Karabuk Merkez

Researchers are evaluating the immediate effects of myofascial release therapy on neck pain, functional status, and cervical range of motion in adults diagnosed with Text Neck Syndrome (TNS). TNS is a growing problem linked to prolonged forward head posture caused by extensive use of smartphones and other digital devices, especially among young adults. This condition causes symptoms such as neck and upper back pain, stiffness, shoulder pain, headaches, and sometimes numbness or tingling in the hands. The treatment involves a single session of standardized myofascial release techniques applied to the cervical and upper thoracic areas. These techniques include Single Arm Pull, Lateral Neck Shoulder Release, Thoracic Transverse Release, and Anterior Cervical Release, each lasting 90 to 120 seconds and performed by a licensed physiotherapist. The therapy is designed to relieve restrictions in the myofascial tissue, aiming to improve mobility and reduce pain. Participants will be assessed immediately before and after the intervention for neck pain intensity using the Numeric Rating Scale and for cervical range of motion. The study also measures functional disability related to the neck. Volunteers aged 18 to 40 who use mobile devices for at least 3 hours daily and show symptoms of TNS will take part. The study's goal is to gather preliminary data on the benefits of this single-session therapy to help guide future research and treatment approaches.

Researchers are evaluating the Cognitive Exercise Therapy Approach Biopsychosocial Questionnaire (BETY-BQ) to determine its validity, reliability, and responsiveness in people diagnosed with temporomandibular disorder. The study aims to see how well BETY-BQ correlates with other established questionnaires measuring depression, physical symptoms, anxiety, quality of life, disability, and mandibular function. The study also examines BETY-BQ's stability over time and its internal consistency. Participants will complete several questionnaires, including the BETY-BQ, Patient Health Questionnaire-9, Patient Health Questionnaire-15, Generalized Anxiety Disorder-7, Short Form-36, Craniomandibular Pain and Disability Inventory, and Mandibular Function Impairment Questionnaire. For reliability testing, 30 participants will retake the BETY-BQ after two weeks. To assess responsiveness, these same participants will complete the questionnaire again after three months. During the study, researchers will collect data through these questionnaires at baseline, two weeks, and three months to evaluate test-retest stability and responsiveness. The main outcomes measured include BETY-BQ's ability to assess depression, physical symptoms, anxiety, quality of life, disability, and function, as well as its internal consistency and stability. The study involves adults aged 18 to 64 years with temporomandibular disorder, and participation includes completing the questionnaires over the outlined time periods.

Chronic obstructive pulmonary disease (COPD) is a common, preventable, and treatable lung disease marked by ongoing airflow limitation and respiratory symptoms like cough and shortness of breath. PRISm is a spirometry pattern that does not meet COPD criteria but still causes symptoms and functional problems requiring care. PRISm may increase the risk of developing COPD and experiencing flare-ups, and it can reduce exercise capacity by affecting respiratory function and oxygen use. This research aims to compare respiratory muscle strength, peripheral muscle strength, oxygenation, and exercise capacity among individuals with COPD, PRISm, and healthy people, as no previous studies have done this comparison. The study involves three groups: people with COPD, people with PRISm, and healthy controls, all over 40 years old. Participants will be assessed for respiratory and peripheral muscle strength, exercise capacity in both upper and lower extremities, muscle oxygenation, respiratory muscle endurance, and symptoms like dyspnea. The study does not involve experimental treatments but focuses on measuring and comparing these parameters among the groups. Participants will undergo various evaluations, including tests of exercise capacity, muscle strength, oxygen levels in muscles, respiratory muscle function, and clinical symptoms at baseline. These assessments help researchers understand differences in muscle and respiratory function across the groups. The study requires participants to be clinically stable and willing to participate, with safety ensured by excluding those with severe other diseases or unstable conditions. The total duration and follow-up details are not specified.

The core muscles around the torso are vital for keeping the body stable and supporting athletic performance. This research looks at how adding core strength training to regular training affects jumping, agility, speed, balance, and shooting speed in amateur soccer players aged 18 to 35. The study addresses the need for standardized core training approaches to help improve performance and prevent injuries in athletes. Participants are divided into two groups: one performs progressive core strengthening exercises three times a week for eight weeks, while the other continues their usual training routine without added core exercises. This setup allows comparison of the effects of core training alongside normal soccer practice. During the study, researchers measure jumping ability, balance, agility, speed, and core endurance at the start and after eight weeks of training. Participants will be monitored throughout to assess improvements in these areas. The entire study focuses on understanding how core muscle training influences key athletic skills in amateur football players.

Low back pain is a widespread musculoskeletal condition that significantly reduces quality of life by limiting daily activities. This research focuses on chronic non-specific low back pain, which involves insufficient core stabilization and dysfunctional diaphragm function. The study aims to explore how adding diaphragm relaxation to spinal stabilization exercises affects pain, disability, quality of life, central sensitization, and trunk muscle endurance. Participants will be divided into two groups: one group will perform spinal stabilization exercises combined with manual diaphragm relaxation exercises three times weekly for eight weeks, while the control group will perform only spinal stabilization exercises with the same frequency and duration. These interventions target improving trunk stability and respiratory function through specific exercise regimens. Throughout the study, participants will be assessed at baseline and after the eight-week intervention for pain severity, central sensitization, disability levels, quality of life, and trunk muscle endurance. Researchers will monitor these outcomes to evaluate how diaphragm relaxation influences the effects of spinal stabilization exercises on chronic low back pain symptoms and function.

Researchers are comparing two ultrasound-guided regional anesthesia methods, the external oblique intercostal block (EOIB) and the erector spinae plane block (ESPB), to see which better controls pain after elective laparoscopic gallbladder removal in adults. Both techniques are part of multimodal pain management and aim to reduce the need for opioid painkillers post-surgery. The study is a randomized controlled trial involving adult patients scheduled for this minimally invasive surgery. Patients will be randomly assigned to receive either bilateral EOIB or bilateral ESPB about 45 minutes before surgery, alongside standardized general anesthesia and postoperative patient-controlled analgesia (PCA). EOIB involves injecting bupivacaine beneath the external oblique muscle, while ESPB involves injecting the same medication beneath the erector spinae muscle near the thoracic spine. Both blocks use 60 mL total of 0.25% bupivacaine. Routine anesthesia and pain treatments will follow institutional standards. Participants will be monitored for pain levels at rest and during movement at several times up to 24 hours after surgery, opioid consumption, quality of recovery, nausea and vomiting, and any block-related complications. Sensory block areas will be tested after block application. Data collectors blinded to group assignments will record outcomes, including opioid use during and after surgery. Safety and side effects will also be tracked throughout the short follow-up period.

Knee osteoarthritis (OA) is a chronic, progressive disease that damages the cartilage and causes changes in the knee joint, such as pain, swelling, stiffness, and limited movement. This study focuses on patients with knee OA who have received platelet-rich plasma (PRP) injections and aims to assess how adding laser treatment to conventional physiotherapy affects their pain, function, muscle strength, and balance. OA is a common musculoskeletal condition that worsens over time, and laser therapy may offer benefits by reducing pain and improving circulation. Participants in the study receive low-dose laser treatment alongside their usual therapy. The laser is applied to eight sensitive points around the knee for one minute each, totaling eight minutes per session. The treatment uses a Chattanoga Group Therapeutic Laser device with a wavelength of 830 nm and a power of 6 joules. This laser therapy is given continuously in addition to standard care after the PRP injection. During the study, researchers measure pain severity, muscle strength, balance, and knee function both before and two weeks after the intervention. These assessments help determine the effects of the combined treatment. Participants are monitored for changes in these outcomes, and the overall goal is to understand whether adding laser therapy improves recovery and knee health in people with OA who have received PRP injections.

Fascial tissue plays a crucial role in movement by allowing smooth gliding and transferring force, which supports flexibility and overall function. This study focuses on understanding how different myofascial release techniques affect jumping performance, balance, proprioception, and flexibility in amateur football players. These techniques are important because overuse, trauma, or incorrect movements can disrupt fascial tissue, leading to limitations and increased injury risk. The study compares two myofascial release methods: one using the Graston device for instrument-assisted soft tissue mobilization and the other using a foam roller for self-application. Both treatments target the superficial and deep fascia of the hamstrings and gastro-soleus muscles on both legs, each applied for a total of 16 minutes. These methods aim to improve fascial function and reduce limitations. Participants will be assessed before and immediately after the intervention for jumping ability, proprioception, balance, and flexibility. The study involves licensed male football players aged 18 to 35 who can communicate in Turkish and are willing to participate. Researchers will monitor these physical functions to see how the different treatments affect performance and sensory organization related to movement and injury prevention.

Researchers are evaluating the effects of two pain relief methods, the Quadro-Iliac Plane Block (QIPB) and wound infiltration (WI), in adults undergoing elective single-level lumbar discectomy. QIPB is a newer ultrasound-guided technique used in routine clinical practice for postoperative pain control in lumbar spine surgery, while WI is a conventional approach involving local anesthetic injection at the surgical site. The study aims to compare these two standard analgesic techniques in terms of postoperative acute pain and opioid use during the first 24 hours after surgery. Patients receive either QIPB or WI as part of their normal care, without randomization or changes to standard treatment. QIPB involves ultrasound-guided injection of bupivacaine between specific muscles on both sides before extubation, while WI consists of injecting bupivacaine into the surgical wound layers before skin closure. All patients also receive routine multimodal analgesia including intravenous tenoxicam, tramadol, dexamethasone, and paracetamol, along with patient-controlled intravenous morphine for breakthrough pain. Participants will be monitored for pain scores at rest and movement up to 24 hours, opioid consumption, nausea and vomiting, patient satisfaction, recovery quality, and complications related to blocks or opioids. Additional measures include time to first pain medication demand, mobilization, rescue analgesia, and hospital stay length. Data will be analyzed to provide real-world evidence comparing QIPB and WI for pain management after lumbar discectomy surgery.

This research aims to evaluate how using a stress ball during labor affects labor pain, anxiety, and satisfaction levels in women admitted to Karabük Training and Research Hospital. Labor pain is a common and challenging experience influenced by physical factors like uterine contractions and cervical changes, as well as psychological factors such as fear and anxiety. Anxiety during labor can slow progress and impact a woman's confidence, sometimes leading to requests for cesarean sections. The study explores non-drug methods to help reduce pain and anxiety during labor, focusing on the use of a stress ball as a supportive tool. Participants are randomly assigned to groups, with those in the intervention group using the stress ball during labor. Data is collected face-to-face from both groups, including interviews and questionnaires. Labor pain is measured using the Visual Analog Scale (VAS) at different cervical dilation stages: latent phase (0-3 cm), active phase (3-8 cm), and transitional phase (8-10 cm), as well as before placenta separation. Anxiety is assessed with the State Anxiety Scale during early labor and after applying the stress ball. Birth satisfaction is measured within 24 hours after delivery and before discharge. During the study, participants provide informed consent and undergo interviews upon admission to the delivery room. Researchers collect information through anxiety scales, pain assessments, and satisfaction forms. Both groups follow the same data collection procedures. The study monitors labor pain, anxiety levels, and overall satisfaction to understand the stress ball's potential effects during labor. The study includes women aged 18 to 35 who are at least 38 weeks pregnant with a healthy, single fetus in head position and planning vaginal delivery.