Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Bayrakdaroglu, Serdar(3)
- Ceylan, Halil Ibrahim(3)
- Ceylan, Levent(3)
- Muntean, Raul Ioan(3)
- Soylu, Hakan Huseyin(3)
- Yilmaz, Coskun(3)
- Söyler, Mehmet(2)
- Yılmaz, Coşkun(2)
- Akcan, İbrahim Orkun(1)
- Akdemir, Enes(1)
- Alak, İsmail(1)
- Albay, Faruk(1)
- Anıl, Berna(1)
- Arslan, Ayla(1)
- Aydin, Emine Busra(1)
- Aydın, Ahmet Serhat(1)
- Aydın, Nur Gökçe(1)
- Barkin, Emrah(1)
- Budak, Cemalettin(1)
- Budak, Cemallettin(1)
- Büyükkirli, İlker Can(1)
- Cherappurath, Nafih(1)
- Durmusoglu, Mehmet Vakif(1)
- Elayaraja, Masilamani(1)
- Ermiş, Egemen(1)
- Eseoğlu, İsmail(1)
- Gökçelik, Eda(1)
- Gürkan, Alper Cenk(1)
- Halmatov, Medera(1)
- Hatik, Sefa Haktan(1)
- Kabeer, Dilshith A.(1)
- Karakulak, Izzet(1)
- Kavuran, Korhan(1)
- Kehribar, Lokman(1)
- Konca, Erkan(1)
- Korkmaz, Esra(1)
- Koçak, Mehmet(1)
- Kusan, Osman(1)
- Küçük, Hamza(1)
- Mavritsakis, Nikolaos(1)
Yayınlar
- MakaleAçık Erişim2026INVESTIGATION OF THE EFFECT OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION IN INDIVIDUALS WITH LUMBAR DISC HERNIATION: A RANDOMIZED CLINICAL TRIAL
Tas, Muhammed Usame; Usgu, Gunseli
Purpose: This research evaluated the effects of the instrument-assisted soft tissue mobilization (IASTM) technique in individuals with lumbar disc herniation (LDH). Methods: Forty LDH patients were randomly assigned to a control group or an IASTM group (20 patients in each group). The IASTM group underwent a treatment protocol consisting of two IASTM sessions per week in addition to classic physiotherapy methods (hotpack, transcutaneous electrical nerve stimulation, ultrasound and exercise) over a four week period. The treatment specifically targeted the paraspinal muscles, gluteus maximus, gluteus medius and hamstring muscles. All participants were assessed before treatment, immediately after treatment and two months post-treatment using various measures, including pain intensity visual analog scale, straight leg raise (SLR) test, slump test (measuring knee extension from 90 degrees flexion), 6-minute walking test (6-MWT), range of motion (ROM) and the Short Form-36 (SF-36) questionnaire. Results: Both groups experienced a significant decrease in pain immediately after treatment (p=0.002). However, although both groups showed improvements in post-treatment SLR, slump test, 6-MWT, ROM, and SF-36 scores, no significant correlations were found (p=0.208). However, the IASTM group experienced greaterclinical improvement across all parameters. Conclusion: The findings suggest that incorporating IASTM techniques into physiotherapy programs for individuals with LDH can enhance rehabilitation outcomes.
- MakaleAçık Erişim2026Spinal Manipulation, Dynamic Neuromuscular Stabilization, and Their Combination in Chronic Non-Specific Low Back Pain: A Four-Group Randomized Clinical Trial
Alak, İsmail; Hatik, Sefa Haktan; Büyükkirli, İlker Can; Aydin, Emine Busra
Spinal manipulation (SM) and stabilization-focused exercise are commonly used in chronic low back pain, yet evidence on their combined effects is limited. This randomized controlled trial compared SM and dynamic neuromuscular stabilization (DNS), alone or combined, in chronic non-specific low back pain. Forty-eight participants were randomized (1:1:1:1; n=12/group) using a computer-generated sequence with opaque sealed-envelope concealment to Control, SM, DNS, or SM+DNS (SMDNS). Interventions (except Control) were delivered twice weekly for 4 weeks. Outcomes (VAS, ODI, RMDQ, DNS-HS, PostureScreen) were assessed at baseline and follow-up. Assessor blinding was not feasible (treating physiotherapist also assessed outcomes); analyses used coded group labels.Within-group analyses showed significant improvements in most outcomes (p<0.05), except for postural deviation in the SM group and frontal postural deviation in the DNS and SMDNS groups. Between-group comparisons indicated greater early pain reduction with SMDNS at the second assessment (p<0.05). By week 4, pain decreased most in DNS and SMDNS (VAS Δ=−3), while SM showed Δ=−2 and Control showed no change. Disability improved most in DNS/SMDNS (ODI Δ=−13.39/−15.38; RMDQ Δ=−5.24/−5.77). Week-4 effect sizes favored SMDNS over Control and SM for key outcomes (VAS D2 g=2.07 vs Control, 1.24 vs SM; ODI PC2 g=1.73 vs Control, 1.05 vs SM; RMDQ PC2 g=1.34 vs Control, 0.23 vs SM). Overall, adding SM to DNS may enhance early pain relief; the magnitude of between-group differences (effect sizes with 95% CIs) supports interpretation, while clinical relevance should be considered alongside established MCIDs and confirmed in larger trials with longer follow-up.
- MakaleAçık Erişim2026Game-based and individualized movement training improves physiological and motor outcomes in young adults with autism spectrum disorder: an experimental study from Türkiye
Aydın, Ahmet Serhat; Söyler, Mehmet; Zileli, Raif; Halmatov, Medera; Gürkan, Alper Cenk; Akcan, İbrahim Orkun; Yılmaz, Coşkun
Background: This study aims to examine the effects of game-based and individualized movement training (GBIMT) program on physiological (body weight, body fat percentage, BMI) and motor outcomes (balance, reaction time, motor speed) in young adults diagnosed with autism spectrum disorder (ASD). Methods: An experimental design with pre-test–post-test control groups was used in the study. A total of 20 participants (10 in the experimental group, 10 in the control group) with a mean age of 22.2 ± 4.8 years were monitored for eight weeks. The experimental group participated in GBIMT sessions for 60 min per day, two days per week, while the control group continued their usual educational routines. Body composition (InBody 270 Body Composition Analyzer, model Plus 270, South Korea), balance (TechnoGym, Cesena, Italy), reaction time (BlazePod Ltd., Israel), and motor speed (Computerized Tapping Test, Neurosoft Inc., USA) parameters were used as measurements. Results: Repeated measures ANOVA results indicated a significant reduction in body weight in terms of the experimental group (p = 0.014, η² = 0.289). Large effect sizes were observed for body fat percentage and BMI; however, the group × time interactions were not found to be statistically significant. A significant improvement was observed in the motor speed parameter within the experimental group (p = 0.032, η² = 0.231). Reaction time decreased by 9.8%, although the group × time interaction stayed within the significance limit (p = 0.063). A trend toward improvement was observed in balance parameters; however, no statistically significant difference was found. Conclusion: The findings indicate that GBIMT produced significant improvements in body composition and motor speed after implementing for eight weeks, and also showed a strong tendency to affect reaction time. As a controlled experimental study conducted in Türkiye, this research offers a unique contribution to the literature by demonstrating the effects of game-based and individualized movement programs on both physiological and motor outcomes in individuals with ASD. Trial registration: GameBased and Individualized Movement Training Improves Physiological and Motor Outcomes in Young Adults with Autism Spectrum Disorder An Experimental Study From Türkiye, ClinicalTrials.gov NCT07170891, Date 20,062,025.
- MakaleAçık Erişim2026Short-Term Inspiratory Muscle Training Enhances Functional and Metabolic Health in Older Adults
Konca, Erkan; Yilmaz, Coskun; Bayrakdaroglu, Serdar; Ceylan, Halil Ibrahim; Arslan, Ayla; Ocak, Hakan; Karakulak, Izzet; Sari, Rifat; Uzun, Recep Nur; Soylu, Hakan Huseyin
Background: Age-related declines in respiratory muscle strength and ventilatory efficiency can impair functional capacity and metabolic health in older adults. Inspiratory muscle training (IMT) has been proposed as a practical intervention to counteract these changes, yet its systemic effects remain unclear. This study aimed to examine the effects of short-term IMT on functional capacity, diaphragm thickness, and liver tissue characteristics in healthy elderly men. Methods: Thirty community-dwelling men aged 60-80 years were randomly assigned to an IMT or control group. The IMT group performed four weeks of breathing exercises using a POWERbreathe (R) device at 40% of maximal inspiratory pressure, with a weekly 10% increase in pressure. Pre- and post-intervention assessments included the six-minute walk test (6MWT), diaphragm thickness and liver density via computed tomography, and quality of life (QoL; SF-12). Results: Four weeks of inspiratory muscle training significantly improved diaphragm thickness (11.7%), fatty liver density (FLD) (+16.7%), and six-minute walk performance (+5.3%), with large time x group effects favoring the IMT group. While the physical quality of life showed modest, comparable improvements, mental health outcomes demonstrated a moderate, time-dependent improvement without a significant group-by-time interaction. Conclusions: Short-term IMT improved diaphragmatic function and functional capacity in older men and was associated with favorable changes in a liver-related biomarker; however, given that only a single liver-related metric was assessed, these findings should not be interpreted as evidence of overall improvements in liver health.
- Yüksek Lisans TeziAçık Erişim2025Sporcularda statik germe ve dinamik germe egzersizlerinin sprint performansına etkisi
Serdar Elaman
Bu çalışmanın amacı, sporcuların sprint performansı üzerinde statik ve dinamik esneme egzersizlerinin etkilerini karşılaştırmak ve hangi tür esneme egzersizinin sprint performansına üzerinde daha etkili olduğunu belirlemektir. 2024 sezonunda Gümüşhane de Amatör spor yapan toplam 16 sporcu çalışmaya gönüllü olarak katıldı. Bu çalışmaya katılan 16 sporcu hakkında genel bilgi verildi. Egzersizlere başlamadan önce sporcular rastgele olarak 2 gruba ayrıldı. Bu gruplardan biri Statik Esneme grubuydu, diğeri Dinamik Esneme grubuydu. Çalışmalara başlamadan önce sporcuların boy (cm) ve kilo (kg) ölçümleri alındı ve ön test olarak 10m ve 20m sprint koşuları yapıldı. Eğitimler 6 hafta sürdü ve haftada 3 gün yapıldı. Çalışma programının sonunda, son test olarak 10m ve 20m sprint ölçümleri alındı ve ön test ve son test değişiklikleri için analizler yapıldı. Statik Esneme Grubunun 10m ve 20m Sprint ölçümlerinde anlamlı bir fark tespit edilmezken, Dinamik Esneme Grubunun 10m ve 20m Sprint ölçümlerinde anlamlı bir fark tespit edildi. Bu çalışmada, 6 hafta boyunca gerçekleştirilen ısınma protokollerinin sonucunda, dinamik esneme egzersizleri yapan sporcuların 10m ve 20m sprint test sonuçlarında statik esneme grubuna kıyasla daha etkili sonuçlar elde edildiği görülmüştür. Sonuç olarak, yarışmadan önce yapıldığında dinamik esneme egzersizlerinin statik esneme egzersizlerine göre daha olumlu sonuçlar verdiği sonucuna varılmıştır. Anahtar Kelimeler: Dinamik, Egzersiz, Germe, Performans, Sprint, Statik
- MakaleAçık Erişim2025Effect of Inspiratory Muscle Training on Diaphragm and Abdominal Wall Muscle Thickness with Fatty Liver Density in Elderly Women: A Randomized Controlled Trial
Gökçelik, Eda; Yilmaz, Coskun; Budak, Cemallettin; Soylu, Hakan Huseyin; Bayrakdaroglu, Serdar; Ceylan, Halil Ibrahim; Muntean, Raul Ioan; Küçük, Hamza; Ceylan, Levent
Background and Objectives: Post-menopausal estrogen decline is considered a contributing factor to sarcopenia, and inspiratory muscle training (IMT) may provide benefits in this demographic. This study examined the impact of a four-week IMT program on diaphragm thickness, abdominal wall muscle thickness (AWMT; transversus abdominis, internal oblique, and external oblique), and liver fat percentage in healthy elderly women. Materials and Methods: Twenty-six women aged 60-80 years were randomly assigned to an IMT group (n = 13) or a control group (n = 13). The IMT group used the PowerBreathe (R) Classic device at 40% of maximal inspiratory pressure (MIP), with weekly increments of 10%. Training was performed twice daily, five days per week, with 30 breathing cycles per session (60 per day). The control group maintained their usual routines. AWMT, diaphragm thickness (DT), and fatty liver density (FLD) were measured by a radiologist before and after the intervention. Results: After four weeks, the IMT group showed significant improvements in all parameters compared to controls. Mid-diaphragm thickness (MDT) increased by 11.44% (effect size (ES) = 0.358, p < 0.001) versus 0.76% in controls (p = 0.271). Posterior diaphragm thickness (PDT) improved by 7.48% (ES = 0.282, p < 0.001) versus 0.38% (p = 0.564). Right AWMT increased by 12.7% (ES = 0.492, p < 0.001) compared to 0.10% (p = 0.872), and left AWMT increased by 9.93% (ES = 0.395, p < 0.001) versus 2.64% (p = 0.014). FLD improved by 11.79% (ES = 0.959, p < 0.001) in the IMT group, while the control group showed no meaningful change (-0.13%, p = 0.847). Conclusions: A short-term IMT protocol significantly enhanced diaphragm and AWMT and reduced liver fat in elderly women. These findings support the use of IMT as a simple, non-invasive intervention to preserve musculoskeletal and metabolic health in aging populations.
- MakaleAçık Erişim2025Short-term resistance training enhances functional and physiological markers in older women: implications for biomechanical and health interventions in aging
Uçar, Mine Akkus; Yilmaz, Coskun; Soylu, Hakan Huseyin; Sariakçali, Baris; Budak, Cemalettin; Kavuran, Korhan; Durmusoglu, Mehmet Vakif; Ceylan, Levent
Background: The impact of resistance training extends beyond the enhancement of muscle strength, encompassing improvements in physical performance, postural stability, and overall functional capacity. This study aimed to investigate the effects of a 4-week resistance training program on functional capacity, respiratory muscle strength, diaphragm thickness, and liver density in healthy older women. Methods: The study included 30 healthy women aged 60-80 years and was designed as a randomized controlled experimental trial. Participants were randomly assigned to a resistance training (RT) group or a control (CON) group. Each participant attended the laboratory on three occasions: during the initial visit, the study procedures were explained; the second visit involved baseline assessments (6MWT, diaphragm thickness and liver fat via ultrasound, and respiratory muscle strength); and final measurements were conducted after the 4-week training programme during the third visit. Results: When pre- and post-training measurements were compared, the resistance training (RT) group demonstrated a significantly greater improvement (8.02%) in the Six-Minute Walk Test (6MWT) distance compared to the control group (p < 0.001). In terms of diaphragm thickness (DT), the RT group showed a 16.66% increase, whereas the control group exhibited a 1.13% decrease (p < 0.001). Maximal inspiratory pressure (MIP) increased by 12.30% in the RT group, while it decreased by 7.25% in the control group, indicating a 19.55% greater improvement in the RT group (p < 0.001). Regarding maximal expiratory pressure (MEP), a significant improvement of 21.48% was observed in the RT group, whereas a 0.75% decrease was recorded in the control group, resulting in a 22.23% greater enhancement in the RT group (p < 0.001). Finally, liver density (LD) increased by 12.30% in the RT group, while it decreased by 7.25% in the control group (p < 0.001). Conclusion: As a result of resistance training, greater improvement was observed in functional capacity, respiratory muscle strength, diaphragm thickness and liver density in the training group compared to the control group.
- Derleme MakaleAçık Erişim2025Synergistic Effects of Exercise and Nano-Curcumin Supplementation in Women with Lifestyle-Related Diseases: A Scoping Review
Cherappurath, Nafih; Navaf, Muhammed; Ceylan, Halil Ibrahim; Elayaraja, Masilamani; Sunooj, Kappat Valiyapeediyekkal; Satheesan, Saranya T.; Thoompenthodi, Muhammed Ali; Perumbalath, Shamshadali; Bayrakdaroglu, Serdar; Muntean, Raul Ioan
Background/Objectives: Lifestyle-related diseases such as obesity, diabetes, hypertension, metabolic syndrome, non-alcoholic fatty liver disease (NAFLD), and osteoarthritis disproportionately affect women due to hormonal, metabolic, and socio-cultural factors. Emerging evidence suggests that combining structured exercise with nano-curcumin, a bioavailable phytochemical formulation with potent antioxidant and anti-inflammatory properties, may provide synergistic benefits. This scoping review systematically synthesizes available evidence on the combined effects of nano-curcumin supplementation and exercise interventions on health outcomes in women with lifestyle-related diseases. Methods: Following the Joanna Briggs Institute methodology and the PRISMA-ScR framework, a comprehensive database search was conducted in March 2025 and updated in June 2025. Records were retrieved from Scopus (n = 30), Web of Science (n = 22), PubMed (n = 18), and other sources (n = 71), yielding a total of 141 studies. After screening and deduplication, eight studies met the inclusion criteria and were included in this review. All the studies were conducted in Iran with small sample sizes (12-53 participants) and short intervention durations (6-16 weeks). Therefore, the current evidence is geographically and demographically limited. Results: Across the included trials, the combined interventions produced additive or synergistic improvements in oxidative stress markers, inflammatory cytokines, lipid and glucose metabolism, cardiovascular function, pulmonary capacity, muscle fitness, and psychological outcomes (e.g., depression). When paired with nano-curcumin supplementation at different concentrations, high-intensity interval training, aerobic exercise, Pilates, and resistance training consistently outperformed exercise or supplementation alone in modulating antioxidant defenses, reducing systemic inflammation, and improving metabolic risk factors. Conclusions: The integration of exercise and nano-curcumin supplementation appears to confer superior benefits for women with lifestyle-related diseases compared with either approach alone. These findings highlight the potential of combining phytochemicals with lifestyle interventions to optimize women's health outcomes. However, most available evidence originates from small, short-term studies in single geographic regions. Large-scale, multicenter, randomized controlled trials with diverse populations are warranted to establish standardized protocols and optimal dosing strategies, and to assess long-term safety and efficacy.
- 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.
- MakaleAçık Erişim2023The Effect of Different Physical Education Class Hours Applied in Secondary Education on Certain Physiological and Physical Parameters
Sever, Mehmet Onur; Söyler, Mehmet; Çingöz, Yunus Emre; Barkin, Emrah
This study investigates the effects of different physical education lesson hours applied to secondary school students on some physical and physiological parameters. A total of 36 secondary school students voluntarily participated in the study: respectively, 18 from Group 1 and 18 from Group 2 (age: 14.94±0.41 / 14±0.34 years; height: 175.22±7.62 / 169.33±6.95 cm; weight: 61.95±9.07 / 56.83±6.33 kg). While Group 1 students received 8 hours of physical education lessons per week, Group 2 students were given 2 hours of physical education lessons according to the Ministry of National Education curriculum. Body weight (kg) and body fat percentage (%) were determined using the Inbody 270 professional body analysis device. A portable dynamic balance device was used to determine the students' balance. The test results were analyzed using the SPSS Statistics software. Non-parametric tests were employed since the data did not show a normal distribution. The Mann-Whitney U test was used to test the significance of the difference in balance and body fat percentage (BFP) level averages between the two independent groups. Upon evaluating our data, it was statistically ascertained that the dynamic balance (Balance) values of Group 1 secondary school students were significantly higher when compared to Group 2 students. However, no statistically significant difference was found in body fat percentage (BFP) values between Group 1 and Group 2. As a result, it is seen that increasing physical education lesson hours in secondary education contributes to some physical development of young individuals.
- MakaleYalnız künye2022Evaluation of Nutrition Knowledge Levels and Sporting Status of Faculty of Sport Sciences Students
Koçak, Mehmet; Şekeroğlu, Mustafa Önder; Albay, Faruk; Kusan, Osman
Study Objectives: Considering that both physical and psychological effects of nutrition and exercise are important on students, this study aimed to evaluate the nutritional knowledge levels and exercise status of the students of the faculty of sports sciences. Methods: 199 students, 146 (73.4%) male, and 53 (26.6%) female, studying at Sivas Cumhuriyet University Faculty of Sport Sciences participated in the study. The scale consists of 20 items on the “Basic nutrition and food-health relationship” scale, and 12 items on the “Food preference” scale. One-Way Analysis of Variance (ANOVA) and independent t-test were used because the data showed normal distribution. Pearson Correlation test was used to determine the relationship between the nutritional knowledge levels of the individuals participating in the study and the age and bodyweight groups. Results: There was no significant finding when the total points of basic nutrition and food preference were compared according to the regular exercise status of the participants (p>0.05). A significant finding was found when the total scores of basic nutrition and food preference were compared according to the participants’ status of taking nutrition lessons at their schools (p<0.05). Conclusion: In the study, it was revealed that the nutritional knowledge level of the students of the faculty of sports sciences who received nutrition education was sufficient. When the status of doing regular sports is evaluated, it has been revealed that there is no difference between the students who do sports and those who do not, and they have similar nutritional knowledge levels.
