Browsing by Author "Baltaci, Gul"

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Are Turkish Elite Sailors Competing in Laser and 470 Classes Ready for The Olympics?
(2017) Cinar-Medeni, Ozge; Pekyavas, Nihan O.; Uzun, Ayse; Fatmanur, E. R.; Suveren, Ceren; Colakoglu, Fatma F.; Baltaci, Gul; AAC-6522-2020
BACKGROUND: Aerobic and anaerobic capacity, muscle strength and balance skills are important parameters in sailors. We aimed to investigate the aerobic and anaerobic capacity, knee muscle strength, hand grip strength and balance of elite Turkish sailors competing in 470 and Laser classes selected for the Olympic team and to establish the differences in physical fitness status between sailors competing in 470 and Laser classes. METHODS: Nine Laser and ten 470 sailors were evaluated. A treadmill VO2max test for aerobic capacity, a Wingate cycle ergometer test for anaerobic power and capacity, an isokinetic knee muscle strength assessment at 60 degrees/s and 120 degrees/s angular velocities (output data were flexor peak torque, extensor peak torque and H/Q strength ratio), an isometric hand grip strength assessment and a star excursion balance test (SEBT) were performed. RESULTS: Laser and 470 sailors showed similar physical fitness values and no difference was found between sailing classes (P>0.05) for all test results. Most of the sailors' H/Q strength ratios were lower than normal values. CONCLUSIONS: This study shows that the physical requirements of Laser and 470 sailors are similar; however, they are both at risk of knee injury because of low H/Q strength ratios. Athletic trainers and physiotherapists working with sailors should also consider the H/Q strength ratio because low values of H/Q strength ratio are seen in this population. The results of this study may constitute a basis for further studies because we have reported the results of several physical fitness tests together and in a detailed manner.
Comparison of Physiotherapy Approaches in Low Back Pain: A Randomized Controlled Trial
(2021) Senbursa, Gamze; Pekyavas, Nihan Ozunlu; Baltaci, Gul; 0000-0003-0603-5688; 32438535
Background: The purpose of this study was to compare the effectiveness of rehabilitation approaches in individuals with low back pain (LBP) on pain, spinal mobility, disability, and muscular strength. Methods: Ninety volunteers were included and divided into four groups depending on the rehabilitation approach: group 1, soft tissue mobilization techniques and stabilization exercises (n=24; 11 females [F], 13 males [M]); group 2, Kinesio Taping and stabilization exercises (n=24; 12F, 12M); group 3, stabilization exercises (n=22; 11F, 11M); and group 4, reflex therapy and stabilization exercises (n=20; 10F, 10M). Visual Analog Scale for pain intensity, an isokinetic evaluation for strength at 60 degrees/s and a side-plank position test for trunk stabilization were measured before and assessed at the beginning, after a 4-week treatment and during 4 weeks of follow-up. The functional status was evaluated with the Oswestry Disability Index. Results: Individuals in all groups showed similar decrease in pain after the treatment and at 1-month follow-up, but there were no significant differences in pain levels between the groups (P<0.05). Conclusion: All therapeutic approaches were found to be effective in diminishing pain and thus helpful in increasing strength and stabilization in patients with LBP.
Do peak torque angles of muscles change following anterior cruciate ligament reconstruction using hamstring or patellar tendon graft?
(2017) Baltaci, Gul; Sonmezer, Emel; Ozer, Hamza; Dogan, Deha; Yosmaoglu, Hayri Baran; 0000-0001-7356-8500; 29125817; AAA-4826-2020
Objectives: This study aims to compare the effects of anterior cruciate ligament (ACL) reconstruction using autogenous hamstring or patellar tendon graft on the peak torque angle. Patients and methods: The study included 132 patients (103 males, 29 females; mean age 29 +/- 9 year) who were performed ACL reconstruction with autogenous hamstring or patellar tendon graft. The peak torque angles in the quadriceps and hamstring muscles were recorded using an isokinetic dynamometer. Results: Angle of peak knee flexion torque occurred significantly earlier within the range of motion on the operated side than nonoperated side at 180 degrees/second in the hamstring tendon group. Angle of peak knee extension torque occurred significantly earlier within the range of motion on the operated side than nonoperated side at 180 degrees/second in the patellar tendon group. There were no statistically significant differences in the flexion and extension peak torque angles between the operated and nonoperated knees at 60 degrees/second in both groups. Conclusion: The angle of peak torque at relatively high angular velocities is affected after ACL reconstruction in patients with hamstring or patellar tendon grafts. The graft donor site directly influences this parameter. This finding may be important for clinicians in terms of preventing re-injury.
Does kinesio taping have an effect on kinetics and kinematics after lower limb musculoskeletal injuries? Systematic review and meta-analysis
(2023) Karabicak, Gul Oznur; Pekyavas, Nihan Ozunlu; Baltaci, Gul; Karacam, Zekiye; https://orcid.org/0000-0003-0603-5688; 36269093
Purpose The systematic review aimed to investigate the effects of kinesio taping on the lower extremity kinetics and kinematics after a musculoskeletal disorder. Method Randomized controlled studies reported kinetic or kinematic outcomes (such as joint moment force or angular displacement) in the lower extremity with musculoskeletal disorders were included. A systematic literature search of Web of Science, Scopus, PubMed, EBSCO, and PEDro databases was performed up to 28 February 2021. Meta-analysis was performed, when possible, by using mean difference (MD) and standard mean difference (SMD). Results Ten randomized controlled trials met the inclusion criteria. The results of a meta-analysis based on included studies show that the use of kinesio taping has similar effects on the kinetics of the lower extremities with musculoskeletal disorders or the control group. These effects do not change between 0 and 24 h, 1 and 15 days, and 15 and 30 days (SMD = 0.01, 95% CI -0.30 to 0.31, p = 0.21). Conclusion This study provides insufficient evidence to prove the effect of kinesio taping on lower extremity kinetics and kinematics on patients with musculoskeletal disorders in shorter and longer terms. Methodologically well-designed studies are needed to show the effectiveness of kinesio tape on lower extremity kinetics and kinematics after a musculoskeletal disorder in short and longer terms.
The Effects of Scapular Mobilization in Patients with Subacromial Impingement Syndrome: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
(2015) Aytar, Aydan; Baltaci, Gul; Uhl, Tim; Tuzun, Handan; Oztop, Pinar; Karatas, Metin; 25054347; HIR-3735-2022; AAC-5843-2021
To determine the effects of scapular mobilization on function, pain, range of motion, and satisfaction in patients with subacromial impingement syndrome (SAIS). Design: Randomized, double-blind, placebo-controlled clinical trial. Setting: University hospital clinics in Turkey. Participants: 66 participants (mean +/- SD age 52.06 +/- 3.71 y) with SAIS. Interventions: Participants were randomized into 3 groups: scapular mobilization, sham scapular mobilization, and supervised exercise. Before the interventions transcutaneous electrical stimulation and hot pack were applied to all groups. Total intervention duration for all groups was 3 wk with a total of 9 treatment sessions. Main Outcome Measures: Shoulder function and pain intensity were primary outcome measures; range of motion and participant satisfaction were secondary outcome measures. Shoulder function was assessed with the short form of the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH). A visual analog scale was used to evaluate pain severity. Active range of motion was measured with a universal goniometer. A 7-point Likert scale was used to evaluate satisfaction. Outcome measurements were performed at baseline, before visits 5 and 10, 4 wk after visit 9, and 8 wk after visit 9. Results: There was no group difference for DASH score (P = .75), pain at rest (P = .41), pain with activity (P = .45), pain at night (P = .74), and shoulder flexion (P = .65), external rotation (P = .63), and internal rotation (P = .19). There was a significant increase in shoulder motion and function and a significant decrease in pain across time when all groups were combined (P < .001). The level of satisfaction was not significantly different for any of the questions about participant satisfaction between all groups (P > .05). Conclusion: There was not a significant advantage of scapular mobilization for shoulder function, pain, range of motion, and satisfaction compared with sham or supervised-exercise groups in patients with SAIS.
High Intensity Laser Therapy vs Kinesio Taping in Patients with Subacromial Impingement Syndrome
(2016) pekyavaş, nihan özünlü; Baltaci, Gul; AAC-6522-2020; S-6073-2018
Muscle skin temperature responses for hamstring and quadriceps to aerobic and anaerobic test conditions in Turkish Olympic Sailing Athletes
(2019) Duygu, Senay Cerezci; Pekyavas, Nihan Ozunlu; Uzun, Ayse; Medeni, Ozge Cinar; Baltaci, Gul; Er, Fatmanur; Suveren, Ceren; Colakoglu, Filiz Fatma; 0000-0003-4060-9366; AAC-6522-2020
Olympic class sailing is a competitive sport and requires several abilities. An understanding of the responses to aerobic and anaerobic loading will be useful for assessing the training programs, protective strategies and possibility of injuries. Therefore, the aim of this study is to determine lower extremity main muscles skin temperature responses to aerobic and anaerobic test conditions in Turkish Olympic Sailing Athletes. Eighteen sailing athletes were assessed during preseasonal assessment period. Temperatures of quadriceps and hamstring muscle groups were evaluated bilaterally during rest and after Wingate Treadmill tests. Wingate test was accepted as an indicator of anaerobic performance and Treadmill test as an aerobic performance. Infrared thermography was performed to assess the skin temperature at anterior and posterior parts of thigh for both legs. In the triplicate comparison, the temperature changes between the rest, aerobic test and anaerobic test conditions were significant (p<0.05). In the analysis to determine the difference between the compared groups; for both muscle groups, temperature change after anaerobic performance was not significant; in contrast to this result the change in muscle temperature after aerobic performance was significant (p<0.05). Energeticmetabolic activity of major muscle groups of lower extremities during aerobic and anaerobic performance are important for injury prevention, treatment, rehabilitation and return to play. Present study shows that aerobic performance or activities requires higher energetic-metabolic activity.
Reliability of Pressure Pain Thresholds in Healthy Young Adults
(2014) Aytar, Aydan; Senbursa, Gamze; Baltaci, Gul; Yuruk, Zeliha Ozlem; Pekyavas, Nihan Ozunlu; https://orcid.org/0000-0002-4408-6489; HIR-3735-2022; AAC-6522-2020
Objectives: The aim of this study was to investigate the inter-rater and intra-rater reliability of pressure pain threshold [PPT] measurements in the supraspinatus muscle tendon, anterior talofibuler ligament, and the extensor digitorum communis muscle belly in healthy young subjects. Methods: A total of 100 healthy undergraduates participated in this study. Two examiners had three trials of measuring the supraspinatus muscle tendon, anterior talofibuler ligament, and extensor digitorum communis muscle belly on the dominant side, which were marked by the first examiner [E1]. Three consecutive measurements were taken with a 60-s interval between trials. The average of three measurements was calculated for each region. After a 60-min interval, the same procedure was repeated by the second examiner [E2] on the same day. Results: Our results indicated that E1 and E2 showed high intra-rater reliability. Significant difference was found between E1 and E2 in anterior talofibular ligament and extensor digitorum communis muscle belly threshold average measurements [p < 0.05], but no significant difference was found at supraspinatus muscle tendon [p > 0.05]. Low significant correlation and reliability was found between E1 and E2 for all measurement sites. Conclusions: Our study results indicated that intra-rater reliability of PPT measurements on tendon, ligament, and muscle belly was high. We found that inter-rater reliability was low in the anterior talofibular ligament and supraspinatus muscle tendon, and adequate in muscle belly. Measurements by one examiner were more reliable than measurements between examiners. This study could be reference for future studies to measure reliability on three different anatomical regions.
Short-Term Effects of High-Intensity Laser Therapy, Manual Therapy, and Kinesio Taping in Patients with Subacromial Impingement Syndrome
(2016) Pekyavas, Nihan Ozunlu; Baltaci, Gul; 0000-0002-6513-2499; 27220527; AAC-6522-2020; S-6073-2018; J-1173-2013
Subacromial impingement syndrome (SAIS) is a major contributing factor of shoulder pain; and treatment approaches (KinesioA (R) taping [KT], Exercise [EX], manual therapy [MT], and high-intensity laser therapy [HILT]) have been developed to treat the pain. The key objective of this study was to compare the effects of KT, MT, and HILT on the pain, the range of motion (ROM), and the functioning in patients with SAIS. Seventy patients with SAIS were randomly divided into four groups based on the treatment(s) each group received [EX (n = 15), KT + EX (n = 20), MT + KT + EX (n = 16), and MT + KT + HILT + EX (n = 19)]. All the patients were assessed before and at the end of the treatment (15th day). The main outcome assessments included the evaluation of severity of pain by visual analogue scale (VAS) and shoulder flexion, abduction, and external rotation ROM measurements by a universal goniometry. Shoulder pain and disability index (SPADI) was used to measure pain and disability associated with shoulder pathology. Statistically significant differences were found in the treatment results of all parameters in MT + KT + EX and HILT + MT + KT + EX groups (p < 0.05). When the means of ROM and SPADI results of three groups were compared, statistically significant differences were found between all the groups (p < 0.05). These differences were significant especially between the groups MT + KT + EX and KT + EX (p < 0.05) and HILT + MT + KT + EX and KT + EX (p < 0.05). HILT and MT were found to be more effective in minimizing pain and disability and increasing ROM in patients with SAIS. Further studies with follow-up periods are required to determine the advantages of these treatments conclusively.
Short-time Effect of Sterile Kinesio Tape applied during Anterior Cruciate Ligament Reconstruction on Edema, Pain and Range of Motion
(2023) Baltaci, Gul; Ozunlu Pekyavas, Nihan; Atay, Ozgur Ahmet; 34856838
The purpose of this study was to investigate the effects of edema, pain, and range of motion of knee by sterile kinesio taping within 3 days after ACLR. We hypothesized that sterile taping which is a new material of kinesio taping reduces knee pain and swelling and improves knee range of movement after ACLR. Fifty-sixth subjects who underwent an elective ACLR with were randomized into intervention(n=28) and control groups(n=28). Subjects from both groups received standardized postoperative physiotherapy. Pain by VAS, total ROM of the knee, and circumferential girth were measured at the first, second- and third-day post-surgery. There were found statistically significant differences in all study parameters within each group. Comparison of the study parameters between both groups revealed a statistical significance at various time points except the reduction of pain in the taping group in the early postoperative phase (between the first and second day) (P<0.05). There was no statistical significance in the reduction of swelling or improvement of knee total ROM with kinesio taping. This study showed that sterile kinesio taping reduced pain, improved ROM of the knee and decreased edema in the early post-operative period after ACLR.
The Upper Extremity Functional Index (UEFI): Cross-Cultural Adaptation, Reliability, and Validity of the Turkish Version
(2015) Aytar, Aydan; Yuruk, Zeliha Ozlem; Tuzun, Emine Handan; Baltaci, Gul; Karatas, Metin; Eker, Levent; 25322741; HIR-3735-2022
BACKGROUND: Turkish version of the Upper Extremity Functional Index (UEFI) may help to assess shoulder function in patients with shoulder impingement syndrome (SAIS). OBJECTIVE: To translate and cross-culturally adapted UEFI into Turkish and to assess its acceptability, reliability, validity in patients with SAIS. METHODS: This study conducted with 93 SAIS participants. UEFI, the short version of the Disability of the Arm, Shoulder and Hand scale (Quick DASH), the Shoulder Pain and Disability Index, and the Short Form-36 Health Survey (SF-36) were administered. Acceptability was assessed in terms of refusal rate, rates of missing responses, and administration time. Test-retest reliability was assessed with intra class correlation coefficient (ICC), internal consistency was assessed with Cronbach's alpha coefficient. Validity was assessed by floor and ceiling effects, skew of distributions and Pearson's correlation coefficients. RESULTS: Cronbach's alpha coefficients for the UEFI at Time 1 and Time 2 were as follows: alpha = 0.89 and alpha = 0.89. Average measure ICC was 0.80. The UEFI score demonstrated strong negative correlations with SPADI total score and Quick DASH score. There was not a significant correlation between the UEFI and mental health subscale score derived from SF-36. CONCLUSIONS: The Turkish version of UEFI is acceptable, valid, and reliable.