Turkiye Klinikleri Journal of Sports Sciences

.: ORIGINAL RESEARCH
The Relationship Between Eccentric Hamstring Muscle Strength and Reaction Time in Elite Volleyball Players: Cross-Sectional Study
Elit Voleybolcularda Eksantrik Hamstring Kas Kuvveti ile Reaksiyon Süresi Arasındaki İlişki: Kesitsel Çalışma
Emre ALTUNDAĞa , Çağlar SOYLUb , Mehmet Görkem İŞGÜZARc
aDepartment of Physical Education and Sport Teacher, Kütahya Dumlupınar University Faculty of Sports Sciences, Kütahya, Türkiye
bDepartment of Orthopedic Rehabilitation, University of Health Sciences Gülhane Faculty of Physiotherapy and Rehabilitation, Ankara, Türkiye
cDepartment of Movement and Training Sciences, Gazi University Institute of Health Sciences, Ankara, Türkiye
Turkiye Klinikleri J Sports Sci. 2024;16(1):7-13
doi: 10.5336/sportsci.2023-97965
Article Language: EN
Full Text
ABSTRACT
Objective: The aim of this study was to investigate whether or not eccentric hamstring muscle strength has an effect on reaction time in elite volleyball players. Material and Methods: The study included 33 male volleyball players, aged 16-20 years, who met the study inclusion criteria. The eccentric hamstring strength was measured during Nordic hamstring exercises with an iVMES H-BORD®. The reaction time of the volleyball players was measured with the Light Trainer Flash Light Exercise System TM. Results: A strong level, negative, significant correlation was determined between the maximum eccentric hamstring muscle strength values of the dominant and non-dominant side of the study participants and the mean reaction time (r=-0.69, p<0.001; r=-0.78, p<0.001, respectively) and the best reaction time values (r=-0.70; p<0.001, r=-0.75; p<0.001, respectively). A strong level, negative, significant correlation was determined between the mean eccentric hamstring muscle strength values of the dominant and nondominant side and the mean reaction time (r=-0.69; p<0.001, r=-0.71; p<0.001, respectively) and the best reaction time values (r=-0.71; p<0.001, r=-0.68; p<0.001, respectively). At the same time, it was determined that there was no significant correlation between maximum and mean eccentric muscle strength difference and mean reaction time and best reaction time values (p>0.05). Conclusion: The results of this study showed a significant correlation between eccentric hamstring muscle strength and reaction time parameters in young, male volleyball players. Trainers and sports scientists should take this into consideration in training programs to improve the performance of volleyball players.

Keywords: Volleyball; eccentric muscle strength; hamstring; reaction time
ÖZET
Amaç: Bu çalışmanın amacı, elit voleybol oyuncularında eksantrik hamstring kuvvetinin reaksiyon zamanı üzerine etkili olup olmadığını araştırmaktır. Gereç ve Yöntemler: Çalışmaya dahil edilme kriterlerini karşılayan 16-20 yaş arası 33 erkek voleybol oyuncusu dahil edilmiştir. Eksantrik hamstring kuvveti Nordic hamstring egzersizi sırasında iVMES H-BORD® cihazı ile ölçülmüştür. Sporcuların reaksiyon zamanı Light Trainer Flash Light Exercise System TM reaksiyon zamanı cihazı ile yapılmıştır. Bulgular: Çalışmaya katılan bireylerin dominant ve nondominant taraf maksimum eksantrik hamstring kas kuvvetleri ile ortalama alt ekstremite reaksiyon zamanı (sırasıyla r=-0,69, p<0,001; r=-0,78, p<0,001) ve en iyi reaksiyon zamanı (sırasıyla r=-0,70; p<0,001, r=-0,75; p<0,001) değerleri arasında kuvvetli, ters yönde, anlamlı ilişki olduğu saptanmıştır. Benzer şekilde dominant ve nondominant taraf ortalama eksantrik hamstring kas kuvvetleri ile ortalama alt ekstremite reaksiyon zamanı (sırasıyla r=-0,69; p<0,001, r=-0,71; p<0,001) ve en iyi reaksiyon zamanı (sırasıyla r=-0,71; p<0,001, r=-0,68; p<0,001) değerleri arasında anlamlı, kuvvetli, ters yönde ilişki olduğu bulunmuştur. Aynı zamanda maksimum ve ortalama eksantrik kas kuvvet farklılığı ile ortalama alt ekstremite reaksiyon zamanı ve en iyi reaksiyon zamanı değerleri arasında ise anlamlı bir ilişki olmadığı tespit edilmiştir (p>0,05). Sonuç: Sonuç olarak, voleybolcularda eksantrik hamstring kuvveti ile reaksiyon zamanı parametreleri arasında anlamlı ilişki olduğu bulunmuştur. Voleybolcuların performanslarını geliştirmek için çalışan atletik performans antrenörleri ve spor bilimciler bu durumu göz önünde bulundurmalıdırlar.

Anahtar Kelimeler: Voleybol; eksantrik kas kuvveti; hamstring; reaksiyon zamanı
REFERENCES:
  1. Sattler T, Sekulic D, Esco MR, Mahmutovic I, Hadzic V. Analysis of the association between isokinetic knee strength with offensive and defensive jumping capacity in high-level female volleyball athletes. J Sci Med Sport. 2015;18(5):613-8. [Crossref]  [PubMed] 
  2. Schons P, Da Rosa RG, Fischer G, Berriel GP, Fritsch CG, Nakamura FY, et al. The relationship between strength asymmetries and jumping performance in professional volleyball players. Sports Biomech. 2019;18(5):515-26. [Crossref]  [PubMed] 
  3. Pupo JD, Detanico D, Santos SGD. Kinetic parameters as determinants of vertical jump performance. Revista Brasileira de Cineantropometria & Desempenho Humano. 2012;14:41-51. [Link] 
  4. Tamin TZ, Murdana IN, Kekalih A. Hamstring muscle flexibility among KONI volleyball players of DKI Jakarta province-a pilot study for sport injury prevention. Indonesian Journal of Physical Medicine & Rehabilitation. 2013;2(01):115-31. [Crossref] 
  5. Martin RL, Cibulka MT, Bolgla LA, Koc TA Jr, Loudon JK, Manske RC, et al. Hamstring strain injury in athletes. J Orthop Sports Phys Ther. 2022;52(3):CPG1-CPG44. [Crossref]  [PubMed] 
  6. Bourne MN, Opar DA, Williams MD, Shield AJ. Eccentric knee flexor strength and risk of hamstring injuries in rugby union: a prospective study. Am J Sports Med. 2015;43(11):2663-70. [Crossref]  [PubMed] 
  7. Hedayatpour N, Falla D. Physiological and neural adaptations to eccentric exercise: mechanisms and considerations for training. Biomed Res Int. 2015;2015:193741. [Crossref]  [PubMed]  [PMC] 
  8. Shejwal K, Kumar N. Comparison of simple reaction time between volleyball and football playing collegiate athletes. Int J Res Anal. 2020;7(2):421-4. [Link] 
  9. Ceylan H, Günay A. Positional differences in anticipation timing, reaction time and dynamic balance of American football players. Pedagogy of Physical Culture and Sports. 2020;24(5):227-39. [Crossref] 
  10. Badau D, Baydil B, Badau A. Differences among three measures of reaction time based on hand laterality in individual sports. Sports (Basel). 2018;6(2):45. [Crossref]  [PubMed]  [PMC] 
  11. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91. [Crossref]  [PubMed] 
  12. Lakens D. Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Front Psychol. 2013;4:863. [Crossref]  [PubMed]  [PMC] 
  13. Soylu Ç, Altundağ E, Akarçeşme C, Ün Yildirim N. The relationship between isokinetic knee flexion and extension muscle strength, jump performance, dynamic balance and injury risk in female volleyball players. Journal of Human Sport and Exercise. 2020;15(3):502-14. [Crossref] 
  14. Opar DA, Piatkowski T, Williams MD, Shield AJ. A novel device using the Nordic hamstring exercise to assess eccentric knee flexor strength: a reliability and retrospective injury study. J Orthop Sports Phys Ther. 2013;43(9):636-40. [Crossref]  [PubMed] 
  15. Opar DA, Williams MD, Timmins RG, Hickey J, Duhig SJ, Shield AJ. Eccentric hamstring strength and hamstring injury risk in Australian footballers. Med Sci Sports Exerc. 2015;47(4):857-65. [Crossref]  [PubMed] 
  16. Myers LR, Toonstra JL, Cripps AE. The test-retest reliability and minimal detectable change of the FitLight Trainer?. International Journal of Athletic Therapy and Training. 2022;28(2):84-8. [Crossref] 
  17. Lakens D. Equivalence tests: a practical primer for t tests, correlations, and meta-analyses. Soc Psychol Personal Sci. 2017;8(4):355-62. [Crossref]  [PubMed]  [PMC] 
  18. Jiménez-García JD, Martínez-Amat A, Hita-Contreras F, Fábrega-Cuadros R, Álvarez-Salvago F, Aibar-Almazán A. Muscle strength and physical performance are associated with reaction time performance in older people. Int J Environ Res Public Health. 2021;18(11):5893. [Crossref]  [PubMed]  [PMC] 
  19. Abellan van Kan G, Cesari M, Gillette-Guyonnet S, Dupuy C, Nourhashémi F, Schott AM, et al. Sarcopenia and cognitive impairment in elderly women: results from the EPIDOS cohort. Age Ageing. 2013;42(2):196-202. [Crossref]  [PubMed] 
  20. Takata Y, Ansai T, Soh I, Kimura Y, Yoshitake Y, Sonoki K, et al. Physical fitness and cognitive function in an 85-year-old community-dwelling population. Gerontology. 2008;54(6):354-60. [Crossref]  [PubMed] 
  21. Lempke LB, Howell DR, Eckner JT, Lynall RC. Examination of reaction time deficits following concussion: a systematic review and meta-analysis. Sports Med. 2020;50(7):1341-59. [Crossref]  [PubMed] 
  22. Griffin L, Cafarelli E. Resistance training: cortical, spinal, and motor unit adaptations. Can J Appl Physiol. 2005;30(3):328-40. [Crossref]  [PubMed] 
  23. Folland JP, Williams AG. The adaptations to strength training : morphological and neurological contributions to increased strength. Sports Med. 2007;37(2):145-68. [Crossref]  [PubMed] 
  24. Wilke J, Groneberg DA. Neurocognitive function and musculoskeletal injury risk in sports: a systematic review. J Sci Med Sport. 2022;25(1):41-5. [Crossref]  [PubMed] 
  25. Váczi M, Fazekas G, Pilissy T, Cselkó A, Trzaskoma L, Sebesi B, et al. The effects of eccentric hamstring exercise training in young female handball players. Eur J Appl Physiol. 2022;122(4):955-64. [Crossref]  [PubMed]  [PMC] 
  26. Markovic G, Sarabon N, Boban F, Zoric I, Jelcic M, Sos K, et al. Nordic hamstring strength of highly trained youth football players and its relation to sprint performance. J Strength Cond Res. 2020;34(3):800-7. [Crossref]  [PubMed] 
  27. Greig M, Naylor J. The efficacy of angle-matched isokinetic knee flexor and extensor strength parameters in predicting agility test performance. Int J Sports Phys Ther. 2017;12(5):728-36. [Crossref]  [PubMed]  [PMC] 
  28. Lee JWY, Mok KM, Chan HCK, Yung PSH, Chan KM. Eccentric hamstring strength deficit and poor hamstring-to-quadriceps ratio are risk factors for hamstring strain injury in football: a prospective study of 146 professional players. J Sci Med Sport. 2018;21(8):789-93. [Crossref]  [PubMed] 
  29. Zebis MK, Andersen LL, Bencke J, Kjaer M, Aagaard P. Identification of athletes at future risk of anterior cruciate ligament ruptures by neuromuscular screening. Am J Sports Med. 2009;37(10):1967-73. [Crossref]  [PubMed] 
  30. Herman DC, Barth JT. Drop-jump landing varies with baseline neurocognition: implications for anterior cruciate ligament injury risk and prevention. Am J Sports Med. 2016;44(9):2347-53. [Crossref]  [PubMed]  [PMC] 
  31. Shibata S, Takemura M, Miyakawa S. The influence of differences in neurocognitive function on lower limb kinematics, kinetics, and muscle activity during an unanticipated cutting motion. Phys Ther Res. 2018 30;21(2):44-52. [Crossref]  [PubMed]  [PMC] 
  32. Giesche F, Wilke J, Engeroff T, Niederer D, Hohmann H, Vogt L, et al. Are biomechanical stability deficits during unplanned single-leg landings related to specific markers of cognitive function? J Sci Med Sport. 2020;23(1):82-8. [Crossref]  [PubMed] 

.: Up To Date

Login



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