Kürekçilerde kürek çekme süresi lateral epikondilit semptomları ile ilişkili midir?

Amaç: Çalışmamızda kürekçilerde kürek çekme süresi ile ağrı, fonksiyon ve kuvvet ile ilişkili semptomları araştırmayı amaçladık.Yöntem: Türkiye Ulusal Kürek Takımında yer alan 40 gönüllü kürekçi çalışmaya dahil edildi. Kürekçilerin, kaba ve ince kavrama kuvvetleri, kas kuvvetleri ve lateral epikondilit ile ilişkili semptomları aynı fizyoterapist tarafından değerlendirildi.Bulgular: Kürekçilerin ortalama yaşları 21,4±4,3 yıl idi. Değerlendirme sonuçlarına göre kavrama ve kas testi ortalamaları, sağ kaba kavrama 91,3±25,2 kgf, sol kaba kavrama 89,7±18,0 kgf, sağ ince kavrama 24,6±5,2 kgf, sol ince kavrama 23,02±4,64 kgf idi. Manuel kas testi sonuçlarında, extansor carpi radialis longus için sağ 5,0±0,0, sol 4,9±0,3, extansor carpi radialis brevis için sağ 5,0±0,0, sol 4,9±0,3, extensor pollicis longus için sağ 5,0±0,0, sol 4,9±0,3, extensor digitorum communis için sağ 4,6±0,5, sol 4,3±0,7 idi. “Patient-Rated Tennis Elbow Evaluation”in iki alt başlığından ağrı 10,5±6,2, fonksiyon 7,9±3,4 ve total skoru 18,4±8,6 olarak bulundu. Çalışmamızın sonuçlarına göre kürekçilerin, kavrama kuvveti, kas testi ve “Patient-Rated Tennis Elbow Evaluation” sonuçları arasında istatistiksel olarak anlamlı ilişki bulunmadı (p>0,05).Sonuç: Kürekçilerde lateral epikondilit semptomları, kas gücü ve kavrama kuvvetleri arasında ilişki bulunmadı. Bunun nedeninin, olgu sayısının az olması ve olguların kürek çekme sürelerinin homojen dağılmaması olduğu görüşündeyiz. Ekipman modifikasyonlarıyla semptomların azaltılması koruyucu rehabilitasyon olarak önerilir.

Anahtar Kelimeler:

Ağrı, Tenisçi Dirseği, Kas Kuvveti, Üst Ekstremite, Sporcular

Is active rowing time associated with lateral epicondylitis symptoms in rowers?

Purpose: We aimed to investigate the relationship between active rowing time, pain, function, and strength in rowers.Methods: Forty volunteer rowers from Turkish National Rowing Team participated in the study. Rowers’ gross and fine grip strength, muscle strength, and symptoms of lateral epicondylitis was evaluated by the same physiotherapist.Results: The mean age was 21.4±4.3 year of rowers. The mean results of right gross grip was 91.3±25.2 kgf, left gross grip 89.7±18.0 kgf, right fine grip 24.6±5.2 kgf, left fine grip 23.0±4.6 kgf. The manual muscle testing results were for extensor carpi radialis longus on right 5.0±0.0, on left 4.9±0.3, extensor carpi radialis brevis on right 5.0±0.0, on left 4.9±0.3, extensor pollicis longus on right 5.0±0.0, on left 4.9±0.3, extensor digitorum communis on right 4.6±0.5, on left 4.3±0.7. The Patient-Rated Tennis Elbow Evaluation pain subscale score was 10.5±6.2, function subscale score was 7.9±3.4 and total score was 18.4±8.6 points. There was statistically significant relationship between grip, muscle strength and “Patient-Rated Tennis Elbow Evaluation” scores (p>0.05).Conclusion: There was no statistically significant relationship between lateral epicondylitis symptoms, grip strength and muscle testing in rowers. The reason for this, we conclude that the number of cases was low and active rowing times of the cases are not uniformly distributed. Reducing symptoms with equipment modifications is recommended as protective rehabilitation.

Keywords:

Pain, Tennis Elbow, Muscle Strength, Upper Extremity, Athletes,

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