Şule Keçelioğlu

Amaç: Müzisyenlerde “Müziğe Giden Yolda Egzersiz Eğitimi ve Workshop”un kas-iskelet problemlerine yönelik fizyoterapi farkındalığı ve egzersiz bilgisi üzerine etkisini araştırmaktı.Gereç ve Yöntem: Öncesi-sonrası yarı deneysel bu pilot çalışmaya, yaş ortalaması 42.50  9.46 yıl ve enstrüman çalma süresi 32.67  10.19 yıl olan, bir devlet senfoni orkestrasındaki 12 profesyonel müzisyen katıldı. Müzisyenlerin kas-iskelet problemleri için Cornell Kas İskelet Rahatsızlığı Ölçeği, üst ekstremite fonksiyonu için Kol, Omuz ve El Sorunları Anketi, kas-iskelet problemlerine yönelik fizyoterapi farkındalığı için araştırmacılar tarafından oluşturulan Müzisyenlerde Kas-İskelet Problemleri Açısından Fizyoterapi ve Rehabilitasyon Farkındalığı Ölçeği, kas-iskelet problemlerine yönelik egzersiz bilgisi için araştırmacılar tarafından oluşturulan Kas-İskelet Problemlerini Öğren, Ona Göre Bilinçlen Soru Formu kullanıldı. Değerlendirmelerden sonra katılımcılara aynı gün “Müziğe Giden Yolda Egzersiz Eğitimi ve Workshop” verilip, eğitim ve workshop sonrası araştırmacılar tarafından oluşturulan ölçek ve form tekrar edildi. Bulgular: Müzisyenlerde kas-iskelet problemlerine yönelik fizyoterapi farkındalığı ve egzersiz bilgisi “Müziğe Giden Yolda Egzersiz Eğitimi ve Workshop” sonrasında öncesine göre istatistiksel olarak anlamlı düzeyde artış gösterdi (p=0.003, p=0.003, sırasıyla).Sonuç: Müzisyenlerde kas-iskelet problemlerine yönelik farkındalık temelli eğitim programlarının artırılması ve müzisyenlerin fizyoterapistler ile iş birliği içerisinde çalışmasının sağlanması, sanatını ağrısız bir şekilde icra eden müzisyenlerin sayısının artmasına katkı sağlayabilir.

Temporomandibular disorders (TMD) involve complex interactions among behavioral and musculoskeletal factors, and machine learning (ML) has increasingly been used to model these multidimensional relationships. This study aimed to investigate the relationship between smartphone addiction and TMD symptoms by evaluating the possible contributions of clinical variables such as head posture, cervical dysfunction, and masseter muscle sensitivity to this relationship and by examining the multivariate structure using ML methods. A single-blind, cross-sectional study was conducted among university students in Turkey. Participants completed several assessments: Smartphone Addiction Scale-Short Version (SAS-SV), Fonseca Anamnestic Index for TMD severity, Neck Disability Index, Numerical Rating Scale, forward head posture, and masseter muscle pressure pain threshold using algometry. Data were analyzed using Pearson correlation, logistic regression, and various ML classification algorithms (e.g., extreme gradient boosting [XGBoost], support vector machines). Shapley additive explanations analysis was applied to determine variable importance in ML models. In this study, XGBoost demonstrated the most successful performance in determining the relationships between smartphone addiction and TMD symptoms, while the support vector machines model showed the most successful performance in classifying participants. The findings suggest that this ML based approach, taking into account postural abnormalities and masseter muscle sensitivity, could contribute to the early identification of individuals at risk for TMD and the planning of targeted intervention strategies. Research findings have revealed complex relationships between SAS-SV and TMD symptoms among university students. In analyses conducted using ML algorithms, the support vector machines model stood out with the highest classification accuracy (area under the curve [AUC] = 0.94) and performance indicators. Shapley additive explanations analyses showed that smartphone usage time, masseter muscle sensitivity, and Fonseca Anamnestic Index score were the most decisive variables on SAS-SV. In TMD prediction, the highest predictive power was explained by temporomandibular joint pain. Ensemble models such as random forest and gradient boosting yielded more successful results with lower error rates and higher R ² values compared to classical regression methods. The findings indicate that smartphone use indirectly affects TMD through postural disorders and muscle sensitivity.

Amaç: Fiziksel aktivite ve postür farkındalığı eğitiminin 10-11 yaş dönemi çocuklarda fiziksel aktivite düzeyi ile fiziksel aktivite ve postür farkındalığı üzerine etkisini incelemekti. Gereç ve Yöntem: Öncesi-sonrası yarı deneysel olarak tasarlanan bu çalışmaya, yaş ortalaması 10.59  0.50 olan toplam 37 öğrenci dahil edildi. Öğrencilerin fiziksel aktivite düzeyi İlköğretim Öğrencileri İçin Fiziksel Aktivite Soru Formu ile, fiziksel aktivite ve postür farkındalığı Çocuklarda Fiziksel Aktivite ve Postür Farkındalığı Soruları ile değerlendirildi. Öğrencilerin ilk değerlendirmelerinin ardından fiziksel aktivite ve postür farkındalığı eğitimi verildi. Eğitimden sonraki haftalarda öğrencilere postürle ilgili hatırlatmalar yapıldı ve fiziksel aktiviteye yönelik çeşitli etkinlikler düzenlendi. Eğitimden 12 hafta sonra başlangıçtaki değerlendirmeler tekrar edildi. Bulgular: Eğitim sonrasında fiziksel aktivite düzeyinde orta etki büyüklüğü ile istatistiksel olarak anlamlı fark varken (p=0.005; Cohen’s d= 0.49), fiziksel aktivite ve postür farkındalığında anlamlı fark yoktu (p>0.05). Araştırılan parametreler açısından cinsiyetler arasında da anlamlı fark yoktu (p>0.05). Sonuç: Fiziksel aktivite ve postür farkındalığı eğitimi 10-11 yaş dönemi çocukların fiziksel aktivite düzeyini artırabilir. Gelecekte fiziksel aktivite ve postür farkındalığı için farklı eğitim programları oluşturulabilir.

Background: While it is known that smartphone use (SU) affects the musculoskeletal system, the effect of repetitive thumb movements on the masseter muscle has not been systematically investigated. Objective: To investigate the effects of repetitive thumb movements due to SU on the masseter muscle through thenar muscle activity. Methods: The students’ pressure pain thresholds of the thenar and masseter muscles were assessed with an algometer, and bilateral masseter muscle activation was assessed with Electromyography (EMG). Students were asked to perform repetitive thumb taps with their dominant hand for 5 min using the “Fast-Tap” smartphone application. Results: This cross- sectional observational study included 105 students aged 20.96 (2.44) years. Post-SU, right thenar (p < .001), right masseter (p < .001), and left masseter (p = .040) pressure pain threshold decreased, and right masseter muscle activation was higher in terms of %MVC values (p < .001). The right and left thenar and masseter muscle pressure pain thresholds were moderately to highly correlated (p < 0.001). Additionally, the number of thumb taps was moderately correlated with right masseter muscle activation (p < 0.001) and weakly correlated with left masseter muscle activation (p = .005). Conclusion: Repetitive thumb movements due to SU may affect the masseter muscle, and the thenar-masseter relationship may lead to innovative treatment approaches in the future.

Background and Objectives: The effects of face yoga, which continues to be popular as an anti-aging technique, on facial muscles in relation to aging represent an area of interest. The aim of this study was to investigate the effect of 8 weeks of intensive face yoga on facial muscles’ tonus, stiffness, and elasticity in middle-aged women. Materials and Methods: Twelve female participants with a mean age of 49.75 ± 3.76 were included in this pre-experimental clinical trial. Face yoga was applied to the participants for 8 weeks, 2 days a week face-to-face, and 5 days a week as a home program. At the beginning and the end of 8 weeks, the tonus, stiffness, and elasticity of the participants’ facial muscles were evaluated with the Myoton^®PRO device. Results: Following the face yoga program, the tonus and stiffness of the frontalis (p = 0.008, p = 0.002), corrugator supercilii (p = 0.008, p = 0.019), orbicularis oculi (p = 0.023, p = 0.034), and orbicularis oris (p = 0.007, p = 0.015) muscles decreased significantly, while the tonus and stiffness of the buccinator (p = 0.008, p = 0.002) and digastric (p = 0.008, p = 0.023) muscles increased. Elasticity values increased in all evaluated facial muscles (p = 0.045, p = 0.045, p = 0.034, p = 0.023, p = 0.028, p = 0.005, respectively). Conclusions: The results reveal that face yoga has different effects depending on the physiological structure and function of the muscles and positively affects connective tissue. Future studies should reproduce the results presented here to further our understanding of the effects of face yoga.

Objective: This study aims to investigate the relationship between static and dynamic core stabilization with agility and speed among female basketball players. Core stability, encompassing static and dynamic components, is fundamental for maintaining balance and enhancing athletic performance. Materials and Methods: Fifteen female athletes from the Bandırma Basketball Team participated, undergoing a series of core stability, agility, and speed assessments. These included the plank and double leg lowering test for static core stability, back extensions for dynamic core stability, the Hexagonal Obstacle Test (HOT) for agility, and a 20-meter sprint test for speed. Results: The results revealed a significant positive correlation between static core stability (plank test) and speed performance (r=0.576, p=0.025), suggesting that greater static core stability enhances sprinting capability. However, no significant correlations were observed between dynamic core stability (back extensions) and either agility or speed. Additionally, agility and speed showed a moderate correlation (r=0.569, p=0.027), indicating a mutual influence. Conclusion: These findings highlight the importance of static core stability for speed performance and suggest that training programs for basketball athletes could benefit from emphasizing static core exercises to enhance sprinting ability.

Background: Musicians are performing artists, and parameters such as strength and dexterity are required for their performance. In violinists, who the instrument group with a high prevalence of performance-related musculoskeletal pain (PRMP), the effects of performance on PRMP and these parameters, and the correlation between these parameters and PRMP are also intriguing. Objective: To investigate the effects of performance on PRMP, finger grip strength, finger dexterity, and hand grip strength in violinists and also to provide perspective on parameters correlated with PRMP. Methods: This study included 78 violinists (mean age: 22.50 ± 2.87, 55 Female-23 Male). Violinists were evaluated for PRMP with the Numeric Rating Scale, finger grip strength with the pinch meter, finger dexterity with the Purdue Pegboard Test, and hand grip strength with the hand dynamometer. Musicians were evaluated on two separate days: 1) during rest and one week later, 2) after playing the Concerto in B Minor (post-performance). Results: Post-performance, there was an improvement in PRMP and finger grip strength and a decrease in finger dexterity. There was no change in hand grip strength. PRMP was only correlated with left-hand grip strength, and the explanatory power of left-hand grip strength was low. Conclusions: Contrary to the literature, there was a decrease in PRMP post-performance in young violinists. It is noteworthy that finger grip strength increased while finger dexterity decreased. Left-hand grip strength may contribute to the reduction of PRMP. It is clear that more research is needed on musician health and that clear conclusions are still far off.

BACKGROUND: The COVID-19 pandemic affected the whole world and various isolation measures were applied during this period. One of the groups that were physically and mentally affected by this period was students. OBJECTIVE: To investigate the effects of the COVID-19 pandemic on the physical activity (PA) level, attitudes and behaviors related to PA, smoking, perceived stress, and fatigue of university students one-year after the declaration of the pandemic. METHODS: A total of 102 students (79F/23M, 20.68±1.81 years) who were evaluated face to face with International Physical Activity Questionnaire-Short Form (IPAQ-SF), Cognitive Behavioral Physical Activity Questionnaire (CBPAQ), Perceived Stress Scale (PSS), and Turkish Checklist Individual Strength (CIS-T) Questionnaire before the declaration of the pandemic, were evaluated online with the same questionnaires one-year after the declaration of the pandemic. RESULTS: Although there was no difference in terms of other variables, there was a statistically significant difference in the CBPAQ outcome expectation subscale (p = 0.04). The ΔPSS and ΔCIS-T total had a statistically significant effect on the ΔCBPAQ total (p = 0.003 and p = 0.007), ΔPSS and ΔCIS-T total were independent predictors of ΔCBPAQ total (Δ: before-one year after the declaration of the pandemic) CONCLUSION: University students had positive attitudes and behaviors related to PA and they increased their PA levels, although not significantly, compared to before the declaration of the pandemic. Perceived stress and fatigue may have an effect on attitudes and behaviors related to PA and PA levels. It is thought that university students continue their routines despite the many limitations of the pandemic.

Amaç: Omuz Sıkışma Sendromu’nun dominant veya non-dominant tarafta olmasının üst ekstremite fonksiyonelliğine, işteki fonksiyonelliğe ve istirahatte, aktivite sırasında ve gece oluşan ağrı şiddetine etkisini inceleyerek birbirleriyle ilişkisini araştırmak amaçlanmıştır. Gereç ve Yöntem: 18-75 yaş arasında 81 gönüllü çalışmaya dahil edildi. Dominant tarafı etkilenen 44, non-dominant tarafı etkilenen 37 kişi vardı. Katılımcıların üst ekstremite fonksiyonu Kol-Omuz-El Sorunları Anketi ile; istirahatte, aktivite ve gece oluşan omuz ağrısı Görsel Analog Skalası ile değerlendirildi. Bulgular: Gruplar arasında fonksiyonellik ve ağrı parametreleri arasında istatistiksel olarak anlamlı fark yoktu (p>0.05). Bütün hastaların verilerinin korelasyonunda Kol-Omuz-El Sorunları Anketi-Fonksiyon/Semptom ile istirahat, aktivite ve gece ağrısı arasında (sırasıyla p<0.001 p=0.001, p<0.001) ve anketin iş modeli ile de ağrı arasında korelasyon vardı (sırasıyla p=0.005, p=0.002, p<0.001). Dominant tarafı etkilenen hastaların Kol-Omuz-El Sorunları Anketi-Fonksiyon/Semptom bölümü ile istirahat, aktivite ve gece ağrısı arasında (sırasıyla p<0.001, p=0.014, p<0.001) ve iş modeli ile istirahat ve gece ağrıları arasında korelasyon vardı (p=0.016, p=0.003). Non-dominant tarafı etkilenen hastaların Kol-Omuz-El Sorunları Anketi-Fonksiyon/Semptom ile aktivite ve gece ağrısı arasında (p=0.016, p=0.020) ve iş modeli ile aktivite ve gece ağrısı arasında korelasyon vardı (p=0.003, p=0.005). Sonuç: Hastaların dominant ya da non-dominant taraflardan hangisi etkilenirse etkilensin ağrı şiddetindeki artış üst ekstremite fonksiyonunu ve işteki fonksiyonelliği azaltmaktadır.