.: ORİJİNAL ARAŞTIRMA
The Effect of Core Stabilization Exercises on Upper Extremity Motor Skills in Overweight and Obese Children: Quasi-Experimental Controlled Study
Fazla Kilolu ve Obez Çocuklarda Kor Stabilizasyon Egzersizlerinin Üst Ekstremite Motor Becerileri Üzerine Etkisi:Yarı Deneysel Kontrollü Çalışma
Turkiye Klinikleri J Pediatr. 2023;32(2):96-105
doi: 10.5336/pediatr.2023-96298
Makale Dili: EN
Tam Metin
Ücretsiz Erişim
ABSTRACT
Objective: This study was planned to investigate the effect of core stabilization exercises on upper extremity motor skills in overweight and obese children. Material and Methods: The study, which included obese, overweight and normal weight children, was designed as a quasi-experimental controlled study. An eight-week core stabilization exercise program was implemented to the children. In the first two-weeks of the eight-weeks exercise training, the children were taught how to stabilize the core region. Upper extremity motor skills were evaluated before-after the exercise program. The push-up test, grip strength measurement, Modified Closed Kinetic Chain Upper Extremity Stability Test (M-CKCUEST), Bruininks-Oseretsky Test of Motor Proficiency-2 Short Form (BOT-2 SF), was used to evaluate upper extremity motor skills. SPSS 25.0 program was used for statistical analysis of the data. Significance level was determined as p0.05). Conclusion: Core stabilization exercises in overweight and obese children can improve upper extremity motor skills.
Keywords: Obesity; core stability; upper extremity
Objective: This study was planned to investigate the effect of core stabilization exercises on upper extremity motor skills in overweight and obese children. Material and Methods: The study, which included obese, overweight and normal weight children, was designed as a quasi-experimental controlled study. An eight-week core stabilization exercise program was implemented to the children. In the first two-weeks of the eight-weeks exercise training, the children were taught how to stabilize the core region. Upper extremity motor skills were evaluated before-after the exercise program. The push-up test, grip strength measurement, Modified Closed Kinetic Chain Upper Extremity Stability Test (M-CKCUEST), Bruininks-Oseretsky Test of Motor Proficiency-2 Short Form (BOT-2 SF), was used to evaluate upper extremity motor skills. SPSS 25.0 program was used for statistical analysis of the data. Significance level was determined as p0.05). Conclusion: Core stabilization exercises in overweight and obese children can improve upper extremity motor skills.
Keywords: Obesity; core stability; upper extremity
ÖZET
Amaç: Bu çalışma, fazla kilolu ve obez çocuklarda kor stabilizasyon egzersizlerinin üst ekstremite motor becerilerine etkisini araştırmak amacıyla planlandı. Gereç ve Yöntemler: Obez, fazla kilolu ve normal kilolu çocukların dâhil edildiği çalışma yarı deneysel kontrollü bir çalışma olarak tasarlandı. Çocuklara 8 haftalık kor stabilizasyon egzersiz programı uygulandı. Sekiz haftalık egzersiz eğitiminin ilk iki haftasında çocuklara kor bölgesini nasıl stabilize edecekleri öğretildi. Egzersiz programı öncesi ve sonrası üst ekstremite motor becerileri değerlendirildi. Üst ekstremite motor becerilerini değerlendirmek için şınav testi, kavrama kuvveti ölçümü, Modifiye Kapalı Kinetik Zincir Üst Ekstremite Stabilite Testi (M-KKZÜEST), Bruininks-Oseretsky Motor Yeterlilik Testi-2 Kısa Form (BOT-2 KF) kullanıldı. Verilerin istatistiksel analizinde SPSS 25.0 programı kullanıldı. Anlamlılık düzeyi p0,05). Sonuç: Aşırı kilolu ve obez çocuklarda kor stabilizasyon egzersizleri üst ekstremite motor becerilerini geliştirebilir.
Anahtar Kelimeler: Obezite; kor stabilitesi; üst ekstremite
Amaç: Bu çalışma, fazla kilolu ve obez çocuklarda kor stabilizasyon egzersizlerinin üst ekstremite motor becerilerine etkisini araştırmak amacıyla planlandı. Gereç ve Yöntemler: Obez, fazla kilolu ve normal kilolu çocukların dâhil edildiği çalışma yarı deneysel kontrollü bir çalışma olarak tasarlandı. Çocuklara 8 haftalık kor stabilizasyon egzersiz programı uygulandı. Sekiz haftalık egzersiz eğitiminin ilk iki haftasında çocuklara kor bölgesini nasıl stabilize edecekleri öğretildi. Egzersiz programı öncesi ve sonrası üst ekstremite motor becerileri değerlendirildi. Üst ekstremite motor becerilerini değerlendirmek için şınav testi, kavrama kuvveti ölçümü, Modifiye Kapalı Kinetik Zincir Üst Ekstremite Stabilite Testi (M-KKZÜEST), Bruininks-Oseretsky Motor Yeterlilik Testi-2 Kısa Form (BOT-2 KF) kullanıldı. Verilerin istatistiksel analizinde SPSS 25.0 programı kullanıldı. Anlamlılık düzeyi p0,05). Sonuç: Aşırı kilolu ve obez çocuklarda kor stabilizasyon egzersizleri üst ekstremite motor becerilerini geliştirebilir.
Anahtar Kelimeler: Obezite; kor stabilitesi; üst ekstremite
REFERANSLAR:
- Greydanus DE, Agana M, Kamboj MK, Shebrain S, Soares N, Eke R, et al. Pediatric obesity: current concepts. Dis Mon. 2018;64(4):98-156. [Crossref] [PubMed]
- World Health Organization. Obesity. Accessed June 20, 2023. [Link]
- O'Malley GC, Shultz SP, Thivel D, Tsiros MD. Neuromusculoskeletal health in pediatric obesity: incorporating evidence into clinical examination. Curr Obes Rep. 2021;10(4):467-77. [Crossref] [PubMed] [PMC]
- Merder-Coşkun D, Uzuner A, Keniş-Coşkun Ö, Çelenlioğlu AE, Akman M, Karadağ-Saygı E. Relationship between obesity and musculoskeletal system findings among children and adolescents. Turk J Phys Med Rehabil. 2017;63(3):207-14. [Crossref] [PubMed] [PMC]
- Han A, Fu A, Cobley S, Sanders RH. Effectiveness of exercise intervention on improving fundamental movement skills and motor coordination in overweight/obese children and adolescents: a systematic review. J Sci Med Sport. 2018;21(1):89-102. [Crossref] [PubMed]
- Gazbare P, Deshmukh S, Palekar TJ, Varghese N, Abraham B, Singh G, et al. Assessment of body coordination, strength and agility using Bruininks-Oseretsky Test of Motor Proficiency (BOT-2) in overweight and obese children aged 7-12 years. Indian J Physiother Occup Ther. 2020;14(1):185-9. [Crossref]
- Webster EK, Sur I, Stevens A, Robinson LE. Associations between body composition and fundamental motor skill competency in children. BMC Pediatr. 2021;21(1):444. [Crossref] [PubMed] [PMC]
- Gentier I, D'Hondt E, Shultz S, Deforche B, Augustijn M, Hoorne S, et al. Fine and gross motor skills differ between healthy-weight and obese children. Res Dev Disabil. 2013;34(11):4043-51. [Crossref] [PubMed]
- Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36(3):189-98. [Crossref] [PubMed]
- Barbara J. Hoogenboom KK. Core stabilization training. In: Brotzman SB, Manske RC, eds. Clinical Orthopaedic Rehabilitation: A Team Approach. 4th ed. Philadelphia: Elsevier; 2018. p.467-81.
- Colston M. Core stability, part 1: overview of the concept. Athletic Therapy Today. 2012;17(1):8-13. [Crossref]
- Milton JA, Martina AT. Correlation between body mass index and core muscular strength among school children between 11 and 14 years of age: a cross sectional study. Indian Journal of Physiotherapy & Occupational Therapy. 2019;13(3):196-200. [Crossref]
- Silfies SP, Ebaugh D, Pontillo M, Butowicz CM. Critical review of the impact of core stability on upper extremity athletic injury and performance. Braz J Phys Ther. 2015;19(5):360-8. [Crossref] [PubMed] [PMC]
- Bashir SF, Nuhmani S, Dhall R, Muaidi QI. Effect of core training on dynamic balance and agility among Indian junior tennis players. J Back Musculoskelet Rehabil. 2019;32(2):245-52. [Crossref] [PubMed]
- Lengkana AS, Tangkudung J, Asmawi A. The effect of core stability exercise (CSE) on balance in primary school students. Journal of Education, Health and Sport. 2019;9(4):160-7. [Link]
- Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z, et al. 2000 CDC Growth Charts for the United States: methods and development. Vital Health Stat 11. 2002;(246):1-190. [PubMed]
- Morrow JR Jr, Martin SB, Jackson AW. Reliability and validity of the FITNESSGRAM: quality of teacher-collected health-related fitness surveillance data. Res Q Exerc Sport. 2010;81(3 Suppl):S24-30. [Crossref] [PubMed]
- Taylor JB, Wright AA, Smoliga JM, DePew JT, Hegedus EJ. Upper-extremity physical-performance tests in college athletes. J Sport Rehabil. 2016;25(2):146-54. [Crossref] [PubMed]
- Balogun JA, Akomolafe CT, Amusa LO. Grip strength: effects of testing posture and elbow position. Arch Phys Med Rehabil. 1991;72(5):280-3. [PubMed]
- Mülazımoğlu Ballı ÖM, Gürsoy F. Bruininks-Oseretsky Motor Yeterlik Testinin beş-altı yaş grubu Türk çocuklar için geçerlik ve güvenirlik çalışması [The study of validity and reliability of Bruininksoseretsky Motor Proficiency Test for five-six-years-old Turkish children]. Hacettepe J. of Sport Sciences. 2012;23(3):104-18. [Link]
- Ji MY, Yoon JH, Song KJ, Oh JK. Effect of dry-land core training on physical fitness and swimming performance in adolescent elite swimmers. Iran J Public Health. 2021;50(3):540-9. [Crossref] [PubMed] [PMC]
- Rahmat A, Naser H, Belal M, Hasan D. The effect of core stabilization exercises on the physical fitness in children 9-12 years. Journal of Romanian Sports Medicine Society. 2014;10(3):2401-5. [Link]
- Boyacı A, Afyon Y. The effect of the core training to physical performance in children. Journal of Education and Practice. 2017;8(33):81-8. [Link]
- de Oliveira VM, Pitangui AC, Nascimento VY, da Silva HA, Dos Passos MH, de Araújo RC. Test-retest reliability of the closed kinetic chain upper extremity stability test (CKCUEST) in adolescents: reliability of ckcuest in adolescents. Int J Sports Phys Ther. 2017;12(1):125-32. [PubMed] [PMC]
- Callaway A, Peck J, Ellis S, Williams J. A randomised observational study of individualised variations in the start position of the closed-kinetic chain upper extremity stability test. Phys Ther Sport. 2020;41:16-22. [Crossref] [PubMed]
- Lust KR, Sandrey MA, Bulger SM, Wilder N. The effects of 6-week training programs on throwing accuracy, proprioception, and core endurance in baseball. J Sport Rehabil. 2009;18(3):407-26. [Crossref] [PubMed]
- Boyaci A, Tutar M, Biyikli T. The effect of dynamic and static core exercises on physical performance in children. European Journal of Physical Education and Sport. 2018;4(7):50-61. [Link]
- Öztürk N. 5-6 yaş çocuklarında pilatesin postür ve fiziksel uygunluk parametrelerine etkisi: kontollü bir çalışma [Dokora tezi]. Denizli: Pamukkale Üniversitesi; 2020. Accessed 21 June 2023. [Link]
- İskenderoğlu C. Obez ve sağlıklı adölesanlarda günlük yaşam aktiviteleri, fiziksel uygunluk ve yaşam kalitesinin karşılaştırılması [Yüksek lisans tezi]. Ankara: Hacettepe Üniversitesi; 2020. Accessed 21 June 2023. [Link]
- Ervin RB, Fryar CD, Wang CY, Miller IM, Ogden CL. Strength and body weight in US children and adolescents. Pediatrics. 2014;134(3):e782-9. [Crossref] [PubMed] [PMC]
- Deforche B, Lefevre J, De Bourdeaudhuij I, Hills AP, Duquet W, Bouckaert J. Physical fitness and physical activity in obese and nonobese Flemish youth. Obes Res. 2003;11(3):434-41. [Crossref] [PubMed]
- Nuhmani S. Correlation between core stability and upper-extremity performance in male collegiate athletes. Medicina (Kaunas). 2022;58(8):982. [Crossref] [PubMed] [PMC]
- Miyake Y, Kobayashi R, Kelepecz D, Nakajima M. Core exercises elevate trunk stability to facilitate skilled motor behavior of the upper extremities. J Bodyw Mov Ther. 2013;17(2):259-65. [Crossref] [PubMed]
- Marmeleira J, Veiga G, Cansado H, Raimundo A. Relationship between motor proficiency and body composition in 6- to 10-year-old children. J Paediatr Child Health. 2017;53(4):348-53. [Crossref] [PubMed]
- Banjevic B, Aleksic D, Aleksic Veljkovic A, Katanic B, Masanovic B. Differences between healthy-weight and overweight serbian preschool children in motor and cognitive abilities. Int J Environ Res Public Health. 2022;19(18):11325. [Crossref] [PubMed] [PMC]
.: İşlem Listesi