There are about 15072 clinical studies being (or have been) conducted in Turkey. The country of the clinical trial is determined by the location of where the clinical research is being studied. Most studies are often held in multiple locations & countries.
The aim of our study is to examine the effects of sarcopenia and dynapenia on inspiratory muscle strength and cardiorespiratory fitness in geriatric individuals.
To determine the effectiveness of the Cognitive Exercise Therapy Approach (BETY in Turkish) in individuals with Primary Sjögren's Syndrome and to compare the effects of this training when applied in groups and individually. H1: BETY training affects at least one of the following: disease activity, pain, and fatigue in individuals with Primary Sjögren's Syndrome. H2: BETY training affects at least one of the quality of life and biopsychosocial status in individuals with Primary Sjögren's Syndrome. H3: BETY training affects the anxiety/depression level in individuals with Primary Sjögren's Syndrome. H4: BETY training affects chewing and swallowing performances in individuals with Primary Sjögren's Syndrome. H5: BETY training given in groups is more effective than individual practice in individuals with Primary Sjögren's Syndrome. Volunteers who meet the inclusion criteria will be placed on the waiting list, the content of all three interventions will be explained to the individuals, and groups will be formed randomly using the sealed envelope method among those who volunteer to participate in all three contents. The three options that will be offered to patients will be 'participation in BETY group sessions', 'participation in individual BETY sessions', and 'following a home program with symptom-oriented exercise recommendations'. The biopsychosocial-based exercise model ("Cognitive Exercise Therapy Approach" (BETY)) to be used in this randomized controlled study is a method developed on individuals with rheumatic diseases. In this method, which can be applied individually or in a group, nociplastic pain, and mood management are combined with exercises. Patients participating in the training received 36 sessions in total; He/she will attend BETY sessions lasting 1 hour, 3 times a week for 12 weeks, in group and individual sessions. Each session will include a warm-up phase, exercise training, and cool-down phases. During these sessions, the physiotherapist plays only an instructive and guiding role. In BETY sessions, exercises will be made more difficult as the person can perform a higher level exercise, in accordance with the loading principle. An exercise band will be added to the exercises that show a progression from closed kinetic chain to open kinetics, following the developments in the patient. In the control group, exercise recommendations will be given as a home program according to the individuals' symptoms. Cognitive Exercise Therapy Approach (BETY) BETY includes mind-body interaction information management, pain management strategies, mood information management through dance therapy/authentic movement, and sexuality information management. BETY first session; After meeting the patient and completing the evaluations, it consists of the steps of analysis of the person's problem, selection of exercise for this problem, replacement of the exercise in function, pain management, and recovery agreement. The basic exercise model used in BETY is function-oriented trunk stabilization exercises. Patients are given information about the 5 features of trunk stabilization (neck, shoulder, rib cage, lumbopelvic region postures and respiratory control), visual imagery, and their control. BETY-nociplastic pain management strategy includes the following steps; - Physical activity is stopped when there is pain. - Due to the relationship between pain and central sensitization, the patient questions whether he or she is worried about something. If there is a situation that causes concern, the patient should direct his/her attention away from this point. - Cognitive restructuring is achieved with positive thoughts instead of negative thoughts as a distraction strategy. - At the moment of positive thought, it is recommended to do exercises for the painful area. Information management in sexuality means that anxiety about sexuality is also a factor that increases pain. It is added to the sessions with the knowledge that it may be a factor and because it is a subject that cannot usually be talked about. During the "arm openings 1" and "arm openings 2" exercises, during the cognitive restructuring process using positive and negative awareness sentences, is aimed at normalizing these issues in the mind of the individual by including positive and negative sentences about sexuality. In addition, the information will be reinforced by synthesizing the questions asked by the patients during patient education and the pelvic floor muscle training created by trunk stabilization exercises.
Plyometric training (PT) is training consisting of exercises that enable the muscles to reach maximum strength in minimum time. PE improves lower extremity muscle strength, jumping performance, agility, reaction time. Although plyometric exercises contribute greatly to increasing athlete performance, athletes cannot apply PE due to loading procedures at all times of the season. PEs in the literature generally involve active application of exercises. The definition of exercise includes not only physical exercise but also mental exercise. Athletes can use mental exercises as complementary training methods that can complement or add to physical training to compensate for their deficiencies. When mental exercises are examined, we often encounter two concepts. These are action observation (AO) and motor imagery (MI). MI imagines a task without actually performing it. AO is when a person watches a certain action being performed by another third party or while the video is being played back. There are studies showing that training on MI and AO methods creates more activation in the brain when applied together. Although the definition of motor imagery has been broadly separated from action, more recent imagery theories have led to the concept of dynamic motor imagery (DMI), the practice of athletes adopting a harmonious body position and embodying the spatial and temporal properties of movement without performing the entire movement. To the best of our knowledge, no study has been found in which PT based on MI and AO was performed on female volleyball players. Additionally, to our knowledge, the effectiveness of DMI on female volleyball players has not been investigated. Therefore, the aim of our study is; PT based on MI and AO is applied to female volleyball players in two different ways; The aim is to investigate the effects of balance, jumping, agility and reaction time and to compare the effectiveness of these two methods.
With the pandemic affecting the world, education systems have been subjected to mandatory changes without sufficient thought on teaching content, delivery and pedagogy. In this process, physiotherapy courses involving psychomotor skills such as manual therapy became difficult to teach and evaluate. Although the pandemic is over, it is suggested that technological approaches should be used in learning systems and incorporated into physiotherapy education. These technology-supported education models are called blended education models. The use of the flipped training model, a variant of blended training models, can improve practical skill performance. In this study, it was aimed to determine the effect of two different models on the quality of teaching and learning in cervical region manual therapy teaching. Suleyman Demirel University Physiotherapy and Rehabilitation senior students (n=100) will be randomly divided into two groups. The control group (n=49) will be given monologue education with in-class team-based traditional education model. The practical part of the course will be taught in the classroom and applied with patient-clinician role model technique. Homework will be assigned for students to read scientific articles and analyze case examples. The entire six-week teaching program will take place in the classroom. The experimental group (n=51) will be applied the flipped model. The theoretical and practical knowledge of the course will be provided at home with the EdPuzzle education platform. They will be encouraged to read articles and analyze cases at home. The classroom environment will be used to ask questions related to the theoretical part of the course and to practice the practical application as a patient/clinician role model. The seven-week teaching program is planned in the classroom and home environment. In the evaluation of the research, explanatory sequential design method from mixed research methods will be applied. Pre-test/post-test/knowledge retention test, instructional materials motivation questionnaire and skill level/performance evaluation form will be used to evaluate the quantitative data. A lesson observation form will be used to evaluate whether the trainer provided the same competence to both groups. Semi-structured case study will be used to evaluate the reverse-face model to the experimental group with qualitative data.
Fibromyalgia syndrome is characterized by chronic pain, fatigue, sleep problems and functional symptoms. Fatigue, anxiety and depression disorders, poor quality of life, sleep disorders, decreased concentration, and impaired cognitive functions are non-specific pain-related symptoms. Various studies have reported decreased chest expansion, maximal ventilatory volume and maximal expiratory pressure in fibromyalgia patients with widespread body pain. Additionally, dyspnea is a symptom associated with respiratory muscle weakness and is associated with general fatigue. In these individuals, lower data are obtained in daily living activities and general health evaluation surveys. We did not find any study in the literature regarding the relationship between diaphragm thickness and fibromyalgia symptoms. In the light of these data, we aimed to evaluate the thickness of the diaphragm, one of the most important inspiratory muscles, in fibromyalgia patients.
This study will investigate the effects of physical activity in young adults. With the increase in physical activity, the change in smartphone addiction, pain and sleep quality parameters will be evaluated.
The effects of listening to music on anaerobic power in elite weightlifting athletes will be examined.
In this study, healthy individuals will be asked to do yoga exercises or a calisthenic exercise program. The effect of different exercise programs on quality of life will be investigated.
Mobilisation with movement (Mulligan Sustained Natural Apophyseal Glides (SNAG)). method has been shown to have significant effects on pain, joint range of motion, and functionality in patients with neck pain. However, there is a lack of studies examining the effects of this technique on muscle stiffness associated with neck pain. Considering the immediate effects of a single session of lumbar SNAG application on lumbar muscle stiffness in patients with low back pain, it raises curiosity about the effects it would have on cervical spinal segments and surrounding muscles. The aim of this study is to investigate the immediate effects of Mulligan SNAG application on muscle stiffness, pain, and joint range of motion in patients with mechanical neck pain.
Objective: The aim of this study is to compare neuromuscular exercises and dance Therapy on physical performance and kinesiophobia results in geriatrics. Methods: As a result of the power analysis (G-Power), 36 participants are planned to be included in this study Block randomization will be used to divide participants into 2 groups, each with at least 18 participants: Group 1 (NE Group) and Group 2 (DT Group) (Randomizer.org). NE (Neuromuscular Exercise) group will participate in a 12-week exercise program consisting of sensorimotor system training, postural stability and control, global and local joint stabilization, balance training, muscle strength, breathing, and functional movement patterns.DT (Dance Therapy) Group will participate in 12-week dance training by a dance instructor. In dance therapy practices, simple and selected basic movements are appropriate to the level of the participants. Data will be collected using the Berg Balance Scale,30-second-Sit-to-Stand Test, Manual Muscle Testing, goniometer measurement and Tampa Scale of Kinesiophobia. Practice Implications: This current study will contribute to the understanding of how neuromuscular exercises and dance therapy affect physical function and kinesiophobia in geriatrics.