Sporcularda Torakal Manipülasyonun Gövde Fleksiyonu ve Dengeye Akut Etkilerinin İncelenmesi

Abstract

Bu araştırmanın amacı, torakal manipülasyon uygulamasının sporcularda gövde fleksiyonu ve denge özelliklerine olan akut etkilerinin incelenmesidir. Araştırmaya yaş ortalamaları 22,60±0,2 yıl olan 60 erkek takım sporcusu gönüllü olarak katılmıştır. Tüm katılımcıların manipulasyon öncesi gövde fleksiyon değerleri ve denge düzeyleri belirlenmiştir. Ölçümler sonrası katılımcılar randomize şekilde, torakal manipülasyon uygulanan grup (TMG) ve plasebo manipülasyon uygulanan grup (PMG) olarak iki gruba ayrılmıştır Daha sonra tek seans olarak, TMG grubuna torakal manipülasyon, PMG grubuna ise plasebo torakal manipülasyon uygulaması yapılmıştır. Her katılımcının uygulama sonrası gövde fleksiyonları ve denge düzeyleri yeniden ölçülmüş, uygulama öncesi ve sonrası farklılıklar incelenmiştir. SPSS 25.0 paket program aracılığıyla, verilerin normalliği sınanmış, veriler normal dağılım gösterdiğinden uygulama öncesi ve sonrası sonuçların değerlendirilmesinde paired-t testi kullanılmıştır. Sonuçlar p<0.05 anlamlılık düzeyinde analiz edilmiştir. Araştırmanın sonuçlarında, uygulama sonrası statik dengede, ileri ve geri salınımın standart sapması (FBSD), medial-lateral salınımın standart sapması (MLSD) ve kullanılan çevre (P) parametrelerinde, dinamik dengede de ortalama denge hatası izleme (ATE) parametresinde anlamlı iyileşme olduğu tespit edilmiştir. Gövde fleksiyon değerlerinde ise, TMG grubunda uygulama sonrasında artış olduğu görülmüştür. Sonuç olarak, sporcularda yüksek hızlı, düşük amplitüdlü (HVLA) torakal manipülasyon uygulamasının gövde mobilitesine ve denge özelliğine anlık olumlu katkılar sunduğu kanaatine varılmaktadır.

Keywords

• Torakal manipülasyon
• Gövde fleksiyonu
• Denge
• Akut etki

Investigation of Acute Effects of Thoracic Manipulation on Trunk Flexion and Balance in Athletes

Abstract

The aim of this study is to examine the acute effects of thoracic manipulation on trunk flexion and balance characteristics in athletes. 60 male team athletes with a mean age of 22.60±0.32 years participated in the study voluntarily. Trunk flexion values and balance levels of all participants were determined before manipulation. After the measurements, the participants were randomly divided into two groups as the thoracic manipulation group (TMG) and the placebo manipulation group (PMG). Then, as a single session, thoracic manipulation was applied to the TMG group and placebo thoracic manipulation was applied to the PMG group. The trunk flexions and balance levels of each participant were remeasured after the application, and the differences before and after the application were examined. Since the data analyzed via SPSS 25.0 package program showed normal distribution, paired-t test was used to evaluate the pre-application and post-application results. The results were analyzed at the p<0.05 significance level. In the results of the study, it was determined that there was a significant improvement in the standard deviation of forward and backward sway (FBSD), medial-lateral sway (MLSD) and used perimeter (P) parameters in post-application static balance. A significant improvement in the mean balance error monitoring (ATE) parameter in the post-application dynamic balance was also determined. An increase in trunk flexion values was observed in the TMG group after the application. As a result, it is concluded that high-velocity, low-amplitude (HVLA) thoracic manipulation application provides instant positive contributions to trunk mobility and balance feature in athletes.

Keywords

• Thoracic manipulation
• Trunk flexion
• Balance
• Acute effect

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