Genç Yetişkinlerde Suboksipital Miyofasyal Gevşeme Tekniğinin Servikal Propriosepsiyon, Eklem Hareket Açıklığı ve Denge Üzerindeki Anlık Etkileri: Crossover Randomize Kontrollü Çalışma

Abstract

Amaç: Proprioseptif reseptörler açısından zengin bir bölge olan suboksipital bölgeye yönelik miyofasiyal gevşetme tekniklerinin etkileri sınırlı ölçüde araştırılmıştır. Bu çalışma, suboksipital miyofasiyal gevşetme tekniğinin genç erişkin bireylerde servikal propriosepsiyon, eklem hareket açıklığı ve denge üzerine olan anlık etkilerini incelemeyi amaçlamaktadır. Gereç ve Yöntem: Bu randomize kontrollü çapraz desenli çalışmaya, yaşları 18-25 arasında değişen 24 sağlıklı birey dahil edilmiştir. Katılımcılar rastgele şekilde suboksipital miyofasiyal gevşetme müdahalesi ya da plasebo kontrol grubuna atanmış, bir etki sıfırlama (wash-out) süresinin ardından müdahaleler değiştirilerek çapraz uygulanmıştır. Servikal propriosepsiyon, eklem pozisyon hatası ölçümü ile; servikal eklem hareket açıklığı, gonyometre yardımıyla; denge ise taşınabilir bilgisayarlı kinestetik denge ölçüm cihazı SportKAT-2000 kullanılarak değerlendirilmiştir. Bulgular: Suboksipital miyofasiyal gevşetme uygulanan grupta, servikal ekstansiyon, sağ rotasyon ve sol lateral fleksiyon hareket açıklığında anlamlı artış, geriye denge skorlarında ise belirgin bir düşüş gözlenmiştir (p<0,05). Kontrol grubunda ise toplam denge skorlarında artış saptanırken, propriosepsiyon değerlerinde azalma meydana gelmiştir (p<0,05). Gruplar arası karşılaştırmalarda, sağ rotasyon, sol lateral fleksiyon ve propriosepsiyon açısından SMR grubunda kontrol grubuna kıyasla daha fazla iyileşme kaydedilmiştir (p<0,05). Sonuç: Suboksipital miyofasiyal gevşetme tekniği, servikal bölgedeki hareket açıklığını ve propriosepsiyonu artırmakta ve klinik uygulamalarda kullanılabilir bir yöntem olarak öne çıkmaktadır. Denge, propriosepsiyon ve hareket açıklığı bozuklukları olan bireylerde bu tekniğin etkinliğini değerlendirmek amacıyla ileri düzey çalışmalara ihtiyaç vardır.

Keywords

• Denge
• miyofasyal gevşeme
• propriosepsiyon
• hareket aralığı
• genç yetişkin

Immediate Effects of Suboccipital Myofascial Release Technique on Cervical Proprioception, Joint Range of Motion and Balance in Young Adults: Crossover Randomized Controlled Trial

Abstract

Objective: The effects of myofascial release techniques on the suboccipital region, a proprioceptive receptor-rich area, remain underexplored. This study investigates the immediate effects of the suboccipital myofascial release technique on cervical proprioception, joint range of motion, and balance in young adults Material and Methods: This randomized controlled-crossover study included 24 healthy individuals aged 18–25. Participants were randomly assigned to receive either the suboccipital myofascial release or placebo control, followed by a one-week washout to alternate intervention. The cervical proprioception was assessed through joint position error measurements, cervical range of motion using a goniometer, and balance with the SportKAT-2000, a portable computerized kinesthetic balance device. Results: The suboccipital myofascial release group showed significant improvements in cervical extension, right rotation, and left lateral flexion, along with a notable decline in backward balance scores (p<0.05). The control group exhibited improved total balance scores but reduced proprioception (p<0.05). Between-group analysis revealed greater enhancements in right rotation, left lateral flexion, and proprioception for the suboccipital myofascial release group compared to controls (p<0.05). Conclusions: The suboccipital myofascial release technique enhances cervical range of motion and proprioception and is applicable in clinical practice. Further research is warranted to explore its efficacy in impairments in balance, proprioception, and range of motion.

Keywords

• Balance
• myofascial release
• proprioception
• range of motion
• young adult

Supporting Institution

None

Ethical Statement

This study was approved by the Pamukkale University Non-Interventional Ethics Committee (E-60116787-020-434110).

Thanks

The authors thank all participants

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