Examination of Balance Ability

Öz

Balance function, one of the biomotor abilities, is affected by the interaction between many motor, sensory and neural systems. It is integrated with the processing of information from visual, vestibular and somatosensory sources by the central nervous system. It is divided into two sub-headings as static and dynamic balance. Static balance is the state in which posture oscillation is minimal during standing. Dynamic balance is the maintenance of the orientation of the posture during movement when more muscle activity must be performed to restore the orientation of the posture when the movement of the muscles disrupts the static posture. In order to maintain the orientation of the stance, it is activated simultaneously in all three systems. The vestibular system monitors the forces of the head associated with angular and linear velocities. The visual system has a say in perceiving the movement of objects. It was the first system to program human activities. The proprioceptive system consists of receptors sensitive to the position and pleasure of body segments, contact with other objects, and the direction of gravity. With aging, there is a decrease in the ability of the central nervous system to process information obtained from the visual, vestibular and proprioceptive systems responsible for maintaining body balance. There are various measurement methods to evaluate balance function. When measuring static balance, the Single Leg Balance Test and the Romberg test can be used. While measuring dynamic balance, Berg balance scale, Tinetti balance assessment method, Get up and Walk Test, Y Balance Test, Star Excursion Balance Test can be used. With the developing technology, measurements can be made with balance systems. These measurements can be performed with the Adaptation test or Biodex Balance System via a platform. Balance training has become popular as a complementary training in recent years. Most often, balance training is used to optimize performance, prevent injury, or provide rehabilitation.

Anahtar Kelimeler

• Balance
• Proprioception
• Vestibular
• Visual
• Somatosensory

Denge Yetisinin İncelenmesi

Öz

Biyomotor yetilerden denge fonksiyonu, birçok motor, duyusal ve nöral sistem arasındaki etkileşimden etkilenmektedir. Görsel, vestibüler ve somatosensöryel kaynaklardan elde edilen bilginin, merkezi sinir sistemi tarafından işlenmesi ile entegredir. Statik ve dinamik denge olmak üzere iki alt başlığa ayrılmaktadır. Statik denge, ayakta duruş sırasında postür salınımının en az olduğu durumdur. Dinamik denge, hareket sırasında, kasların hareket biçiminin, statik duruşu bozduğu durumlarda postürün yönelimini yeniden sağlamak için daha fazla kas aktivitesinin gerçekleştirilmesi gerektiği durumlarda duruşun yöneliminin sürdürülmesidir. Duruşun yöneliminin sürdürülebilmesi için, üç sistemde aynı anda devrededir. Vestibüler sistem, başın açısal ve doğrusal hızlar ile ilişkisili kuvvetleri izlemektedir. Görsel sistem, cisimlerin hareketinin algılanmasında söz sahibidir. İnsanın aktivitelerini programlayan ilk sistemdir. Propriyoseptif sistem, vücut segmentlerinin pozisyonuna ve hazına, diğer nesnelere temasa ve yer çekimi yönüne duyarlı reseptörlerden oluşmaktadır. Yaşlanma ile birlikte, merkezi sinir sisteminin vücut dengesini korumaktan sorumlu görsel, vestibüler ve propriyoseptif sistemlerden elde edilen bilgiyi işleme yeteneğinde azalma görülmektedir. Denge fonksiyonunu değerlendirmek için çeşitli ölçüm yöntemleri vardır. Statik dengeyi ölçerken, Tek Ayak Denge testi ve Romberg testi kullanılabilir. Dinamik dengeyi ölçerken, Berg denge skalası, Tinetti denge değerlendirme yöntemi, Kalk ve Yürü testi, Y denge testi, Yıldız denge testi kullanılabilir. Gelişen teknoloji ile birlikte denge sistemleri ile ölçümler gerçekleştirilebilmektedir. Bu ölçümler, bir platform aracılığı ile Adaptasyon testi veya Biodex Denge Sistemi ile gerçekleştirilebilir. Denge antrenmanları son yıllarda tamamlayıcı antrenman olarak popüler hale gelmiştir. Çoğu zaman denge antrenmanı, performansı optimize etmek, yaralanmayı önlemek veya rehabilitasyon sağlamak amacıyla kullanılmaktadır.

Anahtar Kelimeler

• denge
• propriyosepsiyon
• vestibüler
• görsel
• somatosensöryel

Kaynakça

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