.: ORİJİNAL ARAŞTIRMA
Fonksiyonel Hareketli Denge Sistemi'nin Fonksiyonellik Üzerine Etkisinin Belirlenmesi
Determination of the Effect of Functional Moving Balance System on Functionality
Turkiye Klinikleri J Health Sci. 2021;6(4):827-36
doi: 10.5336/healthsci.2020-79534
Makale Dili: TR
Tam Metin
ÖZET
Amaç: Çalışmanın amacı, çoklu eklem açı ve pozisyonlarında hareket sağlayan Fonksiyonel Hareketli Denge Sistemi'nin [Dynamic Inovative Balance (DIBA)] fonksiyonellik üzerine etkinliğinin belirlenmesidir. Gereç ve Yöntemler: Çalısmaya ya ̧ şları 18-32 yıl arasında olan 36 sagl̆ıklı erkek gönüllü katıldı. Bireyler rastgele kontrollü olarak 2 gruba ayrıldı. Çalışma grubuna DIBA ile 8 hafta ve haftada 3 gün 45- 60 dk olarak denge ve fonksiyonel eğitim uygulanırken, kontrol grubuna standart denge ekipmanları (denge tahtası, 'wobble board' ve BOSU) kullanılarak 8 hafta boyunca haftada 3 gün 45-60 dk olarak denge ve fonksiyonel eğitim uygulandı. Bireyler eğitim öncesi, eğitim sonrası 4 ve 8. haftalarda değerlendirildi. Bireylerin fonksiyonel durumlarının değerlendirilmesi için fonksiyonel uzanma testi (FUT) ve tek bacak öne hoplama (TBH) uygulandı. Bulgular: TBH testinde 4. hafta (p=0,012) ve 8. hafta (p=0,016) sonuçlarında çalışma grubunda, kontrol grubuna göre daha fazla artış olduğu belirlenirken, FUT bakımından 2 grup arasında 4. hafta (p=0,563), 8. hafta (p=0,085) anlamlı fark bulunmadı. Sonuç: Bu çalışmaya göre DIBA ile fonksiyonellik açısından olumlu etkiler sağladığından dolayı, standart denge ekipmanlarının yerine alternatif olarak veya standart denge ekipmanları ile birlikte kullanılabilir.
Anahtar Kelimeler: Denge; postüral kontrol; fonksiyonel egzersiz
Amaç: Çalışmanın amacı, çoklu eklem açı ve pozisyonlarında hareket sağlayan Fonksiyonel Hareketli Denge Sistemi'nin [Dynamic Inovative Balance (DIBA)] fonksiyonellik üzerine etkinliğinin belirlenmesidir. Gereç ve Yöntemler: Çalısmaya ya ̧ şları 18-32 yıl arasında olan 36 sagl̆ıklı erkek gönüllü katıldı. Bireyler rastgele kontrollü olarak 2 gruba ayrıldı. Çalışma grubuna DIBA ile 8 hafta ve haftada 3 gün 45- 60 dk olarak denge ve fonksiyonel eğitim uygulanırken, kontrol grubuna standart denge ekipmanları (denge tahtası, 'wobble board' ve BOSU) kullanılarak 8 hafta boyunca haftada 3 gün 45-60 dk olarak denge ve fonksiyonel eğitim uygulandı. Bireyler eğitim öncesi, eğitim sonrası 4 ve 8. haftalarda değerlendirildi. Bireylerin fonksiyonel durumlarının değerlendirilmesi için fonksiyonel uzanma testi (FUT) ve tek bacak öne hoplama (TBH) uygulandı. Bulgular: TBH testinde 4. hafta (p=0,012) ve 8. hafta (p=0,016) sonuçlarında çalışma grubunda, kontrol grubuna göre daha fazla artış olduğu belirlenirken, FUT bakımından 2 grup arasında 4. hafta (p=0,563), 8. hafta (p=0,085) anlamlı fark bulunmadı. Sonuç: Bu çalışmaya göre DIBA ile fonksiyonellik açısından olumlu etkiler sağladığından dolayı, standart denge ekipmanlarının yerine alternatif olarak veya standart denge ekipmanları ile birlikte kullanılabilir.
Anahtar Kelimeler: Denge; postüral kontrol; fonksiyonel egzersiz
ABSTRACT
Objective: Dynamic Innovative Balance System (DIBA) that provides movement in multiple joint angles and positions. The aim of the study was to determine the effect of DIBA on functionality. Material and Methods: Thirty-six healthy male volunteers (aged 18-32 yrs) participated in the study. Individuals were divided into two groups including DIBA and control. Balance and functional training were applied to the study group with DIBA for 8 weeks and 3 days a week for 45-60 minutes, while the control group received conventional balance and functional training for 45-60 minutes 3 days a week for 8 weeks using standard balance equipment (balance board, wobble board and BOSU). The individuals were evaluated before the training and at the 4th and 8th weeks after the training. Functional reach test (FUT) and single leg forward hop (SLH) were applied to evaluate the functional status of the individuals. Results: In the SLH test, there was a statistically more improvement in the study group compared to the control group in the results of 4th week (p=0.012) and 8th week (p=0.016), while there was no statistically significant difference between the two groups in 4th week (p=p=0.563) and 8th week (p=0.085), in terms of FUT. Conclusion: According to this study, it should be used instead of standard balance equipment or with standard balance equipment in which DIBA provides positive effects in terms of functionality.
Keywords: Balance; postural control; functional exercise
Objective: Dynamic Innovative Balance System (DIBA) that provides movement in multiple joint angles and positions. The aim of the study was to determine the effect of DIBA on functionality. Material and Methods: Thirty-six healthy male volunteers (aged 18-32 yrs) participated in the study. Individuals were divided into two groups including DIBA and control. Balance and functional training were applied to the study group with DIBA for 8 weeks and 3 days a week for 45-60 minutes, while the control group received conventional balance and functional training for 45-60 minutes 3 days a week for 8 weeks using standard balance equipment (balance board, wobble board and BOSU). The individuals were evaluated before the training and at the 4th and 8th weeks after the training. Functional reach test (FUT) and single leg forward hop (SLH) were applied to evaluate the functional status of the individuals. Results: In the SLH test, there was a statistically more improvement in the study group compared to the control group in the results of 4th week (p=0.012) and 8th week (p=0.016), while there was no statistically significant difference between the two groups in 4th week (p=p=0.563) and 8th week (p=0.085), in terms of FUT. Conclusion: According to this study, it should be used instead of standard balance equipment or with standard balance equipment in which DIBA provides positive effects in terms of functionality.
Keywords: Balance; postural control; functional exercise
REFERANSLAR:
- do Nascimento JA, Silva CC, Dos Santos HH, de Almeida Ferreira JJ, de Andrade PR. A preliminary study of static and dynamic balance in sedentary obese young adults: the relationship between BMI, posture and postural balance. Clin Obes. 2017;7(6):377-83. [Crossref] [PubMed]
- Forbes PA, Chen A, Blouin JS. Sensorimotor control of standing balance. Handb Clin Neurol. 2018;159:61-83. [Crossref] [PubMed]
- Çankaya S, Gökmen B, Musa Ç, Taşmektepligil M. Denge geliştirici özel antrenman uygulamalarinin 11 yaş genç erkeklerin reaksiyon zamanlari ve vücut kitle indeksi üzerine etkisi [The effect of special balance developer training applications on reaction time and body mass index of eleven year old young males]. Journal of Sports and Performance Researches. 2014;5(2):59-67. [Crossref]
- Michell TB, Ross SE, Blackburn JT, Hirth CJ, Guskiewicz KM. Functional balance training, with or without exercise sandals, for subjects with stable or unstable ankles. J Athl Train. 2006;41(4):393-8. [PubMed] [PMC]
- McKeon PO, Ingersoll CD, Kerrigan DC, Saliba E, Bennett BC, Hertel J. Balance training improves function and postural control in those with chronic ankle instability. Med Sci Sports Exerc. 2008;40(10):1810-9. [Crossref] [PubMed]
- Gonçalves D, Ricci N, Coimbra A. Functional balance among community-dwelling older adults: a comparison of their history of falls. Brazilian Journal of Physical Therapy. 2009;13(4):316-23. [Link]
- Baltaci G, Harput G, Haksever B, Ulusoy B, Ozer H. Comparison between Nintendo Wii Fit and conventional rehabilitation on functional performance outcomes after hamstring anterior cruciate ligament reconstruction: prospective, randomized, controlled, double-blind clinical trial. Knee Surg Sports Traumatol Arthrosc. 2013;21(4):880-7. [Crossref] [PubMed]
- Williams GN, Allen EJ. Rehabilitation of syndesmotic (high) ankle sprains. Sports Health. 2010;2(6):460-70. [Crossref] [PubMed] [PMC]
- Son SM, Park MK, Lee NK. Influence of resistance exercise training to strengthen muscles across multiple joints of the lower limbs on dynamic balance functions of stroke patients. J Phys Ther Sci. 2014;26(8):1267-9. [Crossref] [PubMed] [PMC]
- Williams J, Bentman S. An investigation into the reliability and variability of wobble board performance in a healthy population using the SMARTwobble instrumented wobble board. Phys Ther Sport. 2014;15(3):143-7. [Crossref] [PubMed]
- Oddsson LI, Karlsson R, Konrad J, Ince S, Williams SR, Zemkova E. A rehabilitation tool for functional balance using altered gravity and virtual reality. Journal of Neuroengineering and Rehabilitation. 2007;4(1):1-7. [Crossref] [PubMed] [PMC]
- Galeano D, Brunetti F, Torricelli D, Piazza S, Pons JL. A tool for balance control training using muscle synergies and multimodal interfaces. Biomed Res Int. 2014;2014:565370. [Crossref] [PubMed] [PMC]
- Aksıt T, Cırık G. Comparison of static and dynamic balance parameters and some performance characteristics in rock climbers of different levels. Turkish Journal of Sport and Exercise. 2017;19(1):11-7. [Link]
- Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al; American College of Sports Medicine; American Heart Association. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007;116(9):1081-93. [Crossref] [PubMed]
- Johnsen MB, Eitzen I, Moksnes H, Risberg MA. Inter-and intrarater reliability of four single-legged hop tests and isokinetic muscle torque measurements in children. Knee Surg Sports Traumatol Arthrosc. 2015;23(7):1907-16. [Crossref] [PubMed]
- Haitz K, Shultz R, Hodgins M, Matheson GO. Test-retest and interrater reliability of the functional lower extremity evaluation. J Orthop Sports Phys Ther. 2014;44(12):947-54. [Crossref] [PubMed]
- Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45(6):M192-7. [Crossref] [PubMed]
- Domínguez-Navarro F, Igual-Camacho C, Silvestre-Mu-oz A, Roig-Casasús S, Blasco JM. Effects of balance and proprioceptive training on total hip and knee replacement rehabilitation: A systematic review and meta-analysis. Gait Posture. 2018;62:68-74. [Crossref] [PubMed]
- Hall EA, Chomistek AK, Kingma JJ, Docherty CL. Balance-and strength-training protocols to improve chronic ankle instability deficits, part i: assessing clinical outcome measures. J Athl Train. 2018;53(6):568-77. [Crossref] [PubMed] [PMC]
- Liao CD, Liou TH, Huang YY, Huang YC. Effects of balance training on functional outcome after total knee replacement in patients with knee osteoarthritis: a randomized controlled trial. Clin Rehabil. 2013;27(8):697-709. [Crossref] [PubMed]
- Cuğ M, Duncan A, Wikstrom E. Comparative effects of different balance-training-progression styles on postural control and ankle force production: a randomized controlled trial. J Athl Train. 2016;51(2):101-10. [Crossref] [PubMed] [PMC]
- Nepocatych S, Ketcham CJ, Vallabhajosula S, Balilionis G. The effects of unstable surface balance training on postural sway, stability, functional ability and flexibility in women. J Sports Med Phys Fitness. 2018;58(1-2):27-34. [Crossref] [PubMed]
- Oliver GD, Di Brezzo R. Functional balance training in collegiate women athletes. J Strength Cond Res. 200923(7):2124-9. [Crossref] [PubMed]
- Ergun N, Baltacı G. Spor Yaralanmalarında Fizyoterapi ve Rehabilitasyon Prensipleri. 5. Baskı. Ankara: Pelikan Yayınevi; 2015. [Link]
- Farholm A, Sørensen M. Motivation for physical activity and exercise in severe mental illness: A systematic review of intervention studies. Int J Ment Health Nurs. 2016;25(3):194-205. [Crossref] [PubMed]
- Knapen J, Vancampfort D, Moriën Y, Marchal Y. Exercise therapy improves both mental and physical health in patients with major depression. Disabil Rehabil. 2015;37(16):1490-5. [Crossref] [PubMed]
- Becker S, Bergamo F, Schnake KJ, Schreyer S, Rembitzki IV, Disselhorst-Klug C. The relationship between functionality and erector spinae activity in patients with specific low back pain during dynamic and static movements. Gait Posture. 2018;66:208-13. [Crossref] [PubMed]
- McGrath TM, Waddington G, Scarvell JM, Ball N, Creer R, Woods K,et al. An ecological study of anterior cruciate ligament reconstruction, part 2: Functional performance tests correlate with return-to-sport outcomes. Orthop J Sports Med. 2017;5(2):2325967116688443. [Crossref] [PubMed] [PMC]
- Bird SP, Markwick WJ. Musculoskeletal screening and functional testing: considerations for basketball athletes. Int J Sports Phys Ther. 2016;11(5):784-802. [PubMed] [PMC]
- Meierbachtol A, Rohman E, Paur E, Bottoms J, Tompkins M. Quantitative improvements in hop test scores after a 6-week neuromuscular training program. Sports Health. 2017;9(1):22-9. [Crossref] [PubMed] [PMC]
- de Waroquier-Leroy L, Bleuse S, Serafi R, Watelain E, Pardessus V, et al. The Functional Reach Test: strategies, performance and the influence of age. Ann Phys Rehabil Med. 2014;57(6-7):452-64. [Crossref] [PubMed]
- J Jonsson E, Henriksson M, Hirschfeld H. Does the functional reach test reflect stability limits in elderly people? J Rehabil Med. 2003;35(1):26-30. [Crossref] [PubMed]
- Bennie S, Bruner K, Dizon A, Fritz H, Goodman B,. Peterson S. Measurements of balance: Comparison of the timed "up and go" test and functional reach test with the berg balance scale. Journal of physical therapy science. 2003;15(2):93-7. [Crossref]
- Nepocatych S, Balilionis G, Geary C, Collins A, Bishop P. Acute effects of whole-body vibration on balance and flexibility with and without shoes. Sports Medicine and Rehabilitation Journal. 2016;1(1):1-6. [Link]
- Wiesmeier IK, Dalin D, Wehrle A, Granacher U, Muehlbauer T, Dietterle J, et al. Balance training enhances vestibular function and reduces overactive proprioceptive feedback in elderly. Front Aging Neurosci. 2017;9:273. [Crossref] [PubMed] [PMC]
.: İşlem Listesi