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    A Comparison of the Muscle Activation, Proprioception and Anthropometric Characteristics of the Dominant and Non-dominant Wrists
    (Dokuz Eylul Univ Inst Health Sciences, 2022) Sertel, Meral; Sahan, Tezel Yildirim; Bezgin, Sabiha; Oral, Muhammet Ayhan; Kocaman, Ayşe Abit; Arslan, Saniye Aydogan; Demirci, Cevher
    Purpose: Manual asymmetry refers to tendency that is in favor of hand to perform manual tasks requiring skills, it is important in every sensory and motor function. This study aimed to compare the muscle activation, proprioception, and anthropometric characteristics of the dominant and non-dominant wrists. Methods: In the study, forty young individuals aged between 18-25 years, who volunteered to participate, were included. As anthropometric measurements, the upper extremity length measurement forearm length measurement, hand length measurement wrist diameter measurement, hand width, shape and digit index measurements were performed, respectively. The muscle strength of wrist flexor and extensor muscles was measured by a hand dynamometer, while their muscle activations were measured by electromyography. The arm carrying angle was evaluated by a universal goniometer. Results: The mean age of the individuals included in the study was 22.51 +/- 0.35 years. In the right dominant individuals, when the dominant and non-dominant sides were compared, a statistically significant difference was found between flexor muscle activations, muscle strength, and hand width (p<0.05). No difference was detected between the digit and shape indices, proprioception, wrist diameter, forearm length, cubital angles, and upper extremity length (p>0.05). Conclusion: Finding the dominant side's wrist flexor muscle activations, extensor muscle strength, and hand widths better in young individuals showed that the dominant side was frequently used in daily living activities. The difference was seen that the non-dominant side would be weaker and at higher risk of deformity with increasing age and in the presence of any rheumatic, orthopedic, and neurologic diseases.
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    Comparison Of Short-Term Effects Of Virtual Reality and Short Foot Exercises In Pes Planus
    (Churchill Livingstone, 2021) Yıldırım Şahan, Tezel; Aydoğan Arslan, Saniye; Demirci, Cevher; Oktaş, Birhan; Sertel, Meral
    Background: Virtual reality exercises (VRE) offers functional, multipurpose usage with a motivational approach. This study aimed to compare VRE and short foot exercises (SFE) in individuals with flexible pes planus. Methods: Forty participants with pes planus were assigned to the SFE group (n = 20) or VR exercise group (n = 20). Both groups performed exercises three times a week for four weeks. The groups were assessed with a navicular drop test for the height of the medial longitudinal arch, craig Test for femoral anteversion, Star Excursion Test for balance,10 step test for performance. Results: For two groups there is a statistically significant difference between before and after treatments(p < 0.05). There is no difference between VRE and SFE groups after treatments for all parameters(p > 0.05). Conclusions: Two different 4-week-exercise programs for pes planus have a similar effect on performance, balance, and navicular drop values in both groups. It was considered that the practice of VR exercises like short foot exercises could also address rehabilitation goals, which included improving balance, performance, and foot posture. ClinicalTrials.gov Identifier: NCT04283357. © 2021 Elsevier Ltd
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    Neural System and Its Adaptation to Exercise
    (Springer International Publishing, 2023) Demirci, Cevher; Arslan, Saniye Aydogan
    Neural adaptation is the improvements in coordination and learning allowing the involvement and deactivation of relevant muscles during a forceful task. It occurs at the level of the motor cortex, spinal cord, and/or neuromuscular junction following exercise and varies at significant levels with different exercise training. It is already known that the rapid increase in muscle strength, before the development of hypertrophy in the muscle with exercise, is mainly associated with neural adaptations. Optimizing motor control is the focus of many training and rehabilitation programs. Therefore, understanding how neural adaptations occur and their relationship with functional development is crucial for planning exercise programs. Studies investigating the response to exercise in neural system pathologies are insufficient in the literature. To plan an individualized and functional exercise program, it is necessary to know these effects in healthy individuals as well as in patients. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023.
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    Omuz Ağrılı Bireylerde Skapular Diskinezi, Kavrama Kuvveti, Servikal Bölge Hareketliliği ve Temporomandibular Eklem Bozukluğu Arasındaki İlişkinin İncelenmesi
    (2021) Şahan, Tezel Yıldırım; Kocaman, Ayse Abit; Aydoğan, Saniye; Demirci, Cevher; Bezgin, Sabiha; Oral, Muhammet Ayhan; Önal, Birol
    Amaç: Omuz ağrılı bireylerde skapular diskinezi, kavrama kuvveti, servikal bölge hareketliliği vetemporomandibular eklem bozukluğu arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Çalışmaya omuzproblemi olan 40 birey (28 kadın,12 erkek) alındı. Çalışmaya katılan tüm bireylerin sosyodemografik verilerikaydedildi. Bireylerin skapular diskinezileri, Skapular Yardım Testi (SYT) ile, boyun normal eklem hareketigonyometrik ölçümlerle, kavrama kuvveti el dinamometresi ile, Temporomandibular eklem bozukluğu (TMB)Fonseca Anamnestik Anketi ile değerlendirildi. Bulgular: Omuz ağrısı olan bireylerde skapular diskinezininvarlığı ile kavrama kuvvetinin (r=0.366, p=0.020), etkilenmiş taraf omuz yönünde boyun rotasyonunun (r=0.401,p=0.010) ve lateral fleksiyonunun (r=-0.358, p=0.023), sağlam taraf omuz yönünde boyun rotasyonunun azaldığı(r=0.145, p> 0.05), Fonseca Anamnestik Anketi (r=-0.501, p=0.001) sonuçlarının arttığı belirlendi. Sonuç:Çalışmamızda omuz ağrısının skapular diskinezi ile boyun hareketleri, temporomandibular eklem ve kavramakuvvetiyle ilişkili olduğu belirlenmiştir. Omuz ağrısı olan bireylerin değerlendirmeleri ve tedavileri sırasındaboyun, skapula, temporomandibular eklem ile kavrama kuvveti etkilenimi olabileceği de düşünülmelidir.
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    The Cutoff Value of the Calf-Raise Senior Test for Older Faller
    (Routledge Journals, Taylor & Francis Ltd, 2020) Abit Kocaman, Ayse; Demirci, Cevher; Aydogan Arslan, Saniye; Yildirim Sahan, Tezel; Vergili, Ozge; Oral, M. Ayhan; Bezgin, Sabiha
    Aims The aim of this study is to determine a cutoff value of the calf-raise senior test and dual-calf-raise senior test according to fall history. Methods 150 elderly individuals participated in descriptive study. Berg Balance Scale (BBS), Timed Up and Go Test (TUG), Functional Reach Test (FRT), Calf-Raise Senior Test (CRST) and Calf-Raise Senior Test with additional cognitive task (dual- CRST) were applied. Results It was found to be high correlation between CRST and the BBS ,medium with TUG, and high with FRT . It was found to be high correlation dual-CRST and the BBS,medium with the TUG and high with FRT. According to the fall history, the cutoff value for the CRST was found 18.3 repetitions and 11.5 repetitions for the dual-CRST. Conclusion The present study has contributed significantly to the literature in terms of determining the cutoff value for fall risk in the CRST and dual-CRS.
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    Urkish Adaptation of ACTIVLIM Questionnaire in Neuromuscular Diseases by Rasch Analysis
    (2019) Kılınç, Muhammed; Öksüz, Çiğdem; Gökmen, Derya; Gürbüz, İpek; Demirci, Cevher; Abaoğlu, Hatice; Yıldırım, Sibel Aksu
    Purpose: The aim of this study was to assess the reliability and validity of the ACTIVLIM questionnaire\rfor Turkish-speaking neuromuscular disease (NMD) patients with the Rasch analysis. Material and\rMethods: 169 NMD patients were included in the study. The independence level regarding activities of\rdaily living was assessed using the Functional Independence Measurement (FIM) scale while activity\rlimitation was evaluated with the Activlim questionnaire. All assessments were performed twice, at the\rbeginning of the study and 15 days later. Statistical analysis was done by using Rasch method. Results:\r95 children with a median age of 10 and 74 adults with a median age of 34.5 years were included in the\rstudy. Seventy patients (41.7%) were assessed a second time. Starting with 22 items, one item\r(ACTIVLIM 5- Sitting on the toilet) displayed disordered thresholds, necessitating collapsing of categories.\rAccording to test/retest reliability, none of the items showed differential item functioning. Internal\rconsistency of the scale is sufficent (Cronbach’s alpha 0.94). The scale showed expected correlation with\rFIM scores (Pearson 0.95) which revealed external construct validity of the scale. Discussion: ACTIVLIM\ris found as a reliable and valid questionnaire that can be used in the Turkish NMD population to assess\ractivity limitation