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    An online pilates exercise program is effective on proprioception and core muscle endurance in a randomized controlled trial
    (Springer London Ltd, 2022) Suner-Keklik, Sinem; Numanoglu-Akbas, Ayse; Cobanoglu, Gamze; Kafa, Nihan; Guzel, Nevin A.
    Background Proprioception is important for stability of body segments, postural control, and functionality. However, there are no studies in literature showing effects of online Pilates exercises that create proprioceptive inputs on vertebra on trunk proprioception. Aims This study aims to reveal effect of online Pilates exercises conducted on trunk proprioception and core muscle endurance in healthy individuals. Methods We included thirty-three healthy individuals between ages of 18 and 25 in study. Individuals were randomly divided into two groups. There were 17 individuals in Pilates group (PG), and 16 individuals in control group (CG). The PG was given online Pilates exercises by the physiotherapist in groups 3 days a week for 6 weeks, 1 h a day. There was no exercise program recommended for individuals in CG. We evaluated trunk proprioception with an inclinometer, core muscle endurance with three core endurance tests created by McGill, and prone bridge tests. All evaluations completed just before start of study and 2 days after 6-week training. Results Two groups had similar demographic characteristics, and there was no difference between baseline measurements (p > 0.05). While improvement observed in PG in trunk proprioception and all of core muscle endurance tests (p < 0.05), no statistically significant difference reported in CG (p > 0.05). Conclusions We revealed that online Pilates exercises performed at mat level for 6 weeks in healthy individuals had positive effects on trunk proprioception and core muscle endurance with this study. Contribution of Pilates exercises to development of both muscular endurance and proprioceptive senses, even if performed at a distance, is important.
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    Comparison of Shoulder Muscle Strength of Deaf and Healthy Basketball Players
    (Nevzat Demirci, 2020) Suner-Keklik, Sinem; Cobanoglu, Gamze; Savas, Seyfi; Seven, Barış; Kafa, Nihan; Guzel, Nevin A.
    Purpose: It has still not been made clear whether the audio inputs from the environment may have on the muscle strength characteristics of people who spend long periods of their lives with hearing loss. The purpose is to evaluate shoulder muscle strength and endurance of deaf basketball (DB) players and to compare them with healthy basketball (HB) players. Methods: The study was carried out with a total of 26-man players including 13 players (years: 24±3) in DB group and 13 players (years: 22±2) in HB group. Internal rotator (IR) and external rotator (ER) muscles strength of shoulder dominant and non-dominant side was measured using an isokinetic dynamometer. Results: According to isokinetic test results, there was not a difference between two groups on either dominant or nondominant side in terms of ER and IR Nm/kg (p>0.05). The ER / IR ratio was different between the two groups in favor of HB players (p=0.017). The strength parameters of dominant extremities of players in both groups were found to be higher than nondominant extremity. Conclusions: As a result, IR and ER muscle strengths were similar in two groups, both groups were at risk for musculoskeletal injuries in terms of ER/IR ratio. It could be speculated that it is essential to design training programs with additional ER strengthening exercises to improve the balance between IR and ER muscles and minimize risk of injury. The dominant extremity was found to be stronger in both groups. In our opinion, symmetrical movement patterns will positively affect performance on dominant extremity. © 2019 AME Publishing Company
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    Custom-made finger splint versus prefabricated finger splint: finger flexion stabilization
    (Assoc Medica Brasileira, 2022) Guven, Enver; Suner-Keklik, Sinem
    OBJECTIVE: Finger splints are used as a treatment option in tendon, bone, and soft tissue injuries. For immobilization, custom-made splints and prefabricated finger splints are used. In splints made for immobilization, it is aimed to limit joint movement. The aim of our study is to reveal how much custom-made splints and prefabricated finger splints limit joint motion (flexion angle in proximal interphalangeal and distal interphalangeal joints).METHODS: Custom-made splints and prefabricated finger splints were applied to the second fingers of the dominant side in a total of 40 individuals, 20 women and 20 men, not having any health problems. Individuals were asked to flex and joint motion was measured with the iPhone compass application.RESULTS: The mean distal interphalangeal joint angle values of the participants measured by prefabricated finger splints were found to be 24.27 +/- 8.29, and the mean distal interphalangeal joint angle values measured by custom-made splints was 0.52 +/- 1.50. There was a difference between the participants' distal interphalangeal joint angle values measured by prefabricated finger splints and custom-made splints (p<0.001). distal interphalangeal joint angle values measured with custom-made splints were significantly smaller than those measured with prefabricated finger splint. The mean of the participants' proximal interphalangeal joint angle values measured by prefabricated finger splints was 16.55 +/- 7.90, and the proximal interphalangeal joint angle values measured by custom-made splints was 0 for all participants. There was a difference between the participants' proximal interphalangeal joint angle values measured by prefabricated finger splints and custom-made splints (p<0.001). Distal interphalangeal joint angle values measured with custom-made splints were significantly smaller than those measured with prefabricated finger splints.CONCLUSION: According to our study, custom-made splints can significantly reduce the flexion of the finger interphalangeal joints compared to prefabricated finger splints.
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    Effects of short-term upper extremity exercise training in office workers during COVID-19 restrictions: A randomized controlled trial
    (Ios Press, 2024) Bargi, Gulsah; Suner-Keklik, Sinem
    BACKGROUND: During the COVID-19 pandemic, physical inactivity and inactivity-related health problems have deepened in many individuals, including office workers. It is not yet known whether there are exercise programs through telerehabilitation that will provide rapid relief in a short time in office workers who apply part or full-time teleworking system. OBJECTIVE: To comparatively investigate influences of short-term upper extremity exercise trainings (UEET) on pain, musculoskeletal discomforts (MSD), physical activity (PA), mood, and quality of life (QOL) in office workers during COVID19 restrictions. METHODS: Thirty office workers were divided into exercise (EG) (UEET and walking advice) and control (CG) (walking advice) groups. The UEET was applied for at least 20-40 minutes/day, 5-7 days/week for a one week between February 2022 and June 2022. Office workers' pain, MSD, PA level, mood and QOL were measured. RESULTS: Baseline characteristics of groups (EG: 37.8 +/- 7.04 years, CG: 41.6 +/- 7.97 years) were similar (p p > 0.05). Following UEET, scores of office workers in EG on total step count, vigorous PA, moderate-intensity PA, walking, total PA, physical functioning, and body pain subscales of QOL significantly increased compared to scores of office workers in CG, while scores on neck, back and hip discomforts and anxiety and depression significantly decreased (p p < 0.05). CONCLUSIONS: One-week UEET and walking advice can improve office workers' daily step counts, MSD, PA levels, mood, and QOL. Office workers who have a busy work schedule may do these UEET and walking exercises in break times to relieve perception of discomfort.
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    GENDER DIFFERENCES IN GAIT PARAMETERS OF HEALTHY ADULT INDIVIDUALS
    (Dokuz Eylul Univ Inst Health Sciences, 2023) Suner-Keklik, Sinem; Cobanoglu, Gamze; Ecemis, Zeynep Berfu; Guzel, Nevin A.
    Purpose: Anatomical and biomechanical differences between male and female are also known to cause differences in gait patterns. However, the results of the studies are contradictory. Furthermore, these studies focused only on some of the spatiotemporal parameters, and pelvic movements were not analyzed. The aim of the present study is to reveal the difference in gait parameters between male and female. Material and Methods: 44 female and 39 males were included in the study. BTS G-Walk system was used to evaluate the gait. After the accelerometer was placed, the participants were asked to walk 8 m. Spatiotemporal parameters and pelvic kinematics were recorded. Results: Given the spatiotemporal parameters, it was found that male and female were similar in terms of speed, % stride length and step length (p>0.05), while gait cycle duration, stride length, swing phase and single support phases were higher in male; and stance phase, first double support phases, cadence were found to be higher in female (p<0.05). In pelvic kinematics, male and female were similar in terms of rotation total range, gait cycle, pelvic tilt, obliquity and rotation symmetry index (p>0.05), while pelvic tilt total range was higher in male and obliquity total range was higher in female (p<0.05). Conclusion: The fact that gait differs not only in spatiotemporal parameters but also in pelvic oscillations due to anthropometric and biomechanical differences between male and female has shown that when evaluating individuals in the clinic, they should be compared and interpreted according to their own gender groups.
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    Investigation of the relationship between smart phone addiction and physical activity in university students
    (Gdansk Univ Physical Education & Sport, 2020) Numanoglu-Akbas, Ayse; Suner-Keklik, Sinem; Yakut, Hatice
    Background: The purpose of this research was to determine the university students' characteristics regarding smartphone usage and physical activity and to investigate the relationship between smart phone addiction and the physical activity levels. Material and methods: A total of 288 (female = 159 and male = 129) students were involved in this observational study. Smartphone usage characteristics of the participants were recorded. The short form of the Smartphone Addiction Scale was used to assess their smartphone addiction, and the short form of the International Physical Activity Questionnaire (IPAQ) was used to assess their physical activity levels. Results: It was found that 37.7% of the females and 27.9% of the males were at risk of smartphone addiction. There was no difference between the males and females in terms of smartphone addiction (p>0.05). There was no difference in the physical activity levels of the participants regardless of smartphone addiction (p > 0.05). A weak negative correlation was found between smartphone addiction and moderate physical activity score (r = -0.126, p = 0.047). Conclusions: According to this study, the university students showed inadequate levels of physical activity and were at risk of smartphone addiction. Considering the negative correlation between smartphone addiction and moderate physical activity, access to physical activity facilities in universities should be facilitated, and awareness on this issue should be increased.
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    Physical activity, sleep, and quality of life of patients with asthma during the COVID-19 pandemic
    (Taylor & Francis Ltd, 2022) Dasdemir, Kubra Ayse; Suner-Keklik, Sinem
    Objective There is limited information in literature on how coronavirus disease-2019 (COVID-19) pandemic period affects people with asthma. This study aimed to compare levels of physical activity, stress, and fear and quality of life and sleep quality between patients with asthma and healthy individuals during the pandemic. Methods Twenty-two patients with asthma and 22 healthy individuals aged between 18 and 65 years were included. Physical activity level using International Physical Activity Questionnaire; stress level, using Perceived Stress Scale-14; fear level, using Fear of COVID-19 Scale; sleep quality, using Pittsburgh Sleep Quality Index; and quality of life, using World Health Organization Quality of Life were evaluated. Results Total physical activity level, vigorous physical activity level, and walking score of patients with asthma were lower than healthy individuals (p < .05). Sitting time of patients with asthma was higher than healthy individuals (p < .05). Subjective sleep quality, latency, duration, efficiency, sleeping medication use, and daytime dysfunction of both were similar (p > .05). Only sleep disturbance score of patients with asthma were higher than healthy individuals (p < .05). Quality of life, stress, and fear levels of both were similar (p > .05). Conclusion During pandemic, patients with asthma are more inactive than healthy individuals regardless of the presence of a chronic disease; pandemic negatively affected stress, fear levels, sleep, and quality of life. To minimize the effects of restrictions and psychological burden caused by pandemic and to encourage patients with asthma to perform physical activities, conducting studies to control stress levels and increasing quality of life and sleep of all individuals are important.
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    Results Muscle Strength and Thickness After Anterior Cruciate Ligament Reconstruction with Hamstring Tendon Autografts: An Ultrasonographic and Isokinetic Evaluation
    (Galenos Publ House, 2021) Suner-Keklik, Sinem; Guzel, Nevin A.; Cobanoglu, Gamze; Gunendi, Zafer; Kafa, Nihan; Ataoglu, Muhammed Baybars
    BACKGROUND/AIMS: This study aimed to compare the muscle strength and thickness of individuals who underwent anterior cruciate ligament (ACL) reconstruction using a hamstring tendon graft for at least 12 months with uninvolved limbs and healthy controls. MATERIALS and METHODS: This study included 25 individuals who underwent ACL reconstruction [age: 29.56 +/- 8.25 years; Body Mass Index (BMI): 27.27 +/- 3.89 kg/cm(2)] and 25 healthy participants (age: 27.12 +/- 5.94 years; BMI: 24.70 +/- 3.03 kg/cm2). Muscle thicknesses of the vastus medialis oblique (VMO), rectus femoris (RF), biceps femoris (BF), and semitendinosus-semimembranosus (SS) muscles were evaluated by ultrasonographic measurement. Muscle strength measurements using an isokinetic system were performed. RESULTS: VMO (p<0.001) and RF (p<0.001) muscle thickness were higher in the uninvolved limb than in the surgical limb. The concentric quadriceps muscle (p=0.029), eccentric quadriceps muscle (p=0.012), and eccentric hamstring muscle strengths (p=0.001) were significantly higher in uninvolved limb, which was similar concentric hamstring muscle strength (p>0.05). Muscle thickness and muscle strength of the control group and the surgical limbs were similar (p>0.05). CONCLUSION: An average of 3 years has passed since the operation; however, VMO and RF muscle atrophy and decreased hamstring and quadriceps muscle strength continued. These results revealed that the use of the limb, which has not fully achieved its functionality, is limited, and individuals try to compensate for this situation by the uninvolved limb.
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    Static balance and proprioception evaluation in deaf national basketball players
    (Gdansk Univ Physical Education & Sport, 2021) Cobanoglu, Gamze; Suner-Keklik, Sinem; Gokdogan, Cagatay; Kafa, Nihan; Savas, Seyfi; Guzel, Nevin A.
    Background: Because of the proximity of anatomical structures involved in auditory and vestibular functions, complications concerning the inner ear may lead to problems involving both systems. This study investigated whether static balance and knee proprioception in deaf basketball players are different from those in individuals with normal hearing. Material and methods: 12 deaf national basketball players and 13 individuals with normal hearing were included. Static balance was evaluated using the Biodex-BioSway Balance System. Knee proprioception was assessed using a Dualer IQ Digital Inclinometer with the active angle repetition test. Results: The dominant-side mediolateral stability index and non-dominant-side overall, anteroposterior, and mediolateral stability index scores of deaf basketball players in the postural stability test were different compared with those of the individuals with normal hearing (p<0.05). There was no statistically significant difference between the two groups in terms of knee proprioception (p>0.05). Conclusions: Although there was no difference in knee proprioception in deaf basketball players, it is noteworthy that their postural stability was more impaired compared with that in individuals with normal hearing. Despite regular exercise, deaf basketball players had poorer balance than individuals with normal hearing. Therefore, balance and vestibular exercises should be added to the training programs of these athletes.
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    THE AWARENESS OF HEALTHY INDIVIDUALS ABOUT ATTRIBUTABLE RISK FACTORS OF CANCER
    (Dokuz Eylul Univ Inst Health Sciences, 2023) Keser, Ilke; ozdemir, Kadirhan; Berguz, Hilal Utkan; Uysal, Songul Atasavun; Suner-Keklik, Sinem; Yentur, Songuel Baglan; Aras, Mukaddes
    Purpose: This study aimed to determine the awareness of healthy individuals about the attributable risk factors of cancer and investigate the consistency of their ideas.Material and Methods: A review of relevant literature was undertaken to assemble a list of possible causes of cancer. Seventy-six healthy individuals were interviewed. Individuals were asked to declare their opinion by scoring the potential 15 cancer risk factors between 0-4. One week later, the opinions were retaken to evaluate intra-rater reliability.Results: Individuals mostly agreed with the attributable risk factors including nuclear accident (96.0%), smoking (94.8%), stress (93.5%), having a family history of cancer (92.1%), alcohol (90.8%), air pollution (86.8%), plastic (84.2%), mobile phone use (79.0%), washing agents (77.7%), sunlight exposure (69.77%), occupational exposure (67.1%), being overweight (63.1%), infection (57.9%), fatigue (54.0%), except age (34.2%). All risk factors had significant intra-rater consistencies in different levels (fair to perfect) between the two-time points (p<0.05).Conclusion: It was determined that 14 out of the 15 risk factors carried a cancer risk according to the individuals. The formation of sufficient awareness and acceptance of risk factors has revealed the necessity of raising awareness in the fight against cancer.
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    The Comparison of Physical Activity, Fatigue and Quality of Life in Different Age Groups
    (Marmara Univ, Inst Health Sciences, 2022) Duran, Merve; Suner-Keklik, Sinem; Cobanoglu, Gamze
    Objective: The purpose of this study is to compare the levels of physical activity, fatigue, and quality of life of healthy individuals belonging to Methods: A total of 107 healthy individuals participated in the study, of which 39 were young (aged between 18 and 39), 42 were middle-aged (aged between 40 and 64), and 26 were elderly (over 65 years old). While physical activity was measured using the International Physical Activity Questionnaire, fatigue level was evaluated using the Fatigue Assessment Scale, and quality of life with the World Health Organization Results: A statistically significant difference has been detected between three groups with regards to the levels of physical activity, fatigue, and quality of life (p<0.05). The physical activity levels of the elderly individuals were lower than those of the middle-aged individuals, while their fatigue levels were higher. The quality of life which was related to physical health and social relationships of the young and the middle-aged were similar and higher than those of the elderly individuals. Middle-aged individuals had a higher psychological health-related quality of life than elderly individuals, but their environment - and physical health-related quality of life was higher than both young and elderly individuals. Conclusion: It has been concluded that elderly age group is associated with the lowest levels of physical activity and quality of life and the highest level of fatigue. We think that by getting elderly to adopt habit of exercise, the decrease in levels of physical activity and quality of life, and increase in fatigue level can be prevented.
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    What is the Optimal Frequency for Ankle Muscles During Whole-Body Vibration Exercises?
    (Int Journal Applied Exercise Physiology, 2019) Tor, Omer Burak; Ecemis, Zeynep Berfu; Cobanoglu, Gamze; Suner-Keklik, Sinem; Kafa, Nihan; Soylu, Ruhi; Guzel, Nevin A.
    Usage of the whole-body vibration (WBV) is effective in preventing the ankle injuries caused by increasing neuromuscular activity. The aim of this study was to investigate effective frequencies for neuromuscular activity of ankle muscles. A single-group, repeated-measures study design was used. Twenty-three healthy subjects (age 23.91 +/- 3.07, BMI 22.66 +/- 3.39) participated in this study. This study investigated the effects of WBV on the EMG responses of the Tibialis Anterior (TA), Peroneus Longus (PL), Gastrocnemius Medial (GM) and Lateral heads (GL). The muscle activity was measured with an 8-channel EMG Noraxon MiniDTS system (Noraxon, USA, Inc, Scottsdale, AZ) during 0, 20, 40 and 60 Hz of vibration. The Physio Plate (R) vibration platform (Physio Plate (R), Domino S.R.L, San Vendemiano, Italy) was used to deliver mechanical vibration. Compared with no vibration condition; EMG activity of all ankle muscles were significantly increased from at 60 Hz (123 % in TA, 64 % in PL, 53 % in GM, 77 % in GL) (p<0.01). At 40 Hz of vibration frequency, EMG responses of GM and GL was significantly increased (27 % and 53%, respectively) (p<0.01). Only GL was significantly increased of 33 % at 20 Hz (p<0.01). It could be concluded that using higher frequencies at whole-body vibration exercises are more effective than lower frequencies on ankle muscles' EMG activities. During squat exercises on the WBV platform, higher frequencies should be used to increase ankle muscle activation.