Fizyoterapi - Makale Koleksiyonu

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https://hdl.handle.net/20.500.12695/272

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Effects of adding thoracic spine exercises to routine soccer training on spinal alignment and mobility in professional male soccer players: a randomized controlled study
(12 March 2026) Bayram, Kazım; Kaya Özer, Derya
Background Thoracic spine mobility is essential for trunk stability, rotational movement, and athletic performance in soccer players. This study aimed to investigate whether the addition of a six-week thoracic spine exercise program to routine soccer training affects sagittal thoracic alignment, segmental spinal mobility, and thoracic rotation in professional male football players, compared with routine training alone. Methods In this parallel-group randomized controlled trial, 42 professional male soccer players (mean age 20.85 ± 3.41 years) were randomly assigned in a 1:1 ratio to either the exercise or control group (n = 21/group). The exercise group performed thoracic spine exercises three times per week for six weeks in addition to their routine training, while the control group continued routine training without receiving any intervention. Pre- and postintervention assessments included spinal alignment and mobility in the sagittal and frontal planes (using the Valedo®Shape system), the Matthias test, and thoracic rotation angles (measured with a smartphone Compass application). Two-way repeated-measures ANOVA and post-hoc tests were used to analyze group (G) × time (T) interactions and within-group changes. Effect sizes (Cohen’s d) were calculated. Results The primary outcome, sagittal thoracic kyphosis angle measured using the Valedo®Shape system, did not demonstrate a significant G × T interaction or T effect, indicating no differential change between groups over the intervention period. As a key secondary outcome, bilateral thoracic rotation angles showed significant G × T interactions, with the exercise group demonstrating substantially greater improvements than the control group. The thoracic spine exercise program demonstrated high feasibility, with 100% participation and no intervention-related adverse events reported. Effect sizes were large for thoracic rotation angles (d = 1.00-1.46) and Matthias test inclination angle (d = 1.42–1.97). Conclusion The six-week thoracic spine exercise program improved spinal alignment, segmental mobility, and thoracic rotation in professional male soccer players. These findings suggest that coaches, sports science specialists, and physiotherapists could consider incorporating thoracic spine exercises into training and rehabilitation programs to support spinal function and optimize athletic performance.
Predictors of Perceived Sports Performance in Female Athletes: The Role of Pelvic Floor Dysfunction and Sleep Quality
(25 June 2026) Seçer, Erhan; Çelenay Toprak, Şeyda; Keskin, Merve; Bayram, Kazım; Kaya Özer, Derya
Introduction and Hypothesis This study aimed to examine the relationships between perceived sports performance (PSP) and pelvic floor dysfunction (PFD) and sleep quality, and to identify whether PFD and sleep quality serve as independent predictors of PSP. Methods A total of 95 female athletes from various competition levels (46.3% amateur, 46.3% professional, and 7.4% elite) (mean age 21.18 ± 4.51 years) were included in the study. Athletes’ PSP, PFD, and sleep quality were assessed using the Perceived Performance in Sports Scale (PPSS), Pelvic Floor Distress Inventory-20 (PFDI-20) with its subscales [Pelvic Organ Prolapse Distress Inventory-6 (POPDI-6), Colorectal-Anal Distress Inventory-8 (CRADI-8), and Urinary Distress Inventory-6 (UDI-6)], and Single-Item Sleep Quality Scale (SISQS), respectively. Pearson correlation analysis was used to examine relationships between PPSS, PFDI-20, and SISQS, while multiple linear regression determined the predictive power of independent variables on PSP. Results The PPSS total score correlated with PFDI-20 total (r = −0.239, p = 0.019) and POPDI-6 (r = −0.384, p < 0.001), while with SISQS scores (r = 0.212, p = 0.039). Psychological perception score correlated with POPDI-6 (r = −0.399, p < 0.001), PFDI-20 total (r = −0.353, p < 0.001), CRADI-8 (r = −0.205, p = 0.047), UDI-6 (r = −0.233, p = 0.023), and SISQS scores (r = 0.261, p = 0.011). Physical and tactical perception scores were linked to POPDI-6 score (r = −0.334, p = 0.001; r = −0.326, p = 0.001, respectively); tactical perception was also related to SISQS score (r = 0.242, p = 0.018). Environmental perception correlated with PFDI-20 total (r = −0.196, p = 0.046) and POPDI-6 scores (r = −0.299, p = 0.003). Significant regression models explained 7.3–17.5% of the variance, identifying POPDI-6 as the sole consistent independent predictor for overall PSP (β = −0.446, p = 0.003) and all subdimensions (p < 0.05), whereas SISQS did not emerge as a significant independent contributor in the regression models (p > 0.05). Conclusions Within the limits of the examined variables, pelvic organ prolapse symptoms emerged as a significant independent predictor for specific PSP domains, though the absolute explained variance remained modest (7.3–17.5%), while sleep quality was not a significant independent predictor. Rather than practice-ready guidelines, these cross-sectional findings suggest that future prospective and interventional research is warranted to explore whether integrating pelvic health screenings into training routines can meaningfully support athletes’ PSP, while carefully considering that the feasibility, confidentiality, and healthcare support for such screenings may vary across different sport participation and competition levels.
Intra- and inter-session reliability of the MyotonPro in measuring the biomechanical and viscoelastic properties of the knee extensor and flexor muscles
(14 May 2026) Seçer, Erhan; Bayram, Kazım; Kaya Özer, Derya
Background The MyotonPro is a widely used, safe, and non-invasive digital device for assessing muscle biomechanical and viscoelastic properties. This study aimed to determine the intra- and inter-session reliability of the MyotonPro in measuring the biomechanical and viscoelastic properties of the knee extensor and flexor muscles. Methods Eighty-four young male recreational athletes, with a mean age of 21.42 ± 1.37 years, participated in a fourstage repeated-measure study. Both sessions followed the same protocol: rectus femoris (RF) and biceps femoris (BF) measurements were taken twice per side and averaged, with a 30-min interval between sets. Two different intraclass correlation coefficient (ICC) models were used: ICC3,1 (two-way mixed effects, absolute agreement) for intra-session reliability and ICC2,1 (two-way random effects, absolute agreement) for inter-session reliability. Standard error of measurement (SEM) was calculated using SEM = SDpooled x √(1-ICC). The minimal detectable change (MDC95) was calculated using the formula MDC95 = 1.96 × √2 × SEM. Bland–Altman plots were generated to visually represent the agreement between the two sessions, complementing the ICC analysis. Results The MyotonPro demonstrated high to excellent intra-session reliability across all measured properties (tone, stiffness, elasticity, relaxation time, and creep) for both the RF (ICCs ≥ .95, ranging from .95 to .99; SEM: 0.01 to 6.14; MDC95: 0.04 to 17.03) and the BF (ICCs ≥ .97, ranging from .97 to .99; SEM: 0.02 to 5.27; MDC95: 0.05 to 14.62). The MyotonPro demonstrated excellent inter-session reliability across all measured properties for both the RF (ICCs ≥ .96, ranging from .96 to .99; SEM: 0.02 to 4.38; MDC95: 0.05 to 12.14) and the BF (ICCs ≥ .94, ranging from .94 to .99; SEM: 0.02 to 5.17; MDC95: 0.07 to 14.54). The Bland–Altman analysis confirmed near agreement for all measured properties across sessions 1 and 2 for both the RF and BF. The limits of agreement encompassed most data points, and the overall systematic mean bias was negligible, remaining close to zero. Conclusions This study establishes the MyotonPro as a highly reliable instrument for assessing muscle properties, evidenced by excellent intra-session and inter-session consistency across all measured biomechanical and viscoelastic properties. The negligible systematic bias indicates high temporal measurement stability, supporting the potential utility of myotonometry for monitoring changes in muscle mechanical properties in longitudinal assessments.
Immediate effects of vibration vs. non-vibration foam rolling on biomechanical and viscoelastic properties of knee flexor and extensor muscles in young male recreational athletes: a randomized, controlled, cross-over study
(16 Apr 2026) Seçer, Erhan; Bayram, Kazım; Kaya Özer, Derya
This study examined the immediate effects of vibration (VFR) and non-vibration foam rolling (FR) on the biomechanical and viscoelastic properties of the knee flexor and extensor muscles. Thirteen young male recreational athletes (mean age: 21.46±1.45 years) completed three conditions: VFR, FR, and control conditions. Assessments were performed pre- and post-test using the MyotonPro. Regarding the knee flexors, no significant effects were observed for muscle tone, stiffness, elasticity, or relaxation time (p>0.05). Creep increased similarly in both VFR and FR groups (p=0.038). Regarding knee extensors, neither intervention affected muscle tone, elasticity, or relaxation time (p>0.05). Stiffness decreased in both groups, with VFR demonstrating greater efficacy compared to FR (p=0.002). Creep increased similarly in both the VFR and FR groups (p=0.016). Both interventions effectively enhanced the creep of knee flexor and extensor muscles and reduced knee extensor muscle stiffness, whereas VFR demonstrated a superior acute benefit in reducing extensor muscle stiffness.
Fizyoterapide Nordik Yürüyüşünün Kronik Hastalıkların Yönetimi ve Rehabilitasyon Süreçlerindeki Rolü: Geleneksel Derleme
(28.01.2026) Koku, Merve; Taşpınar, Betül; Taşpınar, Ferruh
Nordik yürüyüşü, özel tasarlanmış batonlarla yapılan bir aerobik egzersiz türüdür. Bu egzersiz üst ekstremite kaslarının aktif kullanımını sağlayarak yürüyüş etkinliğini artırır. En önemli avantajları kolay uygulanabilir, maliyeti düşük ve basit olmasıdır. Aynı zamanda enerji tüketimini artırırken algılanan eforu azaltarak egzersiz toleransı düşük bireyler için ideal bir egzersiz seçeneği sunar. Bu çalışmanın amacı fizyoterapide nordik yürüyüşünün kronik hastalıkların yönetimi ve rehabilitasyon süreçlerindeki rolünü incelemektir. Literatür incelendiğinde nordik yürüyüşünün, nörolojik, onkolojik, geriatrik ve kadın sağlığı gibi farklı rehabilitasyon alanlarında yaygın olarak kullanılan etkili bir egzersiz yöntemi olduğu görüldü. Fiziksel kapasiteyi artırma, dengeyi iyileştirme ve ağrı kontrolüne katkı sağlama gibi etkileriyle hastalıkların yönetiminde etkiliydi. Kardiyovasküler dayanıklılığı artırmanın yanı sıra metabolik sağlığı iyileştirdiği, kas kuvvetini artırdığı, aerobik kapasiteyi iyileştirdiği ve psikolojik iyilik halini artırdığı belirlendi. Sonuç olarak, nordik yürüyüşü, farklı hasta gruplarında güvenle, kolay uygulanabilen ve etkili bir rehabilitasyon yöntemidir. Fiziksel ve psikolojik sağlığa sunduğu çok yönlü katkılar, nordik yürüyüşünün farklı rehabilitasyon alanlarındaki önemini giderek artırmaktadır. Bu özellikleri sayesinde gelecekte fizyoterapi ve rehabilitasyon alanında daha yaygın şekilde kullanılabilir. Ayrıca, nordik yürüyüşün etkilerini daha kapsamlı değerlendirebilmek için metodolojik açıdan güçlü ve kaliteli çalışmalar yapılmalıdır.
Comprehensive activities of daily living profile of individuals with dementia living in nursing home
(2023) Soyuer, Ferhan; Süzen, İrem
Objective: In this study, it was aimed to comprehensively determine the activities of daily living of elderly people with and without dementia living in nursing homes. Materials and methods: The cognitive status of the individuals participating in the study was evaluated with the trained and Untrained Mini Mental Test (MMT). Participants’ Mini Mental Test total scores were divided into 3 groups as 24-28 normal, 18-23 mild dementia, and 8-17 dementia. Activities of Daily Living was evaluated with the Katz Daily Living Scale (Katz), Lawton and Broady Instrumental Activity of Daily Living Scale (EADL). Results: 106 people, 48 (45.3%) female and 58 (54.7%) male, participated in the study. It was determined that the mean age of the participants was 76.86±8.37 years, and the mean BMI was 27.47±5.36 kg/m². According to MMT; The normal group consists of 31 (29.2%), the mild dementia group consists of 43 (40.6%) and the dementia group consists of 32 (30.2%). The mean Katz score of the normal group was 17.74±0.68, the mean Kazt score of the mild dementia group was 17.46±1.42, and the mean Kazt score of the dementia group was 16.43±2.16. Katz bath activity, continence activity; It showed a statistically significant difference between MMT groups (P<0.05). The mean EADL test score was 19.03±5.061 in the normal group, 19.53±4.65 in the mild dementia group, and 15.21±5.66 in the dementia group. EGYA total scores; There was a statistically significant difference between MMT groups (P<0.05). EGYA phone, cooking, housework, laundry, travel, medicine parameters; There was a statistically significant difference between MMT groups (p<0.05). Conclusion: As MMT values of elderly individuals staying in nursing homes decrease; basic and instrumental activities of daily living are also affected.
Examination of the Effect of the Pandemic on Physical Activity and Dysmenorrhea
(Turkish Journal of Health and Sport, 2023) Tuğyan Ayhan, Deniz; Yıldız, Ayşegül; Bektaş, Gülşah; Büyükturan, Buket; Büyükturan, Öznur; Varol, Sezen
Abstract Background: Dysmenorrhoea releated with body mass index -less than 20 kg/cm2, smoking, early menarche, longer menstrual cycles, irregular menstrual flow and a family history of dysmenorrhea. On the other hand, the relationship between physical activity level and dysmenorrhea is still controversial. Purpose of the study: This study aimed to examinate of the effect of the pandemic on physical activity and dysmenorrhea together. Results: Individuals’ severity of dysmenorrhea, menstrual symptoms, physical activity levels were assessed with “Visual Analogue Scale (VAS)’’, “Menstruation Symptom Questionarre (MSQ)”, “International Physical Activity Questionnaire (IPAQ)”, respectively. Moreover; BMI was calculated. Assessments were carried out twice, before -during the pandemic. The VAS value was 6.23 ± 1.78 before the pandemic, it was 7.20 ± 1.63 during the pandemic. The IPAQ score was 1274.67 ± 1232.26 before the pandemic, it was 902.74 ± 892.33 during the pandemic. While the changes in VAS (t: -3.549, p: 0.001) and IPAQ (t: 2.543, p: 0.013) values before and during the pandemic were statistically significant MSQ (t: -.781, p: 0.437) and BMI (t: -.938, p: 0.351) changes were not statistically significant. Conclusion: When the severity of dysmenorrhea and physical activity levels were compared with before the pandemic, a decrease in the level of physical activity and an increase in the severity of dysmenorrhea were found statistically significant during the pandemic (p<0.05). Although there was an increase in BMI and menstrual symptoms this increase wasn’t statistically significant (p> 0.05).
Bulgaristan Türklerinin Yükseköğretim Kademelerinde Türkçe Eğitim-Öğretimi ve Türkiye’nin Bu Konuda İzlediği Politikalar
(Balkanlarda Türk Dili ve Edebiyatı Araştırmaları, 2023) Canpolat, Medine Derya; Altaç, Embiye
Bu çalışma, Bulgaristan Türklerinin milli benliklerini koruyup yaşatması ve Türkiye ile soydaşlık bağlarını sürdürmesi bakımından önem taşıyan Türkçe eğitim-öğretimini konu edinmektedir. Bu bağlamda çalışma Bulgaristan’daki yükseköğretim kademelerinde Türkçe eğitim-öğretiminin durumuna odaklanmaktadır. Çalışmanın temel amacı, Türkiye’nin Bulgaristan’daki yükseköğretim kurumlarında Türkçe eğitim-öğretimi konusunda izlediği politikaları Bulgaristan Türklerinin perspektifinden incelemek ve ortaya çıkarmaktır. Bu amaç doğrultusunda, çalışmada nitel araştırma yöntemlerine başvurularak görüşmeler gerçekleştirilmiş ve bu görüşmelerden birincil veri elde edilmiştir. Elde edilen veriler, içerik analizine tabi tutulmuş, analiz sonucu elde edilen kategori ve kodlar Rogers Brubaker’ın kazara diaspora teorisi çerçevesinde yorumlanarak tartışılmıştır. Çalışma kapsamında ulaşılan bulgular Türkiye’nin, özerk kurum olmalarından dolayı Bulgaristan’da bulunan üniversitelerdeki Türkçe bölüm ve programların işleyişine yönelik doğrudan politika geliştiremediğini göstermektedir. Bununla birlikte çalışma bulguları, Türkiye’nin Yurtdışı Türkler ve Akraba Topluluklar Başkanlığı ve Yunus Emre Enstitüsü gibi kurumlar vasıtasıyla gerek hizmet içi eğitim, seminer ve yaz okulları düzenleyerek gerekse de okutman ve burs desteği sağlayarak Bulgaristan Türklerinin yükseköğretim kurumlarında Türkçe eğitim-öğretimine destek olduğunu ortaya koymaktadır.
Examination of the correlation between hand grip strength and muscle mass, balance, mobility, and daily life activities in elderly individuals living in nursing homes
(Work, 2022) Soyuer, Ferhan; Cankurtaran, Feyzan; Menevşe, Özlem; Ertürk Zararsız, Gözde
Abstract. BACKGROUND: Aging is a process that includes progressive physiological changes. Grip strength is an important indicator of current health in the elderly. OBJECTIVE: The aim of the study was to examine the correlation between dominant-hand grip strength (HGS) and cognitive function, mid-upper arm circumference, muscle-bone mass, balance, mobility, and daily life activities in elderly individuals living in nursing homes and determine the effect rates of these factors on HGS. METHODS: Seventy-two elderly individuals aged over 65 who lived in a nursing home were included in the study. Dominant HGS and mid-upper forearm circumference were measured. Muscle and bone masses were measured with bioelectrical impedance analysis. Mid-upper arm circumference was measured using a non-elastic tape. HGS was measured using a hand dynamometer. Cognitive function was evaluated with the Standardized Mini-Mental Test (SMMT); mobility and balance were evaluated with the Timed Up and Go Test (TUGT) and Berg Balance Scale (BBS); the Katz Activities of Daily Living Scale (KATZ ADL) was used to evaluate daily life activities. RESULTS: There was a significant correlation between HGS and muscle and bone masses (p < 0.001). A significant correlation was found between HGS and TUGT, ADL (p = 0.001, p = 0.016). There was no significant correlation between HGS and BBS (p = 0.2). There was a correlation between HGS and SMMT at the statistical significance limit (p = 0.055). On HGS, the Body Mass Index had a 64.9% effect; the muscle mass had a 30.9% effect; the TUGT had a 27.7% effect. These parameters were found to explain 59.9% of the variance. CONCLUSION: As a global indicator of muscle strength, HGS can be used to predict age-related functional changes. Approaches to increase physical activity levels in elderly can be effective in reducing age-related negativities.
Fizyoterapi Programı Ön Lisans Öğrencilerinde Mesleki Uygulama Dersinin Verimliliği: Kapadokya Üniversitesi Örneği
(2021) Dilek Hande Esen; Kadirhan Doğan; Deniz Tuğyan Ayhan; Özsoy, Osman
Meslek Yüksekokullarında verilen mesleki uygulama dersi, mesleki beceri kazanmak, teorikte öğrenilenin pratiğe aktarılması ve mesleki iletişimi öğrenmek için gerekli ve yararlıdır. Öğrencilerin bu dersi zorunluluk olarak görmeyip verimli bir şekilde işlemeleri kişisel başarılarını arttırabilir. Literatür taramalarında fizyoterapi programı öğrencilerinde ilk yıl sonunda yapılan mesleki uygulama dersinin verimliliğinin araştırıldığı çalışmalara rastlanmamıştır. Çalışmanın amacı, Kapadokya Üniversite ile anlaşmalı/protokol imzalayan hastane veya fizik tedavi dal merkezlerinde yapılan mesleki uygulama dersinin fizyoterapi öğrencilerine olası katkılarını tespit etmek ve dersin verimliliğini ölçmekti. Fizyoterapi ön lisans öğrencilerine araştırmacılar tarafından literatür taramaları sonucu oluşturulan Mesleki Uygulama Verimlilik Anketi uygulandı. Elde edilen veriler SPSS 22.0 programıyla, yüzde ve frekans dağılımları yapılarak değerlendirildi. Çalışmaya 2017-2018 Akademik Yılı yaz döneminde alınan Mesleki Uygulama dersini başarıyla tamamlamış, yaş ortalaması 21,31 yıl olan 48 gönüllü öğrenci dahil edildi. Katılımcıların %89,6’sı mesleki uygulama yaptığı için genel olarak memnun olduğunu belirtti. Yarıdan fazlası ders saatlerinin artmasını isteyerek memnuniyetlerini dolayısıyla dersin kendileri için verimli olduğunu ifade etti. %33,3’ü derste öğrenilenlerle sahada yapılan uygulamaların birbiriyle örtüşmediğini dile getirdi. Bu sonuç öğrencilerin henüz elektroterapi cihazlarını öğrenmemiş olmalarıyla ilgili olabilirdi. Çalışma sonucunda araştırmacıların ortak gözlemi Mesleki Uygulama dersi sayesinde öğrencilerin mesleklerini daha iyi tanıyabildikleri, ikinci sınıf pratik derslerinde kullanacakları cihazlarla ilgili ön tecrübe kazandıkları, derslere daha motive gelecekleri ve pratik uygulama ile teorik bilgilerini karşılaştırabilme becerisi kazanmış olmalarıydı. Çalışmamızda Kapadokya Üniversite ile protokol imzalayan hastane veya fizik tedavi dal merkezlerinde mesleki uygulama yapan Fizyoterapi ön lisans öğrencileri tarafından mesleki uygulamanın önemi ve gerekliliğinin anlaşıldığı; dersin verimliliğin üst düzey olduğu sonucuna varıldı.

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