AMPÜTE FUTBOLCULARIN FİZİKSEL UYGUNLUK VE İZOKİNETİK TEST PARAMETRELERİNİN DEĞERLENDİRİLMESİ

Yıl 2023, Cilt: 86 Sayı: 4, 376 - 383, 01.12.2023

Funda Arıkan Aküzüm , Sertaç Yakal , Türker Şahinkaya , Safinaz Yıldız

https://doi.org/10.26650/IUITFD.1259586

Öz

Amaç: Bu çalışma, ampütasyonu olan kişilerin spora katılımının fonksiyonel kapasiteleri üzerindeki etkisini araştırmak için yapılmıştır.
Gereç ve Yöntem: Çalışmaya 18-45 yaş arası tek taraflı alt ekstremite kaybı olan 29 erkek futbolcudan oluşan spor grubu ve ampütasyonu olan sedanter 11 kişiden oluşan kontrol grubu dahil edildi. Vücut kompozisyonu, postural stabilite ve gövde kas kuvveti sırasıyla skinfold, Biodex Stabilite Sistemi ve izokinetik dinamometre ile ölçüldü. Solunum fonksiyon testi ve kardiyopulmoner egzersiz testi yapıldı. Aerobik kapasite, breath-by-breath (her nefeste) yöntemi kullanılarak kardiyopulmoner egzersiz testi ile değerlendirildi.
Bulgular: Triseps, uyluk ve baldır bölgelerinden yapılan deri kıvrım kalınlığı ölçümleri spor yapan grupta daha yüksek bulundu (p<0,05), vücut yağ yüzdesi ise her iki grup arasında anlamlı bir fark göstermedi (p>0,05). Postural stabilite, gövde kas kuvveti ve dayanıklılığı spor yapan grupta anlamlı olarak yüksekti (p<0,05). Tahmin edilen maksimum istemli ventilasyon (%MVV) ve tepe ekspiratuar akış (%PEF) değerleri spor yapan grupta anlamlı olarak yüksekti (p<0,05). Anaerobik eşiğe karşılık gelen kalp hızları spor grubunda daha yüksek bulunurken (p<0,05), istirahat ve maksimum kalp hızı açısından iki grup arasında anlamlı bir fark gözlemlenmedi (p>0,05). Spor yapan grubun egzersiz süreleri ve gaz değişim değerleri daha yüksekti (p<0,05).
Sonuç: Postural stabilite, gövde kas kuvveti ve fiziksel kondisyon futbolcularda daha iyi seviyedeydi. Bu bulgular, ampütasyonu olan kişilerde düzenli fiziksel aktivite yapmanın fiziksel performans gelişimi üzerine olumlu etkileri olduğunu düşündürmektedir.

Anahtar Kelimeler

Futbol, kardiyopulmoner egzersiz testi, kas gücü, ampütasyon

Proje Numarası

-

EVALUATION OF PHYSICAL FITNESS AND ISOKINETIC TEST PARAMETERS OF AMPUTEE FOOTBALL PLAYERS

Öz

Objective: This study was designed to investigate the effect of participation in sports on the functional capacity of a person with an amputation.
Material and Method: The study included a sports group of 29 male football players with unilateral lower limb loss aged between 18-45 years and a control group of 11 sedentary persons with an amputation. Body composition, postural stability, and trunk muscle strength were measured with a skinfold, Biodex Stability System, and dynamometer. A pulmonary function test and cardiopulmonary exercise test were performed. Aerobic capacity was evaluated by cardiopulmonary exercise test using the breath-by-breath method.
Result: Skinfold thickness measurements performed at the triceps, thigh, and calf regions were higher in the sports group (p<0.05), whereas body fat percentage indicated no significant difference among both groups (p>0.05). The sports group had higher postural stability, trunk muscle strength, and endurance (p<0.05). Predicted maximum voluntary ventilation (MVV%) and peak expiratory flow (PEF%) values were significantly higher in the sports group (p<0.05). The sports group had higher heart rates corresponding to the anaerobic threshold (p<0.05). At the same time, no significant difference was observed between the two groups concerning resting and maximum heart rate (p>0.05). The sports group had longer exercise times and higher gas exchange values (p<0.05).
Conclusion: Postural stability, trunk muscle strength, and physical condition were better in football players. These findings suggest that performing regular physical activities positively affects the development of physical performance in a person with an amputation.

Anahtar Kelimeler

Football, cardiopulmonary exercise test, muscle strength, amputation

Destekleyen Kurum

none

Proje Numarası

-

Teşekkür

Turkey Amputee Football Teams and all other participants for taking part in this study.

Kaynakça

• 1. Gailey RS, Clark CR. Physical therapy management of adult lower limb amputees. In: Bowker JH, Michael JW, editors. Atlas of limb prosthetics: surgical, prosthetic and rehabilitation principles. St. Louis Mosby; 1992. p.569-97. google scholar
• 2. Tatar Y. Body image and its relationship with exercise and sports in Turkish lower-limb amputees who use prosthesis. Sci Sports 2010;25(6):312-17. [CrossRef] google scholar
• 3. Kuiken TA, Miller L, Lipschutz R, Huang ME. Rehabilitation of people with lower limb amputation. In: Braddom RL, ed. Physical medicine and rehabilitation. Philadelphia, PA: Elsevier; 2007. p.283-323. google scholar
• 4. Gonzales EG, Edelstein JE. Energy expenditure during ambulation. In: Braddom RL, ed. Physical medicine and rehabilitation. Philadelphia, PA: Elsevier; 2007. p.417-47. google scholar
• 5. Deans SA, McFadyen AK, Rowe PJ. Physical activity and quality of life: a study of a lower-limb amputee population. Prosthet Orthot Int 2008;32(2):186-200. [CrossRef] google scholar
• 6. Groff DG, Lundberg NR, Zabriskie RB. Influence of adapted sport on quality of life: Perceptions of athletes with cerebral palsy. Disabil Rehabil 2009;31(4):318-26 [CrossRef] google scholar
• 7. Shephard RJ. Benefits of sport and physical activity for the disabled: implications for the individual and for society. Scand J Rehabil Med 1991;23(2):51-9. [CrossRef] google scholar
• 8. Durmic T, Popovic BL, Svenda MZ, Djelic M, Zugic V, Gavrilovic T, et al. The training type influence on male elite athletes’ ventilatory function. BMJ open sport & exercise medicine 2017;3(1):e000240. [CrossRef] google scholar
• 9. Pau M, Arippa F, Leban B, Corona F, Ibba G, Todde F, et al. Relationship between static and dynamic balance abilities in Italian professional and youth league football players. Physical Therapy in Sport 2014;16(3):236-41. [CrossRef] google scholar
• 10. Kayihan G. Comparative analysis of two different field testes; assessment of aerobic capacity according to heart rate responses in amputee football players. Int J Acad Res 2014;6(3):188-93. [CrossRef] google scholar
• 11. Gunaydin G. Is there a relationship between horizontal jump and sprint performance in professional amputee football players? Ann Med Res 2019;26(10):2454-58. [CrossRef] google scholar
• 12. Guchan Z, Bayramlar K, Ergun N. Determination of the effects of playing football on physical fitness in individuals with transtibial amputation. J Sports Med Phys Fitness 2017;57(6):879-86. [CrossRef] google scholar
• 13. Monteiro R, Pfeifer L, Santos A, Sousa N. Soccer practice and functional and social performance of men with lower limb amputations. J Hum Kinet 2014;43:33-41. [CrossRef] google scholar
• 14. Bragaru M, Dekker R, Geertzen JH, Dijkstra PU. Amputees and sports: a systematic review. Sports Med 2011;41(9):721-40. [CrossRef] google scholar
• 15. Jackson AS, Pollock ML. Steps toward the development of generalized equations for predicting body composition of adults. Can J Appl Sport Sci 1982;7(3):189-96. google scholar
• 16. Ozkan A, Kayıhan G, Koklu Y, Ergun N, Koz M, Ersoz G, et al. The relationship between body composition, anaerobic performance and sprint ability of amputee football players. J Hum Kinet 2012;35(1):141-6. [CrossRef] google scholar
• 17. Buckley JG, O’Driscoll D, Bennett SJ. Postural sway and active balance performance in highly active lower-limb amputees. Am J Phys Med Rehabil 2002;81(1):13-20. [CrossRef] google scholar
• 18. Kibler, W.B., Press, J., Sciascia, A. The role of core stability in athletic function. Sports Med 2006; 36(3): 189-98. [CrossRef] google scholar
• 19. Tiller NB. Pulmonary and respiratory muscle function in response to marathon and ultra-marathon running: A Review. Sports Med 2019;49(7):1031-41. [CrossRef] google scholar
• 20. Mikami Y, Fukuhara K, Kawae T, Sakamitsu T, Kamijo Y, Tajima H, et al. Exercise loading for cardiopulmonary assessment and evaluation of endurance in amputee football players. J Phys Ther Sci 2018;30(8):960-5. [CrossRef] google scholar
• 21. McArdle WD, Katch FI, Pechar GS. Comparison of continuous and discontinuous treadmill and bicycle tests for max VO2. Med Sci Sports 1973;5(3):156-60. [CrossRef] google scholar
• 22. Davis J, Kasch F. Aerobic and anaerobic differences between maximal running and cycling in middle-aged males. J Sci Med Sport 1975;7:81-4. google scholar