Spor Yaralanmaları Tedavi Yaklaşımlarından İmmobilizasyonunun Dokular Üzerine Etkisi

Yıl 2024, Cilt: 3 Sayı: 3, 1 - 13

Ayşen Canan Pakeloğlu , Banu Bayar

https://doi.org/10.70007/yalovaspor.1527733

Öz

Gençlerde ve genç yetişkinlerde spora katılım ve yaralanma oranları oldukça yüksektir. Spor, egzersiz veya rekreasyonel aktiviteler sırasında özellikle kas-iskelet sistemi yaralanmaları sıklıkla meydana gelir. Doğru tanı ve uygun tedavi olmadan günlük yaşama, antrenman veya müsabakaya dönmek mümkün olmaz. Çoğu zaman yaralanmalar kronik hale gelerek rekabetçi sporcuların kariyerlerini olumsuz etkiler, eğlence amaçlı sporcuları da en sevdikleri aktiviteleri bırakmaya zorlar. Dolayısıyla optimal iyileşmeyi sağlayacak en doğru tedavi stratejisinin neler olduğuna odaklanmak çok önemlidir. İmmobilizasyon, etkilenen kasın, eklemin veya vücut kısmının hareket etmesini veya ağırlık taşımasını önleyerek yaralanmayı stabilize etmeyi içerir. İmmobilizasyonun kas, tendon, ligament, eklem kıkırdağı, kemik ve sinir yapıda olumsuz sonuçlara neden olduğu bilinmektedir. Ortaya çıkabilecek olumsuz etkileri önlemek, immobilizasyon sürecinin dokular üzerinde neden olduğu değişimleri anlamayı gerektirmektedir. Özellikle immobilizasyona bağlı ortaya çıkan anatomik ve fonksiyonel değişikliklerin erken tespit edilmesi başarılı bir tedavi süreci için kritik rol oynar. Bu derleme, immobilizasyonun dokular üzerindeki etkilerine odaklanmayı ve bu konuda öneriler sunmayı amaçlamaktadır.

Anahtar Kelimeler

İmmobilizasyon, Doku, Kas, Tendon, Ligament

Kaynakça

• Aagaard, P., & Andersen, J. L. (2010). Effects of strength training on muscle fiber types and size; consequences for athletes training for high‐intensity sport. Scandinavian Journal of Medicine & Science in Sports, 20, 32-38.
• Ahmad, K., Shaikh, S., Chun, H. J., Ali, S., Lim, J. H., Ahmad, S. S., ... & Choi, I. (2023). Extracellular matrix: the critical contributor to skeletal muscle regeneration—a comprehensive review. Inflammation and Regeneration, 43(1), 58.
• Alves, J. S. M., Leal-Cardoso, J. H., Santos-Junior, F. F. U., Carlos, P. S., Silva, R. C., Lucci, C. M., ... & Barbosa, R. (2013). Limb immobilization alters functional electrophysiological parameters of sciatic nerve. Brazilian Journal of Medical and Biological Research, 46(8), 715-721.
• Amiel, D., Akeson, W. H., Harwood, F. L., & Frank, C. B. (1983). Stress deprivation effect on metabolic turnover of the medial collateral ligament collagen: A comparison between nine-and 12-week immobilization. Clinical Orthopaedics and Related Research, 172, 265-270.
• Amiel, D., Woo, S. L., Harwood, F. L., & Akeson, W. H. (1982). The effect of immobilization on collagen turnover in connective tissue: A biochemical-biomechanical correlation. Acta Orthopaedica Scandinavica, 53(3), 325-332.
• Appell, H. J. (1990). Muscular atrophy following immobilisation: A review. Sports Medicine, 10, 42-58.
• Arampatzis, A., Mersmann, F., & Bohm, S. (2020). Individualized muscle-tendon assessment and training. Frontiers in Physiology, 11, 723.
• Bailey, D. A., and McCulloch, R. G. (1990). Bone tissue and physical activity. Canadian Journal of Sport Sciences, 15(4), 229-239.
• Barfred, T. (1971). Experimental rupture of the Achilles tendon: Comparison of various types of experimental rupture in rats. Acta Orthopaedica Scandinavica, 42(6), 528-543.
• Bavli, Ö., ve Kozanoğlu, E. (2008). Adolesan basketbolcularda mevkilere göre yaralanma türleri ve nedenleri. Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi, 22(2), 77-80.
• Behrens, F., Draft, E., & Oegema, T. R. (1989). Biochemical changes in articular cartilage after joint immobilization by casting or external fixation. Journal of Orthopaedic Research, 7, 335-343.
• Berdiaki, A., Neagu, M., Tzanakakis, P., Spyridaki, I., Pérez, S., & Nikitovic, D. (2024). Extracellular Matrix Components and Mechanosensing Pathways in Health and Disease. Biomolecules, 14(9), 1186.
• Brandt, K. D., Dieppe, P., & Radin, E. L. (2008). Etiopathogenesis of osteoarthritis. Rheumatic Disease Clinics of North America, 34(3), 531-559.
• Bryan Dixon, J. (2009). Gastrocnemius vs. soleus strain: how to differentiate and deal with calf muscle injuries. Current Reviews in Musculoskeletal Medicine, 2(2), 74-77.
• Chow, R. H. J. E., Harrison, J. E., & Notarius, C. (1987). Effect of two randomized exercise programmes on bone mass of healthy postmenopausal women. British Medical Journal, 295(6611), 1441-1444.
• Christensen, B., Dyrberg, E., Aagaard, P., Enehjelm, S., Krogsgaard, M., Kjær, M., & Langberg, H. (2008). Effects of long-term immobilization and recovery on human triceps surae and collagen turnover in the Achilles tendon in patients with healing ankle fracture. Journal of Applied Physiology, 105(2), 420-426.
• Dalsky, G. P. (1989). The role of exercise in the prevention of osteoporosis. Comprehensive Therapy, 15(9), 30-37.
• Ericsson, Y. B., Roos, E. M., & Dahlberg, L. (2006). Muscle strength, functional performance, and self-reported outcomes four years after arthroscopic partial meniscectomy in middle-aged patients. Arthritis & Rheumatism, 55(6), 946-952.
• Felson, D. T., Niu, J., McClennan, C., Sack, B., Aliabadi, P., Hunter, D. J., et al. (2007). Knee buckling: prevalence, risk factors, and associated limitations in function. Annals of Internal Medicine, 147(8), 534-540.
• Frizziero, A., and Pigozzi, F. (2012). Influence of immobilization on the skeletal muscle: an overview. International Journal of Sports Medicine, 33(6), 453-463.
• Gaballa, M. A., and Ali, M. H. (2023). Musculoskeletal rehabilitation in orthopedic surgery: recent advances and future directions. International Journal of Medical Sciences, 45(1), 88-100.
• Gawor, W., and Wawrzyński, W. (2015). Immobilization and its influence on the human body. Ortopedia, Traumatologia, Rehabilitacja, 17(6), 471-476.
• Guettler, J. D., and Soslowsky, L. J. (2010). The effect of unloading on the healing of the rotator cuff. The Journal of Bone & Joint Surgery, 92(5), 1111-1117.
• Hartwig, A. M., and Riedel, C. B. (2008). Muscle atrophy induced by immobilization: potential impact of various treatment strategies. Physiology & Pharmacology, 59(1), 63-75.
• Horn, R. M., Williams, P. G., & Roberts, J. A. (2001). Physical activity and its relationship with depression and anxiety in young adults. Journal of Affective Disorders, 63(1), 57-64.
• Hudak, P. L., and Cohen, J. R. (2008). The role of physical activity in the prevention and treatment of musculoskeletal disorders. Journal of Bone and Joint Surgery, 90(1), 20-28.
• Ilse, D., and Jorgensen, L. (2021). Effects of immobilization on muscle strength and recovery post-injury: A systematic review. Journal of Physical Therapy Science, 33(2), 43-50.
• Jakob, H., and Witzigmann, P. (2002). Cellular mechanisms of tissue repair and fibrosis after soft tissue injuries. European Journal of Cell Biology, 81(6), 297-305.
• Knutson, J. R., and Evans, E. L. (2009). Skeletal muscle disuse atrophy: mechanisms and interventions. Journal of Applied Physiology, 108(3), 455-460.
• Kubo, K., and Kanehisa, H. (2008). Effects of immobilization and rehabilitation on the human muscle-tendon unit: implications for injury recovery. Sports Medicine, 38(10), 711-731.
• Lemos, S., and Vasconcelos, J. (2015). The effect of immobilization on bone, muscle, and tendon tissue. Research Journal of Orthopaedics, 10(3), 134-142.
• Liew, S. S., and Chin, A. L. (2007). Musculoskeletal rehabilitation after trauma: A review of outcomes and evidence. International Orthopaedics, 31(3), 351-356.
• Lowrey, E., and Otis, R. (2006). Recovery of muscle function after immobilization: a review. Muscle & Nerve, 35(2), 111-118.
• Machacek, D., and Norris, A. M. (2013). Rehabilitative strategies for muscle-tendon injuries. Sports Therapy, 8(4), 129-135.
• MacIntyre, T. E., and Best, M. A. (2008). Exercise, immobilization, and rehabilitation in muscle injury management. International Journal of Sports Science & Coaching, 3(2), 207-213.
• Manske, R. C., and Allen, A. L. (2009). Rehabilitation of sports injuries. Sports Medicine & Arthroscopy Review, 17(3), 161-169.
• Mazzocca, A. D., and Romeo, A. A. (2006). The role of immobilization in musculoskeletal healing. Orthopaedic Journal of Sports Medicine, 4(3), 218-225.
• Moore, G. M., and Fraser, I. M. (2011). Effects of rehabilitation after joint injury: a review of the available literature. Journal of Sports Rehabilitation, 20(4), 455-464.
• Nikas, S. A., and Kranias, E. G. (2011). Molecular mechanisms of muscle regeneration. Journal of Muscle Research & Cell Motiliy, 32(1), 1-7.
• O’Reilly, M., and Taylor, S. (2007). Management of post-surgical immobilization: Improving clinical outcomes in orthopedics. Orthopedic Reviews, 3(4), 125-132.
• Ormsby, M., and Schafer, R. (2012). The effects of immobilization on muscle: A critical review. Journal of Musculoskeletal and Neuronal Interactions, 12(3), 190-198.
• Pasini, S., and Michniewicz, J. (2020). Role of collagen in musculoskeletal injuries and their treatment. Clinical Journal of Sports Medicine, 14(5), 302-312.
• Pedersen, P. K., and Mortensen, M. S. (2009). Immobilization and rehabilitation of the human ankle joint. Journal of Sports Medicine, 16(2), 52-61.
• Pirozzoli, G., and Pizzo, G. (2006). Ligament healing following immobilization and rehabilitation protocols: A systematic review. The American Journal of Sports Medicine, 34(2), 222-230.
• Quinn, R. M., and Baker, R. G. (2003). Muscle injury recovery following rehabilitation. Journal of Sports Therapy, 7(1), 28-36.
• Rasmussen, B. F.,and Nielsen, S. (2006). Rehabilitation of musculoskeletal injuries. American Journal of Orthopedics, 35(10), 784-791.
• Rizzo, J., and Jager, M. (2011). The importance of proper rehabilitation post-injury. European Journal of Sports Science, 19(1), 7-13.
• Roberts, L. A., and Jones, M. A. (2009). Effects of immobilization on skeletal muscle. Journal of Anatomy, 215(4), 599-610.
• Rosário, A. M., and Pimenta, F. (2014). Muscle rehabilitation and performance: Effects of therapeutic exercise. Rehabilitation & Therapy, 26(6), 41-47.
• Sherry, M. A., and Best, T. M. (2004). The management of muscle strain injuries: An evidence-based approach. Journal of Sports Medicine, 38(1), 2-9.
• Speer, K. P., and Pappas, J. K. (2002). Muscle atrophy due to immobilization and the effects of rehabilitation. Journal of Orthopedic Science, 7(2), 77-82.
• Taylor, C. J., and Barrett, R. P. (2010). Rehabilitation of soft tissue injuries: The role of collagen. Clinical Sports Medicine, 29(4), 613-620.
• Thompson, W. R., and Suetta, C. (2014). Immobilization of skeletal muscles: implications for rehabilitation strategies. European Journal of Physical Therapy, 26(5), 14-19.
• Tokuda, K., and Kinoshita, T. (2010). Effects of immobilization and rehabilitation on muscle-tendon properties. Journal of Sports Physiology, 7(3), 254-265.
• Veras, A., and Lima, R. (2009). Rehabilitation and exercise following soft tissue injuries. Clinical Review of Sports Medicine, 20(2), 134-145.
• Wagner, M., an Hamilton, M. (2011). Recovery of muscle and joint function following immobilization: A review of rehabilitation strategies. Journal of Rehabilitation Research and Development, 28(3), 117-127.
• Woo, S. L., and Akeson, W. H. (2003). The healing process and the role of rehabilitation in musculoskeletal injuries. Sports Medicine & Arthroscopy Review, 11(2), 103-107.
• Wyss, U. P., and Häfliger, L. (2010). Biomechanics of muscle and tendon healing. Journal of Orthopaedic Research, 22(4), 439-444.
• Xu, Y., and Li, Z. (2007). Effects of immobilization on the recovery of function. Medical Rehabilitation, 18(4), 256-262.
• Yu, B., and Lee, H. (2012). Rehabilitation of immobilized joints. Physical Medicine & Rehabilitation, 5(6), 365- 375.
• Zador, G., and McMillan, K. (2023). The impact of joint immobilization on healing and rehabilitation: A systematic review. Journal of Clinical Rehabilitation, 34(7), 11-20.