Genç Erişkinlerde Ayağın Yüklenmeye Verdiği Cevabın İncelenmesi Ve Cinsiyete Göre Karşılaştırılması

Amaç: Bu çalışma, genç erişkin bireylerde ayağın yüke verdiği cevabı incelemek ve cinsiyete göre farklılıkları tespit etmek amaçlarıyla planlandı. Çalışma Planı: 51 birey (n=102 ayak; n=24 erkek, n=27 kadın) araştırmaya dahil edildi. Katılımcıların vücut kitle indekslerini (kg/m2) hesaplamak amacıyla boyu (m) vücut ağırlığı (kg) kaydedildi. Ardından oturma ve ayakta durma pozisyonunda ayağın metatarsal genişlikleri, navikular yükseklikleri ve subtalar eklem açıları dijital kumpas vasıtasıyla ölçüldü. Oturma ve ayakta durma sırasındaki değişim navikular yükseklik için yüzde, metatarsal genişleme için yüzde ve subtalar açıdaki değişim için derece cinsinden fark olarak kaydedildi ve bu değerler üzerinden istatistiksel analiz yapıldı. Bulgular: İstatistiksel analize göre grupların yaş ortalamaları (p=0,75) ve vücut kitle indeksleri (p=0,13) benzerdi. İkili karşılaştırmalara göre ayağın yük altındaki davranışında; metatarsal genişleme yüzdesi (p=0,75), navikular düşme yüzdesi (p=0,89) ve subtalar açıdaki değişimin (p=0,80) gruplara göre farklı olmadığı görüldü. Sonuç: Çalışma, sağlıklı genç erişkin bireylerde ayağa yük aktarımı sırasında meydana gelen ayak biyomekaniksel özelliklerindeki fizyolojik değişimin cinsiyetler arasında farklılık oluşturmadığını göstermiştir.

Objectives: This study was planned with the purpose of examining the responses of the foot to the weight bearing and determining the differences according to gender in young adults. Study Design: 51 individuals (n = 102 foot, n = 24 male, n = 27 female) were included in the study. The height (m) and weight (kg) of the participant were recorded in order to calculate the body mass indexes (kg/m2). The metatarsal widths, navicular heights and subtalar joint angles of foot in the sitting and standing positions were measured by digital calipers. The change in sitting and standing was recorded as the percentage for the navicular drop, the percentage for the metatarsal expansion, and the difference in degrees for the change in the subtalar angle, and statistical analysis was performed on these variables. Results: According to statistical analysis, the mean age of the groups (p = 0.75) and body mass indexes (p = 0.13) were similar. There was no difference in the load responses of the groups (p> 0.05). In other words, there were no differences between the groups in term of the percentages of metatarsal enlargement (p = 0.75), percentage of navicular drop (p = 0,89), and changes in subtalar angle (p = 0,8). Conclusion: The study showed that the physiological changes in the biomechanical properties of the feet that occur during the foot load transfer in healthy young adults do not differ between sexes.

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