Bitlis Merkez

Researchers are evaluating the effects of focal vibration therapy in patients with adhesive capsulitis, a condition causing shoulder pain and restricted movement. This study aims to understand how this therapy impacts pain levels, joint mobility, muscle tone, and overall shoulder functionality. It is noted that the specific effects of focal vibration on shoulder muscle tone in these patients have not been studied before. The intervention involves using the Myovolt device, which delivers focused mechanical vibrations at frequencies between 30 to 100Hz to stimulate the soft tissues around the shoulder. This device is designed to be gentle and non-aggressive, targeting the affected area to promote neuromuscular stimulation. The therapy is assessed primarily for its ability to reduce shoulder pain and improve joint mobilization. Participants will be monitored for changes in shoulder pain at 4 weeks and again at 6 weeks from baseline. The study will collect data on pain reduction and improvements in shoulder function. Throughout the study, patients' symptoms and joint movement will be evaluated to measure the therapy's impact. The involvement period and specific assessments related to muscle tone and function are structured to capture meaningful changes over the treatment timeline.

Researchers are evaluating the effect of local vibration therapy on symptoms experienced by patients with cervical radiculopathy, a condition causing neck pain, upper extremity pain, and paresthesia. The study aims to assess how this therapy influences pain levels, sensation changes, and limitations in neck joint movement. This study involves adult patients aged 18 to 70 who have been diagnosed with cervical radiculopathy confirmed by MRI and experience significant pain or paresthesia. Participants will be randomly assigned to one of two groups. One group will receive local vibration treatment on the neck and back areas with varying frequencies for five consecutive days, alongside their usual treatment. The other group will receive a placebo vibration treatment in addition to conventional care during the same timeframe. During the study, researchers will measure changes in neck pain, upper limb pain, and paresthesia immediately after treatment and again five days later. The study includes clinical assessments and monitoring of symptom changes to evaluate the impact of local vibration. The total participation time covers the five-day treatment period and monitoring shortly after interventions.

This research investigates the effects of ergonomics training alone versus a combination of ergonomics and structured exercise training on work-related musculoskeletal disorders in female dairy farmers who actively participate in milking. The goal is to understand how these training approaches impact musculoskeletal health in this specific working population. Participants will be divided into two groups randomly. One group will receive standard ergonomics training focused on proper body mechanics, correct posture, and musculoskeletal protection during milking. The other group will receive the same ergonomics training plus a structured exercise program that includes stretching, strengthening, and posture exercises. This exercise program is designed to be performed three days a week over a 12-week period, following progressive loading and muscle-specific exercise principles. Before and after the 12-week intervention, all participants will be assessed using several tools including the Visual Analog Scale, Nordic Musculoskeletal Questionnaire, Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), and the World Health Organization Quality of Life Short Form. These assessments will measure symptoms, functional ability, depression, and quality of life related to musculoskeletal health. The study monitors participants through the intervention period and evaluates changes in these outcomes at 14 weeks.

Researchers are evaluating the impact of a combined exercise and ergonomics training program on musculoskeletal disorders among teachers working in various school levels under the Tatvan National Education Directorate. This randomized controlled experimental study aims to compare the effects of a structured exercise program given alongside ergonomics training versus ergonomics training alone. The study focuses on teachers who have experienced musculoskeletal pain for at least three months and have been teaching for at least five years. Participants receive ergonomics training in four sessions across weeks 1, 4, 8, and 12, each lasting about 30-45 minutes. The training covers topics such as posture awareness, classroom ergonomics, computer and whiteboard use, standing work, lifting and carrying techniques, and daily life ergonomic advice. In addition, the experimental group follows a structured exercise routine about 35-45 minutes per day, three days a week for 12 weeks, including stretching, strengthening, posture, and core stabilization exercises focusing on the neck, shoulders, back, and lower back, with progressive stages. Throughout the study, researchers assess pain intensity using the Visual Analog Scale and evaluate functional impairment from lower back pain and neck pain using the Oswestry Disability Index and Neck Disability Index, respectively. The Nordic Musculoskeletal Questionnaire measures the distribution and frequency of musculoskeletal symptoms, while the Maslach Burnout Inventory assesses burnout levels. All assessments are performed before and after the intervention to monitor changes and outcomes over the 14-week period.