Bu çalışmanın amacı, fizyoterapi öğrencilerinin fiziksel aktivite düzeyi ile egzersize dair inanç düzeyleri ve egzersiz yapmaya engel olarak algıladıkları durumlar arasındaki ilişkiyi incelemekti. Tanımlayıcı tipteki çalışmamıza fiziksel aktivite yapmasına engel bir durumu olmayan 173 fizyoterapi öğrencisi (56 erkek, 117 kız) dahil edildi. Katılımcıların fiziksel aktivite düzeylerini belirlemek amacıyla Uluslararası Fiziksel Aktivite Ölçeği Uzun Formu kullanıldı. Egzersize dair sağlık inançları Egzersiz Sağlık İnanç Modeli Ölçeği ile, egzersiz engel algıları Fiziksel Aktivite Engelleri Ölçeği ile değerlendirildi. Çalışmanın sonucunda fizyoterapi öğrencilerinin %60,7’sinin minimum aktif olduğu belirlendi. Fiziksel Aktivite Engelleri Ölçeği skorları incelendiğinde ortalama puanının yüksek (77,39±26,20) olduğu saptandı. Katılımcların Egzersiz Sağlık İnanç Modeli Ölçeği puanlarının yüksek olduğu ve egzersizin sağlık üzerindeki etkilerine dair olumlu inançlara sahip oldukları belirlendi. Fiziksel Aktivite Engelleri Ölçeği puanları ve Uluslararası Fiziksel Aktivite Ölçeği puanları arasındaki ilişki negatif ve orta düzeydeydi (r=-0,682, p

To compare the acute effects of different cryotherapy (CT) durations on shoulder muscle strength, flexibility, endurance, and upper extremity dynamic balance in healthy individuals. Seventy-five healthy participants (51 females, 24 males; mean age 20.47 ± 1.32 years) were included in this prospective, single-blind, randomized trial. The participants were randomized into three groups (n = 25 per group) based on the duration of CT application: 10, 15, and 20 min. The primary outcome was muscle strength (hand-held dynamometer); secondary outcomes included upper body flexibility (Back Scratch Test), muscular endurance (Modified Push-up Test), and dynamic balance (Upper Quarter Y-Balance Test). All outcomes were assessed immediately pre- and post-CT application. No significant between-group differences were observed for any outcome following cryotherapy protocols, and effect sizes were generally small (partial η²=0.002-0.075, p > 0.05), indicating that the primary hypothesis was not supported. Exploratory within-group analyses demonstrated small reductions in external rotation strength after the 15-minute application (Δ=-1.02 kgF, d = 0.30) and in abduction strength after the 20-minute application (Δ=-0.99 kgF, d = 0.22), whereas no significant strength reductions were observed following the 10-minute application. Increases in endurance were observed across all groups (d = 0.28-0.43), and improvements in external rotation flexibility were noted following the 10- and 20-minute applications (d = 0.19-0.23). Dynamic balance was largely maintained, although an improvement in medial reach distance was observed in the 10-minute group (Δ = 3.45%, d = 0.46). The 10-, 15-, and 20-minute cryotherapy protocols were associated with comparable acute responses in upper-extremity performance, with no between-group differences observed. Exploratory within-group analyses indicated favorable flexibility and endurance responses across durations, while small reductions in specific strength measures occurred only after the longer applications. Therefore, these findings remain exploratory, and no protocol demonstrated clear superiority. ClinicalTrials.gov NCT05355584 (20/04/2022).

Amaç: Sağlık profesyonellerinin fiziksel aktivite seviyesi, depresyon düzeyi ve yaşam kalitesini incelemektir. Yöntemler: Kesitsel olarak planlanan bu çalışmaya Çankırı Devlet Hastanesi’nde çalışan 128 (78 Kadın/50 Erkek, 34,35±8,37 yıl) sağlık profesyoneli dahil edildi. Fiziksel aktivite seviyesi Uluslararası Fiziksel Aktivite Anketi Kısa Form, depresyon düzeyi Beck Depresyon Envanteri ve yaşam kalitesi Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği kullanılarak değerlendirildi. Bulgular: Çalışmaya katılan sağlık profesyonellerinin %36,7’si inaktif, %43’ü minimal aktif ve %20,3’ü çok aktifti ve %55,5’i hafif düzeyde depresyona sahipti. Katılımcıların fiziksel aktivite seviyesi ile depresyon düzeyi ve yaşam kalitesi arasında anlamlı bir ilişki yoktu. Depresyon düzeyi ile yaşam kalitesinin bedensel alanı (r= -0,335), ruhsal alanı (r=-0,578), sosyal alanı (r=-0,436) ve çevresel alanı (r=-0,418) arasında negatif orta düzeyde bir ilişki vardı (p

Background and Objectives: Respiratory muscle strength and exercise capacity remain incompletely characterized in pre-COPD and preserved ratio impaired spirometry (PRISm). We compared respiratory pressures and functional exercise capacity across pre-COPD, PRISm, and COPD. Materials and Methods: This prospective single-center cross-sectional study included 150 symptomatic adults (50 per group) and was registered as NCT06650150. Assessments included post-bronchodilator spirometry, maximal inspiratory and expiratory pressures (MIP and MEP), dyspnoea, and two six-minute walk tests. Valid walking results were available for 148 participants. The registered primary outcome was MIP < 80% predicted. Group comparisons were supplemented by exploratory post hoc multinomial regression and a sensitivity analysis using sex-specific respiratory pressure cut-offs. Results: The proportion with MIP < 80% predicted did not differ significantly across pre-COPD, PRISm, and COPD (52.0%, 54.0%, and 56.0%; p = 0.923). Median percentage-predicted MIP (79.2%, 77.5%, and 77.1%; p = 0.881) and MEP (74.0%, 66.7%, and 65.8%; p = 0.289) also did not differ significantly. The post hoc cut-off analysis found no statistically significant group differences. Median percentage-predicted six-minute walk distance was lower in COPD (74.0%) than in pre-COPD (80.8%; adjusted p < 0.001) and PRISm (78.3%; adjusted p = 0.038). FEV₁ and FEF₂₅–₇₅ differed overall (both p < 0.001). In exploratory regression, cumulative smoking exposure was associated with PRISm and COPD classification; the significance of age depended on model specification, and functional measures were not significantly associated with classification. Conclusions: The registered MIP outcome and continuous respiratory pressures did not differ significantly among the groups, whereas exercise capacity was lower in COPD. These findings do not establish equivalence or preserved respiratory muscle strength in any group.