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Article Citation - WoS: 2Citation - Scopus: 2Effects of Cervical Mobilization on Balance and Proprioception in Patients With Nonspecific Neck Pain(Mosby-elsevier, 2024) Acet, Nagihan; Guzel, Nevin Atalay; Gunendi, Zafer; Atalay Güzel, NevinObjective: 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.Article Citation - Scopus: 1The Effect of a 6-Week Balance Exercise Program on Balance Parameters in Frailty Syndrome: a Randomized Controlled, Double-Blind, Prospective Study(Georgian Association of Business Press, 2023) Karagül, S.; Kibar, S.; Ay, S.; Evcik, D.; Ergin, S.Objective: This study assessed the effectiveness of a six-week balance exercise program on balance parameters and fall frequency in geriatric patients with frailty syndrome. Methodology: This randomized prospective study evaluated a total of 216 patients after referral to a physical medicine and rehabilitation outpatient clinic. Participants were divided into group 1 (flexibility exercises) and group 2 (balance exercises, including kinesthetic ability trainer [KAT] balance exercises, and flexibility exercises). Both groups performed exercises five days per week for six weeks. Balance assessments included the Berg Balance Scale and time-up-and-go test to evaluate dynamic and functional balance, while the one-leg stand test and KAT 4000 static balance test were done to evaluate static balance. Results: Frailty was observed in 37 patients (17.12%). Patients without frailty syndrome initially performed significantly better (p <0.001). Group 2 demonstrated statistically significant improvements after six weeks (p <0.05). Conclusion: Long-term exercise programs improve balance parameters and exercise performance in older adults with frailty. © 2023 Georgian Association of Business Press. All rights reserved.
