2026 · Yıl · Munzur Üniversitesi

Munzur ÜniversitesiAçık Erişim Arşivi · RDL Open

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MakaleYalnız künye2026Scopus SJRQ2/r/munzur/596
Postural control impairment in chronic obstructive pulmonary disease (COPD): The role of respiratory muscle weakness and spinal curvature
Topcuoğlu, Ceyhun; Ozel, Alp; Tutun Yumin, Eylem; Sertel, Meral; Tug, Tuncer
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is associated with respiratory muscle dysfunction, postural alterations and balance impairment. However, the impact of respiratory muscle weakness on postural control and its relationship with spinal curvature and mobility remain insufficiently clarified. OBJECTIVES: The objectives of this study were to compare postural control in individuals with COPD with and without respiratory muscle weakness; to examine the relationship among spinal curvature, spinal mobility, postural control and respiratory muscle strength; and to determine the effect of respiratory muscle strength on postural control. METHODS: This cross-sectional study included 41 clinically stable individuals with COPD aged 40–75 years. Respiratory muscle strength was assessed using a mouth pressure measurement device. Postural control and balance were evaluated with the Biodex Balance System and functional tests. Higher stability index values indicate greater postural sway and poorer balance performance, whereas lower values reflect better postural stability. Spinal curvature and mobility were assessed using the Spinal Mouse®. RESULTS: Individuals with respiratory muscle weakness showed significantly higher overall, anterior–posterior and medial–lateral stability indices, as well as worse eyes-open and eyes-closed firm-surface indices compared to those without weakness (p < 0.05). In participants with severe and very severe COPD, thoracic kyphosis angle was significantly associated with MIP, MIP% and multiple balance indices under different surface and visual conditions (p < 0.05). CONCLUSIONS: Respiratory muscle weakness is associated with impaired postural control and balance performance in individuals with COPD, and thoracic spinal curvature appears to be linked to both respiratory muscle strength and balance outcomes.
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MakaleAçık Erişim2026Scopus SJRQ1/r/munzur/594
The Efficacy of Structured Exercise Program Versus Aerobic Exercise in Tension-Type Headache: A Randomised Clinical Trial
Ataş, Kübra; Mutlu, Ebru Kaya
Background: Despite the widespread use of exercise in managing tension-type headache, there remains a lack of research on the effectiveness of combined structured exercise programs. The aim of this study was to investigate the effects of a structured exercise program versus aerobic exercise of equal duration on tension-type headache (TTH). Methods: Fifty-four female participants aged between 18 and 55 years were randomised to receive a 12-week exercise program, conducted twice a week for 45 min per session. The Structured Exercise Group (SEG) participated in a combination of aerobic, strengthening, and stretching exercises, whereas the Aerobic Exercise Group (AEG) performed only aerobic exercises. The primary outcome measure was the Headache Impact Test (HIT-6), a quality-of-life questionnaire. Secondary outcome measures included headache intensity, disability level, pressure pain threshold, proprioception, muscle strength, cervical posture, exercise capacity, anxiety, and depression. Results: Both groups showed statistically significant improvements in quality of life, pain intensity, disability, anxiety, depression, exercise capacity, pressure pain threshold, and proprioception (p < 0.05). Between-group comparisons revealed that the SEG demonstrated significantly greater improvements in quality of life, pressure pain threshold, proprioception, muscle strength, and posture (p < 0.05), whereas the AEG showed superior gains in exercise capacity (p < 0.05). Conclusion: Both exercise programs appear similarly effective for self-reported outcomes. Based on clinical measurement results, we recommend incorporating strengthening and stretching exercises into the aerobic exercise program and extending the duration to 12 weeks for additional benefits. Significance Statement: This study highlights the clinical value of supervised, physiotherapist-led exercise and the integration of personalised, multi-component strategies in managing tension-type headache. While both structured and aerobic programs improved pain, activity, and participation, the structured approach provided additional benefits in pressure pain threshold, proprioception, muscle strength, and posture. Tailoring interventions to individual clinical needs and extending the duration beyond 8 weeks may further enhance outcomes.
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Kitap BölümüYalnız künye2026/r/munzur/593
Current Trends and Future Perspectives for Post-Disaster Assembly Areas
Polat, Elifcan Göçmen; Polat, Erkan
Disasters bring about significant material damage and social disruptions, affecting entire communities or specific groups. These events can halt daily life and human activities, often exceeding the handling capacity of the affected population. For effective disaster management, all stages-including prevention, mitigation, preparation, response, and recovery must be spatially planned. The identification of post-disaster assembly areas is critically important for minimizing loss of life and property. This study examines theoretical and practical research on assembly areas from the literature. In determining suitable assembly areas, factors such as population density, accessibility, proximity to hazard sources, land type, and access to essential services and methods as Geographical Information Systems (GIS) and Multi-Criteria Decision Making (MCDM) provide valuable framework for addressing assembly area selection challenges. Findings from the literature indicate that the assembly areas should be reassessed in the context of evolving needs and regulatory requirements.
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