Filiz Can

Morphological characteristics and performance variables of women soccer players.

&NA; Can, F., I. Yilmaz, and Z. Erden. Morphological characteristics and performance variables of women soccer players. J. Strength Cond. Res. 18(3):480–485. 2004.—The purpose of this study was to describe certain morphological characteristics of women soccer players and to examine aspects of training and performance. Twenty‐two anthropometric sites were used in measurements of somatotype and body composition; flexibility, agility, anaerobic power, leg muscle power, and dynamic pulmonary functions were used as performance variables. Measurements were made on 17 professional athletes and 17 agematched sedentary women who acted as controls. The women soccer players showed less fat content and less lean body mass than did the sedentary women. The mean somatotype for the soccer players was 3.07–3.55–2.43 and for the nonathletes was 3.57–3.35–2.90. Anaerobic power, leg muscle power, and agility in the athletes were higher than in the nonathletes, whereas no differences were found in flexibility and pulmonary functions (p > 0.05). The women soccer players showed more significantly mesomorphic, less endomorphic, least ectomorphic components and higher performance level than did the sedentary women.

The effects of clinical pilates exercises on bone mineral density, physical performance and quality of life of women with postmenopausal osteoporosis

OBJECTIVE The aim of this study was to investigate effects of Clinical Pilates Exercises on bone mineral density (BMD), physical performance and quality of life (QOL) in postmenopausal osteoporosis. METHODS Forty-one women were recruited to the study. The subjects were divided into two groups, as the Pilates group and the control group. Subjects were evaluated for BMD at the lumbar region. Physical performance level was measured. Pain intensity level was scored with Visual Analogue Scale. QUALEFFO-41 was used for assessing QOL. RESULTS BMD values increased in the Pilates group (p < 0.05), while BMD decreased in the control group (p< 0.05). Physical performance test results showed significant increases in the Pilates group (p< 0.05) whereas there was no changes in the control group (p> 0.05). Pain intensity level in the Pilates group was significantly decreased after the exercise (p< 0.05), while it was unchanged in the control group. There were significant increases in all parameters of QOL in the Pilates group. Conversely, some parameters of QOL showed decreases in the control group (p< 0.05). CONCLUSIONS Pilates Exercises is effective to increase BMD; QOL and walking distance and also beneficial to relieve pain. Physiotherapist can use Pilates Exercises for the subjects with osteoporosis in the clinics.

Treatment of missed posterior dislocation of the shoulder by delayed open reduction and glenoid reconstruction with corticocancellous iliac bone autograft

This is a report of a 2-year follow-up of a missed posterior shoulder disclocation treated with open reduction and glenoid reconstruction with corticocancellous iliac bone autograft. In such cases, this treatment option may be an alternative to hemiarthroplasty of the shoulder.

Rehabilitation of patellofemoral pain syndrome: TENS versus diadynamic current therapy for pain relief

AbstractThis study compared the efficacy of two electrotherapy modalities for pain treatment in rehabilitation programs of patellofemoral pain syndrome. In a prospective randomized study, 16 patients (23 affected knees) were treated with TENS and 14 patients (19 affected knees) were treated for the same period with diadynamic current (DDC). Subjective pain, knee function, and activity level of the patients were measured before and after the treatment. Subjective pain and functional levels were assessed by visual analogue scale, the Lysholm Knee Scoring Scale and Squat Testing for 30 seconds. To assess their activity level a 4-Level Activity Test was used. All the parameters in each group showed significant improvements after 12 weeks of physical therapy (p < 0.05). Statistical analyses demonstrated that there were no significant differencess between the groups in pain relief, improvements in knee functions and activity level after the treatments, although DDC seemed to have slightly better pain modulation...

Correlation between pain, trunk muscle strength, and functional state in low back pain

Abstract The purpose of the study was to determine the relationships among pain, trunk extension and trunk flexion muscle strength and functional status in patients suffering from low back pain (LBP). 20 female patients suffering from LBP were included in this study. The patients (average age of 59.6 years) were treated with manual therapy using the Kaltenborn-Evjenth technique in conjunction with a physical therapy program. The treatment consisted of 5 sessions per week for a total of 2 weeks. Back pain, trunk extensor and flexor strength and functional level were evaluated before and after the treatment. The patients showed significant improvements in pain, muscle strength and functional level after the treatment (p < 0.05). Greater muscle strength was significantly correlated with higher functional level (r =-0.596 for trunk flexors, r =-0.547 for trunk extensors). There was an inverse correlation between pain intensity level and functional level (p < 0.05, r = 0.730), while there was no correlation be...

The influence of lateral tightness on lateral knee pain

AbstractThis study was undertaken to determine the relationship between lateral knee pain and lateral tightness, and to investigate the efficacy of manual therapy on the patients with lateral knee pain.We studied 46 knees in 40 patients (25 males, 15 females; range 18–46 years, mean 29 years) with lateral knee pain.Lateral tightness was assessed using Obers test and hamstring tightness test. The intensity of the lateral knee pain was assessed by a visual analogue scale (VAS). Manual therapy techniques and stretching exercises for treating tightness of the iliotibial band and the hamstrings were performed for 8 weeks. The patients then followed a home exercise program for 20 months.After the follow-up duration, the pain intensity level was found significantly lowered and the lateral tightness significantly decreased. Intensity of lateral knee pain and tightness were highly correlated.

Late-Term Rehabilitation After Surgery

Rehabilitation involves any procedure designed to maximize function in late-term duration after surgery. Aim of physiotherapy and rehabilitation in late term should be to help patients achieve an end point with an optimum level of function. Superficial and deep thermotherapy, hydrotherapy/aquatherapy, electrotherapy, and manual therapy as various types of applications and modalities can be used for different purposes in the rehabilitation program. Therapeutic exercise in the form of active and passive motion, physiologic stretching, or joint mobilization, facilitates normal osteokinematics and arthrokinematics. This period is considered dynamic and progressive strengthening exercises with the goals of improving muscular strength, co- contraction, coordination, power and endurance in addition to muscle conditioning. Rehabilitation must continue to focus on residual impairments, functional limitations, and disabilities. Proprioceptive and functional exercises should be an integral part of any rehabilitation program in addition to neuromuscular and cardiovascular training. Then skill acquisition would be established before return to sport activity.

Passive stretching-induced changes detected during voluntary muscle contractions

ABSTRACT Stretching exercises are known for reduction of musculoskeletal stiffness and elongation of electromechanical delay (EMD). However, computing a change in stiffness by means of time delays, detected between onset of electromyographic (EMG), mechanomyographic (MMG) and force signals, can reveal changes in subcomponents (Δt EMG-MMG and Δt MMG-FORCE) of EMD after stretching. In our study, the effect of stretching was investigated while quadriceps femoris (QF) muscle performed isometric contractions. The EMG, MMG, and Force signals were recorded from rectus femoris (RF) and vastus medialis (VM) during five voluntarily isometric contractions at 15°, 30°, and 45° of knee flexion angle, while the leg was positioned on a custom-made device. Subjects in both intervention and control groups underwent same recording procedure before and after stretching. No difference between the baseline repeated contractions (before stretching) was ensured by ANOVA for repeated measures while a difference between PRE and POST was analyzed and concluded based on the effect size results. The EMD did not change; however, subcomponents (Δt EMG-MMG and Δt MMG-FORCE) showed differences within RF and VM muscles after stretching. The 30° knee flexion angle appears to be a position where isometric contraction intensity needs to be carefully monitored during rehabilitation period.

The reliability and validity of the Turkish version of Fullerton Advanced Balance (FAB-T) scale

PURPOSE The aim of this study was to evaluate the reliability and validity of the Turkish version of the FAB(FAB-T) scale in the older Turkish adults. METHODS The reliability and validity of the scale was tested on 200 community-dwelling older adults. FAB-T scale was scored by different physiotherapists on different days to evaluate inter-rater and intrarater reliability. The Berg Balance Scale (BBS) was used for the evaluation of convergent validity, and the content validity of the FAB-T scale was investigated. RESULTS The FAB-T scale showed very high inter- and intra-rater reliability. For inter-rater agreement, on the individual test items and total score ICC values were 0.92 (95 %CI; 0.90-0.94) and 0.96 (95% CI; 0.95-0.97) respectively. The intra-rater agreement, on the individual test items and total score ICC values were 0.93 (95 %CI; 0.91- 0.95) and 0.96 (95% CI; 0.95- 0.97) respectively. There was a good agreement between the FAB-T and BBS scales. A high correlation was found between the BBS and FAB-T scales [rho = 0.70 (%95 CI; 0.62-0.76)] indicating good convergent validity. Considering the content validity of the FAB-T scale, no floor (floor score: 0%) or ceiling (ceiling score: 6.5%) effect was detected. CONCLUSION The FAB-T scale was successfully translated from the original English version (FAB) and demonstrated strong psychometric features. It was found that the FAB-T scale has very high inter-rater and intra-rater reliability. Considering the convergent validity, the scale has high correlation with the BBS. The FAB-T has no floor and ceiling effect.

Investigation of Cervical Fleksor and Extensor Muscle Activation During Isometric Neck Extension Applied by Therraband

Objectives: Therrabands are commonly used for resistive exercises, streching and stabilization exercises and also isometric exercises. However, principles of practice of therrabands are mostly focused on exercise variety. Likewise it is only given point to exercise variety during therrabands’ usage at cervical region. Nevertheless, for effective usage of therrabands and for proper assessment of effectiveness response, it is necessary to know the amount of resistance being given or muscle activation response against the resistance given. The aim of this study was to compare activations of cervical flexor and extensor muscles during isometric extension exercise against the resistance of therraband in healthy individuals. Methods: 14 healthy subjects (8 female,6 male)aged between 19-32 have been included in the study. Subjects with neck problems, systemic diseases, history of trauma or operation were excluded. Neck isometric exercises with therraband was 2 sets with 2 minutes’ intervals and EMG records have been taken during exercises. After preparation of the skin, surface electrodes placed on the motor points of sternocleidomastoideus(SCM) and erector spinae(ES) muscles. After taking the average of 3 measures, the first 10 seconds of muscular activations were recorded. The average of integrated EMG(iEMG) values of each records was used for statistical data. Independent T test and Mann Whitney U test were used for the analysis of findings. Results: There was no significant difference between the right ES and left ES’s mean iEMG during isometric neck extension against therraband (p=0.06). Although there was no difference between right SCM and right ES muscles action potentials(t=-0.895; p=0.379), there was a significant difference between left SCM and left ES muscles’ action potentials (z= -2.435; p=0.01). When all the right and left SCM and ES muscle activations were compared, a significant difference was detected in favour of ES muscles ( t= -2.133; p= 0.03). Conclusion: The results show that the neck extensors may be affected by the arm muscles during isometric exercise with therraband and the arm muscle activation can interfere EMG activity of neck muscles because of holding therraband. Higher SCM muscle activation in the right side might be related to dominancy. Consequently, this study has shown that the other muscle groups can be affected from self isometric neck exercises with therraband; thus therraband exercise done by a mechanism are more convenient for the neck isometrics.