Ön Çapraz Bağ Yaralanmalarında Motor Öğrenme Müdahalelerinin Fonksiyonel Sonuçları

Year 2023, Volume: 32 Issue: 1, 33 - 41, 31.03.2023

Gülfem Ezgi Özaltın Burcu Talu Umut Öktem

https://doi.org/10.17827/aktd.1169499

Cited By: 1

Abstract

Ön çapraz bağ yaralanması sporcuların oldukça büyük bir kısmının karşılaştığı günlük hayatını ve profesyonel hayatı büyük ölçüde etkileyen patolojilerin başında gelir. Tedavi seçenekleri incelendiğinde cerrahi tedavi ve konservatif olmak üzere iki seçenek mevcuttur. Cerrahi olsun veya olmasın her iki durumda rehabilitasyon süreci şarttır. Özellikle spora dönüş için cerrahi sonrası uzun dönem rehabilitasyon elzem kılınmıştır. Ön çapraz bağ yaralanmasını önlemede ve rekonstrüktif cerrahi sonrası rehabilitasyonda birçok farklı egzersiz yöntemi denenmesiyle beraber birçoğu kuvvet eğitimine odaklanmıştır. Ön çapraz bağ yaralanmasından sonra görülen somatosensoriyal kayıp ile beraber meydana gelen anormal hareket paterni yaralanma olan ekstremite ve uzun dönemde kontralateral ekstremite de fonksiyonel kayıp ile sonuçlanır. Yaralanma insidansı dikkate alındığında normal hareket paternini yerleştirip motor kontrolü yeniden sağlamaya yönelik çalışmalar oldukça önem arz etmektedir. Bunun için nöroplastisiteyi destekleyen motor öğrenme temelli müdahaleler günümüzde büyük ilgi görmektedir. Bu derlemede, ön çapraz bağ rehabilitasyonunda motor öğrenme temelli güncel müdahalelerin fonksiyonel sonuçlarının literatür doğrultusunda incelemek amaçlanmıştır.

Keywords

Egzersiz, motor beceriler, ön çapraz bağ, rehabilitasyon

Functional Outcomes of Motor Learning Interventions in Anterior Cruciate Ligament Injuries

Abstract

Anterior cruciate ligament injury is one of the pathologies that affect the daily and professional life of the majority of athletes. When the treatment options are examined, there are two options surgical treatment and conservative treatment. Rehabilitation is essential in both cases, with or without surgery. Especially for returning to sports, long-term rehabilitation after surgery has become essential. While many different exercise methods have been tried in the prevention of anterior cruciate ligament injury and rehabilitation after reconstructive surgery, many have focused on strength training. The abnormal movement pattern that occurs with the somatosensory loss seen after anterior cruciate ligament injury results in a functional loss in the injured extremity and the contralateral extremity in the long term. Considering the incidence of injury, studies to establish the normal movement pattern and restore motor control are very important. For this reason, motor learning-based interventions that support neuroplasticity are of great interest today. This review aims to examine the functional results of current motor learning-based interventions in anterior cruciate ligament rehabilitation in line with the literature.

Keywords

Anterior cruciate ligament, exercise, motor skill, rehabilitation

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