Gülşah ŞAHİN, Adnan ÇADIR, Hikmet ŞEKER, Melike YEŞİLIRMAK

DENGE DİSKİ EGZERSİZLERİNİN DİNAMİK DENGE VE DURUŞ KONTROLÜ ÜZERİNDEKİ ETKİSİNİN İNCELENMESİ

Bu araştırmanın amacı denge diski egzersizlerinin dinamik denge ve duruş kontrolü üzerindeki etkisini incelemektir. Araştırmaya,düzenli bir egzersiz programına devam etmeyen, gönüllü ve sağlıklı toplam 20 kadın üniversite öğrencisi katılmıştır. Kadınlar kontrol(10 kadın) ve egzersiz grubu(10 kadın) olarak ikiye ayrılmış ve kadınların hamle mesafesi, çoklu tek-bacak hoplamadaki denge hata sayısı ve yıldız denge testi mesafeleri egzersizden önce ve sonra ölçülmüştür. Egzersiz grubuna vestibüler denge diski kullanılarak 6 hafta, haftada 3 gün, 50 dakikalık denge egzersizleri uygulanmış, kontrol grubuna egzersiz uygulanmamıştır. Verilerin analizinde; Mann Whitney U testi ve Wilcoxon testi kullanılmıştır. Araştırmanın sonucunda;egzersiz grubunun egzersiz sonrası hamle mesafesinde anlamlı artış bulunmuş (p<0.05), çoklu tek-bacak hoplama denge hata sayısı ve yıldız denge testi sağ ve sol bacak mesafeleri,egzersiz öncesi ve sonrası değerleri arasında anlamlı fark bulunmamıştır (p>0.05). Egzersiz grubu ve kontrol grubu kıyaslandığında ise, sağ ve sol bacakla öne hamle mesafesi arasındaki fark anlamlı bulunmuş (p<0.05),iki grup arasındaki sağ ve sol bacakla yana hamle mesafesi arası fark anlamlı bulunmamış(p>0.05),sağ ve sol bacak iniş hata sayısı arasında anlamlı fark bulunmuş(p<0.05),sağ ve sol bacak denge hata sayısı arasında anlamlı fark bulunmamıştır (p>0.05).Sağ bacak anterior, anteromedial, medial ve anterolateral yöndeki erişme mesafeleri arasında ve sol bacak anterior, anteromedial, medial, posterolateral, lateral ve anterolateral yöndeki erişme mesafeleri arasında anlamlı fark bulunmuştur(p<0.05).Sonuç olarak, denge diski ile uygulanan 6 haftalık denge egzersizleri dinamik denge ve duruş kontrolünü olumlu yönde etkiler.

Anahtar Kelimeler:

Çoklu tek-bacak sıçrama denge testi, denge, hamle testi, yıldız denge testi

THE INVESTIGATION OF EFFECT OF BALANCE DISC EXERCISE ON DYNAMIC BALANCE AND POSTURAL CONTROL

The aim of this study was to investigate the effect of balance disc exercise on postural stabilization and dynamic balance. Twenty healthy female university students who were not in a regular exercise program participated in the study voluntarily. The women were divided into two groups as exercise (10 women) and control groups (10 women). Exercise group participated in balance exercise program by using vestibular balance disc for 6 weeks, 3 sessions a week which lasted for 50 minutes. Lunge distance, multiple single-leg hop stabilization error and star excursion balance test distance were measured before and after 6-week exercise program. The control group did not participate in the exercise program. The data were analyzed using The Mann Whitney U and Wilcoxon test. The results showed that there was significant difference between before and post exercise lunge test distances in exercise group (p<0.05). There were no significant differences between before and post-exercise stabilization errors and star excursion balance test distance in exercise group (p>0.05). There were significant differences in forward lunge with right and left leg distance between exercise group and the control group (p<0.05) while there were no significant differences in lateral lunge with right and left leg (p>0.05). There was significant difference in right and left leg landing errors between exercise and control group (p<0.05); however, there was no significant difference in right and left leg balance error (p>0.05). There were significant differences in anterior, anteromedial, medial, anterolateral distance in right leg and anterior, anteromedial, medial, posterolateral, lateral and anterolateral distance in left leg between exercise group and the control group (p<0.05). As a result, 6 week balance exercise with balance disc affects dynamic balance and postural stability positively

Keywords:

Balance, lunge test, multiple single-leg hop stabilization test, star excursion test,

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Tippett SR, Voight ML. Functional Progressions for Sport Rehabilitation. Human Kinetics; 1995.
Grigg P. Peripheral neural mechanisms in proprioception. Journal Sport Rehabilitation. 1994; 3, 2–17.
Palmieri RM, Ingersoll CD, Stone MB, Krause BA. Center-of-pressure parameters used in the assessment of postural control. J Sport Rehabil. 2002; 11:51–66.
Bressel E, Yonker JC, Kras J, Heath EM. Comparison of Static and Dynamic Balance in Female Collegiate Soccer, Basketball, and Gymnastics Athletes. Journal of Athletic Training. 2007; 42(1):42–46.
Filipa A, Byrnes R, Paterno MV, Myer GD, Hewett TE. Neuromuscular Training Improves performance on the star excursion balance test in young female athletes. Journal of Orthopaedic & Sports Physical Therapy. 2010; 40(9):551-558.
McKeon PO, Ingersoll CD, Kerrigan DC, Saliba E, Bennett BC, Hertel J. Balance training improves function and postural control in those with chronic ankle instability. Medicine &Science in Sports & Exercise.2008; 40(10):1810-1819.
Valovich McLeod TC, Armstong T, Miller M, Sauers JL. Balance improvements in female high school basketball players after a 6-week neuromuscular- training program. Journal of Rehabilitation.2009; 18:465-481.
Khodabakhshi M, Javaheri SAH, Atri AE, Zandi M, Khanzadeh R. The effect of balancing and resistive selected exercise on young footballers’ dynamic balance. European Journal Sports and exercise science. 2012; 1(3):44-51.
Hoch MC, Staton GS, McKeon PO. Dorsiflexion range of motion significantly influences dynamic balance. Journal of Science and Medicine in Sport. 2011; 14; 90-92.
Shimada H, Uchiyama Y, Kakurai S. Specific effects of balance and gait exercises on physical function among the frail elderly. Clinical Rehabilitation.2003; 17: 472–479.
Madras, D. and Barr JB. Rehabilitation for functional ankle instability. Journal of Sport Rehabilitation. 2003; 12 (2): 133-142.
Verhagen E, Van Der Beek A, Twisk J, Bouter L,Bahr R, Van Mechelen W. The Effect of a Proprioceptive Balance Board Training Program for the Prevention of Ankle Sprains: A Prospective Controlled Trial. The American Journal of Sports Medicine. 2004; 32(6):1385-1393.
Reiman Micheal P, Manske Robert C. Functional testing in human performance,139 tests for sports, fıtness, and occupational settings. Human Kinetics.2009; 108-116.
Aggarwal A, Zutshi K, Munjal J, Kumar S, Sharma V. Comparing stabilization training with balance training in recreationally active individuals. International Journal of Therapy & Rehabilitation. 2010; 17 (5):244-253.
Crill MT, Kolba CP, Chleboun GS. Using lunge measurements for baseline fitness testing. Journal of Sport Rehabilitation.2004; 13:44-53.
Iatridou K, Mandalidis D, Chronopoulos E, Vagenas G,
Athanasopoulos S. Static and dynamic body balance following provocation of the visual and vestibular systems in females with and without joint hypermobility syndrome. Journal of Bodywork & Movement Therapies. 2013; 1-6.
Ferrell WR, Tennant N, Baxendale RH, Kusel M, Sturrock RD. Musculoskeletal reflex function in the joint hypermobility syndrome. Arthritis Care & Research. 2007; 57:1329-1333.
Smart LJ, Smith DL. Postural Dynamics: clinical and empirical implications. Journal of Manipulative Physiological Therapeutics.2001; 24:340-348.
Kovac EJ, Birmingham TB, Forwell L, Litchfield RB. Effect of training on postural control in figure skaters. Clin J Sport Med 2004; 14:215-224.
Riemann BL,Tray NC, Lephart SM. Unilateral multiaxial coordination training and ankle kinesthesia,muscle strength,and postural control. J Sport Rehabil. 2003; 12:13-30.
Puls A, Gribble PA. Comparison of two thera-band training rehabilitation protocols on postural control. J Sport Rehabil. 2007; 16:75-84.
Kahle NL, Gribble PA. Core stability training in dynamic balance testing among young, healthy adults. Athl Train Sports Health Care. 2009; 1(2):65–73.
Eisen TC, Danoff JV, Leone JE, Miller TA. The effects of multiaxial and uniaxial unstable surface balance training in college athletes. The Journal of Strength &Condition Reserarch. 2010; 24(7):1740–1745.
Gribble PA and Hertel J. Considerations for Normalizing Measures of the Star Excursion Balance Test. Measurement in Physical Education and Exercise Science. 2003; 7(2): 89–100.