Sağlıklı genç yetişkinlerde telerehabilitasyon temelli sliding hamstring curl egzersizinin hamstring esnekliği ve kognitif fonksiyonlar üzerine etkisi: pilot çalışma

Yıl 2023, , 25 - 36, 30.04.2023

Çağlar Soylu , Necmiye Ün Yıldırım

https://doi.org/10.15437/jetr.942912

Öz

Amaç: Bu çalışma, sağlıklı genç yetişkinlerde telerehabilitasyon temelli sliding hamstring curl (SHC) egzersizinin diz kas kuvveti, hamstring esnekliği ve kognitif fonksiyon üzerine etkisini incelemek amacı ile planlandı.
Yöntem: Çalışmaya yaşları ortalama 21,05±2,15 yıl olan toplamda 20 genç erkek yetişkin birey dahil edildi. Çalışmaya katılan bireyler randomize olarak kontrol (N=10) ve SHC egzersiz grubu (N=10) olmak üzere iki gruba ayrıldı. SHC egzersiz grubundaki bireylere, haftada 3 gün 6 hafta telerehabilitasyon yoluyla SHC egzersizi uygulandı. Bireylerin diz fleksiyon ve ekstansiyon kas kuvveti değerlendirmeleri izokinetik dinamometre ile, hamstring esneklikleri maksimum kalça fleksiyonuyla birlikte aktif diz ekstansiyon testi ile, kognitif fonksiyonları CNSVS nörokognitif test bataryası ile tedavi öncesi ve sonrası değerlendirildi.
Bulgular: SHC egzersiz grubunda grup içi analizlerde diz fleksiyon ve ekstansiyon kas kuvvetinde, hamstring esnekliklerinde, tüm kognitif parametrelerde artış olduğu bulundu (p<0,05). Kontrol grubunda ise tüm ölçüm parametrelerinde başlangıç değerlerine göre azalma olduğu tespit edildi (p<0,05). SHC egzersiz grubundaki bireylerin tüm ölçüm değerleri kontrol grubuna göre daha yüksek bulundu (p<0,05).
Sonuç: Çalışmanın sonucunda, SHC egzersizinin konsantrik ve eksantrik diz kas kuvvetini, hamstring esnekliğini ve kognitif fonksiyonları geliştirmede ve kuvvet asimetrilerini düzeltmede etkin bir egzersiz olduğu bulundu. Ayrıca konsantrik ve eksantrik hamstring kas kuvvetini artırmada daha etkin olduğu görüldü. SHC egzersizinin farklı egzersizler ile karşılaştırıldığı çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

Egzersiz, Esneklik, Hamstring, Kas kuvveti, Kognitif fonksiyon

Destekleyen Kurum

TÜBİTAK

Proje Numarası

1649B031800138

Teşekkür

Yok

Effects of telerehabilitation-based sliding hamstring curl exercise on hamstring flexibility and cognitive functions in healthy young adults: a pilot study

Öz

Purpose: This study was planned to investigate the effect of sliding hamstring curl (SHC) exercise on knee muscle strength, hamstring flexibility and cognitive function.
Methods: A total of 20 young male adult individuals with a mean age of 21.05±2.15 years were included in the study. The number of individuals participating in the study was randomly divided into two groups equal to each group. Individuals in the SHC exercise group who were applied SHC exercise 3 days a week for 6 weeks. Knee flexion and extension muscle strength was assessed via isokinetic dynamometer; hamstring flexibility by using the maximum hip flexion and active knee extension test, and cognitive functions by the CNSVS neurocognitive test battery pre and post-treatment.
Results: In the SHC exercise group, a significant increase was found in knee flexion and extension muscle strength, hamstring flexibility, and all cognitive parameters in the within- group analyses (p <0.05). In the control group, it was found that there was a significant decrease in all measurement parameters (p <0.05). All measurement values of individuals in the SHC exercise group were found to be higher than the control group (p <0.05).
Conclusion: As a result of the study, it was found that SHC exercise is an effective exercise in improving concentric and eccentric knee muscle strength, hamstring flexibility and cognitive functions, and fixing strength asymmetries. Studies that are comparing SHC exercise with different exercises are needed

Anahtar Kelimeler

Exercise, Flexibility, Hamstring, Muscle strength, Cognitive function

Proje Numarası

1649B031800138

Kaynakça

• 1. Danielsson A, Horvath A, Senorski C, et al. The mechanism of hamstring injuries - a systematic review. BMC Musculoskelet Disord. 2020;21:641-641.
• 2. Dalton SL, Kerr ZY, Dompier TP. Epidemiology of Hamstring Strains in 25 NCAA Sports in the 2009-2010 to 2013-2014 Academic Years. Am J Sports Med. 2015;43:2671-2679.
• 3. Ekstrand J, Lee JC, Healy JC. MRI findings and return to play in football: a prospective analysis of 255 hamstring injuries in the UEFA Elite Club Injury Study. BJSM. 2016;50:738-743.
• 4. Buckthorpe M, Wright S, Bruce-Low S, et al. Recommendations for hamstring injury prevention in elite football: translating research into practice. BJSM. 2019;53:449-456.
• 5. Henderson G, Barnes CA, Portas MD. Factors associated with increased propensity for hamstring injury in English Premier League soccer players. J Sci Med Sport. 2010;13:397- 402.
• 6. Engebretsen AH, Myklebust G, Holme I, et al. Intrinsic risk factors for hamstring injuries among male soccer players: a prospective cohort study. Am J Sports Med. 2010;38:1147-1153.
• 7. Opar DA, Williams MD, Timmins RG, et al. Eccentric hamstring strength and hamstring injury risk in Australian footballers. Med Sci Sports Exerc. 2015;47:857-865.
• 8. Timmins RG, Bourne MN, Shield AJ, et al. Short biceps femoris fascicles and eccentric knee flexor weakness increase the risk of hamstring injury in elite football (soccer): a prospective cohort study. BJSM. 2016;50:1524-1535.
• 9. Shield AJ, Bourne MN. Hamstring Injury Prevention Practices in Elite Sport: Evidence for Eccentric Strength vs. Lumbo-Pelvic Training. Sports Med. 2018;48:513-524.
• 10. Bourne MN, Opar DA, Williams MD, et al. Eccentric Knee Flexor Strength and Risk of Hamstring Injuries in Rugby Union: A Prospective Study. Am J Sports Med. 2015;43:2663-2670.
• 11. Yeung SS, Suen AM, Yeung EW. A prospective cohort study of hamstring injuries in competitive sprinters: preseason muscle imbalance as a possible risk factor. BJSM. 2009;43:589-594.
• 12. van Dyk N, Bahr R, Whiteley R, et al. Hamstring and Quadriceps Isokinetic Strength Deficits Are Weak Risk Factors for Hamstring Strain Injuries: A 4-Year Cohort Study. Am J Sports Med. 2016;44:1789-1795.
• 13. Croisier JL, Ganteaume S, Binet J, et al. Strength imbalances and prevention of hamstring injury in professional soccer players: a prospective study. Am J Sports Med. 2008;36:1469 1475.
• 14. Buckthorpe M, Wright S, Bruce-Low S, et al. Recommendations for hamstring injury prevention in elite football: translating research into practice. BJSM. 2019;53:449-456.
• 15. Walton CC, Keegan RJ, Martin M, et al. The Potential Role for Cognitive Training in Sport: More Research Needed. Front Psychol. 2018;9:1121-1121.
• 16. Huijgen BC, Leemhuis S, Kok NM, et al. Cognitive Functions in Elite and Sub-Elite Youth Soccer Players Aged 13 to 17 Years. PloS one. 2015;10:e0144580.
• 17. Kellis E, Baltzopoulos V. Isokinetic eccentric exercise. Sports Med.1995;19:202-222.
• 18. Vestberg T, Reinebo G, Maurex L, et al. Core executive functions are associated with success in young elite soccer players. PloS one.2017;12:e0170845.
• 19. Hillman CH, Erickson KI, Kramer AF. Be smart, exercise your heart: exercise effects on brain and cognition. Nat Rev Neurosci. 2008;9:58-65.
• 20. McMorris T. Exercise and cognitive function: a neuroendocrinological explanation. In: Exercise and cognitive function. McMorris T,Tomporowski P, Audiffren M, eds. 5th ed. Oxford: John Wiley & Sons;2009:41-68.
• 21. Surmeier DJ. Dopamine and working memory mechanisms in prefrontal cortex. J Physiol. 2007;581:885.
• 22. Vatovec R, Kozinc Ž, Šarabon N. Exercise interventions to prevent hamstring injuries in athletes: A systematic review and metaanalysis. Eur J Sport Sci. 2020;20:992-1004.
• 23. Taberner M, O'keefe J, Cohen DD. The sliding leg curl. Strength Cond J. 2016;38:117-121.
• 24. Orishimo KF, McHugh MP. Effect of an eccentrically biased hamstring strengthening home program on knee flexor strength and the length-tension relationship. J Strength Cond Res. 2015;29:772-778.
• 25. Delextrat A, Bateman J, Ross C, et al. Changes in torque-angle profiles of the hamstrings and hamstrings-to-quadriceps ratio after two hamstring strengthening exercise interventions in female hockey players. J Strength Cond Res. 2020;34:396-405.
• 26. Cohen J. Statistical power analysis for the behavioral sciences. Hillsdale: Lawrence Erlbaum; 2013.
• 27. Kocahan T, Akınoğlu B, Soylu Ç, et al. Determination of the isokinetic muscle strength profile of knee flexors and extensors in visually impaired long-distance athletes: Pilot study. J Hum Sci. 2017;14:2111-2120.
• 28. Correia P, Santos P, Mil-Homens P, et al. Rapid hamstrings to quadriceps ratio at long muscle lengths in professional football players with previous hamstring strain injury. Eur J Sport Sci. 2020;20:1405-1413.
• 29. Whiteley R, van Dyk N, Wangensteen A, et al. Clinical implications from daily physiotherapy examination of 131 acute hamstring injuries and their association with running speed and rehabilitation progression. BJSM. 2018;52:303- 310.
• 30. Gualtieri CT, Johnson LG. Reliability and validity of a computerized neurocognitive test battery, CNS Vital Signs. Arch Clin Neuropsychol. 2006;21:623-643.
• 31. Iverson GL, Brooks BL, Ashton Rennison VL. Minimal gender differences on the CNS vital signs computerized neurocognitive battery. Appl Neuropsychol Adult. 2014;21:36-42.
• 32. Bowring A, Telschow FJ, Schwartzman A, et al. Confidence Sets for Cohen’sd effect size images. Neuroimage. 2021;226:117477.
• 33. Coombs R, Garbutt G. Developments in the use of the hamstring/quadriceps ratio for the assessment of muscle balance. J Sci Med Sport. 2002;1:56-62.
• 34. Islam MS, De A. Functional Hamstring to Quadriceps Strength Ratio (H: Q) and Hamstrings Injury of Soccer Players: A Qualitative Analysis. Orthop Sports Med. 2018;2: 126-132.
• 35. Soylu Ç, Altundağ E, Akarçeşme C, et al. The relationship between isokinetic knee flexion and extension muscle strength, jump performance, dynamic balance and injury risk in female volleyball players. J Hum Sport Exerc. 2020;15:502-514.
• 36. Nelson RT, Bandy WD. Eccentric Training and Static Stretching Improve Hamstring Flexibility of High School Males. J Athl Train. 2004;39:254- 258.
• 37. Liyanage E, Krasilshchikov O, Arhashim H, et al. Prevalence of hamstring tightness and hamstring flexibility of 9-11 years old children of different obesity and physical activity levels in Malaysia and Sri Lanka. J Phys Educ Sport. 2020;20:338-343.
• 38. Castells-Sánchez A, Roig-Coll F, Lamonja- Vicente N, et al. Effects and mechanisms of cognitive, aerobic exercise, and combined training on cognition, health, and brain outcomes in physically inactive older adults: The Projecte Moviment Protocol. Front Aging Neurosci. 2019;11:216.
• 39. Wu C-H, Karageorghis CI, Wang C-C, et al. Effects of acute aerobic and resistance exercise on executive function: An ERP study. J Sci Med Sport. 2019;22:1367-1372.
• 40. Mandolesi L, Polverino A, Montuori S, et al. Effects of Physical Exercise on Cognitive Functioning and Wellbeing: Biological and Psychological Benefits. Front Psychol. 2018;9:509.