Filiz ÇOLAKOĞLU, Derya ÖZER KAYA, Selma KARACAN, Irem DÜZGÜN, Gül BALTACI

Sedanter Kadınlarda Hamstring-Quadriseps Gelişimi: 6 Ay Takipli Stabilizasyon ve Aerobik Eğitimin Karşılaştırılması

Amaç: Bu çalışmada yetişkin kadınlarda aerobik ve spinal stabilizasyon egzersiz eğitiminin dizde hamstring-quadriseps kas kuvvetleri oranına (H/Q) etkisinin belirlenmesi ve karşılaştırılması amaçlandı. Yöntemler: Spor salonuna başvuran 85 kadından 70'i rastgele spinal stabilizasyon ve aerobik eğitim gruplarına atandı (1, 2). Herhangi bir spor ya da egzersiz programına katılmayan, üniversite bölümlerinde çalışan 35 sedanter kadından 21'i kontrol grubu olarak takip edildi. Programlar haftada 3 gün olmak üzere 6 ay boyunca uygulandı. Tüm bireyler eğitim öncesinde ve eğitimin 3. ve 6. aylarında değerlendirildi. Değerlendirmeler Isomed 2000 (D&R Ferstl GmbH, Hemau, Germany) izokinetik sistem ile yapıldı. Tepe torku ve toplam işin H/Q oranı hesaplandı. Tekrarlı ölçümler ve "tedaviyi tamamlayanlar" protokolü (spinal stabilizasyon (n=28), aerobik eğitim (n=23)) istatistiksel analizde kullanıldı. Bulgular: Aerobik eğitim grubunun dominant taraf tepe torku H/Q oranı eğitim öncesi (0,732±0,12) ve eğitimin 6. ayında (0,847±0,11) arttı (F=6,08; p=0,03). Stabilizasyon eğitimi grubunun dominant taraf toplam iş H/Q oranı eğitim öncesi (0,773±0,15) ve eğitimin 3. ayında (0,855±0,12) arttı (F=6,402; p=0,002). Aerobik eğitim grubunda H/Q oranı eğitim öncesi (0,707±0,17) ve eğitimin 6. ayında (0,777±0,13) arttı. Sonuç: Hem aerobik hem de stabilizasyon eğitimi toplam iş H/Q oranını geliştirdi. Sedanter kadınlarda H/Q oranının hızlı gelişimi için stabilizasyon eğitimi önerilebilir.

Anahtar Kelimeler:

Diz eklemi, egzersiz, izokinetik test

Improving the Hamstrings-to-Quadriceps Strength Ratio in Sedentary Women: Comparison of Stabilization Training and Aerobic Training After a 6-Months Follow-up

Objective: The goals of this study were to investigate and compare the effects of aerobic and spinal stabilization training on the knee muscle hamstring-to-quadriceps (H/Q) ratio in adult women. Methods: Seventy of 85 women who applied to the fitness center were randomly assigned to spinal stabilization or aerobic training groups (1, 2). Twenty-one women out of 35 sedentary women from the university who had not participated to any sport or exercise program were followed as controls. The training programs were conducted for 3 days/week for six months. All subjects were assessed before training, at the 3rd, and 6th month of training. Assessments were performed with the Isomed 2000 isokinetic system (D&R Ferstl GmbH, Hemau, Germany). The peak torque and total work of H/Q ratios were calculated. Repeated measures and the “as treated” protocol (spinal stabilization (n=28), aerobic training (n=23)) were used for the analysis. Results: The hamstring-to-quadriceps ratio of peak torques on the dominant side increased between pre-training (0.732±0.12) and the 6th month of training (0.847±0.11) in the aerobic training group (F=6.08; p=0.03). The H/Q ratio of the total work increased on the dominant side in the stabilization training group between pre-training (0.773±0.15) and the 3rd month (0.855±0.12), (F=6.402; p=0.002) of training. It increased pre-training (0.707±0.17) and in the 6th month of training (0.777±0.13) in aerobic training group. Conclusion: Both aerobic and stabilization trainings improved the total work of the H/Q ratio. Stabilization training could be recommended for prompt improvement of the H/Q ratio for sedentary women.

Keywords:

Knee joint, exercise, isokinetic testing,

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