Eklem hipermobilitesinin fiziksel fitness üzerine etkileri
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Dosyalar
Tarih
2019
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Trakya Üniversitesi Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/embargoedAccess
Özet
Eklem hipermobilitesinin fiziksel fitness üzerine etkisini incelediğimiz çalışmamıza 18-23 yaş arası, asemptomatik, eklem hipermobilitesi bulunan 39 bayan gönüllü ile eklem hipermobilitesi bulunmayan 42 bayan gönüllü dahil edildi. Her iki gruba da maksimal bisiklet ergometri testi, 6 dakika yürüme testi, solunum fonksiyon testleri, maksimal inspiratuvar ve ekspiratuvar basınç ölçümü, vücut ağırlığı ve vücut kitle indeksinin belirlenmesi, deri kıvrım kalınlığı ölçümü, biyoelektriksel impedans analizi, otur eriş testi, izometrik ve izokinetik ölçümlerle kas kuvveti ve kas dayanıklılığı değerlendirmesi yapıldı. Eklem hipermobilitesi bulunan grupta VO2max, metabolik eşlenik birimi, maksimum watt/kilogram ve otur-eriş testi sonuçlarının eklem hipermobilitesi bulunmayan gruba göre daha yüksek olduğu görüldü (p<0.05). Bisiklet ergometri testini bırakma sebepleri, kalp hızı toparlanma indeksi, 6 dakika yürüme testi, solunum fonksiyon testleri, maksimal ekspiratuvar ve inspiratuvar basınçları, deri kıvrım kalınlığı ölçümleri, vücut kompozisyonu değerleri, dirsek fleksör ve ekstansör kas kuvvetleri, el kavrama kuvvetleri, diz fleksör ve ekstansör pik tork, yapılan toplam iş, hamstring/quadriceps oranları açısından iki grup arasında istatistiksel olarak anlamlı fark gözlenmedi (p>0.05). Buna göre eklem hipermobilitesi bulunan bireyler; hipermobil olmayan bireylerle aynı hatta daha yüksek seviyede fiziksel fitness kapasitesi sergileyebilirler. Ancak bu durum daha az stabil, daha zayıf ve yaralanmalara daha açık olan gevşek kapsül ve bağlara sahip olmaları nedeniyle daha fazla kas iskelet sistemi sorunu ile karşı karşıya kalmalarına yol açabilir. Toplumda oldukça sık rastlanması nedeniyle bireylerin hipermobilite açısından değerlendirilmesi akılda tutulmalı ve hipermobilite saptanan bireyler bu fiziksel özelliğin ilişkili olduğu durumlar, avantajları ve dezavantajları açısından bilgilendirilmelidir.
This study of the effect of joint hypermobility on physical fitness included 39 female volunteers with joint hypermobility and 42 female volunteers without joint hypermobility, who were asymptomatic and between the ages of 18-23. Maximal cycling ergometer tests, six minute walking tests, respiratory function tests, maximal inspiratory and expiratory pressure measurements, body weight and body mass index measurements, skin fold thickness measurements, bioelectrical impedance analyses, sit and reach tests, muscle strength and endurance assessments with isometric and isokinetic tests were performed for both groups. VO2max, metabolic equivalent of task, maximum watt/kg and sit and reach test results of the group with joint hypermobility were higher than the group without joint hypermobility (p<0.05). There was no significant difference between the two groups in terms of reasons for dropping the cycle ergometry test, heart rate recovery indexes, 6 minute walking test measures, respiratory function tests, maximal expiratory and inspiratory pressures, skin fold thicknesses, body composition values, elbow flexor and extensor muscle strenghts, hand grip strengths, knee flexor and extensor peak torques, total works, hamstring/quadriceps ratios (p>0.05). Accordingly, individuals with joint hypermobility can be shown the same or even higher levels of physical fitness capacity. However, this may lead to more musculoskeletal problems due to their lower stabil, weaker and looser capsules and ligaments. Joint hypermoblity is quite common in the society, therefore individuals should be inspected for joint hypermobility. Also, individuals with joint hypermobility should be informed about advantages and disadvantages of the situations, which are related with the physical property.
This study of the effect of joint hypermobility on physical fitness included 39 female volunteers with joint hypermobility and 42 female volunteers without joint hypermobility, who were asymptomatic and between the ages of 18-23. Maximal cycling ergometer tests, six minute walking tests, respiratory function tests, maximal inspiratory and expiratory pressure measurements, body weight and body mass index measurements, skin fold thickness measurements, bioelectrical impedance analyses, sit and reach tests, muscle strength and endurance assessments with isometric and isokinetic tests were performed for both groups. VO2max, metabolic equivalent of task, maximum watt/kg and sit and reach test results of the group with joint hypermobility were higher than the group without joint hypermobility (p<0.05). There was no significant difference between the two groups in terms of reasons for dropping the cycle ergometry test, heart rate recovery indexes, 6 minute walking test measures, respiratory function tests, maximal expiratory and inspiratory pressures, skin fold thicknesses, body composition values, elbow flexor and extensor muscle strenghts, hand grip strengths, knee flexor and extensor peak torques, total works, hamstring/quadriceps ratios (p>0.05). Accordingly, individuals with joint hypermobility can be shown the same or even higher levels of physical fitness capacity. However, this may lead to more musculoskeletal problems due to their lower stabil, weaker and looser capsules and ligaments. Joint hypermoblity is quite common in the society, therefore individuals should be inspected for joint hypermobility. Also, individuals with joint hypermobility should be informed about advantages and disadvantages of the situations, which are related with the physical property.
Açıklama
Anahtar Kelimeler
Eklem Hipermobilitesi, fiziksel Fitness, Sağlık, Hypermobility, Physical Fitness, Health
