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    Comparison of the efficacy of extracorporeal shock wave therapy and trigger point dry needling in the treatment of Calcaneal Epin- A randomized trial
    (Sage Publications Inc, 2025) Arpaci, Muhammed Furkan; Dogru, Feyzi; Deniz, Mine Argali; Cicek, Ipek Balikci; Baykara, Rabia Aydogan; Erdem, Cumali; Kose, Evren
    Background: Dry needling (DN) and Extracorporeal shock wave therapy (ESWT) are common in calcaneal epin treatment. Objective The aim of the study was to compare the effects of both treatments on proprioception, balance, pain, and functional status. Methods: 90 patients which consist of 45 patients as DN + self stretching and 45 patients as ESWT + self stretching. Patients in each group were treated 1 session per week for 4 weeks. Assessments of 15 degrees ankle dorsiflexion and plantar flexion proprioception, one leg standing test (OLST), foot function index (FFI), visual analog scale (VAS) (first step, resting, activity), quality of life scale (SF-36) were performed. The outcomes were recorded at pre-treatment, post-treatment, and 4 weeks after the post-treatment. Results: Statistically significant differences were determined in VAS (resting, first step, activity) and FFI values in both treatment methods (p < 0.05). In OLST, SF-36, and FFI evaluations, DN was statistically more effective than the ESWT method (p < 0.001). In the 15 degrees proprioception evaluations, a significant difference was observed in the patient's ankle in both methods, while the DN method is more effective in the indicated stages of evaluation. Conclusions: Both methods applied to epin calcanei patients were effective, but the DN method is a more effective treatment method than the ESWT method in terms of balance, proprioception, foot function, and quality of life.
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    The Effect of Different Auditory Stimuli and Optokinetic Stimuli on Vestibulo-Ocular Reflex Function
    (Wiley, 2026) Korkmaz, Hanifi; Cicek, Ipek Balikci
    This study investigated how auditory stimuli and optokinetic stimulation modulate functional Head Impulse Test (fHIT) correct response rate (CR%) across semicircular canals (SCCs) and the associated cognitive load in healthy adults. Fifty participants (20-57 years) completed repeated-measures fHIT under four conditions: silence, music, white noise, and optokinetic stimulation. The CR% from all SCCs were recorded and workload was assessed with the NASA Task Load Index (NASA-TLX). Optokinetic stimulation produced the most significant CR% decrement (e.g., right lateral 90 vs. 100 in silence; p<0.001) and the highest workload (median NASA-TLX = 50). Auditory conditions produced minimal CR% changes. Across conditions, lateral SCCs were less affected than vertical SCCs by sensory and cognitive interference. Visual-vestibular conflict markedly reduced CR%, whereas auditory effects appeared indirect and attention mediated. These findings provide normative benchmarks for multisensory fHIT assessment.