Farklı Stabilite Özelliğine Sahip Rehabilitasyon Materyallerinin Kas Aktivasyonuna Etkisi: Derleme

Yıl 2022, Cilt: 6 Sayı: 1, 175 - 179, 31.01.2022

Murat Esmer , Nevin Atalay Güzel , Fuat Yüksel , Nihan Kafa

https://doi.org/10.46237/amusbfd.996886

Öz

Fizyoterapi ve rehabilitasyon kliniklerine başvuran hastalarda önemli oranda kassal imbalans ve proprioseptif duyu bozukluğu görülmektedir. Bu bozuklukların restorasyonu amacıyla fizyoterapi kliniklerinde bosu, farklı sertlikteki denge araçları (stability trainer), denge tahtası, tedavi topları ve osilasyon cihazları kullanılmaktadır. Ancak bu terapi cihazlarının farklı kas gruplarındaki aktivasyonu nasıl değiştirdiği tam olarak bilinmemektedir. Bu çalışmanın amacı farklı stabilite özelliğine sahip terapi cihazlarının kassal aktivasyona etkisini araştırmaktır. Bu amaçla, Haziran 2021 tarihinde Medline (PubMed), Embase ve Cochrane Library veritabanları kullanılarak arama yapıldı. Farklı stabilite özelliğine sahip terapi cihazlarının kassal aktivasyona etkisini araştıran çalışmalar derlemeye dahil edildi. 7 çalışma içleme kriterlerini sağladı. Kullanılan zeminin stabilite özelliğinin ve sertlik düzeyinin değişmesi belirli kas gruplarında aktivasyon artışına neden olurken bazı kas gruplarının aktivasyonunda anlamlı değişikliğe neden olmamaktadır. Bu nedenle fizyoterapi ve rehabilitasyon kliniklerine başvuran hastaların tedavi programı belirlenirken hedef kas grubunun iyi belirlenmesi ve bu amaca uygun tedavi cihazlarının kullanılması önemlidir.

Anahtar Kelimeler

Kas Aktivasyonu, Rehabilitasyon Materyalleri, Propriosepsiyon

Destekleyen Kurum

Bulunmamaktadır

Proje Numarası

Bulunmamaktadır

Teşekkür

Bulunmamaktadır

Effects of Rehabilitation Materials With Different Stability Properties on Muscle Activity: A Narrative Review

Öz

Significant muscle imbalance and proprioceptive sensory impairment are seen in patients who apply to physiotherapy and rehabilitation clinics. Bosu, balance tools of different hardness (stability trainer), balance board, treatment balls, and oscillation devices are used in physiotherapy clinics for the restoration of these disorders. However, it is not known exactly how these therapy devices change the activation in different muscles. The aim of this study is to examine the effect of therapy devices with different stability features on muscular activation. For this purpose, a search was performed using “Medline (PubMed), Embase, and Cochrane Library” databases in June 2021. Studies investigating the effect of rehabilitation material with different stability properties on muscular activation were included in the narrative review. 7 studies met inclusion criteria. The change in the stability and hardness level of the surface causes an increase in activation in certain muscle groups, while it does not cause a significant change in the activation of some muscle groups. For this reason, it is important to determine the target muscle group well and to use treatment devices suitable for this purpose when determining the treatment program of patients who apply to physiotherapy and rehabilitation clinics.

Anahtar Kelimeler

Muscle activation, Rehabilitation materials, Proprioception

Proje Numarası

Bulunmamaktadır

Kaynakça

• 1. Nurse, M. A., Hulliger, M., Wakeling, J. M., Nigg, B. M., Stefanyshyn, D. J. Changing the texture of footwear can alter gait patterns. J Electromyogr Kinesiol. 2005;15(5): 496-506.
• 2. Van Wezel, B. M. H., Van Engelen, B. G. M., Gabreëls, F. J. M., Gabreëls-Festen, A. A. W. M., Duysens, J. Aβ fibers mediate cutaneous reflexes during human walking. J Neurophysiol. 2000;83(5): 2980-2986.
• 3. Ergen, E., Ulkar, B. Proprioception and ankle injuries in soccer. Clin Sports Med. 2008; 27(1): 195-217.
• 4. van Ochten, J. M., van Middelkoop, M., Meuffels, D., Bierma-Zeinstra, S. M. Chronic complaints after ankle sprains: a systematic review on effectiveness of treatments. J Orthop Sports Phys Ther. 2014; 44(11): 862-C23.
• 5. Hupperets, M. D., Verhagen, E. A., & Van Mechelen, W. Effect of sensorimotor training on morphological, neurophysiological and functional characteristics of the ankle. Sports Med. 2009; 39(7): 591-605.
• 6. Hupperets, M. D., Verhagen, E. A., & Van Mechelen, W. The 2BFit study: is an unsupervised proprioceptive balance board training programme, given in addition to usual care, effective in preventing ankle sprain recurrences? Design of a randomized controlled trial. BMC Musculoskelet Disord. 2008; 9(1): 1-10.
• 7. Holm, I., Fosdahl, M. A., Friis, A., Risberg, M. A., Myklebust, G., & Steen, H. Effect of neuromuscular training on proprioception, balance, muscle strength, and lower limb function in female team handball players. Clin J Sport Med. 2004; 14(2): 88-94.
• 8. Wolburg, T., Rapp, W., Rieger, J., & Horstmann, T. Muscle activity of leg muscles during unipedal stance on therapy devices with different stability properties. Phys Ther Sport . 2016;17: 58-62.
• 9. Watanabe, I., Okubo, J. The role of the plantar mechanoreceptor in equilibrium control. Ann N Y Acad Sci. 1981; 374(1): 855-864.
• 10. Wu, G., Chiang, J. H. The significance of somatosensory stimulations to the human foot in the control of postural reflexes. Exp Brain Res. 1997;114(1): 163-169.
• 11. Hupperets, M. D., Verhagen, E. A., Van Mechelen, W. Effect of unsupervised home based proprioceptive training on recurrences of ankle sprain: randomised controlled trial. Bmj. 2009; 339.
• 12. Harput, G., Soylu, A. R., Ertan, H., Ergun, N. Activation of selected ankle muscles during exercises performed on rigid and compliant balance platforms. J Orthop Sports Phys Ther. 2013; 43(8): 555-559.
• 13. Pinnington, H. C., Lloyd, D. G., Besier, T. F., Dawson, B. Kinematic and electromyography analysis of submaximal differences running on a firm surface compared with soft, dry sand. Eur J Appl Physiol. 2005; 94(3): 242-253.
• 14. Borreani, S., Calatayud, J., Martin, J., Colado, J. C., Tella, V., & Behm, D. Exercise intensity progression for exercises performed on unstable and stable platforms based on ankle muscle activation. Gait & posture. 2014; 39(1): 404-409.
• 15. Alfuth, M., Ebert, M., Klemp, J., & Knicker, A. Biomechanical analysis of single-leg stance using a textured balance board compared to a smooth balance board and the floor: A cross-sectional study. Gait & Posture. 2021; 84: 215-220.
• 16. Rahman, K. A., Azaman, A., Mohd Latip, H. F., Mat Dzahir, M. A., & Balakrishnan, M. Comparison of tibialis anterior and gastrocnemius muscles activation on balance training devices and hoverboard. Malays J Fundam Appl. Sci. 2017; 13(4-2): 495-500.