigger points, and increasing grip strength. Among these techniques, STT was found to be more effective in reducing pain and increasing cervical flexion ROM. KT is a method that can be used in the clinic for patients with MPS. © 2024 The Author. Published by Galenos Publishing House on behalf of Istanbul Medeniyet University Faculty of Medicine.
The effects of instrument-assisted soft tissue mobilization and kinesio taping on pain, functional disability and depression in patients with chronic low back pain : a randomized trial
(Turkey Assoc Physiotherapists, 2022) Çakmak, Özge; Atıcı, Emine; Gülşen, Mustafa
Purpose: Low back pain is a common condition that can become chronic, which reduces the life quality of the patient by causing functional disability and depression. This study aimed to investigate the effects of instrument-assisted soft tissue mobilization (IASTM) and kinesio taping (KT) along with conservative treatment in patients with chronic nonspecific low back pain (CNLBP). Methods: A total of 30 patients with chronic low back pain aged between 30-50 years included in the study were randomized to IASTM (n=15) and KT (n=15) groups. Both the groups underwent conservative treatment that comprised of a hot pack, ultrasound, transcutaneous electrical nerve stimulation (TENS) and home exercises. In this study, assessments were made using the Visual Analogue Scale (VAS), Roland Morris Disability Questionnaire (RMDQ), and Beck Depression Inventory (BDI). The measurements were carried out at the beginning and end of the treatment. Results: As a result of the study, IASTM method improved in parameters such as pain (p<0.05), functionality (p=0.001) and depression (p<0.05). As a result of the study, the KT group improved in parameters such as pain, functionality and depression compared to pre-treatment (p<0.05). However, the two treatments were not superior to each other in pain (p=0.241), functionality (p=0.687) and depression (p=0.699) parameters. Conclusion: It has been observed that both treatments have positive effects on many parameters such as pain, disability, depression and mental state in patients with CNLBP. This study demonstrates that IASTM and KT treatments can be used to support therapeutic effects in patients with CNLBP.
Cross-cultural adaptation and validation of diabetes-39 in Turkish patients with type 2 diabetes
(Taylor and Francis Ltd., 2022) Buran Çırak, Yasemin; Yılmaz Yelvar, Gül Deniz; Parlak Demir, Yasemin; Durukan, Beyza Nur; Dürüstkan Elbaşı, Nurgül; Seyis, Ali Sabri
Purpose: To translate Diabetes-39 quality of life scale (D-39) into Turkish, to accomplish a cross-cultural adaptation, to demonstrate validity and reliability of Turkish version (D-39-TR). Methods: A total of 214 patients with type 2 diabetes were included, with an average age of 52.59 ± 14.83, a female/male ratio of 51/49%. Internal consistency and test-retest reliability were assessed by Cronbach's alpha coefficient and intraclass correlation coefficient (ICC), respectively. For structural validity, factor analysis was used. The SF-36 was used for convergent validity, and hemoglobin A1c (HbA1c) was used for differential validity. Results: The Cronbach's alpha coefficient was over 0.70 for all subscales of D-39-TR and it was 0.93 for whole D-39-TR. No problematic items were detected in the scale. The ICC for test-retest reliability was 0.91 (95% CI 0.91-0.94). The test-retest consistency for the total score was r = 0.94, p < 0.001. D-39-TR was explained by five factors. The ratio of explaining the total variance of these 5 factors was determined as 53.97%. SF-36 (r=-0.48, p < 0.001) and HbA1c values (r = 0.31, p < 0.001) were moderately correlated with total score of D-39-TR. A significant difference was found between QoL values of patients with poor and good glycemic control (p < 0.001). Conclusion: Turkish version of D-39 is a reliable and valid scale for measuring QoL in patients with type 2 diabetes.IMPLICATIONS FOR REHABILITATIONThe Turkish version of the Diabetes-39 (D-39) is a valid and reliable questionnaire and can be used in patients with type 2 diabetes.The Turkish version of the D-39 offers a useful tool for better identifying quality of life of patients with type 2 diabetes who are at risk for adverse outcomes.The Turkish version of the D-39 can be used to evaluate the effectiveness of attempts to increase quality of life in patients with type 2 diabetes.
General movements assessment and Alberta Infant Motor Scale in neurodevelopmental outcome of preterm infants
(Elsevier, 2022) Yıldırım, Canan; Asalıoğlu, Ayşegül; Coşkun, Yeşim; Acar, Gönül; Akman, İpek
Aim: We aimed to compare the General Movement Assessment (GMA) and the Alberta Infant Motor Scale (AIMS) in preterm infants for the prediction of cerebral palsy (CP) and neurodevelopmental delay (NDD). Additionally, we aimed to evaluate the diagnostic compatibility of the General Movement Optimality Score (GMOS), the Motor Optimality Score (MOS), and AIMS for detecting CP and NDD. Method: Seventy-five preterm infants with gestational age (GA) 24-37 weeks were enrolled. Group 1 was composed of infants with 24-28 GA (n = 22); groups 2 and 3 consisted of infants with 29-32 GA weeks (n = 23) and 33-37 GA (n = 30) weeks, respectively. The infants were assessed during the writhing period, the fidgety period, and at 6-12 months of corrected age with GMOS, MOS, and AIMS, respectively. Results: In the writhing period, a cramped-synchronized pattern was observed in 17 (22%) infants, whereas a poor repertoire pattern was observed in 34 (45%) infants. In the fidgety period of the 63 infants, 29 (46%) presented with fidgety movements absent. The MOS and AIMS scores of the infants in group 1 were significantly lower than the other groups, which were statistically significant (p = 0.004, p?0.001). High and positive compatibility (Kappa coefficient: 0.709; p = 0.001) was found between AIMS and GMOS scores and between AIMS and MOS scores (Kappa coefficient: 0.804; p < 0.001). In all groups, a statistically significant association was found between total GMOS scores (p = 0.003) and the presence of fidgety movements (p = 0.003). GMOS, MOS, and AIMS were found to be associated with CP and NDD (p < 0.001). Conclusion: GMA is an important tool for the prediction of CP and NDD. The combined use of GMOS, MOS, and AIMS may guide the clinical practice for the valid and reliable diagnosis of CP and NDD.

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