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Ön çapraz bağ rekonstrüksiyonu sonrası pliometrik eğitimin kas kuvveti ve fonksiyon üzerine etkisi: randomize kontrollü çalışma

Yıl 2020, Cilt: 7 Sayı: 2, 91 - 98, 31.08.2020

Öz

Amaç: Bu çalışma, ön çapraz bağ rekonstrüksiyonu (ÖÇBR) sonrası pliometrik eğitimin kas kuvveti ve fonksiyon üzerine etkisini
araştırmak amacıyla yapıldı.

Yöntem: Çalışmaya, ÖÇBR sonrası 12 haftalık rehabilitasyon programını tamamlayan 25 erkek birey dahil edildi. Katılımcılar
randomize kontrollü olarak 2 gruba ayrıldı. Birinci gruba (n=13, yaş: 20,15±3,36 yıl) kuvvetlendirme programı ve buna ek olarak
8 hafta boyunca haftada 3 gün pliometrik eğitim programı verildi. İkinci gruba (n=12, yaş: 23,41±5,21 yıl) sadece
kuvvetlendirme programı verildi. Her iki grubun da eğitim öncesi ve sonrası kas kuvveti ölçüldü. Ayrıca eğitim sonunda her iki
gruba da tek bacak öne sıçrama testi, International Knee Documentation Committee (IKDC) ve Tampa Kinezyofobi Ölçeği
uygulandı.

Bulgular: Her iki grupta da eğitim sonrası quadriceps kas kuvvetinde artış görülürken (p<0,05), hamstring kas kuvveti sadece
pliometrik eğitim verilen grupta arttı (p=0,001). Kas kuvvetinin gelişimi, tek bacak öne sıçrama testi, IKDC anketi ve Tampa
Kinezyofobi Ölçeği sonuçlarının gruplar arası karşılaştırılmasında, tüm ölçümlerde pliometrik eğitim verilen grup lehine
istatistiksel olarak anlamlı fark bulundu (p<0,05).

Sonuç: Ön çapraz bağ rekonstrüksiyonu sonrası pliometrik eğitimin kas kuvveti, dizle ilgili fonksiyonel sonuçlar ve psikososyal
durum üzerine pozitif etkileri vardır.

Destekleyen Kurum

Hacettepe Üniversitesi Bilimsel Araştırma Projeleri Koordinasyon Birimi

Proje Numarası

18120

Teşekkür

Hacettepe Üniversitesi Bilimsel Araştırma Projeleri Koordinasyon Birimi’ne destekleri için teşekkür ederiz.

Kaynakça

  • 1. Prodromos CC, Han Y, Rogowski J, et al. A metaanalysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury–reduction regimen. Arthroscopy. 2007;23:1320-1325.
  • 2. Cheatham SA, Johnson DL. Current concepts in ACL Injuries. Phys Sportsmed. 2010;38:61-68.
  • 3. Barber-Westin SD, Noyes FR. Factors used to determine return to unrestricted sports activities after anterior cruciate ligament reconstruction. Arthroscopy. 2011;27:1697-1705.
  • 4. Van Grinsven S, Van Cingel R, Holla C, et al. Evidence-based rehabilitation following anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2010;18:1128-1244.
  • 5. Snyder-Mackler L, Delitto A, Bailey SL, et al. Strength of the quadriceps femoris muscle and functional recovery after reconstruction of the anterior cruciate ligament. A prospective, randomized clinical trial of electrical stimulation. J Bone Joint Surg Am. 1995;77:1166-1173.
  • 6. Di Stasi SL, Logerstedt D, Gardinier ES, et al. Gait patterns differ between ACL-reconstructed athletes who pass return-to-sport criteria and those who fail. Am J Sports Med. 2013;41:1310-1318.
  • 7. Thomas AC, Villwock M, Wojtys EM, et al. Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction. J Athl Train. 2013;48:610-620.
  • 8. Schmitt LC, Paterno MV, Hewett TE. The impact of quadriceps femoris strength asymmetry on functional performance at return to sport following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 2012;42:750-759.
  • 9. Spindler KP, Huston LJ, Wright RW, et al. The prognosis and predictors of sports function and activity at minimum six years after ACLR: a population cohort study. Am J Sports Med. 2011;39:348-359.
  • 10. Morris RC, Hulstyn MJ, Fleming BC, et al. Return to play following anterior cruciate ligament reconstruction. Clin Sports Med. 2016;35:655-668.
  • 11. Ardern CL, Webster KE, Taylor NF, et al. Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. Br. J. Sports Med. 2011;45:596-606.
  • 12. Gobbi A, Francisco R. Factors affecting return to sports after anterior cruciate ligament reconstruction with patellar tendon and hamstring graft: a prospective clinical investigation. Knee Surg Sports Traumatol Arthrosc. 2006;14:1021-1028.
  • 13. Adams D, Logerstedt D, Hunter-Giordano A, et al. Current concepts for anterior cruciate ligament reconstruction: a criterion-based rehabilitation progression. J Orthop Sports Phys Ther. 2012;42:601-614.
  • 14. Chmielewski TL, George SZ, Tillman SM, et al. Low-versus high-intensity plyometric exercise during rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med. 2016;44:609-617.
  • 15. Chmielewski TL, Myer GD, Kauffman D, et al. Plyometric exercise in the rehabilitation of athletes: physiological responses and clinical application. J Orthop Sports Phys Ther. 2006;36:308-319.
  • 16. Behrens M, Mau-Moeller A, Bruhn S. Effect of plyometric training on neural and mechanical properties of the knee extensor muscles. Int J Sports Med. 2014;35:101-119.
  • 17. De Villarreal ES-S, Requena B, Newton RU. Does plyometric training improve strength performance? A meta-analysis. J Sci Med Sport. 2010;13:513-522.
  • 18. Hill J, Leiszler M. Review and role of plyometrics and core rehabilitation in competitive sport. Curr Sports Med Rep. 2011;10:345-351.
  • 19. Zwolski C, Schmitt LC, Quatman-Yates C, et al. The influence of quadriceps strength asymmetry on patient-reported function at time of return to sport after anterior cruciate ligament reconstruction. Am J Sports Med. 2015;43:2242-2249.
  • 20. Thomeé R, Kaplan Y, Kvist J, et al. Muscle strength and hop performance criteria prior to return to sports after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2011;19:1669-1798.
  • 21. Hiemstra LA, Webber S, MacDonald PB, et al. Contralateral limb strength deficits after anterior cruciate ligament reconstruction using a hamstring tendon graft. Clin Biomech. 2007;22:543-550.
  • 22. Harput G, Ulusoy B, Yildiz TI, et al. Crosseducation improves quadriceps strength recovery after ACL reconstruction: a randomized controlled trial. Knee Surg Sports Traumatol Arthrosc. 2019;27:68-75.
  • 23. Reid A, Birmingham TB, Stratford PW, et al. Hop testing provides a reliable and valid outcome measure during rehabilitation after anterior cruciate ligament reconstruction. Phys. Ther. 2007;87:337-349.
  • 24. Irrgang JJ, Anderson AF, Boland AL, et al. Development and validation of the international knee documentation committee subjective knee form. Am J Sports Med. 2001;29:600-613.
  • 25. Çelik D, Coşkunsu D, Kılıçoğlu Ö, et al. Translation and cross-cultural adaptation of the international knee documentation committee subjective knee form into Turkish. J Orthop Sports Phys Ther. 2014;44:899-909.
  • 26. Yilmaz ÖT, Yakut Y, Uygur F, et al. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve testtekrar test güvenirliği. Turk J Physiother Rehabil. 2011;22:44-49.
  • 27. Ageberg E, Roos HP, Silbernagel KG, et al. Knee extension and flexion muscle power after anterior cruciate ligament reconstruction with patellar tendon graft or hamstring tendons graft: a crosssectional comparison 3 years post surgery. Knee Surg Sports Traumatol Arthrosc. 2009;17:162-169.
  • 28. Stojanović E, Ristić V, McMaster DT, et al. Effect of plyometric training on vertical jump performance in female athletes: a systematic review and meta-analysis. Sports Med. 2017;47:975-986.
  • 29. Gilchrist J, Mandelbaum BR, Melancon H, et al. A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players. Am J Sports Med. 2008;36:1476-1483.
  • 30. Vescovi J, VanHeest JL. Effects of an anterior cruciate ligament injury prevention program on performance in adolescent female soccer players. Scand J Med Sci Sports. 2010;20:394-402.
  • 31. Hewett TE, Stroupe AL, Nance TA, et al. Plyometric training in female athletes: decreased impact forces and increased hamstring torques. Am J Sports Med. 1996;24:765-773.
  • 32. Tsang KK, DiPasquale AA. Improving the Q:H strength ratio in women using plyometric exercises. J Strength Cond Res. 2011;25:2740-2745.
  • 33. Chu DA. Jumping into plyometrics. Champaign: Hum Kinet; 1998.
  • 34. Hakkinen K. Effect of different combined concentric and eccentric muscle work regimens on maximal strength development. J Hum Mov Stud. 1981;7:33-44.
  • 35. Doss WS, Karpovich PV. A comparison of concentric, eccentric, and isometric strength of elbow flexors. J Appl Physiol. 1965;20:351-353.
  • 36. De Villarreal ES-S, Kellis E, Kraemer WJ, et al. Determining variables of plyometric training for improving vertical jump height performance: a meta-analysis. J Strength Cond Res. 2009;23:495-506.
  • 37. Irrgang JJ, Anderson AF, Boland AL, et al. Responsiveness of the international knee documentation committee subjective knee form. Am J Sports Med. 2006;34:1567-1573.
  • 38. Lentz TA, Zeppieri Jr G, George SZ, et al. Comparison of physical impairment, functional, and psychosocial measures based on fear of reinjury/lack of confidence and return-to-sport status after ACL reconstruction. Am J Sports Med. 2015;43:345-353.
  • 39. Ardern CL, Taylor NF, Feller JA, et al. A systematic review of the psychological factors associated with returning to sport following injury. Br J Sports Med. 2013;47:1120-1126.
  • 40. Morrey MA, Stuart MJ, Smith AM, et al. A longitudinal examination of athletes' emotional and cognitive responses to anterior cruciate ligament injury. Clin J Sport Med. 1999;9:63-69.

The effect of plyometric training on muscle strength and function after anterior cruciate ligament reconstruction: a randomized controlled trial

Yıl 2020, Cilt: 7 Sayı: 2, 91 - 98, 31.08.2020

Öz

Purpose: The aim of this study was to investigate the effect of plyometric training on muscle strength and function after anterior
cruciate ligament reconstruction (ACLR).

Methods: Twenty-five male subjects who completed 12 weeks of rehabilitation after ACLR were included in the study. The
participants were randomly divided into two groups. The first group (n=13, age: 20.15±3.36 year) received a strengthening
program and an additional plyometric training program 3 days a week for 8 weeks. The second group (n=12, age: 23.41±5.21
year) received only the strengthening program. Muscle strength was measured before and after training in both groups. In
addition, one leg hop test, the International Knee Documentation Committee (IKDC) and Tampa Kinesiophobia Scale were
applied to both groups at the end of the training.

Results: In both groups, there was an increase in quadriceps muscle strength after training (p<0.05), whereas hamstring muscle
strength increased only in plyometric training group (p=0.001). In the comparison of muscle strength improvement, one-leg
hop test, IKDC questionnaire and Tampa Kinesiophobia Scale results between the groups, a statistically significant difference
was found in favor of the plyometric training group in all measurements (p<0.05).

Conclusion: Plyometric training after anterior cruciate ligament reconstruction has positive effects on muscle strength, knee
functional outcomes and psychosocial status.

Proje Numarası

18120

Kaynakça

  • 1. Prodromos CC, Han Y, Rogowski J, et al. A metaanalysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury–reduction regimen. Arthroscopy. 2007;23:1320-1325.
  • 2. Cheatham SA, Johnson DL. Current concepts in ACL Injuries. Phys Sportsmed. 2010;38:61-68.
  • 3. Barber-Westin SD, Noyes FR. Factors used to determine return to unrestricted sports activities after anterior cruciate ligament reconstruction. Arthroscopy. 2011;27:1697-1705.
  • 4. Van Grinsven S, Van Cingel R, Holla C, et al. Evidence-based rehabilitation following anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2010;18:1128-1244.
  • 5. Snyder-Mackler L, Delitto A, Bailey SL, et al. Strength of the quadriceps femoris muscle and functional recovery after reconstruction of the anterior cruciate ligament. A prospective, randomized clinical trial of electrical stimulation. J Bone Joint Surg Am. 1995;77:1166-1173.
  • 6. Di Stasi SL, Logerstedt D, Gardinier ES, et al. Gait patterns differ between ACL-reconstructed athletes who pass return-to-sport criteria and those who fail. Am J Sports Med. 2013;41:1310-1318.
  • 7. Thomas AC, Villwock M, Wojtys EM, et al. Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction. J Athl Train. 2013;48:610-620.
  • 8. Schmitt LC, Paterno MV, Hewett TE. The impact of quadriceps femoris strength asymmetry on functional performance at return to sport following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 2012;42:750-759.
  • 9. Spindler KP, Huston LJ, Wright RW, et al. The prognosis and predictors of sports function and activity at minimum six years after ACLR: a population cohort study. Am J Sports Med. 2011;39:348-359.
  • 10. Morris RC, Hulstyn MJ, Fleming BC, et al. Return to play following anterior cruciate ligament reconstruction. Clin Sports Med. 2016;35:655-668.
  • 11. Ardern CL, Webster KE, Taylor NF, et al. Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. Br. J. Sports Med. 2011;45:596-606.
  • 12. Gobbi A, Francisco R. Factors affecting return to sports after anterior cruciate ligament reconstruction with patellar tendon and hamstring graft: a prospective clinical investigation. Knee Surg Sports Traumatol Arthrosc. 2006;14:1021-1028.
  • 13. Adams D, Logerstedt D, Hunter-Giordano A, et al. Current concepts for anterior cruciate ligament reconstruction: a criterion-based rehabilitation progression. J Orthop Sports Phys Ther. 2012;42:601-614.
  • 14. Chmielewski TL, George SZ, Tillman SM, et al. Low-versus high-intensity plyometric exercise during rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med. 2016;44:609-617.
  • 15. Chmielewski TL, Myer GD, Kauffman D, et al. Plyometric exercise in the rehabilitation of athletes: physiological responses and clinical application. J Orthop Sports Phys Ther. 2006;36:308-319.
  • 16. Behrens M, Mau-Moeller A, Bruhn S. Effect of plyometric training on neural and mechanical properties of the knee extensor muscles. Int J Sports Med. 2014;35:101-119.
  • 17. De Villarreal ES-S, Requena B, Newton RU. Does plyometric training improve strength performance? A meta-analysis. J Sci Med Sport. 2010;13:513-522.
  • 18. Hill J, Leiszler M. Review and role of plyometrics and core rehabilitation in competitive sport. Curr Sports Med Rep. 2011;10:345-351.
  • 19. Zwolski C, Schmitt LC, Quatman-Yates C, et al. The influence of quadriceps strength asymmetry on patient-reported function at time of return to sport after anterior cruciate ligament reconstruction. Am J Sports Med. 2015;43:2242-2249.
  • 20. Thomeé R, Kaplan Y, Kvist J, et al. Muscle strength and hop performance criteria prior to return to sports after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2011;19:1669-1798.
  • 21. Hiemstra LA, Webber S, MacDonald PB, et al. Contralateral limb strength deficits after anterior cruciate ligament reconstruction using a hamstring tendon graft. Clin Biomech. 2007;22:543-550.
  • 22. Harput G, Ulusoy B, Yildiz TI, et al. Crosseducation improves quadriceps strength recovery after ACL reconstruction: a randomized controlled trial. Knee Surg Sports Traumatol Arthrosc. 2019;27:68-75.
  • 23. Reid A, Birmingham TB, Stratford PW, et al. Hop testing provides a reliable and valid outcome measure during rehabilitation after anterior cruciate ligament reconstruction. Phys. Ther. 2007;87:337-349.
  • 24. Irrgang JJ, Anderson AF, Boland AL, et al. Development and validation of the international knee documentation committee subjective knee form. Am J Sports Med. 2001;29:600-613.
  • 25. Çelik D, Coşkunsu D, Kılıçoğlu Ö, et al. Translation and cross-cultural adaptation of the international knee documentation committee subjective knee form into Turkish. J Orthop Sports Phys Ther. 2014;44:899-909.
  • 26. Yilmaz ÖT, Yakut Y, Uygur F, et al. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve testtekrar test güvenirliği. Turk J Physiother Rehabil. 2011;22:44-49.
  • 27. Ageberg E, Roos HP, Silbernagel KG, et al. Knee extension and flexion muscle power after anterior cruciate ligament reconstruction with patellar tendon graft or hamstring tendons graft: a crosssectional comparison 3 years post surgery. Knee Surg Sports Traumatol Arthrosc. 2009;17:162-169.
  • 28. Stojanović E, Ristić V, McMaster DT, et al. Effect of plyometric training on vertical jump performance in female athletes: a systematic review and meta-analysis. Sports Med. 2017;47:975-986.
  • 29. Gilchrist J, Mandelbaum BR, Melancon H, et al. A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players. Am J Sports Med. 2008;36:1476-1483.
  • 30. Vescovi J, VanHeest JL. Effects of an anterior cruciate ligament injury prevention program on performance in adolescent female soccer players. Scand J Med Sci Sports. 2010;20:394-402.
  • 31. Hewett TE, Stroupe AL, Nance TA, et al. Plyometric training in female athletes: decreased impact forces and increased hamstring torques. Am J Sports Med. 1996;24:765-773.
  • 32. Tsang KK, DiPasquale AA. Improving the Q:H strength ratio in women using plyometric exercises. J Strength Cond Res. 2011;25:2740-2745.
  • 33. Chu DA. Jumping into plyometrics. Champaign: Hum Kinet; 1998.
  • 34. Hakkinen K. Effect of different combined concentric and eccentric muscle work regimens on maximal strength development. J Hum Mov Stud. 1981;7:33-44.
  • 35. Doss WS, Karpovich PV. A comparison of concentric, eccentric, and isometric strength of elbow flexors. J Appl Physiol. 1965;20:351-353.
  • 36. De Villarreal ES-S, Kellis E, Kraemer WJ, et al. Determining variables of plyometric training for improving vertical jump height performance: a meta-analysis. J Strength Cond Res. 2009;23:495-506.
  • 37. Irrgang JJ, Anderson AF, Boland AL, et al. Responsiveness of the international knee documentation committee subjective knee form. Am J Sports Med. 2006;34:1567-1573.
  • 38. Lentz TA, Zeppieri Jr G, George SZ, et al. Comparison of physical impairment, functional, and psychosocial measures based on fear of reinjury/lack of confidence and return-to-sport status after ACL reconstruction. Am J Sports Med. 2015;43:345-353.
  • 39. Ardern CL, Taylor NF, Feller JA, et al. A systematic review of the psychological factors associated with returning to sport following injury. Br J Sports Med. 2013;47:1120-1126.
  • 40. Morrey MA, Stuart MJ, Smith AM, et al. A longitudinal examination of athletes' emotional and cognitive responses to anterior cruciate ligament injury. Clin J Sport Med. 1999;9:63-69.
Toplam 40 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Serdar Demirci 0000-0002-7296-7101

Taha Yildiz 0000-0002-1779-0219

Gülcan Harput 0000-0003-2298-0807

Burak Ulusoy Bu kişi benim 0000-0003-2433-8199

Leyla Eraslan Bu kişi benim 0000-0003-1136-8284

Fatma Bilge Ergen Bu kişi benim 0000-0002-6368-3959

Egemen Turhan Bu kişi benim 0000-0002-1971-704X

Volga Bayrakcı Tunay 0000-0002-0946-9484

Proje Numarası 18120
Yayımlanma Tarihi 31 Ağustos 2020
Gönderilme Tarihi 25 Ekim 2019
Yayımlandığı Sayı Yıl 2020 Cilt: 7 Sayı: 2

Kaynak Göster

Vancouver Demirci S, Yildiz T, Harput G, Ulusoy B, Eraslan L, Ergen FB, Turhan E, Bayrakcı Tunay V. Ön çapraz bağ rekonstrüksiyonu sonrası pliometrik eğitimin kas kuvveti ve fonksiyon üzerine etkisi: randomize kontrollü çalışma. JETR. 2020;7(2):91-8.