İliotibial Bant Gerginliği Olan Sporcularda Ober Eğim Açısının Basınç Ağrı Eşiği ve Kalça Abdüktör Kas Kuvvetiyle İlişkisi

Abstract

Amaç: Diz ekleminin stabilizasyonundaki görevlerinden dolayı ve dizin tekrarlı fleksiyon-ekstansiyon hareketleriyle birlikte İliotibial Bant (İTB) üzerindeki gerginlik artar. Diz ve kalça eklemi ile bağlantısı olan İTB'de oluşacak gerginlik sporcunun performansında ve sporcu yaralanmalarında kritik öneme sahiptir. Bu çalışma İTB gerginliği olan sporcularda Ober eğim açısı (OEA) ile basınç ağrı eşiği (BAE) ve kalça abdüktör kas kuvveti arasındaki ilişkiyi araştırmak amacıyla planlandı.
Materyal-Metot: Çalışmaya İTB gerginliği olan 18-25 yaşları arasında 45 erkek sporcu (yaş: 19,53±1,58 yıl, vücut kütle indeksi: 22,08±1,87 kg/m2) dahil edildi. İliotibial bant gerginliğinin belirlenmesinde Ober Testi kullanıldı. Ober eğim açısı bubble inklinometre ile, BAE dijital algometre ile ve kalça abdüktör kas kuvveti izokinetik dinamometre ile değerlendirildi. Bağımsız grupların karşılaştırılmasında Student T-Testi kullanıldı. Ober eğim açısı, BAE ve kalça abdüktör kas kuvveti arasındaki ilişki Pearson korelasyon testi ile analiz edildi.
Bulgular: İliotibial bant gerginliği olan sporcularda OEA ile BAE arasında pozitif yönde güçlü derece (p<0,001; rho: 0,774); kalça abdüktör kasları tepe tork değeri arasında ise pozitif yönde orta derece ilişki (p<0,001; rho: 0,492) olduğu belirlendi.
Sonuç: İliotibial bant gerginliği olan sporcularda OEA’nın BAE seviyesi ve kalça abdüktör kas kuvvetiyle arasında ilişki olduğu görüldü. Ober eğim açısı azaldıkça kalça abdüksiyon kuvveti ve BAE seviyesi azalmaktadır. İliotibial bant gerginliği olan bireylerde kalça abdüktörlerinin kuvvetlendirilmesi ve İTB germe egzersizleri, ağrı eşik seviyesinde, eklem hareket açıklığında ve kalça kas kuvvetinde iyileşmeye katkı sağlayabilir.

Keywords

• İliotibial Bant
• Ober
• İnklinometre
• Basınç Ağrı Eşiği
• İzokinetik Kas Kuvveti

The Relationship of Ober Inclination Angle with Pressure Pain Threshold and Hip Abductor Muscle Strength in Athletes with Iliotibial Band Tightness

Abstract

Objective: Due to its role in stabilizing the knee joint and with repeated flexion-extension movements of the knee, the tightness on the Iliotibial Band (ITB) increases. The tightness that will occur in the ITB, which is connected to the knee and hip joints, has a critical importance in the performance of the athlete and in athlete injuries. This study was planned to investigate the relationship between Ober inclination angle (OIA), pressure pain threshold (PPT) and hip abductor muscle strength in athletes with ITB tightness.
Material-Method: Forty-five male athletes (age: 19.53±1.58 years, body mass index: 22.08±1.87 kg/m2) between the ages of 18-25 with ITB tightness were included in the study. Ober Test was used to determine ITB tightness. OIA was evaluated with bubble inclinometer, PPT with digital algometer and hip abductor muscle strength with isokinetic dynamometer. Student T-Test was used to compare independent groups. The relationship between OIA, PPT and hip abductor muscle strength was analyzed with the Pearson correlation test.
Results: In athletes with ITB tightness, OIA showed a strong positive correlation with PPT (p<0.001; rho: 0.774), OIA showed a moderate positive correlation with hip abduction peak torque (p<0.001; rho: 0.492).
Conclusion: It was observed that OIA was correlated with PPT and hip abductor muscle strength in athletes with ITB tightness. As the OIA decreases, the hip abduction strength and the PPT level decrease. Strengthening the hip abductors and ITB stretching exercises may contribute to improvement in pain threshold level, range of motion and hip muscle strength in individuals with ITB tightness.

Keywords

• Iliotibial Band
• Ober
• Inclinometer
• Pressure Pain Threshold
• Isokinetic Muscle Strength

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