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
REFERENCES:
  1. Musa RM, Kosni MRA, Alsosey A, Abdullah MR, Juahir H, Maliki ABHM et al. A multidimensional analysis of physiological and mechanical variables among archers of different levels of expertise. J Fundam Appl Sci. 2018;10(1S):18-32. [Link] 
  2. Hamdan ZA, Ahmad Z, Johari NH. Investigation of muscle fatigue of the archer's during endurance shooting. Journal of Mechanical Engineering and Sciences. 2022;16(3):8987-95. [Crossref] 
  3. Kim JT, Kim SY, Oh DW. An 8-week scapular stabilization exercise program in an elite archer with scapular dyskinesis presenting joint noise: a case report with one-year follow-up. Physiother Theory Pract. 2019;35(2):183-9. [Crossref]  [PubMed] 
  4. Harput G. Rehabilitasyon: Eksentrik eğitim. Türkiye Klinikleri J Physiother Rehabil. 2017;3(2):86-93. [Link] 
  5. Harris-Love MO, Gollie JM, Keogh JWL. Eccentric exercise: adaptations and applications for health and performance. J Funct Morphol Kinesiol. 2021;6(4):96. [Crossref]  [PubMed]  [PMC] 
  6. Lindsay A, Abbott G, Ingalls CP, Baumann CW. Muscle strength does not adapt from a second to third bout of eccentric contractions: a systematic review and meta-analysis of the repeated bout effect. J Strength Cond Res. 2021;35(2):576-84. [Crossref]  [PubMed] 
  7. Harput G. Kuvvet eğitim yaklaşımları. In: Tunay VB, Erden Z, Yıldız C eds. Alt Ekstremite Yaralanmalarında Rehabilitasyon. 1. Baskı. Ankara: Hipokrat Kitabevi; 2017. p.581.
  8. Lesnak JB, Sluka KA. Mechanism of exercise-induced analgesia: what we can learn from physically active animals. Pain Rep. 2020;5(5):e850. [Crossref]  [PubMed]  [PMC] 
  9. Pacheco-Barrios K, Carolyna Gianlorenço A, Machado R, Queiroga M, Zeng H, Shaikh E, et al. Exercise-induced pain threshold modulation in healthy subjects: a systematic review and meta-analysis. Princ Pract Clin Res. 2020;6(3):11-28. [Crossref]  [PubMed]  [PMC] 
  10. Lindman R, Hagberg M, Angqvist KA, Söderlund K, Hultman E, Thornell LE. Changes in muscle morphology in chronic trapezius myalgia. Scand J Work Environ Health. 1991;17(5):347-55. [Crossref]  [PubMed] 
  11. Leznicka K, Pawlak M, Białecka M, Safranow K, Spieszny M, Klocek T, et al. Evaluation of the pain threshold and tolerance of pain by martial arts athletes and non-athletes using a different methods and tools. Archives of Budo 2016;12:239-45. [Link] 
  12. Karanfilci M, Kabak B, Hamamcılar O. Okçuluk Spor Dalı Genel Durum Değerlendirmesi. In: Karanfilci M, editör. Okçularda Spor Yaralanmaları. Ankara: Neyir Matbaacılık; 2014. p.69-75.
  13. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91. [Crossref]  [PubMed] 
  14. Mike J, Kerksick CM, Kravitz L. How to incorporate eccentric training into a resistance training program. Strength Cond J 2015;37(1):5-17. [Crossref] 
  15. Thongbuang S, Chatchawan U, Eungpinichpong W, Manimmanakorn N. Validity and reliability of measuring pressure pain threshold using manual algometer in subjects with trigger points on upper trapezius muscle. J Med Tech Phy Ther. 2014;26(3):313-24. [Link] 
  16. Ertan H. Okçuluk'un Kinezyolojik Analizi. In: Ertan H, editör. Okçulukta Kassal Aktivasyon. 1. Baskı. Ankara: Nisan Kitabevi; 2013. p.32-6.
  17. Lee JH, Kim TH, Lim KB. Effects of eccentric control exercise for wrist extensor and shoulder stabilization exercise on the pain and functions of tennis elbow. J Phys Ther Sci. 2018;30(4):590-4. [Crossref]  [PubMed]  [PMC] 
  18. Harıbabu G, Reddy RSK, Kumar AK, Murthy MOK, Anand JS. Effectiveness of concentric and eccentric resistance training of quadriceps and hamstrings on muscle strength, rom and pain in acl reconstructed subjects. J Physiother. 2014;1(4):209-14. [Crossref] 
  19. Jonsson P, Alfredson H. Superior results with eccentric compared to concentric quadriceps training in patients with jumper's knee: a prospective randomised study. Br J Sports Med. 2005;39(11):847-50. [Crossref]  [PubMed]  [PMC] 
  20. Hosseinzadeh M, Andersen OK, Arendt-Nielsen L, Madeleine P. Pain sensitivity is normalized after a repeated bout of eccentric exercise. Eur J Appl Physiol. 2013;113(10):2595-602. [Crossref]  [PubMed] 
  21. Konrad A, Kasahara K, Yoshida R, Yahata K, Sato S, Murakami Y, et al. Relationship between eccentric-exercise-ınduced loss in muscle function to muscle soreness and tissue hardness. healthcare (basel). 2022;10(1):96. [Crossref]  [PubMed]  [PMC] 
  22. Kawczyński A. Force and electromyographic responses of the biceps brachii after eccentric exercise in athletes and non-athletes. J Hum Kinet. 2019;68:203-10. [Crossref]  [PubMed]  [PMC] 
  23. Heredia-Rizo AM, Petersen KK, Arendt-Nielsen L, Madeleine P. Eccentric training changes the pressure pain and stiffness maps of the upper trapezius in females with chronic neck-shoulder pain: a preliminary study. Pain Med. 2020;21(9):1936-46. [Crossref]  [PubMed] 
  24. Vasilis N, Kyriakides A, Vasilopoulos G, Chatzitimotheou M, Gonidakis G, Kotsakis A, et al. Injuries and persistent pain in elite adolescent archery athletes: a cross-sectional epidemiological study. Sports (Basel). 2024;12(4):101. [Crossref]  [PubMed]  [PMC] 
  25. Salwin E, Zajac A. Pain tolerance in sport. Baltic Journal of Health and Physical Activity. 2016;8(3):71-80. [Crossref] 

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