Hamstring Kas Grubu Üzerine Uygulanan Farklı Modalitelerin Eklem Hareket Açıklığına Etkileri: Randomize Tek Kör Çalışma

Çalışmanın amacı kısa hamstring kas grubu üzerine uygulanan germe, masaj ve germe, sıcak uygulama ve germe uygulamalarının diz eklemi hareket açıklığı performansı üzerindeki anlık etkilerini karşılaştırmaktır. Çalışmaya yaş; 21.73±1.5, boy uzunluğu; 176 ± 5.1 cm, vücut ağırlığı; 73.23 ± 9.86 kg, Beden Kütle İndeksi (BKİ); 23.38 ± 2.86 kg/m² olan 60 gönüllü birey dahil edildi. Gönüllüler rastgele 20’şerli 3 gruba ayrıldı. 1. gruba sadece 10’ar saniyelik dinlenme periyodu ile 3*30 saniyelik germe, 2. gruba 9-12 dakikalık klasik masaj ve sonrasında germe, 3. gruba ise 20 dakika sıcak uygulama ve sonrasında germe uygulandı. Uygulamaların öncesi ve hemen sonrasında hamstring fleksibilitesi ölçümleri kaydedildi. Hamstring fleksibilitesinin ölçümünde Aktif Diz Ekstansiyon (ADE) testi kullanıldı. Grupların ADE-ilk ölçüm ortalamaları açısından istatistiksel olarak anlamlı bir fark bulunmadı. Grupların ADE-son parametreleri açısından ise istatistiksel olarak anlamlı farklar saptandı. Bu farklar incelendiğinde germenin etkinliğini arttırmada germe öncesi sıcak uygulama ve masajın olumlu etkileri olduğu ve germe öncesi bu iki girişimden de sıcak uygulamanın etki büyüklüğünün daha fazla olduğu tespit edildi. Sonuç olarak bu çalışma, sadece statik germe ve germe ile kombine uygulanan girişimlerin hamstring kas uzunluğunu arttırmada etkili olduğunu göstermiştir.  

The Effects of Different Modalities on Range of Motion of Hamstring Muscle Group: A Randomized Single-Blinded Trial

The aim of the study is to compare the immediate effects of stretching, massage and stretching, hot application and stretching exercises applied on the range of motion of short hamstring muscle group on knee joint. Sixty volunteers were included in the study: age; 21.73 ± 1.5 years, height; 176 ± 5.1 cm, body weight; 73.23 ± 9.86 kg and (Body Mass Index) BMI; 23.38 ± 2.86 kg / m². The volunteers were randomly divided into 3 groups of 20 people. The 1st group was stretched by 3*30 seconds with a rest period of only 10 seconds, the 2nd group was 9-12 minutes of classical massage followed by stretching and 3rd group was applied 20 minutes hot-pack afterwards stretching. Measurements of hamstring flexibilites were recorded before and immediately after interventions. Active Knee Extension (AKE) test was used to measure hamstring flexibilty. There was no statistically significant difference between groups in terms of AKE-first measurement averages. Statistically significant differences were found in terms of AKE-end parameters of the groups. When these differences were examined, it was determined that hot-pack before stretching and massage before stretching were positive effects on increasing of stretching performance, and it was found that the effect size of the hot-pack was higher than those of the two interventions. In conclusion, this study showed that only the static stretching and stretching-induced interventions were effective in increasing the hamstring muscle length.

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