İTFAİYECİ ADAYLARININ CORE KAS DAYANIKLILIĞI İLE DİNAMİK DENGE PERFORMANSLARI ARASINDAKİ İLİŞKİNİN DEĞERLENDİRİLMESİ

İtfaiyeciler, genellikle tehlikeli koşullar altında dinamik aktiviteler gerektiren olaylara müdahale etmektedirler. Olaylara müdahale ettikleri esnada denge sorunları sebebiyle düşüp yaralanmaktadırlar. Core kaslarındaki yorgunluğun, dinamik dengenin azalmasına sebep olduğu ve denge kayıpları ile sonuçlandığı yapılan çalışmalarda bildirilmektedir. Bu çalışma, iftaiyeci adaylarının core kas dayanıklılığı ile dinamik denge performansları arasındaki ilişkilerin değerlendirilmesi amacıyla planlanmıştır. Ortalama yaşları 19,11±1,34 yıl, ortalama boy uzunlukları 176,06±6,56 cm ve ortalama vücut ağırlıkları 69,36±12,25 kg olan, toplam 26 erkek itfaiyeci adayı, basit rastgele örnekleme yöntemi ile araştırma için seçilmiş ve araştırmaya gönüllü olarak katılmıştır. Katılımcılara antropometrik (boy uzunluğu, kol boyu uzunluğu, bacak boyu uzunluğu, vücut ağırlığı, beden kitle indeksi ve vücut yağ yüzdesi) ve performans (core kas dayanıklılığı ve dinamik denge) ölçümleri uygulanmıştır. İtfaiyeci adaylarında core kas dayanıklılığı ile dinamik denge kompozit skorları arasındaki ilişkiler incelendiğinde, gövde ekstansiyon ile alt ekstremite sağ kompozit (r=0.558, p<0.01) ve sol kompozit (r=0.597, p<0.01) skorları arasında doğrusal olarak orta düzeyde ilişkiler; gövde fleksiyon ile alt ekstremite sağ kompozit skoru arasında doğrusal olarak zayıf ilişki (r=0.419, p<0.05); yan köprü test skorları ile alt ekstremite sağ kompozit (r=0.492, p<0.05) ve sol kompozit (r=0.480, p<0.05) skorları arasında doğrusal olarak zayıf ilişkiler; yüzükoyun köprü test skorları ile alt ekstremite sağ kompozit (r=0.508, p<0.01) ve sol kompozit (r=0.506, p<0.01) skorları arasında doğrusal olarak orta düzeyde ilişkiler tespit edilmiştir. Sonuç olarak, core kas dayanıklılığının düşük olması itfaiyeci adayı öğrencilerin dinamik denge yeteneklerini olumsuz yönde etkilemektedir. Özellikle alt ekstremite dinamik denge yeteneği, core kas dayanıklılığından üst ekstremite denge yeteneğine kıyasla istatistiksel olarak daha fazla etkilenmektedir.

Anahtar Kelimeler:

Alt ekstremite, üst ekstremite, core, itfaiyeci, yaralanma, y denge testi

EVALUATION OF RELATIONSHIP BETWEEN CORE MUSCLE ENDURANCE WITH DYNAMIC BALANCE PERFORMANCE OF FIREFIGHTER CANDIDATES

Firefighters usually interfere to events that require dynamic activities under dangerous conditions. While they are intervening in the events, they fall and get injured due to balance problems. It has been reported in studies that fatigue in the core muscles causes a decrease in dynamic balance and results in balance losses. The aim of this study is to evaluate the relationship between core muscle endurance with dynamic balance performances of firefighter candidates. A total of 26 male firefighter candidates (age: 19.11±1.34 years, height: 176.06±6.56 cm, weight: 69.36±12.25 kg) were participated in the study voluntarily. Participants of the study were sampled through simple random sampling method. Anthropometric (height, arm length, leg length, body weight, body mass index (BMI) and body fat percentage) and performance (core muscle endurance and dynamic balance) parameters were measured from the participants. There were a moderate linear correlation between trunk extension with lower extremity right composite (r=0.558, p<0.01) and left composite scores (r=0.597, p<0.01), weak linear correlation between trunk flexion with lower extremity right composite (r=0.419, p<0.05), weak linear correlation between lateral flexion with lower extremity right composite (r=0.492, p<0.05) and left composite scores (r=0.480, p<0.05), moderate linear correlation between prone bridge with lower extremity right composite (r=0.508, p<0.01) and left composite scores (r=0.506, p<0.01). In conclusion, low core muscle endurance affects the dynamic balance abilities of firefighter candidates negatively. Especially, lower extremity dynamic balance ability is statistically more affected by core muscle endurance than upper extremity balance ability.

Keywords:

Core, firefighter, injury, lower limb, upper limb, y balance test,

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Abaraogu, U. O., & Ugwa, W. O. (2016). Selected anthropometrics, spinal posture, and trunk muscle endurance as correlated factors of static balance among adolescent and young adult males. Turk J Phys Med Rehab., 1, 9-15.
Ahmed, S., Saraswat, A., &Esht, V. (2022). Correlation of core stability with balance, agility and upper limb power in badminton players: a cross-sectional study. Sport Sciences for Health, 18(1), 165-169.
Alsakhawi, R. S., & Elshafey, M. A. (2019). Effect of core stability exercises and treadmill training on balance in children with down syndrome: Randomized controlled trial. Advances in Therapy, 36(9), 2364-2373.
Ambegaonkar, J. P., Mettinger, L. M., Caswell, S. V., Burtt, A., & Cortes, N. (2014). Relationships between core endurance, hip strength, and balance in collegiate female athletes. Int J Sports Phys Ther., 9(5), 604-16.
Anderson, K., Sabrina, M., Strickland, S. M., & Russel, W. (2001). Hip and groin injuries in athletes. Am J Sports Med. 29, 521-533.
Atan, T. (2019). Farklı ısınma protokollerinin eklem hareket genişliği, sıçrama ve sprint performansına etkisi. OPUS International Journal of Society Researches, 13(19), 621-635.
Boling, M. C., Padua, D. A., Marshall, S. W., Guskiewicz, K., Pyne, S., & Beutler, A. (2009). A prospective investigation of biomechanical risk factors for patellofemoral pain syndrome: The joint undertaking to monitor and prevent ACL injury cohort. Am J Sports Med., 37, 2108-2116.
Brown, M. N., Char, R., Henry, S. O., Tanigawa, J., & Yasui, S. (2019). The effect of firefighter personal protective equipment on static and dynamic balance. Ergonomics, 62(9), 1193-1201.
Cerrah, A. O., Bayram, İ., Yıldızer, G., Uğurlu, O., Şimşek, D., & Ertan, H. (2016). Effects of functional balance training on static and dynamic balance performance of adolescent soccer players. International Journal of Sports, Exercise and Training Science, 2(2), 73-81.
Chan, M. K., Chow, K. W., Lai, A., Mak, N. K., Sze, J. C., Tsang, S. M. (2017). The effects of therapeutic hip exercise with abdominal core activation on recruitment of the hip muscles. BMC Musculoskeletal Disorders, 18(1), 1-11.
Colburn, D., Russo, L., Burkard, R., & Hostler, D. (2019). Firefighter protective clothing and self contained breathing apparatus does not alter balance testing using a standard sensory organization test or motor control test in healthy, rested individuals. Ergonomics, 80, 187-192.
Davidson, B. S., Madigan, M. L., & Nussbaum, M. A. (2004). Effects of lumbar extensor fatigue and fatigue rate on postural sway. European Journal of Applied Physiology, 93, 183-189.
Filipa, A., Byrnes, R., Paterno, M. V., Myer, G. D., & Hewett, T. E. (2010). Neuromuscular training improves performance on the star excursion balance test in young female athletes. Journal of Orthopaedic & Sports Physical Therapy, 40(9), 551-558.
Foran, B., & Pound, R. (2007). Complete conditioning for basketball. Champaign, IL: Human Kinetics.
Games, K. E., Csiernik, A. J., Winkelmann, Z. K., True, J. R., & Eberman, L. E. (2019). Personal protective ensembles’ effect on dynamic balance in firefighters. Work (Reading, Mass.), 62(3), 507-514.
Gordon, A. T., Ambegaonkar, J. P., & Caswell, S. V. (2013). Relationships between core strength, hip external rotator muscle strength, and star excursion balance test performance in female lacrosse players. Int J Sports Phys Ther., 8(2), 97-104.
Gorman, P. P., Butler, R. J., Plisky, P. J., & Kiesel, K. B. (2012). Upper quarter y balance test: Reliability and performance comparison between genders in active adults. J Strength Cond Res, 26(11), 3043-3048.
Granata, K. P., & Gottipati, P. (2008). Fatigue influences the dynamic stability of the torso. Ergonomics, 51(8), 1258-1271.
Günaydın, E. E., & Eliöz, M. (2020). Sporcu ve sedanterlerde core stabilizasyon kuvvetinin denge üzerine etkilerinin incelenmesi. Journal of International Social Research, 13(69), 1494-1501.
Ireland, M. L., Willson, J. D., Ballantyne, B. T., & Davis, I.M. (2003). Hip strength in females with and without patellofemoral pain. J Orthop Sports Phys Ther., 33(11), 671–676.
Kafa, N., Cengizhan, P. A., Örer, G. E., Çobanoğlu, G., Gökdoğan, Ç. M., Zorlular, A., & Güzel, N. A. (2020). Adölesan basketbolcularda “core” antrenman programının “core” kas enduransı, denge, çeviklik ve anaerobik güç üzerine etkisi. Türkiye Klinikleri Journal of Sports Sciences, 12(3), 274-282.
Kahle, N.L., & Gribble, P.A. (2009). Core stability training in dynamic balance testing among young, healthy adults. Athletic Training & Sports Health Care, 1(2), 65-73.
Kamalı, S., & Narin, A.N. (2020). Üst ekstremite stabilitesinin toplam vücut performansına etkisi: pilot çalışma. Nesibe Gevher Tıp ve Sağlık Bilimleri Dergisi, 5, 23-28.
Karasar, N. (2011). Bilimsel araştırma yöntemleri. Ankara: Nobel Yayınları.
Kibler, W. B., Press, J., & Sciascia, A. (2006). The role of core stability in athletic function. Sports Medicine, 36(3), 189-198.
Kollock, R., Thomas, J., Hale, D., Sanders, G., Long, A., Dawes, J., & Peveler, W. (2021). The effects of firefighter equipment and gear on the static and dynamic postural stability of fire cadets. Gait & Posture, 88, 292-296.
Magalhaes, E., Fukuda, T. Y., Sacramento, S. N., Forgas, A., Cohen, M., & Abdalla, R. J. (2010). A comparison of hip strength between sedentary females with and without patellofemoral pain syndrome. J Orthop Sports Phys Ther., 40(10), 641-647.
McCaskey, A. (2011). The effects of core stability training on star excursion balance test and global core muscular endurance. Doctoral dissertation, University of Toledo.
McGill, S. (2010). Core training: evidence translating to better performance and injury prevention. Strength and Conditioning Journal, 32(3), 33-46.
McGill, S. (2014). Ultimate back fitness and performance. Waterloo, Canada: Wabuno Publishers.
McGill, S. M., Childs, A., & Liebenson, C. (1999). Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil., 80, 941-944.
Nadler, S. F., Malanga, G. A., Bartoli, L. A., Feinberg, J. H., Prybicien, M., & Deprince, M. (2002). Hip muscle imbalance and low back pain in athletes: influence of core strengthening. Med. Sci. Sports Exerc., 34(1), 9-16.
Nadler, S. F., Malanga, G. A., DePrince, M. L., Stitik, T. P., & Feinberg, J. H. (2000). The relationship between lower extremity injury, low back pain, and hip muscle strength in male and female collegiate athletes. Clin J Sport Med., 10, 89-97.
Nadler, S. F., MaLanga, G. A., Feinberg, J. H., Prybicien, M., & DePrince, M. (2001). The relationship between hip muscle imbalance and occurrence of low back pain in collegiate athletes: a prospective study. Am J Phys Med Rehabil., 80(8), 572-577.
Ozmen, T. (2016). Relationship between core stability, dynamic balance and jumping performance in soccer players. Turkish Journal of Sport and Exercise, 18(1), 110-113.
Ödemiş, E., & Çelik, S. (2021). 14-16 yaş okçularda üst ekstremite dinamik denge skorlarının incelenmesi. Türkiye Sağlık Araştırmaları Dergisi, 2(3), 1-11.
Özgür, B., & Hüseyin, Y. H. (2021). The relationship between core stabilization and balance in the curling athletes. Pakistan Journal of Medical & Health Sciences, 15(10), 3269.
Özkal, Ö. (2021). Sağlıklı erişkinlerde gövde kas enduransı ve statik/dinamik denge arasındaki ilişkinin incelenmesi. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 6(3), 45-50.
Özmen, T., Gafuroğlu, Ü., Aliyeva, A., Elverici, E. (2017). Relationship between core stability and dynamic balance in women with postmenopausal osteoporosis. Turk J Phys Med Rehabil., 64(3), 239-245.
Page, P., Ellenbecker, T. S. (2005). Strength band training. USA: Human Kinetics, 206.
Plisky, P. J., Gorman, P. P., Butler, R. J., Kiesel, K. B., Underwood, F. B., & Elkins, B. (2009). The reliability of an instrumented device for measuring components of the star excursion balance test. North American Journal of Sports Physical Therapy: NAJSPT, 4(2), 92.
Plisky, P. J., Rauh, M. J., Kaminski, T. W., & Underwood, F. B. (2006). Star excursion balance test as a predictor of lower extremity injury in high school basketball players. J Orthop Sports Phys Ther., 36(12), 911-919.
Ruffe, N. J., Sorce, S. R., Rosenthal, M. D., & Rauh, M. J. (2019). Lower quarter and upper quarter y balance tests as predictors of running-related injuries in high school cross-country runners. Int J Sports Phys Ther., 14(5), 695-706.
Sadeghi, H., Shariat, A., Asadmanesh, E., & Mosavat, M. (2013). The effects of core stability exercise on the dynamic balance of volleyball players. International Journal of Applied Exercise Physiology, 2(2), 1-10.
Saraç, D. C., Bayram, S., Tore, N. G., Sari, F., Güler A. A., Tufan, A., & Oskay, D. (2022). Association of core muscle endurance times with balance, fatigue, physical activity level, and kyphosis angle in patients with ankylosing spondylitis. J Clin Rheumatol., 28(1), 135-140.
Sheaf, A. K., Bennett, A., Hanson, E. D., Kim, Y. S., Hsu, J., Shim, J. K., Edwards, S. T., & Hurley, B. F. (2010). Physiological determinants of the candidate physical ability test in firefighters. J Strength Cond Res., 24(11), 3112-3122.
Storer, T. W., Dolezal, B. A., Abrazado, M. L., Smith, D. L., Batalin, M. A., Tseng, C. H., Cooper, C. B. (2014). Firefighter health and fitness assessment: a call to action. J Strength Cond Res., 28(3), 661-671.
Suri, P., Kiely, D. K., Leveille, S. G., Frontera, W. R., & Bean, J. F. (2009). Trunk muscle attributes are associated with balance and mobility in older adults: a pilot study. PM&R, 1(10), 916-924.
Suyama, J., Rittenberger, J. C., Patterson, P. D., & Hostler, D. (2009). Comparison of public safety provider injury rates. Prehosp Emerg Care, 13(4), 451-455.
Thijis, Y., Tiggelen, D. V., Willems, T., Clercq D. D., & Witvrouw, E. (2007). Relationship between hip strength and frontal plane posture of the knee during a forward lunge. Br J Sports Med., 41, 723-727.
Türkeri, C., Büyüktaş, B., & Öztürk, B. (2020). Alt ekstremite ve kalça merkezi sabit tutularak uygulanan üst ekstremite y dinamik denge testi güvenirlik çalışması. Spor Bilimleri Dergisi, 31(2), 45-53.
Türkeri, C., Büyüktaş, B., & Öztürk, B. (2020). Alt ekstremite y dinamik denge testi güvenirlik çalışması. Electronic Turkish Studies, 15(2), 1439-1451.
Türkeri, C., Öztürk, B., Büyüktaş, B., & Öztürk, D. (2019). Farklı branşlardaki sporcuların statik denge, alt-üst ekstremite dinamik denge ve reaksiyon zamanlarının incelenmesi. Gaziantep Üniversitesi Spor Bilimleri Dergisi, 4(4), 480-490.
Ünver, F., Çetin, S. Y., Bayrak, G., Telef, F. K, & Erel, S. (2019). Sağlıklı bireylerde ve voleybolcularda üst ekstremite dinamik denge skorlarının incelenmesi. Türkiye Klinikleri Journal of Sports Sciences, 11(2), 90-96.
Van Dieën, J. H., Luger, T., & van der, EbJ. (2012). Effects of fatigue on trunk stability in elite gymnasts. European Journal of Applied Physiology, 112(4), 1307-1313.
Westrick, R. B., Miller, J. M., Carow, S. D., & Gerber, J. P. (2012). Exploration of the y-balance test for assessment of upper quarter closed kinetic chain performance. Int J Sports Phys Ther., 7(2), 139-147.
Willardson, J. M. (2007). Core stability training for healthy athletes: a different paradigm for fitness professionals. Strength & Conditioning Journal, 29(6), 42-49.
Willardson, J. M. (2018). Core gelişimi. Ç. Bulgan, M. A., Başar (Ed.), (221)İstanbul: İstanbul Tıp Kitabevleri.
Willson, J. D., Macleod, S. B., & Davis, I. S. (2008). Lower extremity jumping mechanics of female athletes with and without patellofemoral pain before and after exertion. Am J Sports Med., 36, 1587-1596.
Yoka, K., Akıl, M., & Top, E. (2021). The effect of core training performed with pilates ball on the static and dynamic balance performance of footballers. Beden Eğitimi ve Spor Bilimleri Dergisi, 15(3), 429-439.
Zazulak, B. T., Hewett, T. E., Reeves, N. P., Goldberg, B., & Cholewicki, J. (2007). The effects of core proprioception on knee injury: a prospective biomechanical-epidemiological study. Am J Sports Med., 35, 368–373.
Zazulak, B. T., Hewett, T. E., Reeves, N. P., Goldberg, B., & Cholewicki, J. (2007). Deficits in neuromuscular control of the trunk predict knee injury risk: a prospective biomechanical-epidemiologic study. Am J Sports Med., 35, 1123-1130.
Zazulak, B. T., Ponce, P. L., Staub, S. J., Medvecky, M. J., Avedisian, L., & Hewett, T.E. (2005). Gender comparison of hip muscle activity during single leg landing. J Orthop Sports Phys Ther., 35(5), 292–299.