Bedensel engelli masa tenisi sporcularında soft ortez ve kinezyo bantla bel desteğinin ağrı, gövde kas enduransına ve fiziksel performansa etkisinin incelenmesi

Öz

Amaç: Bu çalışmanın amacı, bedensel engelli masa tenisi sporcularında kinezyo bantlama ve soft ortez ile lumbar desteğin performans esnasındaki ağrı, gövde kas enduransı ve spora özel fiziksel performans üzerine olan etkilerinin karşılaştırılmasıydı.

Yöntem: Çalışmaya en az 2 yıldır aktif spor yapan, bağımsız gövde dengesine sahip olan, görme, işitme ve zihinsel engele sahip olmayan, 22 ileri seviye bedensel engelli masa tenisi sporcusu dahil edildi. Sporcuların her birine sırasıyla serbest, kinezyo bant ve soft ortez uygulaması ayrı antrenman günlerinde, yapılıp üç grup karşılaştırıldı. Ağrı, Vizüel Ağrı Skalası (VAS) ile ölçüldü. Gövde kas enduransı ise modifiye sit-ups test, modifiye abdominal endurans testi, modifiye push-ups test ve multifidus kasına özel test ile değerlendirildi. Spora özel performans, forehand-backhand (1-1) kombinasyon tekniği ile 60 saniyede vurduğu top sayısı, kısa gir-uzun çık forehand (1-1) kombinasyon tekniği ile 60 saniyede vurduğu top sayısı ile değerlendirildi.

Bulgular: Çalışma sonucunda soft ortez uygulamasının, gövde kas enduransı ile topa vuruş performansının artmasında kinezyo banda ve serbeste göre daha etkili olduğu görüldü (p<0,05). Kinezyo bant da serbeste göre daha etkili bulundu (p<0,05). Soft ortez ve Kinezyo bant uygulamasının serbest performansa göre ağrıyı azalttığı belirlendi (p<0,05).

Sonuç: Bu çalışma, ağrı, kas enduransı ve spora özel fiziksel performansta soft ortezin kinezyo banda göre daha etkili olduğunu gösterdi. Ortezin engelli masa tenisi ve diğer engelli sporcularında uzun süreli uygulama etkilerinin araştırılacağı ileri çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

• Engellide spor,Kinezyo bantlama,Soft ortez,Kas enduransı

Investigation of the effects of soft orthotics and kinesiotaping lumbar support on pain, trunk muscle endurance and physical performance in physically disabled table tennis athletes

Öz

Purpose: The aim of this study was to compare the effects of kinesiotaping and soft orthotics on lumbar support during performance on pain, trunk muscle endurance and sports related physical performance in physically disabled table tennis athletes.

Methods: Twenty-two advanced level physically disabled table tennis athletes were recruited to study who play in national team, actively playing sports for at least 2 years, having independent trunk balance, with no vision, hearing or mental disorders. Kinesio taping, soft orthotics and free applications were respectively applied to each of the players before training. Pain assessment, joint motion range, modified functional elongation test, manual muscle test, modified sit-ups test, modified abdominal endurance test, special multifidus muscle test, modified push-ups test, number of ball strikes in 60 seconds with forehand-backhand (1-1) combination technique, and with “enter short-exit long” forehand combination technique were applied and recorded in all players.

Results: As a result of the study, it was observed that the application of soft orthosis was more effective than kinesiotaping and free applications in increasing the ball hitting performance with trunk muscle endurance. (p<0.05). Kinesio taping was found more effective than free (p<0.05). It was determined that the soft orthosis and Kinesiotaping application reduced pain compared to free performance (p<0.05).

Conclusion: This study showed that soft orthoses was more effective than kinesiotaping in decreasing pain, enhancement of muscular endurance, and sports related physical performance. We suggest further longer application studies on soft orthosis evaluating the long-term effects of pain, muscle endurance, and sports related physical performance are needed in physically disabled table tennis athletes and others.

Anahtar Kelimeler

• Sports for the disabled,Kinesiotaping,Orthosis; soft,Muscle endurance

Kaynakça

1. 1. Springle S, Maurer C, Holowka M. Development of Valid and Reliable Measures of Postural Stability. J Spinal Cord Med. 2007;30:40-49.
2. 2. Moreland J, Finch E, Stratford P, et al. Interrater reliability of six tests of trunk muscle function and endurance. J Orthop Sports Phys Ther. 1997;26:200-208.
3. 3. Barczyk-Pawelec K, Bańkosz Z, Derlich M. Body postures and asymmetries in frontal and transverse planes in the trunk area in table tennis players. Biol Sport. 2012;29:129-134.
4. 4. Paoloni M, Bernetti A, Fratocchi G, et al. Kinesio Taping applied to lumbar muscles influences clinical and electromyographic characteristics in chronic low back pain patients. Eur J Phys Rehabil Med. 2011:47:237-244.
5. 5. Alaranta H, Hurri H. Compliance and subjective relief by corset treatment in chronic low back pain. Scand J Rehabil Med. 1988:20:133-136.
6. 6. Hsu JD, Michael J, Fisk J. Atlas of Ortheses and Assistive Devices, 2008:114-117.
7. 7. Uslusoy GA, Savaş S, Kronik Bel Ağrılı Hastalarda Ekstansiyon Kontrollü ve Elastik Lomber Korselerin Kısa Dönemdeki Etkinliği ve Korse Uyumuna Etki Eden Faktörler: Randomize Kontrollü Klinik Çalışma. Turk J Phys Med&Rehab. 2013:59:182-188.
8. 8. Kondrič M, Zagatto AM, Sekulić D. The Physiological demands of table tennis: A review. J Sports Sci Med. 2013;12:362-370.

9. 9. Hawkeswood JP, O'Connor R, Anton H, et al. The preparticipation evaluation for athletes with disability. Int J Sports Phys Ther. 2014;9:103- 115.
10. 10. Castro-Sánchez AM, Lara-Palomo IC, Matarán- Peñarrocha GA, et al. Kinesio Taping reduces disability and pain slightly in chronic non- specific low back pain: a randomised trial. J Physiother. 2012;58:89-95.
11. 11. Moreland J, Finch E, Stratford P, et al. Interrater reliability of six tests of trunk muscle function and endurance. J Orthop Sports Phys Ther. 1997;26:200-208.
12. 12. Springle S, Maurer C, Holowka M. Development of Valid and Reliable Measures of Postural Stability. J Spinal Cord Med. 2007;30:40-49.
13. 13. Rajalakshmi D, Kumar NS, Strengthening transversus abdominis in pregnancy related pelvic pain: the pressure biofeedback stabilization training. Glob J Health Sci. 2012;4:55-61.
14. 14. Barczyk-Pawelec K, Bańkosz Z, Derlich. Body postures and asymmetries in frontal and transverse planes in the trunk area in table tennis players. Biol Sport. 2012;29:129-134.
15. 15. Iino Y, Kojima T. Kinematics of table tennis topspin forehands: effects of performance level and ball spin. J Sports Sci. 2009;27:1311-1321.
16. 16. Ptak A, Konieczny G, Stefańska M. The influence of short-term kinesiology taping on force-velocity parameters of the rectus abdominis muscle. J Back Musculoskelet Rehabil. 2013;26:291-297.
17. 17. Gürşen C, İnanoğlu D, Kaya S, et al. Effects of exercise and Kinesio taping on abdominal recovery in women with cesarean section: a pilot randomized controlled trial. Arch Gynecol Obstet. 2016;293:557-565.
18. 18. Takasaki H, Miki T, The impact of continuous use of lumbosacral orthoses on trunk motor performance: a systematic review with meta- analysis. Spine J. 2017;17:889-900.
19. 19. Çeliker R, Güven Z, Aydoğ T, et al. Kinezyolojik Bantlama Tekniği ve Uygulama Alanları, Derleme, Turk J Phys Med Rehab. 2011;57:225- 235.
20. 20. Cholewicki J, Shah KR, McGill KC. The effects of a 3-week use of lumbosacral orthoses on proprioception in the lumbar spine. J Orthop Sports Phys Ther. 2006;36:225-231.
21. 21. Chen CL, Yeung KT, Bih LI, et al. The relationship between sitting stability and functional performance in patients with paraplegia. Arch 2003;84:1276-1281.
22. 22. Jerrold S, Petrofsky E, Johnson G, et al. Abdominal and lower back training for people with disabilities using a 6 second abs machine: effect on core muscle stability. J Appl Res. 2005;5:345-351.