.: ORİJİNAL ARAŞTIRMA
Sağlıklı Bireylerde Omuz Eklemi Fonksiyonel Dengesi Üzerine Kriyoterapinin Etkisi
The Effect of Cryotherapy on Functional Balance of Shoulder Joint in Healthy Individuals
Turkiye Klinikleri J Sports Sci. 2019;11(1):8-13
doi: 10.5336/sportsci.2018-63076
Makale Dili: TR
Tam Metin
ÖZET
Amaç: Kriyoterapi, fizik tedavide akut omuz yaralanmalarında ve rehabilitasyonun bir parçası olarak sıklıkla kullanılmaktadır. Kriyoterapinin dominant omuz eklemi propriyosepsiyonu üzerine etkileri ölçülmüş olmasına karşın denge üzerine etkileri bilinmemektedir. Bu çalışmanın amacı, kriyoterapinin omuzun fonksiyonel dengesi üzerindeki etkilerini belirlemektir. Gereç ve Yöntemler: Bu çalışmaya gönüllü toplam 33 (11 kadın, 22 erkek) üniversite öğrencisi katıldı. Dominant üst ekstremite belirlendikten sonra kol uzunluğu için servikal 7. vertebra- 3. parmak ucu ölçüldü. Y denge test kiti kullanılarak hastaların dominant üst ekstremite için dinamik denge değerleri kaydedildi. Bu ölçümler mediyal-inferolateral-süperolateral olmak üzere üç yönde yapıldı. Toplam Y denge test skoru kaydedildi. Yirmi dk acromion üzerine buz paketi (36 cm×29 cm ebatlarında) uygulaması yapıldıktan sonra dinamik denge tekrar ölçüldü. Bulgular: Paired samples t-test sonuçlarına bakıldığında mediyal süperolateral toplam skorda anlamlı fark bulunmuştur. Fakat inferolateral yönde anlamlı bir fark bulunmamıştır. Sonuç: Kriyoterapi uygulaması dinamik denge için inferolateral yön hariç diğer yönlerde anlamlı bir fark oluşturmuştur. Kriyoterapi uygulaması omuzun dinamik denge performansını artırmaktadır.
Anahtar Kelimeler: Kriyoterapi; omuz; dinamik denge
Amaç: Kriyoterapi, fizik tedavide akut omuz yaralanmalarında ve rehabilitasyonun bir parçası olarak sıklıkla kullanılmaktadır. Kriyoterapinin dominant omuz eklemi propriyosepsiyonu üzerine etkileri ölçülmüş olmasına karşın denge üzerine etkileri bilinmemektedir. Bu çalışmanın amacı, kriyoterapinin omuzun fonksiyonel dengesi üzerindeki etkilerini belirlemektir. Gereç ve Yöntemler: Bu çalışmaya gönüllü toplam 33 (11 kadın, 22 erkek) üniversite öğrencisi katıldı. Dominant üst ekstremite belirlendikten sonra kol uzunluğu için servikal 7. vertebra- 3. parmak ucu ölçüldü. Y denge test kiti kullanılarak hastaların dominant üst ekstremite için dinamik denge değerleri kaydedildi. Bu ölçümler mediyal-inferolateral-süperolateral olmak üzere üç yönde yapıldı. Toplam Y denge test skoru kaydedildi. Yirmi dk acromion üzerine buz paketi (36 cm×29 cm ebatlarında) uygulaması yapıldıktan sonra dinamik denge tekrar ölçüldü. Bulgular: Paired samples t-test sonuçlarına bakıldığında mediyal süperolateral toplam skorda anlamlı fark bulunmuştur. Fakat inferolateral yönde anlamlı bir fark bulunmamıştır. Sonuç: Kriyoterapi uygulaması dinamik denge için inferolateral yön hariç diğer yönlerde anlamlı bir fark oluşturmuştur. Kriyoterapi uygulaması omuzun dinamik denge performansını artırmaktadır.
Anahtar Kelimeler: Kriyoterapi; omuz; dinamik denge
ABSTRACT
Objective: Cryotherapy is commonly used in physicaltherapy after acute shoulder injury and as part of rehabilitation. The effects of cryotherapy on dominant shoulder proprioception have been assessed, yet the effects on balance are unknown. The purpose of this study was to determine the effects of a cryotherapy application on shoulder balance. Material and Methods: Totaly 33 (11 female, 22 male) volunteer university students joined this study. After determining the dominant upper extremity, from C7 to tip of the 3. finger length was measured. Using Y balance test kit, dynamic balance values of cases were recorded for dominant upper extremity. These measurements were made in three directions, including the medial-inferolateral-superolateral. Totaly Y balace test score was recorded. 20 minutes after placing the ice packs (in size 36 cm×29 cm) on acromion, values were measured again. Results: When looked to Paired samples t-test were significant differences such as medial superolateral totaly score. But there was no significant difference in inferolateral direction. Conclusion: Cryotherapy application creates a significant difference for dynamic balance in the other directions, except inferolateral direction. Cryotherapy improves the dynamic balance of shoulder.
Keywords: Cryotherapy; shoulder; dynamic balance
Objective: Cryotherapy is commonly used in physicaltherapy after acute shoulder injury and as part of rehabilitation. The effects of cryotherapy on dominant shoulder proprioception have been assessed, yet the effects on balance are unknown. The purpose of this study was to determine the effects of a cryotherapy application on shoulder balance. Material and Methods: Totaly 33 (11 female, 22 male) volunteer university students joined this study. After determining the dominant upper extremity, from C7 to tip of the 3. finger length was measured. Using Y balance test kit, dynamic balance values of cases were recorded for dominant upper extremity. These measurements were made in three directions, including the medial-inferolateral-superolateral. Totaly Y balace test score was recorded. 20 minutes after placing the ice packs (in size 36 cm×29 cm) on acromion, values were measured again. Results: When looked to Paired samples t-test were significant differences such as medial superolateral totaly score. But there was no significant difference in inferolateral direction. Conclusion: Cryotherapy application creates a significant difference for dynamic balance in the other directions, except inferolateral direction. Cryotherapy improves the dynamic balance of shoulder.
Keywords: Cryotherapy; shoulder; dynamic balance
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