Clinical trials

This crossover experimental study aims to compare acute hamstring muscle oxygenation responses during Nordic Hamstring Exercise (NHE) and Blood Flow Restriction Nordic Hamstring Exercise (BFR-NHE) in elite adolescent athletes. Participants will complete both exercise conditions in a randomized order separated by a 7-day washout period. Muscle oxygen saturation will be assessed using near-infrared spectroscopy (MOXY), together with total hemoglobin responses, blood lactate concentration, perceived exertion, and exercise performance variables. The findings may improve understanding of the physiological effects of blood flow restriction during eccentric hamstring exercise in adolescent athletes.

The aim of our study is to compare the short-term effects of traditional classical massage and percussive massage on neck pain, patient satisfaction level, and upper extremity flexibility in young adults with MBS. Another aim of the study is to contribute to the literature, as there are a limited number of studies that directly evaluate the effectiveness of popular vibration devices (Theragun, etc.) compared to classical massage. Original value: With the development of technology and the increase in mobile device usage times, MBS is increasingly common, especially among young adults and university students. There are limited studies in the literature on the treatment of MBS. No studies comparing the acute effects of classical massage and percussion therapy in the treatment of this syndrome have been found. Therefore, our study has the potential to make a unique contribution to the literature by offering a direct comparison between both traditional classical massage and the modern technological method of percussion gun. Sociodemographic Assessment Form: The form to be prepared before the study will record information such as age (years), gender, body weight (kg) and height (cm) of the participants, as well as trauma-surgery history, systemic problems, and average daily mobile device usage time. Six symptoms reporting MBS diagnostic criteria (neck pain, back pain, shoulder pain, headache, insomnia, tingling and numbness in the hands) will be questioned . Pain Assessment: The pain intensity of individuals with MBS will be assessed using the Visual Analog Scale, which is reported to be valid and reliable. Individuals included in the study will be asked to indicate the pain intensity they experienced in the last week on a vertically positioned 100 mm long line. The marked points will be measured and recorded in millimeters. Neck Disability Index (NDI): It is planned to use the Neck Disability Index, which has Turkish validity and reliability, to determine neck disability. The first four items of the ten-item questionnaire are related to subjective symptoms, while the other six items are related to daily life activities. When the total score of the questionnaire is examined, 0 points indicate no disability, 5-14 points indicate mild disability, 15-24 points indicate moderate disability, 25-34 points indicate severe disability, and 35 points and above indicate complete disability. Evaluation of Patient Satisfaction Level: The treatment satisfaction levels of the participants included in the study will be evaluated with the Patient Satisfaction Scale developed for physical therapy outpatient clinics. The Turkish validity and reliability study of this 24-item scale was carried out by Tüzün et al. (2009) (Cronbach alpha: 0.88). The scale is scored between 0 (strongly disagree) and 4 (strongly agree), and higher scores indicate higher satisfaction. Assessment of Upper Extremity Balance: Participants' upper extremity balance and performance will be assessed using the Upper Extremity Balance Test. While maintaining a push-up position with feet no more than twelve inches (30.5 cm) apart, the individual will reach with maximum effort in three directions (medial, superolateral, and inferolateral) with their free hand relative to the fixed hand, and the distance reached in each direction will be recorded. Each individual will be allowed to make 3 practice trials before the test, and the average of 3 trials will be used for analysis. Assessment of Upper Extremity Flexibility: To assess the upper extremity flexibility of the participants, the Apley Scratch Test will be used. Also called the Dawbarn Test, the Apley Scratch Test provides a rapid assessment of the patient's active range of motion, including internal rotation, extension, and adduction. During the Apley scratch test, the patient attempts to reach upwards from their back, starting from below and aiming to place their hand between their shoulder blades. Then the distance between the two hands is measured with the help of a tape measure. Interventions Percussive Massage Therapy: Percussive massage therapy will be applied with the TheraGun Relief Navy massage gun, which is planned to be supplied within the scope of the project. Percussive massage application will be applied from distal to proximal along the starting points of the trapezius, levator scapulae and cervical paravertebral muscles at a medium speed (level 2, range: 33-40 Hz) and 12 mm amplitude. Percussive therapy will be performed using the soft head of the massage gun with a treatment time of five minutes for each muscle group. Classic Massage Therapy: After carefully protecting patient privacy in a prone position, general stroking is applied to the neck area, followed by massage oil using the 3 Stroking-3 Kneading-3 Stroking technique on the erector spinae, trapezius and levator scapulae muscles, from distal to proximal.

The purpose of this randomized controlled trial is to compare the effects of Nordic Hamstring Exercise (NHE) and Blood Flow Restriction-assisted Nordic Hamstring Exercise (BFR-NHE) on hamstring muscle strength, muscle morphology, and functional performance in elite adolescent female pole vaulters. Thirty-six athletes aged 12-18 years will be randomly assigned to a Nordic Hamstring Exercise group, a Blood Flow Restriction-assisted Nordic Hamstring Exercise group, or a control group. Intervention groups will participate in supervised exercise training three times per week for eight weeks, while the control group will continue routine sports training. Outcomes will be assessed before and after the intervention period.

This single-center randomized controlled trial aims to investigate the effects of adding scapulothoracic stabilization and postural training to standard lymphedema care in women with secondary upper extremity lymphedema following breast cancer surgery. Participants will be randomly assigned to receive either standard lymphedema care alone or standard care combined with scapulothoracic stabilization and postural training. Outcomes including scapular muscle strength, posture, upper extremity function, limb volume, and neck awareness will be assessed at baseline, immediately after treatment, and at a 2-month follow-up. The findings are expected to provide evidence regarding the effectiveness of incorporating targeted stabilization and postural exercises into conventional lymphedema rehabilitation.

This randomized controlled trial aims to investigate the effectiveness of respiratory and relaxation training added to standard complex decongestive therapy (CDT) on muscle oxygenation, functional capacity, and limb volume in patients with lower extremity lymphedema. Participants will be randomly assigned to receive either standard CDT alone or CDT combined with respiratory and relaxation exercises. Outcomes will be assessed before treatment, immediately after treatment, and two months after completion.

This study aims to evaluate the changes in metabolic parameters, intestinal permeability, and gastrointestinal symptoms in individuals who have undergone bariatric surgery (Laparoscopic Sleeve Gastrectomy - LSG) for obesity treatment. Obesity is a chronic disease associated with serious health complications including type 2 diabetes, hypertension, cardiovascular disease, and metabolic disorders. Bariatric surgery is currently the most effective treatment method for morbid obesity. However, monitoring patients after surgery in terms of metabolic health, gut permeability, and gastrointestinal symptoms is crucial for long-term success. In this study, 40 volunteers (aged 19-50) who have undergone LSG surgery within the last month will be followed for 6 months. At the beginning of the study and 6 months later, the following will be assessed: * Metabolic parameters: fasting blood glucose, total cholesterol, triglycerides, high-density lipoprotein (HDL), low-density lipoprotein (LDL), very low-density lipoprotein (VLDL) cholesterol, and insulin levels * Intestinal permeability markers: zonulin, secretory immunoglobulin A (IgA), and lipopolysaccharide (LPS) levels * Gastrointestinal symptoms: assessed using the Gastrointestinal Symptom Rating Scale (GSRS) * Anthropometric measurements: body weight, height, waist and hip circumference, BMI * Nutritional intake: 3-day dietary records The study will be conducted at Bursa Yıldırım Doruk Hospital, General Surgery Clinic. Results will contribute to understanding the relationship between bariatric surgery and gut health, potentially helping to prevent postoperative complications.

As the elderly population increases, health problems related to aging are also increasing. Loss of appetite negatively affects public health by causing malnutrition and related health problems in elderly individuals. Loss of appetite is a common problem in older adults, both in individuals with and without cognitive impairment. This can lead to serious health problems such as malnutrition, weight loss, muscle loss, weakening of the immune system and decreased quality of life. Cognitive disorders such as Alzheimer's and dementia can trigger loss of appetite, or loss of appetite can be a symptom of these disorders. Factors such as metabolic changes during the aging process, decreased sense of taste and smell, loneliness and depression contribute to loss of appetite. However, there is no valid and reliable scale in Turkey for the early diagnosis and assessment of loss of appetite. A scale being valid and reliable means that it can measure the concept it is intended to measure accurately and consistently. The aim of this study was to determine the validity and reliability of the Turkish version of the Loss of Appetite Scale in older adults with and without cognitive impairment .

This study aims to develop and evaluate a theory-based educational intervention to improve cancer screening participation among Syrian migrants in Turkey. The study will also develop a Cancer Protection Motivation Scale (CPMS) to measure individuals' motivation toward cancer screening. Using a mixed-methods design, the study will explore barriers, beliefs, and behaviors related to breast, cervical, and colorectal cancer screening. The effectiveness of the intervention will be assessed using a pretest-posttest design. The findings are expected to support culturally appropriate strategies to improve cancer screening uptake among migrant populations.

The study was a randomised controlled trial showing the effect of watching cartoons and squeezing a stress ball on pain and fear in children admitted for intravenous catheter insertion. Hypotheses of the Study Hypothesis 1: Children who watch cartoons during intravenous catheter insertion have lower pain and fear scores than the control group. Hypothesis 2: The pain and fear of children who squeeze a stress ball during intravenous catheter insertion are lower than the control group Hypothesis 3: There is a difference between the pain and fear scores of children who watch cartoons and squeeze a stress ball.

The purpose of this study is to examine the effects of dual-task training and cognitive rehabilitation on gait, balance, fatigue and cognitive performance in individuals with multiple sclerosis.