Sürdürülebilir Kalkınma Amaçları
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- MakaleAçık Erişim2025The Effect of Physical Activity on Anterior Segment Structures and the Retinal Nerve Fiber Layer: A Comparison of Elite Athletes and Sedentary Individuals
Deniz Genç, Çiğdem; Korkmaz Salkılıç, Esra; Anıl, Berna; Akdemir, Enes; Yılmaz, Coşkun; Yılmaz, Ali Kerim
Background and Objectives: The study aims to evaluate the effects of regular physical activity on ocular structures by comparing eye anterior segment structures and retinal nerve fiber layer (RNFL) parameters between elite individual athletes and sedentary persons. Materials and Methods: This cross-sectional observational study included 75 participants (33 female and 42 male) aged 18–32 years. Participants consisted of 33 elite individual athletes (66 eyes) aged 18–32 years and 42 sedentary individuals (84 eyes) aged 18–28 years. The elite athlete group consisted of participants who had trained ≥ 3 times per week for the past 5 years and had competition experience in tennis (n = 11), badminton (n = 8), and short/middle distance running (n = 14). Sedentary participants had not engaged in regular physical activity for the last 2 years. Anterior segment structures were measured with ultrasound biomicroscopy (UBM), RNFL parameters were measured with spectral-domain optical coherence tomography (SD-OCT), and intraocular pressure (IOP) was measured with a non-contact pneumotonometer. Results: When the anterior segment parameters were compared, a significance was found in the group effect (p = 0.021, (Formula presented.) = 0.036) in the TIA500 value, but the effects of side and gender were insignificant (p > 0.05). While the gender effect was found to be significant for the AOD500 (p = 0.030, (Formula presented.) = 0.032) and ARA500 (p = 0.019, (Formula presented.) = 0.038) variables, the group and side effects were statistically insignificant (p > 0.05). There was a significant difference in IOP values between sedentary individuals (15.82 ± 2.69) and athletes (14.61 ± 1.80) (p = 0.004, (Formula presented.) = 0.057). There was a significant difference between the right (15.71 ± 2.70) and left (14.87 ± 2.02) sides (p = 0.027, (Formula presented.) = 0.033). The effect of gender was not significant (p > 0.05). When the results were evaluated, a significant effect of the TEMPORAL side in RNFL parameters (p = 0.003, (Formula presented.) = 0.058) was observed. Correlations were seen between the anterior segment and RNFL parameters in both groups (p < 0.05). Conclusions: Athletes exhibited lower IOP compared with sedentary individuals, with similar RNFL parameters but distinct correlation patterns with anterior segment structures. These findings suggest that ocular parameters should be evaluated in an integrated manner and that physical activity may support ocular health by contributing to IOP reduction and potentially slowing the progression of eye diseases.
- MakaleAçık Erişim2024Comparison of choroidal thickness, superficial and deep retinal vascular indices, and foveal avascular zones: Martial arts athletes vs healthy non-athletes
Genç, Çiğdem Deniz; Yılmaz, Ali Kerim; Kurt, Muhammed Mustafa; Özgür, Gökhan; Aydın, Emre; Yılmaz, Coşkun
Aim: The study aims to compare choroidal thickness, deep and superficial retinal capillary plexuses, and foveal avascular zone (FAZ) parameters in elite martial arts athletes and a healthy sedentary control group. Methods: The study included martial arts athletes (32 individuals, 64 eyes) and healthy sedentary persons (43 individuals with healthy sedentary lifestyles, 86 eyes) aged 18–35 years. In this single non-repeated observational and cross-sectional study, choroidal thickness, superficial and deep retinal capillary plexuses, and FAZ measurements were measured using Swept-source optical coherence tomography angiography (SS-OCTA) and compared between groups. Results: No statistically significant differences were found (p > 0.05) in age, IOP, AL (axial length), and best-corrected visual acuity (BCVA) parameters between groups. There were no statistically significant differences between the groups in choroidal thickness, superficial and deep retinal capillary plexuses, and FAZ parameters determined by the OCTA method (p > 0.05). Conclusion: In our study, we observed that the retinal and choroidal structures of martial art athletes and healthy sedentary individuals were similar. This observation implies that the putative microvascular effects on the choroid and retina in martial arts, especially those based on the anaerobic energy system, may reflect similar outcomes to those observed in individuals with sedentary lifestyles characterized by healthiness.
- MakaleAçık Erişim2024Functional outcome and single hop test results of ACL reconstruction in athletes at a follow-up of 6 and 12 months: modified all-inside versus conventional hamstring autograft
Yoldaş, Burak; Yılmaz, Ali Kerim; Yılmaz, Coşkun; Akdemir, Enes; Anıl, Berna; Benli, Merve Demir; Genç, Ahmet Serhat; Kehribar, Lokman
Anterior cruciate ligament (ACL) tears are injuries with a high incidence in athletes, and ACL reconstruction (ACLR) is a surgical treatment orthopedists perform. This study aims to compare the 6 and 12 months post-op results of single leg hop tests (SLHT) performed in multidirectional conventional semitendinosus/gracilis (ST/G) and modified all inside (MAI) ACLR techniques on both sides and the limb symmetry indexes (LSI) of both techniques. This study evaluated a retrospective cohort of 50 male athletes who applied MAI (n = 23) and traditional ACLR ST/G (n = 27) techniques. Functional knee strength of the participants on both sides was measured with different SLHTs at 6 and 12 months postoperatively. The SLHT included medial side (MSTH), triple hop (TH), medial rotation (90◦) (MRH), crossover triple (CH) ve the single hop (SH) hop for distance. Both ACLR techniques showed significant improvement in mean Tegner, International Knee Documentation Committee (IKDC) and Lysholm scores preoperatively and at 6 and 12 months postoperatively (p < 0.05). For MAI and ST/G techniques, there was no significant difference in the results of SLHTs at 6 and 12 months for both the operated and non-operated sides (p < 0.05). Significance was found only in the MRH test of the non-operated side (p < 0.05). There was no significant difference in SLHT scores between the operated and non-operated sides at 6 and 12 months postoperatively (p > 0.05). There was no difference in LSI scores between techniques (p < 0.05). Our study revealed similar LSI rates in ST/G and MAI techniques at 6 and 12 months, suggesting that MAI technique can be used as a functional ACLR technique for athletes.
- MakaleAçık Erişim2024Effects of Electro-Muscle Stimulation Exercise Combined with Mat Pilates on Pain, Anxiety, and Strength in Sedentary Females with Fibromyalgia: A Single-Blind Randomized Controlled Trial
Eseoğlu, İsmail; Yılmaz, Ali Kerim; Anıl, Berna; Korkmaz, Esra; Akdemir, Enes; Yılmaz, Coşkun; Kehribar, Lokman; Aydın, Nur Gökçe; Ermiş, Egemen; Yoldaş, Burak
Background and Objectives: Fibromyalgia syndrome (FM) is a chronic pain disorder that is ranked as one of the four most common rheumatological diseases in the world. This study aims to investigate the effects of an eight-week mat Pilates and electro-muscle stimulation (EMS) with combined mat Pilates exercises on pain, depression, anxiety, and strength in sedentary women. Methods: This study is a single-blind randomized controlled trial. A total of 30 sedentary female patients (Pilates (n = 15), EMS (n = 15)) diagnosed with FM were included in the study. The patients were subjected to Beck Depression (BDIs) and Anxiety Inventories (BAIs); a Fibromyalgia Impact Questionnaire (FIQ); five different Single-Leg Hop Tests (SLHTs); modified push-up (MPU), Handgrip Strength (HGS), Deep Squat (DSQ), V-Sit Flexor, bent-arm hang (BA), sit-up and Biering-Sørensen tests; and anthropometric tests before and after the 8-week exercise program. Results: The eight weeks of mat Pilates exercises combined with mat Pilates and EMS revealed significant results (p < 0.05) in anthropometric data (abdomen, lower abdomen, hips) (p < 0.05) except for the results of chest circumference measurements (p > 0.05). In addition, there were statistically significant positive results in BDIs, BAIs, FIQs, lower extremity (all SLHTs and DSQ), upper extremity (MPU, HGS, BA), and core (V-SIT, sit-up, Biering-Sørensen test) strength test findings (p < 0.05). Conclusions: Combining the mat Pilates exercises with EMS is an effective and reliable method to improve the pain, anxiety, depression, and strength of female patients diagnosed with FM.
- MakaleYalnız künye2021Acute effects of reverse kinesio taping on anaerobic performance in healthy subjects: A pilot study
Doğan, Erol; Erail, Serhat; Mayda, Muhammet Hakan; Yılmaz, Coşkun; Karaduman, Emre; Yılmaz, Ali Kerim; Bayram, Levent; Keskin, Deniz Özge Yüceloğlu; Ermiş, Egemen
Study Objectives: This study aimed to determine whether the Kinesio tape (KT) application through reverse taping on the quadriceps (Q) and hamstring (H) muscles have any effect on anaerobic power (AP). Methods: Sixteen healthy males were included in the study voluntarily. Muscle facilitation and muscle inhibition techniques were performed on the Q and H muscles of both the right and left sides by applying KT in the reverse direction, and AP parameters were measured using a Wingate ergometer. In trial 1 (Baseline), KT was not applied to the participants. In trial 2 (KT), the muscle facilitation technique was applied on the vastus medialis muscle in the Q of both legs, and the muscle inhibition technique was applied on the biceps femoris and semimembranosus muscles in the H, and AP performances of the participants were taken. The SPSS 22.0 software was used for statistical analysis. Paired sample t-test was used to analyze the differences between trials. Results: KT gave higher values than Baseline with regards to peak power, relative peak power, average power, and relative average power (p < 0.05). In addition, as a result of the KT application, there were minor improvements in minimum power, relative minimum peak power, power drop, and peak power %. However, these differences were not statistically significant (p > 0.05). Conclusions: It was observed that KT applied in the reverse direction on the Q and H muscle groups had a positive effect on AP. It was considered that this effect associated with the reverse KT application stemmed from the different tensions that decreased the neuronal threshold, which in turn ensured faster and easier stimulation of motor units and increased the muscle reflex, leading to a positive effect on AP.