WoS İndeksli Yayınlar Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/20.500.14627/6
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Article Shoulder Muscular Activation during Common Kettlebell Exercises: A Randomized Cross-Sectional Surface EMG Study(Taylor & Francis Inc, 2026) Paköz, Büşra; Işiklar, Çağdaş; Turgut, ElifPurpose This study aimed to examine shoulder muscle activation patterns within functionally similar upper-body exercise categories performed using different resistance modalities. Methods Twenty healthy males (mean age 22.6 +/- 1.69 years) performed overhead pressing, rowing, and swinging tasks using kettlebells, dumbbells, and elastic bands. Surface electromyography (EMG) was used to record activity from seven shoulder muscles. The recorded electromyographic signals were normalized to maximal voluntary isometric contractions (%MVIC), log-transformed, and analyzed using a two-way repeated-measures analysis of variance (ANOVA) with exercise and muscle as within-subject factors. Results A repeated-measures ANOVA on log-transformed EMG data showed significant main effects of exercise (F(2.10, 39.95)=22.04, p<.001, eta(2) p=.537) and muscle (F(4.49, 85.34)=47.55, p<.001, eta(2) p=.714), as well as a significant exercise & times;muscle interaction (F(8.16, 154.98)=82.84, p<.001, eta(2) p=.813). Within the overhead pressing category, the Bottoms-Up Kettlebell Overhead Press elicited significantly greater activation than the traditional Kettlebell Overhead Press in the upper trapezius, lower trapezius, biceps brachii, and infraspinatus (all p<.050), with upper trapezius activation reaching 30.4 +/- 13.4%MVIC. In the rowing category, middle and lower trapezius activation was greater during free-weight rowing than during elastic band rowing, while serratus anterior activation remained relatively low across the rowing conditions. In the swing category, activation patterns were largely comparable between the two-hand kettlebell and dumbbell swings, whereas the one-hand kettlebell swing produced greater activation in selected muscles, with the lower trapezius showing the highest activation. Absolute between-exercise differences in %MVIC were modest. Conclusion Kettlebell, dumbbell, and elastic band exercises elicit distinct shoulder muscle activation profiles. These findings may inform exercise selection and program design when targeting specific shoulder muscles within task-oriented training contexts.Article Associations Between Perceived Leisure Benefits, Occupational Balance, and Well-Being in Rural Women(Taylor & Francis Inc, 2026) Sarisahin, Sumeyye; Yucel, Hulya; Sirma, Gamze CaglaThis study investigated the relationships between perceived leisure benefits, occupational balance, and psychological well-being among women in rural Türkiye with low educational levels. A total of 120 women participated, completing the Occupational Balance Questionnaire, Leisure Benefits Scale, and WHO-5 Well-Being Index. Correlation analyses revealed positive associations between well-being and occupational balance, total leisure benefits, and leisure subdomains including physical, psychological, and social benefits. Regression analysis showed that only occupational balance was significantly associated with well-being. These findings emphasize the importance of structured daily routines and suggest that occupational therapists can develop community-based interventions to promote women's health.Article Effects of Left and Bilateral Transcutaneous Auricular Vagus Nerve Stimulation on Pain, Mood, and Autonomic Nervous System in Female Patients With Fibromyalgia: a Randomized Controlled Trial(Taylor & Francis Inc, 2025) Akkurt, Mustafa Ferit; Ozden, Ali Veysel; Akkurt, Halil Ekrem; Akkurt, Burcu; Bildik, CelaleddinIntroduction: Fibromyalgia Syndrome (FMS) is a complex disease characterized by widespread pain, fatigue, emotional disturbances, and autonomic dysfunction. Transcutaneous Auricular Vagus Nerve Stimulation (taVNS) has emerged as a potential noninvasive approach to modulate FMS-related symptoms. Purpose: To compare the effects of left and bilateral taVNS on pain, mood, functionality, and autonomic nervous system (ANS) activity in individuals with FMS. Methods: Forty female individuals with FMS were assigned to either a left (n = 20) or a bilateral (n = 20) taVNS group. Both received 11 sessions of taVNS targeting the tragus and concha regions (30 minutes each, 25 Hz, 300 mu s) over nonconsecutive days, excluding weekends and menstrual periods. Visual Analog Scale (VAS), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Fibromyalgia Impact Questionnaire (FIQ) were assessed. ANS activity was evaluated via heart rate variability (HRV). After 11 sessions of taVNS, a 2-week follow-up was performed. Results: No significant differences were observed between groups except for FIQ and BAI on day 28 (p = .002-0.008). Both groups showed significant within-group improvements in VAS (r = 0.87-0.94; p < .001), BDI (r = 0.46-0.71; p < .001), FIQ (r = 0.95-0.99; p < .001), and BAI (r = 0.69-0.94; p < .001) scores. Parasympathetic Nervous System (PNS) (p = .365-0.776) and Sympathetic Nervous System (SNS) (p = .598-0.880) indices, which are the subparameters of HRV, showed no significant between-group differences, with small effect sizes (r < 0.15). Conclusion: Both stimulation protocols effectively reduced pain and improved mood and functionality in fibromyalgia, indicating a safe, noninvasive adjunctive treatment option. Clinicaltrials.gov: (Identifier: NCT06871306).Article The Effectiveness of Proprioceptive Neuromuscular Facilitation Techniques Versus Conventional Therapy in Patients With Proximal Humerus Fracture: Randomized Controlled Trial(Taylor & Francis Inc, 2025) Kus, Gamze; Alpozgen, Ayse Zengin; Ozdincler, Arzu Razak; Gungor, Feray; Altun, Suleyman; Razak Ozdincler, Arzu; Zengin Alpozgen, AyseBackground To date, no study has investigated the effectiveness of proprioceptive neuromuscular facilitation (PNF) techniques for patients with proximal humerus fractures (PHF). Objective To compare the effect of PNF, conventional physicaltherapy (CPT) on shoulder passive and active range of motion (ROM), function, muscle strength, pain, kinesiophobia, quality of life (QoL), and patient satisfaction in patients with PHF. Methods A total of 40 patients with PHF were randomly allocated into two groups of CPT and PNF. Both groups received treatment programs three times a week for 6 weeks. The primary measures were shoulder ROM, function, and muscle strength. The secondary measures were pain, kinesiophobia, QoL, and patient satisfaction. Results Forty patients analyzed at the end of the study. There were no statistically significant group-by-time interactions for function, pain, shoulder ROM (active and passive), or muscle strength (p > .05). However, there were statistically significant group-by-time interactions in role limitations due to physical health subscale of the 36-item Short Form Survey (SF-36) in CPT (p = .046, eta(2)(p) = 0.078). In addition, a significant difference was found in patient satisfaction at 3 weeks in CPT (p = .021) but no difference at 6 weeks between groups (p > .05). Conclusion The PNF techniques demonstrated similar outcomes to the CPT in reducing pain, improving function and shoulder ROM, and enhancing quality of life in patients with PHF in short time. According to our findings, PNF techniques are as effective as CPT and can be proposed as a potential adjunctive treatment for patients with PHF. Clinicaltrialnumber NCT05960435