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    Novel Conservative Therapies in Migraine Management: The Impact of Fascia Exercises in a Randomized Controlled Trial
    (Mdpi, 2025) Tekin, Rabia Tugba; Aslan, Hilal; Uludag, Veysel; Gumusyayla, Sadiye; Vural, Gonul
    Background/Objectives: Migraine is a complex neurological disorder often associated with autonomic nervous system (ANS) dysfunction. This study aimed to evaluate the effects of fascia exercises on migraine symptoms and explore their potential as a novel conservative treatment approach. Methods: A prospective, randomized controlled trial was conducted with 30 migraine patients who were randomly assigned to a treatment group (fascia exercises) or a control group (conventional physiotherapy). Both groups underwent a six-week intervention consisting of two sessions per week. Pain intensity, migraine-related disability, sleep quality, anxiety, depression, heart rate variability (HRV), and patient satisfaction were assessed before and after the intervention using validated scales. Results: Significant improvements in pain intensity, attack frequency and duration, migraine-related disability, sleep quality, and anxiety levels were observed in both groups (p < 0.05). However, the treatment group demonstrated a more pronounced reduction in depression scores compared to the control group (p < 0.05). While no significant changes in HRV parameters were detected in either group, patient satisfaction was significantly higher in the treatment group (p < 0.05). Conclusions: Fascia exercises represent a promising complementary therapy for migraine management, offering significant improvements in both physical and psychological symptoms. While immediate effects on HRV were not evident, the potential to modulate autonomic balance and address migraine pathophysiology warrants further exploration. These findings highlight the value of fascia exercises as a low-cost, non-invasive approach, emphasizing the need for further research to confirm their long-term clinical benefits and integration into migraine treatment protocols.
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    The relationship between resting heart rate variability and sportive performance, sleep and body awareness in soccer players
    (Bmc, 2025) Tekin, Rabia Tugba; Kudas, Savas; Buran, Melike Mese; Cabuk, Salih; Akbasli, Oguzhan; Uludag, Veysel; Yosmaoglu, Hayri Baran
    BackgroundHeart rate variability (HRV) is a key marker of autonomic nervous system function and has been proposed as a tool for monitoring training adaptations. However, its relationship with performance beyond aerobic capacity remains unclear in football players. This study aimed to examine the associations between resting HRV and aerobic capacity, agility, neuromuscular coordination, sleep quality, and body awareness.MethodsTwenty-five male football players (mean age 20 +/- 3 years) underwent HRV assessment via the Polar H10 system. Performance tests included the 20 m Shuttle Test (VO2max), Illinois Agility Test, Hexagon Test (neuromuscular coordination), and Vertical Jump Tests (muscular strength). Sleep quality and body awareness were assessed using the Pittsburgh Sleep Quality Index and Body Awareness Questionnaire.ResultsHRV Score was positively correlated with VO2max (r = 0.4, p = 0.04), while LF/HF ratio showed a negative correlation with shuttle test distance (rs=-0.52, p = 0.007). Mean RR correlated with neuromuscular coordination (r = 0.56, p = 0.004), sleep quality (r = 0.45, p = 0.024), and body awareness (rs = 0.46, p = 0.019). No significant correlations were found with muscular strength.ConclusionsResting HRV is associated with key performance indicators in football players, supporting its potential use in monitoring physiological readiness and training adaptations. Future research should establish reference values and evaluate HRV-based interventions for performance enhancement.