KALÇA ÇEVRESİ KAS KUVVETİ DENGE VE FONKSİYONU ETKİLER Mİ?

Yıl 2022, Cilt: 7 Sayı: 1, 100 - 111, 01.04.2022

Merve Yılmaz Menek , Devrim Tarakcı

https://doi.org/10.25279/sak.665186

Cited By: 2

Öz

Amaç: Çalışmanın amacı, kalça çevresi kas kuvveti ile denge ve fonksiyon arasında ilişki olup olmadığının incelenmesidir. Gereç ve Yöntem: 15-25 yaş arasında bulunan, sağlıklı 50 kişi çalışmaya alındı. Katılımcıların demografik bilgilerinin sorgulandığı bir anket kullanıldı. Değerlendirmeye alınan katılımcıların Myometre kullanılarak kalça çevresi kas kuvveti; Nintendo Wii’nin Fizyosoft Balance Board’ı kullanılarak denge değerlendirmesi; Alt Ekstremite Fonksiyonel Skalası kullanılarak alt ekstremite fonksiyonelliği; Uluslararası Fiziksel Aktivite anketi (IPAQ) kullanılarak fiziksel aktivite durumları değerlendirildi. İstatistiksel analiz SPSS 16.00 version ile yapıldı. Bulgular: Çift ayak tek ayak üstünde dengede iken anteroposterior (AP) salınımı ile sağ taraf kalça abduksiyon kas kuvveti arasında istatistiksel olarak anlamlı, negatif korelasyon bulunmaktadır (p<0.05). Sağ taraf diz fleksiyon kas gücü ile çift ayak dengede AP salınımı arasında istatistiksel olarak pozitif, anlamlı korelasyon bulunmaktadır (p<0.05). Sol taraf kalça abduksiyon kas gücü ile çift ayak üstünde dengede iken mediolateral (ML) salınımı ve sol ayak üstünde dengeyken AP salınımları arasında istatistiksel açıdan negatif, anlamlı ilişki bulunmaktadır (p<0.05). Alt ekstremite fonksiyon testi ile kalça çevresi kas gücü arasında istatistiksel olarak anlamlı bir korelasyon bulunmamıştır (p>0.05). Sonuç: Kalça çevresi bazı kas grupları dengeyi önemli derecede etkilemektedir. Dengede kalmaya çalışırken oluşan anteroposterior salınımların kalça fleksiyon ve abduksiyon kas gücüyle ilişkili olduğu görülmüştür. Kalça çevresi kas kuvveti ile fonksiyonellik arasında bir ilişki bulunmamıştır. Kalça çevresi kaslar ne kadar kuvvetlenirse denge reaksiyonları o kadar iyileşecektir.

Anahtar Kelimeler

Kalça kas kuvveti, Denge, Nintendo Wii

Does The Hip Muscle Strength Affect Balance And Function?

Öz

Aim: The aim of this study was to examine whether there is a relationship between muscle strength and balance around the hip. Materials and Methods: Fifty healthy individuals aged between 15-25 years were included in the study. A questionnaire with demographic information of the participants was used. The participants’s muscle strength were evaluated using Myometry; balance assessment was evaluated using the Fizyosoft Balance Board of Nintendo Wii; lower extremity functionality was evaluated using the Lower Extremity Functional Scale; the physical activity status was evaluated with the International Physical Activity Questionnaire (IPAQ). Statistical analysis was done with SPSS 16.00 Version. Results: There was a statistically significant negative correlation between anteroposterior (AP) oscillation and right-sided hip abduction muscle strength when both
feet are balanced on one leg (p <0.05). There was a statistically positive and significant correlation between right knee flexion muscle strength and double foot balance AP oscillation (p <0.05). There was a statistically significant negative correlation between left abduction muscle strength and mediolateral (ML) oscillation while equilibrating on two legs and AP oscillations on the left foot (p <0.05). No significant correlation was found between lower extremity function test and hip muscle strength (p> 0.05). Conclusion: Some muscle groups around the hip significantly affect the balance. Anteroposterior oscillations occurred while trying to stay in balance were found to be related to hip flexion and abduction muscle strength. The stronger the muscles around the hips, the better the balance reactions.

Anahtar Kelimeler

Hip Muscle Strength, Balance, Function

Kaynakça

• Ainsworth B.E, Haskell W.L et al. (2000). Compendium of Physical Activities: An Update of Activity Codes and MET İntensities. Medicine and Science in Sports and Exercise Journal. 32 (9): 498-504
• Apovian CM, Frey CM, Wood GC, Rogers JZ, Still CD, Jensen GL. (2002). Body Mass Index and Physical Function in Older Women. Obes Res.Aug;10(8):740-7
• Binkley et al. (1999). The Lower Extremity Functional Scale (LEFS): Scale development, measurement properties, and clinical application. Physical Therapy. 79:371-383.
• Booysen, M. J., Gradidge, P. J. L., & Watson, E. (2015).The Relationships Of Eccentric Strength And Power With Dynamic Balance İn Male Footballers. Journal Of Sports Sciences,33(20), 2157-2165.
• Cebolla EC, Rodacki AL, Bento PC.(2015). Balance, gait, functionality and strength:comparison between elderly fallers and non-fallers. Braz J Phys Ther. Mar-Apr;19(2):146-51
• Colditz GA. (2009). Economic costs of obesity and inactivity. Med Sci Sports Exerc; 31:663– 7. DA Winter, AE Patla, JS Frank, SE Walt. (1990) Biomechanical walking pattern changes in the fit and healthy elderly. Physical therapy 70 (6), 340-347 Dünya Sağlık Örgütü Avrupa Bölge Ofisi Dünya Sağlık Günü Broşürü. (2002). Fiziksel Aktivite Hakkında Yanlış Düşünceler. Dünya Sağlık Örgütü Türkiye İrtibat Ofisi
• Ergen E. (2002). Egzersiz fizyolojisi. Anadolu Üni. Yayınları. Eskişehir. 1. baskı. Ankara S.127– 129.
• Friden T, Zatterstrom R, Lindstrand A, Moritz U. (1989). A stabilometric technique for evalution of lower limb instabilities. Am J Sport Med, 17(1): 118-122
• Gatica-Rojas V, Mendez-Rebolledo G, Guzman-Munoz E, Soto-Poblete A, Cartes-Velasquez R, Elgueta-Cancino E, et al. (2017). Does Nintendo Wii Balance Board improve standing balance? A randomized controlled trial in children with cerebral palsy. European journal of physical and rehabilitation medicine. 53(4):535-44.
• Gross MM, Stevenson PJ, Charette SL, Pyka G, Marcus R.(1998). Effect of muscle strength and movement speed on the biomechanics of rising from a chair in healthy elderly and young women. Gait Posture. Dec 1;8(3):175-185
• Hazar, K., Gürsoy, R., & Günay, A. R. (2016). Sporcularda Patella Femoral (Q) Açısının Bacak Kuvveti Ve Denge İle İlişkisinin İncelenmesi. Beden Egitimi Ve Spor Bilimleri Dergisi.10(2).
• Heitkamp Hc, Horstmann T, Mayer F, Weller J, Dickhuth Hh. (2001). Gain İn Strength And Muscular Balance After Balance Training. Intj Sports Med; 22:285-290 Hrysomallis C. (2011).Balance ability and athletic performance. Sports Med. Mar 1;41(3):221-32.
• Kung-Tung Chen, Rong-Sen Yang.(2004) Effects of exercise on lipid metabolism and musculoskeletal fitness in female athletes. World J Gastroenterol.January;10(1):122- 126
• Park DS, Lee G. (2014). Validity and reliability of balance assessment software using the Nintendo Wii balance board: usability and validation. Journal of neuroengineering and rehabilitation. 11:99
• Phillips BA, Lo SK, Mastaglia FL. (2000). Muscle force measured using “break” testing with a hand-held myometer in normal subjects aged 20 to 69 years. Arch Phys Med Rehabil. 81(5):653–61
• Rugelj D. (2010). The effect of functional balance training in frail nursing home residents. Arch Gerontol Geriatr. 50(2): 192-97
• Soyuer, F., & Mirza, M. (2016). Relationship Between Lower Extremity Muscle Strength And Balance İn Multiple Sclerosis. Journal Of Neurological Sciences (Turkish) 23(4),257-263.
• Snider L, Majnemer A, Darsaklis V. (2010). Virtual reality as a therapeutic modality for children with cerebral palsy. Dev. Neurorehabil. 132: 120–8.
• Tarakci D, Ersoz Huseyinsinoglu B, Tarakci E, Razak Ozdincler A (2016). Effects of Nintendo Wii-Fit(R)video games on balance in children with mild cerebral palsy. Pediatrics international official journal of the Japan Pediatric Society. 58(10):1042-50
• Tatla SK, Radomski A, Cheung J, Maron M, Jarus T. (2014). Wii-habilitation as balance therapy for children with acquired brain injury. Developmental neurorehabilitation. 17(1):1-15.
• Young, M. D., Jordan, D. & Metzl, M. A. Y. (2010). Strength training for the young athletes. Medial Pediatric Annals, 39,5.
• Wikstrom E. (2012). Validity and Reliability of Nintendo Wii Fit Balance Scores. J Athl Training, 47(3): 306-313.