TY - JOUR T1 - Ön Çapraz Bağ ve Medial Menisküs Yırtığının Diz Ekstansiyon ve Fleksiyon İzokinetik Pik Tork Kuvvetine Etkisi ve Cybex Test Protokolü Uygulaması: Vaka Takdimi TT - The Effect Of Anterior Cruciate Ligament And Medial Meniscus Rupture On Knee Extension And Flexion Isokinetic Peak Torque Strength And Cybex Test Protocol: Case Report AU - Umutlu, Gökhan AU - Erdoğan, Ayhan Taner AU - Acar, Nasuh Evrim PY - 2019 DA - June Y2 - 2019 DO - 10.33459/cbubesbd.482218 JF - CBÜ Beden Eğitimi ve Spor Bilimleri Dergisi JO - CBÜ BESBD PB - Manisa Celal Bayar University WT - DergiPark SN - 2149-1046 SP - 41 EP - 54 VL - 14 IS - 1 LA - tr AB - Diz ekstansör ve fleksörkasların aktivite esnasında önemli dinamik stabilizörler olmalarının yanı sırabu kas grubunda kuvvet değerlerinde meydana gelen bir azalma durumunda dizeklemi stabilitesi önemli derecede azalmaktadır. Bu bulgulardan hareketle, buçalışmada basketbol müsabakasında dizin aşırı lateral rotasyon hareketi yönündezorlanması sonucu sağ ve sol dizlerinden sakatlanan iki kadın sporcuda önçapraz bağ (ACL) ve medial menisküs yırtığının diz ekstansiyon ve fleksiyonizokinetik pik tork kuvvet değerleri üzerindeki etkisi ve aynı zamandaameliyattan 16 hafta sonra kişiye uygulanan düzenli Cybex test protokolünün kaskuvvet değerleri üzerindeki etkisini incelemek amaçlanmıştır. Çalışmada yeralan kadın sporcular diz ekleminin bilateral fleksiyon ve ekstansiyon ön testölçüm değerlerine göre Cybex izokinetik dinamometre (ABD) kullanılarak 8 haftave 12 hafta olmak üzere haftada 3 gün farklı kasılma türlerini içeren bir ACLrehabilitasyon protokolüne tabi tutuldu. Cybex testleri sonucunda iki ayboyunca teste katılan kadın sporcunun sağ ve sol diz ekstansiyon-fleksiyon piktork kuvvet farkı değerleri (Ekstansiyon Bazal: % 26, 1. ay: % 15, 2. ay: %5;Fleksiyon Bazal: % 11, 1. ay: %19, 2. ay: % 8); üç ay boyunca teste katılankadın sporcunun sağ ve sol diz ekstansiyon-fleksiyon pik tork kuvvet farkıdeğerleri (Ekstansiyon Bazal: % 40, 1. ay: % 34, 2. ay: % 24; 3. ay: % 14;Fleksiyon Bazal: % 19, 1. ay: %9, 2. ay: % 5, 3. ay: % 3); olarak bulunmuştur.ACL ameliyatlarından 16 hafta sonra uygulanmaya başlanan Cybex protokolününsporcuların ekstremiteler arası kuvvet farklarını azaltarak spora dönüşsürecini hızlandırdığı ifade edilebilir. KW - Menisküs KW - Ön Çapraz Bağ KW - Pik Tork N2 - Knee extensor and flexor muscles are functioning asessential dynamic stabilizers during activity and a possible strength loss inthese muscle groups considerably resulted in knee joint stability. According tothese findings, it was aimed to examine the effect of the anterior cruciateligament rupture (ACL) and medial meniscus tear of two female basketballplayers who injured due to excessive lateral rotation of the knee movementduring competition and whether a Cybex protocol could be useful to improve themuscle strength parameters applied to the participants 16 weeks after followingan ACL reconstruction surgery. An ACL rehabilitation protocol that enablesdifferent contraction patterns was conducted using a Cybex dynamometer (USA),which is an isokinetic measuring device, 3 times/week throughout 8 and 12 weeksbased on the examination results of the flexion and extension strengths of theknee joint of participants. Bilateral knee extension-flexion muscle strengthdeficit of the participant following two months of testing session (ExtensionBaseline: 26 %, 1st Month: 15%, 2ndmonth: 5%; Flexion Baseline: 11%, 1st Month: 19 %, 2nd Month: 8 %); andfollowing three months of rehabilitation session were found (Extension Baseline:40%, 1st Month:34 %, 2nd Month: 24 %, 3rd Month: 14%; Flexion Baseline: 19%,1st Month: 9%, 2nd Month: 5%, 3rd Month: 3%), respectively. As a result, it canbe stated that Cybex protocol, which was started 16 weeks after ACL operations,accelerated the return to sports by decreasing the strength differences betweenthe extremities of athletes. CR - Aagaard, P., Simonsen, E.B., Beyer, N., Larsson, B., Magnusson, P. & Kjaer, M. (1997). Isokinetic muscle strength and capacity for muscular knee joint stabilization in elite sailors. International Journal of Sports Medicine, 18(7),521-525. CR - Aagaard, P., Simonsen, E.B., Magnusson, S.P., Larsson, B. & Dyhre-Poulsen, P. (1998). A new concept for isokinetic hamstring: quadriceps muscle strength ratio. The American Journal of Sports Medicine, 26(2),231-237. CR - Aagaard, P., Simonsen, E.B., Trolle, M., Bangsbo, J. & Klausen, K. (1995). Isokinetic hamstring/quadriceps strength ratio: influence from joint angular velocity, gravity correction and contraction mode. Acta Physiologica Scandinavica, 154(4),421-7. CR - Agel, J., Olson, D.E. & Dick, R. (2007). Descriptive epidemiology of collegiate women's basketball injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2003-2004. Journal of Athletic Training, 42,202–10. CR - Arendt, E.A., Agel, J. & Dick, R. (1999). Anterior cruciate ligament injury patterns among collegiate men and women. Journal of Athletic Training, 34,86–92. CR - Barber-Westin, S.D., Smith, S.T., Campbell, T. & Noyes, F.R. (2010). The drop-jump video screening test: retention of improvement in neuromuscular control in female volleyball players. The Journal of Strength & Conditioning Research, 24(11),3055-62. CR - Bennell, K., Wajswelner, H., Lew, P., Schall-Riaucour, A., Leslie, S., Plant, D. & Cirone, J. (1998). Isokinetic strength testing does not predict hamstring injury in Australian Rules footballers. British Journal of Sports Medicine, 32(4),309-14. CR - Boden, B.P., Griffin, L.Y. & Garrett, W.E., Jr. (2000). Etiology and prevention of noncontact ACL injury. The Physician and Sportsmedicine, 8,53–60. CR - Chappell, J.D., Yu, B., Kirkendall, D.T. & Garrett, W.E. (2002). A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks. The American Journal of Sports Medicine, 30,261–267. CR - Croce, R.V., Pitetti, K.H., Horvat, M. & Miller, J. (1996). Peak torque, average power, and hamstrings/quadriceps ratios in nondisabled adults and adults with mental retardation. Archives of Physical Medicine and Rehabilitation, 77(4),369-72. CR - Emerson, R.J. (1993). Basketball knee injuries and the anterior cruciate ligament. Clinics in Sports Medicine, 12(2),317-28. CR - Hewett, T.E., Myer, G.D. & Ford, K.R. (2005). Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. The American Journal of Sports Medicine, 33,492–501. CR - Hewett, T.E., Myer, G.D. & Ford, K.R. (2006). Anterior cruciate ligament injuries in female athletes: Part 1, mechanisms and risk factors. The American Journal of Sports Medicine, 34(2),299-311. CR - Holmes, J.R. & Alderink, G.J. (1984). Isokinetic strength characteristics of the quadriceps femoris and hamstring muscles in high school students. Physical Therapy, 64(6),914-8. CR - Huston, L.J. & Wojtys, E.M. (1996). Neuromuscular performance characteristics in elite female athletes. The American Journal of Sports Medicine, 24,427–36. doi: 10.1177/036354659602400405. CR - Ireland, M.L. (2002). The female ACL: why is it more prone to injury? Orthopedic Clinics of North America, 33,637–51. doi: 10.1016/S0030-5898(02)00028-7. CR - Laird, D.E. (1981). Comparison of quad to ham strength ratios of an intercollegiate soccer team. Athletic Training, 16,66–67. CR - Li, R.C., Maffulli, N., Hsu, Y.C. & Chan, K.M. (1996). Isokinetic strength of the quadriceps and hamstrings and functional ability of anterior cruciate deficient knees in recreational athletes. British Journal of Sports Medicine, 30(2),161-4. CR - Lohmander, L.S., Ostenberg, A., Englund, M. & Roos, H. (2004). High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis & Rheumatology, 50,3145–52. doi: 10.1002/art.20589. CR - Lund-Hanssen, H., Gannon, J., Engebretsen, L., Holen, K. & Hammer, S. (1996). Isokinetic muscle performance in healthy female handball players and players with a unilateral anterior cruciate ligament reconstruction. Scandinavian Journal of Medicine & Science in Sports, 6(3),172-5. CR - Noyes, F.R., Barber-Westin, S.D., Smith, S.T., Campbell, T. & Garrison, T.J. (2012). A training program to improve neuromuscular and performance indices in female high school basketball players. The Journal of Strength & Conditioning Research, 26(3),709-19. CR - Raunest, J., Sager, M. & Bürgener, E. (1996). Proprioceptive mechanisms in the cruciate ligaments: An electromyographic study on reflex activity in the thigh muscles. The Journal of Trauma, 41(3),488-93. CR - Voskanian, N. (2013). Injury prevention in female athletes: review of the literature and practical considerations in implementing an ACL prevention program. Current Reviews in Musculoskeletal Medicine, 6(2), 158–163. UR - https://doi.org/10.33459/cbubesbd.482218 L1 - https://dergipark.org.tr/en/download/article-file/740596 ER -