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Öğe Acute effects of thoracolumbar fascia release techniques on range of motion, proprioception, and muscular endurance in healthy young adults(Elsevier, 2023) Gunes, Musa; Yana, MetehanPurpose: This study investigates the acute effects of Graston and myofascial release on thoracolumbar fascia (TLF) on lumbar range of motion (ROM), lumbar and cervical proprioception, and trunk muscle endurance in healthy young adults.Method: Twenty-four healthy young individuals were included in the study. Individuals were randomly divided into two groups as Graston technique (GT) (n = 12) and myofascial release (MFR) (n = 12). GT group received a fascial treatment with a graston instrument and the MFR group (n = 12) received manual myofascial treatment. Both techniques were applied for 10 min and as a single session. Lumbar ROM (goniometer), lumbar proprioception (digital inclinometer), cervical proprioception (CROM device), and trunk muscle endurance (with McGill Endurance Test) were evaluated before and after treatment.Results: Age, gender and body mass index of individuals in both groups were similar (p > 0.05). In both GT and MFR groups, an increase in ROM in the flexion direction (p < 0.05) and a decrease in the angle of deviation in proprioception in the flexion direction were determined (p < 0.05). Neither technique had a significant effect on cervical proprioception and trunk muscle endurance (p > 0.05). In addition, no difference was found between the effectiveness of Graston and myofascial release (p > 0.05).Conclusion: This study showed that Graston and myofascial release applied to TLF in healthy young adults effectively improve lumbar ROM and proprioception in the acute period. Considering these results, both Graston and myofascial release can be used to provide elasticity of TLF and improve proprioceptive return.Öğe The association between pain, balance, fall, and disability in patients with lumbar spinal stenosis with vascular claudication(Korean Pain Soc, 2021) Gunes, Musa; Ozmen, Tarik; Guler, Tugba MoraliBackground: The effect of lumbar spinal stenosis (LSS) and peripheral vascular disease (PVD), which occurs with similar degenerative conditions, when seen together, has not been studied. The aim of this study is to examine and compare the relationship between pain, balance, disability, fear of falling, and kinesiophobia in LSS patients with intermittent vascular claudication (IVC). Methods: Seventy-two patients diagnosed with LSS using magnetic resonance imaging participated in this study. Thirty-five patients with IVC symptoms and showing vascular lesions by lower extremity venous and arterial Doppler ultrasonography imaging were included in the IVC-LSS group. The pain, static balance, dynamic balance, disability, fear of falling, and kinesiophobia were evaluated using the numeric rating scale, single leg stance test, Time Up and Go (TUG), the Oswestry Disability Index (ODI), Fall Efficacy Scale-International (FES-I), and Tampa Scale for Kinesiophobia (TSK), respectively. Results: Age and female sex were found to be higher in the IVC-LSS group (P = 0.024; P = 0.012). The IVC-LSS group had a shorter single leg stance time and TUG test duration, pain intensity, ODI, FES-I, and TSK scores were higher than patients with LSS (P = 0.001). Pain, fear of falling, and kinesiophobia were moderately correlated with disability in the IVC-LSS group. No relationship was found between pain and dynamic balance. Also, the pain was not related to kinesiophobia. Conclusions: The findings indicated that IVC causes loss of balance and an increase in pain, disability, fear of falling, and kinesophobia in patients with LSS.Öğe Combined sensory integration therapy plus neurodevelopmental therapy (NT) versus NT alone for motor and attention in children with Down syndrome: a randomized controlled trial(Taylor & Francis Ltd, 2024) Yana, Metehan; Kavlak, Erdogan; Gunes, MusaIn this study, we aimed to analyze the incremental effects of sensory integration therapy (SIT) plus neurodevelopmental therapy (NT) versus NT alone on the attention and motor skills in children with Down syndrome (DS). We randomly assigned into experimental (i.e. SIT + NT; n = 21) and control (i.e. NT alone; n = 21) groups. While NT was applied to both groups for six weeks, SIT was applied simultaneously to the experimental group for six weeks. Participants' motor functions (Bruininks-Oseretsky Test of Motor Proficiency-Short form (BOT-2 SF)) and attention skills (Stroop TBAG (Turkish Scientific and Technological Research Association) Form) were evaluated before and after treatment (6 weeks later). Stroop TBAG and BOT-2 SF scores of the groups were similar at the baseline (p > 0.05). Significant improvement from baseline was observed in both BOT-2 SF, and Stroop TBAG results in both groups (p < 0.05). In addition, the improvement in both BOT-2 SF and Stroop TBAG results was found to be greater in the experimental group compared to the control group (p < 0.01). There were clear advantages to adding SIT to NT alone when seeking to improve motor and attention skills in children with DS.Öğe A Comparison of Caffeine Intake and Physical Activity According to Fatigue Severity in University Students(Sage Publications Inc, 2023) Gunes, Musa; Demirer, BusraThis study aims to compare caffeine intake and physical activity levels in university students with severe and ineffective fatigue and examine the relationship between them. A total of 647 (F:527; M:120) university students were included in this cross-sectional study. Individuals' socio-demographic information, severity of fatigue (Fatigue Severity Scale (FSS)), amount of caffeine intake and physical activity level (International Physical Activity Questionnaire-Short Form (IPAQ-SF)) were evaluated. It was determined that 56.5% of the university students (age: 21.21 +/- 2.57) participating in the study had severe fatigue. Caffeine intake and physical activity level of students with severe fatigue were statistically significantly lower than those with ineffective fatigue (p < 0.05). In addition, there was a weak negative correlation between fatigue and caffeine intake (r = -0.157; p < 0.001) and physical activity level (r = -0.096; p < 0.017). There was a significant positive correlation between caffeine intake and physical activity (r = 0.143; p < 0.001). This study showed that a significant portion of university students have severe fatigue. In addition, individuals with severe fatigue have decreased caffeine intake and lower physical activity levels. To reduce fatigue, caffeine intake in safe doses should be encouraged in accordance with the individual's metabolic and physiological parameters. In addition, physical activity counseling should be given to encourage physical activity.Öğe The effect of social media use on eating behaviors and physical activity among university students(Springer Heidelberg, 2023) Gunes, Musa; Demirer, BuesraAimThis cross-sectional study aimed to evaluate the relationship between the duration of social media use time, eating disorders, and physical activity level in university students.Subjects and methodsA total of 562 university students between the ages of 18-29 were included in the study. Study data were collected through an online survey system, including the survey form, some sociodemographic information, social media use information, Eating Attitude Test-26 (EAT-26) scale, and International Physical Activity Questionnaire-Short Form. The data were analyzed with the SPSS 27.0 statistical package program.ResultsThe mean duration of social media use of individuals (mean age 21.18 (2.04) years) participating in the study was 4.76 (3.34) hours/day. The participants' mean EAT-26 scale scores were 18.20 (13.73), and 37.5% of the individuals were at risk of eating disorders according to the cut-off score. At the same time, the physical activity levels of the individuals were low at 44.8%, moderate at 35.8%, and high at 19.4%. A very weak positive correlation was found between the duration of social media use and sedentariness (r = 0.174; p < 0.001).ConclusionThe study data shows that as the duration of social media use increases, the sedentary behaviors of individuals increase, and using social media accounts with visual content is associated with the risk of eating disorders. Considering these results, it is thought that to prevent unconscious social media use, education/seminars should be given to different age groups, including appropriate body image, healthy nutrition, and physical activity recommendations.Öğe Effect of Wearable Vibration Therapy on Muscle Soreness, Joint Position Sense and Dynamic Balance(Ataturk Univ, 2024) Ozmen, Tarik; Contarli, Nurcan; Gunes, Musa; Simsek, Ayse; Yana, Metehan; Dasar, UygarThe aim of this study is to investigate the effects of wearable local vibration therapy (VT) on muscle soreness, joint position sense, and dynamic balance in recovery after squat exercise. Twenty males (age: 22.25 +/- 1.97 years) participated in the study. Muscle soreness, joint position sense, and dynamic balance were evaluated before exercise, 24 and 48 hours after exercise. All participants performed six sets of 10 repetitions of squat exercises. VT was applied to one thigh of the participants randomly for 10 minutes after exercise, and the other thigh was determined as the control. The muscle soreness increased significantly for VT (p<.001) and control (p=.014) at 24 hours after exercise. However, there were no significant differences 48 hours after exercise for both conditions (p>.05). No significant difference was found between VT and control (p>0.05). No significant difference was found after exercise at knee joint position sense for both conditions (p>.05). No significant difference was observed between VT and control (p>.05). There was a significant difference between before exercise and 48 hours after exercise at anterior direction of the modified Star Excursion Balance Test for VT (p=.033). A significant difference was found between before exercise and 24 hours after exercise at posteromedial (p=.012) direction for VT. There was only significant difference at posteromedial (p=.028) direction at 24 hours after exercise between VT and control. The wearable local VT after squat exercise did not affect muscle soreness and knee joint position sense. However, local VT contributed to the improvement of dynamic balance.Öğe Effects of different surgical treatments on pain, disability, anxiety and quality of life in lumbar disc herniation(Mexican Acad Surgery, 2024) Apaydin, Aydin S.; Bozyigit, Bulent; Koc-Apaydin, Zuhal; Gunes, Musa; Yana, MetehanObjective: This study aims to compare the effects of microscopic microdiscectomy and microendoscopic discectomy on pain, disability, fear of falling, kinesiophobia, anxiety, quality of life in patients with lumbar disc herniation (LDH). Methods: A total of 90 patients who underwent microscopic microdiscectomy (n = 40) and microendoscopic discectomy (n = 50) for LDH were included in this study. The patients' pain, disability, fear of falling, kinesiophobia, anxiety, and quality of life were evaluated before the surgery, in the early postoperative period and three months after. Results: In patients who underwent microendoscopic discectomy, the results of pain, disability, fear of falling, kinesiophobia and anxiety were statistically decreased compared with the microscopic microdiscectomy in the early postoperative period and three months later (p < 0.05). Also, a statistically higher increase was observed in the general health perception of patients who underwent microendoscopic discectomy three months after the operation (p < 0.01). Conclusion: Microendoscopic microdiscectomy, remains the most effective and widely applied method with advantages on pain, quality of life, and improved physical functions.Öğe Examination of pain, quality of life, disability, and anxiety in patients undergoing lumbar disc surgery with and without covid-19(2024) Apaydin, Aydın Sinan; Korkmazer, Ruveyda; Gunes, Musa; Apaydin, Zuhal Koç; Bozyiğit, Bülent; Taçyildiz, Abdullah; Akinci, CevatAim: This study aims to examine pain, disability, anxiety, and quality of life in patients undergoing lumbar disc herniation (LDH) surgery with and without COVID-19. Material and Method: Eighty patients who were diagnosed with LDH and planned surgery between March and September 2023 were included in the study. 50% of the patients were diagnosed with COVID-19 for at most six months, according to the positive polymerase chain reaction (PCR) test. 50% of the patients had no symptoms of COVID-19, ranging from mild to severe, and the PCR test was negative (-). The patients' pain level, disability, anxiety, and quality of life were evaluated and compared between the groups with and without COVID. Results: The mean scores of physical roles, physical function, mental health, body pain, and social function on the SF-36 quality of life scale in the LDH+COVID-19 (+) patient group were significantly lower than those in LDH+COVID-19 (-) (p<0.05). Additionally, a statistically significant difference was observed between pain, anxiety, and disability levels in favor of the LDH+COVID-19 (+) patient group (p<0.05). Conclusion: Patients with COVID-19 undergoing LDH surgery have poor quality of life with high levels of anxiety, pain, and disability. Therefore, it is important to consider the current results during the postoperative rehabilitation process.Öğe Gender Differences in Balance, Lumbar Multifidus Muscle, Pain, and Kinesiophobia in Patients with Lumbar Spinal Stenosis(Duzce Univ, Fac Medicine, 2024) Apaydin, Aydin Sinan; Gunes, Musa; Koremezli Keskin, NevinAim: The aim of this study was to examine balance, lumbar multifidus muscle thickness and cross-sectional area (CSA), pain, disability and kinesiophobia levels, and to compare these parameters in terms of gender in patients with lumbar spinal stenosis (LSS). Material and Methods: This cross-sectional study included 59 patients, 33 (55.9%) female and 26 (44.1%) male, diagnosed with LSS by magnetic resonance imaging (MRI). Low back and leg pains, dynamic and static balances, disability and kinesiophobia levels of patients with LSS were evaluated. Lumbar multifidus muscle thickness and total CSA were obtained from MRI images. Obtained data were compared according to gender. Results: Females had significantly more low back pain than males (p=0.043), in patients with LSS. Additionally, females with LSS had worse dynamic and static balances (p=0.005, and p=0.001, respectively) and higher levels of disability (p=0.001), and kinesiophobia (p=0.001). Females with LSS had less lumbar multifidus muscle thickness and CSA than males on both the right and left sides. Also, right multifidus muscle thickness correlated with both dynamic (r=-0.289; p=0.027) and static (r=0.349; p=0.007) balances. Significant correlations were detected between low back and leg pain with dynamic and static balances, disability, and kinesiophobia in patients with LSS. Conclusion: Females with LSS have higher levels of pain, disability, and kinesiophobia than males. Also, LSS affects females' balance functions more and causes further degeneration of the multifidus muscle. Therefore, gender differences should be examined during the clinical follow-up process in LSS.Öğe Investigation of the Relationship Between Technology Addiction and Posture, Balance, and Muscle Strength in Preschool Children(Turkish Green Crescent Soc, 2024) Orunbayev, Agabek; Gunes, Musa; Yana, MetehanThe aim of this study was to examine the relationship between technology addiction and posture, balance, and muscle strength in preschool children. Fifty-six children (26 boys and 30 girls) between the ages of 4 and 6 participated in this study. Technology addiction of the children participating in the study was evaluated with the Problematic Technology Use Scale for Young Children (PTUS-YC), muscle strength was evaluated with the Lafayette Manual Muscle Testing Device, balance was evaluated with the Y Balance Test, and posture was evaluated with the New York Posture Analysis. A moderate negative correlation was found between PTUS-YC and NYPA scores (r = -.540, p < .01). Additionally, a moderate negative correlation was found between PTUS-YC and the YBT (r = -.318, p < .017). When the relationship between PTUS-YC and muscle strength was examined, a moderate positive correlation was found between the right and left hip extensors and the left knee flexors (right: r = .318, p < .017; left hip: r = .381, p < .004; left knee: r = 0.324, p < .015). In conclusion, an increase in problematic technology use in preschool-aged children is associated with an increase in balance and posture disorders. Therefore, suggestions to reduce the level of problematic technology use may be effective in the development of balance and posture.Öğe Physical activity levels respiratory and peripheral muscle strength and pulmonary function in young post-COVID-19 patients A cross-sectional study(Springer Wien, 2023) Gunes, Musa; Yana, Metehan; Guclu, Meral BosnakObjectiveCoronavirus disease 2019 (COVID-19) causes permanent problems, even mild severity. The long-term consequences of COVID-19 are still unknown. This study aimed to investigate physical activity levels, respiratory and peripheral muscle strength, and pulmonary function in the long term in young adult COVID-19 patients who recovered from mild disease.MethodsThis cross-sectional study was carried out at least 6 months after the COVID-19 diagnosis, 54 patients with COVID-19 (median age: 20 years) and 46 controls (median age: 21 years) were compared. Functional status (post-COVID-19 functional status scale), respiratory (maximum inspiratory and expiratory pressures (MIP, MEP)) and peripheral muscle strength (dynamometer), pulmonary function (Spirometry), dyspnea and fatigue (modified Borg scale), and physical activity levels (International Physical Activity Questionnaire) were evaluated. ClinicalTrial number: NCT05381714.ResultsPatients with COVID-19 measured and percent predicted MIP and MEP were statistically decreased compared with the controls (p < 0.05). Shoulder abductors muscle strength (p < 0.001) and the number of individuals with low physical activity levels were significantly higher in patients compared with controls (p = 0.048). Pulmonary function, quadriceps muscle strength, exertional dyspnea, and fatigue scores were similar in groups (p > 0.05).ConclusionRespiratory and peripheral muscle strength and physical activity levels are adversely affected in patients with COVID-19, even though the patients were mildly affected in the long term. Also, symptoms such as dyspnea and fatigue may persist. Therefore, these parameters should be evaluated in the long term, even in young adults who are mildly affected by COVID-19.Öğe The relationship between internet addiction with eating disorders and musculoskeletal health among university students(Springer Heidelberg, 2023) Gunes, Musa; Demirer, Busra; Simsek, AyseAim This study aimed to examine the relationship between internet addiction (IA) with eating disorders and musculoskeletal health problems among university students. Subject and methods This study was cross-sectional. A total of 581 students (female 459; male 122) were included in the study. Data were collected through an online survey system. The questionnaire form included some socio-demographic information, Young Internet Addiction Test (YIAT), Eating Attitude Test-26 Scale (EAT-26), and Musculoskeletal System Health Questionnaire Scale (MSK-HQ). The data were evaluated with IBM SPSS 25 statistical package program and the GraphPad program. Results The prevalence of IA of the students participating in the study (mean age 21.24 +/- 2.03 years) is 8.4%. It was determined that individuals with IA had statistically significantly more back pain during their internet use compared to individuals who did not (p < 0.05). In addition, it was determined that individuals with IA had a higher risk of eating disorders and as the EAT-26 score increased, the risk of IA increased 1.02 times (OR 1.022; CI 1.001-1.044; p = 0.044). As the MSK-HQ score increases, the probability of being internet addicted also decreases (OR 0.747; CI 0.565-0.987; p = 0.040). Conclusion This study shows that IA is associated with eating disorders and deterioration in musculoskeletal health problems among university students.Öğe Relationships between stenosis severity, functional limitation, pain, and quality of life in patients with cervical spondylotic radiculopathy(Tubitak Scientific & Technological Research Council Turkey, 2024) Apaydin, Aydin Sinan; Gunes, MusaBackground/aim: This study aimed to examine the relationships between severity of stenosis, pain, functional limitation, disability, and quality of life in patients with cervical spondylotic radiculopathy. Materials and methods: Patients (45 female, 19 male) with radiculopathy due to spondylotic changes in the cervical spine were included in this study. Stenosis severity (thecal sac cross-sectional area (CSA)), numbness, neck and arm pain severity, functional limitation (Cervical Radiculopathy Impact Scale), disability, and quality of life (EQ-5D-3L General Quality of Life Scale) were evaluated. The study was registered at ClinicalTrials.gov as NCT06001359. Results: According to CSA values, 28 (43.75%) patients had severe stenosis and 36 (56.25%) had moderate stenosis, and the average CSA was 81.65 +/- 10.08 mm2. 2 . Positive correlations were found between both neck and arm pain and neck disability (r = 0.597, r = 0.359), and negative correlations were found for the General Quality of Life Scale index score and EQ-5D-3L visual analog scale (r = -0.787, r = -0.518). There were significant positive correlations between Cervical Radiculopathy Impact Scale subscales and severity of stenosis, neck and arm pain, numbness, and disability (p < 0.05 for all). A significant negative correlation was observed between Cervical Radiculopathy Impact Scale subscales and quality of life (p < 0.01). Stenosis severity was correlated with pain, neck disability, and quality of life (p < 0.01 for all). Conclusion: There are direct relationships between cervical spondylotic radiculopathy and neck and arm pain, numbness, disability, and quality of life. Additionally, an increase in the severity of cervical stenosis is associated with an increase in pain and disability.Öğe Reliability of the Modified Star Excursion Balance Test in individuals with Down Syndrome(Elsevier, 2022) Ozmen, Tarik; Gunes, Musa; Simsek, Ayse; Inceoglu, FeyzaNeuromotor problems such as hypotonia, incoordination, impaired sensory-motor integration lead to significant delays in motor skills and balance development in individuals with Down Syndrome (DS). Balance control is essential for performing many motor skills independently and safely. Standardised testing of balance control can contribute significantly to the rehabilitation of individuals with DS. The purpose of this study was to determine intrarater and interrater reliability of the Modified Star Excursion Balance Test (SEBT) for individuals with DS. Thirteen individuals with DS were recruited in this study. Intraclass correlation coefficients (ICC [3,1]) with 95% confidence intervals, standard error of measurement (SEM), the smallest detectable difference (SDD) and the Spearman rank correlation coefficient were calculated. In all directions of the Modified SEBT, no statistically significant difference was found between two raters' first and second measurements (p > 0.05). Interrater reliability for all reach directions of the Modified SEBT was high, with ICC ranging from 0.990 to 0.998.95% confidence intervals, SEM and SDD ranged from 0.924 to 0.999, 0.180-2.434 and 3.270-6.747, respectively. The Modified SEBT are reliable for evaluating dynamic balance in individuals with DS aged between 6 and 24 years. (c) 2022 Elsevier Ltd. All rights reserved.
