Amaç: Bu çalışmada profesyonel futbolcularda alt ekstremite kas kuvvet asimetrisi, dinamik denge ve ayak bileği yaralanma riski arasındaki ilişkinin incelenmesi amaçlandı. Yöntem: Çalışmaya 20 profesyonel erkek futbolcu dahil edildi. Bilateral dinamik dengeyi değerlendirmek için Y denge testi kullanıldı. Alt ekstremiteye ait bilateral kalça fleksör, kalça ekstansör, kalça abduktör, kalça adduktör, diz fleksör, diz ekstansör, ayak bileği dorsifleksör, ayak bileği plantar fleksör, ayak bileği evertör ve ayak bileği invertör kas gruplarının maksimal izometrik kontraksiyonu değerlendirmek için Groinbar sistemi kullanıldı. Bulgular: Çalışmaya dahil edilen oyuncuların yaş ortalaması 27,80±5,80 yıl ve vücut kütle indeksi ortalaması 24,04 ± 1,55 kg/m² olarak bulundu. Her iki ayak bileği dorsifleksör ve plantarfleksör kas grupları arasındaki oran ile denge testinde anteriorposterior bilateral fark arasında istatistiksel açıdan anlamlı sonuç elde edildi (Sol: p=0,012, rho=-0,552, Sağ: p=0, rho=- 0,727). Anterior-posterior denge farkının yaralanma riski açısından değerlendirildiğinde; kalça abduktör ve adduktör kas grupları arasındaki oran ile ayak bileği yaralanma riski açısından anlamlı korelasyon bulundu (Sol: p=0,026, rho=-0,498, Sağ: p=0,006, rho=-0,595). Sonuç: Profesyonel futbolcularda alt ekstremiteye ait plantarfleksör/dorsifleksör ve adduktör/abduktör kas gruplarının izometrik kuvvet oranının ve bilateral plantar fleksör kuvvet asimetrisinin dinamik denge ve ayak bileği yaralanma riskiyle ilişkili olduğu bulundu.
BACKGROUND: The current study aimed to show the efficacy of the exercise program performed by the type-2 diabetic patients in the exercise center related to the diabetes clinic.METHODS: This was a retrospective study, conducted on 77 (18-65 years old) diabetic patients who were attending the exercise center of the outpatient diabetes clinic. Patients who completed 3 months of supervised combined exercise program and having no chronic drug adjustment for 3 months at the beginning and during the exercise interval were recruited to the study.RESULTS: After 3 months, supervised combine exercise program, there were significant improvement of BMI (34.62 vs. 33.14 kg/m2, P<0.001), fat mass (34.95 vs. 33.83 kg, P<0.001), fasting blood glucose (124.59 vs. 117.39 mg/dL, P=0.015), HbA1c (6.74 vs. 6.45, P<0.001), and triglyceride levels (177.78 vs. 167.50 mg/dL, P=0.038).CONCLUSIONS: In conclusion, as a real-life data the supervised combine exercise program, performed in the exercise center of the diabetes clinic, significantly improved the metabolic parameters of the patients. We believe that diabetes clinics should include exercise centers, which are controlled by experts, to provide more qualified management for diabetic patients.
Background and Purpose: It was aimed to examine the static and dynamic postural balance performance in adults with different Body Mass Index (BMI) levels.
Methods: Study was conducted in Üsküdar Diabetes and Obesity Treatment Center between September and October 2021. Participants were divided into 5 groups according to BMI scores: normal-weight, overweight, 1st degree obese, 2nd degree obese, and 3rd degree obese. The static and dynamic balance performance of participants were assessed by the Limits of Stability (LOS) and modified Clinical Test of Sensory Integration of Balance (m-CTSIB) tests.
Results: For LOS parameters, there was a significant difference between groups in reaction time scores only for the backward direction (p
Objectives : The aim of this study is to determine in the young people whether the physical activity level affects the low back pain or not. Method: The cross-sectional study included with 260 students (131 females and 129 males). Low back pain (LBP) was determined with the validated Oswestry Disability Index (ODI). The Oswestry Disability Index (ODI) consist of ten items and are completed in reference to the patient’s functional status ‘today’. Physical activity level was evaluated by the short form of the International Physical Activity Questionnaire (IPAQ) that is a scale to be recorded at different levels of physical activity in the last week. Results : There was found a negative weak correlation between the ODI and total score of IPAQ (r = - 0,142; p = 0,01). Male’s total physical activity level was higher than women, while Oswestry score was significantly lower than women (p 0,05). Conclusion : According to the study results, it was understood that increasing the level of physical activity in young people is effective in preventing low back pain. We consider that the awareness of young people must be raised with regard to the increasing their physical activity levels. We hope to conduct a study that will examine the relationship between physical activity and low back pain in all age groups in consideration of socioeconomic characteristics and other parameters that may affect low back pain.
The first aim of this study was to compare synchronous and asynchronous telerehabilitation programs in COVID-19 survivors with classes 4-6 and determine the more appropriate telerehabilitation approach.Thirty-six COVID-19 survivors with class 4-6 severity were randomly divided into two groups. Telerehabilitation programs were an 8-week exercise program that comprised pulmonary, aerobic, and strengthening exercises. Patients were assessed at the baseline, post-treatment, and follow-up for the incremental shuttle walk test (ISWT), short physical performance battery (SPPB), health-related quality of life (HRQoL) and hospital anxiety and depression scale (HADS).The overall mean age of the study population was 54.06 (SD 10.50), and 15 (46.8%) were male. There were no significant differences between the two groups in any of the demographics and clinical characteristics at the baseline (p > 0.05), except for physical function (p < 0.05). There was a significant improvement in exercise capacity (p < 0.001) and lower extremity function (p < 0.01) within both groups in the short term and long term. There was a significant improvement in some subparameters of quality of life in both groups. As the synchronous group's short-term and long-term psychological status improved significantly, the asynchronous group's short-term psychological status improved significantly (p < 0.05). Telerehabilitation programs had similar effects, and only synchronous telerehabilitation outperformed asynchronous telerehabilitation in terms of physical function, role-emotional, and long-term anxiety.Asynchronous telerehabilitation was as effective as synchronous telerehabilitation in developing clinical and functional parameters when properly planned and implemented.
Introduction: Parkinson9s disease (PD) and Multiple Sistem Atrophy (MSA) are the most common neurodegenerative diseases. Although PD and MSA have been compared in terms of many clinical parameters in recent years, there is a limited number of studies comparing pulmonary functions and quality of life (QoL). Aim: The aim of this study is to compare pulmonary functions and QoL in patients with PD and MSA. Methods: Participants' demographic information was obtained, pulmonary functions were performed by spirometry and respiratory muscle strength was assessed with maximal inspiratory and expiratory mouth pressure (respectively MIP and MEP). SF-36 was used for the assessment of QoL. Results: In our study 22 patients (13 PD, Females 4, Males 9, age:62,0±8,3 years; 9 MSA, Females 5, Males 4 age:62,5±10 years) and 12 healthy volunteers (Females 8, Males 4, age:58,7±8,9 years) were evaluated. There was a statistical difference within PD, MSA and healthy groups in pulmonary functions (FEV1/FVC, MIP%, FVC%, PEF%) (p<0.05). Also, there were significant differences between SF-36 subscale scores within groups (p<0.05) except for the mental health and vitality subscale scores (p>0.05). Pulmonary function results and SF-36 subscale scores were significant in favor of healthy group (p<0.05). Conclusion: Pulmonary functions decreased in both PD and MSA groups compared to healthy subjects group. These findings suggest that clinicians should include pulmonary and QoL assessment even in the early phase of PD and MSA diseases. Decreased pulmonary functions may be affect the QoL in these people. Furthermore, future studies should investigate the effect of pulmonary rehabilitation in patients with PD and MSA.