Sağlıklı bireylerde spinal stabilizasyon egzersizleri ve kayropraktik spinal manipulasyonun etkinliklerinin karşılaştırılması: Randomize kontrollü çalışma

Amaç: Egzersiz, manipulasyon ve kombine uygulamasının endurans, kas kuvveti, eklem pozisyon hissi ve denge üzerindeki etkilerini araştırmaktı. Gereç ve Yöntem: Çalışmaya 18-45 yaş arası 80 sağlıklı kişi alındı. Bireyler kayropraktik manipulasyon, stabilizasyon egzersizleri, kombine uygulama ve kontrol grubu olarak ayrıldı. Katılımcılar uygulama öncesi, uygulama sonrası ve uygulamadan 1 ay sonra endurans, kas kuvveti, eklem pozisyon hissi ve denge testleri ile değerlendirildi. Bulgular: Uygulama sonrasında Grup 3'te endurans parametrelerinde diğer gruplara göre anlamlı iyileşme gözlendi. Tüm gruplarda kuadriseps kas kuvvetinde Grup 4'e göre anlamlı artış saptandı. Sonuç: Kombine uygulanan program, kas dayanıklılığını ve dengesini geliştirmede diğer programlara göre daha etkili olabilir. Tüm eğitim programları, kuadriseps kas gücünü geliştirmede etkilidir, ancak diz eklemi pozisyon hissi üzerinde aynı etkiye sahip değildir.

Anahtar Kelimeler:

Egzersiz tedavisi, Aktivatör metod, Kayropraktik, Spinal manipulasyon, Fiziksel uygunluk

Comparison of the effectiveness of spinal stabilization exercises and chiropractic spinal manipulation in healthy individuals: Randomized controlled trial

Aim: The aim was to investigate the effects of exercise, manipulation and its combined application on endurance, muscle strength, joint position sense and balance. Materials and Methods: Eighty healthy people aged 18-45 years were included in the study. Individuals were divided into chiropractic manipulation, stabilization exercises, combined application and control group. Participants were evaluated with endurance, muscle strength, joint position sense and balance tests before, after and 1 month after the application. Results: After the application, significant improvement was observed in the endurance parameters in Group 3 compared to the other groups. There was a significant increase in quadriceps muscle strength in all groups compared to Group 4. Conclusion: The combined program may be more effective than other programs in improving muscular endurance and balance. All training programs are effective in improving quadriceps muscle strength, but do not have the same effect on knee joint position sense.

Keywords:

Exercise therapy, Activator method, Chiropractic, Spinal manipulation, Physical fitness,

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