Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Okçularda Eksentrik ve Konsentrik Egzersizlerin Ağrı Eşiği Üzerine Etkisi: Randomize Kontrollü Çalışma
The Effect of Eccentric and Concentric Exercises on Pain Threshold in Archers: Randomized Controlled Trial
Recep BALOĞLUa , Sami AYDOĞANb
aKayseri Gençlik ve Spor İl Müdürlüğü, Kayseri, Türkiye
bYüksek İhtisas Üniversitesi Tıp Fakültesi Fizyoloji AD, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(3):539-45
doi: 10.5336/healthsci.2024-102433
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı okçuluk sporu ile uğraşan adölesan sporcularda konsentrik ve eksentrik egzersizlerin, ağrı eşiği üzerine etkisini araştırmak ve bu etkileri karşılaştırmaktır. Gereç ve Yöntemler: Çalışmamız 12-18 yaş arası 15 erkek ve 15 kız, 30 gönüllü sporcu üzerinde yapıldı. Konsentrik ve eksentrik egzersiz grubu olarak rastgele iki gruba ayrılan sporculara 6 hafta, haftada 3 gün konsentrik ve eksentrik egzersizler yaptırıldı. Egzersiz programı; gövde, kollar ve bacaklara yönelik germe egzersizleri ile üst vücut bölgesinde okçulukta en çok aktif olan pektoraller, üst trapez, deltoid, biseps braki, triseps braki, el bileği fleksörleri-ekstansörleri kaslarına yönelik farklı tipteki kasılmaları içermekteydi. Ağrı eşiği mekanik basınç algometresi ile değerlendirildi. Mekanik basınç sağ ve sol üst trapez, deltoid, biseps braki ve ön kol fleksör grup kasları üzerine uygulandı. Tüm ölçümler egzersiz öncesi ve sonrası olacak şekilde iki defa yapıldı. Bulgular: Konsentrik egzersiz grubunda; egzersiz sonrası sağ-sol trapez, deltoid ağrı eşiği değerleri egzersiz öncesine göre arttı, sağ biseps braki ağrı eşiği değeri düştü (p<0,05). Eksentrik egzersiz grubunda sağ biseps braki ağrı eşiği düştü (p<0,05). İki grup arasında egzersiz öncesi ve sonrası değerler bakımından anlamlı bir fark görülmedi (p>0,05). Sonuç: Bulgularımıza göre konsentrik egzersizler, adölesan okçularda ağrı toleransını artırır, Eksentrik egzersizler ise ağrı toleransını azaltır. Konsentrik egzersizler okçuluktaki aktif kaslar için ağrı açısından daha güvenilir olabilir.

Anahtar Kelimeler: Adölesan; ağrı eşiği; sporcular
ABSTRACT
 Objective: The aim of this study was to analyze and compare the effects of eccentric and concentric exercises on pain threshold among adolescent archery athletes. Material and Methods: The study was conducted on 30 voluntary athletes, consisting of 15 male and 15 female, aged between 12-18. Athletes were randomly divided into two groups as Eccentric and Concentric Groups and they were assigned to do progressive resistive exercises including concentric and eccentric contraction 3 days a week for 6 weeks. Exercise program; It included stretching exercises for the trunk, arms and legs, and different types of contractions for the pectorals, upper trapezius, deltoid, biceps brachii, triceps brachii and wrist flexors-extensors muscles which are the most active in archery in the upper body region. The pain threshold was measured with mechanical pressure algometer. Mechanical pressure was applied on the right and left upper trapezius, deltoid, biceps brachii and forearm flexor group muscles. All measurements were made twice, before and after exercise. Results: In the concentric group, there was an increase on right-left trapezius, deltoid pain threshold values and a decrease on right biceps threshold after exercise compared to before exercise (p<0.05). There was a decrease on right biceps in the eccentric group (p<0.05). There was no significant difference between the two groups in terms of pre- and post-exercise values (p>0.05). Conclusion: According to our results, Concentric exercises increase pain tolerance in adolescent archers, eccentric exercises decrease pain tolerance. Concentric exercises may be safer for the active muscles in archery in terms of pain.

Keywords: Adolescent; pain threshold; athletes
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