Fitbalance Mobil Denge Ölçüm Cihazının Güvenirliği

Yıl 2022, , 14 - 23, 29.06.2022

Mehmet Yıldız , Ugur Fidan , İsmail Baybura

https://doi.org/10.32706/tusbid.1086251

Öz

Denge performansının belirlenmesinde birçok yöntem, teknik ve sistem kullanılmaktadır. Bu çalışmanın amacı Afyon Kocatepe Üniversitesi tarafından geliştirilen (Fitbalance, Turkiye) mobil denge cihazının güvenirliğinin belirlenmesidir. Çalışmaya Türkiye Basketbol Süper Liginde 2021-2022 sezonunda Afyon Belediye Spor Kulübünde oynayan 10 erkek elit basketbolcu gönüllü olarak dahil olmuştur. Katılımcıların statik-dinamik denge ölçümleri test ve tekrar-test olmak üzere Fitbalance denge cihazı yardımı ile ölçülmüştür. Statik-dinamik denge değerlendirme sonuçları skor değeri (Min:0-Maks:100) olarak kaydedilmiştir. Denge başarısı arttıkça alınan skor değeri artış göstermektedir. Cihazın güvenirliği sınıf içi korelasyon katsayısı, varyasyon katsayısı ve Bland Altman grafiği ile test edilmiştir. Çalışma sonunda gözler açık statik denge sınıf içi korelasyon katsayısı (0,95) ve gözler kapalı statik denge sınıf içi korelasyon katsayısı (0,95) değerleri yüksek iken, dinamik denge sınıf içi korelasyon katsayısı (0,72) değerlerinin orta düzeyde olduğu tespit edilmiştir. Ayrıca varyasyon katsayısı yüzde değerlerinin statik denge gözler açık (%20,36), statik denge gözler kapalı (%25,43) ve dinamik denge (%22,87) değerleri için orta ve kabul edilebilir düzeyde olduğu görülmüştür. Bunun yanında Bland Altman grafiğinde alt ve üst limit dar ve saçılımın ortalama değerlerin etrafında olduğu tespit edilmiştir. Sonuç olarak, laboratuvar şartlarında kullanılan daha üst düzey cihazların olmadığı durumlarda portatif FitBalance cihazı güvenilir olarak kullanılabilir. 

Anahtar Kelimeler

Denge, Performans, Denge cihazı, Güvenirlilik.

Reliability of Fitbalance Mobile Balance Measurement Device

Öz

Many methods, techniques and systems are used to determine balance performance. The aim of this study is to determine the reliability of the mobile balance device developed by Afyon Kocatepe University (Fitbalance, Turkey). Ten male elite basketball players who played in Afyon Municipality Sports Club in the 2021-2022 season in the Turkish Basketball Super League voluntarily participated in the study. The static-dynamic balance measurements of the participants were measured through the Fitbalance system . The test and retest of static and dynamic balance evaluation results were recorded as score value (Min:0-Max:100). As the balance success increases, the score value increases. The reliability of the device was tested with intraclass correlation coefficient, coefficient of variation and Bland Altman chart. At the end of the study, it was determined that while the eyes open (0.95) and closed static (0.95) balance intraclass correlation coefficient values were high, the dynamic balance (0.72) values were moderate. In addition, the percentage of coefficient of variation was found to be moderate and acceptable for static balance eyes open (20.36%) and eyes closed (25.43%) and dynamic balance (22.87%). In addition, it has been determined that the lower and upper limits of the Bland Altman graph are narrow and the scattering is around the mean values. As a result, the portable FitBalance device can be used reliably in the absence of higher-end devices used in laboratory conditions.

Anahtar Kelimeler

Balance, Performance, Balance device, Reliability

Kaynakça

• Almeida GPL, Monteiro IO, Marizeiro DF, Maia LB, de Paula Lima PO. (2017). Y balance test has no correlation with the stability index of the Biodex balance system. Musculoskelet Sci Pract ;27:1‐6.
• Altay F. (2001). Ritmik Jimnastikte İki Farklı Hızda Yapılan Chaine Rotasyon Sonrasında Yan Denge Hareketinin Biyomekanik Analizi. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü Doktora Tezi, Ankara.
• Ambegaonkar, J. P., Caswell, S. V., Winchester, J. B., Shimokochi, Y., Cortes, N., & Caswell, A. M. (2013). Balance comparisons between female dancers and active nondancers. Research quarterly for exercise and sport, 84(1), 24-29.
• Ambegaonkar, J. P., Redmond, C. J., Winter, C., Cortes, N., Ambegaonkar, S. J., Thompson, B., & Guyer, S. M. (2011). Ankle stabilizers affect agility but not vertical jump or dynamic balance performance. Foot & ankle specialist, 4(6), 354-360.
• Arifin N, Osman N, Abas W. (2014). Intrarater test‐retest reliability of static and dynamic stability indexes measurement using the Biodex stability system during unilateral stance. J Appl Biomech; 3:300‐304.
• Asseman, F. B., Caron, O., & Crémieux, J. (2008). Are there specific conditions for which expertise in gymnastics could have an effect on postural control and performance?. Gait & posture, 27(1), 76-81.
• Bourke, A. K., Van de Ven, P., Gamble, M., O’connor, R., Murphy, K., Bogan, E., ... & Nelson, J. (2010). Evaluation of waist-mounted tri-axial accelerometer based fall-detection algorithms during scripted and continuous unscripted activities. Journal of biomechanics, 43(15), 3051-3057.
• Bringoux L, Marin L, Nougier V, et al. (2000). Effects of gymnastics expertise on the perception of body orientation in the pitch dimension. J Vestib Res;10:251-258.
• Cachupe, W. J., Shifflett, B., Kahanov, L., & Wughalter, E. H. (2001). Reliability of biodex balance system measures. Measurement in physical education and exercise science, 5(2), 97-108.
• 1Cohen A, Laughner T, Pupp G. (1993). Calcaneonavicular bar resection. A retrospective review, Journal of the American Podiatric Medical Association; 83(1): 7- 10.
• Cote KP, Brunet II ME, Gansneder BM, et al. (2005). Effects of pronated and supinated foot postures on static and dynamic postural stability. J Athl Train ;40(1):41-46.
• Dalton, A., Khalil, H., Busse, M., Rosser, A., van Deursen, R., & ÓLaighin, G. (2013). Analysis of gait and balance through a single triaxial accelerometer in presymptomatic and symptomatic Huntington's disease. Gait & posture, 37(1), 49-54.
• Dane, Ş. (2006). Sex and eyedness in a sample of Turkish high school students. Perceptual and motor skills, 103(1), 89-90.
• Dawson, N., Dzurino, D., Karleskint, M., & Tucker, J. (2018). Examining the reliability, correlation, and validity of commonly used assessment tools to measure balance. Health science reports, 1(12), e98.
• Erkmen N, Suveren S, Göktepe AS, Yazıcıoğlu K. (2007). Farklı branşlardaki sporcuların denge performanslarının karşılaştırılması, Spormetre; 3: 115-122.
• Gauchard, G. C., Lascombes, P., Kuhnast, M., & Perrin, P. P. (2001). Influence of different types of progressive idiopathic scoliosis on static and dynamic postural control. Spine, 26(9), 1052-1058.
• Gerdhem, P., Dencker, M., Ringsberg, K., & Åkesson, K. (2008). Accelerometer-measured daily physical activity among octogenerians: results and associations to other indices of physical performance and bone density. European journal of applied physiology, 102(2), 173-180.
• Goldie, P. A., Bach, T. M., & Evans, O. M. (1989). Force platform measures for evaluating postural control: reliability and validity. Archives of physical medicine and rehabilitation, 70(7), 510-517.
• Gribble, P. A., & Robinson, R. H. (2009). Alterations in knee kinematics and dynamic stability associated with chronic ankle instability. Journal of athletic training, 44(4), 350.
• Haksever, B., Düzgün, İ., Deniz, Y. Ü. C. E., & Baltacı, G. (2017). Sağlıklı bireylere standart denge eğitiminin dinamik, statik denge ve fonksiyonellik üzerine etkileri. Gazi Sağlık Bilimleri Dergisi, 2(3), 40-49.
• Hrysomallis, C. (2008). Preseason and midseason balance ability of professional Australian footballers. The Journal of Strength & Conditioning Research, 22(1), 210-211.
• Hrysomallis, C., McLaughlin, P., & Goodman, C. (2006). Relationship between static and dynamic balance tests among elite Australian Footballers. Journal of science and medicine in sport, 9(4), 288-291.
• Janssen, W. G., Bussmann, J. B., Horemans, H. L., & Stam, H. J. (2008). Validity of accelerometry in assessing the duration of the sit-to-stand movement. Medical & biological engineering & computing, 46(9), 879-887.
• Kamen, G., Patten, C., Du, C. D., & Sison, S. (1998). An accelerometry-based system for the assessment of balance and postural sway. Gerontology, 44(1), 40-45.
• Kuo, A.D., Speers, R.A., Peterka, R.J., Horak, F.B. (1998). Effect of altered sensory conditions on multivariate descriptors of human postural sway. Experimental Brain Research 122, 185-195.
• Malliou, P., Ispirlidis, I., Beneka, A., Taxildaris, K., & Godolias, G. (2003). Vertical jump and knee extensors isokinetic performance in professional soccer players related to the phase of the training period. Isokinetics and exercise science, 11(3), 165-169.
• Mancini, M., Carlson-Kuhta, P., Zampieri, C., Nutt, J. G., Chiari, L., & Horak, F. B. (2012). Postural sway as a marker of progression in Parkinson's disease: a pilot longitudinal study. Gait & posture, 36(3), 471-476
• Matsuda, S., Demura, S., & Uchiyama, M. (2008). Centre of pressure sway characteristics during static one-legged stance of athletes from different sports. Journal of sports sciences, 26(7), 775-779.
• Moe-Nilssen, R. (1998). Test-retest reliability of trunk accelerometry during standing and walking. Archives of physical medicine and rehabilitation, 79(11), 1377-1385.
• Moe-Nilssen, R., & Helbostad, J. L. (2002). Trunk accelerometry as a measure of balance control during quiet standing. Gait & posture, 16(1), 60-68.
• Mononen, K., Konttinen, N., Viitasalo, J., & Era, P. (2007). Relationships between postural balance, rifle stability and shooting accuracy among novice rifle shooters. Scandinavian journal of medicine & science in sports, 17(2), 180-185.
• Paillard T, Noe F, Riviere T, et al. (2006). Postural performance and strategy in the unipedal stance of soccer players at different levels of competition. J Athl Train;41:172-176.
• Palmieri, R. M., Ingersoll, C. D., Stone, M. B., & Krause, B. A. (2002). Center-of-pressure parameters used in the assessment of postural control. Journal of sport rehabilitation, 11(1), 51-66.
• Perrin, P., Deviterne, D., Hugel, F., & Perrot, C. (2002). Judo, better than dance, develops sensorimotor adaptabilities involved in balance control. Gait & posture, 15(2), 187-194.
• Perrin, P., Perrin, C., Courant, P., Bene, M. C., & Durupt, D. (1991). Posture in basketball players. Acta oto-rhino-laryngologica Belgica, 45(3), 341-347.
• Pickerill, M. L., & Harter, R. A. (2011). Validity and reliability of limits-of-stability testing: a comparison of 2 postural stability evaluation devices. Journal of athletic training, 46(6), 600-606.
• Platzer, H. P., Raschner, C., & Patterson, C. (2009). Performance-determining physiological factors in the luge start. Journal of sports sciences, 27(3), 221-226.
• Ross, S. E., & Guskiewicz, K. M. (2003). Time to stabilization: a method for analyzing dynamic postural stability. International Journal of Athletic Therapy and Training, 8(3), 37-39.
• Ross, S. E., Guskiewicz, K. M., Gross, M. T., & Yu, B. (2009). Balance measures for discriminating between functionally unstable and stable ankles. Medicine and science in sports and exercise, 41(2), 399-407
• Safrit MJ, Wood TM. (1995). Introduction to measurement in physical education and exercise science. Philadelphia, PA Mosby.
• Salarian, A., Horak, F. B., Zampieri, C., Carlson-Kuhta, P., Nutt, J. G., & Aminian, K. (2010). iTUG, a sensitive and reliable measure of mobility. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 18(3), 303-310.
• Sell, T. C. (2012). An examination, correlation, and comparison of static and dynamic measures of postural stability in healthy, physically active adults. Physical Therapy in Sport, 13(2), 80-86.
• Sell, T. C., Abt, J. P., Crawford, K., Lovalekar, M., Nagai, T., Deluzio, J. B., ... & Lephart, S. M. (2010). Warrior Model for Human Performance and Injury Prevention: Eagle Tactical Athlete Program (ETAP) Part I. Journal of special operations medicine: a peer reviewed journal for SOF medical professionals, 10(4), 2-21.
• Shaffer, S. W., Teyhen, D. S., Lorenson, C. L., Warren, R. L., Koreerat, C. M., Straseske, C. A., & Childs, J. D. (2013). Y-balance test: a reliability study involving multiple raters. Military medicine, 178(11), 1264-1270.
• Taşkın C, Karakoç Ö, Yüksek S. (2015). İşitme engelli voleybol ve hentbol erkek sporcuların statik denge performans durumlarının incelenmesi. Akademik Sosyal Araştırmalar Dergisi; 17:248-255.
• Vuillerme, N., Danion, F., Marin, L., Boyadjian, A., Prieur, J. M., Weise, I., & Nougier, V. (2001). The effect of expertise in gymnastics on postural control. Neuroscience letters, 303(2), 83-86.
• Whitney, S. L., Roche, J. L., Marchetti, G. F., Lin, C. C., Steed, D. P., Furman, G. R., ... & Redfern, M. S. (2011). A comparison of accelerometry and center of pressure measures during computerized dynamic posturography: a measure of balance. Gait & posture, 33(4), 594-599.
• Wikstrom, E. A., Tillman, M. D., & Borsa, P. A. (2005). Detection of dynamic stability deficits in subjects with functional ankle instability. Medicine and science in sports and exercise, 37(2), 169-175.
• Wikstrom, E. A., Tillman, M. D., Chmielewski, T. L., Cauraugh, J. H., Naugle, K. E., & Borsa, P. A. (2012). Discriminating between copers and people with chronic ankle instability. Journal of athletic training, 47(2), 136-142.
• Wikstrom, E. A., Tillman, M. D., Smith, A. N., & Borsa, P. A. (2005). A new force-plate technology measure of dynamic postural stability: the dynamic postural stability index. Journal of athletic training, 40(4), 305.
• Zemkova, E., & Macura, P. (2008). Stabilita postoja pri opakovanej strel’be v basketbale. Zbornik vedeckych prac Karedry hier FTVSUK, 11, 37-43.
• Whitney, S. L., Roche, J. L., Marchetti, G. F., Lin, C. C., Steed, D. P., Furman, G. R., ... & Redfern, M. S. (2011). A comparison of accelerometry and center of pressure measures during computerized dynamic posturography: a measure of balance. Gait & posture, 33(4), 594-599.
• Wikstrom, E. A., Tillman, M. D., & Borsa, P. A. (2005). Detection of dynamic stability deficits in subjects with functional ankle instability. Medicine and science in sports and exercise, 37(2), 169-175.
• Wikstrom, E. A., Tillman, M. D., Chmielewski, T. L., Cauraugh, J. H., Naugle, K. E., & Borsa, P. A. (2012). Discriminating between copers and people with chronic ankle instability. Journal of athletic training, 47(2), 136-142.
• Wikstrom, E. A., Tillman, M. D., Smith, A. N., & Borsa, P. A. (2005). A new force-plate technology measure of dynamic postural stability: the dynamic postural stability index. Journal of athletic training, 40(4), 305.
• Zemkova, E., & Macura, P. (2008). Stabilita postoja pri opakovanej strel’be v basketbale. Zbornik vedeckych prac Karedry hier FTVSUK, 11, 37-43.