Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Bedensel Engelli Yüzücülerde Omuz Eklem Pozisyon Hissinin Yüzme Performansı ile İlişkisi
Relationship Between Shoulder Joint Position Sense and Swimming Performance in Disabled Swimmers
Eda KURTa, Yıldız ERDOĞANOĞLUa, Defne KAYAb
aÜsküdar Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, İstanbul, TÜRKİYE
bUludağ Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Bursa, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2021;6(3):523-30
doi: 10.5336/healthsci.2020-78676
Article Language: TR
Full Text
ÖZET
 Amaç: Yüzme, kişisel veya takım hâlinde mücadele içeren vücut bölümlerinin birbirleriyle olan koordineli hareketleri ile karakterize kompleks bir spor dalıdır. Bu çalışmanın amacı, bedensel engelli yüzücülerin glenohumeral eklem pozisyon hissi ile yüzme performansının ilişkisini incelemektir. Gereç ve Yöntemler: Çalışmaya, 29 bedensel engelli yüzücü dâhil edildi ve paralimpik sınıflandırma sistemine göre S/SB 6-S/SB 10 sınıflandırıldı. Sınıflandırma süreci; fiziksel değerlendirme, teknik değerlendirme ve gözlemsel değerlendirme olmak üzere 3 aşamayı içerdi. Sporcuların glenohumeral eklem pozisyon hissi, akıllı telefon inklinometre uygulaması kullanılarak aktif açı tekrarlama testiyle ve yüzme performansları 50 m serbest stil yüzme performansıyla değerlendirildi. Bulgular: Çalışmaya dâhil edilen 29 sporcunun %13,8'i (n=4) S6, %6,9'u (n=2) S7, %20,7'si (n=6) S8, %34,5'i (n=10) S9 ve %24,1'i (n=7) S10 sınıfında idi. Sporcuların, baskın üst ekstremite glenohumeral ekleme ait iç ve dış rotasyon aktif eklem pozisyon hissi (mutlak yeniden pozisyonlama hata) sonuçları ile 50 m serbest yüzme performansı arasında bir ilişki bulunmadı (p>0,05). Sonuç: Çalışma sonucunda, bedensel engelli yüzücülerde glenohumeral eklem pozisyon hissi ile yüzme performansı arasında bir ilişki bulunmasa da meydana gelebilecek herhangi bir yaralanmaya karşı önlem almak açısından, antrenman ve rehabilitasyon programlarına proprioseptif duyu değerlendirmesi ve eğitiminin önemini vurgular özelliktedir.

Anahtar Kelimeler: Engelli kişiler; propriyosepsiyon; fiziksel fonksiyonel performans
ABSTRACT
 Objective: Swimming is a complex sport that is characterized by the coordinated movements of body parts. The aim of this study was to examine the relationship between glenohumeral joint position sense and physical performance of upper extremities in swimmers with physical disabilities. Material and Methods: 29 physically disabled swimmers were included in the study and classified as S/SB 6- S/SB 10 according to the paralympic classification system. Classification process has included tree stages: physical evaluation, technical evaluation and obsevational evaluation. Evaluation of the glenohumeral joint position sense of the athletes was evaluated by using the active angle repetition test with the assistance of smart phone inclinometer application, swimming performance of athletes was evaluated with 50 m free style swimming performance. Results: The 29 athletes included in the study, 13.8% (n=4) S6, 6.9% (n=2) S7, 20.7% (n=6) S8, 34.5% (n=10) S9 and 24.1% (n=7) are in S10 class. There wasn't relationship between athletes' (absolute repositioning error) results of internal and external rotation active joint position sensation of the dominant upper extremity glenohumeral joint and 50 m free swimming performance (p>0.05). Conclusion: As a result, there wasn't relationship between glenohumeral joint position sense and swimming performance in physically disabled swimmers but it emphasizes the importance of proprioceptive sensory assessment and training in training and rehabilitation programs in order to prevent any possible injury.

Keywords: People with disabilities; proprioception; physical functional performance
REFERENCES:
  1. Hill L, Collins M, Posthumus M. Risk factors for shoulder pain and injury in swimmers: A critical systematic review. Phys Sportsmed. 2015;43(4):412-20. [Crossref]  [PubMed] 
  2. Kibler WB. The role of the scapula in athletic shoulder function. Am J Sports Med. 1998;26(2):325-37. [Crossref]  [PubMed] 
  3. Özer Kaya D, Toprak Çelenay Ş. An investigation of sagittal thoracic spinal curvature and mobility in subjects with and without chronic neck pain: cut-off points and pain relationship. Turk J Med Sci. 2017;47(3):891-6. [Crossref]  [PubMed] 
  4. Düzgün İ, Şimşek İE, Yakut Y, Baltacı G, Uygur F. Sağlıklı bireylerde açı tekrarlama testi ile omuz pozisyon hissinin değerlendirilmesi: bir pilot çalışma [Assessing shoulder position sense using angle reproduction test in healthy individuals: a pilot study]. Fizyoterapi Rehabilitasyon. 2011;22(3):240-4. [Link] 
  5. Burkett B, Payton C, Van de Vliet P, Jarvis H, Daly D, Mehrkuehler C, et al. Performance characteristics of para swimmers: how effective is the swimming classification system? Phys Med Rehabil Clin N Am. 2018;29(2):333-46. [Crossref]  [PubMed] 
  6. World Para Swimming. World Para Swimming Classification Rules and Regulations. International Paralympic Committee; 2017. [Link] 
  7. Lin YL, Karduna A. Errors in shoulder joint position sense mainly come from the glenohumeral joint. J Appl Biomech. 2017;33(1):32-8. [Crossref]  [PubMed]  [PMC] 
  8. Johnson LB, Sumner S, Duong T, Yan P, Bajcsy R, Abresch RT, et al. Validity and reliability of smartphone magnetometer-based goniometer evaluation of shoulder abduction--A pilot study. Man Ther. 2015;20(6):777-82. [Crossref]  [PubMed] 
  9. Keleş E, Şimşek E, Salmani M, Tarsuslu Şimşek T, Angın S, Yakut Y. Eklem hareket açıklığı ölçümünde kullanılan iki akıllı telefon uygulamasının uygulayıcı içi ve uygulayıcılar arası güvenirliğinin incelenmesi [Examining inter and intra-rater reliability of two smartphones applications used in measuring joint range of motion]. J Exerc Ther Rehabil. 2016;3(1):21-9. [Link] 
  10. Suprak DN, Osternig LR, van Donkelaar P, Karduna AR. Shoulder joint position sense improves with elevation angle in a novel, unconstrained task. J Orthop Res. 2006;24(3):559-68. [Crossref]  [PubMed] 
  11. Meckel Y, Bishop D, Rabinovich M, Kaufman L, Nemet D, Eliakim A. Repeated sprint ability in elite water polo players and swimmers and its relationship to aerobic and anaerobic performance. J Sports Sci Med. 2013;12(4):738-43. [PubMed]  [PMC] 
  12. Seyhan RG. Bedensel engelli yüzücülerin fiziksel uygunluk düzeyleri ile spora özgü performansları arasındaki ilişkinin belirlenmesi [Yüksek Lisans Tezi]. Ankara: Hacettepe Üniversitesi; 2019. [Link] 
  13. Anderson VB, Wee E. Impaired joint proprioception at higher shoulder elevations in chronic rotator cuff pathology. Arch Phys Med Rehabil. 2011;92(7):1146-51. [Crossref]  [PubMed] 
  14. Clarsen B, Bahr R, Andersson SH, Munk R, Myklebust G. Reduced glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study. Br J Sports Med. 2014;48(17):1327-33. [Crossref]  [PubMed] 
  15. Pozzi F, Plummer HA, Shanley E, Thigpen CA, Bauer C, Wilson ML, et al. Preseason shoulder range of motion screening and in-season risk of shoulder and elbow injuries in overhead athletes: systematic review and meta-analysis. Br J Sports Med. 2020;54(17):1019-27. [Crossref]  [PubMed]  [PMC] 
  16. Guerrero P, Busconi B, Deangelis N, Powers G. Congenital instability of the shoulder joint: assessment and treatment options. J Orthop Sports Phys Ther. 2009;39(2):124-34. [Crossref]  [PubMed] 
  17. Cools AM, Borms D, Castelein B, Vanderstukken F, Johansson FR. Evidence-based rehabilitation of athletes with glenohumeral instability. Knee Surg Sports Traumatol Arthrosc. 2016;24(2):382-9. [Crossref]  [PubMed] 
  18. Tate A, Turner GN, Knab SE, Jorgensen C, Strittmatter A, Michener LA. Risk factors associated with shoulder pain and disability across the lifespan of competitive swimmers. J Athl Train. 2012;47(2):149-58. [Crossref]  [PubMed]  [PMC] 
  19. van de Vliet P, Rintala P, Fröjd K, Verellen J, van Houtte S, Daly DJ, et al. Physical fitness profile of elite athletes with intellectual disability. Scand J Med Sci Sports. 2006;16(6):417-25. [Crossref]  [PubMed] 
  20. Akça G. Elit tenisçilerde glenohumeral eklem hareketliliği, skapular diskinezi ve omuz eklemi pozisyon hissinin değerlendirilmesi [Yüksek Lisans Tezi]. İzmir: Dokuz Eylül Üniversitesi; 2016. [Link] 
  21. Dover GC, Kaminski TW, Meister K, Powers ME, Horodyski M. Assessment of shoulder proprioception in the female softball athlete. Am J Sports Med. 2003;31(3):431-7. [Crossref]  [PubMed] 
  22. Ellenbecker TS, Roetert EP, Bailie DS, Davies GJ, Brown SW. Glenohumeral joint total rotation range of motion in elite tennis players and baseball pitchers. Med Sci Sports Exerc. 2002;34(12):2052-6. [Crossref]  [PubMed] 
  23. Osbahr DC, Cannon DL, Speer KP. Retroversion of the humerus in the throwing shoulder of college baseball pitchers. Am J Sports Med. 2002;30(3):347-53. [Crossref]  [PubMed] 
  24. Aguado-Henche S, Slocker de Arce A, Carrascosa-Sánchez J, Bosch-Martín A, Cristóbal-Aguado S. Isokinetic assessment of shoulder complex strength in adolescent elite synchronized swimmers. J Bodyw Mov Ther. 2018;22(4):968-71. [Crossref]  [PubMed] 
  25. Gumina S, Camerota F, Celletti C, Venditto T, Candela V. The effects of rotator cuff tear on shoulder proprioception. Int Orthop. 2019;43(1):229-35. [Crossref]  [PubMed] 
  26. Balke M, Liem D, Dedy N, Thorwesten L, Balke M, Poetzl W, et al. The laser-pointer assisted angle reproduction test for evaluation of proprioceptive shoulder function in patients with instability. Arch Orthop Trauma Surg. 2011;131(8):1077-84. [Crossref]  [PubMed] 
  27. Myers JB, Ju YY, Hwang JH, McMahon PJ, Rodosky MW, Lephart SM. Reflexive muscle activation alterations in shoulders with anterior glenohumeral instability. Am J Sports Med. 2004;32(4):1013-21. [Crossref]  [PubMed] 
  28. Myers JB, Lephart SM. Sensorimotor deficits contributing to glenohumeral instability. Clin Orthop Relat Res. 2002;(400):98-104. [Crossref]  [PubMed] 
  29. Zuckerman JD, Gallagher MA, Cuomo F, Rokito A. The effect of instability and subsequent anterior shoulder repair on proprioceptive ability. J Shoulder Elbow Surg. 2003;12(2):105-9. [Crossref]  [PubMed] 
  30. Kibler WB, Sciascia A, Thomas SJ. Glenohumeral internal rotation deficit: pathogenesis and response to acute throwing. Sports Med Arthrosc Rev. 2012;20(1):34-8. [Crossref]  [PubMed] 
  31. Ager AL, Roy JS, Roos M, Belley AF, Cools A, Hébert LJ. Shoulder proprioception: How is it measured and is it reliable? A systematic review. J Hand Ther. 2017;30(2):221-31. [Crossref]  [PubMed] 
  32. Yang JL, Chen S, Jan MH, Lin YF, Lin JJ. Proprioception assessment in subjects with idiopathic loss of shoulder range of motion: joint position sense and a novel proprioceptive feedback index. J Orthop Res. 2008;26(9):1218-24. [Crossref]  [PubMed] 
  33. Aydin T, Yildiz Y, Yanmis I, Yildiz C, Kalyon TA. Shoulder proprioception: a comparison between the shoulder joint in healthy and surgically repaired shoulders. Arch Orthop Trauma Surg. 2001;121(7):422-5. [Crossref]  [PubMed] 
  34. Janwantanakul P, Magarey ME, Jones MA, Dansie BR. Variation in shoulder position sense at mid and extreme range of motion. Arch Phys Med Rehabil. 2001;82(6):840-4. [Crossref]  [PubMed] 
  35. Matthews MJ, Green D, Matthews H, Swanwick E. The effects of swimming fatigue on shoulder strength, range of motion, joint control, and performance in swimmers. Phys Ther Sport. 2017;23:118-22. [Crossref]  [PubMed] 

.: Up To Date

.: Process List

Login

 Forgot your password?

 New Registration  

Contact

Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com