Atletik ve sedanter çocuklarda diz zirve torkunun değerlendirilmesi

Amaç: Çalışmada, alometrik model yaklaşımı kullanılarak, çocuklarda cinsiyet, aktivite düzeyi ve pubertal durumun diz ekstansiyon ve fleksiyonundaki zirve torku üzerindeki etkisi incelendi. Çalışma planı: Çalışmaya Hong Kong ortaokuluna devam etmekte olan, 12-13 yaşlarında 140 öğrenci (67 erkek, 73 kız) alındı. Öğrencilerin 69’u beden eğitimi ağırlıklı, 71’i sanat ağırlıklı dersler görmekteydi. Tüm öğrencilerde baskın bacakta izokinetik konsantrik ekstansiyon ve fleksiyonda zirve torku Cybex II + dinamometre ile 1.04 rad/saniyede ölçüldü; beden kütlesi, boy ve pubertal evreleri belirlendi. Mutlak zirve torku değerleri ile, kas hareketini (ekstansiyon ve fleksiyon) grup içi faktör ve gruplararası faktör olarak ele alan, cinsiyet, grup ve pubertal evrenin de katıldığı tekrarlı ölçümlerde ANOVA testi yapıldı. Beden ölçüsüne göre ayarlı zirve torkunun etkilerini değerlendirmek için, beden kütlesi ve uzunluğun eşdeğişken olarak alındığı lineer ANCOVA ve log-lineer ANCOVA teknikleri kullanıldı. Sonuçlar: Zirve torku değerleri erkeklerde kızlara göre, beden eğitimi grubunda sanat dersleri grubuna göre anlamlı derecede yüksek bulundu. Zirve torku beden ölçüsündeki farklılıklara göre ayarlandığında, iki grupta kızlar arasında, erkeklere göre zirve torku daha fazla farklılık gösterdi ve pubertal evrenin bu farklılıkta anlamlı bir etkisi vardı. Alometrik analizde zirve torkunun beden kütlesine göre uzunluktan daha fazla etkilendiği ve vücut ölçülerine kıyasla daha büyük oranda artış gösterdiği görüldü (p

Evaluation of knee peak torque in athletic and sedentary children

Objectives: We examined the in&#64258;uence of sex, level of activity, and pubertal status on knee extension (Ext) and &#64258;exion (Fl) peak torque (PT) in children using an allometric modeling approach. Methods: A total of 140 students (67 males, 73 females) aged 12/13 years were enrolled from a Hong Kong junior high school, whose curricula were based on physical education (n=69) or arts (n=71). Isokinetic concentric Ext and Fl PT of the dominant leg was assessed at 1.04 rad/sec using a Cybex II + dynamometer and body mass, stature, and pubertal stage were measured. A repeatedmeasures ANOVA test was performed on absolute PT data with muscle action (Ext and Fl) as a within-subject factor and between-subject factors including sex, group, and pubertal stage. To assess the effects on body sizeadjusted PT, linear ANCOVA and log-linear ANCOVA techniques were used with body mass and stature taken as covariates. Results: Peak torque was signi&#64257;cantly greater in boys compared to girls, and in the physical education group compared to the arts group. When PT was adjusted for differences in body size, there was a greater difference in PT between girls in the two groups compared to boys, and there was a signi&#64257;cant effect of pubertal stage. Allometric analysis showed that PT was in&#64258;uenced more by stature than body mass, and PT increased at a greater rate than body size (both p<0.01). Conclusion: There may be a need for a physical activity intervention in sedentary 12/13 year old girls. Peak torque appears to increase disproportionately to body size. This may result from a greater increase in leg muscle mass relative to body mass.

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  • 1. Gaul CA. Muscular strength and endurance. In: Docherty D, editor. Measurement in pediatric exercise science. Champaign, IL: Human Kinetics Publishers; 1996. p. 225-58.
  • 2. Weltman A, Janney C, Rians CB, Strand K, Katch FI. The effects of hydraulic-resistance strength training on serum lipid levels in prepubertal boys. Am J Dis Child 1987; 141:777-80.
  • 3. Blimkie CJ. Age- and sex-associated variation in strength during childhood: Anthropometric, morphologic, neurologic, biomechanical, endocrinologic, genetic and physical activity correlates. In: Gisolf CV, Lamb DR, editors. Perspectives in exercise science and sports medicine. Vol. 2, Youth, exercise and sport. Indianapolis: Benchmark Press; 1989. p. 99-163.
  • 4. De Ste Croix MB, Armstrong N, Welsman JR. Concentric isokinetic leg strength in pre-teen, teenage and adult males and females. Biol Sport 1999;16:75-86.
  • 5. De Ste Croix MB, Armstrong N, Welsman JR, Sharpe P. Longitudinal changes in isokinetic leg strength in 10-14-year-olds. Ann Hum Biol 2002;29:50-62.
  • 6. Kanehisa H, Yata H, Ikegawa S, Fukunaga T. A crosssectional study of the size and strength of the lower leg muscles during growth. Eur J Appl Physiol Occup Physiol 1995;72:150-6.
  • 7. Nevill AM, Holder RL, Baxter-Jones A, Round JM, Jones DA. Modeling developmental changes in strength and aerobic power in children. J Appl Physiol 1998;84:963-70.
  • 8. Parker DF, Round JM, Sacco P, Jones DA. A cross-sectional survey of upper and lower limb strength in boys and girls during childhood and adolescence. Ann Hum Biol 1990;17:199-211.
  • 9. Round JM, Jones DA, Honour JW, Nevill AM. Hormonal factors in the development of differences in strength between boys and girls during adolescence: a longitudinal study. Ann Hum Biol 1999;26:49-62.
  • 10. Sunnegårdh J, Bratteby LE, Nordesjö LO, Nordgren B. Isometric and isokinetic muscle strength, anthropometry and physical activity in 8 and 13 year old Swedish children. Eur J Appl Physiol Occup Physiol 1988;58:291-7.
  • 11. Nevill AM, Ramsbottom R, Williams C. Scaling physiological measurements for individuals of different body size. Eur J Appl Physiol Occup Physiol 992;65:110-7.
  • 12. Tanner JM. Fallacy of per-weight and per-surface area standards, and their relation to spurious correlation. J Appl Physiol 1949;2:1-15.
  • 13. Nevill AM, Holder RL. Scaling, normalizing, and per ratio standards: an allometric modeling approach. J Appl Physiol 1995;79:1027-31.
  • 14. Welsman JR, Armstrong N, Nevill AM, Winter EM, Kirby BJ. Scaling peak VO2 for differences in body size. Med Sci Sports Exerc 1996;28:259-65.
  • 15. Winter EM. Scaling: partitioning out differences in size. Pediatr Exerc Sci 1992;4:296-301.
  • 16. Jaric S, Radosavljevic-Jaric S, Johansson H. Normalisation of muscle force and muscle torque for body size. In: Avela J, Komi P, Komulainen J, editors. Proceedings of the 5th Annual Congress of the European College of Sport Science; 19-23 July 2000; Jyväskylä, Finland. Book of Abstracts. 2000. p. 353.
  • 17. Jaric S. Role of body size in the relation between muscle strength and movement performance. Exerc Sport Sci Rev 2003;31:8-12.
  • 18. Jaric S, Radosavljevic-Jaric S, Johansson H. Muscle force and muscle torque in humans require different methods when adjusting for differences in body size. Eur J Appl Physiol 2002;87:304-7.
  • 19. Weir JP, Housh TJ, Johnson GO, Housh DJ, Ebersole KT. Allometric scaling of isokinetic peak torque: the Nebraska Wrestling Study. Eur J Appl Physiol Occup Physiol 1999; 80:240-8.
  • 20. Nevill AM. The need to scale for differences in body size and mass: an explanation of Kleiber’s 0.75 mass exponent. J Appl Physiol 1994;77:2870-3.
  • 21. Jones DA, Round JM. Strength and muscle growth. In: Armstrong N, Van Mechelen W, editors. Paediatric exercise science and medicine. Oxford: Oxford University Press; 2000. p. 133-42.
  • 22. Deighan MA. The development of concentric and eccentric leg and arm strength [Doctoral Dissertation]. University of Exeter, School of Sport and Health Sciences, Exeter, 2002.
  • 23. Koutedakis Y, Frischknecht R, Murthy M. Knee flexion to extension peak torque ratios and low-back injuries in highly active individuals. Int J Sports Med 1997;18:290-5.
  • 24. Maughan RJ. Relationship between muscle strength and muscle cross-sectional area. Implications for training. Sports Med 1984;1:263-9.
  • 25. Nevill AM. Evidence of an increasing proportion of leg muscle mass to body mass in male adolescents and its implications for performance. J Sports Sci 1994;12:163-64.
  • 26. Sun SS, Schubert CM, Chumlea WC, Roche AF, Kulin HE, Lee PA, et al. National estimates of the timing of sexual maturation and racial differences among US children. Pediatrics 2002;110:911-9.
Acta Orthopaedica et Traumatologica Turcica-Cover
  • ISSN: 1017-995X
  • Başlangıç: 2015
  • Yayıncı: Türk Ortopedi ve Travmatoloji Derneği
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