Kadın Sporcularda Menstrual Evrelerin Fonksiyonel Denge Performansına Etkisi

Abstract

Bu araştırmada kadın sporcularda menstrual evrelerin fonksiyonel denge performansına etkisinin incelenmesi amaçlanmıştır. Araştırmaya yaş aralığı 18-25 olan toplam 22 sağlıklı kadın sporcu katılmıştır. Araştırmaya katılan kadınların son iki aya ait adet döngülerine ilişkin bilgiler kişisel bilgi formu kullanılarak belirlenmiştir. Katılımcıların denge performanslarını belirlemek için “Side Hop Test”, “Figure of 8 Test” ve “Modified Star Excursion Balance Test” kullanılmıştır. Veri analiz sürecinde SPSS 25.0 programında tanımlayıcı istatistiklerden, Friedman testi ve Dunn testlerinden yararlanılmıştır. Araştırmanın sonunda kadın sporcuların menstrual dönemlerine göre Modified Star Excursion Balance Test sonuçlarının anlamlı farklılık göstermediği tespit edilmiştir. Buna karşılık Side Hop Test ile Figure of 8 Test sonuçlarında menstrual dönemlere göre anlamlı farklılık (p<0,05) olduğu belirlenmiştir. Sonuç olarak, dinamik alt ekstremite kuvvetinin ön planda olduğu denge hareketlerinin menstrual evrelerden etkilendiği söylenebilir.

Keywords

• Kadın ve spor
• menstrüasyon
• dinamik denge

The Effect of Menstrual Phases on Functional Balance Performance in Female Athletes

Abstract

This study aimed to investigate the effect of menstrual phases on functional balance performance in female athletes. A total of 22 healthy female athletes aged 18-25 participated in the study. Information regarding the menstrual cycles of the women participating in the study for the last two months was determined with a personal information form. “Side Hop Test”, “Figure of 8 Test” and “Modified Star Excursion Balance Test” were used to determine the balance performance of the participants. In the data analysis process of the study, descriptive statistics, Friedman test and Dunn tests were used in SPSS 25.0 program. At the end of the study, it was determined that the Modified Star Excursion Balance Test results of female athletes did not show any significant difference according to their menstrual periods. On the other hand, it was determined that there was a significant difference (p<0.05) in the Side Hop Test and Figure of 8 Test results according to menstrual periods. As a result, it can be said that balance movements in which dynamic lower extremity strength is at the forefront are affected by menstrual stages.

Keywords

• Women and sports
• menstruation
• dynamic balance

References

1. Abou-Elmagd, M. (2019). General psychological factors affecting physical performance and sports. Journal of Advances in Sports and Physical Education, 2(7), 142-152. https://doi.org/10.36348/JASPE.2019.v02i07.004
2. Akkuş, M. (2014). Menstrual dönemlerin bayanların spor performansına etkisinin araştırılması (Tez No. 358195) [Yüksek lisans tezi, Sakarya Üniversitesi]. Eğitim Bilimleri Enstitüsü
3. Altavilla, G., Di Tore, P. A., Riela, L., & D’isanto, T. (2017). Anthropometric, physiological and performance aspects that differentiate male athletes from females and practical consequences. Journal of Physical Education and Sport, 17, 2183-2187. https://doi.org/110.7752/jpes.2017.s5226
4. Avcı, E. E., Şenocak, E., Akgün, İ., Timurtaş, E., Demirbüken, İ., & Polat, M. G. (2021). Menstrual döngü boyunca tahmin edilen östrojen değişikliklerinin plantar basınç dağılımı ve denge kontrolü üzerindeki etkisi. Journal of Health Sciences and Management, 1(2), 75-81. https://doi.org/10.29228/johesam.2
5. Bali, A. (2015). Psychological factors affecting sports performance. International Journal of Physical Education, Sports and Health, 1(6), 92-95.
6. Barbu, R. M., Cıobîcă, A., Stana, B. A., Popescu, I. R., & Bild, W. (2021). Neurohormonal and pharmacological regulation of oestrogen, progesterone, luteinizing hormone and follicle stimulating hormone over the menstrual cycle-the possible relevance of angiontensin II. Farmacia, 69(1), 82-89. https://doi.org/10.31925/farmacia.2021.1.11
7. Barut, Ö. (2020). Primer dismenorede menstrüasyon dönemi ve sonrasında eklem pozisyon hissi, denge ve ikili görev performansının karşılaştırılması [Yüksek lisans tezi, Gazi Üniversitesi]. Sağlık Bilimleri Enstitüsü.
8. Blagrove, R. C., Bruinvels, G., & Pedlar, C. R. (2020). Variations in strength-related measures during the menstrual cycle in eumenorrheic women: A systematic review and meta-analysis. Journal of Science and Medicine in Sport, 23(12), 1220-1227. http://research.stmarys.ac.uk/id/eprint/3970/

9. Bruinvels, G., Hackney, A. C., & Pedlar, C. R. (2022). Menstrual cycle: the importance of both the phases and the transitions between phases on training and performance. Sports Medicine, 52(7), 1457-1460. https://doi.org/10.1007/s40279-022-01691-2
10. Carmichael, M. A., Thomson, R. L., Moran, L. J., & Wycherley, T. P. (2021). The impact of menstrual cycle phase on athletes’ performance: a narrative review. International Journal of Environmental Research and Public Health, 18(1667), 1-22. https://doi.org/10.3390/ijerph18041667
11. Ceylan, L., & Küçük, H. (2022). Mental toughness comparison of sports science students. African Educational Research Journal, 10(4), 394-399. https://doi.org/10.30918/AERJ.104.22.062
12. Clagg, S., Paterno, M. V., Hewett, T. E., & Schmitt, L. C. (2015). Performance on the modified star excursion balance test at the time of return to sport following anterior cruciate ligament reconstruction. Journal of Orthopaedic & Sports Physical Therapy, 45(6), 444-452.
13. Çakmakçı, E., Sanioğlu, A., Patlar, S., Çakmakçı, O., & Çınar, V. (2005). Menstruasyonun anaerobik güce etkisi. Spormetre Beden Eğitimi ve Spor Bilimleri Dergisi, 3(4), 145-149. https://doi.org/10.1501/Sporm_0000000054
14. Dasa, M. S., Kristoffersen, M., Ersvær, E., Bovim, L. P., Bjørkhaug, L., Moe-Nilssen, R., & Haukenes, I. (2021). The female menstrual cycles effect on strength and power parameters in high-level female team athletes. Frontiers in Physiology, 12, 1-9.  https://doi.org/10.3389/fphys.2021.600668
15. Ecochard, R., Bouchard, T., Leiva, R., Abdulla, S., Dupuis, O., Duterque, O., & Genolini, C. (2017). Characterization of hormonal profiles during the luteal phase in regularly menstruating women. Fertility and Sterility, 108(1), 175-182. http://dx.doi.org/10.1016/j.fertnstert.2017.05.012
16. Ertaş-Dölek, B., & Ersöz, G. (2017). Genç kadın yüzücülerde, farklı menstruasyon dönemlerinin, seçilmiş performans kriterlerine etkileri. Spormetre Beden Eğitimi ve Spor Bilimleri Dergisi, 15(2), 93-100. https://doi.org/10.1501/Sporm_0000000313
17. Findlay, R. J., Macrae, E. H., Whyte, I. Y., Easton, C., & Forrest, L. J. (2020). How the menstrual cycle and menstruation affect sporting performance: experiences and perceptions of elite female rugby players. British Journal of Sports Medicine, 54(18), 1108-1113. http://dx.doi.org/10.1136/bjsports-2019-101486 Forman, M. R., Mangini, L. D., Thelus-Jean, R., & Hayward, M. D. (2013). Life-course origins of the ages at menarche and menopause. Adolescent Health, Medicine and Therapeutics, 4, 1-21. https://doi.org/10.2147/AHMT.S15946
18. Frankovich, R. J., & Lebrun, C. M. (2000). Menstrual cycle, contraception, and performance. Clinics in sports medicine, 19(2), 251-271. https://doi.org/10.1016/s0278-5919(05)70202-7
19. Fridén, C., Saartok, T., Bäckström, C., Leanderson, J., & Renström, P. (2003). The influence of premenstrual symptoms on postural balance and kinesthesia during the menstrual cycle. Gynecological Endocrinology, 17(6), 433-440. https://doi.org/10.1080/09513590312331290358
20. García-Pinillos, F., Bujalance-Moreno, P., Lago-Fuentes, C., Ruiz-Alias, S. A., Domínguez-Azpíroz, I., Mecías-Calvo, M., … et al. (2021). Effects of the menstrual cycle on jumping, sprinting and force-velocity profiling in resistance-trained women: A preliminary study. International Journal of Environmental Research and Public Health, 18(9), 1-10. https://doi.org/10.3390/ijerph18094830
21. Günaydın, E. E., & Eliöz, M. (2020). Sporcu ve sedanterlerde core stabilizasyon kuvvetinin denge üzerine etkilerinin incelenmesi. Uluslararası Sosyal Araştırmalar Dergisi, 13(69), 1494-1501. http://dx.doi.org/10.17719/jisr.2020.4060
22. Igonin, P. H., Rogowski, I., Boisseau, N., & Martin, C. (2022). Impact of the menstrual cycle phases on the movement patterns of sub-elite women soccer players during competitive matches. International Journal of Environmental Research and Public Health, 19, 1-10. https://doi.org/10.3390/ijerph19084465
23. Julian, R., Hecksteden, A., Fullagar, H. H., & Meyer, T. (2017). The effects of menstrual cycle phase on physical performance in female soccer players. PloS One, 12(3), 1-13. https://doi.org/10.1371/journal.pone.0173951
24. Khan, W., Khan, S., & Abbas, S. A. (2016). Effects of psychological factors on sports training: Evidences of male athletes. International Journal of Scientific & Engineering Research, 7(5), 717-722.
25. Kın, F. (2011). Sporcu ve sedanter üniversite ögrencilerinde menstrual periyodun postür dengesine etkisinin incelenmesi [Yüksek lisans tezi, Yakın Doğu Üniversitesi]. Eğitim Bilimleri Enstitüsü.
26. Kishali, N. F., Imamoglu, O., Katkat, D., Atan, T., & Akyol, P. (2006). Effects of menstrual cycle on sports performance. International Journal of Neuroscience, 116(12), 1549-1563. https://doi.org/10.1080/00207450600675217
27. Korhonen M. T, Mero A, Suominen H. (2003). Age-related differences in 100-m sprint performance in male and female master runners. Med Sci Sports Exerc, 35(8), 1419-28
28. Köse, B. (2018). Analysis of the effect of menstrual cycle phases on aerobic-anaerobic capacity and muscle strength. Journal of Education and Training Studies, 6(8), 23-28. https://doi.org/10.11114/jets.v6i8.3207
29. Küçük, H. (2024). On yıllık perspektif: Kadınların spora katılımı. Şura Akademi, (7 Kadın ve Aile), 61-68.
30. Lemke, S. M. (2007). Neuromuscular performance and the menstrual cycle [Doctoral dissertation, Montana State University].
31. Middleton, L. E. (2004). Effects of menstrual phase on performance and recovery in intense intermittent activity [Master’s thesis, University of British Columbia].
32. Mirković, S. V., Durić, S., Sember, V., Knezevic, O. M., Pajek, M., Mirković, M. M., & Mirkov, D. M. (2022). Evaluation of the limb symmetry index: The side hop test. Frontiers in Physiology, 13, 1-8. https://doi.org/10.3389/fphys.2022.874632
33. Nikolaidis, P. T., Rosemann, T., & Knechtle, B. (2018). Force-velocity characteristics, muscle strength, and flexibility in female recreational marathon runners. Frontiers in Physiology, 9, 1-8. https://doi.org/10.3389/fphys.2018.01563
34. Obour, A., Moses, M. O., Baffour-Awuah, B., Asamoah, B., Sarpong, P. K., Osei, F., … et al. (2017). Differences in physical, physiological and motor performance traits between volleyball and basketball athletes in a university in Ghana. Nigerian Journal of Physiological Sciences, 32(1), 27-31.
35. Okuda, E., Horii, D., & Kano, T. (2005). Genetic and environmental effects on physical fitness and motor performance. International Journal of Sport and Health Science, 3, 1-9. https://doi.org/10.5432/ijshs.3.1
36. Ozbar, N., Kayapinar, F. C., Karacabey, K., & Ozmerdivenli, R. (2016). The effect of menstruation on sports women’s performance. Studies on Ethno-Medicine, 10(2), 216-220. https://doi.org/10.1080/09735070.2016.11905490
37. Ön, S., Diker, G., & Özkamçı, H. (2014). Adolesan voleybolcularda menstrual döngünün anaerobik güce ve aktif sıçrama performansına etkisi özet. E-Journal of New World Sciences Academy, 9(2), 32-42. http://dx.doi.org/10.12739/NWSA.2014.9.2.2B0099
38. Picot, B., Fourchet, F., Rauline, G., Freiha, K., Wikstrom, E., Lopes, R., & Hardy, A. (2024). Ankle-GO score is associated with the probability of becoming coper after lateral ankle sprain: a 1-year prospective cohort study. British Journal of Sports Medicine, 58, 1115-1122. https://doi.org/10.1136/bjsports-2024-108361
39. Picot, B., Terrier, R., Forestier, N., Fourchet, F., & McKeon, P. O. (2021). The star excursion balance test: an update review and practical guidelines. International Journal of Athletic Therapy and Training, 26(6), 285-293. https://doi.org/10.1123/ijatt.2020-0106
40. Romero-Moraleda, B., Del Coso, J., Gutiérrez-Hellín, J., Ruiz-Moreno, C., Grgic, J., & Lara, B. (2019). The influence of the menstrual cycle on muscle strength and power performance. Journal of Human Kinetics, 68, 123-133. https://doi.org/10.2478/hukin-2019-0061
41. Saadati, S. A. (2023). Recent innovations in sports physiology: Shaping the future of athletic performance. Health Nexus, 1(2), 15-27. https://doi.org/10.61838/kman.hn.1.2.3
42. Selam, B., & Topçuoğlu, A. (2004). Luteal faz fizyolojisi ve overi stimule eden ajanlarla değişimi. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 30(3), 217-220.
43. Sung, E., Han, A., Hinrichs, T., Vorgerd, M., Manchado, C., & Platen, P. (2014). Effects of follicular versus luteal phase-based strength training in young women. Springerplus, 3, 1-10.
44. Vigil, P., Lyon, C., Flores, B., Rioseco, H., & Serrano, F. (2017). Ovulation, a sign of health. The Linacre Quarterly, 84(4), 343-355. https://doi.org/10.1080/00243639.2017.1394053
45. Yen, J. Y., Lin, H. C., Lin, P. C., Liu, T. L., Long, C. Y., & Ko, C. H. (2019). Early-and late-luteal-phase estrogen and progesterone levels of women with premenstrual dysphoric disorder. International Journal of Environmental Research and Public Health, 16(22), 4352. https://doi.org/10.3390/ijerph16224352