Begüm Okudan

Aims: Yoga is a comprehensive program that incorporates concentration, relaxation, breathing exercises, and physical postures to synergistically affect the mind and body. This study investigates the effects of Yin Yoga on physical, emotional, and respiratory parameters in healthy adult women. Methods: The study included 24 healthy participants (aged 21.13 ± 0.95 years). The Yin Yoga group (n= 12) participated in two yoga sessions weekly for six weeks, while the control group (n= 12) remained unaltered. Data collection employed the Fatigue Severity Scale, Beck Depression Inventory, Beck Anxiety Scale, skinfold calipers, Timed Up and Go Test, Sit and Reach Test, and Body Mass Index. Results: The six-week Yin Yoga program positively influenced balance, functional mobility, anxiety, depression, and flexibility in healthy individuals, although it did not affect respiratory parameters. Conclusion: Yin Yoga may serve as an alternative method to enhance specific physiological and psychological parameters in healthy individuals. Further research is required to validate these preliminary findings and explore its clinical applications.

OBJECTIVE: The study aimed to determine the clinical and functional status of patients with chronic low back pain (CLBP) due to facet joint arthrosis (FJA) and to examine the relationship, if any, between pain beliefs and clinical and functional status. METHODS: This descriptive, cross-sectional study involved patients who had been diagnosed with CLBP due to mild to moderate FJA. The participants were evaluated using the Numeric Pain Rating Scale (NPRS rest and activity), the Oswestry Disability Index (ODI), the Short-Form Quality of Life Index 12 version 2 (SF-12v2; PCS and MCS) and the Pain Beliefs Questionnaire (PBQ). Statistical analyses were performed using SPSS. RESULTS: This study involved 58 patients (28 females and 30 males) with a mean age of 52.12±4.64 years. The reported pain intensity was 1.93±1.52 at rest and 5.10±1.10 during activity, while the ODI was 24.59±6.61. The MCS was higher than the PCS, with mean scores of 43.52±5.86 and 38.97±5.01, respectively. The participants had higher scores for organic pain beliefs (3.81±0.51) than for psychological pain beliefs (3.35±0.69). A weak positive correlation was found between psychological pain beliefs and functional status ( r = 0.336; p = 0.010). CONCLUSIONS: Patients with CLBP due to FJA experienced mild pain at rest, moderate pain during activity, and moderate functional disability. Participants with stronger psychological pain beliefs exhibited a higher level of functional disability. Addressing pain beliefs may help to improve functional outcomes.

Objectives: This study aimed to investigate the short‐term effectiveness of exercise combined with PNE and exercise alone via telerehabilitation for patients with low back pain (LBP) caused by facet joint arthrosis (FJA).Methods: This is a prospective, single‐blind, randomized‐controlled clinical trial. Forty–five patients with LBP caused by FJA were randomly allocated into three groups. The exercise (n = 15) and the exercise with PNE (n = 15) groups were provided interventions twice a week for six weeks via telerehabilitation. The control group (n = 15) was placed on the waiting list. The primary outcome measures were the numeric pain‐rating scale (NPRS) at rest and with activity, The Oswestry disability index (ODI), the pain beliefs questionnaire (PBQ), and secondary outcome measures were short form‐12v2 (SF‐12v2) and the global rating of change score (GROC).Results: The groups (52.00 ± 4.86, 46.7% female) were similar at baseline except for gender (p = 0.029). There was a significant group‐by‐time interaction for NPRS‐rest (F = 4.276, p = 0.021), NPRS‐activity (F = 12.327, p = 0.0001), the ODI (F = 23.122, p = 0.0001) and organic pain belief (F = 39.708, p = 0.0001). Further comparison with ANOVA showed that the exercise with PNE group showed better improvement in only organic pain belief (p = 0.0001). All groups reported improvements according to GROC, but it was higher in the intervention groups (p = 0.001).Conclusion: The patients who received exercise combined with PNE and exercise alone significantly improved pain intensity, disability and organic pain beliefs via telerehabilitation for patients with LBP caused by FJA compared to the control group. The PNE in addition to exercise may exhibit greater benefit in improving organic pain beliefs in short term.Significance: This study highlights that combining exercise with PNE can lead to greater improvements compared to exercise alone or no intervention for FJA patients. The implementation of PNE in physiotherapy sessions has the potential to offer significant benefits. Furthermore, our results highlight the promising role of telerehabilitation as an effective method for delivering interventions to individuals with FJA.

Amaç: Serebral Palsi (SP)’li çocuğa sahip annelere verilen egzersiz ve postür eğitiminin kas iskelet sistemi ağrıları üzerine etkisini araştırmaktı. Yöntem: Tüm tiplerdeki SP’li çocuğa sahip anneler (18-55 yaş) randomize olarak eğitim grubu (n=30) ve kontrol grubu (n=30) olmak üzere iki gruba ayrıldı. Değerlendirmelerde Görsel Analog Skalası ve Genişletilmiş Nordik Kas İskelet Sistemi Anketi kullanıldı. Eğitim grubundaki annelere fizyoterapist tarafından egzersiz ve postür eğitimi yüz yüze 60 dakika süreyle 1 kez verildi ve 6 hafta boyunca uzaktan takip edildi. Sonuçlar: Ağrı şiddeti eğitim öncesinde kontrol grubunda 5,50±1,25; eğitim grubunda 6,26±1,92 idi ve aralarında istatiksel fark yoktu. Eğitim sonrasında kontrol grubunun ağrı şiddeti 5,80±0,88’e yükselirken; eğitim grubunda 3,90±1,29’a azaldı ve gruplar arasında anlamlı fark vardı (p=0,001). Eğitim grubunda eğitim öncesi ve sonrasında yapılan grup içi analizde ağrı şiddetinde (p=0,001) anlamlı fark vardı. Eğitim sonrasında eğitim grubunun son 7 güne ait ağrı dağılımında boyun (%6,7), omuz (%12,3) ve sırt (%16,6) bölgelerinde azalma görüldü. Tartışma: SP’li çocuğa sahip annelere verilen yüz yüze postür ve egzersiz eğitiminin uzaktan takibinin annelerin ağrı şiddetinin ve boyun, omuz ile sırt bölgelerindeki ağrı dağılımlarının azalttığı ortaya konmuştur.

The isolation period affects individuals’ physical activity levels, with results indicating minimal activity levels in the general population.

Context: The research on the change in properties of the lower leg muscles by different intensity sinusoidal vertical whole-body vibration (SV-WBV) exposures has not yet been investigated. Objective: The purpose of this study was to determine effect of a 20-minute different intensity SV-WBV application to the ankle plantar flexor and dorsiflexor muscles properties and hamstring flexibility. Design: Prospective preintervention–postintervention design. Setting: Physiotherapy department. Participants: A total of 50 recreationally active college-aged individuals with no history of a lower leg injury volunteered. Interventions: The SV-WBV was applied throughout the session with an amplitude of 2 to 4 mm and a frequency of 25 Hz in moderate-intensity vibration group and 40 Hz in a vigorous-intensity vibration group. Main Outcome Measures: The gastrocnemius and tibialis anterior muscle tone was assessed with MyotonPRO, and the strength evaluation was made on the same lower leg muscles using hand-held dynamometer. The sit and reach test was used for the lower leg flexibility evaluation. Results: The gastrocnemius muscle tone decreased on the right side (d = 0.643, P = .01) and increased on the left (d = 0.593, P = .04) when vigorous-intensity vibration was applied. Bilateral gastrocnemius muscle strength did not change in both groups (P > .05). Without differences between groups, bilateral tibialis anterior muscle strength increased in both groups (P < .01). Bilateral gastrocnemius and tibialis anterior muscle tone did not change in the moderate-intensity vibration group (P > .05). Flexibility increased in both groups (P < .01); however, there was no statistically significant difference between the groups (d = 0.169, P = .55). Conclusions: According to study results, if SV-WBV is to be used in hamstring flexibility or ankle dorsiflexor muscle strengthening, both vibration exposures should be preferred. Different vibration programs could be proposed to increase ankle plantar flexor muscle strength in the acute results. Vigorous-intensity vibration exposure is effective in altering ankle plantar flexor muscle tone, but it is important to be aware of the differences between the lower legs.

BACKGROUND: The first objective is the questioning of the presence of general joint hypermobility (GJH) and temporomandibular joint dysfunction (TMJD) in adults and examining the existence of the relationship between GJH and TMJD. The secondary purpose of this study questions whether there is a relationship between the forward head posture and GJH. MATERIALS AND METHODS: GJH assessments were carried out with the Beighton Hypermobility Score. Participants were assessed by a plumb line for postural assessment. During mouth opening, the examination of temporomandibular joint (TMJ) was evaluated based on if the mandible shows deflection or deviation. Pain assessment in TMJ was evaluated through three different pain areas, during rest and chewing activity and at night with the visual analog scale. Masseter muscle pressure sensitivity was recorded by measuring it with a dolorimeter. RESULTS: There was a positive correlation between hypermobility status and temporalis muscle pain at night (r: 0.218, P < 0.005). It was observed that those who are not hypermobile had more pain caused by chewing activity in masseter muscle than hypermobile participants (P < 0.005). CONCLUSION: In the presence of GJH, in order to maintain rehabilitation in the most effective way and to anticipate the secondary problems that may occur, the TMJ should be thoroughly examined for pain, sensitivity, and functionality.