The Effects of Cold and Hot Applications on Knee Joint Laxity and Post-Jump Landing Biomechanics in Healthy Individuals

Yıl 2024, Cilt: 35 Sayı: 4, 176 - 186, 06.01.2025

Görkem Kıyak , Mert Usta , Esma Arslan , Sabriye Ercan , Selçuk Çömlekçi

Öz

This study aims to determine the effects of thermal agents applied to the knee region on the Landing Error Scoring System (LESS) score and knee laxity. Participants were included in the study using a crossover randomization method and participated over three days with a two-day interval between cold, hot, and control applications. After the application sequence group for the participant was determined, descriptive data were recorded by the researcher. The range of motion (ROM) values of the participant's lower extremity joints and knee Q angle were measured using a goniometer, and Beighton criteria scores were assessed by the researcher. Following the day's application, measurements of LESS and knee laxity using a rolimeter were performed. During the cold, hot, and control applications, the ambient temperature during the application, the temperature of the applied cold/hot material, and the joint temperature before and after the application were measured using a thermal camera to ensure optimal application of the thermal agent. A total of 41 participants, 28 women (68.3%) and 13 men (31.7%), were included in the study. A statistically significant difference was observed in knee temperatures before and after the applications and in joint temperatures after hot/cold applications (p<0.001). However, no statistically significant difference was observed in the LESS scores and dominant/non-dominant extremity laxity values measured during the control period and after the applications (p>0.05). The study concluded that thermal agents applied to the knee region did not result in a significant difference in LESS scores and knee laxity.

Anahtar Kelimeler

Thermal agents, Joint laxity, LESS, Knee joint

Sağlıklı Bireylerde Diz Eklemi Üzerine Soğuk ve Sıcak Uygulamanın Diz Laksitesine ve Sıçramadan Sonra Yere İniş Biyomekaniğine Etkisi

Öz

Çalışmamızın amacı, diz bölgesine uygulanan termal ajanların Sıçramadan Sonra Yere İniş Hata Puanlama Sistemi (İng. Landing Error Scoring System, LESS) puanı ve diz laksitesi üzerine etkilerini saptamaktır. Çalışmaya dahil edilen katılımcılar, çapraz randomizasyon yöntemi kullanılarak soğuk, sıcak ve kontrol uygulama olmak üzere ikişer gün arayla toplam üç gün çalışmaya katılmıştır. Katılımcının alt ekstremite eklem hareket açıklığı değerleri ve diz Q açısı değeri gonyometre ile ölçülmüş, daha sonrasında da Beighton kriterleri puanlaması araştırmacı tarafından değerlendirilmiştir. Katılımcıya o günkü uygulaması uygulandıktan sonra LESS ve rolimetre ile diz laksitesi ölçümleri gerçekleştirilmiştir. Soğuk, sıcak ve kontrol uygulama sırasında tüm katılımcılara optimal şekilde termal ajanın verildiğinin tespiti için termal kamera ile uygulama sırasındaki ortam sıcaklığı, uygulanan soğuk/sıcak materyalin sıcaklığı ve uygulama öncesi/sonrası eklem sıcaklığı ölçülmüştür. Çalışmaya 28 kadın (%68,3), 13 erkek (%31,7) toplam 41 katılımcı dahil edilmiştir. Katılımcıların uygulamalar öncesi ve sonrası diz sıcaklıklarında, sıcak/soğuk uygulamalar sonrası diz eklem sıcaklıklarında istatistiksel olarak anlamlı fark gözlemlenmiştir (p<0,001). Ancak, kontrol sırasında ve uygulamalar sonrasında ölçülen Sıçramadan Sonra Hata Puanlama Sistemi Puanı ve dominant/nondominant ekstremite laksitesi değerleri arasında istatistiksel olarak anlamlı fark gözlenememiştir (p>0,05). Araştırmanın sonucunda diz bölgesine uygulanan termal ajanların LESS puanı ve diz laksitesi üzerinde anlamlı fark oluşturmadığı saptanmıştır.

Anahtar Kelimeler

Termal ajanlar, Eklem laksitesi, LESS, Diz eklemi

Kaynakça

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