Ön çapraz bağ rekonstrüksiyonu sonrası verilen dirençli egzersiz eğitiminin sıçrama performansı üzerine etkisi

Yıl 2022, , 164 - 169, 19.12.2022

Ayşe Uzun , Nevin Ergun , Damla Arslan , Gül Baltacı , Yavuz Yakut

https://doi.org/10.15437/jetr.1070215

Öz

Amaç: İzokinetik kas kuvveti ve tek bacak sıçrama testi diz cerrahileri sonrasında spora veya günlük yaşama dönüşte bireyleri değerlendirmek için sıklıkla kullanılan ölçümlerdir. Bu çalışmanın amacı verilen izokinetik eğitimin, hamstring ve quadriceps kas kuvveti üzerindeki etkinliğini tek bacak sıçrama testi kullanarak değerlendirmek idi. Yöntem: Ön Çapraz Bağ Rekonstrüksiyonu geçiren 20 erkek hasta çalışmaya dahil edildi. 16. ve 24. haftalarda izokinetik kas kuvveti ve tek bacak sıçrama testleri yapıldı ve bu haftalar arasında bireylere izokinetik eğitim verildi. Zirve tork quadriceps/vücut ağırlığı, zirve tork hamstring/vücut ağırlığı, hamstring/quadriceps oranı değerleri çalışmaya dahil edildi. İkili karşılaştırmada Wilcoxon testi, korelasyon analizinde Pearson korelasyon katsayısı kullanıldı. Bulgular: Opere dizde 16. haftasında, ekstansiyon zirve tork değeri ile tek bacak sıçrama testi arasında orta derecede ilişki görülürken (r=0,622, p=0,023), sağlam dizde, ekstansiyon zirve tork değeri ile tek bacak sıçrama testi arasında bir ilişki görülmedi (r=0,147, p=0,631). 24.haftada, opere ve sağlam dizdeki ekstansiyon zirve tork değeri ve tek bacak sıçrama testi arasındaki ilişki orta derece bulundu (r=0,595, p=0,032), (r= 0,591, p=0,033). 16. haftada hamstring/quadriceps oranı ile tek bacak sıçrama testi arasındaki ilişki yüksek bulundu (r=0,725, p=0,005). Sonuç: Çalışmanın sonucunda, ön çapraz bağ rekonstrüksiyonu sonrası verilen dirençli izokinetik eğitimin, tek bacak sıçrama performansını orta derecede etkilediği bulundu.

Anahtar Kelimeler

Ön çapraz bağ, Kas kuvvet dinamometre, Fiziksel uygunluk testi, Quadriceps kası

Effect of resistive exercise training on jumping performance after anterior cruciate ligament reconstruction

Öz

Purpose: Isokinetic muscle strength and single leg jump test are frequently used measurements to evaluate individuals returning to sports or daily life after knee surgeries. The aim of this study was to evaluate the effectiveness of isokinetic training on hamstring and quadriceps muscle strength using the single leg jump test. Methods: Twenty male patients who underwent Anterior Cruciate Ligament Reconstruction were included in the study. Isokinetic muscle strength and single leg jump tests were performed at 16 and 24 weeks, and isokinetic training was given to the individuals between these weeks. Peak torque quadriceps/body weight, peak torque hamstring/body weight, peak torque hamstring/quadriceps ratio values were evaluated. Intra-group comparisons were analyzed with the Wilcoxon test, the correlation analysis was used Pearson’s correlation coefficient. Results: While there was a moderate correlation between the peak extension torque value and the single leg jump test in the operated knee at week 16 (r=0.62, p=0.023), there was no correlation between the extension peak torque value and the single leg jump test in the non-operated knee (r=0,14, p=0,63). The relationship between the peak extension torque value in the operated and non-operated knee and the single leg jump test was found to be moderate at 24 weeks (r=0,595, p=0,032), (r= 0,591, p=0,033). At 16 weeks, the relationship between hamstring/quadriceps ratio and single leg jump test was high (r=0.72, p=0.05). Conclusion: As a result of the study, it was found that resistive isokinetic exercise training given after anterior cruciate ligament reconstruction, moderately affected single leg jump performance.

Anahtar Kelimeler

Anterior cruciate ligament, Muscle strength dynamometer, Physical fitness testing, Quadriceps muscle

Kaynakça

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