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The Effect Of Anterior Cruciate Ligament And Medial Meniscus Rupture On Knee Extension And Flexion Isokinetic Peak Torque Strength And Cybex Test Protocol: Case Report

Yıl 2019, Cilt 14, Sayı 1, 41 - 54, 30.06.2019
https://doi.org/10.33459/cbubesbd.482218

Öz

Knee extensor and flexor muscles are functioning as essential dynamic stabilizers during activity and a possible strength loss in these muscle groups considerably resulted in knee joint stability. According to these findings, it was aimed to examine the effect of the anterior cruciate ligament rupture (ACL) and medial meniscus tear of two female basketball players who injured due to excessive lateral rotation of the knee movement during competition and whether a Cybex protocol could be useful to improve the muscle strength parameters applied to the participants 16 weeks after following an ACL reconstruction surgery. An ACL rehabilitation protocol that enables different contraction patterns was conducted using a Cybex dynamometer (USA), which is an isokinetic measuring device, 3 times/week throughout 8 and 12 weeks based on the examination results of the flexion and extension strengths of the knee joint of participants. Bilateral knee extension-flexion muscle strength deficit of the participant following two months of testing session (Extension Baseline:  26 %, 1st Month: 15%, 2nd month: 5%; Flexion Baseline: 11%, 1st Month: 19 %, 2nd Month: 8 %); and following three months of rehabilitation session were found (Extension Baseline: 40%, 1st Month:34 %, 2nd Month: 24 %, 3rd Month: 14%; Flexion Baseline: 19%, 1st Month: 9%, 2nd Month: 5%, 3rd Month: 3%), respectively. As a result, it can be stated that Cybex protocol, which was started 16 weeks after ACL operations, accelerated the return to sports by decreasing the strength differences between the extremities of athletes.

Kaynakça

  • Aagaard, P., Simonsen, E.B., Beyer, N., Larsson, B., Magnusson, P. & Kjaer, M. (1997). Isokinetic muscle strength and capacity for muscular knee joint stabilization in elite sailors. International Journal of Sports Medicine, 18(7),521-525.
  • Aagaard, P., Simonsen, E.B., Magnusson, S.P., Larsson, B. & Dyhre-Poulsen, P. (1998). A new concept for isokinetic hamstring: quadriceps muscle strength ratio. The American Journal of Sports Medicine, 26(2),231-237.
  • Aagaard, P., Simonsen, E.B., Trolle, M., Bangsbo, J. & Klausen, K. (1995). Isokinetic hamstring/quadriceps strength ratio: influence from joint angular velocity, gravity correction and contraction mode. Acta Physiologica Scandinavica, 154(4),421-7.
  • Agel, J., Olson, D.E. & Dick, R. (2007). Descriptive epidemiology of collegiate women's basketball injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2003-2004. Journal of Athletic Training, 42,202–10.
  • Arendt, E.A., Agel, J. & Dick, R. (1999). Anterior cruciate ligament injury patterns among collegiate men and women. Journal of Athletic Training, 34,86–92.
  • Barber-Westin, S.D., Smith, S.T., Campbell, T. & Noyes, F.R. (2010). The drop-jump video screening test: retention of improvement in neuromuscular control in female volleyball players. The Journal of Strength & Conditioning Research, 24(11),3055-62.
  • Bennell, K., Wajswelner, H., Lew, P., Schall-Riaucour, A., Leslie, S., Plant, D. & Cirone, J. (1998). Isokinetic strength testing does not predict hamstring injury in Australian Rules footballers. British Journal of Sports Medicine, 32(4),309-14.
  • Boden, B.P., Griffin, L.Y. & Garrett, W.E., Jr. (2000). Etiology and prevention of noncontact ACL injury. The Physician and Sportsmedicine, 8,53–60.
  • Chappell, J.D., Yu, B., Kirkendall, D.T. & Garrett, W.E. (2002). A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks. The American Journal of Sports Medicine, 30,261–267.
  • Croce, R.V., Pitetti, K.H., Horvat, M. & Miller, J. (1996). Peak torque, average power, and hamstrings/quadriceps ratios in nondisabled adults and adults with mental retardation. Archives of Physical Medicine and Rehabilitation, 77(4),369-72.
  • Emerson, R.J. (1993). Basketball knee injuries and the anterior cruciate ligament. Clinics in Sports Medicine, 12(2),317-28.
  • Hewett, T.E., Myer, G.D. & Ford, K.R. (2005). Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. The American Journal of Sports Medicine, 33,492–501.
  • Hewett, T.E., Myer, G.D. & Ford, K.R. (2006). Anterior cruciate ligament injuries in female athletes: Part 1, mechanisms and risk factors. The American Journal of Sports Medicine, 34(2),299-311.
  • Holmes, J.R. & Alderink, G.J. (1984). Isokinetic strength characteristics of the quadriceps femoris and hamstring muscles in high school students. Physical Therapy, 64(6),914-8.
  • Huston, L.J. & Wojtys, E.M. (1996). Neuromuscular performance characteristics in elite female athletes. The American Journal of Sports Medicine, 24,427–36. doi: 10.1177/036354659602400405.
  • Ireland, M.L. (2002). The female ACL: why is it more prone to injury? Orthopedic Clinics of North America, 33,637–51. doi: 10.1016/S0030-5898(02)00028-7.
  • Laird, D.E. (1981). Comparison of quad to ham strength ratios of an intercollegiate soccer team. Athletic Training, 16,66–67.
  • Li, R.C., Maffulli, N., Hsu, Y.C. & Chan, K.M. (1996). Isokinetic strength of the quadriceps and hamstrings and functional ability of anterior cruciate deficient knees in recreational athletes. British Journal of Sports Medicine, 30(2),161-4.
  • Lohmander, L.S., Ostenberg, A., Englund, M. & Roos, H. (2004). High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis & Rheumatology, 50,3145–52. doi: 10.1002/art.20589.
  • Lund-Hanssen, H., Gannon, J., Engebretsen, L., Holen, K. & Hammer, S. (1996). Isokinetic muscle performance in healthy female handball players and players with a unilateral anterior cruciate ligament reconstruction. Scandinavian Journal of Medicine & Science in Sports, 6(3),172-5.
  • Noyes, F.R., Barber-Westin, S.D., Smith, S.T., Campbell, T. & Garrison, T.J. (2012). A training program to improve neuromuscular and performance indices in female high school basketball players. The Journal of Strength & Conditioning Research, 26(3),709-19.
  • Raunest, J., Sager, M. & Bürgener, E. (1996). Proprioceptive mechanisms in the cruciate ligaments: An electromyographic study on reflex activity in the thigh muscles. The Journal of Trauma, 41(3),488-93.
  • Voskanian, N. (2013). Injury prevention in female athletes: review of the literature and practical considerations in implementing an ACL prevention program. Current Reviews in Musculoskeletal Medicine, 6(2), 158–163.

Ön Çapraz Bağ ve Medial Menisküs Yırtığının Diz Ekstansiyon ve Fleksiyon İzokinetik Pik Tork Kuvvetine Etkisi ve Cybex Test Protokolü Uygulaması: Vaka Takdimi

Yıl 2019, Cilt 14, Sayı 1, 41 - 54, 30.06.2019
https://doi.org/10.33459/cbubesbd.482218

Öz

Diz ekstansör ve fleksör kasların aktivite esnasında önemli dinamik stabilizörler olmalarının yanı sıra bu kas grubunda kuvvet değerlerinde meydana gelen bir azalma durumunda diz eklemi stabilitesi önemli derecede azalmaktadır. Bu bulgulardan hareketle, bu çalışmada basketbol müsabakasında dizin aşırı lateral rotasyon hareketi yönünde zorlanması sonucu sağ ve sol dizlerinden sakatlanan iki kadın sporcuda ön çapraz bağ (ACL) ve medial menisküs yırtığının diz ekstansiyon ve fleksiyon izokinetik pik tork kuvvet değerleri üzerindeki etkisi ve aynı zamanda ameliyattan 16 hafta sonra kişiye uygulanan düzenli Cybex test protokolünün kas kuvvet değerleri üzerindeki etkisini incelemek amaçlanmıştır. Çalışmada yer alan kadın sporcular diz ekleminin bilateral fleksiyon ve ekstansiyon ön test ölçüm değerlerine göre Cybex izokinetik dinamometre (ABD) kullanılarak 8 hafta ve 12 hafta olmak üzere haftada 3 gün farklı kasılma türlerini içeren bir ACL rehabilitasyon protokolüne tabi tutuldu. Cybex testleri sonucunda iki ay boyunca teste katılan kadın sporcunun sağ ve sol diz ekstansiyon-fleksiyon pik tork kuvvet farkı değerleri (Ekstansiyon Bazal: % 26, 1. ay: % 15, 2. ay: %5; Fleksiyon Bazal: % 11, 1. ay: %19, 2. ay: % 8); üç ay boyunca teste katılan kadın sporcunun sağ ve sol diz ekstansiyon-fleksiyon pik tork kuvvet farkı değerleri (Ekstansiyon Bazal: % 40, 1. ay: % 34, 2. ay: % 24; 3. ay: % 14; Fleksiyon Bazal: % 19, 1. ay: %9, 2. ay: % 5, 3. ay: % 3); olarak bulunmuştur. ACL ameliyatlarından 16 hafta sonra uygulanmaya başlanan Cybex protokolünün sporcuların ekstremiteler arası kuvvet farklarını azaltarak spora dönüş sürecini hızlandırdığı ifade edilebilir.

Kaynakça

  • Aagaard, P., Simonsen, E.B., Beyer, N., Larsson, B., Magnusson, P. & Kjaer, M. (1997). Isokinetic muscle strength and capacity for muscular knee joint stabilization in elite sailors. International Journal of Sports Medicine, 18(7),521-525.
  • Aagaard, P., Simonsen, E.B., Magnusson, S.P., Larsson, B. & Dyhre-Poulsen, P. (1998). A new concept for isokinetic hamstring: quadriceps muscle strength ratio. The American Journal of Sports Medicine, 26(2),231-237.
  • Aagaard, P., Simonsen, E.B., Trolle, M., Bangsbo, J. & Klausen, K. (1995). Isokinetic hamstring/quadriceps strength ratio: influence from joint angular velocity, gravity correction and contraction mode. Acta Physiologica Scandinavica, 154(4),421-7.
  • Agel, J., Olson, D.E. & Dick, R. (2007). Descriptive epidemiology of collegiate women's basketball injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2003-2004. Journal of Athletic Training, 42,202–10.
  • Arendt, E.A., Agel, J. & Dick, R. (1999). Anterior cruciate ligament injury patterns among collegiate men and women. Journal of Athletic Training, 34,86–92.
  • Barber-Westin, S.D., Smith, S.T., Campbell, T. & Noyes, F.R. (2010). The drop-jump video screening test: retention of improvement in neuromuscular control in female volleyball players. The Journal of Strength & Conditioning Research, 24(11),3055-62.
  • Bennell, K., Wajswelner, H., Lew, P., Schall-Riaucour, A., Leslie, S., Plant, D. & Cirone, J. (1998). Isokinetic strength testing does not predict hamstring injury in Australian Rules footballers. British Journal of Sports Medicine, 32(4),309-14.
  • Boden, B.P., Griffin, L.Y. & Garrett, W.E., Jr. (2000). Etiology and prevention of noncontact ACL injury. The Physician and Sportsmedicine, 8,53–60.
  • Chappell, J.D., Yu, B., Kirkendall, D.T. & Garrett, W.E. (2002). A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks. The American Journal of Sports Medicine, 30,261–267.
  • Croce, R.V., Pitetti, K.H., Horvat, M. & Miller, J. (1996). Peak torque, average power, and hamstrings/quadriceps ratios in nondisabled adults and adults with mental retardation. Archives of Physical Medicine and Rehabilitation, 77(4),369-72.
  • Emerson, R.J. (1993). Basketball knee injuries and the anterior cruciate ligament. Clinics in Sports Medicine, 12(2),317-28.
  • Hewett, T.E., Myer, G.D. & Ford, K.R. (2005). Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. The American Journal of Sports Medicine, 33,492–501.
  • Hewett, T.E., Myer, G.D. & Ford, K.R. (2006). Anterior cruciate ligament injuries in female athletes: Part 1, mechanisms and risk factors. The American Journal of Sports Medicine, 34(2),299-311.
  • Holmes, J.R. & Alderink, G.J. (1984). Isokinetic strength characteristics of the quadriceps femoris and hamstring muscles in high school students. Physical Therapy, 64(6),914-8.
  • Huston, L.J. & Wojtys, E.M. (1996). Neuromuscular performance characteristics in elite female athletes. The American Journal of Sports Medicine, 24,427–36. doi: 10.1177/036354659602400405.
  • Ireland, M.L. (2002). The female ACL: why is it more prone to injury? Orthopedic Clinics of North America, 33,637–51. doi: 10.1016/S0030-5898(02)00028-7.
  • Laird, D.E. (1981). Comparison of quad to ham strength ratios of an intercollegiate soccer team. Athletic Training, 16,66–67.
  • Li, R.C., Maffulli, N., Hsu, Y.C. & Chan, K.M. (1996). Isokinetic strength of the quadriceps and hamstrings and functional ability of anterior cruciate deficient knees in recreational athletes. British Journal of Sports Medicine, 30(2),161-4.
  • Lohmander, L.S., Ostenberg, A., Englund, M. & Roos, H. (2004). High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis & Rheumatology, 50,3145–52. doi: 10.1002/art.20589.
  • Lund-Hanssen, H., Gannon, J., Engebretsen, L., Holen, K. & Hammer, S. (1996). Isokinetic muscle performance in healthy female handball players and players with a unilateral anterior cruciate ligament reconstruction. Scandinavian Journal of Medicine & Science in Sports, 6(3),172-5.
  • Noyes, F.R., Barber-Westin, S.D., Smith, S.T., Campbell, T. & Garrison, T.J. (2012). A training program to improve neuromuscular and performance indices in female high school basketball players. The Journal of Strength & Conditioning Research, 26(3),709-19.
  • Raunest, J., Sager, M. & Bürgener, E. (1996). Proprioceptive mechanisms in the cruciate ligaments: An electromyographic study on reflex activity in the thigh muscles. The Journal of Trauma, 41(3),488-93.
  • Voskanian, N. (2013). Injury prevention in female athletes: review of the literature and practical considerations in implementing an ACL prevention program. Current Reviews in Musculoskeletal Medicine, 6(2), 158–163.

Ayrıntılar

Birincil Dil Türkçe
Konular Spor Bilimleri
Yayınlanma Tarihi Bahar
Bölüm Makaleler
Yazarlar

Gökhan UMUTLU> (Sorumlu Yazar)
MERSIN UNIVERSITY, SCHOOL OF PHYSICAL EDUCATION AND SPORTS
0000-0002-4736-8772
Türkiye


Ayhan Taner ERDOĞAN>
FINAL INTERNATIONAL UNIVERSITY, SCHOOL OF PHYSICAL EDUCATION AND SPORTS
0000-0001-8941-213X
Cyprus


Nasuh Evrim ACAR>
MERSIN UNIVERSITY, SCHOOL OF PHYSICAL EDUCATION AND SPORTS
0000-0003-0423-1642
Türkiye

Yayımlanma Tarihi 30 Haziran 2019
Başvuru Tarihi 13 Kasım 2018
Kabul Tarihi 17 Haziran 2019
Yayınlandığı Sayı Yıl 2019, Cilt 14, Sayı 1

Kaynak Göster

Bibtex @araştırma makalesi { cbubesbd482218, journal = {CBÜ Beden Eğitimi ve Spor Bilimleri Dergisi}, eissn = {2149-1046}, address = {besbd.mcbu@gmail.com}, publisher = {Manisa Celal Bayar Üniversitesi}, year = {2019}, volume = {14}, number = {1}, pages = {41 - 54}, doi = {10.33459/cbubesbd.482218}, title = {Ön Çapraz Bağ ve Medial Menisküs Yırtığının Diz Ekstansiyon ve Fleksiyon İzokinetik Pik Tork Kuvvetine Etkisi ve Cybex Test Protokolü Uygulaması: Vaka Takdimi}, key = {cite}, author = {Umutlu, Gökhan and Erdoğan, Ayhan Taner and Acar, Nasuh Evrim} }
APA Umutlu, G. , Erdoğan, A. T. & Acar, N. E. (2019). Ön Çapraz Bağ ve Medial Menisküs Yırtığının Diz Ekstansiyon ve Fleksiyon İzokinetik Pik Tork Kuvvetine Etkisi ve Cybex Test Protokolü Uygulaması: Vaka Takdimi . CBÜ Beden Eğitimi ve Spor Bilimleri Dergisi , 14 (1) , 41-54 . DOI: 10.33459/cbubesbd.482218
MLA Umutlu, G. , Erdoğan, A. T. , Acar, N. E. "Ön Çapraz Bağ ve Medial Menisküs Yırtığının Diz Ekstansiyon ve Fleksiyon İzokinetik Pik Tork Kuvvetine Etkisi ve Cybex Test Protokolü Uygulaması: Vaka Takdimi" . CBÜ Beden Eğitimi ve Spor Bilimleri Dergisi 14 (2019 ): 41-54 <https://dergipark.org.tr/tr/pub/cbubesbd/issue/46150/482218>
Chicago Umutlu, G. , Erdoğan, A. T. , Acar, N. E. "Ön Çapraz Bağ ve Medial Menisküs Yırtığının Diz Ekstansiyon ve Fleksiyon İzokinetik Pik Tork Kuvvetine Etkisi ve Cybex Test Protokolü Uygulaması: Vaka Takdimi". CBÜ Beden Eğitimi ve Spor Bilimleri Dergisi 14 (2019 ): 41-54
RIS TY - JOUR T1 - Ön Çapraz Bağ ve Medial Menisküs Yırtığının Diz Ekstansiyon ve Fleksiyon İzokinetik Pik Tork Kuvvetine Etkisi ve Cybex Test Protokolü Uygulaması: Vaka Takdimi AU - GökhanUmutlu, Ayhan TanerErdoğan, Nasuh EvrimAcar Y1 - 2019 PY - 2019 N1 - doi: 10.33459/cbubesbd.482218 DO - 10.33459/cbubesbd.482218 T2 - CBÜ Beden Eğitimi ve Spor Bilimleri Dergisi JF - Journal JO - JOR SP - 41 EP - 54 VL - 14 IS - 1 SN - -2149-1046 M3 - doi: 10.33459/cbubesbd.482218 UR - https://doi.org/10.33459/cbubesbd.482218 Y2 - 2019 ER -
EndNote %0 CBÜ Beden Eğitimi ve Spor Bilimleri Dergisi Ön Çapraz Bağ ve Medial Menisküs Yırtığının Diz Ekstansiyon ve Fleksiyon İzokinetik Pik Tork Kuvvetine Etkisi ve Cybex Test Protokolü Uygulaması: Vaka Takdimi %A Gökhan Umutlu , Ayhan Taner Erdoğan , Nasuh Evrim Acar %T Ön Çapraz Bağ ve Medial Menisküs Yırtığının Diz Ekstansiyon ve Fleksiyon İzokinetik Pik Tork Kuvvetine Etkisi ve Cybex Test Protokolü Uygulaması: Vaka Takdimi %D 2019 %J CBÜ Beden Eğitimi ve Spor Bilimleri Dergisi %P -2149-1046 %V 14 %N 1 %R doi: 10.33459/cbubesbd.482218 %U 10.33459/cbubesbd.482218
ISNAD Umutlu, Gökhan , Erdoğan, Ayhan Taner , Acar, Nasuh Evrim . "Ön Çapraz Bağ ve Medial Menisküs Yırtığının Diz Ekstansiyon ve Fleksiyon İzokinetik Pik Tork Kuvvetine Etkisi ve Cybex Test Protokolü Uygulaması: Vaka Takdimi". CBÜ Beden Eğitimi ve Spor Bilimleri Dergisi 14 / 1 (Haziran 2019): 41-54 . https://doi.org/10.33459/cbubesbd.482218
AMA Umutlu G. , Erdoğan A. T. , Acar N. E. Ön Çapraz Bağ ve Medial Menisküs Yırtığının Diz Ekstansiyon ve Fleksiyon İzokinetik Pik Tork Kuvvetine Etkisi ve Cybex Test Protokolü Uygulaması: Vaka Takdimi. CBÜ BESBD. 2019; 14(1): 41-54.
Vancouver Umutlu G. , Erdoğan A. T. , Acar N. E. Ön Çapraz Bağ ve Medial Menisküs Yırtığının Diz Ekstansiyon ve Fleksiyon İzokinetik Pik Tork Kuvvetine Etkisi ve Cybex Test Protokolü Uygulaması: Vaka Takdimi. CBÜ Beden Eğitimi ve Spor Bilimleri Dergisi. 2019; 14(1): 41-54.
IEEE G. Umutlu , A. T. Erdoğan ve N. E. Acar , "Ön Çapraz Bağ ve Medial Menisküs Yırtığının Diz Ekstansiyon ve Fleksiyon İzokinetik Pik Tork Kuvvetine Etkisi ve Cybex Test Protokolü Uygulaması: Vaka Takdimi", CBÜ Beden Eğitimi ve Spor Bilimleri Dergisi, c. 14, sayı. 1, ss. 41-54, Haz. 2019, doi:10.33459/cbubesbd.482218