Fakülteler / Faculties
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Item Evaluation Of Dynamic Balance, Functionality And Anthropometric Characteristics In Alpine And Nordic Skiers(TURKISH JOURNAL OF PHYSIOTHERAPY REHABILITATION-TURK FIZYOTERAPI VE REHABILITASYON DERGISI, 2024-12) Tekin, Beril; Kurkcuoglu, Ayla; Gul Ates, Eylemurpose: The dynamic balance ability, functionality level, and anthropometric structure of elite athletes are closely related to their performance during sports activities. Therefore, this study was designed to evaluate the dynamic balance, functional performance, and anthropometric characteristics of Alpine and Nordic skiers, which are different ski disciplines, and to investigate the relationships between these parameters. Methods: The studywas carried out on licensed Nordic skiers (n=29) and Alpine skiers (n=33). Dynamic balance was evaluated with the Y Balance Test, and functionality was evaluated with the Single Leg Hop for Distance Test. Sitting height and anthropometric measurements of the lower extremities were taken and recorded. Results: The Y Balance Test result for Nordic skiers were higher (p=0.007). The results of the Single Leg Hop for Distance Test were similar in both groups (p=0.534). Lower limb length (p=0.044), thigh length (p=0.005), and leg length (p=0.005) were longer in Nordic skiers. A positive moderate correlation was found between the Y Balance Test and Single Leg Hop for Distance Test in both groups (Alpine skiing r=0.583; p <0.001; Nordic skiing r=0.457; p=0.013). A positive moderate correlation was found between sitting height and dynamic balance (r=0.432; p=0.012) and between leg length and the Single Leg Hop for Distance Test (r=0.442; p=0.010) only in Alpine skiers. Conclusion: In conclusion, this study revealed certain differences regarding the dynamic balance, functional performance, and anthropometric characteristics of Alpine and Nordic skiers and presented guiding results in organizing of training programs for ski disciplines and in the prevention of injuries in ski athletes.Item Effects Of Pilates Exercises And Whole- Body Vibration Exercises Training On Body Composition, Flexibility, And Balance In Healthy Women: Randomized Controlled Pilot Study(TURKISH JOURNAL OF PHYSIOTHERAPY REHABILITATION-TURK FIZYOTERAPI VE REHABILITASYON DERGISI, 2024-12) Kalkan Balak, Busra; Ozlem Yuruk, ZelihaPurpose: This study aims to compare the effects of pilates and whole-body vibration exercise training on body composition, flexibility, balance, and functional strength of core muscles in healthy women. Methods: Thirty-six healthy women were divided into three groups: a pilates group, a whole-body vibration (WBV) exercise group, and a control group. The pilates group received training using the 'Reformer (R),' while the WBV group used the 'Power Plate (R).' Both groups trained twice a week for eight weeks, with sessions lasting 45-60 minutes each. The control group did not receive any training. Body composition was assessed using body mass index (BMI), the waist-to-hip ratio, and bioelectrical impedance analysis. Sit-and-Reach Test for flexibility, Functional Reach Test for balance, and Sit-ups and Modified Push-ups Test for core muscle strength. Assessments were made before and after training. Results: In the group comparisons, significant differences in BMI and some bioelectrical impedance parameters were observed in the WBV group (p<0.05). However, no significant changes in body composition were found in the pilates and control groups and no difference was found between the three groups (p>0.05). Flexibility showed significant differences among the three groups (p<0.01). Functional core strength increased in both the pilates and WBV groups (p<0.05), but no significant differences were observed in balance and strength comparisons between the groups (p>0.05). Conclusion: Results indicate that WBV training affected body composition, and both exercise groups improved flexibility, balance, and core strength. However, WBV was not superior to pilates. Further research is needed for generalizability.Item Assessment of Pain, Joint Range of Motion, and Balance in Patients with Knee Osteoarthritis(2023) Dag, Muhlis Yigitcan; Ergun, Ahmet; Incekas, Caner; Afsar, Sevgi IkbaliItem Is Balance Exercise Training as Effective as Aerobic Exercise Training in Fibromyalgia Syndrome?(2015) Duruturk, Neslihan; Tuzun, Emine Handan; Culhaoglu, Belde; 25903448; AAD-3908-2020The aim was to compare the effect of aerobic and balance exercises on pain severity, myalgic score, quality of life, exercise capacity and balance in fibromyalgia syndrome (FMS). A total of 33 females diagnosed with FMS by the American College of Rheumatology criteria were recruited in this randomised controlled study and allocated to aerobic exercise (AE) or balance exercise (BE) groups. Exercises were performed three times a week, for 6 weeks on a treadmill or with a Tetrax interactive balance system (TIBS). Outcome measures were characterised by myalgic score, visual analogue scale, Fibromyalgia Impact Questionnaire (FIQ), exercise testing, Timed Up-Go (TUG) and TIBS measurements. Comparisons from baseline to 6 weeks were evaluated using Wilcoxon test. Mann-Whitney U test was used to compare differences between groups. Effect sizes were also calculated. Improvements in pain, myalgic score and FIQ were found in both groups (p < 0.05). While comparing groups, myalgic score was significant (p = 0.02, d = -1.77), the value was higher in AE. Exercise duration, Borg scale, resting blood pressures (RBP) and maximal heart rate were significant in AE. In BE, Borg scale, exercise duration was significant (p < 0.05). While comparing groups, diastolic RBP (p = 0.04, d = -0.92), exercise duration (p = 0.00, d = -1.64) were significant, with higher values in AE. TUG significantly changed in groups (p < 0.05, d a parts per thousand yen -1.22). Stability scores, eyes open while standing on elastic pads (p = 0.00, d = -0.98) and head back (p = 0.03, d = -0.74), were significant, with higher values in BE. This study showed that BE provided some improvements in FMS, but AE training led to greater gains. BE training should be included in comprehensive programs.Item The Effect of Hemodialysis on Balance Measurements and Risk of Fall(2016) Erken, Ertugrul; Ozelsancak, Ruya; Sahin, Safak; Yilmaz, Emine Ece; Torun, Dilek; Leblebici, Berrin; Kuyucu, Yunus Emre; Sezer, Siren; https://orcid.org/0000-0002-0788-8319; https://orcid.org/0000-0002-6267-3695; 27497737; AAD-5716-2021; AAD-9111-2021Patients with end-stage renal disease (ESRD) have increased risk of falls and fall-related complications. Other than aging and factors related to chronic kidney disease, treatment of hemodialysis may also contribute to this increased risk. The aim of this study was to demonstrate the impairment of balance after a session of hemodialysis with a quantitative assessment and reveal an increased fall risk that would possibly be related to treatment of hemodialysis for patients on maintenance hemodialysis. Fifty-six patients with ESRD on chronic hemodialysis program and 53 healthy individuals were involved in this study. Fall Index percentages were calculated, and fall risk categories were determined for all patients and healthy controls using Tetrax posturography device (Sunlight Medical Ltd Israel). The patient group was evaluated twice for balance, before and after a routine session of hemodialysis. Fall Index scores of healthy controls were lower than that of ESRD patients (p = 0.001). In the patient group, we found the mean Fall Index to be significantly higher at the post-dialysis assessment compared to the pre-dialysis assessment (p = 0.003). The number of patients with high risk of falling also increased at the post-dialysis assessment yet the difference did not reach significance. Fall Index was correlated with the increase in age only at the pre-dialysis balance measurement (p = 0.038). Patients with better dialysis adequacy had significantly lower Fall Index scores than the others at the pre-dialysis balance measurement (p = 0.004). The difference was not significant at the post-dialysis measurement. In the current study, we evaluated the balance of ESRD patients before and after a routine session of hemodialysis treatment. This is the first study to investigate the effect of hemodialysis on balance, using an electronic posturographic balance system. We found the Fall Index score to be significantly higher after hemodialysis, indicating a negative effect of hemodialysis on postural stability. As expected, our data showed an increased Fall Index score correlated with the increase in age both in ESRD patients and in healthy controls. However, the correlation with age was not observed for the patient group at the post-dialysis balance measurement. We might conceive that young patients with ESRD are also prone to fall risk after a session of hemodialysis. Methods that provide quantitative assessment for fall risk could be rather beneficial for high-risk populations such as patients on maintenance hemodialysis.Item The Effects of Two Different Water Exercise Trainings on Pain, Functional Status and Balance in Patients with Knee Osteoarthritis(2018) Kunduracilar, Zuhal; Sahin, Hulya Guvenir; Sonmezer, Emel; Sozay, Seyhan; 0000-0002-8460-7699; 29475802; AAJ-2936-2021Methods: Eighty-nine female patients who had been diagnosed with knee osteoarthritis were divided into three groups as two experimental and a control group. All groups have received the standard therapy (hotpack, ultrasound, TENS). Both experimental groups underwent water exercise program. While Group 1 performed lower extremity exercise training, Group 2 performed upper extremity exercises as well as trunk exercises in addition to the lower extremity exercises used in the Group 1. The third group was control group who did not receive water exercise treatment. The pain severity was measured with the Visual Analog Scale (VAS). Functional status was assessed by using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Balance was evaluated by using the single leg stance test. Results: The change in VAS scores from pre-to post-treatment was highest in Group 1 (p < 0.001). On the other hand, the change in WOMAC pain, stiffness and physical function values from pre-to post-treatment was highest in Group 2 (p < 0.001). Discussion: Water exercise training was found to be beneficial in the treatment of knee osteoarthritis in both groups. Moreover, adding upper extremity and trunk exercises to the lower extremity exercises was found to be more effective for improving the function. (C) 2018 Elsevier Ltd. All rights reserved.