Nilüfer KABLAN, Selda UZUN, Yaşar TATAR, Fatma KULALI, Nejla GERÇEK, Şamil AKTAŞ

Balerin ve Sedanterlerde Kısa Süreli Egzersizin Ayak Taban Basınç Dağılımına Etkisinin Karşılaştırılması: Ön Çalışma

Amaç: Bu çalışma, balerinlerde kısa süreli alt ekstremite egzersizinin orta ayak taban basınç dağılımı üzerine etkisini araştırmak ve sedanter grup ile karşılaştırmak amacıyla gerçekleştirilmiştir. Gereç ve Yöntem: Araştırma, deneysel kontrollü bir çalışma olarak tasarlanmıştır. En az iki yıldır bale eğitimi alan Bale Dansçılığı Sanat Dalı öğrencileri (yaş: 16.31±2.1 yıl) ve sedanter kadın öğrenciler (yaş: 16.73±1.8 yıl) çalışmaya dâhil edilmiştir. Ayak taban basınç ve naviküler yükseklik ölçümleri senkronize bir şekilde, bisiklet egzersizinden önce ve sonra olmak üzere iki defa gerçekleştirilmiştir. Ayak taban basınç ölçümlerinde MatScan® kuvvet platformu kullanılmıştır. Oturma, egzersiz öncesi ve egzersiz sonrası ayakta durma pozisyonlarındaki naviküler yükseklik kamera kayıtları ile değerlendirilmiştir. Verilerin analizinde tekrarlayan ölçümler için varyans analizi ve post-hoc karşılaştırmada Bonferroni testi kullanılmıştır. Grup içi karşılaştırmalar bağımlı grupta t-testi, gruplar arası karşılaştırmalar bağımsız gruplarda t-testi kullanılarak yapılmıştır. Bulgular: Egzersiz öncesi ayakta durma pozisyonunda orta ayağa gelen basınç değerleri açısından gruplar arasında fark olduğu saptanmıştır (p<.05). Her iki grupta da grup içinde oturma, egzersiz öncesi ayakta durma ve egzersiz sonrası ayakta durma naviküler yükseklikleri arasında anlamlı fark vardır (p<.05). Post-hoc karşılaştırma yapıldığında, balerin grupta, egzersiz öncesi ayakta durma ve egzersiz sonrası ayakta durma navikuler yükseklikleri oturma pozisyonuna göre; sedanter grupta ise, tüm pozisyonlar birbirlerine göre anlamlı farka sahiptir (p<.05). Sonuç: Bu araştırmada, balerin grubun egzersiz öncesi ayakta durma orta ayak basıncının sedanter gruptan yüksek olduğu bulundu. Balerinlerde naviküler yükseklik ve orta ayak taban basıncının kısa süreli egzersizle değişmediği görülmüştür.

Anahtar Kelimeler:

Balerin, Hipermobilite, Naviküler Düşme

PDF

___

Adhikari, U., Arulsingh, W., Pai, G., & Raj, J. O. (2014). Normative values of Navicular drop test and the effect of demographic parameters - A cross sectional study. Annals of Biological Research, 5(7), 40–48.
Barber Foss, K. D., Ford, K. R., Myer, G. D., & Hewett, T. E. (2009). Generalized Joint Laxity Associated with Increased Medial Foot Loading in Female Athletes. Journal of Athletic Training, 44(4), 356–362. https://doi.org/10.4085/1062-6050-44.4.356
Beighton, P., & Horan, F. (1969). Orthopaedic aspects of the Ehlers-Danlos syndrome. The Journal of Bone and Joint Surgery, 51(3), 444–453. https://doi.org/10.1007/s11999-011-2054-0
Buldt, A. K., Murley, G. S., Levinger, P., Menz, H. B., Nester, C. J., & Landorf, K. B. (2015). Are clinical measures of foot posture and mobility associated with foot kinematics when walking ?, 8(63), 1–12. https://doi.org/10.1186/s13047-015-0122-5
Caravaggi, P., Giacomozzi, C., & Leardini, A. (2014). Foot segments mobility and plantar pressure in the normal foot. Journal of Foot and Ankle Research, 7(Suppl 1), A11. https://doi.org/10.1186/1757-1146-7-S1-A11
Cavanagh, P. R., Morag, E., Boulton, A. J. M., Young, M. J., Deffner, K. T., & Pammer, S. E. (1997). The relationship of static foot structure to dynamic foot function. Journal of Biomechanics, 30(3), 243–250. https://doi.org/10.1016/S0021-9290(96)00136-4
Costa, M. S. S., Ferreira, A. S., Orsini, M., Silva, E. B., & Felicio, L. R. (2016). Characteristics and prevalence of musculoskeletal injury in professional and non-professional ballet dancers. Brazilian Journal of Physical Therapy, 20(2), 166–175. https://doi.org/10.1590/bjpt-rbf.2014.0142
Day, H., Koutedakis, Y., & Wyon, M. A. (2011). Hypermobility and dance: A review. International Journal of Sports Medicine, 32(7), 485–489. https://doi.org/10.1055/s-0031-1273690
Foley, E. C., & Bird, H. A. (2013). Hypermobility in dance: Asset, not liability. Clinical Rheumatology, 32(4), 455–461. https://doi.org/10.1007/s10067-013-2191-9
Gamboa, J. M., Roberts, L. A., Maring, J., & Fergus, A. (2008). Injury Patterns in Elite Preprofessional Ballet Dancers and the Utility of Screening Programs to Identify Risk Characteristics. Journal of Orthopaedic & Sports Physical Therapy, 38(3), 126–136. https://doi.org/10.2519/jospt.2008.2390
Grahame, R. (1999). Joint hypermobility and genetic collagen disorders: are they related? Archives of Disease in Childhood, 80(2), 188–191. https://doi.org/10.1136/adc.80.2.188
Grahame, R. (2003). Hypermobility and the hypermobility syndrome. In R. J. Keer & R. Grahame (Eds.), Hypermobility Syndrome: Diagnosis and Management for Physiotherapists, (pp. 1–14). Elsevier Ltd. https://doi.org/10.1016/j.math.2007.05.001
Hamilton, W. G., Hamilton, L. H., Marshall, P., & Molnar, M. (1992). A profile of the musculoskeletal characteristics of elite professional ballet dancers. The American Journal of Sports Medicine, 20(3), 267–273. https://doi.org/10.1177/036354659202000306
Hicks, J. H. (1954). The mechanics of the foot: II. The plantar aponeurosis and the arch. Journal of Anatomy, 88(Pt 1), 25–31. https://doi.org/10.1159/000141121
Huson, A. (2000). Biomechanics of the tarsal mechanism. A key to the function of the normal human foot. Journal of the American Podiatric Medical Association, 90(1), 12–17. https://doi.org/10.7547/87507315-90-1-12
Jacob, H. A. C. (2001). Forces acting in the forefoot during normal gait - An estimate. Clinical Biomechanics, 16(9), 783–792. https://doi.org/10.1016/S0268-0033(01)00070-5
Kim, T., & Park, J. (2017). Short-term effects of sports taping on navicular height, navicular drop and peak plantar pressure in healthy elite athletes. Medicine, 96(46 (e8714)), 1–6.
Klemp, D. Chalton, P. (1989). Articular mobility in ballet dancers. The American Journal of Sports Medicine, 17(1), 4–7.
Koutedakis, Y., & Jamurtas, A. (2004). The dancer as a performing athlete: Physiological considerations. Sports Medicine, 34(10), 651–661. https://doi.org/10.2165/00007256-200434100-00003
Leanderson, C., & Leanderson, J. (2011). Musculoskeletal injuries in young ballet dancers. Knee Surgery Sports Traumatology Arthroscopy, 19, 1531–1535. https://doi.org/10.1007/s00167-011-1445-9
McCormack, M., Briggs, J., Hakim, A., & Grahame, R. (2004). Joint Laxity and the Benign Joint Hypermobility Syndrome in Student and Professional Ballet Dancers. Journal of Rheumatology, 31(1), 173–178. https://doi.org/0315162X-31-173 [pii]
Mcpoil, T. G., Cornwall, M. W., Abeler, M. G., Devereaux, K. J., Flood, L. J., Merriman, S. E., & Sullivan, S. (2013). The Optimal Method to Assess the Vertical Mobility of the Midfoot : Navicular Drop versus Dorsal Arch Height Difference ? Clinical Research on Foot&Ankle, 1(1), 1–8. https://doi.org/10.4172/crfa.1000104
Murray, K. J. (2006). Hypermobility disorders in children and adolescents. Best Practice and Research: Clinical Rheumatology, 20(2), 329–351. https://doi.org/10.1016/j.berh.2005.12.003
Nilsson, M. K., Friis, R., Michaelsen, M. S., Jakobsen, P. A., & Nielsen, R. O. (2012). Classification of the height and flexibility of the medial longitudinal arch of the foot. Journal of Foot and Ankle Research, 5(1), 1–9. https://doi.org/10.1186/1757-1146-5-3
Periyasamy, R., & Anand, S. (2013). The effect of foot arch on plantar pressure distribution during standing. Journal of Medical Engineering and Technology, 37(5), 342–347. https://doi.org/10.3109/03091902.2013.810788
Prusak, K. M., Prusak, K. A., Hunter, I., Seeley, M. K., & Hopkins, J. T. (2014). Comparison of Two Taping Techniques on Navicular Drop and Center-of-Pressure Measurements During Stance. [Athletic Training & Sports Health Care, 6(6), 252–260. https://doi.org/10.3928/19425864-20141125-13
Rao, S., Saltzman, C. L., & Yack, H. J. (2010). Relationships between segmental foot mobility and plantar loading in individuals with and without diabetes and neuropathy. Gait and Posture, 31(2), 251–255. https://doi.org/10.1016/j.gaitpost.2009.10.016
Scheper, M. C., De vries, J. E., De vos, R., Verbunt, J., Nollet, F., & Engelbert, R. H. H. (2013). Generalized joint hypermobility in professional dancers: A sign of talent or vulnerability? Rheumatology (United Kingdom), 52(4), 651–658. https://doi.org/10.1093/rheumatology/kes220
Scher, D. L., Owens, B. D., Sturdivant, R. X., & Wolf, J. M. (2010). Incidence of joint hypermobility syndrome in a military population: Impact of gender and race. Clinical Orthopaedics and Related Research, 468(7), 1790–1795. https://doi.org/10.1007/s11999-009-1182-2
Shrader, J. A., Popovich, J. M., Gracey, G. C., & Danoff, J. V. (2005). Navicular Drop Measurement in People With Rheumatoid Arthritis : Interrater and Intrarater Reliability. Physical Therapy, 85(7), 656–664.
Steinberg, N., Hershkovitz, I., Zeev, A., Rothschild, B., & Siev-Ner, I. (2016). Joint hypermobility and joint range of motion in young dancers. Journal of Clinical Rheumatology, 22(4), 171–178. https://doi.org/10.1097/RHU.0000000000000420
Steinberg, N., Siev-Ner, I., Peleg, S., Dar, G., Masharawi, Y., Zeev, A., & Hershkovitz, I. (2012). Joint range of motion and patellofemoral pain in dancers. International Journal of Sports Medicine, 33(7), 561–566. https://doi.org/10.1055/s-0031-1301330
Teyhen, D. S., Stoltenberg, B. E., Collinsworth, K. M., Giesel, C. L., Williams, D. G., Kardouni, C. H., … McPoil, T. (2009). Dynamic plantar pressure parameters associated with static arch height index during gait. Clinical Biomechanics, 24(4), 391–396. https://doi.org/10.1016/j.clinbiomech.2009.01.006
Wolf, J. M., Cameron, K. L., & Owens, B. D. (2011). Impact of Joint Laxity and Hypermobility on the Musculoskeletal System. Journal of the American Academy of Orthopaedic Surgeons, 19(8), 463–471.