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    Comparison of Muscle Endurance and Balance in Patients with Shoulder Impingement and Healthy Controls
    (2024) Çekok, Fatma Kübra; Gökşen, Ayşenur; Caylak, Remzi; Kahraman, Turhan; Genç, Arzu
    Aim; Chronic pain has been theorized to hinder balance control by compromising muscle endurance. Despite this theoretical connection, there is limited empirical evidence on this phenomenon, especially in patients diagnosed with shoulder impingement. This study aims to investigate muscle endurance, balance measures, and indicators of shoulder dysfunction in patients with impingement, comparing them with age- and sex-matched healthy controls. Method; In this cross-sectional study, patients (n=31) with shoulder impingement and healthy controls (n=23) matched for age and gender were compared with regard to their balance ability and physical performance. Functional questionnaires (Disabilities of the Arm, Shoulder, and Hand (DASH) as well as Single-Leg Stance Balance Test (SLBT), Y Balance test, Scapular Endurance Test, Trunk muscle flexor and extensor test, grip strength and Nine-Hole Peg Test (NHPT) were completed in a randomized order with consistent raters. Results; Patients with shoulder pain showed significantly worse results in measurements of shoulder function (p<0.01), scapular and trunk muscle endurance (p<0.01), as well as balance dominant/nondominant balance ability right/left (p<0.01) compared to healthy controls. Conclusion; Patients with shoulder impingement had lower muscle endurance balance and hand measurements compared with healthy people. This difference was statistically significant. Health and fitness specialists should take into account the risk-related adjustments associated to balance when recommending upper-extremity exercises in patients with shoulder impingement.
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    Influencing Factors for Joint Awareness After Total Hip Arthroplasty: A Cross-Sectional Study
    (Ordu University, 2024) Gökşen, Ayşenur; Çaylak, Remzi; Çekok, Fatma Kübra; Kınıklı, Gizem İrem
    Objective: Total hip arthroplasty (THA) is a common procedure nowadays, with hospitals easily reaching hundreds of surgeries a year and considering the cross-sectional nature. Joint awareness (JA) is indicative of the patient's adaptation and satisfaction after THA. The current study investigated the relationship between joint awareness, joint position sense (JPS), mobility level, activities of daily living, and hip pain level in patients with THA. Methods: This is a cross-sectional study involving 50 individuals with THA (31.48±55.14 weeks post-surgery; mean age was 54.32±18.28 years). Factors related to joint awareness were examined with linear regression analysis. Hip Joint position sense (JPS) was measured with a digital inclinometer, pain level was measured with a Visual Analog Scale (VAS), joint awareness was assessed with the Forgotten Joint Score-12, and mobility level was assessed with the Parker Mobility Index. Results: The factors that have a statistically significant effect on the joint awareness are age, pain, mobility, and BMI (p = 0.002, p = 0.040, p