Sağlıklı Erişkinlerde Gövde Kas Enduransı ve Statik/Dinamik Denge Arasındaki İlişkinin İncelenmesi

Year 2021, Volume: 6 Issue: 3, 45 - 50, 30.09.2021

Özden Özkal

Abstract

Amaç: Bu çalışmanın amacı sağlıklı erişkinlerde gövde kas enduransı ile statik/dinamik denge arasındaki ilişkiyi incelemekti.
Gereç ve Yöntem: Bu çalışmaya 51 birey (kadın=29; erkek=22) dahil edildi. Katılımcıların demografik bilgileri kaydedildi. Bireylerin gövde fleksör, ekstansör ve lateral kas endurans testleri McGill gövde kas endurans testi rehberine uygun olarak yapıldı. Bireylerin statik dengesi tek ayak üzerinde durma testi ile, dinamik dengesi ise Y denge testi ile değerlendirildi.
Bulgular: Hiyerarşik regresyon analiz sonuçlarına göre, daha fazla gövde fleksör kas enduransının anterior (model 2, p<0,001, R2=0,581) ve posteromedial (model 2, p=0,004, R2=0,468) yönlerde daha yüksek Y denge test performansı ile ilişkili olduğu bulundu. Daha fazla gövde fleksör kas enduransı, posterolateral yönde daha yüksek Y denge test performansı ile ilişkili iken, ileri yaşın posterolateral yönde daha düşük Y denge test performansı ile ilişkili olduğu belirlendi (model 2, sırasıyla p<0,001 ve p=0,006, R2=0,436). Daha fazla gövde ekstansör kas enduransının daha yüksek statik denge test performansı ile ilişkili olduğu saptandı (model 2, p=0,001, R2=0,318).
Sonuç: Sağlıklı erişkinlerde daha yüksek gövde fleksör ve ekstansör kas endurans sürelerinin daha iyi dinamik ve statik denge test performansı ile ilişkili olduğu gösterildi. Gövde kas enduransına ek olarak, ileri yaşın ise posterolateral yönde daha düşük dinamik denge test performansı ile ilişkili olduğu bulundu.

Keywords

denge, kas kuvveti, gövde

Supporting Institution

yok

Project Number

Yok

Thanks

yok

Investigation of the Relationship Between Trunk Muscle Endurance and Static/Dynamic Balance in Healthy Adults

Abstract

Objective: The aim of this study was to investigate the relationship between trunk muscle endurance and static/dynamic balance.
Material and Method: Fifty-one individuals (29K; 22E) were included in this study. Demographic information of the participants was recorded. Trunk flexor, extensor and lateral muscle endurance tests of the individuals were performed in accordance with the McGill trunk muscle endurance test guidelines. The static balance of the individuals was evaluated with the Single Leg Stance Test, and the dynamic balance was evaluated with the Y balance test.
Results: According to hierarchical regression analysis results, it was found that more trunk flexor muscle endurance was associated with higher Y balance test performance in the anterior (model 2, p<0.001, R2=0.581) and posteromedial (model 2, p=0.004, R2=0.468) directions. More trunk flexor muscle endurance was associated with higher Y balance test performance in the posterolateral direction, while older age was correlated with lower Y balance test performance in the posterolateral direction (model 2, p <0.001 and p = 0.006, R2 = 0.436, respectively). It was determined that more trunk extensor muscle endurance was correlated with higher static balance test performance (model 2, p=0.001, R2=0.318).
Conclusion: It was shown that higher trunk flexor and extensor muscle endurance times were associated with better dynamic and static balance test performance in healthy adults. In addition to trunk muscle endurance, older age was also found to be associated with lower dynamic balance test performance in the posterolateral direction.

Keywords

balance, muscle strength, trunk

Project Number

Yok

References

• Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36:189-98.
• Abaraogu UO, Ugwa WO. Selected anthropometrics, spinal posture, and trunk muscle endurance as correlated factors of static balance among adolescent and young adult males. Turk J Phys Med Rehab. 2016;1:9-15.
• Barati A, Safarcherati A, Aghayari A, Azizi F, Abbasi H. Evaluation of relationship between trunk muscle endurance and static balance in male students. Asian J Sports Med. 2013;4:289-94.
• Cobb SC, Bazett-Jones DM, Joshi MN, Earl-Boehm JE, James CR. The relationship among foot posture, core and lower extremity muscle function, and postural stability. J Athl Train. 2014;49:173-80.
• Ambegaonkar JP, Mettinger LM, Caswell SV, Burtt A, Cortes N. Relatıonshıps between core endurance, hip strength, and balance in collegiate female athletes. Int J Sports Phys Ther. 2014;9:604-16.
• Nakagawa TH, Petersen RS. Relationship of hip and ankle range of motion, trunk muscle endurance with knee valgus and dynamic balance in males. Phys Ther Sport. 2018;34:174-79.
• McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999;80:941-44.
• McGill SM. Low back disorders. Evidence-based prevention and rehabilitation. 2nd ed. Champaign, IL, USA: Human Kinetics; 2007. 325 p.
• Evans K, Refshauge KM, Adams R. Trunk muscle endurance tests: reliability, and gender differences in athletes. J Sci Med Sport. 2007;10:447-55.
• Jonsson E, Seiger A, Hirschfeld H. One-leg stance in healthy young and elderly adults: a measure of postural steadiness?. Clin Biomech (Bristol, Avon). 2004;19:688-94.
• Bohannon RW, Larkin PA, Cook AC, Gear J, Singer J. Decrease in timed balance test scores with aging. Phys Ther. 1984;64:1067-70.
• Kinzey SJ, Armstrong CW. The reliability of the star-excursion test in assessing dynamic balance. J Orthop Sports Phys Ther. 1998;27:356-60.
• Powden CJ, Dodds TK, Gabriel EH. The reliability of the star excursion başance test and lower quarter Y-balance test in healthy adults: A systematic review. Int J Sports Phys Ther. 2019;14:683-94.
• Suri P, Kiely DK, Leveille SG, Frontera WR, Bean JF. Trunk muscle attributes are associated with balance and mobility in older adults: a pilot study. PM&R. 2009;1:916-24.
• Özkal Ö, Kara M, Topuz S, Kaymak B, Bakı A, Özçakar L. Assessment of core and lower limb muscles for static/dynamic balance in the older people: An ultrasonographic study. Age Ageing. 2019;48:881-87.
• Key J. ‘The core’: understanding it, and retraining its dysfunction. J Bodyw Mov Ther. 2013;17: 541–59.
• Kato S, Murakami H, Demura S, Yoshioka K, Shinmura K, Yokogawa N et al. Abdominal trunk muscle weakness and its association with chronic low back pain and risk of falling in older women. BMC Musculoskelet Disord. 2019;20:273.
• Granacher U, Gollhofer A, Hortobagyi T, Kressig RW, Muehlbauer T. The importance of trunk muscle strength for balance, functional performance, and fall prevention in seniors: a systematic review. Sports Med. 2013;43:627-41.
• Sharrock C, Cropper J, Mostad J, Johnson M, Malone T. A pilot study of core stability and athletic performance: Is there a relationship? Int J Sports Phys Ther. 2011;6:63-74.
• Kang MH, Kim GM, Kwon OY, Weon JH, Oh JS, An DH. Relationship Between the Kinematics of the Trunk and Lower Extremity and Performance on the Y-Balance Test. PM&R. 2015;7:1152-58.
• Berger W, Trippel M, Discher M, Dietz V. Influence of subjects’ height on the stabilization of posture. Acta Otolaryngol. 1992;112:22-30.