Diz ağrısı olan ve olmayan kadınlarda vücut yağ kütlesi, kas dayanaklılığı, koordinasyon ve propriosepsiyondaki farklılıklar: Kesitsel bir çalışma

Yıl 2014, Cilt: 48 Sayı: 1, 43 - 49, 17.03.2014

Derya Kaya Irem Duzgun Gul Baltaci

Öz

Amaç: Çalışmamızda diz ağrısı olan ve olmayan sedanter yetişkin kadınların vücut yağ kütlesi, kas dayanaklılığı, çoklu eklem koordinasyonu ve propriosepsiyon farklılıklarının değerlendirilmesi amaçlandı.
Çalışma planı: Bu kesitsel çalışmaya 149 kadın alındı. Özel fonksiyonlar sırasında diz ağrısının durumu tüm katılımcılar için Görsel Analog Skala ile değerlendirildi ve katılımcılar 2 gruba ayrıldı. Hafif ve orta şiddette diz ağrısı rapor eden bireyler diz ağrısı olanlar grubuna (n=52, ortalama yaş: 42.6±4.1 yıl, ortalama boy: 1.56±5.11 m, ortalama vücut ağırlığı: 75.2±14.1 kg), ağrısı olmadığını belirten bireyler ise diz ağrısı olmayan gruba (n=97, ortalama yaş: 41.7±4.2 yıl, ortalama boy: 1.58±5.06 m, ortalama vücut ağırlığı: 73.4±10.6 kg) alındı. Vücut kompozisyonu TANITA Vücut Kompozisyon Analizörü ile değerlendirildi. Diz fleksör ve ekstansör kaslarının maksimal konsantrik tork değerleri 180º/s’de Isomed 2000 izokinetik dinamometre kullanılarak kaydedildi. Koordinasyon ve propriosepsiyon ise Fonksiyonel Squat Sistemi ile ölçüldü.
Bulgular: Grupların fiziksel özellikleri, vücut kompozisyonu parametreleri ve koordinasyon sonuçları arasında anlamlı farklılık gözlenmedi (p>0.05). Diz ağrısı grubunun etkilenmiş taraf fleksiyon (0.65±0.21 N/kg) ve ekstansiyon (0.88±0.23 N/kg) pik torku diz ağrısı olmayan grubun dominant tarafı ile karşılaştırıldığında fleksiyon (0.74±0.19 N/kg) ve ekstansiyon (0.98±0.19 N/kg) pik torkundan anlamlı derecede daha düşüktü (p<0.05). Diz ağrısı grubunda etkilenmiş taraf (0.88±0.23 N/kg) ile etkilenmemiş tarafın (0.93±0.21 N/kg) ekstansiyon kuvvetinde anlamlı farklılık gözlendi (p<0.05). Gruplar arasında her iki bacağın taraf tarafa karşılaştırmasında koordinatif konsantrik defisit ve eksantrik defisit sonuçlarında anlamlı bir fark bulunmadı (p>0.05). Diz ağrısı grubunda propriosepsiyon için görünür hareketteki deviasyon (3.23±1.01 cm) diz ağrısı olmayan gruptan (2.78±1.03 cm) anlamlı olarak yüksekti (p=0.012).
Çıkarımlar: Sedanter kadınlarda diz ağrısı, diz fleksör ve ekstansörlerinin pik torkunu ve çoklu eklem proprioseptif duyusunu olumsuz etkilemektedir. Diz ağrısı olan ve olmayan grubun vücut kompozisyonu ve eklem koordinasyonu arasında farklılık gözlenmedi.

Anahtar Kelimeler

Eklem pozisyon hissi; izokinetik test; sedanter yaşam stili.

Differences in body fat mass, muscular endurance, coordination and proprioception in woman with and without knee pain: a cross-sectional study

Öz

Objective: The aim of this study was to compare body fat mass, muscular endurance, multi-joint coordination and proprioception between sedentary adult woman with and without knee pain.
Methods: This cross-sectional study included 149 women. All participants were evaluated using the Visual Analog Scale to determine knee pain during specific functions and divided into 2 groups accordingly. The knee pain group (n= 52; mean age: 42.6±4.1 years; mean height: 1.56±5.11 m; mean weight: 75.2±14.1 kg) included patients with mild to moderate knee pain scores. The without knee pain group (n=97; mean age: 41.7±4.2 years; mean height: 1.58±5.06 m; mean weight: 73.4±10.6 kg) included cases who reported no pain. Body composition was assessed using the TANITA Body Composition Analyzer. Concentric maximal torque of the knee flexor and extensor muscles was recorded using an Isomed 2000 isokinetic dynamometer at 180 deg/s. Coordination and proprioception were assessed using the Functional Squat System.
Results: There was no significant difference in terms of physical characteristics, body composition parameters and coordination results between groups (p>0.05). Peak torque of flexion (0.65±0.21 N/kg) and extension (0.88±0.23 N/kg) of the affected side in the knee pain group were significantly lower than the without knee pain group dominant side flexion (0.74±0.19 N/kg) and extension (0.98±0.19 N/kg) (p<0.05). A significant difference in knee extension was observed between the affected (0.88±0.23 N/kg) and non-affected sides (0.93±0.21 N/kg) of the knee pain group (p<0.05). There were no significant differences for both legs between groups in terms of coordinative concentric side-to-side deficits and eccentric deficits (p>0.05). The deviation on visible movement for proprioception was significantly higher in the knee pain group (3.23±1.01 cm) than in the without knee pain group (2.78±1.03 cm) (p=0.012).
Conclusion: Knee pain impairs flexor and extensor peak torques of knee endurance and multi-joint proprioceptive accuracy in sedentary woman. No differences were observed in terms of body composition and joint coordination of the groups with or without knee pain.

Anahtar Kelimeler

Isokinetic testing, joint position sense, sedentary lifestyle

Kaynakça

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