Ön Çapraz Bağ Rekonstrüksiyonu Sonrası Spora Dönüş Antrenman Programının UzuvSimetri Endeksi Üzerindeki Etkinliği

Year 2025, Volume: 4 Issue: 2, 132 - 157, 23.10.2025

Atakan Çağlayan

https://doi.org/10.70007/yalovaspor.1724781

Abstract

Bu çalışmanın amacı, çok modlu bir antrenman programının ön çapraz bağ (ÖÇB) yaralanması sonrası uzuv simetrisi indeksine etkisini incelemektir. Ön Çapraz Bağ Rekonstrüksiyonu (ÖÇBR) geçirmiş ve ameliyat sonrası en az 12 haftalık dönemi tamamlamış (105–134 gün arası) elli beş erkek sporcu gönüllü olarak programa katılmıştır. Çalışma grubu (ÇG) ve kontrol grubu (KG), ameliyat sonrası fizik tedavi protokolünü tamamlamış, simetrik ve tam diz hareket açıklığına (tam diz ekstansiyonu, >120 derece fleksiyon), ağrı ya da ödem bulunmaksızın ve alt ekstremite fonksiyonel ölçeği (LEFS) > 55 olan sporculardan oluşturulmuştur. Sporcuların yaralanmış (Y) ve yaralanmamış (YY) bacakları arasındaki uzuv simetrisi indeksini (USİ) belirlemek amacıyla, antrenman programı öncesinde ve sonrasında izokinetik fleksiyon ve ekstansiyon kas kuvveti, Tek Ayak Sıçrama (SLH), Üçlü Sıçrama (STH), Tek Ayak Çapraz Sıçrama (SCH), 6 m Zamanlı Sıçrama (6MT), Y-Denge, Pro-Agility ve Dikey Sıçrama testleri uygulanmıştır. Elde edilen veriler değerlendirildiğinde, her iki grupta da gelişim gözlenmiş, ancak propriyoseptif egzersizlerle çalışan ÇG sporcularının USİ gelişiminin KG’ye göre daha yüksek ve istatistiksel olarak anlamlı olduğu bulunmuştur (p<0,05). Sonuç olarak, literatürdeki rehabilitasyon protokollerinin birleştirilmesiyle oluşturulan nöromüsküler spora dönüş antrenman programının, ÖÇBR geçiren sporcuların hem fonksiyonel saha testlerinde hem de USİ asimetrisinde olumlu etkiler yarattığı görülmüştür.

Keywords

Ön Çapraz Bağ , Sıçrama Testleri , Uzuv Simetrisi

Effectiveness of Return to Sport Training Program on Limb Symmetry Index After Anterior Cruciate Ligament Reconstruction

Abstract

The aim of this study was to examine the effect of multi modal training program on the limb symmetry index after anterior cruciate ligament injury. Fifty-five male athletes who underwent Anterior Cruciate Ligament Reconstruction (ACLR) and at a postoperative period of at least 12 weeks (range 105-134 days), voluntarily participated to the program. Study group (SG) and the control group (CG) were the athletes who finished the physical therapy protocol after the surgery, with a symmetrical full range of motion (ROM) (full knee extension, >120 degree flexion), without any pain or edema, and lower extremity functional scale (LEFS) > 55. Isokinetic flexion and extension muscle strength, Single leg hop (SLH), Triple hop (STH), Single Leg cross-over hop (SCH) and 6 m Timed hop (6MT) Y-Balance, Pro-Agility, Vertical Jump Tests were performed before and after the training program to determine the limb symmetry index (LSI) between the injured (I) and the noninjured (NI) legs of the athletes. When the obtained data were evaluated, it was seen that there was an improvement in both groups however the SG athletes working with proprioceptive exercises had more LSI improvement than CG athletes and found statistically significant (p<0,05). As a conclusion, it is seen that the neuromuscular return to sport training program, which is designed with the combination of rehabilitation protocols in the literature, has positive effects on both functional field tests and LSI asymmetry in terms of return to sport of the athletes who underwent ACLR.

Keywords

Anterior Cruciate Ligament , Hop Tests , Limb Symmetry

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