Sağlıklı gençlerde kısa dönem dinamik stabilizasyon eğitiminin esneklik, kassal endurans ve dinamik denge üzerine etkileri: rastgele kontrollü çalışma

Elif Gür Kabul; Bilge Başakçı Çalık; Ummuhan Baş Aslan; Fatma Ünver

Research Article

Sağlıklı gençlerde kısa dönem dinamik stabilizasyon eğitiminin esneklik, kassal endurans ve dinamik denge üzerine etkileri: rastgele kontrollü çalışma

Year 2018, Volume: 5 Issue: 1, 1 - 8, 04.06.2018

Elif Gür Kabul Bilge Başakçı Çalık Ummuhan Baş Aslan Fatma Ünver

Abstract

Amaç: Bu çalışma, kısa dönem dinamik stabilizasyon eğitiminin sağlıklı gençlerde esneklik, kassal endurans ve dinamik denge üzerine etkisini incelenmek amacıyla planlandı.

Yöntem: Çalışmaya 42 sağlıklı genç dahil edildi (22 kadın, 20 erkek, yaş ort=23,1±1,7 yıl). Katılımcılar, eğitim grubu (N=22) ve kontrol grubu (N=20) olacak şekilde randomize olarak iki gruba ayrıldı. Katılımcıların esnekliği otur-uzan, üst ekstremite enduransı modifiye push-up, gövde enduransı mekik, lateral köprü ve Biering Sorensen, alt ekstremite enduransı otur kalk ve dinamik dengesi Y denge testi kullanılarak değerlendirildi. Tüm değerlendirmeler başlangıçta ve 3. haftanın sonunda uygulandı. Gövde stabilizatör kaslarının aktif hale getirilmesiyle birlikte stabilizasyon toplarının kullanıldığı dinamik stabilizasyon eğitimi, haftada 3 gün 3 hafta süresince yapıldı. Kontrol grubuna herhangi bir müdahale yapılmadı.

Bulgular: Başlangıç ve 3. hafta sonundaki veriler incelendiğinde, dinamik stabilizasyon eğitim grubunda; mekik, Biering Sorensen ve otur kalk testlerinde ve y denge testinin sağ anterior, sol anterior ve posterolateral uzanım yönlerinde iyileşme görüldü (p<0,05). Kontrol grubunda herhangi gelişme görülmedi (p>0,05). Tüm testlerin delta değerleri gruplar arasında karşılaştırıldığında; sadece Biering Sorensen testinde ve Y denge testi sol anterior ve posterolateral uzanım yönlerinde dinamik stabilizasyon eğitim grubu lehine anlamlı sonuçlara ulaşıldı (p<0,05).

Tartışma:Kısa dönem dinamik stabilizasyon eğitimi, sağlıklı gençlerde gövde ve alt ekstremite kassal enduransı ve dinamik denge üzerine olumlu etkiler yaratmıştır.

Keywords

Egzersiz eğitimi, esneklik, rastgele kontrollü çalışma, kas kuvveti, postüral denge

References

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2. Hodges PW, Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther. 1997;77:132-142.
3. Myer GD, Chu DA, Brent JL, et al. Trunk and hip control neuromuscular training for the prevention of knee joint ınjury. Clin Sports Med. 2008;27:425-448.
4. McGill SM. Lower back stability: from formal description to issues for performance and rehabilitation. Exerc Sport Sci Rev. 2001;29:26-31.
5. Olmsted LC, Carcia CR, Hertel J, et al. Efficacy of the Star Excursion Balance Tests in detecting reach deficits in subjects with chronic ankle instability. J Athl Train. 2002;37:501-506.
6. Kibele A, Behm DG. Seven weeks of instability and traditional Resistance training effects on strength, balance and functional performance. J Strength Cond Res. 2009;23:2443-2450.
7. Behm DG, Leonard AM, Young WB, et al. Trunk muscle electromyographic activity with unstable and unilateral exercises. J Strength Cond Res. 2005;19:193-201.
8. Marshall PWM, Murphy BA. Evaluation of functional and neuromuscular changes after exercise rehabilitation for low back pain using a Swiss ball: A pilot study. J Manipul Physiol Therap. 2006;29:550-560.
9. Marshall PWM , Murphy BA. Increased deltoid and abdominal muscle activity during Swiss ball bench press. J Strength Cond Res. 2006;20:745-750.
10. Check P. Swiss ball exercises for swimming, soccer and basketball. Sports Coach. 1999;21:12-13.
11. Rutherford OM, Jones DA. The role of learning and coordination in strength training. Eur J Appl Physiol. 1986;55:100-105.
12. Carriere B. The ‘Swiss Ball’: An effective tool in physiotherapy for patients, families and physiotherapists. Physiotherapy. 1999;85:552-561.
13. Marshall PW, Murphy BA. Core stability exercises on and off a Swiss ball. Arch Phys Med Rehab. 2005;86:242-249.
14. Norris CM. Spinal stabilisation: 5. An exercise programme to enhance lumbar stabilisation. Physiotherapy. 1995;81:138-146.
15. Smith MB. The Swiss Ball Theory, basis exercises and clinical application. Physiotherapy. 1999;85:274-561.
16. Stanforth D, Stanforth PR, Hahn SR, et al. A 10-week training study comparing resistaball and traditional trunk training. J Dance Med Sci. 1998;2:134-140.
17. Carter JM, Beam WC, Mcmahan SG, et al. The effects of stability ball training on spinal stability in sedentary individuals. J Strength Cond Res. 2006;20:429-435.
18. Morris M, Morris S. Resistaball C.O.R.E. Instructor Certification. Destin, Florida: Resistaball, Inc. 2001.
19. Bös K, Schlenker L, Büsch D, et al. Deutscher Motorik-Test 6-18 (DMT 6-18). Hamburg: Feldhaus; 2009.
20. Baumgartner TA, Oh S, Chung H, et al. Objectivity, reliability and validity for a revised push-up test protocol. Meas Phys Educ Exerc Sci. 2002;6:225-242.
21. Jones CJ, Rikli RE, Beam WC. A 30-s Chair-Stand Test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport. 1999;70:113-119.
22. Juker D, McGill S, Kropf P, et al. Quantitative intramuscular myoelectric activity of lumbar portions of psoas and the abdominal wall during a wide variety of tasks. Med Sci Sports Exerc. 1998;30:301-310.
23. McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999;80:941-944.
24. Biering-Sorensen F. Physical measurements as risk indicators for low-back trouble over a one year period. Spine. 1984;9:106-119.
25. Kinzey SJ, Armstrong CW. The reliability of the Star-Excursion Test in assessing dynamic balance. J Orthop Sports Phys Ther. 1998;27:356-360.
26. Plisky PJ, Rauh MJ, Kaminski TW, et al. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. J Orthop Sports Phys Ther. 2006;36:911-919.
27. Lee JH, Hoshino Y, Nakamura K, et al. Trunk muscle weakness as a risk factor for low back pain. A 5-year prospective study. Spine. 1999;24:54-57.
28. Handa N, Yamamoto H, Tani T et al. The effect of trunk muscle exercises in patients over 40 years of age with chronic low back pain. J Orthop Sci. 2000;5:210-216.
29. Reid S, Hazard RG, Fenwick JW. Isokinetic trunk strength deficits in people with and without low-back pain: a comparative study with consideration of effort. J Spinal Disord. 1991;4:68-72.
30. McGill SM, Karpowicz A, Fenwick CM. Ballistic abdominal exercises: muscle activation patterns during three activities along the stability/mobility continuum. J Strength Cond Res. 2009;23:898-905.
31. Behm DG. Neuromuscular implications and applications of resistance training. J Strength Cond Res. 1995;9:264-274.
32. Stanton R, Reaburn PR, Humphrıes B. The effect of short-term Swiss ball training on core stability and running economy. J Strength Cond Res. 2004;18:522-528.
33. Bhadauria EA, Gurudut P. Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial. J Exerc Rehabil. 2017;13:477-485.
34. Shin CH, Kim M, Park GD. Impact of post manipulation corrective core exercises on the spinal deformation and lumbar strength in golfers: a case study. J Phys Ther Sci. 2015;27:3027-3030.
35. Hewett TE, Torg JS, Boden BP. Video analysis of trunk and knee motion during non-contact anterior cruciate ligament injury in female athletes: lateral trunk and knee abduction motion are combined components of the injury mechanism. Br J Sports Med. 2009;43:417-422.
36. Alaranta H, Luoto S, Heliovaara M, et al. Static back endurance and the risk of low-back pain. Clin Biomech.1995;10:323-324.
37. Srivastav P, Nayak N, Nair S, et al. Swiss ball versus mat exercises for core activation of transverse abdominis in recreational athletes. J Clin Diagn Res. 2016;10:1-3.
38. Thorpe JL, Ebersole KT. Unilateral balance performance in female collegiate soccer athletes. J Strength Cond Res. 2008;22:1429-1433.
39. Filipa A, Byrnes R, Paterno MV, et al. Neuromuscular training improves performance on the star excursion balance test in young female athletes. J Orthop Sports Phys Ther. 2010;40:551-558.
40. Sato K, Mokha M. Does core strength training influence running kinetics, lower-extremity stability, and 5000-m performance ın runners? J Strength Cond Res. 2009;23:133-140.
41. Sekendiz B, Cuğ M, Korkusuz F. Effects of Swiss-ball core strength training on strength, endurance, flexibility, and balance in sedentary women. J Strength Cond Res. 2010;4:3032-3040.
42. Gribble PA, Hertel J, Plisky P. Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. J Athl Train. 2012;47:339-357.

Year 2018, Volume: 5 Issue: 1, 1 - 8, 04.06.2018

Elif Gür Kabul Bilge Başakçı Çalık Ummuhan Baş Aslan Fatma Ünver

Abstract

References

1. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36:189-198.
2. Hodges PW, Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther. 1997;77:132-142.
3. Myer GD, Chu DA, Brent JL, et al. Trunk and hip control neuromuscular training for the prevention of knee joint ınjury. Clin Sports Med. 2008;27:425-448.
4. McGill SM. Lower back stability: from formal description to issues for performance and rehabilitation. Exerc Sport Sci Rev. 2001;29:26-31.
5. Olmsted LC, Carcia CR, Hertel J, et al. Efficacy of the Star Excursion Balance Tests in detecting reach deficits in subjects with chronic ankle instability. J Athl Train. 2002;37:501-506.
6. Kibele A, Behm DG. Seven weeks of instability and traditional Resistance training effects on strength, balance and functional performance. J Strength Cond Res. 2009;23:2443-2450.
7. Behm DG, Leonard AM, Young WB, et al. Trunk muscle electromyographic activity with unstable and unilateral exercises. J Strength Cond Res. 2005;19:193-201.
8. Marshall PWM, Murphy BA. Evaluation of functional and neuromuscular changes after exercise rehabilitation for low back pain using a Swiss ball: A pilot study. J Manipul Physiol Therap. 2006;29:550-560.
9. Marshall PWM , Murphy BA. Increased deltoid and abdominal muscle activity during Swiss ball bench press. J Strength Cond Res. 2006;20:745-750.
10. Check P. Swiss ball exercises for swimming, soccer and basketball. Sports Coach. 1999;21:12-13.
11. Rutherford OM, Jones DA. The role of learning and coordination in strength training. Eur J Appl Physiol. 1986;55:100-105.
12. Carriere B. The ‘Swiss Ball’: An effective tool in physiotherapy for patients, families and physiotherapists. Physiotherapy. 1999;85:552-561.
13. Marshall PW, Murphy BA. Core stability exercises on and off a Swiss ball. Arch Phys Med Rehab. 2005;86:242-249.
14. Norris CM. Spinal stabilisation: 5. An exercise programme to enhance lumbar stabilisation. Physiotherapy. 1995;81:138-146.
15. Smith MB. The Swiss Ball Theory, basis exercises and clinical application. Physiotherapy. 1999;85:274-561.
16. Stanforth D, Stanforth PR, Hahn SR, et al. A 10-week training study comparing resistaball and traditional trunk training. J Dance Med Sci. 1998;2:134-140.
17. Carter JM, Beam WC, Mcmahan SG, et al. The effects of stability ball training on spinal stability in sedentary individuals. J Strength Cond Res. 2006;20:429-435.
18. Morris M, Morris S. Resistaball C.O.R.E. Instructor Certification. Destin, Florida: Resistaball, Inc. 2001.
19. Bös K, Schlenker L, Büsch D, et al. Deutscher Motorik-Test 6-18 (DMT 6-18). Hamburg: Feldhaus; 2009.
20. Baumgartner TA, Oh S, Chung H, et al. Objectivity, reliability and validity for a revised push-up test protocol. Meas Phys Educ Exerc Sci. 2002;6:225-242.
21. Jones CJ, Rikli RE, Beam WC. A 30-s Chair-Stand Test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport. 1999;70:113-119.
22. Juker D, McGill S, Kropf P, et al. Quantitative intramuscular myoelectric activity of lumbar portions of psoas and the abdominal wall during a wide variety of tasks. Med Sci Sports Exerc. 1998;30:301-310.
23. McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999;80:941-944.
24. Biering-Sorensen F. Physical measurements as risk indicators for low-back trouble over a one year period. Spine. 1984;9:106-119.
25. Kinzey SJ, Armstrong CW. The reliability of the Star-Excursion Test in assessing dynamic balance. J Orthop Sports Phys Ther. 1998;27:356-360.
26. Plisky PJ, Rauh MJ, Kaminski TW, et al. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. J Orthop Sports Phys Ther. 2006;36:911-919.
27. Lee JH, Hoshino Y, Nakamura K, et al. Trunk muscle weakness as a risk factor for low back pain. A 5-year prospective study. Spine. 1999;24:54-57.
28. Handa N, Yamamoto H, Tani T et al. The effect of trunk muscle exercises in patients over 40 years of age with chronic low back pain. J Orthop Sci. 2000;5:210-216.
29. Reid S, Hazard RG, Fenwick JW. Isokinetic trunk strength deficits in people with and without low-back pain: a comparative study with consideration of effort. J Spinal Disord. 1991;4:68-72.
30. McGill SM, Karpowicz A, Fenwick CM. Ballistic abdominal exercises: muscle activation patterns during three activities along the stability/mobility continuum. J Strength Cond Res. 2009;23:898-905.
31. Behm DG. Neuromuscular implications and applications of resistance training. J Strength Cond Res. 1995;9:264-274.
32. Stanton R, Reaburn PR, Humphrıes B. The effect of short-term Swiss ball training on core stability and running economy. J Strength Cond Res. 2004;18:522-528.
33. Bhadauria EA, Gurudut P. Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial. J Exerc Rehabil. 2017;13:477-485.
34. Shin CH, Kim M, Park GD. Impact of post manipulation corrective core exercises on the spinal deformation and lumbar strength in golfers: a case study. J Phys Ther Sci. 2015;27:3027-3030.
35. Hewett TE, Torg JS, Boden BP. Video analysis of trunk and knee motion during non-contact anterior cruciate ligament injury in female athletes: lateral trunk and knee abduction motion are combined components of the injury mechanism. Br J Sports Med. 2009;43:417-422.
36. Alaranta H, Luoto S, Heliovaara M, et al. Static back endurance and the risk of low-back pain. Clin Biomech.1995;10:323-324.
37. Srivastav P, Nayak N, Nair S, et al. Swiss ball versus mat exercises for core activation of transverse abdominis in recreational athletes. J Clin Diagn Res. 2016;10:1-3.
38. Thorpe JL, Ebersole KT. Unilateral balance performance in female collegiate soccer athletes. J Strength Cond Res. 2008;22:1429-1433.
39. Filipa A, Byrnes R, Paterno MV, et al. Neuromuscular training improves performance on the star excursion balance test in young female athletes. J Orthop Sports Phys Ther. 2010;40:551-558.
40. Sato K, Mokha M. Does core strength training influence running kinetics, lower-extremity stability, and 5000-m performance ın runners? J Strength Cond Res. 2009;23:133-140.
41. Sekendiz B, Cuğ M, Korkusuz F. Effects of Swiss-ball core strength training on strength, endurance, flexibility, and balance in sedentary women. J Strength Cond Res. 2010;4:3032-3040.
42. Gribble PA, Hertel J, Plisky P. Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. J Athl Train. 2012;47:339-357.

There are 42 citations in total.

Details

Primary Language	Turkish
Journal Section	Articles
Authors	Elif Gür Kabul This is me Bilge Başakçı Çalık 0000-0002-7267-7622 Ummuhan Baş Aslan This is me Fatma Ünver This is me
Publication Date	June 4, 2018
Submission Date	August 22, 2017
Published in Issue	Year 2018 Volume: 5 Issue: 1

Cite

Vancouver	Gür Kabul E, Başakçı Çalık B, Baş Aslan U, Ünver F. Sağlıklı gençlerde kısa dönem dinamik stabilizasyon eğitiminin esneklik, kassal endurans ve dinamik denge üzerine etkileri: rastgele kontrollü çalışma. JETR. 2018;5(1):1-8.

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