Cem Çetin

Influence of custom-made mouth guards on strength, speed and anaerobic performance of taekwondo athletes

The purpose of this study was to test the influence of custom-made mouth guards on strength and anaerobic performance of taekwondo athletes. The study included 21 (11 male and 10 female) trained subjects participating in taekwondo. Anaerobic power and anaerobic capacity, isokinetic quadriceps and hamstring strength, handgrip strength, isometric lower extremity and back strength, 20 m sprint time, squat and counter movement jumping height were measured in two randomized conditions: with or without custom-made (CM) mouth guards. No significant differences were observed between the two conditions (with or without CM mouth guards) in 20 m sprint time, jumping tests, handgrip strength, isometric leg or back strength. On the other hand, peak power and average power in Wingate Anaerobic Test and Hamstring Isokinetic Peak Torque significantly increased as a result of wearing mouth guard (P < 0.05). In conclusion, we can suggest that taekwondo athletes can use CM mouth guards without any negative effects on their strength and anaerobic performance.

Non-invasive Indices for the Estimation of the Anaerobic Threshold of Oarsmen

This study compared four common non-invasive indices with an invasive index for determining the anaerobic threshold (AT) in 22 adult male rowers using a Concept2 rowing ergometer. A criterion-standard progressive incremental test (invasive method) measured blood lactate concentrations to determine the 4 mmol/l threshold (La4-AT) and Dmax AT (Dm-AT). This was compared with three indices obtained by analysis of respiratory gases and one that was based on the heart rate (HR) deflection point (HRDP) all of which used the Conconi test (non-invasive methods). In the Conconi test, the HRDP was determined whilst continuously increasing the power output (PO) by 25 W/min and measuring respiratory gases and HR. The La4-AT and Dm-AT values differed slightly with respect to oxygen uptake, PO and HR however, AT values significantly correlated with each other and with the four non-invasive methods. In conclusion, the non-invasive indices were comparable with the invasive index and could, therefore, be used in the assessment of AT during rowing ergometer use. In this population of elite rowers, Conconi threshold (Con-AT), based on the measurement of HRDP tended to be the most adequate way of estimating AT for training regulation purposes.

An investigation about comfort and protection performances of disposable and reusable surgical gowns by objective and subjective measurements

This study was conducted to investigate comfort and microbial protection performances of two reusable and two disposable surgical gowns by subjective wear trials conducted on eight healthy Dentistry faculty students under environmental conditions suitable for a surgical operation. Protection performances of the gowns were tested by a modified bacterial resistance test. Physiological and psychological data were obtained during wear trials. All objective and subjective results were evaluated in the light of standard physical, mechanical, permeability, and resistance (thermal and water vapor) characteristics of the fabrics. According to the results, thermal comfort performance of the woven gown produced from microfiber polyester was the best according to subjective wear trial and microbial resistance test results. Disposable nonwoven gowns had lower comfort performances despite their higher permeability and lower resistance values. Moreover, chest skin temperature, arm microclimate temperature, and arm relative humidity are the physiological parameters significantly correlated with subjective comfort evaluation results.

An evaluation of the lower extremity muscle strength of patients with chronic venous insufficiency

Objective In this study, the aim was to evaluate the lower extremity muscle strength in patients with chronic venous insufficiency using an isokinetic dynamometer. Methods The study comprised a group of 36 lower extremities of 23 patients diagnosed with chronic venous insufficiency and a control group of 40 lower extremities of 20 patients who did not have chronic venous insufficiency. In the diagnosis and evaluation of chronic venous insufficiency, photoplethysmography was used to evaluate the venous return circulation time. Visual Analog Scale scoring was applied to define the level of pain of the patients. Muscle strength measurements were made in all the lower extremities by using an isokinetic dynamometer. Results A statistically significant difference was detected between the groups in terms of the muscle strength parameters in the ankle plantar flexion, and knee flexor and extensor muscles. However, no statistically significant difference was found between the groups in the ankle dorsiflexion muscle strength parameters. A significant difference was determined in the ratio of ankle dorsiflexion/plantar flexion muscle strength between the mild, moderate and severe venous insufficiency groups. A statistically considerable negative correlation was found between the Visual Analog Scale scores and the photoplethysmography results. According to the Visual Analog Scale results, as the degree of venous insufficiency increased, so did the level of pain. Conclusion Impaired lower extremity muscle strength was observed in chronic venous insufficiency patients. Although the current study was consistent with literature in respect of impaired calf muscle strength, this finding was also seen in the thigh muscles. Furthermore, we concluded that if venous insufficiency becomes more severe, impaired calf muscle strength becomes more evident.

Effects of isokinetic calf muscle exercise program on muscle strength and venous function in patients with chronic venous insufficiency

Objective The aim of this study was to observe the change of the ankle joint range of motion, the muscle strength values measured with an isokinetic dynamometer, pain scores, quality of life scale, and venous return time in chronic venous insufficiency diagnosed patients by prospective follow-up after 12-week exercise program including isokinetic exercises. Methods The patient group of this study comprised 27 patients (23 female, 4 male) who were diagnosed with chronic venous insufficiency. An exercise program including isokinetic exercise for the calf muscle was given to patients three days per week for 12 weeks. At the end of 12 weeks, five of the patients left the study due to inadequate compliance with the exercise program. As a result, control data of 22 patients were included. Ankle joint range of active motion, isokinetic muscle strength, pain, quality of life, and photoplethysmography measurements were assessed before starting and after the exercise program. Results Evaluating changes of the starting and control data depending on time showed that all isokinetic muscle strength measurement parameters, range of motion, and overall quality of life values of patients improved. Venous return time values have also increased significantly (p < 0.05). Conclusion In conclusion, increase in muscle strength has been provided with exercise therapy in patients with chronic venous insufficiency. It has been determined that the increase in muscle strength affected the venous pump and this ensured improvement in venous function and range of motion of the ankle. In addition, it has been detected that pain reduced and quality of life improved after the exercise program.

The effect of Platelet-Rich Plasma application on recovery of contusional muscle injury in trauma induced rabbits

ABSTRACT The purpose of this paper was to evaluate the effect of platelet-rich plasma (PRP) application after the contusion muscle injury. In the study, New Zealand type rabbits were placed into a trauma model. The rabbits were divided into three groups. In the 1st group PRP was applied just after the trauma, in the 2nd group PRP was applied one day after the trauma and in the 3rd group PRP was not applied. Fibrosis decreased in the groups in which PRP was applied in the first day or in the first hour but fibrosis increased in the control group steadily. Dystrophic calcification developed less in the group in which PRP was applied in the first hour compared with t he control group. It is concluded that particularly with its effect on dystrophic calcification, PRP may reduce the possibility of re-injuries and and help athletes in terms of returning to sports more quickly.

Qualifications of Safe Return to Play Criteria

Anterior cruciate ligament (ACL) injury has various negative implications for thigh muscle function, including reduction of muscle strength and instability of torque. Conservative treatment and / or surgical procedures may be preferred by considering patient’s age, activity level, additional injury and the patient’s expectations. Aim of ACL surgery in athletes is to allow a safe return to preoperative activity level. Literatures have shown different criterias about returning to sports. Some of these criterias are time after surgery, negative Lachman and Pivot shift tests, range of motion, extension/flexion muscle strength of the knee, functional knee tests and lower limb symmetry indexes. Although these criteria provide, second-injury risks are high within 2 years of primary ACL reconstruction. The risk of re-injury rates for the ACL vary between 0 and 19% for the ipsilateral side and between 7 and 24% for the uninjured contralateral knee. The purpose of this study was to investigate value of knee function between the return to normal knee function following ACL reconstruction (ipsilateral and uninjured contralateral side) and the healthy knees, and present recommendation for reduce the risk of rerupture. Totally 14 healthy male and 15 male patients who had unilateral ACL reconstruction, followed knee rehabilitation programme regularly and returned to normal knee function following after minimum 8th month the operation participated in the study. We applied Tegner activity level, Lysholm knee score, operated, intact and healthy knee range of motion, one leg hop test, flamingo balance test, isokinetic muscle strength test and proprioception test in the study. No statistically significant differences were found in the demographic data, activity level, and knee score between groups (p>0,05). The test that assesses passive joint position sense at 30˚ showed statistically significant differences between operated and intact non-operated knee (p<0,05). This data was better at operated knee. There were statistically significant differences in functional tests, isokinetic hamstring muscle test at operated knee and proprioception test between patients and control groups (p<0,05). Arthrogenic muscle inhibition occurs bilaterally after unilateral ACL ruptures. Thus, normal lower limb symmetry determined by tests. On the other hand; muscle strength, motor coordination, proprioception and knee function may be insufficient compared to healthy control groups. For this reason, we should consider that it is important to improve bilateral lower extremity functions at ACL rehabilitation program. Datas of operated and non-operated knee and control group Operated side Non-operated side Control group Flexion ROM (˚) 130 131,67 130,5 Extension ROM (˚) 1,27 0 0 Flamingo balance test EV 1,53 1,33 2,5 One leg hop test (cm) 108,22 123 142,67 Prop active 30˚ AEV 5,73 5,8 1,45 Prop active 45˚ AEV 5,27 6,13 2,18 Prop active 75˚ AEV 5,27 4,2 2,3 Prop passive 30˚ AEV 2,27 6,13 1,79 Prop passive 45˚ AEV 4,33 3,8 1,33 Prop passive 75˚ AEV 3,07 3,6 1,51 Extension PT (Nm) 168,9 193,2 179,07 Extension PT/BW (%) 222,27 253,87 250,93 Extension IPT (Nm) 99,21 112,8 108,57 Extension TWD (Nm) 1437,29 1575,4 1526,86 Flexion PT (Nm) 91,87 100,6 111 Flexion PT/BW (%) 118,13 129,47 157,5 Flexion IPT (Nm) 61,86 68,27 72,14 Flexion TWD (Nm) 797,93 818,67 885,86 ROM: Range of motions, cm:centimeter, EV: Error value, Prop: Proprioception, AEV: Absolute error value, PT: Peak torque, PT/BW: Peak torque/body weight, IPT: Initial peak torque, TWD: Total work done, Nm: Newtonmeter

Is ACL reconstruction a prerequisite for the patients having recreational sporting activities

Objective Whether surgical or conservative treatment is more effective in allowing patients to return to physical activity after anterior cruciate ligament (ACL) injury is controversial. We sought to compare mid-term outcome measures between isolated ACL tear patients who underwent reconstruction followed by closed kinetic chain exercises and those who underwent neuromuscular training only. Methods We retrospectively evaluated patients with ACL tears who underwent post-surgery CKC strength training after ACL reconstruction (Group A), and patients who only underwent neuromuscular training (Group B) with a minimum follow-up time of 5 years. Surgical techniques, rehabilitation, assessment of subjective knee function, one-leg hop test, assessment of joint position sense, muscle strength, and the health profile of the patient were evaluated. Results Overall, 43 patients were included in Group A (mean age, 32.56 ± 4.89; Tegner activity scale, 5) and 39 patients in Group B (31.67 ± 7.27; 5). Patients in both groups returned to their regular physical activity level after a similar time frame (Group A: average, 12 months; Group B, average, 13.4 months). The mean Lysholm knee score was 88.52 ± 7.65 in Group A and 86.21 ± 13.72 in Group B. Mean distances for the one-leg hop test for Group A were 135.21 ± 31.66 and 145.36 ± 42.10 mm in the reconstructed and uninjured knees, respectively. In Group B, the mean hop distances were 132.47 ± 28.13 and 147.89 ± 21.45 mm in the rehabilitated and uninjured knees, respectively. No statistical difference was observed between the groups for any of the parameters evaluated, including assessment of subjective knee function, one-leg hop test, assessment of joint position sense, muscle strength, and the health profile. Conclusion Our data suggest that early surgical reconstruction may not be a prerequisite to returning to recreational physical activities after injury in patients with ACL tears. Level of evidence Level IV, therapeutic study.

The Effect of Applying Rigid Taping to Quadriceps Muscles on Knee Extension Strength and Jumping Distance

Objectives: The scientific literature is insufficient to support the use of elastic or rigid taping for the prevention or treatment of musculoskeletal injury or performance enhancement. The aim of this study was to analyze the effects of applying rigid taping on the knee extension strength and lower limb function in healthy subjects. Methods: Twenty eight healthy volunteers (age: 20.9 ± 1.1 years) were randomly assigned to two groups of 14 subjects each: Placebo/sham tape and rigid tape (Rigid tape application over the same muscles). All individuals were assessed for single and double leg hops and peak isometric and concentric isokinetic torque before and after interventions. Results: There were no statistically significant differences in jumping distances, isometric peak torque, isokinetic peak torque and total work done between groups. Conclusion: Application of rigid tape to quadriceps muscles did not significantly change lower limb functions, jump distance and knee extensor peak torque in healthy sedentary subjects.