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Item MYOTONOMETRIC EVALUATION OF LATENT MYOFASCIAL TRIGGER POINTS AND TAUT BAND IN ELITE ATHLETES(DOKUZ EYLUL UNIV INST HEALTH SCIENCES, 2022-01-01) Ozturk, Ozgul; Feyzioglu, Ozlem; Guven, Furkan; Saldiran, Tulay CevikIntroduction: Our aim was to identify the mechanical properties of the latent myofascial trigger points (MTrPs), the taut band and the non-taut band (surrounding muscle) within the gastrocnemius muscle using the myotonometric evaluation method. Material and Methods: Thirty-one asymptomatic elite rugby players (23.0 +/- 4.16 y, 97.5 +/- 22.1 kg, 183.5 +/- 7.6 cm) with a latent MTrP in lateral gastrocnemius muscle included in this study. Muscle stiffness, decrement and muscle tone of latent MTrPs, taut band and the non-taut band were measured using a myotonometer (MyotonPRO, Myoton AS, Tallinn, Estonia). One-way ANOVA was conducted to determine the differences between the three measurement points. After pairwise comparisons, Cohen's d effect sizes were calculated to determine the magnitude of differences between the measurement points. Results: Although the stiffness of the latent MTrPs was lower than its taut band, one-way ANOVA revealed that there was no difference between the latent MTrPs vs the taut band and the non-taut band for frequency, stiffness and decrement parameters (p>0.05). However, there was a difference between the taut band non-taut band for muscle tone (P= 0.016), for stiffness (P=0.035) and for decrement (P=0.012) and effect sizes were as d=0.64, d=0.69 and d=0.62 for stiffness, muscle tone and decrement respectively. Conclusion: The MTrPs and the taut bands showed an increase in muscle stiffness and muscle tone compared to the surrounding muscle. The taut band can be easily identified from the surrounding muscle using the myotonometer. Therefore, myotonometric measurement is a potentially valuable method for the identification of the taut band in elite athletes.Item EFFECT OF SIMULATED PATIENT USE ON LEARNING MOTIVATION AND STUDENT FEEDBACK IN PHYSIOTHERAPY AND REHABILITATION EDUCATION: A RANDOMIZED CONTROLLED TRIAL(TURKEY ASSOC PHYSIOTHERAPISTS, 2020-01-01) Alaca, Nuray; Safran, Elif Esma; Cagri, Dilek; Feyzioglu, OzlemPurpose: This study aimed to investigate the effect of simulated patient (SP) use for cervical region assessment on learning motivation and student feedback in undergraduate physiotherapy and rehabilitation (PTR) education. Methods: Sixty volunteered second grade students (46 females) participating in PTR Measurement and Evaluation course were included. Students were randomly divided into three groups: theoretical-practical (TP) course, SP interaction course and TP-SP taking both courses. Pre-post knowledge test including 10 multiple-choice questions was applied before and immediately after the lessons. Instructional Materials Motivation Survey (IMMS) was applied after the lessons. Student feedback (anxiety-stress-motivation-usefulness) scores were recorded before, immediately after, and one week after the lessons. Results: The post knowledge test scores of the TP and TP-SP groups were significantly higher than the SP group (p<0.001). The pre-lesson anxiety of the SP and TP-SP groups was higher than the TP group (SP p=0,002 and TP-SP p=0,004). After the completion of the lessons, anxiety levels of the SP group were still higher than the TP group (p=0.002). Motivation level of the SP and TU group were increased after the training (p=0.001). Motivation level of the TP-SP was still higher than the TP group one week later (p=0.004). The TP-SP group's IMMS findings were statistically higher than the other groups (p=0.005). Conclusion: We suggest that cervical region assessment should be combined with the TP course and SP interaction in the learning process and that it is beneficial to use the SP interaction in PTR undergraduate education.