Turkiye Klinikleri Journal of Sports Sciences

.: ORIGINAL RESEARCH
Profesyonel Tenis Oynayan Sporcularda Kayropraktik Torakal Manipülasyonun Kas Kuvveti, Esneklik, Akciğer Kapasitesi ve Solunum Üzerine Akut Etkisi: Randomize Kontrollü Çalışma
Acute Effects of Chiropractic Thoracal Manipulation on Muscle Strength, Flexibility, Lung Capacity and Respiratory in Professional Tennis Players: A Randomized Controlled Trial
Ömer Çağatay TELa, Ali Veysel ÖZDENb, Demet GÖZAÇAN KARABULUTc
aAdana Seyhan İlçe Sağlık Müdürlüğü, Adana, Türkiye
bBahçeşehir Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, İstanbul, Türkiye
cGaziantep İslam Bilim ve Teknoloji Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Gaziantep, Türkiye
Turkiye Klinikleri J Sports Sci. 2022;14(3):234-40
doi: 10.5336/sportsci.2022-90260
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, profesyonel tenis oynayan kadın sporcularda, torakal bölgeye uygulanan kayropraktik manipülasyonun akciğer kapasitesi, solunum parametreleri, kas kuvveti ve esnekliğe akut etkisinin araştırılmasıdır. Gereç ve Yöntemler: Çalışmaya gönüllü 30 kadın tenisçi dâhil edildi. Bu tenisçiler, zarf usulü yapılan randomizasyon ile kayropraktik manipülasyon ve mobilizasyon olmak üzere on beşer kişilik 2 gruba ayrıldı. Kayropraktik manipülasyon grubuna 2, 3 ve 4. torakal vertebralarına tek seferlik kayropraktik, yüksek hız-düşük amplitüdlü, manipülasyon, mobilizasyon grubuna ise tek seferlik mobilizasyon uygulandı. Solunum parametreleri, abdominal ve sırt ekstansör kaslarının kuvveti ve esneklik değerleri tüm gruplarda öncesi ve sonrası olmak üzere değerlendirildi. Bulgular: Kayropraktik manipülasyon uygulanan grupta zorlu vital kapasite [forced vital capacity (FVC)] (p=0,001), 1. saniyedeki zorlu ekspirasyon hacmi [forced expiratory volume in 1 second (FEV1)], FEV1/FVC, tepe ekspiratuar akımı [peak expiratory flow (PEF)] değerleri ile abdominal ve sırt kas kuvveti değerlerinin akut olarak artışı anlamlı bulundu (p<0,05). Esneklik değerlerinde anlamlı bir değişim gözlenmedi (p=0,293). Mobilizasyon grubunda FVC, FEV1, PEF, abdominal ve sırt kas kuvveti değerlerindeki artış istatistiksel olarak anlamlıydı (p<0,05). Fakat FEV1/FVC (p=0,320) ve esneklik (p=0,053) değerlerinde anlamlı bir değişim görülmedi. Sonuç: Torakal kayropraktik, yüksek hız-düşük amplitüdlü, manipülasyon profesyonel kadın tenisçilerde solunum parametrelerini ve kas kuvvetini anlık olarak artırmada yararlı bir uygulamadır. Olumlu etkileri nedeniyle bu uygulamanın tenisle uğraşan sporcularda uygulanması önerilebilir.

Anahtar Kelimeler: Kayropraktik; manipülasyon; mobilizasyon; torakal
ABSTRACT
 Objective: This study was conducted to investigate the acute effect of chiropractic manipulation applied to the thoracic region on lung capacity, respiratory parameters, muscle strength and flexibility in professional female tennis players. Material and Methods: Thirty voluntary female tennis players were included in the study. These tennis players were divided into 2 groups of 15, each with chiropractic manipulation and mobilization, with envelope randomization. The chiropractic manipulation group received one-time chiropractic, highspeed low-amplitude manipulation to the 2nd, 3rd and 4th thoracic vertebrae, and the mobilization group received one-time mobilization. Respiratory parameters, abdominal and back extensor muscle strength and flexibility values were evaluated before and after in all groups. Results: Forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV1/FVC, peak expiratory flow (PEF) in the chiropractic manipulation group values and abdominal, back muscle strength values were found to be significantly increased acutely (p<0.05). No significant change was observed in flexibility values (p=0.293). The increase in FVC, FEV1, PEF, abdominal and back muscle strength values in the mobilization group was statistically significant (p<0,05). However, no significant change was seen in FEV1/FVC (p=0.320) and flexibility (p=0.053) values. Conclusion: Thoracic chiropractic, high velocity low amplitude, manipulation is a positive application to acute increase respiratory parameters and muscle strength in professional female tennis players. Due to its positive effects, this application can be recommended to be applied to athletes engaged in tennis.

Keywords: Chiropractic; manipulation; mobilization; thoracic
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