Ahmet Hilmi YÜCEL, Seda AYVAZOĞLU, Sema Özandaç POLAT, Ayşe Gül KABAKCI

Sağlıklı bale öğrencilerinde kas kuvvet değerlendirmelerinin test-retest güvenirliği

Amaç: Bu çalışmanın amacı sağlıklı bale öğrencilerinde Nicholas Manual Muscle Test (NMMT) aleti ile yapılan kas kuvvet ölçümlerinin test-retest güvenilirliğini araştırmaktır.Gereç ve Yöntem: Çalışma grubu 10-11 yaş arası 10 sağlıklı bale öğrencilerinden oluşmaktadır. Alt ekstremitenin kas kuvvet değerlendirmeleri NMMT aleti kullanılarak fiziksel performans düzeyini belirlemek için yapıldı. Ayrıca, her ölçüm 3'er defa NMMT aleti ile yapıldı.Bulgular: NMMT alet ölçümleri alt ekstremite kas kuvvet ölçümleri için klinik ölçümlerde güvenilir bulundu. NMMT aletinin güven aralığı 0.634 ile 0.991 olarak bulundu.Sonuç: Bu çalışmada, alt ekstremite kasları için NMMT aletinin bale öğrencilerinin tedavi etkinliğinin ve eğitimin değerlendirilmesinde, alt ekstremiteyi içeren problemlerin belirlenmesinde ve klinik ölçümlerde güvenilir olarak kullanılabileceğini düşünmekteyiz.

Anahtar Kelimeler:

Bale öğrencileri, Nicholas Manual Kas Kuvvet aletinin (NMMT) güvenirliği, Kas kuvveti.

Test-retest reliability of muscle strength evaluations in healthy ballet students

Purpose: The aim of this study is to investigate the test-retest reliability of muscles strength measurements performed with Nicholas Manual Muscle Tester (NMMT) in healthy ballet subjects.Materials and Methods: The study group consisted of 10 healthy ballet students aged between 10-11 years. Muscle strength evaluations of lower extremity were made to determine the physical performance level using NMMT. Moreover, every measurements were performed three times with NMMT. Results: NMMT measurements were found as reliable for lower extremity muscle strength in clinical measurements. These reliability of NMMT scores were found as between 0.634 and 0.991. Conclusion: In this paper, we think that NMMT measurements for lower extremity muscles can be used as reliable in clinical measurements and the identification of problems including lower extremity, evaluation of the training and treatment effectiveness of ballet students

Keywords:

Ballet students, reliability of Nicholas Manual Muscle Tester, Muscle force,

PDF

___

1. Valencia KM. Dance related injury. J Phys Med Reh Clinics. 2006;17:697-723.
2. Bennell K, Khan KM, Matthews B, De Gruyter M, Cook E, Holzer K et al. Hip and ankle range of motion and hip muscle strength in young novice female ballet dancers and controls. Br J Sports Med. 1993;33:340-6.
3. Otman S, Demirel H, Sade A. Tedavi Hareketlerinde Temel Değerlendirme Prensipleri, 6. Baskı. Ankara, Pelikan Yayıncılık. 2013.
4. Aras Ö, Aras B, Yılmaz İ, Kabay SC. Parkinson’lu olgularda kas kuvvet değerlendirmelerinin test- tekrar test güvenirliği. TÜBAV Dergisi. 2009;2:122-5.
5. Allen N, Nevill A, Brooks J, Koutedakis Y, Wyon M. Ballet injuries, injury incidence and severity over 1 year. J Orth Sports Phys Ther. 2012;42:781-90.
6. Arnold CM, Warkentin KD, Chilibeck PD, Magnus CRA. The reliability and validity of handheld dynamometry for the measurement of lower extremity muscle strength in older adults. J Strength Cond Res. 2010;24:815-24.
7. Krause DA, Neuger MD, Lambert KA, Johnson AE, Devinny HA, Hollman JH. Effects of examiner strength on reliability of hip strength testing using a handheld dynamometer. J Sport Rehabil. 2014;23:56-64.
8. Schreuders TAR, Selles RW, Roebroeck ME, Stam HJ. Strength measurements of the intrinsic hand muscles: a review of the development and evaluation of the Rotterdam intrinsic hand myometer. J Hand Ther. 2006;19:393-402.
9. Ayvazoğlu S. Okul Öncesi Dönemde Bale Eğitimi. Ankara, Akademisyen Kitabevi, 2013.
10. Twitchett EA, Koutedakis Y, Wyon MA. Physiological fitness and professional classical ballet performance. a brief review. J Strength Cond Res. 2009;9:2732-40.
11. Livanelioğlu A, Angın S, Otman S. Klasik bale eğitiminde ayak mekaniğini etkileyen faktörlerin incelenmesi. Fizyoterapi Rehabilitasyon. 1994:7(6):1-12.
12. Moller A. Masharawi Y. The effect of first ballet classes in the community on various postural parameters in young girls. Phys Ther Sport. 2011;12:188-93.
13. Akyıldız M, Açıkada C. Sanat sergileyen sporcular olarak dansçılar: klasik bale dansçılarının fiziksel uygunluk bileşenleri. Hacettepe Journal of Sport Sciences. 2011;22:33-42.
14. Kanaai JM, Mortazavi SB, Khavanin A, Mirzai R, Rasulzadeh Y, Mansurizadeh M. Foot anthropometry of 18-25 years old Iranian male students. Asian Journal of Scientific Research. 2010;3:62-9.
15. Subaylıgil S. Profesyonel bale dansçılarında aşırı kullanımdan kaynaklanan sakatlıklar ve nedenleri. Sahne ve Müzik Eğitim Araştırma Dergisi. 2017;4:64-95
16. Stuart J, David B, Brukner P. Stres fractures; pathophysiology, epidemiology and risk factors. Curr Osteoporos Rep. 2006;4:103-9.
17. Albisetti W, Perugia D, Bartolomeo OD, Tagliabue L, Camerucci E, Calori GM. Stres fractures of the base of the metatarsal bones in young trainee ballet dancers. Int Orthop. 2010;34:51-5.
18. Simpson S. Dance Injury Management. Wellington, New Zealand, DANZ, 2006.
19. Kaplan JF. Recreational ballet students: the mirror image of professional ballet aesthetics. Psi Chi J Undergrad Res. 2009;14:93-8.
20. Bennell KL, Khan KM, Matthews BL, Singleton C. Changes in hip and ankle range of motion and hip muscle strength in 8-11 year old novice female ballet dancers and controls: a 12 month follow up study. Br J Sports Med. 2001;35:54-9.
21. Blaes A, Baquet G, Fabre C, Praagh EV, Berthoin S. Is there any relationship between physical activity level and patterns and physical performance in children. Int J Behav Nutr Phys Act. 2011;8:122.
22. Smitley BE. Lafayette Instrument Model 01165 Lafayette Manual Muscle Test System User Instructions. Lafayette, IN, Lafayette Instrument, 2017.
23. Dunn JC, Iversen MD. Interrater reliability of knee muscle forces obtained by hand held dynamometer from elderly subjects with degenerative back pain. J Geriatr Phys Ther. 2003;26:323-9.
24. Moss CL, Wright PT. Comparison of three methods of assessing muscle strength and imbalance ratios of the knee. J Athl Train. 1993;28:155-8.