Sürdürülebilir Kalkınma Amaçları
Yayınlar
- 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 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.