Isokinetic test and exercises in knee osteoarthritis

Yıl 2015, Cilt: 24 Sayı: 2, 228 - 238, 05.03.2015

Neslihan Gökçen , İlke Coşkun Benlidayı Sibel Başaran

https://doi.org/10.17827/aktd.58405

Öz

Osteoarthritis is the most common type of arthritis and knee is the most frequently affected joint. Several risk factors including age, gender, body mass index and quadriceps muscle strength may contribute to knee osteoarthritis. Quadriceps muscle is the dynamic stabilizer of the knee. Besides the studies arguing that quadriceps muscle weakness might lead to knee osteoarthritis, there are also studies suggesting that muscle weakness might occur due to knee osteoarthritis. Authors, arguing that quadriceps muscle weakness has a deteriorating affect on knee osteoarthritis, also come to a conclusion that strengthening this muscle has a beneficial effect on knee osteoarthritis. Isometric, isotonic and isokinetic exercises are used in order to strengthen this muscle. Quantitative measurement of the muscle strength, as well as isokinetic exercises can be performed with the help of isokinetic devices. Isokinetic evaluation and isokinetic exercises in knee osteoarthritis are overviewed in this review.

Anahtar Kelimeler

İsokinetic exercise, isokinetic test, knee osteoarthritis

Diz Osteoartritinde İzokinetik Test ve Egzersizler

Öz

Osteoartrit, en sık görülen artrit tipi olup, diz, osteoartritten en sık etkilenen eklemdir. Yaş, cinsiyet, vücut kütle indeksi ve kuadriseps kas kuvveti gibi birçok risk faktörü diz osteoartriti gelişimine katkıda bulunabilmektedir. Kuadriseps kası dizin dinamik bir stabilizatörüdür. Kuadriseps kas kuvvetsizliğinin diz osteoartritine neden olabileceğini savunan çalışmaların yanında diz osteoartritine bağlı olarak kas kuvvetsizliği gelişebileceğini ileri süren yazılar da bulunmaktadır. Kuadriseps kas kuvvetsizliğinin diz osteoartritine olumsuz etkisi olduğunu savunan yazarlar bu durumu temel alarak kas kuvvetlendirmenin diz osteoartriti üzerinde faydalı olabileceği kanaatine varmışlardır. Kas kuvvetini artttırmak için izometrik, izotonik ve izokinetik egzersizler kullanılmaktadır. İzokinetik cihazlar yardımıyla hem kas kuvvetinin niceliksel ölçümü hem de izokinetik egzersiz yapılmaktadır. Bu derlemede, diz osteoartritinde, izokinetik değerlendirme ve izokinetik egzersizler gözden geçirilmiştir.

Anahtar Kelimeler

Diz osteoartriti, izokinetik egzersiz, izokinetik test

Kaynakça

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• Correspondence Address / Yazışma Adresi