Sağlıklı gençlerde kısa dönem dinamik stabilizasyon eğitiminin esneklik, kassal endurans ve dinamik denge üzerine etkileri: rastgele kontrollü çalışma

Amaç: Bu çalışma, kısa dönem dinamik stabilizasyon eğitiminin sağlıklı gençlerde esneklik, kassal endurans ve dinamik denge üzerine etkisini incelenmek amacıyla planlandı.Yöntem: Çalışmaya 42 sağlıklı genç dahil edildi (22 kadın, 20 erkek, yaş ort=23,1±1,7 yıl). Katılımcılar, eğitim grubu (N=22) ve kontrol grubu (N=20) olacak şekilde randomize olarak iki gruba ayrıldı. Katılımcıların esnekliği otur-uzan, üst ekstremite enduransı modifiye push-up, gövde enduransı mekik, lateral köprü ve Biering Sorensen, alt ekstremite enduransı otur kalk ve dinamik dengesi Y denge testi kullanılarak değerlendirildi. Tüm değerlendirmeler başlangıçta ve 3. haftanın sonunda uygulandı. Gövde stabilizatör kaslarının aktif hale getirilmesiyle birlikte stabilizasyon toplarının kullanıldığı dinamik stabilizasyon eğitimi, haftada 3 gün 3 hafta süresince yapıldı. Kontrol grubuna herhangi bir müdahale yapılmadı.Bulgular: Başlangıç ve 3. hafta sonundaki veriler incelendiğinde, dinamik stabilizasyon eğitim grubunda; mekik, Biering Sorensen ve otur kalk testlerinde ve y denge testinin sağ anterior, sol anterior ve posterolateral uzanım yönlerinde iyileşme görüldü (p<0,05). Kontrol grubunda herhangi gelişme görülmedi (p>0,05). Tüm testlerin delta değerleri gruplar arasında karşılaştırıldığında; sadece Biering Sorensen testinde ve Y denge testi sol anterior ve posterolateral uzanım yönlerinde dinamik stabilizasyon eğitim grubu lehine anlamlı sonuçlara ulaşıldı (p<0,05).Tartışma:Kısa dönem dinamik stabilizasyon eğitimi, sağlıklı gençlerde gövde ve alt ekstremite kassal enduransı ve dinamik denge üzerine olumlu etkiler yaratmıştır. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 9.0px Helvetica} p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 9.0px Helvetica} p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 9.0px Helvetica} p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 9.0px Helvetica}

Anahtar Kelimeler:

Egzersiz eğitimi, esneklik, rastgele kontrollü çalışma, kas kuvveti, postüral denge

PDF

___

1. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36:189-198.
2. Hodges PW, Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther. 1997;77:132-142.
3. Myer GD, Chu DA, Brent JL, et al. Trunk and hip control neuromuscular training for the prevention of knee joint ınjury. Clin Sports Med. 2008;27:425-448.
4. McGill SM. Lower back stability: from formal description to issues for performance and rehabilitation. Exerc Sport Sci Rev. 2001;29:26-31.
5. Olmsted LC, Carcia CR, Hertel J, et al. Efficacy of the Star Excursion Balance Tests in detecting reach deficits in subjects with chronic ankle instability. J Athl Train. 2002;37:501-506.
6. Kibele A, Behm DG. Seven weeks of instability and traditional Resistance training effects on strength, balance and functional performance. J Strength Cond Res. 2009;23:2443-2450.
7. Behm DG, Leonard AM, Young WB, et al. Trunk muscle electromyographic activity with unstable and unilateral exercises. J Strength Cond Res. 2005;19:193-201.
8. Marshall PWM, Murphy BA. Evaluation of functional and neuromuscular changes after exercise rehabilitation for low back pain using a Swiss ball: A pilot study. J Manipul Physiol Therap. 2006;29:550-560.
9. Marshall PWM , Murphy BA. Increased deltoid and abdominal muscle activity during Swiss ball bench press. J Strength Cond Res. 2006;20:745-750.
10. Check P. Swiss ball exercises for swimming, soccer and basketball. Sports Coach. 1999;21:12-13.
11. Rutherford OM, Jones DA. The role of learning and coordination in strength training. Eur J Appl Physiol. 1986;55:100-105.
12. Carriere B. The ‘Swiss Ball’: An effective tool in physiotherapy for patients, families and physiotherapists. Physiotherapy. 1999;85:552-561.
13. Marshall PW, Murphy BA. Core stability exercises on and off a Swiss ball. Arch Phys Med Rehab. 2005;86:242-249.
14. Norris CM. Spinal stabilisation: 5. An exercise programme to enhance lumbar stabilisation. Physiotherapy. 1995;81:138-146.
15. Smith MB. The Swiss Ball Theory, basis exercises and clinical application. Physiotherapy. 1999;85:274-561.
16. Stanforth D, Stanforth PR, Hahn SR, et al. A 10-week training study comparing resistaball and traditional trunk training. J Dance Med Sci. 1998;2:134-140.
17. Carter JM, Beam WC, Mcmahan SG, et al. The effects of stability ball training on spinal stability in sedentary individuals. J Strength Cond Res. 2006;20:429-435.
18. Morris M, Morris S. Resistaball C.O.R.E. Instructor Certification. Destin, Florida: Resistaball, Inc. 2001.
19. Bös K, Schlenker L, Büsch D, et al. Deutscher Motorik-Test 6-18 (DMT 6-18). Hamburg: Feldhaus; 2009.
20. Baumgartner TA, Oh S, Chung H, et al. Objectivity, reliability and validity for a revised push-up test protocol. Meas Phys Educ Exerc Sci. 2002;6:225-242.
21. Jones CJ, Rikli RE, Beam WC. A 30-s Chair-Stand Test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport. 1999;70:113-119.
22. Juker D, McGill S, Kropf P, et al. Quantitative intramuscular myoelectric activity of lumbar portions of psoas and the abdominal wall during a wide variety of tasks. Med Sci Sports Exerc. 1998;30:301-310.
23. McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999;80:941-944.
24. Biering-Sorensen F. Physical measurements as risk indicators for low-back trouble over a one year period. Spine. 1984;9:106-119.
25. Kinzey SJ, Armstrong CW. The reliability of the Star-Excursion Test in assessing dynamic balance. J Orthop Sports Phys Ther. 1998;27:356-360.
26. Plisky PJ, Rauh MJ, Kaminski TW, et al. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. J Orthop Sports Phys Ther. 2006;36:911-919.
27. Lee JH, Hoshino Y, Nakamura K, et al. Trunk muscle weakness as a risk factor for low back pain. A 5-year prospective study. Spine. 1999;24:54-57.
28. Handa N, Yamamoto H, Tani T et al. The effect of trunk muscle exercises in patients over 40 years of age with chronic low back pain. J Orthop Sci. 2000;5:210-216.
29. Reid S, Hazard RG, Fenwick JW. Isokinetic trunk strength deficits in people with and without low-back pain: a comparative study with consideration of effort. J Spinal Disord. 1991;4:68-72.
30. McGill SM, Karpowicz A, Fenwick CM. Ballistic abdominal exercises: muscle activation patterns during three activities along the stability/mobility continuum. J Strength Cond Res. 2009;23:898-905.
31. Behm DG. Neuromuscular implications and applications of resistance training. J Strength Cond Res. 1995;9:264-274.
32. Stanton R, Reaburn PR, Humphrıes B. The effect of short-term Swiss ball training on core stability and running economy. J Strength Cond Res. 2004;18:522-528.
33. Bhadauria EA, Gurudut P. Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial. J Exerc Rehabil. 2017;13:477-485.
34. Shin CH, Kim M, Park GD. Impact of post manipulation corrective core exercises on the spinal deformation and lumbar strength in golfers: a case study. J Phys Ther Sci. 2015;27:3027-3030.
35. Hewett TE, Torg JS, Boden BP. Video analysis of trunk and knee motion during non-contact anterior cruciate ligament injury in female athletes: lateral trunk and knee abduction motion are combined components of the injury mechanism. Br J Sports Med. 2009;43:417-422.
36. Alaranta H, Luoto S, Heliovaara M, et al. Static back endurance and the risk of low-back pain. Clin Biomech.1995;10:323-324.
37. Srivastav P, Nayak N, Nair S, et al. Swiss ball versus mat exercises for core activation of transverse abdominis in recreational athletes. J Clin Diagn Res. 2016;10:1-3.
38. Thorpe JL, Ebersole KT. Unilateral balance performance in female collegiate soccer athletes. J Strength Cond Res. 2008;22:1429-1433.
39. Filipa A, Byrnes R, Paterno MV, et al. Neuromuscular training improves performance on the star excursion balance test in young female athletes. J Orthop Sports Phys Ther. 2010;40:551-558.
40. Sato K, Mokha M. Does core strength training influence running kinetics, lower-extremity stability, and 5000-m performance ın runners? J Strength Cond Res. 2009;23:133-140.
41. Sekendiz B, Cuğ M, Korkusuz F. Effects of Swiss-ball core strength training on strength, endurance, flexibility, and balance in sedentary women. J Strength Cond Res. 2010;4:3032-3040.
42. Gribble PA, Hertel J, Plisky P. Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. J Athl Train. 2012;47:339-357.