Sağlık Bilimleri Fakültesi / Faculty of Health Sciences
Permanent URI for this collectionhttps://hdl.handle.net/11727/1402
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Item 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-6522-2020Objectives: 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.Item Scapular Resting Position, Shoulder Pain and Function in Disabled Athletes(2015) Aytar, Aydan; Zeybek, Aslican; Pekyavas, Nihan Ozunlu; Tigli, Ayca Aytar; Ergun, Nevin; 0009-0007-7208-9461; 0000-0003-0603-5688; 24878847; JQI-0460-2023; AAC-6522-2020; HIR-3735-2022Background: Despite the fact that the number of disabled individuals participating in sports is increasing, there are only sparse reports in the literature concerning overuse injuries. Objectives: The purpose of this study was to compare scapular resting position, shoulder pain, and function in wheelchair basketball, amputee soccer, and disabled table tennis players. Study design: Descriptive study. Methods: A total of 63 disabled players from amputee soccer, wheelchair basketball, and disabled table tennis participated in our study. Scapular resting position was taken as primary outcome; pain and function were taken as secondary outcome measurements. Scapular resting position was evaluated with Lateral Scapular Slide Test. Visual Analog Scale was used for evaluating shoulder pain intensity. Quick disabilities of the arm, shoulder, and hand questionnaire were used to assess upper extremity function. Results: There was a significant difference in shoulder pain, function, and scapular resting position in all groups (p < 0.05). Paired comparisons between amputee soccer and wheelchair basketball players and also amputee soccer and disabled table tennis showed difference for all measurement parameters (p < 0.05). Conclusion: When the results are evaluated, it may be stated that amputee soccer players have better scapular resting position than other sports. Crutch usage may not negatively affect scapular resting position and perceived function as much as wheelchair usage. Exercise techniques for shoulder and resting position could be included in training programs of disabled athletes. Clinical relevance Wheelchair/crutch usage is a risk, and special exercise techniques for shoulder and dyskinesis could be included in training programs to prevent injury. However, it may not just be important for wheelchair athletes, it may also be important for amputee soccer players. In particular, total upper extremity evaluations and exercises could be added within exercise programs.Item Complex Decongestive Therapy and Taping For Patients with Postmastectomy Lymphedema: A Randomized Controlled Study(2014) Pekyavas, Nihan Ozunlu; Tunay, Volga Bayrakci; Akbayrak, Turkan; Kaya, Serap; Karatas, Metin; https://orcid.org/0000-0003-0603-5688; 25066648Purpose: The purpose of our study was to investigate the effects of Kinesio Taping (R) Application with Complex Decongestive Therapy (CDT) in patients with lymphedema. Materials and Methods: 45 patients were randomly divided into 3 groups (CDT including Bandage, CDT including Bandage + Kinesio Tape (R), CDT including Kinesio Tape (R) without bandage). Assessments included the severity of the symptoms such as pain, discomfort, heaviness, tension, stiffness and weakness. Bilateral circumference measurements were done for evaluation of the edema. Results: Symptoms were decreased in all three groups (p < 0.05). CDT was found effective only during treatment in arm volume (p < 0.05). Kinesio Taping (R) applied with CDT had effect of decreasing edema after 10 days of treatment period (p < 0.05) and for control period (p < 0.05). Only the application of Kinesio Taping (R) group also had significant decrease at edema (p <0.05). Conclusion: Kinesio Taping (R) Application along with CDT may have a better effect on decreasing lymphedema which can stimulate the reduction of edema for long term effects. (C) 2014 Elsevier Ltd. All rights reserved.Item 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-1173-2013Subacromial 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.Item Comparison of Physiotherapy Approaches in Low Back Pain: A Randomized Controlled Trial(2021) Senbursa, Gamze; Pekyavas, Nihan Ozunlu; Baltaci, Gul; 0000-0003-0603-5688; 32438535Background: 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.Item A Comparison Between People With and Without Subacromial Impingement Syndrome and a New Method for Measuring Thoracolumbar Fascia Flexibility(2021) Sarioglu, Kubra; Pekyavas, Nihan Ozunlu; 0000-0003-0603-5688; 34025300Objective: The purpose of this study was to compare the flexibility of the thoracolumbar fascia (TLF) in individuals with and without subacromial impingement syndrome (SAIS). A secondary purpose was to demonstrate a new method for measuring TLF flexibility. Methods: A total of 60 participants-30 diagnosed with SAIS and 30 asymptomatic-were included. In both groups, trunk flexibility was assessed by the modified Schober test, TLF flexibility by rotational measurement on a goniometric platform, and shoulder posterior capsule tightness by tape measurement. The data obtained were compared using t tests for independent variables. Results: No statistically significant difference was observed for any parameter between participants with SAIS and healthy controls (P>.05). Conclusion: For the participants we studied, the flexibility of the TLF was not associated with SAIS. The goniometric evaluation method used in this study was affordable and feasible. The validity and reliability of this measurement method should be assessed further in future studies.Item The Effects Of Exercise And Lifestyle Modification On Pain And Function In Mobıie Phone Users: A Randomized Controlled Study(2021) Pekyavas, Nihan Ozunlu; Saygili, Fettah; Yuruk, Zeliha Ozlem; Sahin, Fatma Nese; AAX-5562-2021Introduction: Repetitive head flexion is one of the most important risk factors causing neck pain associated to mobile phone use. The aim of this study was to investigate the effects of exercise and lifestyle modifications on pain and neck function in mobile phone users with neck pain. Materials and methods: Eighty-five sedentary participants using smartphones for more than 5 hours daily were included in the study. The participants were divided into three groups: exercise (EG n=29), exercise+lifestyle modification (EGL n=28), and control group (CG n=28). The EG received a home exercise treatment program for 4 weeks. The EGL received lifestyle modification suggestions added to the home exercise program. The CG did not receive any treatments. Pain intensity was evaluated during rest and activity with the Visual Analogue Scale (VAS) and neck function was assessed with the Neck Disability Index at the beginning and at the end of the intervention. Results: There were significant improvements in the EG and EGL for all parameters (p<0.05). However, no significant changes were present in the CG (p>0.05). Post-hoc analysis highlighted a significant difference only in VAS during activity between groups (p<0.05). The lifestyle modification had no added benefit over exercise (p>0.05). Conclusion: Exercise has positive effects on pain and neck function and should be recommended for individuals who frequently use mobile devices.Item 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-6522-2020Olympic 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.Item Comparison of virtual reality exergaming and home exercise programs in patients with subacromial impingement syndrome and scapular dyskinesis: Short term effect(2017) Pekyavas, Nihan Ozunlu; Ergun, Nevin; 28446376; AAC-6522-2020Objective: The aim of this study was to compare the short term effects of home exercise program and virtual reality exergaming in patients with subacromial impingement syndrome (SAIS). Methods: A total of 30 patients with SAIS were randomized into two groups which are Home Exercise Program (EX Group) (mean age: 40.6 +/- 11.7 years) and Virtual Reality Exergaming Program (WII Group) (mean age: 40.33 +/- 13.2 years). Subjects were assessed at the first session, at the end of the treatment (6 weeks) and at 1 month follow-up. The groups were assessed and compared with Visual Analogue Scale (based on rest, activity and night pain), Neer and Hawkins Tests, Scapular Retraction Test (SRT), Scapular Assistance Test (SAT), Lateral Scapular Slide Test (LSST) and shoulder disability (Shoulder Pain and Disability Index (SPADI)). Results: Intensity of pain was significantly decreased in both groups with the treatment (p < 0.05). The WII Group had significantly better results for all Neer test, SRT and SAT than the EX Group (p < 0.05). Conclusion: Virtual reality exergaming programs with these programs were found more effective than home exercise programs at short term in subjects with SAIS . (C) 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.