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Unuvar BS, Tufekci O, Gercek H, Torlak MS, Erbas O. Comparison of muscle tightness between knees in individuals with unilateral osteoarthritis and its relationship with pain and function. J Back Musculoskelet Rehabil 2024:BMR230373. [PMID: 38517773 DOI: 10.3233/bmr-230373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/24/2024]
Abstract
BACKGROUND Unilateral osteoarthritis (OA) affects single knees and presents a unique scenario where individuals experience varying degrees of symptoms between their affected and unaffected knees. OBJECTIVE This study aims to investigate differences in muscle tightness between symptomatic and asymptomatic knees in individuals with unilateral knee OA while exploring the interplay among pain, functionality, and muscle tightness. METHODS In this cross-sectional study, thirty knee OA patients underwent assessments for hamstring (Active Knee Extension, Straight Leg Raise), iliotibial band (Ober Test), and quadriceps tightness (Modified Thomas Test). Pain intensity was measured using the Visual Analog Scale (VAS), and functional limitations were evaluated via the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). RESULTS A negative correlation was observed between participants' pain and AKE (p= 0.004, r=-0.515), ASLR (p= 0.27, r=-0.403), Ober (p= 0.010, r=-0.461) values. However, no significant correlation was found with the Modified Thomas value (p= 0.204, r=-0.239). There was also a negative correlation between participants' WOMAC scores and AKE (p= 0.019, r=-0.427), OBER (p= 0.004, r=-0.510), and Modified Thomas (p= 0.022, r=-0.416) values, while ASLR (p= 0.286, r=-0.202) values showed no significant correlation. Comparisons between AKE, Ober, and Modified Thomas values showed higher values in asymptomatic extremities (AKE: p= 0.025, Ober: p= 0.021, Modified Thomas: p= 0.030). CONCLUSION This study emphasizes the significance of muscle tightness in the symptomatic extremities of individuals with unilateral knee OA. The results indicate that increased muscle tightness makes pain worse and limits movement. It's crucial for healthcare providers treating OA to focus on improving muscle flexibility, reducing pain, and enhancing overall function.
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Affiliation(s)
- Bayram Sonmez Unuvar
- Department of Audiology, Faculty of Health Sciences, KTO Karatay University, Konya, Turkey
| | | | - Hasan Gercek
- Department of Therapy and Rehabilitation, Vocational School of Health Services, KTO Karatay University, Konya, Turkey
| | - Mustafa Savas Torlak
- Department of Therapy and Rehabilitation, Vocational School of Health Services, KTO Karatay University, Konya, Turkey
| | - Onur Erbas
- Health Sciences Institute, Karamanoğlu Mehmetbey University, Karaman, Turkey
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Unuvar BS, Gercek H, Tufekci O, Torlak MS, Erbas O. The relationship between lower extremity muscle tightness and pain and disability in individuals with non-specific chronic low back pain. Work 2024:WOR230547. [PMID: 38393876 DOI: 10.3233/wor-230547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2024] Open
Abstract
BACKGROUND Low back pain is a common health issue, and such pains are often associated with muscle tightness. Understanding the link between lower back pain and tight lower extremity muscles is essential for effective pain management and enhanced quality of life. OBJECTIVE The objective of this study was to investigate the relationship between lower extremity muscle tightness and pain and disability in individuals with non-specific low back pain (NSLBP). METHODS A total of 52 individuals with NSLBP were enrolled in this cross-sectional study. Lower extremity muscle tightness was assessed using various clinical tests, including the Active Knee Extension Test, Active Straight Leg Raise, Ober Test, and Modified Thomas Test. Pain intensity and disability were evaluated using the Visual Analog Scale and the Oswestry Disability Index, respectively. Statistical analyses were conducted to assess the correlation between muscle tightness, pain, and disability. RESULTS The study found weak to moderate negative correlations between lower extremity muscle tightness and both pain intensity and disability in individuals with NSLBP (r: -0.287 to -0.526, p < 0.05). Dominant and non-dominant extremities exhibited differences in muscle flexibility, with the dominant extremity showing greater flexibility (p < 0.05). CONCLUSIONS In individuals with NSLBP, lower extremity muscle tightness is closely related to pain severity and disability. These findings suggest that lower extremity muscle tightness plays a significant role in the severity of low back pain and disabilities. Additionally, the observed flexibility difference between dominant and non-dominant extremities warrants further investigation for more personalized treatment approaches.
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Affiliation(s)
- Bayram Sonmez Unuvar
- Department of Audiology, Faculty of Health Sciences, KTO Karatay University, Konya, Turkiye
| | - Hasan Gercek
- Department of Therapy and Rehabilitation, Vocational School of Health Services, KTO Karatay University, Konya, Turkiye
| | | | - Mustafa Savas Torlak
- Department of Therapy and Rehabilitation, Vocational School of Health Services, KTO Karatay University, Konya, Turkiye
| | - Onur Erbas
- Health Sciences Institute, Karamanoğlu Mehmetbey University, Karaman, Turkiye
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Unuvar BS, Torlak MS, Gercek H, Tufekci O, Erdagi K, Işik B. Comparison and Relationship of Quadriceps Femoris Angle, Muscle Strength, and Balance in Athletes and Non-Athletes. Indian J Orthop 2023; 57:1243-1250. [PMID: 37525722 PMCID: PMC10387013 DOI: 10.1007/s43465-023-00927-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Accepted: 06/05/2023] [Indexed: 08/02/2023]
Abstract
Objective Q-angle is an important parameter to assess quadriceps muscle's function and its effect on knee. The present study aims to investigate the potential relationships between Q-angle, muscle strength, and balance in both athlete and non-athlete populations. Methods Fifty-six athletes and non-athletes aged between 18 and 20 were included in this cross-sectional study. The Q-angle of each participant was measured using a universal goniometer. Muscle strength was evaluated using hand-held dynamometer, and static and dynamic balance were assessed using the one-leg stand test and Y balance test, respectively. Results Our findings revealed that athletes had a significantly smaller Q angle than non-athletes (p < 0.05). Furthermore, male participants had both higher muscle strength and better static balance with eyes closed than female participants (p < 0.05). Similarly, athletes had both higher muscle strength and better static balance than non-athletes (p < 0.05). Moreover, we found that the dominant limb had a significantly smaller Q angle than the non-dominant limb (p < 0.05). However, we did not observe a significant relationship between Q angle and dynamic balance (p > 0.05). Conclusion Our study suggests that individuals who participate in sports have lower Q angle values than those who do not participate in sports. Additionally, gender differences may exist in muscle strength and static balance. Furthermore, the Q angle was found to be lower in the non-dominant extremity compared to the dominant extremity. Finally, our study revealed a significant association between Q angle and knee muscle strength and static balance. Further research is needed to elucidate the underlying mechanisms of these relationships.
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Affiliation(s)
- Bayram Sonmez Unuvar
- Department of Audiology, School of Health Sciences, KTO Karatay University, Konya, Turkey
| | - Mustafa Savas Torlak
- Department of Therapy and Rehabilitation, Vocational School of Health Services, KTO Karatay University, Konya, Turkey
| | - Hasan Gercek
- Department of Therapy and Rehabilitation, Vocational School of Health Services, KTO Karatay University, Konya, Turkey
| | | | - Kenan Erdagi
- Physical Education and Sports Department, Faculty of Education, Necmettin Erbakan University, Konya, Turkey
| | - Bulent Işik
- Department of Physiology, Medical School, Karamanoglu Mehmetbey University, Karaman, Turkey
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Gercek H, Unuvar BS, Umit Yemisci O, Aytar A. Acute effects of instrument assisted soft tissue mobilization technique on pain and joint position error in individuals with chronic neck pain: a double-blind, randomized controlled trial. Somatosens Mot Res 2023; 40:25-32. [PMID: 36538383 DOI: 10.1080/08990220.2022.2157388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
PURPOSE/AIM The aim of this study was to determine the acute effects of IASTM on cervical joint position error and pain in individuals with chronic neck pain. METHODS A total of 39 individuals with chronic neck pain were included in this study. Participants were randomized into three groups: Instrument-assisted soft-tissue mobilization(IASTM (n = 13), sham (n = 13), and control (n = 13). In the IASTM group, intervention was applied to the sternocleidomastoid and trapezius muscles with an application time of 45 s and a frequency of 60 beats/min. In the sham group, IASTM was applied at a 90° angle without pressure. The control group did not receive any intervention. The pain severity and joint position error(JPE) were evaluated before and after the intervention, by using the visual analogue scale and a cervical range of motion device. RESULTS The effects of time and treatment group on visual analogue scale(VAS) score were statistically significant (p = .001). Instrument-assisted soft-tissue mobilization was more effective in VAS score than sham and control group (p < .001). Significant improvement was found in JPE in all range of motions of the cervical region in the instrument-assisted soft-tissue mobilization group (p < .05). In the sham group, significant improvements were observed in cervical extension, left rotation, and left lateral flexion movements in JPE during each cervical spine active movement (p < .05). Instrument-assisted soft-tissue mobilization group was more effective in JPE all directions than sham and control group. CONCLUSIONS Instrument-assisted soft-tissue mobilization may be a useful technique in individuals with chronic neck pain. Instrument-assisted soft-tissue mobilization decreases VAS and improves JPE. CLINICAL TRIAL REGISTRATION NUMBER NCT04882397 (05 August 2021).
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Affiliation(s)
- Hasan Gercek
- Department of Physiotherapy, Vocational School of Health Services, KTO Karatay University, Konya, Turkey
| | - Bayram Sonmez Unuvar
- Department of Physiotherapy, Vocational School of Health Services, KTO Karatay University, Konya, Turkey
| | - Oya Umit Yemisci
- Faculty of Medicine, Physical Medicine and Rehabilitation Department, Baskent University, Ankara, Turkey
| | - Aydan Aytar
- Department of Orthopedic Physiotherapy and Rehabilitation, University of Health Sciences Gulhane Faculty of Physiotherapy and Rehabilitation, Ankara, Turkey
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Gercek H, Unuvar BS, Yilmaz K, Akkoyun Sert O, Bagcaci S. Effects of Different Exercises on Respiratory Parameters: A Randomized Controlled Trial. Clin Physiol Funct Imaging 2022; 43:146-153. [PMID: 36433716 DOI: 10.1111/cpf.12804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 10/12/2022] [Accepted: 11/25/2022] [Indexed: 11/27/2022]
Abstract
This study was designed to compare the effects of core stabilisation (CS) and auxiliary respiratory muscle strengthening exercises on oxygen consumption and respiratory parameters. A total of 51 participants were divided into three groups with block randomization method according to age and gender: CS Group (n = 17), Auxiliary Respiratory Muscles Exercise (ARM) Group (n = 17) and Control (C) Group (n = 17). Maximum oxygen uptake (VO2 max), first second of forced expiration (FEV1)/Forced vital capacity (FVC) and maximal voluntary ventilation (MVV) values were evaluated before and after the study. CS and ARM strengthening exercises were applied 3 days a week for 6 weeks. The increase in the FEV1/VC values was higher in the CS and ARM groups than in the C group (p < 0.05), whereas no statistically significant difference was observed between the ARM and CS groups (p < 0.05). There was no statistically significant difference between the groups in terms of VO2 max values before and after the study (p > 0.05). The increase in the MVV values was higher in the CS and ARM groups than in the C group (p < 0.05), whereas no statistically significant difference was observed between the ARM and CS groups (p > 0.05). CS and ARM exercises had positive effects on FEV1/FVC and MVV.
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Affiliation(s)
- Hasan Gercek
- KTO Karatay UniversityVocational School of Health Services, Department of PhysiotherapyKonyaTurkey
| | - Bayram Sonmez Unuvar
- KTO Karatay UniversityVocational School of Health Services, Department of PhysiotherapyKonyaTurkey
| | - Kamil Yilmaz
- KTO Karatay UniversitySchool of Health Sciences, Department of Physiotherapy and RehabilitationKonyaTurkey
| | - Ozlem Akkoyun Sert
- KTO Karatay UniversitySchool of Health Sciences, Department of Physiotherapy and RehabilitationKonyaTurkey
| | - Sinan Bagcaci
- KTO Karatay UniversitySchool of Health Sciences, Department of Physiotherapy and RehabilitationKonyaTurkey
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Torlak MS, Unuvar BS, Gercek H. Effect of Aerobic Exercise on the Levels of Pain, Quality of Life, and Alexithymia in Alexithymic Individuals With Chronic Pain: A Single-Blinded Randomized Controlled Trial. J Manipulative Physiol Ther 2022; 45:652-659. [PMID: 37294216 DOI: 10.1016/j.jmpt.2023.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Revised: 04/10/2023] [Accepted: 04/10/2023] [Indexed: 06/10/2023]
Abstract
OBJECTIVE This study aimed to investigate the effects of aerobic exercise on pain, degree of alexithymia, and quality of life in individuals with alexithymia and chronic pain. METHODS A total of 40 participants who scored 61 or higher on the Toronto Alexithymia Scale-20 (TAS-20) were included in the study. The sample was subdivided into 2 groups using a computerized randomization program: an aerobic exercise group (n = 20) and a control group (n = 20). Participants in the aerobic exercise group underwent a 30-minute jogging protocol at 60% to 90% of maximum heart rate 3 days per week for 8 weeks under the supervision of a physiotherapist. Participants in the control group continued their daily physical activities. Outcome measures were the TAS-20, visual analog scale, Graded Chronic Pain Scale, and 36-Item Short Form Health Survey. RESULTS There was no statistically significant difference between the demographics of the 2 groups (P > .05). There was a statistically significant improvement in TAS-20, Graded Chronic Pain Scale, visual analog scale, and 36-Item Short Form Health Survey scores of the participants in the aerobic exercise group compared to the control group (P ˂ .05). CONCLUSION Aerobic exercise had a positive effect on pain, quality of life, and degree of alexithymia in individuals with alexithymia and chronic pain.
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Affiliation(s)
- Mustafa Savas Torlak
- Vocational School of Health Services, Department of Physical Therapy, KTO Karatay University, Karatay, Konya, Turkey.
| | - Bayram Sonmez Unuvar
- Vocational School of Health Services, Department of Physical Therapy, KTO Karatay University, Karatay, Konya, Turkey
| | - Hasan Gercek
- Vocational School of Health Services, Department of Physical Therapy, KTO Karatay University, Karatay, Konya, Turkey
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Bagcaci S, Unuvar BS, Gercek H, Ugurlu I, Sert OA, Yilmaz K. A randomized controlled trial on pain, grip strength, and functionality in lateral elbow pain: Mulligan vs muscle energy techniques. J Back Musculoskelet Rehabil 2022; 36:419-427. [PMID: 36120766 DOI: 10.3233/bmr-220061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Lateral elbow tendinopathy (LET) is one of the most common lesions of the upper extremity. The level of evidence from studies on LET treatment protocols is insufficient. OBJECTIVE The aim of this study was to compare the acute effects of mobilization with movement (MWM) and muscle energy technique (MET) on pain, grip strength, and functionality in patients diagnosed with LET. METHODS Forty-five patients with LET aged 30-55 years were enrolled in this study. Patients were divided into three groups: MWM, MET, and control group. The control group received a 4-week home exercise program. In addition to the home exercise program in the MWM group, 12 sessions of MWM and 12 sessions of MET were performed in the MET group. Participants' pain, grip strength, and functionality were assessed before and after the study. RESULTS After the treatment period, greater improvement in pain, grip strength, finger strength, and functionality were observed in the MWM and MET groups than in the control group (p< 0.05), but no statistically significant difference was found between the MWM and MET groups (p> 0.05). CONCLUSIONS This study shows that MWM and MET, used in addition to home exercises, can be used to relieve pain and increase grip strength, finger strength, and functionality.
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Affiliation(s)
- Sinan Bagcaci
- Department of Physiotherapy and Rehabilitation, KTO Karatay University, Konya, Turkey
| | | | - Hasan Gercek
- Department of Therapy and Rehabilitation, KTO Karatay University, Konya, Turkey
| | - Ibrahim Ugurlu
- Department of Medical Services and Techniques, Selcuk University, Konya, Turkey
| | - Ozlem Akkoyun Sert
- Department of Physiotherapy and Rehabilitation, KTO Karatay University, Konya, Turkey
| | - Kamil Yilmaz
- Department of Physiotherapy and Rehabilitation, KTO Karatay University, Konya, Turkey
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