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    The effects of gastrocnemius muscle spasticity on gait symmetry and trunk control in chronic stroke patients
    (Elsevier Ireland Ltd, 2023) Tutus, Nisanur; Ozdemir, Filiz
    Background: Although reduced gait asymmetry and trunk control are generally accepted outcomes in stroke patients after having a stroke, the number of studies examining the factors affecting gait symmetry and trunk control is limited in the literature.Research question: What are the effects of gastrocnemius muscle spasticity on trunk control and gait symmetry in chronic stroke patients?Method: The sample of the study included 29 individuals aged 40-70 who were diagnosed with stroke at least six months ago. The sociodemographic information of the patients was collected using a descriptive information form. Their gastrocnemius muscle spasticity levels were assessed using the Modified Ashworth Scale (MAS), their trunk control was assessed using the Trunk Impairment Scale (TIS), and their gait symmetry was assessed using software developed for the Kinect V2 camera.Results: There was a numerical difference between the gait symmetry results of the patients who had a MAS score lower than 2 and those who had a MAS score of 2 or higher, where MAS scores corresponded to gastrocnemius muscle spasticity levels, but this difference was not statistically significant (p > 0.05). There was a statistically significant difference between the total TIS scores and TIS coordination subscale scores of the patients who had a MAS score lower than 2 and those who had a MAS score of 2 or higher (p < 0.05). A negative significant relationship was determined between total TIS and TIS coordination subscale scores and the severity of gastrocnemius muscle spasticity. Significance: According to the results of our study, to improve trunk control and gait in stroke survivors, the management of gastrocnemius muscle spasticity should be included in rehabilitation programs. We believe that our study will be guiding for future interventional studies aiming to improve trunk control and gait in stroke patients.
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    EVALUATION OF POSTURE AND CORE ENDURANCE IN ELITE JUNIOR CLIMBERS
    (Dokuz Eylul Univ Inst Health Sciences, 2021) Ozdemir, Filiz; Tutus, Nisanur; Kilcik, Melek Havva; Arslan, Faruk; Gurer, Huseyin; Akcinar, Faruk
    Objectives: Climbing, which is a popular sport in recent years, requires high performance and agility levels. The characteristics of climbers are still unclear. This study has been carried out to evaluate the posture and core endurance levels of climbers. Methods: Forty-nine elite climbers (mean age 15.02 +/- 2.68 years) and forty-four healthy sedentary controls (mean age 14.48 +/- 1.17 years) participated in this study. Postural assessment was conducted with New York Posture Rating Chart. McGill Core Endurance Test was used to assess the core endurance levels of the participants. Results: Of the participants included in the study, 58.2% were male and 41.8% were female. 69.3% of the climbers had been involved in climbing for more than 2 years. No statistically significant differences were found between in age, height, and body weight between the groups (p>0.05). A difference was observed in the core endurance scores between the groups (p<0.05). An increase was seen in the climbers' group when compared to the control group in the scores of the endurance levels of core flexors and right and left lateral core muscles (p<0.05). The postures of the climbers' group were also observed to be deteriorated when compared to the control group (p<0.05). Conclusion: The studies conducted on climbing which has become highly popular in recent years are limited considering the importance of the issue. We believe that including posture exercises and endurance training in the exercise programs of the sportspeople will contribute to their climbing performances as well as their overall health.
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    Evaluation of work-related musculoskeletal disorders and ergonomic risk levels among instrumentalist musicians
    (2019) Ozdemir, Filiz; Tutus, Nisanur; Akgun, Sakir Orcun; Kilcik, Melek Havva
    Aim: The study aimed to evaluate work-related musculoskeletal disorders and ergonomic risk levels in instrumentalist musicians. Material and Methods: This is a cross - sectional study. The present study consists of 46 musicians, including 11 violinists, 11 side flutists, 13 pianists and 11 baglama players between the ages of 18 and 50 years who are play at least one of the instruments. The socio-demographic characteristics of the musicians and the data of instrument were questioned by using a descriptive questionnaire. The Quick Exposure Check method was used to analyze the ergonomic risk and Expanded Nordic Musculoskeletal System Questionnaire was used to question musculoskeletal diseases. Results: 48.2% of the participants were male and 52.8% were female. 79.3% of all participants had a daily instrument playing time more than 2 hours. Only 9.6% of the musicians had a low level of ergonomic risk. The most common musculoskeletal problems were seen on the wrist, neck and shoulders. The ergonomic risk levels of the musicians who reported pain were also high. Ergonomic risk levels were significantly higher in musicians who reported low back pain and hip-thigh pain (p <0.05). There was a significant difference between the musical instrument types and ergonomic risk levels of musicians, and it was found that the level of ergonomic risk was higher among piano and violin users (p <0.05). Conclusion: In our study, the ergonomic risk levels and the incidence of musculoskeletal disorders related to work of musicians were found to be remarkably high. For this reason, preventive rehabilitation studies should be conducted in musicians. We think that our study will shed light on intervention research in which ergonomic risk management is planned.