Browsing by Author "Sekeroz, Serbay"

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Comparison of Effectiveness of Mulligan Mobilization Technique and Cervical Stabilization Training in Patients With Chronic Neck Pain: a Single-Blinded Randomized Controlled Trial
(Georg Thieme Verlag Kg, 2025) Sekeroz, Serbay; Telci, Emine Aslan; Buke, Meryem; Akkaya, Nuray
Purpose The purpose of the current study was to compare the effectiveness of Mulligan mobilization technique (MMT) and cervical stabilization training (CST) in patients with chronic neck pain. Methods Thirty-six patients with chronic neck pain were randomly assigned to three groups as control, MMT, and CST groups. In the current study, pain intensity, range of motion (ROM), proprioception, head posture, deep neck flexor (DNF) muscle endurance, disability level, and neck awareness were evaluated as outcome measures. Results All variables showed statistically significant changes following treatment in all groups. MMT and CST were found to be more effective than home exercise regimen (control group) in pain intensity (p=0.001), DNF muscle endurance (p=0.0001), and disability level (p=0.007) but they were not superior to each other. MMT was found to be more effective in increasing ROM (p=0.0001) and neck awareness (p=0.018). Also, CST was found to be more effective in improving head posture (p=0.0001) and proprioception (p=0.001). Conclusion The study indicated MMT was more effective in increasing ROM and neck awareness, and the CST was more effective in improving head posture and proprioception. Comprehensive perspective can be acquired for health professionals in this field to select the appropriate rehabilitation approaches for patients with chronic neck pain thanks to our results.
Effectiveness of Mulligan Mobilization Technique and Core Stabilization Exercises in Female Patients With Knee Osteoarthritis: a Randomized Controlled Single-Blind Study
(Mosby-elsevier, 2024) Buke, Meryem; Unver, Fatma; Sekeroz, Serbay; Oztekin, Saadet Nur Sena
Objectives: The aim of this study was to compare the effectiveness of the Mulligan mobilization (MM) technique and Core stabilization (CS) exercises added to the conventional physiotherapy (CP) program in female patients with knee osteoarthritis (KOA). Methods: The study included 42 female patients diagnosed with bilateral KOA. Participants were randomly divided into 3 groups as CP group (mean age: 57.79 +/- 7.43 years), MM group (mean age: 56.14 +/- 6.95 years), and CS group (mean age: 54.36 +/- 6.56 years). They were divided into 3 groups and treated 3 sessions per week for 4 weeks. Pain intensity, range of motion (ROM), and muscle strength were evaluated with visual analog scale, universal goniometer, and handheld dynamometer, respectively. Balance, aerobic capacity, and functional level were assessed with 30-second sit-to-stand test, 6-minute walk test, and Western Ontario and McMaster Universities Osteoarthritis Index. The quality of life of the participants was evaluated with the Nottingham Health Profile. Results: After treatment, significant improvement was achieved in the all parameters evaluated in the groups (P < .05). CS was found to be more effective in reducing resting pain intensity than the other two treatment approaches (P = .001). It was observed that MM technique increased knee flexion ROM more (P = .001). There was no superiority of MM group and CS group over each other in balance, functional level, aerobic capacity, and quality of life assessments (P > .05). Conclusion: Our study showed that CP, MM technique, and CS exercises were effective treatment approaches in the management of KOA in female patients. Results revealed that the MM technique was more effective in increasing knee flexion ROM, and the CS exercise was more effective in reducing resting pain intensity in female patients with KOA.
Effects of Nonspecific Chronic Neck Pain on Balance, Visuomotor Reaction Time and Upper Extremity Explosive Strength in Young Females
(Elsevier, 2025) Buke, Meryem; Sekeroz, Serbay; Isyar, Bahar; Ortanc, Medine
Background: The cervical region is highly enriched with sensory receptors, and chronic pain in this area can disrupt afferent signals, potentially affecting motor function and balance. Objective: To examine the effects of nonspecific chronic neck pain on balance, visuomotor reaction time, and upper extremity explosive strength in young females. The secondary objective was to investigate the relationship between neck pain intensity and the evaluated parameters. Methods: Forty-three participants (Neck Pain Group: 21 participants; Healthy Group: 22 participants) were included. Static balance was assessed with the One-Leg Standing Test (OLST), and dynamic balance with the Lower Quarter Y Balance Test (YBT). Visuomotor reaction time was measured using the FitLight TrainerTM system, consisting of 8 RGB Laser LEDs. The Seated Medicine Ball Throw Test was employed to assess upper extremity explosive strength. Results: Participants in the neck pain group exhibited significantly lower scores on the eyes-closed OLST (p = 0.045) and the composite YBT (p = 0.028) for the dominant lower extremity. Visuomotor reaction time was significantly prolonged in the neck pain group (p = 0.032), while performance in the medicine ball throw test was significantly reduced (p = 0.030). Pain intensity was correlated with visuomotor reaction time (r = 0.454; p = 0.002) and the composite YBT score of the dominant lower extremity (r = -0.356; p = 0.019). Conclusion: This study's findings indicate that chronic neck pain negatively impacts balance, visuomotor reaction time, and upper extremity explosive strength. Furthermore, a moderate correlation was observed between pain intensity and both visuomotor reaction time and dynamic balance, suggesting that greater pain intensity is associated with greater functional impairment.
Low Frequency Physiotherapy on Joint Health, Hemarthrosis, Walking, Balance and Reaction Time in Hemophilic Arthropathy: a Controlled Trial
(Bmc, 2025) Tat, Ayse Merve; Tat, Necati Muhammed; Sekeroz, Serbay; Buke, Meryem; Karaman, Kamuran
BackgroundPhysiotherapy is recommended for people with hemophilic arthropathy (PwHA) to improve musculoskeletal health and is typically administered in 2 or 3 sessions per week. We aimed to investigate the effects of once a week comprehensive physiotherapy and home exercise on musculoskeletal system of PwHA.MethodsIn this study 19 young PwHA with knee and/or ankle were non-randomly divided into two groups: The Home Exercise Group (HEG) and the Comprehensive Physiotherapy Group (CPG). Joint health was evaluated with the Hemophilia Joint Health Score (HJHS), muscle strength (MS) with manual muscle tester, range of motion (ROM) with universal goniometer, pain with Numerical Pain Scale (NPS). The following functional tests were used: 6 min Walking Test (6MWT) for walking capacity, Functional Reach Test (FRT) for dynamic balance and Fitlight (R) system for visuomotor reaction time (VMRT). The frequency of hemarthrosis (FoH) in the last 6 weeks was obtained from the self-recorded data. The CPG received comprehensive physiotherapy once a week, including manual therapy, neuromuscular electrical stimulation and supervised exercises, and they performed home exercises for the other two days of the week. The HEG only performed home exercises 3 days a week. All the treatments lasted 6 weeks and evaluations were repeated.ResultsCompared with the HEG, the CPG significantly ameliorated for NPS, FoH, HJHS, VMRT (time and mean), 6MWT, all MS and several ROMs. CPG significantly improved in all outcomes except for 1 ROM. The HEG significantly improved in FoH, HJHS, VMRT (time), 6MWT and MS, but not in the ROMs.ConclusionComprehensive physiotherapy once a week and continuing home exercise significantly improve joint health, functionality and balance, and reduce pain and hemarthrosis in PwHA.Trial registrationThe study was registered at Clinicaltrials.gov (Study ID NCT06331091, retrospectively registered).