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Article History

Received: 1 June 2025

Accepted: 19 August 2025

First Online: 1 October 2025

Declarations

:

: The study was approved by the Non-Invasive Clinical Research Ethics Committee of Istanbul Medipol University, Turkey (Decision no:181, E-10840098-202.3.02-1434, Date:15 February 2024). Written informed consent was obtained from all participants prior to inclusion in the study. Participants were informed about the study’s purpose, procedures, potential risks and benefits, and their right to withdraw at any time without penalty. The study was conducted in accordance with the principles of the Declaration of Helsinki ().

: Written informed consent was obtained from all participants for the publication of their personal or clinical details and accompanying images.

: The authors declare no competing interests.

: Protocol and statistical analysis plans are available upon request from the corresponding author. The statistical analysis plan is also included in the Methods section of the manuscript and is available upon request.

: De-identified participant data, data dictionary and analytical code used to process the data are shared. Materials related to the intervention, including exercise protocols, progression charts, and instructional documents are shared. All data and materials will be available upon reasonable request from the corresponding author. Interested researchers should contact the corresponding author via email with a brief explanation of the research purpose. Data sharing will be granted after approval by the principal investigator and may require a data use agreement to ensure ethical standards are maintained.

: No generative AI or large language models were used in the drafting or editing of this manuscript.