Adölesan Voleybol Oyuncularında Ayak Biyomekaniği ve Plantar Basınç ile Denge Arasındaki İlişkinin İncelenmesi

Amaç: Erkek adölesan voleybol oyuncularında ayak biyomekaniği ve plantar basınç dağılımı ile denge arasındaki ilişkinin incelenmesidir.Materyal-Metod: Çalışmamıza Halkbank Spor Kulübü alt yapılarında voleybol oynayan, adölesan yaşta (ortalama 16,16±1,52 yıl) olan 36 erkek sporcu dahil edildi. Sporcuların demografik bilgileri ve fiziksel özellikleri (yaş, boy, kilo ve spor yaşı) kaydedildi. Sporcuların ayak biyomekaniği değerlendirmesinde navikular düşme miktarı, metatars genişliği, subtalar eklem açısı ve halluks valgus açısı kaydedildi. Denge değerlendirmesinde Biodex Denge Stabilite Sistemi (Biodex Medical Systems, Shirley, NY, USA) kullanıldı. Anterior/Posterior Denge indeksi, Toplam Denge indeksi ve Medial/Lateral Denge indeksi değerleri kaydedildi. Plantar basınç dağılımı değerlendirmesinde, yürüyüş sırasında gerçekleştirilen ağırlık dağılım hataları ve yüzeysel dağılım hataları freemed® (Sensor Medica Inc., Rome, Italy) pedobarografi cihazı kullanılarak kaydedildi. Veriler SPSS 22.0 paket programı ile bağımsız değişkenlerin birbiri ile ilişkisi Spearman Korelasyon Analizi ile değerlendirildi. İstatistiksel anlamlılık düzeyi p<0,05 kabul edildi.Bulgular: Çalışmamız sonucunda ayak biyomekanik değerleri ile denge arasında ilişki olmadığı tespit edildi (p>0,05). Sporcuların plantar basınç dağılımı değerleriyle denge ölçümleri arasındaki ilişki incelendiğinde, bazı basınç dağılım değerleriyle denge değerleri arasında ilişki olduğu belirlendi (p<0,05).Sonuç: Çalışmadan elde edilen sonuçlara göre plantar basınç dağılımının denge ile ilişkili olduğu görüldü. Sporcuların gerek denge performanslarının geliştirilmesi gerekse de ayak yaralanmaların önlenmesi açısından ayak plantar basınç dağılımı analizlerinin yapılmasının önemli olduğunu düşünmekteyiz. Ayakta meydana gelebilecek plantar basınç dağılım değişikliklerine neden olabilecek faktörlerin belirlenmesi ve bunlara yönelik uygulamalar ile düzenlenecek antrenman programlarının, sporcular açısından daha etkili olabileceği kanaatindeyiz.

Anahtar Kelimeler:

Ayak Biyomekaniği, Adölesan, Postüral Kontrol, Voleybol

Examination of the Correlation Between Foot Biomechanics, Plantar Pressure and Balance in Adolescent Volleyball Players

Objective: To investigate the relationship between foot biomechanics and pedobarographic evaluation with balance in adolescent male volleyball players.Method: Total of 36 male athletes of adolescent age (average 16.16±1.52 years) who played volleyball in the youth team of the Halkbank Sports Club were included in the study. Demographic information and physical characteristics (age, height, weight and sports age) of the athletes were recorded. The foot biomechanical evaluation of the athletes was recorded with the navicular drop test, metatarsal width, subtalar joint angle and hallux valgus angle. Balance values were recorded using the Biodex Balance Stability System (Biodex Medical Systems, Shirley, NY, USA). Anterior / Posterior Balance Index, Total Balance Index and Medial / Lateral Balance Index values were recorded. In the evaluation of plantar pressure errors and surface contact errors during walking were recorded using freemed® (Sensor Medica Inc., Rome, Italy) pedobarographic device. The data were evaluated using the SPSS 22.0 package program. The relationship between independent variables with each other was analyzed by Spearman Correlation Analysis. The statistical significance level was accepted as p <0.05.Results: As a result of our study, it was found that there was no relationship between foot biomechanical values and balance (p>0.05). When the relationship between the athletes' plantar pressure distribution values and their balance measures was investigated, it was discovered that some pressure distribution values and balance values were related. (p<0.05).Conclusions: According to the results obtained from the study, it was seen that the plantar pressure was related with balance. We think that it is important to perform foot plantar pressure distribution analysis in terms of both improving the balance performance of athletes and preventing foot injuries. We believe that the training programs to be organized with the applications for the changes in the plantar pressure distribution can be more effective for the athletes.

Keywords:

Foot Biomechanics, Adolescent, Postural Control, Volleyball,

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