The Effect of Cold Application on Joint Position Sense, Skin Temperature, and Muscle Strength in Young Individuals

Öz

Objective: The aim of our study was to investigate the effect of cold application on joint position sense and maximum voluntary isometric muscle strength in the shoulder. Material and Method: Forty-four young individuals aged 18-24 years were included in the uncontrolled study. For cold application, two cold gel packs were applied to the shoulder area for 20 minutes. Skin temperature was evaluated with the Mastercool infrared thermometer, and joint position sense was evaluated with the Cybex Humac Norm Isokinetic Test and Exercise System device. Muscle strength of the external and internal rotators was measured in 3 sets at 12-second intervals using the device, and the average torque was determined. Values before and after cold application were compared statistically. Results: A significant difference was found in skin temperature (dominant; t=46.32; p<0.001; non-dominant; t=40.22; p<0.001) and dominant extremity internal rotation joint position sense (t=2.12; p=0.040) values before and after cold application. There was a significant difference in muscle strength of internal rotation (z=1.962 p=0.050) for the non-dominant shoulder. After the application, a significant relationship was found between skin temperature in the non-dominant extremity and maximum voluntary isometric muscle strength in external rotation (r=-0.583, p=0.001) and internal rotation (r=-0.581, p=0.001). Conclusion: It was found that non-dominant extremity muscle strength and dominant extremity joint position sense decreased in shoulder internal rotation after cold application. These changes should be taken into consideration in exercise planning after cold application in the clinic.

Anahtar Kelimeler

• Cold therapy
• muscle strength
• position sense
• shoulder joint
• skin temperature

Genç Bireylerde Soğuk Uygulamanın Eklem Pozisyon Hissi, Deri Sıcaklığı ve Kas Kuvveti Üzerine Etkisi

Öz

Amaç: Çalışmamızın amacı soğuk uygulamanın omuzda eklem pozisyon hissi ve maksimum istemli izometrik kas kuvveti üzerine etkisini araştırmaktı. Gereç ve Yöntem: Kontrolsüz deneysel çalışmaya 18-24 yaş aralığındaki 44 genç birey dahil edildi. Soğuk uygulama için, 2 adet soğuk jel paket omuz bölgesine 20 dakika uygulandı. Deri sıcaklığı Mastercool infrared termometre ile, eklem pozisyon hissi Cybex Humac Norm İzokinetik Test ve Egzersiz Sistemi cihazı ile değerlendirildi. Cihaz ile 12 sn aralıklı 3 set şeklinde eksternal ve internal rotatörlerin kas kuvveti ölçüldü ve ortalama tork alındı. Soğuk uygulama öncesi ve sonrası değerler istatistiksel olarak karşılaştırıldı. Bulgular: Soğuk uygulama öncesi ve sonrası, deri sıcaklığı (dominant; t=46,32; p<0,001; nondominant; t=40,22; p<0,001) ve dominant ekstremite internal rotasyon eklem pozisyon hissi (t=2,12; p=0,040) değerlerinde anlamlı fark bulundu. Nondominant omuz için internal rotasyon kas kuvvetinde (z=1,962 p=0,050) anlamlı fark vardı. Uygulama sonrası nondominant ekstremitede deri sıcaklığı ile eksternal rotasyon (r=-0,583, p=0,001) ve internal rotasyon (r=-0,581, p=0,001) maksimum istemli izometrik kas kuvveti arasında anlamlı ilişki bulundu. Sonuç: Soğuk uygulama sonrasında omuz internal rotasyonda nondominant ekstremite kas kuvvetinin ve dominant ekstremite eklem pozisyon hissinin azaldığı bulundu. Klinikte soğuk uygulama sonrası egzersiz planlamasında bu değişimler göz önünde bulundurulmalıdır.

Anahtar Kelimeler

• Deri sıcaklığı
• kas kuvveti
• omuz eklemi
• pozisyon hissi
• soğuk uygulama

Kaynakça

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