GENÇ YETİŞKİNLERDE PES PLANUS ŞİDDETİ İLE ALT EKSTREMİTE FONKSİYONEL PERFORMANSI ARASINDAKİ İLİŞKİ

Öz

Amaç: Pes planuslu genç erişkinlerde pes planus şiddeti ile alt ekstremite fonksiyonel performansı arasındaki ilişkiyi incelemektir. Yöntem: Çalışmaya 18-25 yaş aralığında, asemptomatik esnek pes planusu olan gönüllüler dahil edildi. Çalışmamıza 20,19±1,93 yaş ortalamasına sahip 53 (32 Kadın) birey katıldı. Pes planus varlığını ve şiddetini belirlemek için naviküler düşme (ND) testi kullanıldı. Alt ekstremite fonksiyonel performansı için denge ve sıçrama testleri seçildi. Denge performansı Y balans denge testi ile, sıçrama performansı ise OptoJump sistemi kullanılarak tek ayak sıçrama testi (TAS) ile değerlendirildi. Sonuçlar: Dominant tarafta ND değerleri ile anterior ve posteriomedial yönde denge sonuçları arasında negatif yönlü zayıf derecede bir korelasyon bulundu (sırasıyla p=0,014; r=-0,336, p=0,046; r=-0,276). Nondominant tarafta ise ND değerleri ile anterior yönde denge sonuçları arasında negatif yönde zayıf derecede bir ilişki bulundu (p=0,040; r=-0,284). Her iki ekstremitede de ND değerleri ile TAS yükseklikleri arasında anlamlı bir ilişkiye rastlanmadı (p>0,05). Tartışma: Asemptomatik esnek pes planuslu genç erişkinlerde pes planus şiddeti arttıkça yetersiz dinamik denge performansı gözlendi, ancak pes planus şiddeti dikey sıçrama mesafesini etkilemedi. Bu sonuç pes planus şiddetine yönelik uygulamaların denge performansı üzerinde de etkili olabileceğini düşündürmektedir.

Anahtar Kelimeler

• Düz Taban
• Fiziksel Performans
• Postural Denge

THE RELATIONSHIP BETWEEN PES PLANUS SEVERITY AND LOWER EXTREMITY FUNCTIONAL PERFORMANCE IN YOUNG ADULTS

Abstract

Purpose: To examine the relationship between pes planus severity and lower extremity functional performance in young adults with pes planus. Methods: Volunteers with asymptomatic flexible pes planus aged between 18-25 years were included, and 53 (32 Females) individuals with a mean age of 20.19±1.93 years were evaluated in this study. Navicular drop (ND) test was used to decide the presence and severity of pes planus. Balance and jump tests were used for assessing lower extremity functional performance. Balance performance was evaluated with the Y balance test and jump performance was evaluated with the single leg jump test (SLJ) using the Opto Jump system (Microgate, Bolzano, Italy). Results: On the dominant side, a negative and weak correlation was found between ND values and balance results in anterior and posteromedial directions (p=0.014; r=-0.336, p=0.046; r=-0.276, respectively). On the non-dominant side, a negative and weak correlation was found between ND values and balance results in the anterior direction (p=0.040; r=-0.284). There was no correlation between ND values and SLJ heights in both extremities (p>0.05). Conclusions: In young adults with asymptomatic flexible pes planus, insufficient dynamic balance performance was observed as the severity of pes planus increased, but the severity of pes planus did not affect vertical jump distance. This result suggests that interventions for pes planus severity may also have an effect on balance performance.

Keywords

• Flat Foot
• Physical Performance
• Postural Balance

Kaynakça

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