Araştırma Makalesi
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Üst Ekstremite Sporlarında Kor Kuvvet, Denge ve Skapular Diskinezi: Gözlemsel bir Araştırma

Yıl 2023, Cilt: 8 Sayı: 2, 239 - 244, 06.06.2023
https://doi.org/10.26453/otjhs.1244135

Öz

Amaç: Bu çalışma, skapular diskinezinin kor kuvveti ve üst ekstremite dinamik dengesi üzerindeki etkisini değerlendirmeyi amaçladı.
Materyal ve Metot: Çalışmaya XX Üniversitesi Spor Bilimleri Fakültesi'nde aktif olarak voleybol veya basketbol oynayan 49 gönüllü dahil edildi. Çalışmada diskinezi varlığı Lateral Scapular Slide Test ile; kor kuvveti, Modifiye Yan Plank Testi ve Biering-Sorenson Testi ile; üst ekstremite dengesi ise üst ekstremite Y-Denge Testi (YBT-UQ) ile değerlendirildi. Bağımsız grup farklılıklarının karşılaştırılmasında bağımsız gruplar t testi ve Mann Whitney U testi kullanıldı.
Bulgular: 17 (%34,7) sporcuda skapular diskinezi bulunurken, 32 (%65,3) sporcuda skapular diskinezi yoktu. Diskinezisi olmayan sporcularda, Modifiye Yan Plank Testi puanları ve dominant YBT-UQ total skorları ve non-dominant YBT-UQ total skorları, skapular diskinezisi olanlardan istatistiksel olarak daha yüksekti (p<0,05). Biering-Sorenson Testine göre gruplar arasında anlamlı bir fark saptanmadı (p>0.05).
Sonuç: Mevcut sonuçlara dayanarak, üst ekstremite sporlarının eğitimine skapular stabilizasyonu sağlamak için denge ve core kasları geliştirmeye yönelik egzersizlerin dahil edilmesi önerilmektedir.

Destekleyen Kurum

Bulunmamaktadır

Kaynakça

  • 1. Jiang B, Sun H, Bai W, et al. Data analysis of soccer athletes' physical fitness test based on multi-view clustering. J Phys Conf Ser. 2018;1060(1):012024. doi:10.1088/1742-6596/1060/1/012024
  • 2. Suchomel TJ, Nimphius S, Stone MH. The importance of muscular strength in athletic performance. Sports Med. 2016;46:1419-1449. doi:10.1007/s40279-016-0486-0
  • 3. Nuhmani S. Correlation between core stability and upper-extremity performance in male collegiate athletes. Medicina (Kaunas). 2022;58(8):982. doi:10.3390/medicina58080982
  • 4. Arora C, Singh P, Varghese V. Biomechanics of core musculature on upper extremity performance in basketball players. J Bodyw Mov Ther. 2021;27:127-133. doi:10.1016/j.jbmt.2021.02.023.
  • 5. Bauer J, Gruber M, Muehlbauer T. Correlations between core muscle strength endurance and upper-extremity performance in adolescent male sub-elite handball players. Front Sports Act Living. 2022;4:1050279. doi:10.3389/fspor.2022.1050279
  • 6. Comerford MA, Mottram SL. Movement and stability dysfunction: Contemporary developments. Man Ther. 2001;6(1):15-26. doi:10.1054/math.2000.0388
  • 7. Kibler WB, Ludewig PM, McClure PW, Uhl TL, Sciascia A. Scapular summit 2009: Introduction. July 16, 2009, Lexington, Kentucky. J Orthop Sports Phys Ther. 2009;39(11):1-13.
  • 8. Kibler WB, Ludewig PM, McClure PW, Michener LA, Bak K, Sciascia AD. Clinical implications of scapular dyskinesis in shoulder injury: The 2013 consensus statement from the 'Scapular summit'. Br J Sports Med. 2013;47(14):877-885. doi:10.1136/bjsports-2013-092425
  • 9. Çakır M, Ergin E. The effect of core trainingon agility,explosive strenghtand balance in young female volleyball players. J Sports Sci Res.2022;7(2):525-535.doi:10.25307/jssr.1171779.
  • 10. McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: Clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999;80(8):941-944. doi:10.1016/S0003-9993(99)90087-4
  • 11. Robinson R, Gribble P. Kinematic predictors of performance on the star excursion balance test. J Sport Rehab. 2008;17:347-357. doi:10.1123/jsr.17.4.347
  • 12. Goldbeck TG, Davies GJ. Test-retest reliability of the closed kinetic chain upper extremity stability test: A clinical field test. J Sport Rehab. 2000;9(1):35-45. doi:10.1123/jsr.9.1.35
  • 13. Odom CJ, Taylor AB, Hurd CE, Denegar CR. Measurement of scapular asymmetry and assessment of shoulder dysfunction using the lateral scapular slide test: A reliability and validity study. Phys Ther. 2001;81(2):799-809. doi:10.1093/ptj/81.2.799
  • 14. Burn MB, McCulloch PC, Lintner DM, et al. Prevalence of scapular dyskinesis in overhead and nonoverhead athletes. Orthop J Sports Med. 2016;4(2):2325967115627608. doi:10.1177/2325967115627608
  • 15. Andersson SH, Bahr R, Clarsen B, Myklebust G. Risk factors for overuse shoulder injuries in a mixed-sex cohort of 329 elite handball players: Previous findings could not be confirmed. Br J Sports Med. 2017;52(18): 1191-1198. doi:10.1136/bjsports-2017-097648.286-287
  • 16. Sayaca Ç, Erkan B. Kick boks sporcularında skapular diskinezi, beden imajı ve benlik saygısının değerlendirilmesi. Fiz Tıp ve Rehab. 2021;12(2):301-305. doi:10.31067/acusaglik.850792
  • 17. Sarı NB. Adölesan tenis oyuncularında omuz rotator kas esnekliği ve eklem hareket genişliği ile izokinetik kas kuvvet değerlerinin incelenmesi. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü Ortopedik Fizyoterapi ve Rehabilitasyon Anabilim Dalı, Yüksek Lisans Tezi. Ankara, Türkiye. 2019.
  • 18. Koslow PA, Prosser LA, Strony GA, Suchecki SL, Mattingly GE. Specificity of the lateral scapular slide test in asymptomatic competitive athletes. J Orthop Sports Phys Ther. 2003; 33(6):331-336. doi:10.2519/jospt.2003.33.6.331
  • 19. Sezik AÇ. Adolesan voleybol oyuncularında skapula pozisyonu ile üst ekstremite kuvvet, güç, endurans ve dengenin ilişkisi. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü Spor Fizyoterapistliği Anabilim Dalı, Yüksek Lisans Tezi. Ankara, Türkiye. 2018.
  • 20. Jildeh TR, Ference DA, Abbas MJ, Jiang EX, Okoroha KR. Scapulothoracic dyskinesis: A concept review. Curr Rev Musculoskelet Med. 2021;14(3):246-254. doi:10.1007/s12178-021-09705-8
  • 21. Kheradmandi A, Kamali F, Ebrahimian M, Abbasi L. Comparison between dry needling plus manual therapy with manual therapy alone on pain and function in overhead athletes with scapular dyskinesia: A randomized clinical trial. J Bodyw Mov Ther. 2021;26:339-346. doi:10.1016/j.jbmt.2020.11.017
  • 22. Depreli Ö, Angın E. Review of scapular movement disorders among office workers having ergonomic risk. J Back Musculoskelet Rehabil. 2018;31(2):371-380. doi:10.3233/BMR-170790
  • 23. Bauer J, Gruber M, Muehlbauer T. Correlations between core muscle strength endurance and upper-extremity performance in adolescent male sub-elite handball players. Front Sports Act Living. 2022; 4:1050279. doi:10.3389/fspor.2022.1050279
  • 24. Tawde P, Dabadghav R, Bedekar N, Shyam A, Sancheti P. Assessment of cervical range of motion, cervical core strength and scapular dyskinesia in violin players. Int J Occup Saf Ergon. 2016;22(4):572–576. doi:10.1080/10803548.2016.1181892
  • 25. 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. doi:10.1123/jsr.2014-0296
  • 26. Gorman PP, Butler RJ, Plisky PJ, Kiesel KB. Upper quarter y balance test: Reliability and performance comparison between genders in active adults. J Strength Cond Res. 2012;26(11):3043-3048. doi:10.1519/JSC.0b013e3182472fdb
  • 27. Tomasa T, Østerås S, McGhie D. No association between dynamic trunk flexion strength and throwing velocity in elite women handball players. Isokinet Exerc Sci. 2021;30(3):1-11. doi:10.3233/IES-210142
  • 28. Nuhmani S. Correlation between core stability and upperextremity performance in male collegiate athletes. Medicina (Kaunas). 2022;58(8):982. doi:10.3390/medicina58080982
  • 29. Amasay T, Hall GA II, Shapiro S, Ludwig K. The relation between scapular dyskinesis and the upper quarter y-balance test. Int J Anat Appl Physiol. 2016;2(2):20-25. doi:10.19070/2572-7451-160003
  • 30. Vasseljen O, Unsgaard-Tøndel M, Westad C, Mork PJ. Effect of core stability exercises on feed-forward activation of deep abdominal muscles in chronic low back pain: A randomized controlled trial. Spine. 2012;37(13):1101-1108. doi:10.1097/BRS.0b013e318241377c

Core Strength, Balance and Scapular Dyskinesia in Upper Extremity Sports: A Cross-Sectional Study

Yıl 2023, Cilt: 8 Sayı: 2, 239 - 244, 06.06.2023
https://doi.org/10.26453/otjhs.1244135

Öz

Objective: This study aimed to assess the effect of scapular dyskinesia on core strength and upper extremity dynamic balance.
Materials and Methods: The study included 49 volunteer participants who were active volleyball or basketball players at XX University Faculty of Sport Sciences. The presence of dyskinesia in the study was assessed with the Lateral Scapular Slide Test; core strength was assessed with the Modified Side Plank Test and the Biering-Sorenson Test; and, upper extremity balance was evaluated with the Upper Quarter Y-Balance Test (YBT-UQ). Independent groups t-test and Mann Whitney U test were used to compare independent group differences.
Results: While 17 (34.7%) athletes had scapular dyskinesia, 32 (65.3%) did not have scapular dyskinesia. In athletes without dyskinesia, Modified Side Plank Test scores and dominant YBT-UQ total scores, and non-dominant YBT-UQ total scores were statistically higher than those with scapular dyskinesia (p<0.05). No significant difference is detected between groups according to Biering-Sorenson Test (p>0.05).
Conclusion: Based on the present results, it is recommended to include exercises for developing balance and core muscles to provide scapular stabilization in the training of the upper extremity sports.

Kaynakça

  • 1. Jiang B, Sun H, Bai W, et al. Data analysis of soccer athletes' physical fitness test based on multi-view clustering. J Phys Conf Ser. 2018;1060(1):012024. doi:10.1088/1742-6596/1060/1/012024
  • 2. Suchomel TJ, Nimphius S, Stone MH. The importance of muscular strength in athletic performance. Sports Med. 2016;46:1419-1449. doi:10.1007/s40279-016-0486-0
  • 3. Nuhmani S. Correlation between core stability and upper-extremity performance in male collegiate athletes. Medicina (Kaunas). 2022;58(8):982. doi:10.3390/medicina58080982
  • 4. Arora C, Singh P, Varghese V. Biomechanics of core musculature on upper extremity performance in basketball players. J Bodyw Mov Ther. 2021;27:127-133. doi:10.1016/j.jbmt.2021.02.023.
  • 5. Bauer J, Gruber M, Muehlbauer T. Correlations between core muscle strength endurance and upper-extremity performance in adolescent male sub-elite handball players. Front Sports Act Living. 2022;4:1050279. doi:10.3389/fspor.2022.1050279
  • 6. Comerford MA, Mottram SL. Movement and stability dysfunction: Contemporary developments. Man Ther. 2001;6(1):15-26. doi:10.1054/math.2000.0388
  • 7. Kibler WB, Ludewig PM, McClure PW, Uhl TL, Sciascia A. Scapular summit 2009: Introduction. July 16, 2009, Lexington, Kentucky. J Orthop Sports Phys Ther. 2009;39(11):1-13.
  • 8. Kibler WB, Ludewig PM, McClure PW, Michener LA, Bak K, Sciascia AD. Clinical implications of scapular dyskinesis in shoulder injury: The 2013 consensus statement from the 'Scapular summit'. Br J Sports Med. 2013;47(14):877-885. doi:10.1136/bjsports-2013-092425
  • 9. Çakır M, Ergin E. The effect of core trainingon agility,explosive strenghtand balance in young female volleyball players. J Sports Sci Res.2022;7(2):525-535.doi:10.25307/jssr.1171779.
  • 10. McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: Clinical targets for testing and training from a normal database. Arch Phys Med Rehabil. 1999;80(8):941-944. doi:10.1016/S0003-9993(99)90087-4
  • 11. Robinson R, Gribble P. Kinematic predictors of performance on the star excursion balance test. J Sport Rehab. 2008;17:347-357. doi:10.1123/jsr.17.4.347
  • 12. Goldbeck TG, Davies GJ. Test-retest reliability of the closed kinetic chain upper extremity stability test: A clinical field test. J Sport Rehab. 2000;9(1):35-45. doi:10.1123/jsr.9.1.35
  • 13. Odom CJ, Taylor AB, Hurd CE, Denegar CR. Measurement of scapular asymmetry and assessment of shoulder dysfunction using the lateral scapular slide test: A reliability and validity study. Phys Ther. 2001;81(2):799-809. doi:10.1093/ptj/81.2.799
  • 14. Burn MB, McCulloch PC, Lintner DM, et al. Prevalence of scapular dyskinesis in overhead and nonoverhead athletes. Orthop J Sports Med. 2016;4(2):2325967115627608. doi:10.1177/2325967115627608
  • 15. Andersson SH, Bahr R, Clarsen B, Myklebust G. Risk factors for overuse shoulder injuries in a mixed-sex cohort of 329 elite handball players: Previous findings could not be confirmed. Br J Sports Med. 2017;52(18): 1191-1198. doi:10.1136/bjsports-2017-097648.286-287
  • 16. Sayaca Ç, Erkan B. Kick boks sporcularında skapular diskinezi, beden imajı ve benlik saygısının değerlendirilmesi. Fiz Tıp ve Rehab. 2021;12(2):301-305. doi:10.31067/acusaglik.850792
  • 17. Sarı NB. Adölesan tenis oyuncularında omuz rotator kas esnekliği ve eklem hareket genişliği ile izokinetik kas kuvvet değerlerinin incelenmesi. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü Ortopedik Fizyoterapi ve Rehabilitasyon Anabilim Dalı, Yüksek Lisans Tezi. Ankara, Türkiye. 2019.
  • 18. Koslow PA, Prosser LA, Strony GA, Suchecki SL, Mattingly GE. Specificity of the lateral scapular slide test in asymptomatic competitive athletes. J Orthop Sports Phys Ther. 2003; 33(6):331-336. doi:10.2519/jospt.2003.33.6.331
  • 19. Sezik AÇ. Adolesan voleybol oyuncularında skapula pozisyonu ile üst ekstremite kuvvet, güç, endurans ve dengenin ilişkisi. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü Spor Fizyoterapistliği Anabilim Dalı, Yüksek Lisans Tezi. Ankara, Türkiye. 2018.
  • 20. Jildeh TR, Ference DA, Abbas MJ, Jiang EX, Okoroha KR. Scapulothoracic dyskinesis: A concept review. Curr Rev Musculoskelet Med. 2021;14(3):246-254. doi:10.1007/s12178-021-09705-8
  • 21. Kheradmandi A, Kamali F, Ebrahimian M, Abbasi L. Comparison between dry needling plus manual therapy with manual therapy alone on pain and function in overhead athletes with scapular dyskinesia: A randomized clinical trial. J Bodyw Mov Ther. 2021;26:339-346. doi:10.1016/j.jbmt.2020.11.017
  • 22. Depreli Ö, Angın E. Review of scapular movement disorders among office workers having ergonomic risk. J Back Musculoskelet Rehabil. 2018;31(2):371-380. doi:10.3233/BMR-170790
  • 23. Bauer J, Gruber M, Muehlbauer T. Correlations between core muscle strength endurance and upper-extremity performance in adolescent male sub-elite handball players. Front Sports Act Living. 2022; 4:1050279. doi:10.3389/fspor.2022.1050279
  • 24. Tawde P, Dabadghav R, Bedekar N, Shyam A, Sancheti P. Assessment of cervical range of motion, cervical core strength and scapular dyskinesia in violin players. Int J Occup Saf Ergon. 2016;22(4):572–576. doi:10.1080/10803548.2016.1181892
  • 25. 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. doi:10.1123/jsr.2014-0296
  • 26. Gorman PP, Butler RJ, Plisky PJ, Kiesel KB. Upper quarter y balance test: Reliability and performance comparison between genders in active adults. J Strength Cond Res. 2012;26(11):3043-3048. doi:10.1519/JSC.0b013e3182472fdb
  • 27. Tomasa T, Østerås S, McGhie D. No association between dynamic trunk flexion strength and throwing velocity in elite women handball players. Isokinet Exerc Sci. 2021;30(3):1-11. doi:10.3233/IES-210142
  • 28. Nuhmani S. Correlation between core stability and upperextremity performance in male collegiate athletes. Medicina (Kaunas). 2022;58(8):982. doi:10.3390/medicina58080982
  • 29. Amasay T, Hall GA II, Shapiro S, Ludwig K. The relation between scapular dyskinesis and the upper quarter y-balance test. Int J Anat Appl Physiol. 2016;2(2):20-25. doi:10.19070/2572-7451-160003
  • 30. Vasseljen O, Unsgaard-Tøndel M, Westad C, Mork PJ. Effect of core stability exercises on feed-forward activation of deep abdominal muscles in chronic low back pain: A randomized controlled trial. Spine. 2012;37(13):1101-1108. doi:10.1097/BRS.0b013e318241377c
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makalesi
Yazarlar

Nazan Öztürk 0000-0002-7510-4336

Esin Ergin 0000-0002-9645-1863

Fatma Ünver 0000-0002-3100-0818

Alper Kartal 0000-0001-5209-5134

Erken Görünüm Tarihi 31 Mayıs 2023
Yayımlanma Tarihi 6 Haziran 2023
Gönderilme Tarihi 29 Ocak 2023
Kabul Tarihi 24 Nisan 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 8 Sayı: 2

Kaynak Göster

AMA Öztürk N, Ergin E, Ünver F, Kartal A. Core Strength, Balance and Scapular Dyskinesia in Upper Extremity Sports: A Cross-Sectional Study. OTSBD. Haziran 2023;8(2):239-244. doi:10.26453/otjhs.1244135

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