Clinical trials

Chronic neck pain is a common health condition that causes disability and functional limitations, and while clinicians frequently rely on patient-reported questionnaires to assess symptoms, it remains unclear how accurately these self-reported measures reflect actual physical capacity. This study aims to investigate the relationship between patient-reported outcome measures and objective physical performance assessments in 98 women aged 18-45 years with chronic nonspecific neck pain. Participants will complete questionnaires evaluating perceived neck mobility (S-ROM-Neck), fear of movement (Tampa Scale for Kinesiophobia), and pain intensity (Visual Analog Scale), which will be compared against objective measurements including active cervical range of motion using a CROM device, controlled box-lifting capacity (PILE test), timed unloaded and loaded walking performance, and deep cervical flexor and extensor muscle endurance tests. Ultimately, the findings will clarify whether self-reported questionnaires are sufficient for evaluating physical capacity or if objective performance testing should be routinely integrated into clinical practice

Epilepsy is a chronic neurological disorder that can significantly affect a person's physical abilities and daily life due to the condition itself and the side effects of anti-epileptic medications. Individuals with epilepsy often experience fatigue, changes in balance, decreased muscle strength, and reduced mobility, which can restrict their activities of daily living and lead to a decline in their overall quality of life.The primary purpose of this observational study is to comprehensively evaluate the functional status and quality of life in individuals diagnosed with epilepsy. To accurately measure these impacts, the study will compare the physical performance, balance, and fatigue levels of epilepsy patients to a healthy control group.The main question this study attempts to answer is: How do functional mobility, balance, fatigue, and quality of life in individuals with epilepsy differ from those of healthy individuals without the condition?By identifying these physical and functional challenges, researchers aim to better understand the relationship between physical capacity and quality of life in this population. Ultimately, the research findings will guide the future development of targeted physiotherapy and rehabilitation programs designed to improve the functional independence and quality of life for individuals living with epilepsy.

The aim of this cross-sectional study is to compare temporomandibular joint (TMJ) and cervical spine parameters between young university students aged 18-30 years with and without text neck syndrome, a modern overuse condition caused by prolonged digital device use and repetitive forward head flexion. Given the anatomical, biomechanical, and functional connections between the stomatognathic system and the cervical region, prolonged altered posture may contribute to TMJ dysfunction, pain, and altered physical metrics. Participants are categorized into two groups based on photographic and self-reported text neck severity (levels 3-4 for text neck vs. levels 1-2 for non-text neck) and evaluated across multiple physical parameters, including craniovertebral and cervicothoracic angles, active cervical and mandibular range of motion, cervical joint position sense, neck and TMJ pain intensity via Visual Analog Scale, TMJ dysfunction severity using the Turkish-validated Fonseca Questionnaire, static balance via the single-leg stance test, and dynamic balance via the Y Balance Test.

Habitual knuckle cracking is a widespread behavior caused by intra-articular pressure changes and gas release in synovial joints; however, its long-term effects on hand sensorimotor function, joint laxity, and overall biomechanics remain debated, with no structured clinical exercise interventions currently established. This prospective, randomized controlled trial aims to evaluate the effectiveness of a 4-week targeted stabilization exercise program focusing on the radiocarpal, metacarpophalangeal (MCP), and proximal interphalangeal (PIP) joints in young adults aged 18 to 30 years with habitual knuckle cracking. Participants are randomly allocated to either an intervention group receiving twice-weekly stabilization training (8 total sessions) or an un-exercised control group. The study hypothesizes that structured joint stabilization exercises will significantly improve wrist and finger joint position sense (proprioception), enhance upper extremity functional performance, and reduce joint laxity compared to the control group.

The purpose of this study is to evaluate the clinical effects of multi-segmental spinal manual therapy on pain intensity, central sensitization (CS), and sensorimotor control in women diagnosed with episodic migraine (EM). Participants receive 10 sessions of a comprehensive manual therapy intervention targeting the cervical, thoracic, lumbar, and sacral regions over a 2-week period. Clinical outcomes-including headache pain intensity, sensorimotor dysfunction, headache-related disability, and cutaneous allodynia-are evaluated at baseline, immediately after the 2-week treatment, and at a 1-month follow-up. This study aims to investigate whether addressing multiple spinal segments with manual therapy improves clinical symptoms, spinal motor control, and central pain processing in female individuals with EM.