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Hamstring Kas Grubu Üzerine Uygulanan Farklı Modalitelerin Eklem Hareket Açıklığına Etkileri: Randomize Tek Kör Çalışma

Yıl 2017, Cilt: 2 Sayı: 4, 54 - 64, 28.12.2017

Öz

Çalışmanın
amacı kısa hamstring kas grubu üzerine uygulanan germe, masaj ve germe, sıcak uygulama ve germe
uygulamalarının diz eklemi hareket açıklığı performansı üzerindeki anlık
etkilerini karşılaştırmaktır. Çalışmaya yaş; 21.73±1.5, boy uzunluğu; 176 ± 5.1 cm, vücut ağırlığı; 73.23 ± 9.86
kg, Beden Kütle İndeksi (BKİ); 23.38 ± 2.86 kg/m² olan 60 gönüllü birey dahil
edildi. Gönüllüler rastgele 20’şerli 3 gruba ayrıldı. 1. gruba sadece 10’ar
saniyelik dinlenme periyodu ile 3*30 saniyelik germe, 2. gruba 9-12 dakikalık
klasik masaj ve sonrasında germe, 3. gruba ise 20 dakika sıcak uygulama ve
sonrasında germe uygulandı. Uygulamaların öncesi ve hemen sonrasında hamstring
fleksibilitesi ölçümleri kaydedildi. Hamstring fleksibilitesinin ölçümünde
Aktif Diz Ekstansiyon (ADE) testi kullanıldı. Grupların ADE-ilk ölçüm ortalamaları
açısından istatistiksel olarak anlamlı bir fark bulunmadı. Grupların ADE-son
parametreleri açısından ise istatistiksel olarak anlamlı farklar saptandı. Bu
farklar incelendiğinde germenin etkinliğini arttırmada germe öncesi sıcak
uygulama ve masajın olumlu etkileri olduğu ve germe öncesi bu iki girişimden de
sıcak uygulamanın etki büyüklüğünün daha fazla olduğu tespit edildi. Sonuç
olarak bu çalışma, sadece statik
germe ve germe ile kombine uygulanan girişimlerin hamstring kas uzunluğunu
arttırmada etkili olduğunu göstermiştir.  

Kaynakça

  • Bacurau R.F.P., Monteiro G.A., Ugrinowitsch C., Tricoli V., Cabral L.F., Aoki M.S. (2009). Acute effect of a ballistic and a static stretching exercise bout on flexibility and maximal strength. The Journal of Strength & Conditioning Research 23(1): 304-308. PMID: 19057408
  • Bandy W.D., Irion J.M. (1994). The effect of time on static stretch on the flexibility of the hamstring muscles. Physical Therapy. 74(9): 845-850. PMID: 8066111
  • Bandy W.D., Irion J.M., Briggler M. (1998). The effect of static stretch and dynamic range of motion training on the flexibility of the hamstring muscles. Journal of Orthopaedic & Sports Physical Therapy. 27(4): 295-300. PMID: 9549713
  • Chaouachi A., Padulo J., Kasmi S., Othmen A.B., Chatra M., Behm D.G. (2015). Unilateral static and dynamic hamstrings stretching increases contralateral hip flexion range of motion. Clinical Physiology and Functional İmaging. 37(1): 23-29. PMID: 26017182
  • Crosman L.J., Chateauvert S.R., Weisberg J. (1984). The effects of massage to the hamstring muscle group on range of motion. Journal of Orthopaedic & Sports Physical Therapy. 6(3): 168-172. PMID: 18806363
  • De Weijer V.C., Gorniak G.C., Shamus E. (2003). The effect of static stretch and warm-up exercise on hamstring length over the course of 24 hours. Journal of Orthopaedic & Sports Physical Therapy. 33(12): 727-733. PMID: 14743986
  • Decoster L.C., Cleland J., Altieri C., Russell P. (2005). The effects of hamstring stretching on range of motion: a systematic literature review. Journal of Orthopaedic & Sports Physical Therapy. 35(6): 377-387. PMID: 16001909
  • Denegar C.R., Saliba E., Saliba S. (2015). Therapeutic Modalities for Musculoskeletal Injuries, 4E. Human Kinetics. ss:278. ISBN-13: 9781450469012
  • Drust B., Atkinson G., Gregson W., French D., Binningsley D. (2003). The effects of massage on intra muscular temperature in the vastus lateralis in humans. International Journal of Sports Medicine. 24(06): 395-399. PMID: 12905085
  • Ferber R., Osternig L.R., Gravelle D.C. (2002). Effect of PNF stretch techniques on knee flexor muscle EMG activity in older adults. Journal Of Electromyography And Kinesiology. 12(5): 391-397. PMID: 12223172
  • Funk D., Swank A.M., Adams K.J., Treolo D. (2001). Efficacy of moist heat pack application over static stretching on hamstring flexibility. The Journal of Strength & Conditioning Research. 15(1): 123-126. PMID: 11708695
  • Gajdosik R.L., Rieck M.A., Sullivan D.K., Wightman S.E. (1993). Comparison of four clinical tests for assessing hamstring muscle length. Journal of Orthopaedic & Sports Physical Therapy. 18(5): 614-618. PMID: 8268964
  • Gajdosik R., Lusin G. (1983). Hamstring muscle tightness; Reliability of an active-knee-extension test.. Physical Therapy. 63(7): 1085-1088. PMID: 6867117
  • Herda T.J., Ryan E.D., Costa P.B., Walter A.A., Hoge K.M., Uribe B.P., Cramer J.T. (2010). Acute effects of passive stretching and vibration on the electromechanical delay and musculotendinous stiffness of the plantar flexors. Electromyography & Clinical Neurophysiology. 50(6): 277. PMID: 21061774
  • Kain J., Martorello L., Swanson E., Sego S. (2011). Comparison of an indirect tri-planar myofascial release (MFR) technique and a hot pack for increasing range of motion. Journal of Bodywork and Movement Therapies. 15(1): 63-67. PMID: 21147420
  • McNair P. (2007). Acute Responses to Stretches wıth Isokınetıc Dynamometers. Sportex Medicine. (34): 6-9.
  • Nakano J., Yamabayashi C., Scott A., Reid W.D. (2012). The effect of heat applied with stretch to increase range of motion: a systematic review. Physical Therapy in Sport. 13(3): 180-188. PMID: 22814453
  • Nelson A.G., Driscoll N.M., Landin D.K., Young M.A., Schexnayder I.C. (2005). Acute effects of passive muscle stretching on sprint performance. Journal of Sports Sciences. 23(5): 449-454. PMID: 16194993
  • Norris C.M., Matthews M. (2005). Inter-tester reliability of a self-monitored active knee extension test. Journal of Bodywork and Movement Therapies. 9(4): 256-259. http://dx.doi.org/10.1016/j.jbmt.2005.06.002
  • O'Sullivan K., Murray E., Sainsbury D. (2009). The effect of warm-up, static stretching and dynamic stretching on hamstring flexibility in previously injured subjects. BMC Musculoskeletal Disorders. 10(1): 37. PMID: 19371432
  • Petersen J., Hölmich P. (2005). Evidence based prevention of hamstring injuries in sport. British Journal of Sports Medicine. 39(6): 319-323. PMID: 15911599
  • Robertson V.J., Ward A.R., Jung P. (2005). The effect of heat on tissue extensibility: a comparison of deep and superficial heating. Archives Of Physical Medicine And Rehabilitation. 86(4): 819-825. PMID: 15827938
  • Ryan E.D., Beck T.W., Herda T.J., Hull H.R., Hartman M.J., Costa P.B., Cramer J.T. (2008). The time course of musculotendinous stiffness responses following different durations of passive stretching. Journal of Orthopaedic & Sports Physical Therapy. 38(10): 632-639. PMID: 18827325
  • Sullivan S.J., Williams L.R., Seaborne D.E., Morelli M. (1991). Effects of massage on alpha motoneuron excitability. Physical Therapy. 71(8): 555-560. PMID: 1852794
  • Supa’At I., Zakaria Z., Maskon O., Aminuddin A., Nordin N.A.M.M. (2013). Effects of Swedish massage therapy on blood pressure, heart rate, and inflammatory markers in hypertensive women. Evidence-Based Complementary and Alternative Medicine. 2013(1): 1-8. PMID: 24023571
  • Tamer S. (2013). Hamstring Kas Kısalığının Diz Eklemi Proprioseptif Duyusuna Etkisi. Yüksek Lisans Tezi. Hacettepe Üniversitesi, Ankara.
  • Wallmann H.W., Mercer J.A., McWhorter J.W. (2005). Surface electromyographic assessment of the effect of static stretching of the gastrocnemius on vertical jump performance. The Journal of Strength & Conditioning Research. 19(3): 684-688. PMID: 16095426
  • Weerapong P., Kolt G.S. (2005). The mechanisms of massage and effects on performance, muscle recovery and injury prevention. Sports Medicine. 35(3): 235-256. PMID: 15730338
  • Yıldız S., Çilli M., Gelen E., Güzel E. (2013). Acute effects of differing duration of static stretching on speed performance (Farklı sürelerde uygulanan statik germenin sürat performansına akut etkisi). Journal of Human Sciences. 10(1): 1202-1213.

The Effects of Different Modalities on Range of Motion of Hamstring Muscle Group: A Randomized Single-Blinded Trial

Yıl 2017, Cilt: 2 Sayı: 4, 54 - 64, 28.12.2017

Öz

The
aim of the study is to compare the immediate effects of stretching, massage and
stretching, hot application and stretching exercises applied on the range of
motion of short hamstring muscle group on knee joint. Sixty volunteers were
included in the study: age; 21.73 ± 1.5 years, height; 176 ± 5.1 cm, body
weight; 73.23 ± 9.86 kg and (Body Mass Index) BMI; 23.38 ± 2.86 kg / m². The
volunteers were randomly divided into 3 groups of 20 people. The 1st group was
stretched by 3*30 seconds with a rest period of only 10 seconds, the 2nd group
was 9-12 minutes of classical massage followed by stretching and 3rd group was
applied 20 minutes hot-pack afterwards stretching. Measurements of hamstring
flexibilites were recorded before and immediately after interventions. Active
Knee Extension (AKE) test was used to measure hamstring flexibilty. There was
no statistically significant difference between groups in terms of AKE-first
measurement averages. Statistically significant differences were found in terms
of AKE-end parameters of the groups. When these differences were examined, it
was determined that hot-pack before stretching and massage before stretching
were positive effects on increasing of stretching performance, and it was found
that the effect size of the hot-pack was higher than those of the two
interventions.
In conclusion, this
study showed that only the static stretching and stretching-induced
interventions were effective in increasing the hamstring muscle length.

Kaynakça

  • Bacurau R.F.P., Monteiro G.A., Ugrinowitsch C., Tricoli V., Cabral L.F., Aoki M.S. (2009). Acute effect of a ballistic and a static stretching exercise bout on flexibility and maximal strength. The Journal of Strength & Conditioning Research 23(1): 304-308. PMID: 19057408
  • Bandy W.D., Irion J.M. (1994). The effect of time on static stretch on the flexibility of the hamstring muscles. Physical Therapy. 74(9): 845-850. PMID: 8066111
  • Bandy W.D., Irion J.M., Briggler M. (1998). The effect of static stretch and dynamic range of motion training on the flexibility of the hamstring muscles. Journal of Orthopaedic & Sports Physical Therapy. 27(4): 295-300. PMID: 9549713
  • Chaouachi A., Padulo J., Kasmi S., Othmen A.B., Chatra M., Behm D.G. (2015). Unilateral static and dynamic hamstrings stretching increases contralateral hip flexion range of motion. Clinical Physiology and Functional İmaging. 37(1): 23-29. PMID: 26017182
  • Crosman L.J., Chateauvert S.R., Weisberg J. (1984). The effects of massage to the hamstring muscle group on range of motion. Journal of Orthopaedic & Sports Physical Therapy. 6(3): 168-172. PMID: 18806363
  • De Weijer V.C., Gorniak G.C., Shamus E. (2003). The effect of static stretch and warm-up exercise on hamstring length over the course of 24 hours. Journal of Orthopaedic & Sports Physical Therapy. 33(12): 727-733. PMID: 14743986
  • Decoster L.C., Cleland J., Altieri C., Russell P. (2005). The effects of hamstring stretching on range of motion: a systematic literature review. Journal of Orthopaedic & Sports Physical Therapy. 35(6): 377-387. PMID: 16001909
  • Denegar C.R., Saliba E., Saliba S. (2015). Therapeutic Modalities for Musculoskeletal Injuries, 4E. Human Kinetics. ss:278. ISBN-13: 9781450469012
  • Drust B., Atkinson G., Gregson W., French D., Binningsley D. (2003). The effects of massage on intra muscular temperature in the vastus lateralis in humans. International Journal of Sports Medicine. 24(06): 395-399. PMID: 12905085
  • Ferber R., Osternig L.R., Gravelle D.C. (2002). Effect of PNF stretch techniques on knee flexor muscle EMG activity in older adults. Journal Of Electromyography And Kinesiology. 12(5): 391-397. PMID: 12223172
  • Funk D., Swank A.M., Adams K.J., Treolo D. (2001). Efficacy of moist heat pack application over static stretching on hamstring flexibility. The Journal of Strength & Conditioning Research. 15(1): 123-126. PMID: 11708695
  • Gajdosik R.L., Rieck M.A., Sullivan D.K., Wightman S.E. (1993). Comparison of four clinical tests for assessing hamstring muscle length. Journal of Orthopaedic & Sports Physical Therapy. 18(5): 614-618. PMID: 8268964
  • Gajdosik R., Lusin G. (1983). Hamstring muscle tightness; Reliability of an active-knee-extension test.. Physical Therapy. 63(7): 1085-1088. PMID: 6867117
  • Herda T.J., Ryan E.D., Costa P.B., Walter A.A., Hoge K.M., Uribe B.P., Cramer J.T. (2010). Acute effects of passive stretching and vibration on the electromechanical delay and musculotendinous stiffness of the plantar flexors. Electromyography & Clinical Neurophysiology. 50(6): 277. PMID: 21061774
  • Kain J., Martorello L., Swanson E., Sego S. (2011). Comparison of an indirect tri-planar myofascial release (MFR) technique and a hot pack for increasing range of motion. Journal of Bodywork and Movement Therapies. 15(1): 63-67. PMID: 21147420
  • McNair P. (2007). Acute Responses to Stretches wıth Isokınetıc Dynamometers. Sportex Medicine. (34): 6-9.
  • Nakano J., Yamabayashi C., Scott A., Reid W.D. (2012). The effect of heat applied with stretch to increase range of motion: a systematic review. Physical Therapy in Sport. 13(3): 180-188. PMID: 22814453
  • Nelson A.G., Driscoll N.M., Landin D.K., Young M.A., Schexnayder I.C. (2005). Acute effects of passive muscle stretching on sprint performance. Journal of Sports Sciences. 23(5): 449-454. PMID: 16194993
  • Norris C.M., Matthews M. (2005). Inter-tester reliability of a self-monitored active knee extension test. Journal of Bodywork and Movement Therapies. 9(4): 256-259. http://dx.doi.org/10.1016/j.jbmt.2005.06.002
  • O'Sullivan K., Murray E., Sainsbury D. (2009). The effect of warm-up, static stretching and dynamic stretching on hamstring flexibility in previously injured subjects. BMC Musculoskeletal Disorders. 10(1): 37. PMID: 19371432
  • Petersen J., Hölmich P. (2005). Evidence based prevention of hamstring injuries in sport. British Journal of Sports Medicine. 39(6): 319-323. PMID: 15911599
  • Robertson V.J., Ward A.R., Jung P. (2005). The effect of heat on tissue extensibility: a comparison of deep and superficial heating. Archives Of Physical Medicine And Rehabilitation. 86(4): 819-825. PMID: 15827938
  • Ryan E.D., Beck T.W., Herda T.J., Hull H.R., Hartman M.J., Costa P.B., Cramer J.T. (2008). The time course of musculotendinous stiffness responses following different durations of passive stretching. Journal of Orthopaedic & Sports Physical Therapy. 38(10): 632-639. PMID: 18827325
  • Sullivan S.J., Williams L.R., Seaborne D.E., Morelli M. (1991). Effects of massage on alpha motoneuron excitability. Physical Therapy. 71(8): 555-560. PMID: 1852794
  • Supa’At I., Zakaria Z., Maskon O., Aminuddin A., Nordin N.A.M.M. (2013). Effects of Swedish massage therapy on blood pressure, heart rate, and inflammatory markers in hypertensive women. Evidence-Based Complementary and Alternative Medicine. 2013(1): 1-8. PMID: 24023571
  • Tamer S. (2013). Hamstring Kas Kısalığının Diz Eklemi Proprioseptif Duyusuna Etkisi. Yüksek Lisans Tezi. Hacettepe Üniversitesi, Ankara.
  • Wallmann H.W., Mercer J.A., McWhorter J.W. (2005). Surface electromyographic assessment of the effect of static stretching of the gastrocnemius on vertical jump performance. The Journal of Strength & Conditioning Research. 19(3): 684-688. PMID: 16095426
  • Weerapong P., Kolt G.S. (2005). The mechanisms of massage and effects on performance, muscle recovery and injury prevention. Sports Medicine. 35(3): 235-256. PMID: 15730338
  • Yıldız S., Çilli M., Gelen E., Güzel E. (2013). Acute effects of differing duration of static stretching on speed performance (Farklı sürelerde uygulanan statik germenin sürat performansına akut etkisi). Journal of Human Sciences. 10(1): 1202-1213.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Konular Spor Hekimliği
Bölüm Hareket ve Antrenman Bilimleri
Yazarlar

Emir İbrahim Işık 0000-0002-8219-6013

Ferdi Başkurt 0000-0002-8997-4172

Zeliha Başkurt 0000-0001-7488-9242

Yayımlanma Tarihi 28 Aralık 2017
Gönderilme Tarihi 1 Ekim 2017
Yayımlandığı Sayı Yıl 2017 Cilt: 2 Sayı: 4

Kaynak Göster

APA Işık, E. İ., Başkurt, F., & Başkurt, Z. (2017). Hamstring Kas Grubu Üzerine Uygulanan Farklı Modalitelerin Eklem Hareket Açıklığına Etkileri: Randomize Tek Kör Çalışma. Gaziantep Üniversitesi Spor Bilimleri Dergisi, 2(4), 54-64.

ISSN: 2536-5339

Gaziantep Üniversitesi Spor Bilimleri Dergisi

16157

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