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Permanent URI for this collectionhttps://hdl.handle.net/20.500.14411/19

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Browsing Scopus by Author "Acet, Nagihan"

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    Effects of Cervical Mobilization on Balance and Proprioception in Patients With Nonspecific Neck Pain
    (Mosby-elsevier, 2024) Acet, Nagihan; Guzel, Nevin Atalay; Gunendi, Zafer; Department of Physiotherapy and Rehabilitation
    Objective: This study investigates the effect of cervical mobilization on balance and cervical proprioception in patients with nonspecific neck pain. Methods: A prospective, double-blind, randomized clinical trial was conducted involving a 3-week treatment protocol for which 66 patients were randomly assigned to 2 groups. Both groups underwent conventional physiotherapy (hot pack and transcutaneous electrical nerve stimulation) twice a week for 3 weeks along with additional cervical mobilization in the mobilization group, and sham mobilization in the sham control group. Static and dynamic balance, cervical proprioception, cervical mobility, and pain intensity were evaluated using a Kinesthetic Skill Training System 3000 device, the "Joint Position Error Test," Cervical Range-of-Motion Instrument, and the visual analog scale, respectively. Results: After treatment, significant improvements were noted in dynamic balance, mobility, pain intensity (P < .001, P < .001, P < .001, respectively), and proprioception in the left direction of rotation in the mobilization group (P = .003) that were significantly greater than those observed in the sham mobilization group (P < .001, P < .001, P < .001, P = .003, respectively). Although a significant decrease was observed in the deficits of static balance (P = .044) and proprioception in the right direction of rotation (P = .011) after mobilization, the changes were similar in both the mobilization and sham mobilization groups (P = .192, P = .154, respectively). Conclusion: Cervical mobilization led to significant improvements in dynamic balance, pain intensity, mobility, and partial improvements to proprioception in a comparison with a sham mobilization group, while the effect on static balance was not significant.
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    The Proprioceptive Puzzle: an Observational Study Investigating the Effects of Cervical Proprioceptive Errors on Quantitative Sensory Testing and Body Awareness in Young Individuals
    (Public Library Science, 2025) Acet, Nagihan; Begen, Sena; Department of Physiotherapy and Rehabilitation
    Objective: The present study investigates the effects of cervical proprioceptive errors (CPE) on body awareness and quantitative sensory testing (QST), including the pressure pain threshold, temporal summation, and conditioned pain modulation in young individuals. Materials and methods: Included in this prospective cross-sectional study were 78 participants who were divided into two groups based on the presence or absence of CPE. The study was registered on ClinicalTrials.gov with the clinical trial number [NCT06559397]. Cervical proprioception was measured using the "head position error test", body awareness was assessed using the "Body Awareness Questionnaire", QST was assessed using a mechanical pressure algometer, and conditioned pain modulation was evaluated using cold stimulus. Results: The study revealed a significant reduction in body awareness among those with CPE (p < 0.001), while no significant differences were found between the groups in terms of QST, including the pressure pain threshold, temporal summation, and conditioned pain modulation (p > 0.05). Conclusions: CPE can have a significant impact on body awareness, leading to a decrease in the ability to perceive one's own body. While the present study offers no significant findings related to QST, it provides new insights into the relationship between proprioception, body awareness, and pain processing mechanisms. Clinically, the results suggest the importance of integrating interventions aimed at enhancing body awareness into the treatment protocols of patients with CPE.