Purpose: Low back pain is a common condition that can become chronic, which reduces the life quality of the patient by causing functional disability and depression. This study aimed to investigate the effects of instrument-assisted soft tissue mobilization (IASTM) and kinesio taping (KT) along with conservative treatment in patients with chronic nonspecific low back pain (CNLBP). Methods: A total of 30 patients with chronic low back pain aged between 30-50 years included in the study were randomized to IASTM (n=15) and KT (n=15) groups. Both the groups underwent conservative treatment that comprised of a hot pack, ultrasound, transcutaneous electrical nerve stimulation (TENS) and home exercises. In this study, assessments were made using the Visual Analogue Scale (VAS), Roland Morris Disability Questionnaire (RMDQ), and Beck Depression Inventory (BDI). The measurements were carried out at the beginning and end of the treatment. Results: As a result of the study, IASTM method improved in parameters such as pain (p

Cite this article as: Sakin YS, Tanoğlu A, Gülşen M. Dual FAAH and MAGL inhibition might play a key role in visceral pain.Turk J Gastroenterol 2018; 29: 625-6.

Background & Study Aim: The use of preconditioning strategies (PconSt) alone has a positive impact on performance. However, it is thought that there will be more impact on the performance of the combined preconditioning strategies, and this is the first work to prove it. This study was to examine the effect of combined preconditioning strategies on isokinetic strength in well-trained kickboxers. Material & Methods: The following preconditioning strategies were combined: morning resistance exercise (MRE), ischemic preconditioning (IP), active warm-up (AW-U), hormonal preconditioning (HP) and post-activation potentiation (PAP). Fifteen well-trained male kickboxers (age: 22.38 ± 4.01years, height: 182.23 ± 1.05cm, body mass: 77.67 ± 8.01kg) volunteered for this study. Peak isokinetic knee extension and flexion moment were determined at 60°/s, 180°/s and 240°/s bilaterally. All participants performed the pre-test and then were randomly divided into Sham and PconSt groups on separate days. For the PconSt group, MRE, IP, AW-U, HP and PAP were implemented sequentially before test. Results: The findings indicated significant increase in strength after combined training in the PconSt groups for right leg flexion at 180°/s flexion (p < 0.05). The average percentage strength difference between sham and PconSt groups was 4.12 ± 8.95%. Conclusionː This study showed that a combined preconditioning strategy increased isokinetic strength.

Amaç: Yumuşak doku mobilizasyonunda myofasyadadaki değişiklikleri düzenlemek amacıyla, kısalmış yapıların uzamasını sağlayan özel ve ilerleyici manuel güçlerin uygulanmasıdır. Bu çalışmada, omuz disfonksiyonu olan olgularda, subskapularis kasına uygulanan yumuşak doku mobilizasyonunun, eklem hareket açıklığını, fonksiyonunu ve ağrıyı arttırıp arttırmadığını, kısa ve uzun süreli değerlendirmek amacıyla yapılmıştır. Gereç ve Yöntem: Çalışmaya, Başkent Üniversitesi Hastanesi Fizik Tedavi ve Rehabilitasyon kliniğine başvuran, ortalama yaşları 51,9±11,5 yıl olan 48 omuz patolojisine sahip olgular dahil edildi. Olgular iki gruba ayrıldı. Birinci gruba (25 kişi) sadece subskapularise yumuşak doku mobilizasyonu içeren 15 seanslık fizyoterapi programına alındı. İkinci gruba ise (23 kişi) Hotpack, TENS, US ve ev programından oluşan yine 15 seanslık fizyoterapi programı uygulandı. Olguların yaş, cinsiyet, boy, ağırlık bilgileri sosyodemografik veri formu ile kaydedildi. Omuz fleksiyon, abdüksiyon, internal ve eksternal rotasyon hareketleri gonyometre ve baş üstü uzanma testi ile, ağrıları görsel analog skalası ile, fonksiyonelliği Omuz Ağrı ve Disabilite İndeksi (SPADİ) ile değerlendirildi. Değerlendirmeler tedavi öncesi, hemen sonrasında ve tedavi bitiminden 3 hafta sonra fizyoterapistler tarafından yapıldı. Bulgular: Tedavi öncesi, hemen sonrası ve 3. Hafta sonunda yapılan değerlendirmelerde, birinci ve ikinci grupta ağrı, omuz fleksiyon ve eksternal rotasyon eklem hareket açıklığında, baş üstü uzanma seviyelerinde istatistiksel olarak anlamlı iyileşme bulundu (p<0,05). Her iki grupta SPADİ, ağrı ve disabilite skorunda istatistiksel olarak anlamlı iyileşme bulundu (p<0,05). Gruplar arası fark Paired Sample T test ile değerlendirildiğinde tüm parametrelerde birinci grupta, kontrol grubuna göre istatistiksel olarak anlamlı farklılık bulundu (p<0,05). Gruplar arası yapılan tekrarlı ölçümlerde varyans analizi sonuçlarına göre tedavilerin uzun dönem etkileri karşılaştırıldığında; ağrı, eksternal rotasyon eklem hareket açıklığı, baş üstü uzanma seviyesi ve SPADİ total skorunda birinci grupta istatistiksel olarak anlamlı iyileşme bulundu (p<0,05). Sonuçlar: Bu çalışmanın sonucunda, subskapularis kasına yapılan gevşetmenin, klasik omuz rehabilitasyon uygulamalarına göre ağrı, EHA, disabilite ve fonksiyonel durum üzerine daha etkin olduğu bulundu. Omuz disfonksiyonlarının tedavisinde klasik omuz rehabilitasyon uygulamalarına yumuşak doku mobilizasyonlarının eklenmesi ile tedavinin etkinliğinin artıralabileceği sonucuna varıldı. Purpose: The aim of this study is to appreciate the soft tissue mobilization applied on the subscapularis intended to increase shoulder range of motion, function and decrease the pain will produce improvement on shoulder pathology. Methods: Patients with 48 shoulder pain and limitation were included in the study. They were divided into soft tissue mobilization (STM) group and conventional physiotherapy programme (CPP) group randomly. All patients got treatment at the clinic, including 15 sessions of 25 minutes. The first group received conventional physiotherapy treatment. The second group received soft tissue mobilization. Pain was evaluated with Visual Analog Scale (VAS), shoulder joint movements were evaluated with goniometer, overhead reach test, functionality was evaluated with Shoulder Pain and Disability Index. The cases were evaluated before, immediately after and 3 weeks after the end of treatment. Results: There were statistically significant differences in pain and range of motion results among the groups (p˂0.05). Effect sizes were large for STM group in VAS, external rotation range of motion, over head reach test parameters. However, STM group’s effect size was lower than CPP group in flexion range of motion. Conclusion: Soft tissue mobilization was found to be more effective on pain, range of motion, functionality than classical shoulder rehabilitation.

Two consecutive earthquakes in Kahramanmaraş have significantly impacted life and business in Türkiye at 2023. It is thought that risk perception, which is expressed as the perceived probabilities of the consequences of the earthquake hazard and the perceived intensity of the effects of this hazard, plays a role in this impact. This study examines the mediating role of earthquake risk perception in the relationship between post-earthquake stress and employee performance. The study was conducted among 1780 employees in Ankara, Türkiye in March-April 2023, one month after the earthquakes in the Kahramanmaraş region. The study found a negative relationship between perceived stress and employee performance, a positive relationship between perceived stress and earthquake risk perception, and a negative relationship between earthquake risk perception and employee performance. Earthquake risk perception mediates the stress-performance relationship. Research on earthquake risk can help organizations in earthquake-prone regions in strategic planning, disaster preparedness, and stress management, and can positively affect employee performance.

Background:: It is known that attitudes towards the elderly are an important variable affecting healthcare services. Considering the increasing trends of the population over 65 years in countries, it is important to determine the attitudes of future healthcare workers towards the elderly and to prepare them to serve in the health sector with activities that will lead to positive changes. In this direction, it is important to determine the effect of personality traits of prospective healthcare workers on their attitudes toward the elderly Methods:: The research was conducted using the “relational survey model”. The study was conducted with 581 prospective healthcare workers. Personal Information Form, Eysenck Personality Questionnaire, and Kogan's Scale of Attitudes towards the Elderly were used as data collection tools. Data were obtained and analyzed using the online data collection method. Results:: According to the results of the study, it was found that the attitudes of students who were healthcare candidates for older adults were generally positive ( = 63.46±13.42). While there was a positive yet moderate and statistically significant correlation between attitudes towards the elderly and scores on the Extraversion subscale (r= 0.634, p<0.01) and a negative yet moderate and statistically significant correlation with scores on the Neuroticism (r= -0.568, p<0.01) and Psychoticism (r= -0.602, p<0.01) subscales. The personality traits extraversion, neuroticism, and psychoticism explained 58.6% of the attitude towards the elderly. According to the regression results, extraversion (β= 0.358; p<0.001) positively affected attitudes towards the elderly, whereas neuroticism (β= -0.310; p<0.001) and psychoticism (β= -0.307; p<0.001) negatively affected attitudes towards the elderly. Conclusions:: Given the important role of healthcare professionals in improving the care and quality of life of the elderly, it is necessary to develop strategies to improve the attitudes of future healthcare professionals towards the elderly. Consideration of personality traits in determining these strategies may contribute to the development of effective and personalized approaches.