Tıp Fakültesi / Faculty of Medicine

Permanent URI for this collectionhttps://hdl.handle.net/11727/1403

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    Exercise and Rehabilitation Principles in Painful Foot and Ankle Problems
    (2014) Ofluoglu, Demet
    Painful foot and ankle situations are miscellaneous. Protect anatomical integrity and providing flexibility, together with re-achieving strength, are very important in the treatment of painful musculo-skeletal diseases. Exercise is essential to return to full activity and sports. The healing period after injury can be classified as acute phase, subacute phase, recovery phase, and return to functional and sports activity phase. Rest, ice application, elevation, and compression with analgesic-anti-inflammatory treatment are done in the acute phase. After the acute phase, range of motion exercises and isometric strengthening should be started in the subacute phase. In further phases, the impact of exercises should be increased, and the patient should switch to weight-bearing and a more effective strengthening program. Eventually, in the functional phase, the patient should be prepared for daily living activities, and if he does sports, he should return to sports activities.
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    Influence of Exercise on Leptin, Adiponectin and Quality of Life in Type 2 Diabetics
    (2015) Dede, Nesrin Dogan; Ipekci, Suleyman Hilmi; Kebapcilar, Levent; Arslan, Mihriban; Kurban, Sevil; Yildiz, Mustafa; Gonen, Mustafa Sait
    Purpose: This study aimed to investigate the influence of aerobic exercise on the quality of life and leptin and adiponectin levels in patients with type 2 diabetes mellitus. Material and Method: Patients were randomized into two groups: aerobic exercise-training and control group. Parameters were assessed at baseline and end of the twelve-week follow-up for 60 type 2 diabetic patients who completed the program. The 36-item Short Form Health Survey was administered to the patients. Results: The exercise-training group results showed a decrease in adiponectin and leptin levels, a reduction of waist circumference and percentage of body fat (p=0.007, 0.023, 0.012 and 0.048, respectively). The leptin levels in the aerobic exercise group were positively correlated with body mass index (r=0.303, p=0.021) and percentage of body fat (r=0.371, p=0.005); they were negatively correlated with physical problems (r=-0.482; p=0.009) and pain (r=-0.540; p=0.003). Exercise led to statistically significant improvements in the SF-36 physical functioning and mental health subscales (p=0.020 and 0.023, respectively). Discussion: The association of better HbA1c, waist circumference, and percentage of body fat with improved mental and physical scores may be related to a decrease in leptin levels, despite a significant reduction in serum adiponectin levels.