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Genç Erkeklerde Aşil Tendon Boyutlarının Denge ile İlişkisi: Kesitsel Bir Çalışma

Yıl 2026, Cilt: 48 Sayı: 1, 61 - 67, 15.12.2025
https://doi.org/10.20515/otd.1784851

Öz

Bu çalışma sağlıklı genç erkeklerde aşil tendon boyutları ile denge arasındaki ilişkiyi araştırmaktadır. Çalışmaya 18-35 yaş aralığında 88 sağlıklı erkek dahil edilmiştir. Dinamik denge Timed Up and Go (TUG) testi ile, statik denge ise Tetrax Interactive Balance System üzerinden Fall Index kullanılarak değerlendirilmiştir. Aşil tendonu kalınlığı ve kesitsel alanı (CSA), 8-13 Hz. frekanslı lineer prob ile ultrasonografik olarak ölçülmüştür. Ortalama Aşil tendon kalınlığı 0.51 ± 0.15 cm, CSA 0.58 ± 0.22 cm², TUG testi 7.77 ± 1.55 sn ve Fall Index skoru 33.68 ± 21.58 olarak saptanmıştır. Aktif bireylerde CSA daha büyük, TUG testi ve Fall Index skorları ise daha düşük saptanmıştır (p <0.001). Aşil tendon CSA’sı hem TUG testi hem de Fall Index ile negatif korelasyon göstermiştir (p <0.001). Bu çalışmanın sonuçları daha büyük Aşil tendon CSA’sının daha iyi denge ile ilişkili olabileceğini düşündürmektedir.

Etik Beyan

Bu çalışma Eskişehir Osmangazi Üniversitesi Klinik Araştırmalar Etik Kurulu tarafından 10.09.2019/26 sayılı kararla onaylanmıştır.

Destekleyen Kurum

Bu çalışma Eskişehir Osmangazi Üniversitesi Bilimsel Araştırma Proje Komisyonu tarafından maddi olarak desteklenmiştir.

Kaynakça

  • 1. Alghadir AH, Anwer S, Zafar H, Al-Eisa ES. Effect of quadriceps and hamstrings muscle cooling on standing balance in healthy young men. Journal of Musculoskeletal & Neuronal Interactions. 2017;17(3):176.
  • 2. Piirtola M, Era P. Force platform measurements as predictors of falls among older people–a review. Gerontology. 2006;52(1):1-16.
  • 3. Couppé C, Kongsgaard M, Aagaard P, Hansen P, Bojsen-Moller J, Kjaer M, et al. Habitual loading results in tendon hypertrophy and increased stiffness of the human patellar tendon. Journal of Applied Physiology. 2008;105(3):805-10.
  • 4. Canbolat M, Özbağ D, Özdemir Z, Demirtaş G, Kafkas AŞ. Effects of physical characteristics, exercise and smoking on morphometry of human Achilles tendon: an ultrasound study. Anatomy. 2015;9(3):128-34.
  • 5. Sleeswijk Visser TSO, O’Neill S, Colaris JW, Eygendaal D, De Vos R. Normative ultrasound values for Achilles tendon thickness in the general population and patients with Achilles tendinopathy: A large international cross‐sectional study. Scandinavian Med Sci Sports. 2024;34(5):e14665.
  • 6. Patel NN, Labib SA. The Achilles tendon in healthy subjects: an anthropometric and ultrasound mapping study. The Journal of Foot and Ankle Surgery. 2018;57(2):285-8.
  • 7. Pang BS, Ying M. Sonographic measurement of achilles tendons in asymptomatic subjects: variation with age, body height, and dominance of ankle. Journal of ultrasound in medicine. 2006;25(10):1291-6.
  • 8. Salinero JJ, Lara B, Gutierrez-Hellin J, Gallo-Salazar C, Areces F, Jiménez F, et al. Thickness and cross-sectional area of the achilles tendon in marathon runners: a cross-sectional study. Revista Brasileira de Medicina do Esporte. 2020;26:391-5.
  • 9. Scholes M, Stadler S, Connell D, Barton C, Clarke RA, Bryant AL, vd. Men with unilateral Achilles tendinopathy have impaired balance on the symptomatic side. Journal of science and medicine in sport. 2018;21(5):479-82.
  • 10. Delabastita T, Bogaerts S, Vanwanseele B. Age-related changes in Achilles tendon stiffness and impact on functional activities: a systematic review and meta-analysis. Journal of aging and physical activity. 2018;27(1):116-27.
  • 11. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British journal of sports medicine. 2020;54(24):1451-62.
  • 12. Ying M, Yeung E, Li B, Li W, Lui M, Tsoi CW. Sonographic evaluation of the size of Achilles tendon: the effect of exercise and dominance of the ankle. Ultrasound in medicine & biology. 2003;29(5):637-42.
  • 13. Bozbaş GT, Gürer G. Does the lower extremity alignment affect the risk of falling? Turkish journal of physical medicine and rehabilitation. 2018;64(2):140.
  • 14. Kear BM, Guck TP, McGaha AL. Timed up and go (TUG) test: normative reference values for ages 20 to 59 years and relationships with physical and mental health risk factors. Journal of primary care & community health. 2017;8(1):9-13.
  • 15. Wagner MM, Clark WH, Franz JR. The aging Achilles tendon: model-predicted changes in calf muscle neuromechanics. Journal of Biomechanics. 2024;112440.
  • 16. Loram ID, Maganaris CN, Lakie M. Human postural sway results from frequent, ballistic bias impulses by soleus and gastrocnemius. The Journal of physiology. 2005;564(1):295-311.
  • 17. Loram ID, Maganaris CN, Lakie M. Paradoxical muscle movement in human standing. The Journal of physiology. 2004;556(3):683-9.
  • 18. Thompson C, Bélanger M, Fung J. Effects of bilateral Achilles tendon vibration on postural orientation and balance during standing. Clinical Neurophysiology. 2007;118(11):2456-67.
  • 19. Rosager S, Aagaard P, Dyhre‐Poulsen P, Neergaard K, Kjaer M, Magnusson SP. Load‐displacement properties of the human triceps surae aponeurosis and tendon in runners and non‐runners. Scandinavian Med Sci Sports. Nisan 2002;12(2):90-8.
  • 20. Tüfekçi O, Erdağı K. Ultrasonographic Measurements of the Achilles Tendon Thickness of Men and Women Athletes in Olympic Weightlifting. Journal of Education and Training Studies. 2019;7(4).
  • 21. Milgrom Y, Milgrom C, Altaras T, Globus O, Zeltzer E, Finestone AS. Achilles Tendons Hypertrophy in Response to High Loading Training. Foot Ankle Int. Aralık 2014;35(12):1303-8.
  • 22. Möller I, Bong D, Naredo E, Filippucci E, Carrasco I, Moragues C, et al. Ultrasound in the study and monitoring of osteoarthritis. Osteoarthritis and Cartilage. 2008;16:S4-7.
  • 23. Kallinen M, Suominen H. Ultrasonographic measurements of the Achilles tendon in elderly athletes and sedentary men. Acta Radiologica. 1994;35(6):560-3.

Relationship of Achilles Tendon Dimensions with Balance in Young Men: A Cross-Sectional Study

Yıl 2026, Cilt: 48 Sayı: 1, 61 - 67, 15.12.2025
https://doi.org/10.20515/otd.1784851

Öz

This study investigated the relationship between Achilles tendon dimensions and balance in healthy young men. Eighty-eight healthy men aged 18-35 were included in the study. Dynamic balance was assessed using the Timed Up and Go (TUG) test, and static balance was assessed using the Fall Index via the Tetrax Interactive Balance System. Achilles tendon thickness and cross-sectional area (CSA) were measured ultrasonographically with a linear probe at a frequency of 8-13 Hz. Mean Achilles tendon thickness was 0.51 ± 0.15 cm, CSA was 0.58 ± 0.22 cm², TUG test was 7.77 ± 1.55 s, and Fall Index score was 33.68 ± 21.58. CSA was greater, and TUG test and Fall Index scores were lower in active individuals (p < 0.001). The Achilles tendon CSA was negatively correlated with both the TUG test and the Fall Index (p < 0.001). The results of this study suggest that greater Achilles tendon CSA may be associated with better balance.

Etik Beyan

This study was approved by the Eskişehir Osmangazi University Clinical Research Ethics Committee with the decision numbered 10.09.2019/26.

Destekleyen Kurum

This study was financially supported by the Eskisehir Osmangazi University Scientific Research Project Commission.

Kaynakça

  • 1. Alghadir AH, Anwer S, Zafar H, Al-Eisa ES. Effect of quadriceps and hamstrings muscle cooling on standing balance in healthy young men. Journal of Musculoskeletal & Neuronal Interactions. 2017;17(3):176.
  • 2. Piirtola M, Era P. Force platform measurements as predictors of falls among older people–a review. Gerontology. 2006;52(1):1-16.
  • 3. Couppé C, Kongsgaard M, Aagaard P, Hansen P, Bojsen-Moller J, Kjaer M, et al. Habitual loading results in tendon hypertrophy and increased stiffness of the human patellar tendon. Journal of Applied Physiology. 2008;105(3):805-10.
  • 4. Canbolat M, Özbağ D, Özdemir Z, Demirtaş G, Kafkas AŞ. Effects of physical characteristics, exercise and smoking on morphometry of human Achilles tendon: an ultrasound study. Anatomy. 2015;9(3):128-34.
  • 5. Sleeswijk Visser TSO, O’Neill S, Colaris JW, Eygendaal D, De Vos R. Normative ultrasound values for Achilles tendon thickness in the general population and patients with Achilles tendinopathy: A large international cross‐sectional study. Scandinavian Med Sci Sports. 2024;34(5):e14665.
  • 6. Patel NN, Labib SA. The Achilles tendon in healthy subjects: an anthropometric and ultrasound mapping study. The Journal of Foot and Ankle Surgery. 2018;57(2):285-8.
  • 7. Pang BS, Ying M. Sonographic measurement of achilles tendons in asymptomatic subjects: variation with age, body height, and dominance of ankle. Journal of ultrasound in medicine. 2006;25(10):1291-6.
  • 8. Salinero JJ, Lara B, Gutierrez-Hellin J, Gallo-Salazar C, Areces F, Jiménez F, et al. Thickness and cross-sectional area of the achilles tendon in marathon runners: a cross-sectional study. Revista Brasileira de Medicina do Esporte. 2020;26:391-5.
  • 9. Scholes M, Stadler S, Connell D, Barton C, Clarke RA, Bryant AL, vd. Men with unilateral Achilles tendinopathy have impaired balance on the symptomatic side. Journal of science and medicine in sport. 2018;21(5):479-82.
  • 10. Delabastita T, Bogaerts S, Vanwanseele B. Age-related changes in Achilles tendon stiffness and impact on functional activities: a systematic review and meta-analysis. Journal of aging and physical activity. 2018;27(1):116-27.
  • 11. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British journal of sports medicine. 2020;54(24):1451-62.
  • 12. Ying M, Yeung E, Li B, Li W, Lui M, Tsoi CW. Sonographic evaluation of the size of Achilles tendon: the effect of exercise and dominance of the ankle. Ultrasound in medicine & biology. 2003;29(5):637-42.
  • 13. Bozbaş GT, Gürer G. Does the lower extremity alignment affect the risk of falling? Turkish journal of physical medicine and rehabilitation. 2018;64(2):140.
  • 14. Kear BM, Guck TP, McGaha AL. Timed up and go (TUG) test: normative reference values for ages 20 to 59 years and relationships with physical and mental health risk factors. Journal of primary care & community health. 2017;8(1):9-13.
  • 15. Wagner MM, Clark WH, Franz JR. The aging Achilles tendon: model-predicted changes in calf muscle neuromechanics. Journal of Biomechanics. 2024;112440.
  • 16. Loram ID, Maganaris CN, Lakie M. Human postural sway results from frequent, ballistic bias impulses by soleus and gastrocnemius. The Journal of physiology. 2005;564(1):295-311.
  • 17. Loram ID, Maganaris CN, Lakie M. Paradoxical muscle movement in human standing. The Journal of physiology. 2004;556(3):683-9.
  • 18. Thompson C, Bélanger M, Fung J. Effects of bilateral Achilles tendon vibration on postural orientation and balance during standing. Clinical Neurophysiology. 2007;118(11):2456-67.
  • 19. Rosager S, Aagaard P, Dyhre‐Poulsen P, Neergaard K, Kjaer M, Magnusson SP. Load‐displacement properties of the human triceps surae aponeurosis and tendon in runners and non‐runners. Scandinavian Med Sci Sports. Nisan 2002;12(2):90-8.
  • 20. Tüfekçi O, Erdağı K. Ultrasonographic Measurements of the Achilles Tendon Thickness of Men and Women Athletes in Olympic Weightlifting. Journal of Education and Training Studies. 2019;7(4).
  • 21. Milgrom Y, Milgrom C, Altaras T, Globus O, Zeltzer E, Finestone AS. Achilles Tendons Hypertrophy in Response to High Loading Training. Foot Ankle Int. Aralık 2014;35(12):1303-8.
  • 22. Möller I, Bong D, Naredo E, Filippucci E, Carrasco I, Moragues C, et al. Ultrasound in the study and monitoring of osteoarthritis. Osteoarthritis and Cartilage. 2008;16:S4-7.
  • 23. Kallinen M, Suominen H. Ultrasonographic measurements of the Achilles tendon in elderly athletes and sedentary men. Acta Radiologica. 1994;35(6):560-3.
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Egzersiz Fizyolojisi, Fiziksel Aktivite ve Sağlık
Bölüm Araştırma Makalesi
Yazarlar

Ayşe Merve Çıracıoğlu 0000-0002-0223-6354

Suheyla Dal Erdoğan 0000-0002-3778-9725

Gizem Sarıçimen 0000-0002-7645-7790

Merih Özgen 0000-0002-8919-968X

Fezan Mutlu 0000-0002-9339-4031

Gönderilme Tarihi 16 Eylül 2025
Kabul Tarihi 17 Ekim 2025
Yayımlanma Tarihi 15 Aralık 2025
Yayımlandığı Sayı Yıl 2026 Cilt: 48 Sayı: 1

Kaynak Göster

Vancouver Çıracıoğlu AM, Dal Erdoğan S, Sarıçimen G, Özgen M, Mutlu F. Relationship of Achilles Tendon Dimensions with Balance in Young Men: A Cross-Sectional Study. Osmangazi Tıp Dergisi. 2025;48(1):61-7.


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