Erkek çocuklarda hipermobiliteye bağlı dinamik denge özelliklerinin karşılaştırılması

Abstract

Amaç: Bu çalışma erkek çocukların hipermobilite oranını belirlemek ve dinamik dengeleri arasındaki farkı karşılaştırmak amacıyla yapılmıştır. 

Materyal ve Yöntem: Şanlıurfa ilinde yaşayan 156 sedanter erkek çocuk (yaş ortalamaları: 11,7±0,672 yıl) Helsinki kriterleri’ne göre hazırlanmış bilgilendirilmiş olur alma formları ile gönüllük esasına dayalı, velilerinden izin alınarak çalışmaya katılmıştır. Hipermobilite ölçümleri Beighton kriterlerine göre değerlendirilmiş, kesim noktası 4 olarak alınarak 4 ve üzeri puan alan katılımcılar hipermobil diğerleri non-hipermobil olmak üzere iki grup oluşturulmuştur. Dinamik denge, düzeltilmiş bacak boyu oranı dikkate alınarak uygulanan ‘Y Denge Testi’ ile değerlendirilmiştir. Verilerin değerlendirilmesinde hücre başına düşen kişi sayısı paralellik varsayımını sağlayamamasından dolayı Mann Whitney U Testi kullanılmıştır.

Bulgular: Beighton skorlamasına kullanılarak yapılan veri analizi sonuçlarına göre; araştırmaya katılan 156 katılımcının 21’i (%13,5) 4 ve üzeri puan alarak “hipermobil” 135’i ise (%86,5) 0-3 puan alarak ‘non-hipermobil’ olarak bulunmuştur. Grupların dinamik denge özelliğini ölçen Y denge testi sonuçları analizine göre üç erişim yönünün toplamının, sağ bacak (U=1179, p>0,05)) ve sol bacak (U=1371, p>0,05) bacak birleşik skorlarına göre anlamlı bir farkın olmadığı görülmektedir (p>0,05).

Sonuçlar: Bu sonuç, spor yapmayan hipermobil ve non-hipermobil erkek çocukların dinamik denge özellikleri arasında anlamlı fark olmadığı ve hipermobilitenin dinamik denge üzerinde etkisinin bulunmadığını göstermektedir.

Keywords

• Hipermobilite,Dinamik denge,Y denge testi

Comparison of dynamic balance properties of hypermobility in boys

Abstract

Aim: This study was conducted to determine the ratio of male children to hypermobility and to compare the difference between their dynamic balances.

Method:156 sedentary boys (mean age:11.7±0.672 years) living in the province of Şanlıurfa participated in the study with ‘the informed consent form’  prepared according to the Helsinki criteria and voluntarily taken ‘parents consent forms’. The hypermobility measurements were evaluated according to the Beighton criteria, and the cut-off point was taken as 4 and the participants who scored 4 and above were divided into two groups: hypermobile and non-hypermobile. The dynamic balance was measured using Y Balance Test. Mann Whitney U Test was used to evaluate the data due to non-parametric distribution.

Result: As a result of data analysis using Beighton scoring; twenty-one of the 156 participants participated in the study were found to be hypermobile taking 4 points or more points (%13,5) and 135 (%86.5) of them to be non-hypermobile with 0-3 points. According to the results of Y balance test  measured the dynamic balance of the groups, it is seen that there is no significant difference between the total of three reach points, the right leg (U=1179, p>0.05) and left leg (U=1371, p>0.05) leg combined scores (p>0.05).

Conclusion: This result shows that there is no significant difference between the dynamic balance characteristics of hypermobile and non-hypermobile boys and also, hypermobility has no effect on dynamic balance.

Keywords

• Hypermobility,Dynamic balance,Y balance test

References

1. Baeza-Velasco, C., Gély-Nargeot, M. C., Pailhez, G., & Vilarrasa, A. B. (2013). Joint hypermobility and sport: a review of advantages and disadvantages. Current sports medicine reports, 12(5), 291-295.
2. Bale, P., Easton, V., Bacon, H., Jerman, E., Watts, L., Barton, G., ... & MacGregor, A. J. (2019). The effectiveness of a multidisciplinary intervention strategy for the treatment of symptomatic joint hypermobility in childhood: a randomised, single centre parallel group trial (The Bendy Study). Pediatric Rheumatology, 17(1), 2.
3. Barçak, Ö. F., Karkucak, M., Capkin, E., Karagüzel, G., Dilber, B., & Dedeoğlu, S. S. (2015). Prevalence of generalized joint hypermobility and fibromyalgia syndrome in the children population of Trabzon: a Turkish study. Turkish Journal of Physical Medicine and Rehabilitation, 61(1).
4. Clinch, J., Deere, K., Sayers, A., Palmer, S., Riddoch, C., Tobias, J. H., & Clark, E. M. (2011). Epidemiology of generalized joint laxity (hypermobility) in fourteen‐year‐old children from the UK: A population‐based evaluation. Arthritis & Rheumatism, 63(9), 2819-2827.
5. Coughlan, G. F., Fullam, K., Delahunt, E., Gissane, C., & Caulfield, B. M. (2012). A comparison between performance on selected directions of the star excursion balance test and the Y balance test. Journal of athletic training, 47(4), 366-371.
6. Day, H., Koutedakis, Y., & Wyon, M. A. (2011). Hypermobility and dance: a review. International journal of sports medicine, 32(07), 485-489.
7. Falkerslev, S., Baagø, C., Alkjær, T., Remvig, L., Halkjaer-Kristensen, J., Larsen, P. K., & Simonsen, E. B. (2013). Dynamic balance during gait in children and adults with generalized joint hypermobility. Clinical Biomechanics, 28(3), 318-324.
8. Geldhof, E., Cardon, G., De Bourdeaudhuij, I., Danneels, L., Coorevits, P., Vanderstraeten, G., & De Clercq, D. (2006). Static and dynamic standing balance: test-retest reliability and reference values in 9 to 10 year old children. European journal of pediatrics, 165(11), 779-786.

9. Gocentas, A., Jascaniniene, N., Pasek, M., Przybylski, W., Matulyte, E., Mieliauskaite, D., & Jaszczanin, J. (2016). Prevalence of generalised joint hypermobility in school-aged children from east-central European region. Folia morphologica, 75(1), 48-52.
10. Gonell, A. C., Romero, J. A. P., & Soler, L. M. (2015). Relationship between the Y balance test scores and soft tissue injury incidence in a soccer team. International journal of sports physical therapy, 10(7), 955.
11. Hakim, A., & Grahame, R. (2003). Joint hypermobility. Best Practice & Research Clinical Rheumatology, 17(6), 989-1004.
12. Hashkes, P. J. (2016). Why it is important to assess hypermobility in very young children. The Journal of pediatrics, 176, 1-4.
13. Iatridou, K., Mandalidis, D., Chronopoulos, E., Vagenas, G., & Athanasopoulos, S. (2014). Static and dynamic body balance following provocation of the visual and vestibular systems in females with and without joint hypermobility syndrome. Journal of bodywork and movement therapies,18(2), 159-164.
14. Jansson, A., Saartok, T., Werner, S., & Renström, P. (2005). Evaluation of general joint laxity, shoulder laxity and mobility in competitive swimmers during growth and in normal controls. Scandinavian journal of medicine & science in sports, 15(3), 169-176.
15. Juul-Kristensen, B., Johansen, K. L., Hendriksen, P., Melcher, P., Sandfeld, J., & Jensen, B. R. (2016). Girls with generalized joint hypermobility display changed muscle activity and postural sway during static balance tasks. Scandinavian journal of Rheumatology, 45(1), 57-65.
16. Kesilmiş, İ., Akın, M. (2018) Dynamic balance ability and hypermobility in pre-school children who participate gymnastic training. Gaziantep Üniversitesi Spor Bilimleri Dergisi, 3(3), 78-87.
17. Konopinski, M. D., Jones, G. J., & Johnson, M. I. (2012). The effect of hypermobility on the incidence of injuries in elite-level professional soccer players: a cohort study. The American journal of sports medicine, 40(4), 763-769.
18. Marulli, T. A., Harmon-Matthews, L. E., Davis-Coen, J. H., Willigenburg, N. W., & Hewett, T. E. (2017). Eyes-closed single-limb balance is not related to hypermobility status in dancers. Journal of Dance Medicine & Science, 21(2), 70-75.
19. McDermott, P., Wolfe, E., Lowry, C., Robinson, K., & French, H. P. (2018). Evaluating the immediate effects of wearing foot orthotics in children with joint hypermobility syndrome (JHS) by analysis of temporospatial parameters of gait and dynamic balance: A preliminary study. Gait & posture, 60, 61-64.
20. Mebes, C., Amstutz, A., Luder, G., Ziswiler, H. R., Stettler, M., Villiger, P. M., & Radlinger, L. (2008). Isometric rate of force development, maximum voluntary contraction, and balance in women with and without joint hypermobility. Arthritis Care & Research, 59(11), 1665-1669.
21. Mickle, K. J., Munro, B. J., & Steele, J. R. (2011). Gender and age affect balance performance in primary school-aged children. Journal of science and medicine in sport, 14(3), 243-248.
22. Miranoğlu B. (2010). Aydın Merkez İlköğretim Okulları Öğrencilerinde Hipermobilite Prevalansının Belirlenmesi. Aydın Menderes Üniversitesi. Aydın. (Uzmanlık Tezi). Erişim adresi: https://tez.yok.gov.tr/UlusalTezMerkezi/ tarama.jsp
23. Özüdoğru, A., & Ekicİ, G. (2013). Amatör Sporcu Çocuklarda Benign Eklem Hipermobilitesi, Ağrı ve Yaşam Kalitesinin İncelenmesi. Ergoterapi ve Rehabilitasyon Dergisi, 1(1), 17-23.
24. Plisky, P. J., Gorman, P. P., Butler, R. J., Kiesel, K. B., Underwood, F. B., & Elkins, B. (2009). The reliability of an instrumented device for measuring components of the star excursion balance test. North American journal of sports physical therapy: NAJSPT, 4(2), 92.
25. Remvig, L., Kümmel, C., Kristensen, J. H., Boas, G., & Juul-Kristensen, B. (2011). Prevalence of generalized joint hypermobility, arthralgia and motor competence in 10-year-old school children. International Musculoskeletal Medicine, 33(4), 137-145.
26. Rombaut, L., Malfait, F., De Wandele, I., Thijs, Y., Palmans, T., De Paepe, A., & Calders, P. (2011). Balance, gait, falls, and fear of falling in women with the hypermobility type of Ehlers‐Danlos syndrome. Arthritis care & research,63(10), 1432-1439.
27. Roszak, M., & Weber-Nowakowska, K. (2018). The occurrence of defects in the lower limbs in children with polyarticular hypermobility. Journal of Education, Health and Sport, 8(1), 139-147.
28. Saygılı A. (2018). Sağlıklı Okul Çocuklarında Eklem Hipermobilite Sıklığı ve Yaşam Kalitesi Üzerine Etkileri. Sağlık Bilimleri Üniversitesi. (Uzmanlık Tezi) Erişim adresi: https://tez. yok.gov.tr/UlusalTezMerkezi/tarama.jsp
29. Schmidt, H., Pedersen, T. L., Junge, T., Engelbert, R., & Juul-Kristensen, B. (2017). Hypermobility in adolescent athletes: pain, functional ability, quality of life, and musculoskeletal injuries. journal of orthopaedic & sports physical therapy, 47(10), 792-800.
30. Shaffer, S. W., Teyhen, D. S., Lorenson, C. L., Warren, R. L., Koreerat, C. M., Straseske, C. A., & Childs, J. D. (2013). Y-balance test: a reliability study involving multiple raters. Military medicine, 178(11), 1264-1270.
31. Sheehan, D. P., & Katz, L. (2013). The effects of a daily, 6-week exergaming curriculum on balance in fourth-grade children. Journal of Sport and Health Science, 2(3), 131-137. Simmonds, J. (2017). Generalized joint hypermobility: a timely population study and proposal for Beighton cut-offs.
32. Simmonds, J. V., & Keer, R. J. (2007). Hypermobility and the hypermobility syndrome. Manual therapy, 12(4), 298-309.
33. Smits-Engelsman, B., Klerks, M., & Kirby, A. (2011). Beighton score: a valid measure for generalized hypermobility in children. The Journal of paediatrics, 158(1), 119-123.
34. Uz K. T. (2013). Taekwon-do Sporcuşarında Kemik Mineral Yoğunluğu ve Hipermobilite. Mersin Üniversitesi (Yüksek Lisans Tezi). Erişim adresi: https://tez.yok.gov.tr/UlusalTezMerkezi/ tarama.jsp
35. Walker O. (2016). Y Balance Test. Erişim adresi: https://www.scienceforsport.com/y-balance-test/.
36. Yıldırım, Y., Yılmaz, S., Ayhan, E., Saygı, S., Yanaral, F., Zubarioğlu, U. A., & Arısoy, N. (2005). Sağlıklı okul çocuklarında eklem hipermobilitesi sıklığı Orijinal Araştırma. Türk Pediatri Arşivi, 40(2).
37. Zurita, O. F., Ruiz, R. L., Martínez, M. A., Fernández, S. M., Rodríguez, P. C., & López, L. R. (2009). [Hiperlaxity ligamentous (Beighton test) in the 8 to 12 years of age school population in the province of Granada]. Reumatología clínica, 6(1), 5-10.