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POSTMENOPOZAL KADINLARDA GÖVDE STABİLİTE EĞİTİMİNİN ÜST EKSTREMİTE ENDURANSI, STABİLİTESİ VE OMUZ EKLEM PROPRİOSEPSİYONUNA ETKİSİ

Year 2024, Volume: 35 Issue: 2, 143 - 151, 27.08.2024
https://doi.org/10.21653/tjpr.1347475

Abstract

Amaç: Postmenopozal dönemdeki kadınlarda omuz patolojilerinin görülme sıklığı artmaktadır. Bu dönemde omuz yaralanmalarını önleme amacıyla uygulanacak koruyucu yaklaşımlara ihtiyaç duyulmaktadır. Bu çalışma, postmenopozal dönemdeki kadınlarda klinik pilates egzersizlerinin omuz eklem propriosepsiyonu ile üst ekstremite stabilitesi ve enduransı üzerindeki etkileri araştırmak amacı ile tasarlanmıştır.
Yöntem: Çalışmaya 40-60 yaşları arasında değişmekte olan postmenopozal dönemdeki 30 gönüllü kadın dâhil edildi. Bireylere fizyoterapist eşliğinde haftada 3 gün, 6 hafta süreyle klinik pilates eğitimi verildi. Egzersiz programı öncesi ve sonrasında omuz eklem pozisyon hissi Lazer İmleç Yardımlı Açı Tekrarlama Testi (Lİ-ATT) ile, omzun dinamik stabilitesi Üst Ekstremite Y Denge Testi (ÜEYDT) ve kapalı kinetik zincir üst ekstremite stabilite testi (KKZÜEST) ile, üst ekstremite kas enduransı ise modifiye push up testi ile değerlendirildi.
Sonuçlar: Eğitim sonunda KKZÜEST (p=0,000, r=0,594), ÜEYDT (p=0,000, r=0,537), modifiye push up (p=0,000, r=0,594), Lİ-ATT abduksiyon (p=0,000, r=0,491) ve Lİ-ATT fleksiyon (p=0,000, r=0,484) ölçümleri üzerinde eğitim öncesine göre istatistiksel düzeyde anlamlı farklılık elde edildi ve egzersiz programı tüm parametreler üzerinde yüksek etkili bulundu.
Tartışma: Postmenopozal kadınlarda uygulanan klinik pilates eğitiminin omuz propriosepsiyonu, dinamik stabilitesi ve enduransını artırdığı sonucuna varıldı. Postmenopozal dönemdeki kadınlarda omuz patolojilerinin önlenmesinde koruyucu yaklaşım olarak gövde stabilizasyon egzersizleri yarar sağlayabilir.

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References

  • Utian WH. The International Menopause menopause-related terminology definitions. Climacteric. 1999;2(4):284-6.
  • Ishizukaa B, Kudob Y, Tango T. Cross-sectional community survey of menopause symptoms among Japanese women. Maturitas. 2008;61(3):260-7.
  • Abate M, Schiavone C, Di Carlo L, Salini V. Prevalence of and risk factors for asymptomatic rotator cuff tears in postmenopausal women. Menopause. 2014;21(3):275-80.
  • Solak S, Yeşil H, Dündar Ü, Toktaş H, Yeşil M, Korkmaz M. Evaluation of Balance Exercises on Balance, Fall Risk, and Quality of Life in Postmenopausal Women. Turk J Osteoporos. 2022;28(1):32-40.
  • Angın E, Erden Z, Can F. The effects of clinical pilates exercises on bone mineral density, physical performance and quality of life of women with postmenopausal osteoporosis. J Back Musculoskelet Rehabil. 2015;28(4):849–58.
  • Hita-Contreras F, Martínez-Amat A, Cruz-Díaz D, Pérez-López FR. Fall prevention in postmenopausal women: the role of Pilates exercise training. Climacteric. 2016;19(3):229-33.
  • Chu SK, Jayabalan P, Kibler WB, Press J. The Kinetic Chain Revisited: New Concepts on Throwing Mechanics and Injury. PM&R. 2016;8(3):69–77.
  • Mazloum V, Rahnama N. Comparison of the Effects of Therapeutic exercise and Pilates Training on Function and Proprioception in Patients with Knee Osteoarthritis: A Randomized Controlled Trial. Rehabil J. 2014;15(1):53-62.
  • Zou L, Zhang Y, Liu Y, Tian X, Xiao T, Liu X, et al. The Effects of Tai Chi Chuan Versus Core Stability Training on Lower-Limb Neuromuscular Function in Aging Individuals with Non-Specific Chronic Lower Back Pain. Medicina. 2019;55(3):60–70.
  • De Blaiser C, Roosen P, Willems T, Danneels L, Bossche LV, De Ridder R. Is core stability a risk factor for lower extremity injuries in an athletic population? A systematic review. Phys Ther Sport. 2018;30(1):48-56.
  • Attar WSA, Husain MA. Effectiveness of Injury Prevention Programs With Core Muscle Strengthening Exercises to Reduce the Incidence of Hamstring Injury Among Soccer Players: A Systematic Review and Meta-Analysis. Sports Health. 2023;15(6):805-13.
  • Joseph LH, Pirunsan U, Sitilertpisan P, Paungmali A. Effect of lumbopelvic myofascial force transmission on glenohumeral kinematics–A myofascia-biomechanical hypothesis. Pol Ann Med. 2017;24(2):276-82.
  • Baierle T, Kromer T, Petermann C, Magosch P, Luomajoki H. Balance ability and postural stability among patients with painful shoulder disorders and healthy controls, BMC Musculoskel Dis. 2013;14:282-91.
  • Cohen J. Statistical Power Analysis For The Behavioral Sciences. 2th ed. Hillsdale NJ: Lawrence Erlbaum Associates; 1988.
  • Balke M, Liem D, Dedy N, Thorwesten L, Balke M, Poetzl W, et al. The laser-pointer assisted angle reproduction test for evaluation of proprioceptive shoulder function in patients with instability. Arch Orthop Trauma Surg. 2011;131(8): 1077-84.
  • Lee DR, Kim LJ. Reliability and validity of the closed kinetic chain upper extremity stability test. J Phys Ther Sci. 2015;27(4):1071–3.
  • Gorman PP, Butler RJ, Plisky PJ, Kiesel KB. Upper Quarter Y Balance Test: Reliability And Performance Comparison Between Genders In Active Adults. J Strength Cond Res. 2012;26(11):304-8.
  • Kellner P, Neubauer J, Polach M. Objectivity of push-up tests and technique assessment. Phys Educ Sport. 2021;21(4):1629-34.
  • Bakker A, Cai J, English L, Kaiser G, Mesa V, Van DW. Beyond small, medium, or large: Points of consideration when interpreting effect sizes. Educ Stud Math. 2019; 102:1-8.
  • Ferlinc A, Fabiani E, Velnar T, Gradisnik L. The Importance and Role of Proprioception in the Elderly: a Short Review. Mater Sociomed. 2019;31(3): 219–21.
  • Lademann, A, Lademan R. Pilates Conditioning for Athletes An Integrated Approach to Performance and Recovery. United States: Human Kinetics; 2019.
  • Mazzarino M, Kerr D, Wajswelner H, Morris ME. Pilates Method for Women's Health: Systematic Review of Randomized Controlled Trials. Arch Phys Med Rehabil. 2015;96(12):2231-42.
  • Masahiro Y, Mitsuhiro A, Yuji S, Tomoya H. Feedforward coactivation of trunk muscles during rapid shoulder movements. J Shoulder Elbow Surg. 2022;6(4):660-8.
  • Osuka S, Koshino Y, Yamanama M, Miura T, Saito Y, Ueno R, et al. The onset of deep abdominal muscles activity during tasks with different trunk rotational in subject with non-specific chronic low back pain. J Orthop Sci. 2019;24(5):770-5.
  • Kisacik P, Oksuz S, Arın G, Akdogan A, Dogan O, Karabulut E, et al. FRI0637-HPR The Effects of Clinical Pilates Exercises on Kinestesia and Position Sense in Patients with Osteoarthritis of The Knee. Ann Rheum Dis. 2016;75(2):1284.
  • Alaa EK, Alaa EB, Maha MM, Ahmed HW. Effect of Core Stability Training on Knee Proprioception after Anterior Cruciate Ligament Reconstruction. The Med J Cairo Univ. 2018;86(1):231-40.
  • Kim TH, Kim EH, Cho H. The effects of the CORE programme on pain at rest, movement-induced and secondary pain, active range of motion, and proprioception in female office workers with chronic low back pain: a randomized controlled trial. Clin Rehabil. 2015;29(7):653-62.
  • Kalanatri KK, Berenji AS. The effect of base of support stability on shoulder muscle activity during closed kinematic chain exercises. J Bodyw Mov Ther. 2014;18(2):233-8.
  • Micoogullari M, Uygur F, Yosmaoglu BH, Haksever B. Do clinical pilates exercises affect scapular stabilization?. Br J Sports Med. 2020;54(1):48-9.
  • Katayıfçı N, Düger T, Ünal E. Sağlıklı bireylerde klinik Pilates egzersizlerinin fiziksel uygunluk üzerine etkisi. J Exerc Rehabil. 2014;1(1):17-25.
  • Kloubec JA. Pilates for improvement of muscle endurance, flexibility, balance and posture. J Strength Cond Res. 2010;24:661-7.
  • Sewright K, Martens DW, Axtell FRS, Rinehardt KF. Effects of six Weeks of Pilates Mat Training on Tennis Serve Velocity, Muscular Endurance, and Their Relationship in Collegiatre Tennis Players, Med Sci Sports Exerc. 2004;36(5):167.

THE EFFECT OF TRUNK STABILITY TRAINING ON UPPER EXTREMITY ENDURANCE, STABILITY AND SHOULDER JOINT PROPRIOCEPTION IN POSTMENOPAUSAL WOMEN

Year 2024, Volume: 35 Issue: 2, 143 - 151, 27.08.2024
https://doi.org/10.21653/tjpr.1347475

Abstract

Purpose: The incidence of shoulder pathologies is increasing in postmenopausal women. In this period, there is a need for protective approaches to be applied to prevent shoulder injuries. The aim of this study is to investigate the effects of clinical pilates exercises on upper extremity stability, endurance, function and shoulder joint proprioception in postmenopausal women.
Methods: 30 postmenopausal women between the ages of 40-60 were included in our study. Participants were given clinical pilates training for 6 weeks, 3 days a week, 60 minutes by a physiotherapist. Before and after pilates training, dynamic stability of the shoulder was evaluated with Closed Kinetic Chain Upper Extremity Stability Test (CKCUES Test) and Upper Quarter Y Balance Test (UQYBT). Upper extremity muscle endurance was evaluated with the modified push up test. Laser Pointer-Assisted Angle Reproduction Test (LP-ART) was used to evaluate shoulder joint position sense.
Results: A statistically significant difference was found in CKCUES Test (p=0.000, r=0.594), UQYBT (p=0.000, r=0.537), modified push up (p=0.000, r=0.594), LP-ART abduction (p=0.000, r= 0.491) and LP-ART flexion (p=0.000, r=0.484) at end of the training compared to the pre-training. The exercise program was found to be highly effective on all parameters. Conclusion: It was concluded that clinical pilates training applied in postmenopausal women increased the dynamic stability of the shoulder, endurance and position sense. Trunk stabilization exercises may be beneficial as a preventive approach in the prevention of shoulder pathologies in postmenopausal women.

Project Number

yok

References

  • Utian WH. The International Menopause menopause-related terminology definitions. Climacteric. 1999;2(4):284-6.
  • Ishizukaa B, Kudob Y, Tango T. Cross-sectional community survey of menopause symptoms among Japanese women. Maturitas. 2008;61(3):260-7.
  • Abate M, Schiavone C, Di Carlo L, Salini V. Prevalence of and risk factors for asymptomatic rotator cuff tears in postmenopausal women. Menopause. 2014;21(3):275-80.
  • Solak S, Yeşil H, Dündar Ü, Toktaş H, Yeşil M, Korkmaz M. Evaluation of Balance Exercises on Balance, Fall Risk, and Quality of Life in Postmenopausal Women. Turk J Osteoporos. 2022;28(1):32-40.
  • Angın E, Erden Z, Can F. The effects of clinical pilates exercises on bone mineral density, physical performance and quality of life of women with postmenopausal osteoporosis. J Back Musculoskelet Rehabil. 2015;28(4):849–58.
  • Hita-Contreras F, Martínez-Amat A, Cruz-Díaz D, Pérez-López FR. Fall prevention in postmenopausal women: the role of Pilates exercise training. Climacteric. 2016;19(3):229-33.
  • Chu SK, Jayabalan P, Kibler WB, Press J. The Kinetic Chain Revisited: New Concepts on Throwing Mechanics and Injury. PM&R. 2016;8(3):69–77.
  • Mazloum V, Rahnama N. Comparison of the Effects of Therapeutic exercise and Pilates Training on Function and Proprioception in Patients with Knee Osteoarthritis: A Randomized Controlled Trial. Rehabil J. 2014;15(1):53-62.
  • Zou L, Zhang Y, Liu Y, Tian X, Xiao T, Liu X, et al. The Effects of Tai Chi Chuan Versus Core Stability Training on Lower-Limb Neuromuscular Function in Aging Individuals with Non-Specific Chronic Lower Back Pain. Medicina. 2019;55(3):60–70.
  • De Blaiser C, Roosen P, Willems T, Danneels L, Bossche LV, De Ridder R. Is core stability a risk factor for lower extremity injuries in an athletic population? A systematic review. Phys Ther Sport. 2018;30(1):48-56.
  • Attar WSA, Husain MA. Effectiveness of Injury Prevention Programs With Core Muscle Strengthening Exercises to Reduce the Incidence of Hamstring Injury Among Soccer Players: A Systematic Review and Meta-Analysis. Sports Health. 2023;15(6):805-13.
  • Joseph LH, Pirunsan U, Sitilertpisan P, Paungmali A. Effect of lumbopelvic myofascial force transmission on glenohumeral kinematics–A myofascia-biomechanical hypothesis. Pol Ann Med. 2017;24(2):276-82.
  • Baierle T, Kromer T, Petermann C, Magosch P, Luomajoki H. Balance ability and postural stability among patients with painful shoulder disorders and healthy controls, BMC Musculoskel Dis. 2013;14:282-91.
  • Cohen J. Statistical Power Analysis For The Behavioral Sciences. 2th ed. Hillsdale NJ: Lawrence Erlbaum Associates; 1988.
  • Balke M, Liem D, Dedy N, Thorwesten L, Balke M, Poetzl W, et al. The laser-pointer assisted angle reproduction test for evaluation of proprioceptive shoulder function in patients with instability. Arch Orthop Trauma Surg. 2011;131(8): 1077-84.
  • Lee DR, Kim LJ. Reliability and validity of the closed kinetic chain upper extremity stability test. J Phys Ther Sci. 2015;27(4):1071–3.
  • Gorman PP, Butler RJ, Plisky PJ, Kiesel KB. Upper Quarter Y Balance Test: Reliability And Performance Comparison Between Genders In Active Adults. J Strength Cond Res. 2012;26(11):304-8.
  • Kellner P, Neubauer J, Polach M. Objectivity of push-up tests and technique assessment. Phys Educ Sport. 2021;21(4):1629-34.
  • Bakker A, Cai J, English L, Kaiser G, Mesa V, Van DW. Beyond small, medium, or large: Points of consideration when interpreting effect sizes. Educ Stud Math. 2019; 102:1-8.
  • Ferlinc A, Fabiani E, Velnar T, Gradisnik L. The Importance and Role of Proprioception in the Elderly: a Short Review. Mater Sociomed. 2019;31(3): 219–21.
  • Lademann, A, Lademan R. Pilates Conditioning for Athletes An Integrated Approach to Performance and Recovery. United States: Human Kinetics; 2019.
  • Mazzarino M, Kerr D, Wajswelner H, Morris ME. Pilates Method for Women's Health: Systematic Review of Randomized Controlled Trials. Arch Phys Med Rehabil. 2015;96(12):2231-42.
  • Masahiro Y, Mitsuhiro A, Yuji S, Tomoya H. Feedforward coactivation of trunk muscles during rapid shoulder movements. J Shoulder Elbow Surg. 2022;6(4):660-8.
  • Osuka S, Koshino Y, Yamanama M, Miura T, Saito Y, Ueno R, et al. The onset of deep abdominal muscles activity during tasks with different trunk rotational in subject with non-specific chronic low back pain. J Orthop Sci. 2019;24(5):770-5.
  • Kisacik P, Oksuz S, Arın G, Akdogan A, Dogan O, Karabulut E, et al. FRI0637-HPR The Effects of Clinical Pilates Exercises on Kinestesia and Position Sense in Patients with Osteoarthritis of The Knee. Ann Rheum Dis. 2016;75(2):1284.
  • Alaa EK, Alaa EB, Maha MM, Ahmed HW. Effect of Core Stability Training on Knee Proprioception after Anterior Cruciate Ligament Reconstruction. The Med J Cairo Univ. 2018;86(1):231-40.
  • Kim TH, Kim EH, Cho H. The effects of the CORE programme on pain at rest, movement-induced and secondary pain, active range of motion, and proprioception in female office workers with chronic low back pain: a randomized controlled trial. Clin Rehabil. 2015;29(7):653-62.
  • Kalanatri KK, Berenji AS. The effect of base of support stability on shoulder muscle activity during closed kinematic chain exercises. J Bodyw Mov Ther. 2014;18(2):233-8.
  • Micoogullari M, Uygur F, Yosmaoglu BH, Haksever B. Do clinical pilates exercises affect scapular stabilization?. Br J Sports Med. 2020;54(1):48-9.
  • Katayıfçı N, Düger T, Ünal E. Sağlıklı bireylerde klinik Pilates egzersizlerinin fiziksel uygunluk üzerine etkisi. J Exerc Rehabil. 2014;1(1):17-25.
  • Kloubec JA. Pilates for improvement of muscle endurance, flexibility, balance and posture. J Strength Cond Res. 2010;24:661-7.
  • Sewright K, Martens DW, Axtell FRS, Rinehardt KF. Effects of six Weeks of Pilates Mat Training on Tennis Serve Velocity, Muscular Endurance, and Their Relationship in Collegiatre Tennis Players, Med Sci Sports Exerc. 2004;36(5):167.
There are 32 citations in total.

Details

Primary Language English
Subjects Physiotherapy
Journal Section Araştırma Makaleleri
Authors

Buse Sezerel 0000-0002-7265-0657

İnci Yüksel 0000-0002-9053-3948

Project Number yok
Publication Date August 27, 2024
Published in Issue Year 2024 Volume: 35 Issue: 2

Cite

APA Sezerel, B., & Yüksel, İ. (2024). THE EFFECT OF TRUNK STABILITY TRAINING ON UPPER EXTREMITY ENDURANCE, STABILITY AND SHOULDER JOINT PROPRIOCEPTION IN POSTMENOPAUSAL WOMEN. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 35(2), 143-151. https://doi.org/10.21653/tjpr.1347475
AMA Sezerel B, Yüksel İ. THE EFFECT OF TRUNK STABILITY TRAINING ON UPPER EXTREMITY ENDURANCE, STABILITY AND SHOULDER JOINT PROPRIOCEPTION IN POSTMENOPAUSAL WOMEN. Turk J Physiother Rehabil. August 2024;35(2):143-151. doi:10.21653/tjpr.1347475
Chicago Sezerel, Buse, and İnci Yüksel. “THE EFFECT OF TRUNK STABILITY TRAINING ON UPPER EXTREMITY ENDURANCE, STABILITY AND SHOULDER JOINT PROPRIOCEPTION IN POSTMENOPAUSAL WOMEN”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 35, no. 2 (August 2024): 143-51. https://doi.org/10.21653/tjpr.1347475.
EndNote Sezerel B, Yüksel İ (August 1, 2024) THE EFFECT OF TRUNK STABILITY TRAINING ON UPPER EXTREMITY ENDURANCE, STABILITY AND SHOULDER JOINT PROPRIOCEPTION IN POSTMENOPAUSAL WOMEN. Türk Fizyoterapi ve Rehabilitasyon Dergisi 35 2 143–151.
IEEE B. Sezerel and İ. Yüksel, “THE EFFECT OF TRUNK STABILITY TRAINING ON UPPER EXTREMITY ENDURANCE, STABILITY AND SHOULDER JOINT PROPRIOCEPTION IN POSTMENOPAUSAL WOMEN”, Turk J Physiother Rehabil, vol. 35, no. 2, pp. 143–151, 2024, doi: 10.21653/tjpr.1347475.
ISNAD Sezerel, Buse - Yüksel, İnci. “THE EFFECT OF TRUNK STABILITY TRAINING ON UPPER EXTREMITY ENDURANCE, STABILITY AND SHOULDER JOINT PROPRIOCEPTION IN POSTMENOPAUSAL WOMEN”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 35/2 (August 2024), 143-151. https://doi.org/10.21653/tjpr.1347475.
JAMA Sezerel B, Yüksel İ. THE EFFECT OF TRUNK STABILITY TRAINING ON UPPER EXTREMITY ENDURANCE, STABILITY AND SHOULDER JOINT PROPRIOCEPTION IN POSTMENOPAUSAL WOMEN. Turk J Physiother Rehabil. 2024;35:143–151.
MLA Sezerel, Buse and İnci Yüksel. “THE EFFECT OF TRUNK STABILITY TRAINING ON UPPER EXTREMITY ENDURANCE, STABILITY AND SHOULDER JOINT PROPRIOCEPTION IN POSTMENOPAUSAL WOMEN”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, vol. 35, no. 2, 2024, pp. 143-51, doi:10.21653/tjpr.1347475.
Vancouver Sezerel B, Yüksel İ. THE EFFECT OF TRUNK STABILITY TRAINING ON UPPER EXTREMITY ENDURANCE, STABILITY AND SHOULDER JOINT PROPRIOCEPTION IN POSTMENOPAUSAL WOMEN. Turk J Physiother Rehabil. 2024;35(2):143-51.