Browsing by Author "Özer, M"
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Item Effect of hot and cold applications on elbow proprioceptionKaynak, H; Altun, M; Özer, M; Akseki, DBACKGROUND: Purpose of this study was to investigate the effects of cold application (CA) and hot application (HA) on elbow proprioception in healthy volunteers. CA and HA were applied locally during 15 minutes on the elbow joint and the effect was measured after that. METHODS: A repeated-measure design with 6 (2x3) randomly assigned test conditions: 1) no application on 30 degrees angle; 2) after HA on 30 degrees angle; 3) after CA on 30 degrees angle; 4) no application on 60 degrees angle; 5) after HA on 60 degrees angle and 6) after CA on 60 degrees angle. A total of 82 healthy volunteers (35 women, 47 men) whose ages ranged between 18 and 28 years (20.93 +/- 2.13) were included in the study. Proprioception of the elbow was measured by using a digital goniometer with the technique of active joint position sense at the beginning of the study. The tests were repeated at weekly intervals after applying cold or hot in mixed order. Two target angles were defined 30 and 60 degrees of elbow flexion. RESULTS: Reproduction errors were significantly decreased following HA in both target angles (P<0.017). Following CA, significantly increased reproduction error was found only in 30-degree target angle (P<0.017). CONCLUSIONS: We obtained increased elbow proprioception following HA, which means increased proprioceptive acuity of the elbow but a decrease following CA in healthy volunteers. These findings may be useful in prevention and treatment of sports injuries, if supported by future studies.Item Is there a synergistic relationship between diaphragm and pelvic floor muscles in pregnant women?Çiçek, S; Tosun,ÖÇ; Parlas, M; Bilgiç, D; Yavuz, O; Kurt, S; Seçer, MB; Tosun, G; Özer, M; Ileri, AObjective: The aim of this study is to examine whether there is a synergistic relationship between the diaphragm and pelvic floor muscles (PFM) in pregnant women. Material and Methods: Our study was carried out as a cross-sectional study in primigravid pregnants in the second and third trimesters. Superficial electromyography (EMG), 2D/3D ultrasonography (USG), pulmonary function test (PFT), PERFECT, maximum expiratory pressure (MEP) and inspiratory pressure (MIP) measurements were used to evaluate pelvic floor and diaphragm muscle functions during pregnancy. Mann-Whitney U test was used to show the change in the second and third trimesters, and Spearman correlation was used to determine the relationship. Results: No correlation was found between the EMG data of the PFM and diaphragm, or between the USG data of the PFM and diaphragm in all participants, in the second and third trimesters. In the third trimester of the study, diaphragmatic thickness and levator hiatal area (LHA) decreased and both diaphragm and PFM % MVC EMG parameters increased. In the third trimester, FVC, MIP, MEP decreased, and nonsignificant increase in FEV1, FEV1/FVC and peak ekspiratuar flow(PEF) were detected. A significant correlation was found between pelvic floor levator hiatal area USG and FEV1/FVC in both trimesters (r: 0,577p: 0,004). Conclusion: There may be a synergistic relationship between the diaphragm and PFM in pregnant women, the relationship may weaken as pregnancy progresses, and there may be no coactivation relationship between the two muscles. In order to prevent the occurrence of pelvic floor dysfunction during pregnancy and to increase the effect of rehabilitation programs, the relationship between the diaphragm and the PFM should be determined and more studies should be conducted.