Bilge BAŞAKCI ÇALIK, Fatma ÜNVER, Elif GÜR KABUL, Ümmühan BAŞ ASLAN

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

Amaç: Bu çalışma, kısa dönem dinamik stabilizasyon eğitiminin sağlıklı gençlerde esneklik, kassal endurans ve dinamikdenge 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 ekstremiteenduransı modifiye push-up, gövde enduransı mekik, lateral köprü ve Biering Sorensen, alt ekstremite enduransı otur kalk vedinamik dengesi Y denge testi kullanılarak değerlendirildi. Tüm değerlendirmeler başlangıçta ve 3. haftanın sonundauygulandı. Gövde stabilizatör kaslarının aktif hale getirilmesiyle birlikte stabilizasyon toplarının kullanıldığı dinamikstabilizasyon 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, BieringSorensen ve otur kalk testlerinde ve y denge testinin sağ anterior, sol anterior ve posterolateral uzanım yönlerinde iyileşmegörüldü (p0,05). Tüm testlerin delta değerleri gruplar arasındakarşılaştırıldığında; sadece Biering Sorensen testinde ve Y denge testi sol anterior ve posterolateral uzanım yönlerindedinamik stabilizasyon eğitim grubu lehine anlamlı sonuçlara ulaşıldı (p

Effects of short-term dynamic stabilization training on flexibility, muscle endurance, and dynamic balance in healthy young people: a randomized controlled study

Purpose: This study was planned to investigate the effects of short term dynamic stabilization training on flexibility, muscular endurance and dynamic balance in healthy young people. Method: The study included forty-two healthy subjects (Female n=22, male n=20; mean age 23.1±1.7 years). Participants were randomly assigned to a training group (N=22) or a control group (N=20). Flexibility, upper extremity endurance, trunk endurance, lower extremity endurance and dynamic balance was assessed using sit and reach test, modified push-up test, curl-up, side bridge and Biering Sorensen tests, chair-stand test and Y balance test, respectively. All assessments were performed at baseline and at the end of three weeks. Dynamic stabilization training, in which core muscles are activated and stabilization balls are used, lasted three weeks (3 sessions/week). No intervention was applied to the control group. Results: Significance were obtained in curl-up, Biering Sorensen and chair-stand tests, and left anterior, posterolateral and right anterior directions of Y balance test in dynamic stabilization training group (p0.05). When delta values of all tests are compared between groups; significant results were obtained in favor of dynamic stabilization training group in Biering Sorensen test and left anterior and posterolateral directions of Y balance test (p

PDF

___

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 theabdominal 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 oneyear 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 trunkstrength 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 alongthe 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 postmanipulation 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.