The aim of this study was to observe the change of the ankle joint range of motion, the muscle strength values measured with an isokinetic dynamometer, pain scores, quality of life scale, and venous return time in chronic venous insufficiency diagnosed patients by prospective follow-up after 12-week exercise program including isokinetic exercises. The patient group of this study comprised 27 patients (23 female, 4 male) who were diagnosed with chronic venous insufficiency. An exercise program including isokinetic exercise for the calf muscle was given to patients three days per week for 12 weeks. At the end of 12 weeks, five of the patients left the study due to inadequate compliance with the exercise program. As a result, control data of 22 patients were included. Ankle joint range of active motion, isokinetic muscle strength, pain, quality of life, and photoplethysmography measurements were assessed before starting and after the exercise program. Evaluating changes of the starting and control data depending on time showed that all isokinetic muscle strength measurement parameters, range of motion, and overall quality of life values of patients improved. Venous return time values have also increased significantly (p < 0.05). In conclusion, increase in muscle strength has been provided with exercise therapy in patients with chronic venous insufficiency. It has been determined that the increase in muscle strength affected the venous pump and this ensured improvement in venous function and range of motion of the ankle. In addition, it has been detected that pain reduced and quality of life improved after the exercise program.

Objective: To examine the effect of obesity according to gender on balance, posture, the risk of falling and the fear of falling. Methods: The cross-sectional study was conducted at the Department of Sports Medicine, Suleyman Demirel University, Isparta, Turkey, from December 2016 to June 2017, and comprised individuals aged 40-60 years who were divided into obese and non-obese groups based on their body mass index values. Demographic data was recorded before collecting target data using Tinetti Falls Efficacy Scale, Activities-Specific Balance Confidence Scale, History of Falls Scale, Single Leg Stance Test, Functional Reach Test and the New York Posture Rating Test. SPSS 20 was used for data analysis. Results: Of the 251 subjects, 129(51.4%) were females and 122(48.6%) were males. The obese group had 125(49.8%) subjects. There was a significant difference between the history of stumbling in obese males and the history of stumbling and falls in obese females (p<0.05). A high restriction in activity was determined in obese females because of fear of falling (p0.05). Fear of falling was high in obese females and confidence in daily activities was low (p<0.05). Significant negative relationship was found among body mass index, loss of balance and poor posture (p0.05). Conclusion: Obesity causes loss of balance and posture. However, despite functional losses in obese males, as there was no fear of falling and a deceptive sense of confidence, this prevented prediction of the risk of falling.

The present study aimed to compare the isokinetic muscle strength and range of motion (ROM) values of the ankle between patients diagnosed with C3 chronic venous insufficiency (group 1, n=57) and healthy individuals (group 2, n=30). After identifying the venous refilling time (VRT) of all participants, the active ROM of the ankle joint and plantar flexion (PF) and dorsi-flexion (DF) muscle strength in the concentric/concentric mode at angular velocities of 60°/sec and 120°/sec were measured. No statistically significant differences were found between the demographic data of groups 1 and 2 (P>0.05). In total, 102 lower extremities were included in group 1 and 60 lower extremities in group 2. The VRT of the patients in group 1 was 15.5±5.6 seconds, the PF ROM of the ankle joint was 39.3°±9.5°, and the DF ROM of the ankle joint was 27°±8°; in group 2, the VRT, PF ROM, and DF ROM were 36±8.1 seconds, 41°±6.2°, and 27.2°±7.5°, respectively. Statistically significant differences were found between the two groups in terms of VRT (P0.05). Statistically significant difference was found in terms of all parameters of isokinetic muscle strength measurements, such as peak torque, peak torque/body weight, total work done, and ratio (DF/PF) in group 1 (P=0.001). The lower extremity muscle strength of patients with chronic venous insufficiency was low, and this weakness was prominent particularly in the direction of PF.

Objective: To determine changes in flexibility, dynamic balance, agility, vertical jump, aerobic capacity, anaerobic capacity, and muscle strength performances in women in the early follicular and midluteal phases of the menstrual cycle. Material and Methods: The study included eumenorrheic women over 18 years of age. Ovulation was detected using LH urine kits. Physical activity levels were determined using the "International Physical Activity Questionnaire-Short Form". Flexibility was evaluated with the sit-and-reach test, dynamic balance with the Y balance test, agility with the hexagon agility test, anaerobic power with the vertical jump test, aerobic capacity with the 20-meter shuttle run test, anaerobic capacity with the Wingate test, and muscle strength with an isokinetic dynamometer. Results: Twenty women participated in the study. The average age was 22.4 ± 0.9 years, and the average level of physical activity was 1162.2 ± 189.1 MET-min/week. The average menstrual cycle was 30.3 ± 0.5 days. The ‘minimum power’ value in Wingate test was higher during the midluteal phase compared with the follicular phase (p=0.048). The remaining parameters were not statistically different for the two menstrual phases (p>0.05). Conclusion: We conclude that different phases of the menstrual cycle affect performance parameters minimally and do not cause a statistically significant difference. Nevertheless, instead of establishing these changes as ‘clinically non-significant’, each athlete should be evaluated on an individual basis to develop individual training programs by taking into account the phases of the menstrual cycle.

Amaç: Bu çalışmanın amacı Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi’nde son 10 yıl içinde yayınlanan çalışmaları bibliyometrik yönden analiz edip dergide geliştirmesi gereken yönleri belirlemek ve derginin etki faktörünün arttırılması için öneri sunabilmektir. Gereç ve yöntemler: Süleyman Demirel Üniversitesi Tıp fakültesi Dergisi’nin kamuya açık dijital arşivi, elektronik veri tabanından tarandı. 2009-2018 yılları arasında yayınlanmış özgün araştırma, olgu sunumu ve derleme türündeki çalışmalar değerlendirmeye alındı. Yayınlar, bibliyometrik özellikleri açısından analiz edildi. Bulgular: Çalışmaya, 338 yayın dahil edildi. En çok yayınlanan çalışma türünü özgün araştırmalar (%54.7, n=185) oluşturuyordu. Cerrahi tıp bilimleri konuları, (%34.3 n=116) en çok yayınlanan konuydu. Çalışmalarda birinci isim olarak yer alan araştırmacıların %64.2 (n=217)’si erkekti. Araştırmacıların %73.4 (n=248)’ü fakültelerde görev almaktaydı. Dergide yayınlanan çalışmaların sadece %0.6 (n=2)’si Türkiye dışından gönderilmişti. Yayın dili olarak sıklıkla Türkçe (%79.9, n=270) tercih edilmişti. Araştırmaların %58.3 (n=197)’ü tek bir anabilim dalında yürütülmüştü. Çalışmalarda, en sık gözlemsel (%65.1, n=220) çalışma dizaynlarının kullanıldığı belirlendi. Derginin etki faktörünün düşük olduğu saptandı. Multidisipliner çalışmaların atıf alma potansiyellerinin daha yüksek olduğu belirlendi. Sonuç: Dergi, mevcut hali ile sıklıkla üniversitelerde görev yapan ulusal araştırmacıların ilgisindedir. Derginin uluslararası platformdaki etkisinin arttırılabilmesi için; yayın dili olarak İngilizcenin daha sık kullanılması, atıf alma potansiyeli yüksek olan ve farklı disiplinlerin bir arada çalıştığı kaliteli çalışmaların yayına kabul edilmesi önerilmektedir.