Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Cinsiyet Farklılığının Alt Ekstremite Kas Kuvveti ve Kas Mekanik Özelliklerinde Oluşturduğu DeğişikliklerBir Pilot Çalışma
Changes Caused by Sex Differences in Lower Extremity Muscle Strength and Muscle Mechanical Properties-A Pilot Study
Tülay ÇEVİK SALDIRANa, Emine ATICIb, Özgül ÖZTÜRKc, Derya AZİM REZAEİb
aBitlis Eren Üniversitesi Sağlık Yüksek Okulu, Fizyoterapi ve Rehabilitasyon Bölümü, Bitlis, TÜRKİYE
bİstanbul Okan Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, İstanbul, TÜRKİYE
cAcıbadem Mehmet Ali Aydınlar Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, İstanbul,TÜRKİYE
Turkiye Klinikleri J Health Sci. 2020;5(3):530-7
doi: 10.5336/healthsci.2019-72554
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırmanın amacı, alt ekstremite kas gruplarında kas tonusu, kompliyans, elastisite ve kas kuvvetinde cinsiyet ilişkili farklılıkları incelemekti. Gereç ve Yöntemler: Araştırmaya yaş ortalaması 19-24 yıl arasında değişen 53 (erkek= 25, kadın= 28) sağlıklı katılımcı dâhil edildi. Bilateral alt ekstremite diz ekstansörü (m. quadriceps), ayak bileği plantar (m. gastrocnemius) ve dorsifleksör (m. tibialis anterior) kaslarının mekanik özellikleri (tonus, kompliyans ve elastisite) myotonometre [MyotonPRO (Myoton Ltd., Estonya)] kullanılarak ölçüldü. Dinamometre (Lafayette) ile bilateral olarak diz ekstansör, ayak bileği plantar ve dorsifleksör kas gruplarından kas kuvveti değerlendirmesi yapıldı. Cinsiyet farklılıkları bağımsız örneklem karşılaştırmaları ile analiz edildi. Bulgular: Bilateral olmak üzere ayak bileği plantar fleksörlerinin istirâhat kas tonusu ve kuvveti, erkek katılımcılarda daha yüksekti (p˂0,05). Diz ekstansörlerinin istirâhat kas tonusu ve kuvveti erkeklerde daha yüksekti (p˂0,05). Sağ (p=0,009) ve sol (p=0,034) ayak bileği dorsi fleksörlerinin kas kuvveti erkeklerde daha yüksekti. Sol ekstremitede ayak bileği dorsi fleksörlerinin kas tonusu erkeklerde daha yüksek iken (p=0,028) kompliyans daha azdı (p=0,028). Alt ekstremite kaslarının elastisite özelliği cinsiyet faktöründen etkilenmedi (p˃0,05). Sonuç: Araştırma sonuçlarımıza göre cinsiyet değişkeni, elastisiteden bağımsız olarak, kas kuvveti, istirâhat kas tonusu, kompliyansında farklılık etmenidir. Ayak bileği plantar fleksörlerinde her 2 alt ekstremitede cinsiyet değişkeni farklılık oluşturdu. Erkeklerin ayak bileği plantar fleksörlerinin istirâhat kas tonusu ve kuvveti kadınlardan daha yüksekti.

Anahtar Kelimeler: Cinsiyet farklılığı; kas tonusu; kompliyans; elastisite; kas kuvveti
ABSTRACT
 Objective: The aim of the study was to investigate sexrelated differences in muscle tone, compliance, elasticity and muscle strength in lower extremity muscle groups. Material and Methods: Fifty-three healthy participants (male=25, female=28) with a mean age of 19-24 years were included in the study. Mechanical properties (muscle tone, compliance and elasticity) of bilateral lower extremity knee extensor (m. quadriceps), ankle plantar (m. gastrocnemius) and dorsiflexor (m. tibialis anterior) muscles were measured using myotonometer [MyotonPRO (Myoton Ltd., Estonia)]. Muscle strength was evaluated bilaterally by dynamometer (Lafayette) from knee extensor, ankle plantar and dorsiflexor muscle groups. Gender differences were analyzed by independent sample comparisons. Results: Resting muscle tone and strength of ankle plantar flexors, bilaterally, were higher in male participants (p˂0.05). Resting muscle tone and strength of knee extensors were higher in males (p˂0.05). Muscle strength of the right (p=0.009) and left (p=0.034) ankle dorsi flexors was higher in men. The muscle tone of the ankle dorsi flexors in the left extremity was higher in males (p=0.028) while the compliance was less (p=0.028). The elasticity of the lower extremity muscles was not affected by the sex factor (p˃0.05). Conclusion: According to the study results, regardless of elasticity, sex difference is the cause of changes in muscle strength, resting muscle tone and muscle compliance. Muscle properties of ankle plantar flexors in both lower extremities were affected by sex differences. Resting muscle tone and muscle strength of the ankle plantar flexors of men were higher than women.

Keywords: Sex differences; muscle tone; compliance; elasticity; muscle strength
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