Depremler, dünyada yıkıcı etkisi oldukça yüksek olan doğal afetlerdir. Gelişen teknolojiye rağmen depremlerin ne zaman olacağı konusunda tespit yapılamamaktadır. Bu açıdan, afet sonrası karşılaşılabilecek durumlara karşı bilimsel olarak organize olunması depremin yıkıcı etkisini hafifletmede yarar sağlayabilir. Bu organizasyonun sağlanmasının gerekli olduğu alanlardan biri de rehabilitasyon alanıdır. Depremde sağ kalanların etkilenen vücut fonksiyonlarının tekrar elde edilebilmesi açısından rehabilitasyon oldukça büyük öneme sahiptir. Rehabilitasyon çalışanlarının Kahramanmaraş-Pazarcık depremzedelerinin sağlık durumlarının iyileştirilmesi ve geliştirilmesi adına erken rehabilitasyon çalışmalarına katılımı ve organize olması gereklidir. Deprem mağdurlarında oluşabilecek geçici ve kalıcı fiziksel engellerin önlenebilmesi için erken rehabilitasyon modeli oluşturularak bir an önce faaliyete geçilmesini öneriyoruz.

Background: Post‐COVID syndrome (PCS) is a condition that occurs after COVID‐19 infection that lasts for more than three months and adversely affects the autonomic nervous system (ANS). The aim of this study was to investigate and compare the effectiveness of transcutaneous auricular vagus nerve stimulation (taVNS) and sham taVNS in fatigue in individuals with PCS. Methods: Forty‐two patients (20 male, 22 female) with PCS participated in this study. The severity of fatigue was assessed with the fatigue severity scale (FSS). Heart rate variability (HRV) was measured in participants at baseline and after taVNS. The participants were randomly divided into two groups (taVNS and sham taVNS). taVNS was applied for 20 consecutive days for 30 min each (10 Hz, 300 μs). Results: The groups were similar in FSS and HRV at baseline ( p > 0.05). After the intervention, FSS decreased in taVNS ( p = 0.018) and sham taVNS ( p = 0.036). RMSSD increased in taVNS ( p = 0.010), with no change in sham taVNS ( p > 0.05) from baseline to after treatment. Stress index showed no change in both groups ( p > 0.05). PNS index increased in taVNS ( p = 0.007) and sham taVNS ( p = 0.049). The SNS index and low frequency (LF) power decreased in taVNS ( p = 0.001, p = 0.017, respectively), with no change in sham taVNS ( p > 0.05). High frequency (HF) power showed no change within groups ( p > 0.05). LF/HF decreased in taVNS ( p = 0.002), with no change in sham taVNS ( p > 0.05). Pre‐ and Post‐tests showed taVNS was more effective than sham taVNS in decreasing FSS ( p = 0.022) and LF power ( p = 0.029), in increasing PNS index ( p = 0.016). There was a difference in HF power between groups after treatment ( p = 0.042). Conclusion: Both taVNS and sham taVNS were effective in reducing the severity of fatigue, with sham taVNS being superior to taVNS. The observed effect size was smaller than anticipated. This suggests that larger‐sample‐size studies are required to verify these results. Trial Registration: ClinicalTrials.gov identifier: NCT05679505.

In recent years, the increasing prevalence of digital addiction has become the focus of research attention. Increasing digital addiction can have negative physical, psychological and social effects on individuals. In the general population, impairments in health, education, work and other social functions caused by digital addiction can be resolved with preventive and therapeutic methods. In today's world where physical inactivity is common, initiatives are needed to increase physical activity and reduce digital addiction. Exercise programs prepared by physiotherapists can improve the quality of life of individuals with digitally dependent sedentary lifestyles. In this context, it is necessary to develop policies that will reduce digital addiction.

Purpose: The aim of this study was to investigate the effect on head and shoulder posture, pain, neck disability, functional capacity, fatigue, and quality of life of exercise training applied to the upper extremity, scapular, and trunk muscles of refugees using a wheelchair because of spinal cord injury sustained in the Syrian War. Methods: The study included 24 refugees aged 20-35 years who were using a wheelchair. The subjects were randomly separated into 2 groups as the control group (n:12) who received upper extremity strengthening exercises only, and the study group (n:12) who received additional scapular and trunk strengthening exercises. The exercise program was implemented 3 times a week for 4 weeks. Head and shoulder posture angular values were measured with a goniometer. Evaluations were made using the Wheelchair User’s Shoulder Pain Index (WUSPI), Neck Disability Index (NDI), Fatigue Severity Scale (FSS), Functional Independence Measure (FIM), and the World Health Organization Quality of Life short form (WHO-QoL-Bref). Results: Before treatment, the measurements of the groups were homogenous (p>0.05). In the post-treatment evaluations, the shoulder pain, neck disability, and fatigue severity values were significantly lower in the study group (p<0.05). The functional independence and quality of life scores showed a significant improvement in the study group after the training (p<0.05). Conclusion: The study results demonstrated that the addition of scapular and trunk strengthening exercises to upper extremity exercises in the rehabilitation of wheelchair users is more effective in improving head and shoulder posture, neck disability, fatigue severity, functional independence, and quality of life. Variations in the exercise programs given to wheelchair users in refugee camps will contribute to better health outcomes.

On the importance of telerehabilitation in survival breast cancer patients

This study aims to examine studies in which salt therapy and exercise were considered together in chronic respiratory diseases. For this purpose, studies in Pubmed, Cochrane Library, Google Scholar, Researchgate, and Scopus academic databases were examined between 2020 and 2024. In the literature, it is seen that patients achieve physical, psychological, and social gains as a result of separate applications of salt therapy and exercise. However, it is striking that studies in which both are considered together are quite limited. In this context, when the results of studies in which salt therapy and exercise are combined are examined, it is seen that considering both types of therapy together can strengthen the benefits obtained more. In this regard, there is a need for studies with a high level of evidence in which salt therapy, also called speleotherapy and halotherapy, is considered together with exercise.