Generalize Eklem Hipermobilitesi Olan Genç Erişkinlerde Core Kas Dayanıklılığı, Üst Ekstremite Kas Kuvveti, Kavrama Kuvveti ve El-Göz Koordinasyonu

Yıl 2024, Sayı: 24, 1091 - 1103, 30.12.2024

Deniz Tuncer , Sude İrdem , Emir Yılmaz

https://doi.org/10.38079/igusabder.1463020

Öz

Amaç: Generalize eklem hipermobilitesi (GEH) kas-iskelet sistemi bozuklukları için risk faktörlerinden biri olarak kabul edilmektedir. Bu çalışmada GEH'li genç erişkinlerde core kas dayanıklılığı, üst ekstremite kas kuvveti, kavrama kuvveti ve el-göz koordinasyonunun değerlendirilmesi amaçlandı.
Yöntem: Bu kesitsel ve gözlemsel bir çalışmadır. Çalışmada yaşları 17-26 arasında değişen GEH'li 27 genç erişkin grup ve GEH olmayan 27 genç erişkin grup karşılaştırıldı. Tüm katılımcılara core kas dayanıklılık testleri, üst ekstremite kas kuvveti testi, el kavrama ve parmak kavrama kuvveti testleri ve alternatif el-duvar fırlatma testi uygulandı
Bulgular: Tanımlayıcı özellikler göz önüne alındığında, gruplar arasında istatistiksel olarak anlamlı bir fark tespit edilmedi (p>0,05). Ortalama Beighton skoru GEH grubunda 5,26±2,38 olup eklem hipermobilitesini göstermektedir (p<0,001). Core kas enduransı testlerinde gövde fleksiyon testi (p=0,002), sağ yan köprü testi (p=0,013) ve sol yan köprü testi (p=0,039) için gruplar arasında anlamlı fark bulunurken, gövde ekstansiyon testi (p=0,532), horizantal köprü testi (p=0,190) ve alternatif el duvar fırlatma testinde (p=0,127) anlamlı fark bulunmadı.
Sonuç: Bu çalışmada GEH tespit edilen (Beighton skoru≥4) genç erişkinlerin üst ekstremite ve kavrama kuvveti ile core kas dayanıklılığında azalma görüldü. Çalışma, literatürdeki bulgularla birlikte, kas-iskelet sistemi sorunlarının önlenmesi için GEH'in erken tespit edilmesine yönelik kapsamlı bir tarama programının gerekli olduğunu düşündürmektedir.

Anahtar Kelimeler

Genç erişkin, hipermobilite, kas kuvveti, koordinasyon

Proje Numarası

1919B012216285

Core Muscle Endurance, Upper Extremity Muscle Strength, Grip Strength, and Hand-Eye Coordination in Young Adults with Generalized Joint Hypermobility

Öz

Aim: Generalized joint hypermobility (GJH) is recognized as one of the risk factors for musculoskeletal impairments. This study aimed to evaluate core muscle endurance, upper extremity muscle strength, grip strength, and hand-eye coordination in young adults with GJH.
Method: This is a cross-sectional and observational study. Twenty-seven young adults with GJH, aged 17–26 years, and an age-matched group of 27 young adults without GJH were recruited in the study. All participants performed core muscle endurance tests, upper extremity muscle strength test, hand-grip and pinch-grip strength tests, and the alternate hand-wall toss test.
Results: Considering the descriptive features, no statistically significant differences were identified between the groups (p>0.05). The mean Beighton score was 5.26±2.38 in the GJH group, which indicates joint hypermobility (p<0.001). While a significant difference was found between the groups for the trunk flexion test (p = 0.002), right side plank test (p=0.013), and left side plank test (p=0.039) in the tests of core muscle endurance, there was no significant difference in the trunk extension test (p=0.532), horizontal plank test (p=0.190), and alternate hand wall toss test (p=0.127).
Conclusion: The young adults in the present study who had been grouped as having GJH (Beighton score≥4) showed a decline in upper extremity strength, grip strength, and core muscle endurance. This study, in combination with the findings of the literature, suggests that a comprehensive screening program for the early recognition of GJH is required to prevent musculoskeletal problems.

Anahtar Kelimeler

Coordination, hypermobility, muscle strength, young adult

Etik Beyan

The Bezmialem Vakif University Non-interventional Clinical Research Ethics Committee (number: 17.04.2023-104359) approved this cross-sectional and observational study. The study was registered on the ClinicalTrials.gov website (registration number: NCT05896722), and the protocol followed the of the Declaration of Helsinki guidelines.

Destekleyen Kurum

2209-A TUBITAK (The Scientific and Technological Research Council of Turkey)

Proje Numarası

1919B012216285

Teşekkür

The authors would like to thank 2209-A TUBITAK (The Scientific and Technological Research Council of Turkey) for the financial support of a research project numbered with 1919B012216285.

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