Farklı Toparlanma Protokollerinin İşitme Engeli Olan ve Olmayan Erkek Basketbolcularda Kalp Atım Hızı Değişkenliği ve Denge Becerisine Etkisi

Abstract

Bu çalışma işitme engeli olan ve olmayan erkek basketbolcularda submaksimal egzersiz sonrası foam roller (FR), dinamik germe (DG) ve pasif toparlanmanın (PT) kalp atım hızı değişkenliği (KAHD) ve denge becerisi üzerindeki etkilerini belirlemek amacı ile yapılmıştır. Çalışmaya 18-30 yaş arası 14 işitme engelli deney grubu basketbol (DGB) ve 12 işiten kontrol grubu basketbol (KGB) olmak üzere toplam 26 sporcu gönüllü olarak katılmıştır. Katılımcılar rastgele 3 gruba ayrılmış, çapraz desenli tasarımda (cross-over) koşu bandı üzerinde submaksimal koşu (%75-80) egzersizleri yaptıktan sonra 3 farklı toparlanma yöntemi uygulamıştır. DGB ve KGB sporcuların ardışık normal R-R aralıkları arasındaki farkların karelerinin ortalamasının karekökü (RMSSD) karşılaştırmasında egzersiz esnasında tüm protokollerde, toparlanma esnasında PT’de ve toparlanma sonrası 10dk’da PT ve DG’de KGB sporcuları lehine anlamlı farklılık bulunmuştur (p<0.05). Yüksek frekansta (HF) sadece FR toparlanma esnasında KGB sporcuları lehine anlamlı farklılık tespit edilmiştir (p<0.05). Denge parametresinde egzersiz öncesi, egzersiz sonrası ve toparlanma sonrasında, tüm toparlanma yöntemlerinde KGB sporcuları lehine anlamlı farklılık bulunmuştur (p<0.05). Sonuç olarak KGB sporcuların denge ve KAHD parametreleri DGB sporcularına göre daha yüksek düzeyde kalmıştır. Bununla birlikte hem DGB hem de KGB sporcularında egzersiz sonrası uygulanan FR ve DG toparlanma yöntemi, PT'ye kıyasla KAHD'yi önemli ölçüde artırmıştır. Bulgularımıza göre egzersiz sonrası veya müsabaka sonrası dönemde FR veya DG toparlanma egzersizlerinin yapılması hem DGB hem de KGB sporcuların KAHD'sini olumlu yönde etkileyebilir.

Keywords

• İşitme engelliler
• Denge
• Germe
• Foam roller
• Otonom sinir sistemi

Effects of Different Recovery Protocols on Heart Rate Variability and Balance Skills in Male Basketball Players with and without Hearing Impairment

Abstract

The aim of this study was to determine the effects of foam roller (FR), dynamic stretching (DG) and passive recovery (PT) on heart rate variability (KAHD) and balance ability after submaximal exercise on male basketball athletes with and without hearing impairment. A total of 26 athletes, 14 hearing impaired experimental group basketball (DGB) and 12 hearing control group basketball (KGB), aged 18-30 years, participated in the study voluntarily. The participants were randomly divided into 3 groups, and 3 different recovery methods were applied after performing submaximal running (75-80%) exercises on a treadmill in a cross-over design. In the root mean square of successive differences (RMSSD) comparison of DGB and KGB athletes, a significant difference in favor of KGB athletes was found during exercise across all protocols, during recovery in PT, and at the 10th minute post-recovery in PT and DG (p<0.05). In the high frequences (HF), a significant difference was found only during FR recovery in favor of KGB athletes (p<0.05). In the balance parameter, a significant difference was found in favor of KGB athletes in all recovery methods before exercise, after exercise and after recovery (p<0.05). As a result, the balance and KAHD in KGB athletes remained at a higher level compared to DGB athletes. However, the FR recovery method performed after exercise significantly increased the KAHD compared to PT in both DGB and KGB athletes. According to our findings, performing FR recovery exercises in the post-exercise or post-competition period may positively affect the KAHD parameters of both DGB and KGB athletes.

Keywords

• Hearing impaired
• Balance
• Stretching
• Foam roller
• Autonomic nervous system

References

1. Akınoğlu, B., & Nezire, K. (2018). Determination of physical fitness leandl in children with hemiparetic and diparetic cerebral palsy. Turkish Journal of Physiotherapy and Rehabilitation, 29, 11-18.
2. Almeida, A. C., Machado, A. F., Albuquerque, M. C., Netto, L. M., Vanderlei, F. M., Vanderlei, M., & Pastre, C. M. (2016). The Effects of cold water immersion with different dosages (duration and temperature variations) on heart rate variability post-exercise recovery: A Randomized controlled trial. Journal of Science and Medicine in Sport, 19(8), 676-681. http://dx.doi.org/10.1016/j.jsams.2015.10.003
3. Arroyo-Morales, M., Olea, N., Martinez, M., Moreno-Lorenzo, C., Daz-Rodrguez, L., and Hidalgo-Lozano, A. (2008). Effects of myofascial release after high-intensity exercise: A Randomized clinical trial. Journal of Manipulative and Physiological Therapeutics, 31(3), 217-223. http://dx.doi.org/10.1016/j.jmpt.2008.02.009
4. Atay, M. (2007). İşitme engelli çocukların eğitiminde temel ilkeler. (2. bas.). Özgür Yayınları.
5. Aydemir, M., Mirzeoğlu, A. D., & Eroğlu Kolayiş, İ. (2020). Sporda toparlanma bilgi testi: Geçerlilik ve güvenirlilik çalışması. Türkiye Klinikleri Spor Bilimleri, 12(1), 40-48.
6. Bastos, F. N., Vanderlei, L. C. M., Nakamura, F. Y., Bertollo, M., Godoy, M. F., Hoshi, R. A., Junior J. N., & Pastre, C. M. (2012). Effects of cold water immersion and active recovery on post-exercise heart rate variability. International Journal of Sports Medicine, 33(11), 873-879. http://dx.doi.org/10.1055/s-0032-1301905
7. Beck, T. W. (2013). The Importance of a priori sample size estimation in strength and conditioning research. Journal of Strength and Conditioning Research, 27(8), 2323–2337. https://doi.org/10.1519/JSC.0B013E318278EEA0
8. Behm, D. G., & Chaouachi, A. (2011). A Review of the acute effects of static and dynamic stretching on performance. European Journal of Applied Physiology, 111, 2633-2651.

9. Bishop, P. A., Jones, E., & Woods, A. K. (2008). Recovery from training: A Brief review. The Journal of Strength and Conditioning Research, 22(3), 1015-1024. http://dx.doi.org/10.1519/jsc.0b013e31816eb518
10. Calleja-González, J., Terrados, N., Mielgo-Ayuso, J., Delextrat, A., Jukic, I., Vaquera, A., Torres L., Schelling X., Stojanovic M., & Ostojic, S. M. (2016). Evidence-based post-exercise recovery strategies in basketball. The Physician and Sports Medicine, 44(1), 74-78. http://dx.doi.org/10.1080/00913847.2016.1102033
11. Chatzopoulos, D., Galazoulas, C., Patikas, D., & Kotzamanidis, C. (2014). Acute effects of static and dynamic stretching on balance, agility, reaction time and movement time. Journal of Sports Science and Medicine, 13(2), 403-409.
12. De Benito, A. M., Valldecabres, R., Ceca, D., Richards, J., Igual, J. B., & Pablos, A. (2019). Effect of vibration vs non-vibration foam rolling techniques on flexibility, dynamic balance and perceiandd joint stability after fatigue. PeerJ, 7, Article, e8000. http://dx.doi.org/10.7717/peerj.8000
13. De Oliveira Ottone, V., de Castro Magalhães, F., de Paula, F., Avelar, N. C. P., Aguiar, P. F., da Matta Sampaio, P. F., Duarte, T. C., Costa K. B., Araujo, T. L., Coimbra, C. C., Nakamura, F. Y., Amorim, F. T., & Rocha-Vieira, E. (2014). The Effect of different water immersion temperatures on post-exercise parasympathetic reactivation. PLoS One, 9(12). Article e113730. http://dx.doi.org/10.1371/journal.pone.0113730
14. de Souza Melo, R., da Silva, P. W. A., da Silva, L. V. C., & da Silva Toscano, C. F. (2011). Postural evaluation of vertebral column in children and teenagers with hearing loss. Arquivos Internacionais de Otorrinolaringologia, 15(02), 195-202.
15. Denerel, N., Ergün, M., Yüksel, O., Özgürbüz, C., & Karamızrak, O. (2019). The Acute effects of static and dynamic stretching exercises on dynamic balance performance. Spor Hekimliği Dergisi, 54(3), 148-157.
16. Espí-López, G. V., Ruescas-Nicolau, M. A., Castellet-García, M., Suso-Martí, L., Cuenca-Martínez, F., & Marques-Sule, E. (2023). Effectiveness of foam rolling vs. manual therapy in postexercise recovery ınterventions for athletes: a randomized controlled trial. The Journal of Strength & Conditioning Research, 37(6), e361-e368.
17. Farinatti, P. T., Brandão, C., Soares, P. P., & Duarte, A. F. (2011). Acute effects of stretching exercise on the heart rate variability in subjects with low flexibility levels. The Journal of Strength and Conditioning Research, 25(6), 1579-1585. http://dx.doi.org/10.1519/jsc.0b013e3181e06ce1
18. Gibson, A. L., Wagner, D. R., & Heyward, V. H. (2024). Advanced fitness assessment and exercise prescription. Human kinetics.
19. Giles, D., Draper, N., & Neil, W. (2016). Validity of the Polar V800 heart rate monitor to measure RR intervals at rest. European Journal of Applied Physiology, 116(3), 563–571. https://doi.org/10.1007/S00421-015-3303-9
20. Griefahn, A., Oehlmann, J., Zalpour, C., & von Piekartz, H. (2017). Do exercises with the foam roller have a short-term impact on the thoracolumbar fascial: A Randomized controlled trial. Journal of Bodywork and Movement Therapies, 21(1), 186-193. http://dx.doi.org/10.1016/j.jbmt.2016.05.011
21. Healey, K. C., Hatfield, D. L., Blanpied, P., Dorfman, L. R., & Riebe, D. (2014). The Effects of myofascial release with foam rolling on performance. Journal of Strength and Conditioning Research, 28(1), 61-68. http://dx.doi.org/10.1519/jsc.0b013e3182956569
22. Hotfiel, T., Swoboda, B., Krinner, S., Grim, C., Engelhardt, M., Uder, M., & Heiss, R. U. (2017). Acute effects of lateral thigh foam rolling on arterial tissue perfusion determined by spectral Doppler and power Doppler ultrasound. Journal of Strength and Conditioning Research, 31(4), 893–900. http://dx.doi.org/10.1519/jsc.0000000000001641
23. Jackson A. S. (2006). The Evolution and validity of health-related fitness. Quest, 58, 160-175.
24. Kalén, A., Pérez-Ferreirós, A., Barcala-Furelos, R., Fernández-Méndez, M., Padrón-Cabo, A., Prieto, J. A., Rios-Ave, A., & Abelairas-Gómez, C. (2017). How can lifeguards recover better? A Cross-over study comparing resting, running, and foam rolling. The American Journal of Emergency Medicine, 35(12), 1887-1891. http://dx.doi.org/10.1016/j.ajem.2017.06.028
25. Khan, Z., Ahmad, I., & Hussain, M. E. (2021). Intermittent pneumatic compression changes heart rate recovery and heart rate variability after short term submaximal exercise in collegiate basketball players: A Cross-over study. Sport Sciences for Health, 17, 317-326.
26. Kim, K., Park, S., Goo, B. O., & Choi, S. C. (2014). Effect of self-myofascial release on reduction of physical stress: A Pilot study. Journal of Physical Therapy Science, 26(11), 1779-1781. http://dx.doi.org/10.1589/jpts.26.1779
27. Köse, B. (2014). Farklı ısınma yöntemlerinin esnekliğe, sıçramaya ve dengeye etkisi. Yüksek lisans tezi, Ondokuz Mayıs Üniversitesi, Sağlık Bilimleri Enstitüsü, Samsun.
28. Lastova, K., Nordvall, M., Walters-Edwards, M., Allnutt, A., & Wong, A. (2018). Cardiac autonomic and blood pressure responses to an acute foam rolling session. The Journal of Strength and Conditioning Research, 32(10), 2825-2830. http://dx.doi.org/10.1519/jsc.0000000000002562
29. Lee, C. L., Chu, I. H., Lyu, B. J., Chang, W. D., & Chang, N. J. (2018). Comparison of vibration rolling, nonvibration rolling, and static stretching as a warm-up exercise on flexibility, joint proprioception, muscle strength, and balance in young adults. Journal of Sports Sciences, 36(22), 2575-2582. http://dx.doi.org/10.1080/02640414.2018.1469848
30. Logan, J. G., & Yeo, S. A. (2017). Effects of stretching exercise on heart rate variability during pregnancy. Journal of Cardiovascular Nursing, 32, 107–111. http://dx.doi.org/10.1097/jcn.0000000000000326
31. Malik, M., John Camm, A., Thomas Bigger, J., Breithardt, G., Cerutti, S., Cohen, R. J., Coumel, P., Fallen, E. L., Kennedy, H. L., Kleiger, R. E., Lombardi, F., Malliani, A., Moss, A. J., Rottman, J. N., Schmidt, G., Schwartz, P. J., & Singer, D. H. (1996). Heart rate variability: Standards of measurement, physiological interpretation, and clinical use. Circulation, 93(5), 1043–1065. https://doi.org/10.1161/01.CIR.93.5.1043
32. Morrin, N., & Redding, E. (2013). Acute effects of warm-up stretch protocols on balance, vertical jump height, and range of motion in dancers. Journal of Dance Medicine and Science, 17(1), 34-40. http://dx.doi.org/10.12678/1089-313x.17.1.34
33. Okamoto, T., Masuhara, M., & Ikuta, K. (2014). Acute effects of self-myofascial release using a foam roller on arterial function. Journal of Strength and Conditioning Research, 28(1), 69–73. http://dx.doi.org/10.1519/jsc.0b013e31829480f5
34. Peacock, C. A., Krein, D. D., Silver, T. A., Sanders, G. J., & Von Carlowitz, P. A. (2014). An Acute bout of self-myofascial release in the form of foam rolling improves performance testing. International Journal of Exercise Science, 7(3), 202-211.
35. Pearcey, P., Bradbury-Squires, D. J., Kawamoto, J. E., Drinkwater, E. J., Behm, D. G., & Button, D. C. (2015). Foam rolling for delayed-onset muscle soreness and recovery of dynamic performance measures. Journal of Athletic Training, 50(1), 5–13. http://dx.doi.org/10.4085/1062-6050-50.1.01
36. Perrier, E. T., Pavol, M. J., & Hoffman, M. A. (2011). The Acute effects of a warm-up including static or dynamic stretching on countermovement jump height, reaction time, and flexibility. The Journal of Strength and Conditioning Research, 25, 1925-1931. http://dx.doi.org/10.1519/jsc.0b013e3181e73959
37. Prajapat, A., Ahmad, I., Khan, Z., Ali, K., & Hussain, M. E. (2018). Cardiac autonomic profile of soccer, field hockey, and basketball players: A Comparative study. Asian Journal of Sports Medicine, 9(2). 1-8. http://dx.doi.org/10.5812/asjsm.62492
38. Renan-Ordine, R., Alburquerque-Sendin, F., Rodrigues De Souza, D. P., Clelve, J. A., & Fernández-De-Las-Penas, C. (2011). Effectiveness of myofascial trigger point manual therapy combined with a self-stretching protocol for the management of plantar heel pain: A Randomized controlled trial. Journal of Orthopaedic and Sports Physical Therapy, 41(2), 43-50. http://dx.doi.org/10.2519/jospt.2011.3504
39. Rey, E., Padrón-Cabo, A., Costa, P. B., & Barcala-Furelos, R. (2019). Effects of foam rolling as a recovery tool in professional soccer players. The Journal of Strength and Conditioning Research, 33(8), 2194-2201. http://dx.doi.org/10.1519/jsc.0000000000002277
40. Romero-Moraleda, B., González-García, J., Cuéllar-Rayo, Á., Balsalobre-Fernández, C., Muñoz-García, D., & Morencos, E. (2019). Effects of vibration and non-vibration foam rolling on recovery after exercise with induced muscle damage. Journal of Sports Science and Medicine, 18(1), 172. http://dx.doi.org/10.3390/sports7040080
41. Ryan, E., D., Everett, K., L., Smith, D., B., Pollner, C., Thompson, B., J., & Sobolewski, E., J., (2014). Acute effects of different volumes of dynamic stretching on vertical jump performance, flexibility and muscular endurance. Clinical Physiology and Functional Imaging, 34, 485–92. http://dx.doi.org/10.1111/cpf.12122
42. Schleip, R. (2003). Fascial plasticity–A New neurobiological explanation: Part 1. Journal of Bodywork and Movement Therapies, 7(1), 11-19. http://dx.doi.org/10.1016/s1360-8592(02)00067-0
43. Siebert, T., Donath, L., Borsdorf, M., & Stutzig, N. (2022). Effect of static stretching, dynamic stretching, and myofascial foam rolling on range of motion during hip flexion: A Randomized crossover trial. Journal of Strength and Conditioning Research, 36(3), 680-685. http://dx.doi.org/10.1519/jsc.0000000000003517
44. Silva, G, Conceic¸a˜o, R, Di Masi, F, Domingos, T, Herdy, C, & Silveira, A. (2016) Low intensity static stretching does not modulate heart rate variability in trained men. MedicalExpress 3, 1–6. http://dx.doi.org/10.5935/medicalexpress.2016.03.04
45. Stanley, J., Peake, J. M., & Buchheit, M. (2013). Cardiac parasympathetic reactivation following exercise: Implications for training prescription. Sports Medicine, 43(12), 1259-1277. http://dx.doi.org/10.1007/s40279-013-0083-4
46. Su, H., Chang, N. J., Wu, W. L., Guo, L. Y., & Chu, I. H. (2017). Acute effects of foam rolling, static stretching, and dynamic stretching during warm-ups on muscular flexibility and strength in young adults. Journal of Sport Rehabilitation, 26(6), 469-477. http://dx.doi.org/10.1123/jsr.2016-0102
47. Uvnäs-Moberg, K. (1994). Role of efferent and afferent vagal nerve activity during reproduction: Integrating function of oxytocin on metabolism and behaviour. Psychoneuroendocrinology, 19(5-7), 687-695. http://dx.doi.org/10.1016/0306-4530(94)90050-7
48. Walowska, J., Bolach, B., & Bolach, E. (2018). The Influence of pilates exercises on body balance in the standing position of hearing-impaired people. Disability and Rehabilitation, 40(25), 3061-3069.
49. Yıldırım, Y., Arabacı, R., Güngör, A. K., & Görgülü, R. (2023). The Effects of dynamic and static stretching exercises performed to elite wrestlers after high intensity exercise on heart rate variability. Science & Sports, 38(1), 2-11.