Bu çalışma, Türkiye'nin en yaşlı nüfusuna sahip olan Sinop ili örneğinde 40-65 yaş aralığındaki yetişkin bireylerin başarılı yaşlanma durumlarını etkileyen faktörlerin belirlenmesi amacıyla yapılmıştır. Çalışma, genel tarama modellerinden ilişkisel tarama modeli ile yapılmıştır. Veriler, anket yöntemi ile toplanmıştır. Veriler, 'Sosyo-demografik Bilgi Formu" ve Reker (2009) tarafından geliştirilen, Hazer ve Özsungur ( 2017) tarafından Türkçe geçerlik ve güvenirliği yapılan "Başarılı Yaşlanma Ölçeği" aracılığıyla toplanmıştır. Araştırmanın evrenini Sinop ilinde yaşayan 40-65 yaş arasındaki bireyler, örneklemi ise rastgele örneklem yöntemi ile seçilen 232 birey oluşturmaktadır. Verilerin tanımlayıcı istatistiklerinde ortalama, standart sapma, medyan, en düşük, en yüksek ve frekans değerleri kullanılmıştır. Nicel bağımsız verilerin analizinde Kruskal-Wallis, Mann-Whitney U testleri kullanılmıştır. Bulgulara göre; lise-üniversite mezunu, bekar, çocuk sahibi olan; başkaları ile yaşayan (aile bireyleri dışında kalan kişiler) ve ekonomik durumu iyi-çok iyi olan katılımcıların başarılı yaşlanma ölçek puan ortalamalarının istatistiksel olarak anlamlı olduğu görülmüştür. Sonuç olarak biopsikososyal, kültürel ve ekonomik gibi boyutlarda gittikçe artan dezavantajlarıyla yaşlanmanın hem sağlıklı yaşlanma hem de sorunlarla mücadele etme ve dolayısıyla üstesinden gelme noktasında başarılı yaşanması ve en önemlisi de yetişkin bireylerin bu döneme hazırlıklı girmesi kritik öneme sahiptir.
Objectives: To evaluate the effect of auricular vagus nerve stimulation (VNS) applied in addition to ischemic compression and stretching exercises on pain, trigger point (TP) sensitivity, grip strength, quality of life and autonomic functions in patients with myofascial pain syndrome (MPS).
Methods: Sixty patients, who had neck pain, met the diagnostic MPS criteria of Travell and Simons were included in the study. The subjects were randomly divided into VNS group (n = 30) or control group (n = 30). Each group performed 10 sessions of TP ischemic compression and stretching exercises (5 days/week). Ten sessions of 30-minute long auricular VNS were added to the treatment in VNS group. Pain severity [Visual Analogue Scale (VAS)], TP sensitivity (algometer), grip strength (Jamar dynamometer), quality of life [Short Form-36 (SF-36)] and autonomic function [Composite Autonomic Symptom Scale-31 (Compass-31)] were evaluated before and after 10 sessions of treatment.
Results: The VAS, algometer and Jamar measurements showed significant improvement in both groups. A statistically significant improvement was found in orthostatic intolerance, secretomotor and pupillomotor subscales of Compass-31 scale in the VNS group following the treatment (p < 0.05) while no significant difference was observed in the control group (p > 0.05). The control group showed significant improvement in all parameters of SF-36 scale, while the VNS group showed significant improvement in physical function, social functionality and pain parameters (p < 0.05). The changes in the VAS, algometer, Jamar scores and secretomotor subscale of the Compass-31 scale were statistically higher in the VNS group than in the control group (p < 0.001, p < 0.001, p = 0.001 and p = 0.011, respectively).
Conclusions: It can be argued that auricular VNS increases the effectiveness of ischemic compression and stretching exercises in patients with MPS. Further and detailed studies are needed in which the effect of VNS alone or in combination with other treatments in patients with MPS is examined and the physiological mechanisms are investigated.
It is aimed to examine the potential benefits and effects of the use of
transcutaneous auricular vagus nerve stimulation for sporting purposes
on recovery, fatigue and sportive performance level. This study 90
people between the ages of 18-23 participated. They were randomly
divided into 3 groups as control, unilateral and bilateral vagus nerve
stimulation (VSS). Cycling exercise was performed with maximum
performance for 30 minutes under the same wattage load. Pulse, systolic
and diastolic blood pressure, distance, pain, fatigue, lactic acid level
and autonomic nervous system were evaluated before, after and at the end
of the cycling exercise. In the comparison made within the group, there
was a statistically significant difference between the data in all
groups except for the distance covered parameter (p<0.05).
When we compare the groups, in addition to the distance traveled in all
groups, there is no statistically significant difference in the 1st day
1st measurement or 2nd measurement data of all parameters
(p>0.05). When we compared the data according to the days,
there was a statistically significant difference only between the pain
and fatigue levels (p<0.05). When we compared the groups, it
was found that bilateral VSS had favorable results compared to other
applications. When we evaluated the data on a daily basis, similar
results were obtained. We are of the opinion that it will be of maximum
benefit for the athlete to be applied, especially during and after the
half-time of the competition. Keywords: Vagus Nerve Stimulation,
Transcutaneous, Auricular, Recovery, Cycling Ergometry
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