Denge Platformu Üzerinde Farklı Kapalı Kinetik Zincir Egzersizi Sırasında Cinsiyet ve Fiziksel Aktivite Durumunun Stabilite İndeksi ve Alt Ekstremite Simetrisi Üzerine Etkisi
Yıl 2025,
Cilt: 16 Sayı: 3, 521 - 543, 21.12.2025
Hasan Sözen
,
Sevim Acaröz
Öz
Alt ekstremite kaslarının koordinasyonu ve dengenin korunması, sportif performansın geliştirilmesinde kritik bir role sahiptir. Bu çalışmada, farklı kapalı kinetik zincir egzersizleri sırasında cinsiyet ve fiziksel aktivite düzeyinin stabilite indeksi ve alt ekstremite simetrisi üzerindeki etkisi araştırılmıştır. Araştırmaya yaşları 18-24 arasında değişen, 40’ı sporcu ve 40’ı sedanter olmak üzere toplam 80 gönüllü katılmıştır. Katılımcıların denge performansları TOGU Challenge Disc kullanılarak; öne hamle, yana hamle, tek bacak üzerinde durma ve tek bacak squat egzersizleri sırasında ölçülmüş; alt ekstremite simetrisi ise simetri indeksi (SI) ile değerlendirilmiştir. Elde edilen veriler bağımsız gruplar t-testi ile analiz edilmiştir. Bulgular, öne hamle, tek bacak duruş ve squat egzersizlerinde sporcuların sedanter bireylere kıyasla anlamlı düzeyde daha düşük stabilite indeksi değerlerine sahip olduğunu göstermiştir (p < 0,05). Cinsiyet açısından değerlendirildiğinde, erkekler bazı görevlerde kadınlara göre daha iyi denge performansı sergilemiştir. Asimetri analizinde, yalnızca tek bacak üzerinde durma egzersizinde negatif ve pozitif SI grupları arasında anlamlı fark tespit edilmiştir. Sonuç olarak, cinsiyet ve fiziksel aktivite düzeyine göre denge ve simetri göstergelerinde anlamlı farklılıklar gözlenmiştir; tek bacak duruş gibi görevlerin alt ekstremite asimetrisini değerlendirmede daha duyarlı olabileceği düşünülmektedir.
Etik Beyan
Araştırma için Ordu Üniversitesi Klinik Araştırmalar Etik Kurulu’ndan 06.08.2020 tarihli ve 155 karar sayısı ile etik kurul izni alınmıştır.
Destekleyen Kurum
Bu çalışma Ordu Üniversitesi Bilimsel Araştırma Projeleri Komisyonunca kabul edilen A2003 no’ lu proje kapsamında desteklenmiştir.
Kaynakça
-
Amiri-Khorasani, M., & Mogharabi-Manzari, M. (2014). Effect of different physical activity levels on the static and dynamic balance of dominant and non-dominant legs in females. Journal of Research in Rehabilitation Sciences, 9(8), 1177-88. https://doi.org/10.22122/jrrs.v9i8.1261
-
Aras, D., Kitano, K., Phipps, A. M., Enyart, M. R., Akça, F., Koceja, D. M., … et al. (2018). The comparison of postural balance level between advanced sport climbers and sedentary adults. International Journal of Applied Exercise Physiology, 7(3), 1-9. https://doi.org/10.30472/ijaep.v7i3.226
-
Bhise, S. A., & Patil, N. K. (2016). Dominant and non-dominant leg activities in young adults. International Journal of Therapies and Rehabilitation Research, 5(4), 257-64. https://doi.org/10.5455/ijtrr.000000172
-
Bigoni, M., Turati, M., Gandolla, M., Augusti, C. A., Pedrocchi, A., La Torre, A., … et al. (2017). Balance in young male soccer players: dominant versus non-dominant leg. Sport Sciences for Health, 13, 253-258. https://doi.org/10.1007/s11332-016-0319-4
-
Bouillon, L. E., Hofener, M., O’Donnel, A., Milligan, A., & Obrock, C. (2019). Comparison of muscle activity using unstable devices during a forward lunge. Journal of Sport Rehabilitation, 29(4), 394-399. https://doi.org/10.1123/jsr.2018-0296
-
Bouillon, L. E., Wilhelm, J., Eisel, P., Wiesner, J., Rachow, M., & Hatteberg, L. (2012). Electromyographic assessment of muscle activity between genders during unilateral weight‐bearing tasks using adjusted distances. International Journal of Sports Physical Therapy, 7(6), 595. 23316423
-
Chastin, S. F., McGregor, D. E., Biddle, S. J., Cardon, G., Chaput, J. P., Dall, P. M., … et al. (2021). Striking the right balance: evidence to inform combined physical activity and sedentary behavior recommendations. Journal of Physical Activity and Health, 18(6), 631-637. https://doi.org/10.1123/jpah.2020-0635
Çağlar, E. Ç., Özkan, R., Bayraktar, M. T., & Uzun, R. N. (2025). Weight Loss Methods in Male Combat Athletes Effects and Differences by Discipline. Uluslararası Spor Egzersiz ve Antrenman Bilimi Dergisi, 11(3), 256–265.
-
Desai, R. R., Damsam, A. R., & Palekar, T. J. (2022). Efficacy of open versus closed kinetic chain exercises on dynamic balance and health status in individuals with osteoarthritis of knee joint: a quasi-experimental study. Journal of Clinical and Diagnostic Research, 16, YC05-YC09. https://doi.org/10.7860/JCDR/2022/51079.16766
-
Ebert, J. R., Edwards, P., Currie, J., Smith, A., Joss, B., Ackland, T., … et al. (2018). Comparison of the ‘back in action’test battery to standard hop tests and isokinetic knee dynamometry in patients following anterior cruciate ligament reconstruction. International Journal of Sports Physical Therapy, 13(3), 389. https://doi.org/10.26603/ijspt20180389
-
Elias, L. J., Bryden, M. P., & Bulman-Fleming, M. B. (1998). Footedness is a better predictor than is handedness of emotional lateralization. Neuropsychologia, 36(1), 37-43. https://doi.org/10.1016/S0028-3932(97)00107-3
-
Escamilla, R. F., Fleisig, G. S., Lowry, T. M., Barrentine, S. W., & Andrews, J. R. (2001). A three-dimensional biomechanical analysis of the squat during varying stance widths. Medicine and Science in Sports and Exercise, 33(6), 984-998. https://doi.org/10.1097/00005768-200106000-00019
-
Ferreira, L. G. P., Genebra, C. V. D. S., Maciel, N. M., Arca, E. A., Fiorelli, A., & Vitta, A. D. (2017). Multisensory and closed kinetic chain exercises on the functional capacity and balance in elderly women: blinded randomized clinical trial. Fisioterapia em Movimento, 30 (suppl 1), 259-266. https://doi.org/10.1590/1980-5918.030.S01.AO25
-
Gaviraghi, P., Chaida-Sonda, F., Fernandes-Frigotto, M., Molinari, T., Pizarro Chaffe, L., Flor, J. L., … et al. (2024). Females present different single-leg squat kinematics and muscle activation strategies than males even after hip abductor fatigue. Biomechanics, 4(2), 282-293. https://doi.org/10.3390/biomechanics4020017
-
Graci, V., Van Dillen, L. R., & Salsich, G. B. (2012). Gender differences in trunk, pelvis and lower limb kinematics during a single leg squat. Gait & Posture, 36(3), 461-466. https://doi.org/10.1016/j.gaitpost.2012.04.006
-
Gribble, P. A., & Hertel, J. (2004). Effect of lower-extremity muscle fatigue on postural control. Archives of Physical Medicine and Rehabilitation, 85(4), 589-592. https://doi.org/10.1016/j.apmr.2003.06.031
-
Gribble, P. A., Hertel, J., & Plisky, P. (2012). Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. Journal of Athletic Training, 47(3), 339-357. https://doi.org/10.4085/1062-6050-47.3.08
-
Guan, Y., Bredin, S., Taunton, J., Jiang, Q., Wu, L., Kaufman, K., … et al. (2021). Bilateral difference between lower limbs in children practicing laterally dominant vs. non-laterally dominant sports. European Journal of Sport Science, 21(8), 1092-1100. https://doi.org/10.1080/17461391.2020.1814425
-
Hadamus, A., Gulatowska, M., Ferenc, A., Shahnazaryan, K., Brzuszkiewicz-Kuźmicka, G., & Błażkiewicz, M. (2025). Influence of leg dominance on the symmetry in body balance measurements. Physical Activity Review, 13(1). https://doi.org/10.16926/par.2025.13.08
-
Haddad, M., Abbes, Z., Zarrouk, N., Aganovic, Z., Hulweh, A., Moussa-Chamari, I., … et al. (2023). Difference asymmetry between preferred dominant and non-dominant legs in muscular power and balance among sub-elite soccer players in Qatar. Symmetry, 15(3), 625. https://doi.org/10.3390/sym15030625
-
Harput, G., Soylu, A. R., Ertan, H., Ergun, N., & Mattacola, C. G. (2014). Effect of gender on the quadriceps-to-hamstrings coactivation ratio during different exercises. Journal of Sport Rehabilitation, 23(1), 36-43. https://doi.org/10.1123/JSR.2012-0120
-
Hatton, A. L., Kemp, J. L., Brauer, S. G., Clark, R. A., & Crossley, K. M. (2014). Impairment of dynamic single‐leg balance performance in individuals with hip chondropathy. Arthritis Care & Research, 66(5), 709-716. https://doi.org/10.1002/acr.22193
-
Hildebrandt, C., Müller, L., Zisch, B., Huber, R., Fink, C., & Raschner, C. (2015). Functional assessments for decision‐making regarding return to sports following ACL reconstruction. Part I: development of a new test battery. Knee Surgery, Sports Traumatology, Arthroscopy, 23(5), 1273-1281. http://doi.org/10.1007/s00167-015-3560-5
-
Horváth, Á., Ferentzi, E., Schwartz, K., Jacobs, N., Meyns, P., & Köteles, F. (2023). The measurement of proprioceptive accuracy: A systematic literature review. Journal of Sport and Health Science, 12(2), 219-225. https://doi.org/10.1016/j.jshs.2022.04.001
-
Jo, I., Hong, E. J., Yoon, H. W., Ma, Y., Lee, S. Y., & Lee, H. D. (2025). Neuromuscular Strategies in dominant and non-dominant legs in dancers during dynamic balance tasks. Journal of Dance Medicine & Science, 1089313X241309781. https://doi.org/10.1177/1089313X241309781
-
Kadri, M. A., Noé, F., Maitre, J., Maffulli, N., & Paillard, T. (2021). Effects of limb dominance on postural balance in sportsmen practicing symmetric and asymmetric sports: A pilot study. Symmetry, 13(11), 2199. https://doi.org/10.3390/sym13112199
-
Kesilmis, I. (2017). The comparison of the different balance performance of soccer players versus sedentary. IJSSPE, 2(3), 37-43. https://doi.org/10.11648/j.ijsspe.20170203.11
-
Konstantopoulos, I., Kafetzakis, I., Chatziilias, V., & Mandalidis, D. (2021). Fatigue-induced inter-limb asymmetries in strength of the hip stabilizers, postural control and gait following a unilateral countermovement vertical jump protocol. Sports, 9(3), 33. https://doi.org/10.3390/sports9030033
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Kovacikova, Z., Zemkova, E., Neumannova, K., Jelen, M., Jelen, K., & Janura, M. (2015). The role of lateral preference of lower limbs in a postural stabilization task. Neuroendocrinol. Lett, 36, 91-95.
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The Effect of Gender and Physical Activity Status on Stability Index and Lower Limb Symmetry During Different Closed Kinetic Chaın Exercises on A Balance Platform
Yıl 2025,
Cilt: 16 Sayı: 3, 521 - 543, 21.12.2025
Hasan Sözen
,
Sevim Acaröz
Öz
Coordination of lower limb muscles and balance control play a critical role in enhancing athletic performance. This study aimed to investigate the effects of gender and physical activity level on stability index and lower extremity symmetry during different closed kinetic chain exercises. A total of 80 volunteers aged between 18 and 24 years, including 40 athletes and 40 sedentary individuals, participated in the study. Balance performance was assessed using the TOGU Challenge Disc during forward lunge, lateral lunge, single-leg stance, and single-leg squat exercises. Lower extremity symmetry was evaluated using the symmetry index (SI). Data were analysed with an independent samples t-test. The results showed that athletes had significantly lower stability index values compared to sedentary individuals during forward lunge, single-leg stance, and squat exercises (p < 0.05). In terms of gender, males demonstrated better balance performance than females in some tasks. Asymmetry analysis revealed a significant difference between negative and positive SI groups only in the single-leg stance exercise. In conclusion, regular physical activity level and gender were associated with balance and symmetry outcomes, and single-leg stance tasks may be more sensitive for evaluating lower limb asymmetry.
Etik Beyan
Ethical approval for the study was obtained from the Ordu University Clinical Research Ethics Committee with the decision dated 06.08.2020 and numbered 155.
Destekleyen Kurum
This study was supported by the Ordu University Scientific Research Projects Commission under project number A2003.
Kaynakça
-
Amiri-Khorasani, M., & Mogharabi-Manzari, M. (2014). Effect of different physical activity levels on the static and dynamic balance of dominant and non-dominant legs in females. Journal of Research in Rehabilitation Sciences, 9(8), 1177-88. https://doi.org/10.22122/jrrs.v9i8.1261
-
Aras, D., Kitano, K., Phipps, A. M., Enyart, M. R., Akça, F., Koceja, D. M., … et al. (2018). The comparison of postural balance level between advanced sport climbers and sedentary adults. International Journal of Applied Exercise Physiology, 7(3), 1-9. https://doi.org/10.30472/ijaep.v7i3.226
-
Bhise, S. A., & Patil, N. K. (2016). Dominant and non-dominant leg activities in young adults. International Journal of Therapies and Rehabilitation Research, 5(4), 257-64. https://doi.org/10.5455/ijtrr.000000172
-
Bigoni, M., Turati, M., Gandolla, M., Augusti, C. A., Pedrocchi, A., La Torre, A., … et al. (2017). Balance in young male soccer players: dominant versus non-dominant leg. Sport Sciences for Health, 13, 253-258. https://doi.org/10.1007/s11332-016-0319-4
-
Bouillon, L. E., Hofener, M., O’Donnel, A., Milligan, A., & Obrock, C. (2019). Comparison of muscle activity using unstable devices during a forward lunge. Journal of Sport Rehabilitation, 29(4), 394-399. https://doi.org/10.1123/jsr.2018-0296
-
Bouillon, L. E., Wilhelm, J., Eisel, P., Wiesner, J., Rachow, M., & Hatteberg, L. (2012). Electromyographic assessment of muscle activity between genders during unilateral weight‐bearing tasks using adjusted distances. International Journal of Sports Physical Therapy, 7(6), 595. 23316423
-
Chastin, S. F., McGregor, D. E., Biddle, S. J., Cardon, G., Chaput, J. P., Dall, P. M., … et al. (2021). Striking the right balance: evidence to inform combined physical activity and sedentary behavior recommendations. Journal of Physical Activity and Health, 18(6), 631-637. https://doi.org/10.1123/jpah.2020-0635
Çağlar, E. Ç., Özkan, R., Bayraktar, M. T., & Uzun, R. N. (2025). Weight Loss Methods in Male Combat Athletes Effects and Differences by Discipline. Uluslararası Spor Egzersiz ve Antrenman Bilimi Dergisi, 11(3), 256–265.
-
Desai, R. R., Damsam, A. R., & Palekar, T. J. (2022). Efficacy of open versus closed kinetic chain exercises on dynamic balance and health status in individuals with osteoarthritis of knee joint: a quasi-experimental study. Journal of Clinical and Diagnostic Research, 16, YC05-YC09. https://doi.org/10.7860/JCDR/2022/51079.16766
-
Ebert, J. R., Edwards, P., Currie, J., Smith, A., Joss, B., Ackland, T., … et al. (2018). Comparison of the ‘back in action’test battery to standard hop tests and isokinetic knee dynamometry in patients following anterior cruciate ligament reconstruction. International Journal of Sports Physical Therapy, 13(3), 389. https://doi.org/10.26603/ijspt20180389
-
Elias, L. J., Bryden, M. P., & Bulman-Fleming, M. B. (1998). Footedness is a better predictor than is handedness of emotional lateralization. Neuropsychologia, 36(1), 37-43. https://doi.org/10.1016/S0028-3932(97)00107-3
-
Escamilla, R. F., Fleisig, G. S., Lowry, T. M., Barrentine, S. W., & Andrews, J. R. (2001). A three-dimensional biomechanical analysis of the squat during varying stance widths. Medicine and Science in Sports and Exercise, 33(6), 984-998. https://doi.org/10.1097/00005768-200106000-00019
-
Ferreira, L. G. P., Genebra, C. V. D. S., Maciel, N. M., Arca, E. A., Fiorelli, A., & Vitta, A. D. (2017). Multisensory and closed kinetic chain exercises on the functional capacity and balance in elderly women: blinded randomized clinical trial. Fisioterapia em Movimento, 30 (suppl 1), 259-266. https://doi.org/10.1590/1980-5918.030.S01.AO25
-
Gaviraghi, P., Chaida-Sonda, F., Fernandes-Frigotto, M., Molinari, T., Pizarro Chaffe, L., Flor, J. L., … et al. (2024). Females present different single-leg squat kinematics and muscle activation strategies than males even after hip abductor fatigue. Biomechanics, 4(2), 282-293. https://doi.org/10.3390/biomechanics4020017
-
Graci, V., Van Dillen, L. R., & Salsich, G. B. (2012). Gender differences in trunk, pelvis and lower limb kinematics during a single leg squat. Gait & Posture, 36(3), 461-466. https://doi.org/10.1016/j.gaitpost.2012.04.006
-
Gribble, P. A., & Hertel, J. (2004). Effect of lower-extremity muscle fatigue on postural control. Archives of Physical Medicine and Rehabilitation, 85(4), 589-592. https://doi.org/10.1016/j.apmr.2003.06.031
-
Gribble, P. A., Hertel, J., & Plisky, P. (2012). Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. Journal of Athletic Training, 47(3), 339-357. https://doi.org/10.4085/1062-6050-47.3.08
-
Guan, Y., Bredin, S., Taunton, J., Jiang, Q., Wu, L., Kaufman, K., … et al. (2021). Bilateral difference between lower limbs in children practicing laterally dominant vs. non-laterally dominant sports. European Journal of Sport Science, 21(8), 1092-1100. https://doi.org/10.1080/17461391.2020.1814425
-
Hadamus, A., Gulatowska, M., Ferenc, A., Shahnazaryan, K., Brzuszkiewicz-Kuźmicka, G., & Błażkiewicz, M. (2025). Influence of leg dominance on the symmetry in body balance measurements. Physical Activity Review, 13(1). https://doi.org/10.16926/par.2025.13.08
-
Haddad, M., Abbes, Z., Zarrouk, N., Aganovic, Z., Hulweh, A., Moussa-Chamari, I., … et al. (2023). Difference asymmetry between preferred dominant and non-dominant legs in muscular power and balance among sub-elite soccer players in Qatar. Symmetry, 15(3), 625. https://doi.org/10.3390/sym15030625
-
Harput, G., Soylu, A. R., Ertan, H., Ergun, N., & Mattacola, C. G. (2014). Effect of gender on the quadriceps-to-hamstrings coactivation ratio during different exercises. Journal of Sport Rehabilitation, 23(1), 36-43. https://doi.org/10.1123/JSR.2012-0120
-
Hatton, A. L., Kemp, J. L., Brauer, S. G., Clark, R. A., & Crossley, K. M. (2014). Impairment of dynamic single‐leg balance performance in individuals with hip chondropathy. Arthritis Care & Research, 66(5), 709-716. https://doi.org/10.1002/acr.22193
-
Hildebrandt, C., Müller, L., Zisch, B., Huber, R., Fink, C., & Raschner, C. (2015). Functional assessments for decision‐making regarding return to sports following ACL reconstruction. Part I: development of a new test battery. Knee Surgery, Sports Traumatology, Arthroscopy, 23(5), 1273-1281. http://doi.org/10.1007/s00167-015-3560-5
-
Horváth, Á., Ferentzi, E., Schwartz, K., Jacobs, N., Meyns, P., & Köteles, F. (2023). The measurement of proprioceptive accuracy: A systematic literature review. Journal of Sport and Health Science, 12(2), 219-225. https://doi.org/10.1016/j.jshs.2022.04.001
-
Jo, I., Hong, E. J., Yoon, H. W., Ma, Y., Lee, S. Y., & Lee, H. D. (2025). Neuromuscular Strategies in dominant and non-dominant legs in dancers during dynamic balance tasks. Journal of Dance Medicine & Science, 1089313X241309781. https://doi.org/10.1177/1089313X241309781
-
Kadri, M. A., Noé, F., Maitre, J., Maffulli, N., & Paillard, T. (2021). Effects of limb dominance on postural balance in sportsmen practicing symmetric and asymmetric sports: A pilot study. Symmetry, 13(11), 2199. https://doi.org/10.3390/sym13112199
-
Kesilmis, I. (2017). The comparison of the different balance performance of soccer players versus sedentary. IJSSPE, 2(3), 37-43. https://doi.org/10.11648/j.ijsspe.20170203.11
-
Konstantopoulos, I., Kafetzakis, I., Chatziilias, V., & Mandalidis, D. (2021). Fatigue-induced inter-limb asymmetries in strength of the hip stabilizers, postural control and gait following a unilateral countermovement vertical jump protocol. Sports, 9(3), 33. https://doi.org/10.3390/sports9030033
-
Kovacikova, Z., Zemkova, E., Neumannova, K., Jelen, M., Jelen, K., & Janura, M. (2015). The role of lateral preference of lower limbs in a postural stabilization task. Neuroendocrinol. Lett, 36, 91-95.
-
Kwon, Y. J., Park, S. J., Jefferson, J., & Kim, K. (2013). The effect of open and closed kinetic chain exercises on dynamic balance ability of normal healthy adults. Journal of Physical Therapy Science, 25(6), 671-674. https://doi.org/10.1589/jpts.25.671
-
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