Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleAçık Erişim2026Effects of transcutaneous auricular vagus nerve stimulation added to robotic rehabilitation in patients with ischemic stroke: a randomized clinical trial
Kızıl, Ömer Dicle; Ural, İbrahim Halil; Hatık, Sefa Haktan; Özden, Ali Veysel; Aydın, Emine Büşra
Background: This study aimed to investigate the effects of adding transcutaneous auricular vagus nerve stimulation (taVNS) to robotic rehabilitation on functional outcomes and neuromuscular activity in patients with ischemic stroke. Methods: This randomized controlled clinical trial employed a pre–post study design and was conducted in a hospital-based physiotherapy and rehabilitation clinic. A total of 40 patients with ischemic stroke, aged 18–65 years, were randomly assigned to either a robotic rehabilitation group (RRG) or a combined vagus nerve stimulation and robotic rehabilitation group (VRRG). Spasticity, walking speed, motor function, quality of life, muscle activity, and pain were assessed at baseline and after six weeks of treatment. Results: Primary outcome measures were walking speed, motor function assessed by the Fugl–Meyer Assessment, and pain intensity. Secondary outcomes included electrophysiological measurements (H-reflex and F-wave parameters) and quality of life. Within-group analyses showed significant improvements in all outcomes in the VRRG (p < 0.05), whereas all outcomes except pain improved significantly in the RRG (p < 0.05). Between-group comparisons demonstrated greater improvements in walking speed in the VRRG compared with the RRG (mean difference − 1.84 s, 95% CI − 3.7 to − 0.7; r = 0.43; p = 0.006) and greater pain reduction in the VRRG (mean difference − 1.55, 95% CI − 2.5 to − 0.1; r = 0.30; p = 0.048). In contrast, a greater reduction in the Hmax/Mmax amplitude ratio—an electrophysiological marker of spinal excitability—was observed in the RRG. Conclusion: The findings suggest that transcutaneous auricular vagus nerve stimulation combined with robotic rehabilitation may provide additional benefits in terms of walking speed and pain reduction in patients with ischemic stroke. Trial registration: The study was registered at ClinicalTrials.gov on April 19, 2024. (Identifier: NCT06381089).
- MakaleAçık Erişim2026Immediate effects of cervical spine and sacroiliac joint manipulations on the autonomic nervous system and pedobarographic analysis: Randomized controlled trial
Turgut, Hayriye; Büyükkırlı, İlker Can; Hatık, Sefa Haktan; Aydın, Emine Büşra
Background: This study aimed to investigate the immediate effects of cervical and sacroiliac joint manipulations on autonomic nervous system activity and baropodometric parameters. Methods: Participants were randomly assigned to three groups with equal gender distribution. The cervical manipulation group received chiropractic manipulation at the C3–C5 level, while the sacroiliac group received manipulation at the sacroiliac joint. The control group received no intervention. Pre- and post-treatment evaluations were conducted after a 30-minute interval. Plantar pressure was measured via a pedobarographic device. Autonomic nervous system activity was assessed using the Polar H10. Blood pressure and heart rate were manually recorded using a sphygmomanometer and pulse oximeter. Statistical significance was set at p < 0.05. Results: No significant differences were found among groups in terms of age, gender, height, or BMI (Kruskal-Wallis, p > 0.05). The cervical manipulation group showed significant decreases in systolic and diastolic blood pressure and heart rate post-intervention (Wilcoxon, p < 0.05). The sacroiliac group showed a significant increase in heart rate only (Wilcoxon, p < 0.05). No significant changes were observed in baropodometric parameters or autonomic activity within or between groups (Wilcoxon and Kruskal-Wallis, p > 0.05). However, post-intervention comparisons showed cervical manipulation led to a greater reduction in systolic blood pressure, while sacroiliac manipulation led to a greater increase in heart rate compared to controls (Mann-Whitney U with Bonferroni correction, p < 0.05). Conclusion: While no significant changes were observed in baropodometric or autonomic parameters, chiropractic manipulation demonstrated short-term effects on blood pressure and heart rate. The accuracy of heart rate variability assessments should be reviewed, and further studies are needed to evaluate long-term cardiovascular and autonomic outcomes.
- MakaleAçık Erişim2025Comparison of Physical Activity Levels, Metabolic Syndrome Risks and Sleep Quality of Athletes and Sedentary University Students: A Cross-Sectional Study
Çebi, Mehmet; Aydın, Emine Büşra
Objective: The aim of this study is to compare the phys- ical activity levels, metabolic syndrome risks and sleep quality of ath- letes and sedentary university students.Material and Methods: A total of 400 students, including 200 athletes and 200 sedentary students studying at Gümüşhane University, were included in this study. In col- lecting data; Pittsburgh Sleep Quality Index was used to evaluate the sleep quality of the participants, International Physical Activity Ques- tionnaire-Short Form was used to determine physical activity levels and Metabolic Syndrome Research Form was used to determine metabolic syndrome risk levels. Results: Average age of the participants was 19.94±1.48. A significant difference was detected between athletes and sedentary individuals in sleep quality and metabolic syndrome risk level. Individuals who exercise regularly and have high physical activ- ity levels were found to have higher sleep quality and lower metabolic syndrome risks. In addition, these people are less exposed to various sleep problems such as falling asleep late, daytime sleepiness, ineffi- cient sleep, etc. Conclusion: Increasing the level of physical activity improves sleep quality and reduces the risk of metabolic syndrome. Athletes have better sleep quality and lower risk of metabolic syndrome than sedantery. It is important to increase research in this area in young individuals. On the other hand, creating the right exercise program should be emphasized in studies. It is thought that our study will con- tribute to future studies in this regard.
- MakaleAçık Erişim2025Comparison of drop table and diversified chiropractic techniques in patients with non-specific neck pain; [Comparação das técnicas quiropráticas drop table e diversified em pacientes com dor cervical inespecífica]
Kızıltoprak, Dünya Tajik; Hatıp, Sefa Haktan; Kızıl, Ömer Dicle; Aydın, Emine Büşra
Introduction: Neck pain is a common musculoskeletal disorder associated with pain, reduced cervical mobility, and decreased muscle strength, often leading to functional limitations. Chiropractic manipulation is widely used as a conservative treatment, yet the comparative effects of different techniques remain unclear. ## Objective To compare the effects of the diversified and drop table chiropractic techniques on pain, cervical range of motion, and muscle strength in individuals with non-specific neck pain. ## Methods This randomized controlled clinical trial included 45 participants with non-specific neck pain, randomly assigned to three groups: diversified (DG; n = 15), drop table (DTG; n = 15), and control (CG; n = 15). Interventions were applied twice weekly for four weeks. The primary outcome measure was pain level assessed using the McGill Pain Questionnaire. Secondary outcome measures were cervical joint range of motion assessed with a goniometer and isometric neck muscle strength assessed using a microFET2 dynamometer. Outcomes were assessed pre- and post-intervention. ## Results Both DG and DTG demonstrated significant increases in cervical range of motion compared with the CG. Pain levels significantly decreased in both intervention groups. DG showed significant improvements across all isometric muscle strength measures, while DTG demonstrated selective improvements in flexion and right lateral flexion. CG showed no significant changes, except a decrease in extensor strength. ## Conclusion Chiropractic interventions effectively reduce pain and enhance cervical function in individuals with non-specific neck pain. The diversified technique provided broader muscle strength improvements, while the drop table technique showed more selective effects, emphasizing the need for individualized technique selection in clinical practice. Open access and CC-BY licensed.
- MakaleAçık Erişim2024A Comparison of the Instantaneous Effects of Spinal Manipulation and Mobilization Techniques Applied to L3 Level on Jumping, Agility and Sprint Speed in Male Volleyball Players
Aydın, Emine Büşra; Hatik, Sefa Haktan; Büyükkırlı, İlker Can
Objective: This study aims to investigate the effects of manipulation and mobilization treatments applied to the L3 segment on sportive performance to prevent performance anxiety and low performance resulting from competition stress in athletes. Material-Method: Sixty male volleyball players aged 18 to 25 were enrolled in this randomized controlled trial. Participants were randomly assigned to one of three groups: a manipulation, a mobilization, and a control group. After completing the required warm-up program, participants underwent either manipulation or mobilization based on their assigned group. Hip range of motion, lumbar range of motion, T-Test time (seconds), 10-meter sprint time (seconds), vertical jump height (cm), and horizontal jump distance (cm) were evaluated immediately before and after the interventions. Results: There were no significant differences between the groups regarding participants' age and height (p>0.05). The mobilization group had the highest mean body mass index and weight (p=0.05). In the intra-group analysis, statistically significant improvements were observed in the spinal manipulation group for hip external rotation, lumbar flexion, extension, T-test performance, and right lumbar flexion (p<0.05). In the mobilization group, significant changes were noticeable for right hip flexion, left hip abduction, hip external rotation, lumbar flexion, extension and lateral flexion, T-test performance, 10-meter sprint, and horizontal jump. Across all groups, all measures were statistically significant except for hip flexion, hip adduction, hip internal rotation, and lumbar lateral flexion (p<0.05). Conclusion: Comparing the data between the groups revealed that the spinal manipulation group demonstrated superior outcomes in right hip extension, right hip external rotation, lumbar flexion, extension, T-test performance, and 10-meter sprint times compared to the spinal mobilization and control groups. We believe that pre-competition spinal manipulation interventions may offer the greatest benefit for volleyball players.
- MakaleAçık Erişim2024Sağlık Bölümlerinde Okuyan Üniversite Öğrencilerinde Sağlık Okuryazarlığı, Kardiyovasküler Hastalıklar Riski Bilgi Düzeyi ve Sağlıklı Yaşam Biçimi Davranışlarının İncelenmesi: Kesitsel Bir Çalışma
Aydın, Emine Büşra
Amaç: Çalışmanın amacı, üniversitede sağlık bölümünde okuyan öğrencilerin sağlık okuryazarlığı düzeyleri, sağlıklı yaşam davranışları ve kardiyovasküler hastalıkların risk faktörlerine yönelik bilgi düzeylerinin araştırılmasıdır. Gereç ve Yöntemler: Çalışma bir devlet üniversitesine ait sağlık hizmetleri meslek yüksekokulunda öğrenimine devam eden 374 öğrencinin katılımıyla gerçekleşmiştir. Araştırma verileri, demografik bilgi formu, Sağlıklı Yaşam Biçimi Davranışları Ölçeği II (SYBDÖ-II), Türkiye Sağlık Okuryazarlığı Ölçeği-32 (TSOY-32), Kardiyovasküler Hastalıklar Risk Faktörleri Bilgi Düzeyi (KARRİF-BD) Ölçeği ile toplanmıştır. Veriler, NCSS (Number Cruncher Statistical System) 2007 Statistical Software paket program ile analiz edilmiştir. Gruplar arası karşılaştırma tek yönlü varyans analizi ile yapılmış, alt grup karşılaştırması ise Tukey testi ile yapılmıştır. İki grup karşılaştırmasında bağımsız t-testi, değişkenlerin birbiri ile ilişkisinin tespit edilmesinde Pearson korelasyon analizi tercih edilmiştir. Bulgular: Katılımcıların yaş ortalamaları 20,83±1,61 yıldır. Kadınların TSOY-32 ortalamaları erkeklerden daha yüksek bulunmuştur (p<0,05). İkinci sınıf öğrencilerinin KARRİF-BD puan ortalamaları 1. sınıflardan daha yüksektir (p<0,05). Katılımcıların TSOY-32 ortalamaları ile SYBDÖ-II’nin kişilerarası ilişkiler, beslenme, sağlık sorumluluğu, stres yönetimi, manevi gelişim alt boyutları ve toplam puan arasında pozitif yönde zayıf korelasyonlar bulunmuştur (p<0,05). Öğrencilerin TSOY-32 ile KARRİF-BD ortalamaları arasında pozitif yönde zayıf korelasyon bulunduğu görülmektedir (p<0,05). Katılımcıların KARRİF-BD ortalamaları ile SYBDÖ-II kişilerarası ilişkiler, beslenme, manevi gelişim alt boyut puanları ve bu ölçeğin toplam puanı arasında istatistiksel olarak anlamlı pozitif yönde zayıf korelasyonlar bulunmaktadır (p<0,05). Sonuç: Daha yüksek sağlık okuryazarlığı, daha yüksek sağlıklı yaşam alışkanlıkları ve kardiyovasküler hastalıklara yönelik farkındalık ile ilişkilidir.
- MakaleAçık Erişim2023Sağlıklı Bireylerde Spinal Stabilizasyon Egzersizleri, Kayropraktik Manipülasyon ve Kombine Uygulamasının Otonom Parametreler ve Bazı İlişkili Faktörlere Etkisi
Arslan, Mesut; Aydın, Emine Büşra
Bu çalışmanın amacı; sağlıklı bireylerde spinal stabilizasyon egzersizleri, kayropraktik manipülasyon ve kombine uygulamasının otonom parametreler ve bazı ilişkili faktörlere etkisini araştırmaktır. Çalışmaya 18-45 yaş arası, sağlıklı 72 kişi dahil edilmiştir. Çalışmaya katılan kişiler randomize olarak 4 gruba ayrılmıştır. Grup 1’e haftada 1 kez olmak üzere 6 seans kayropraktik manipülasyon uygulanmıştır. Grup 2’ye haftada 3 kez olmak üzere 18 seans stabilizasyon egzersizleri yaptırılmıştır. Grup 3’e hem stabilizasyon egzersizleri, hem de kayropraktik manipülasyon uygulanmıştır. Tüm uygulamalar 6 hafta boyunca yapılmıştır. Grup 4 kontrol grubu olarak takip edilmiş, herhangi bir uygulama yapılmamıştır. Katılımcılar nabız, kan basıncı, solunum frekansı ve kalp hızı değişkenliği parametreleri, göğüs çevre ölçümü, Yorgunluk Şiddet Ölçeği, Algılanan Stres Ölçeği ve Pitsburg Uyku Kalitesi Ölçeği ile uygulama öncesi, uygulama sonrası ve uygulama sonrası 1. ayda değerlendirilmiştir. Tüm eğitim gruplarında uygulama sonrası ölçümde sistolik ve diyastolik kan basıncında anlamlı düşüşler elde edilmiştir. Ayrıca Grup 1’de torakal ekspansiyonda, Grup 3’te ise torakal ekspansiyon ve algılanan stres düzeyinde anlamlı iyileşmeler elde edilmiştir. Ancak değerlendirme parametrelerinin hiç birinde gruplar arası karşılaştırmada istatistiksel olarak anlamlı bir farklılık tespit edilmemiştir.
- MakaleAçık Erişim2022The Relationship Between Metabolic Syndrome Risk, Physical Activity, Sleep Quality, and Fatigue in University Students
Arslan, Mesut; Aydın, Emine Büşra
Objective: Healthy life behaviors such as regular physical activity, healthy nutrition, regular\rsleep, and smoking cessation play an important role in protecting against metabolic syndrome.\rThis study was planned to investigate the relationship between metabolic syndrome risk, physical\ractivity, sleep quality, and fatigue among university students.\rMethods: This research was conducted in Health Services Vocational School studying in\rTurkey. The study sample consisted of 319 students who complied with the criteria of inclusion\rfor the study. The data were collected using the “Demographic Information Form,” “Metabolic\rSyndrome Research Form (MSAF),” “Pitsburg Sleep Quality Scale (PSQI),” “Fatigue Severity\rScale,” and “International Physical Activity Questionnaire (Short).” Statistical analyses were\rperformed with NCSS (Number Cruncher Statistical System) 2007 Statistical Software (Utah,\rUSA) package program.\rResults: In total, 319 people, including 100 men (31.35%) and 219 women (68.65%), participated\rin the study. The mean age of the participants was 20.80 ± 2.24. A statistically significant positive\rcorrelation was observed between MMSAF values and PSQI values (r = 0.250, P = .0001). A\rstatistically significant negative correlation was observed between MSAF values and IPAQ values\r(r = −0.175, P = .002). A statistically significant positive correlation was observed between\rMSAF values and fatigue values (r = 0.485, P = .0001). No statistically significant correlation was\robserved between IPAQ values and PSQI values (r = −0.058, P = .303). A statistically significant\rnegative correlation was observed between IPAQ values and fatigue values (r = −0.137, P = .014). Conclusion: It is known that metabolic syndrome has become widespread due to the current lifestyle. With the support of the literature, it is stated\rthat physical activity, sleep quality, and fatigue to prevent metabolic syndrome are related and of great importance for public health. For this reason,\rwe think that physical activity, sleep quality, and fatigue awareness should be brought to the whole society to prevent metabolic syndrome.