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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.