THE EFFECT OF TRUNK STABILITY TRAINING ON UPPER EXTREMITY ENDURANCE, STABILITY AND SHOULDER JOINT PROPRIOCEPTION IN POSTMENOPAUSAL WOMEN

Öz

Purpose: The incidence of shoulder pathologies is increasing in postmenopausal women. In this period, there is a need for protective approaches to be applied to prevent shoulder injuries. The aim of this study is to investigate the effects of clinical pilates exercises on upper extremity stability, endurance, function and shoulder joint proprioception in postmenopausal women. Methods: 30 postmenopausal women between the ages of 40-60 were included in our study. Participants were given clinical pilates training for 6 weeks, 3 days a week, 60 minutes by a physiotherapist. Before and after pilates training, dynamic stability of the shoulder was evaluated with Closed Kinetic Chain Upper Extremity Stability Test (CKCUES Test) and Upper Quarter Y Balance Test (UQYBT). Upper extremity muscle endurance was evaluated with the modified push up test. Laser Pointer-Assisted Angle Reproduction Test (LP-ART) was used to evaluate shoulder joint position sense. Results: A statistically significant difference was found in CKCUES Test (p=0.000, r=0.594), UQYBT (p=0.000, r=0.537), modified push up (p=0.000, r=0.594), LP-ART abduction (p=0.000, r= 0.491) and LP-ART flexion (p=0.000, r=0.484) at end of the training compared to the pre-training. The exercise program was found to be highly effective on all parameters. Conclusion: It was concluded that clinical pilates training applied in postmenopausal women increased the dynamic stability of the shoulder, endurance and position sense. Trunk stabilization exercises may be beneficial as a preventive approach in the prevention of shoulder pathologies in postmenopausal women.

Anahtar Kelimeler

• Postmenopause
• Proprioception
• Shoulder Joint

POSTMENOPOZAL KADINLARDA GÖVDE STABİLİTE EĞİTİMİNİN ÜST EKSTREMİTE ENDURANSI, STABİLİTESİ VE OMUZ EKLEM PROPRİOSEPSİYONUNA ETKİSİ

Öz

Amaç: Postmenopozal dönemdeki kadınlarda omuz patolojilerinin görülme sıklığı artmaktadır. Bu dönemde omuz yaralanmalarını önleme amacıyla uygulanacak koruyucu yaklaşımlara ihtiyaç duyulmaktadır. Bu çalışma, postmenopozal dönemdeki kadınlarda klinik pilates egzersizlerinin omuz eklem propriosepsiyonu ile üst ekstremite stabilitesi ve enduransı üzerindeki etkileri araştırmak amacı ile tasarlanmıştır. Yöntem: Çalışmaya 40-60 yaşları arasında değişmekte olan postmenopozal dönemdeki 30 gönüllü kadın dâhil edildi. Bireylere fizyoterapist eşliğinde haftada 3 gün, 6 hafta süreyle klinik pilates eğitimi verildi. Egzersiz programı öncesi ve sonrasında omuz eklem pozisyon hissi Lazer İmleç Yardımlı Açı Tekrarlama Testi (Lİ-ATT) ile, omzun dinamik stabilitesi Üst Ekstremite Y Denge Testi (ÜEYDT) ve kapalı kinetik zincir üst ekstremite stabilite testi (KKZÜEST) ile, üst ekstremite kas enduransı ise modifiye push up testi ile değerlendirildi. Sonuçlar: Eğitim sonunda KKZÜEST (p=0,000, r=0,594), ÜEYDT (p=0,000, r=0,537), modifiye push up (p=0,000, r=0,594), Lİ-ATT abduksiyon (p=0,000, r=0,491) ve Lİ-ATT fleksiyon (p=0,000, r=0,484) ölçümleri üzerinde eğitim öncesine göre istatistiksel düzeyde anlamlı farklılık elde edildi ve egzersiz programı tüm parametreler üzerinde yüksek etkili bulundu. Tartışma: Postmenopozal kadınlarda uygulanan klinik pilates eğitiminin omuz propriosepsiyonu, dinamik stabilitesi ve enduransını artırdığı sonucuna varıldı. Postmenopozal dönemdeki kadınlarda omuz patolojilerinin önlenmesinde koruyucu yaklaşım olarak gövde stabilizasyon egzersizleri yarar sağlayabilir.

Anahtar Kelimeler

• Omuz Eklemi
• Postmenopoz
• Propriyosepsiyon

Kaynakça

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