Diz ekstansör ve fleksör kasların aktivite esnasında önemli dinamik stabilizörler olmalarının yanı sıra bu kas grubunda kuvvet değerlerinde meydana gelen bir azalma durumunda diz eklemi stabilitesi önemli derecede azalmaktadır. Bu bulgulardan hareketle, bu çalışmada basketbol müsabakasında dizin aşırı lateral rotasyon hareketi yönünde zorlanması sonucu sağ ve sol dizlerinden sakatlanan iki kadın sporcuda ön çapraz bağ (ACL) ve medial menisküs yırtığının diz ekstansiyon ve fleksiyon izokinetik pik tork kuvvet değerleri üzerindeki etkisi ve aynı zamanda ameliyattan 16 hafta sonra kişiye uygulanan düzenli Cybex test protokolünün kas kuvvet değerleri üzerindeki etkisini incelemek amaçlanmıştır. Çalışmada yer alan kadın sporcular diz ekleminin bilateral fleksiyon ve ekstansiyon ön test ölçüm değerlerine göre Cybex izokinetik dinamometre (ABD) kullanılarak 8 hafta ve 12 hafta olmak üzere haftada 3 gün farklı kasılma türlerini içeren bir ACL rehabilitasyon protokolüne tabi tutuldu. Cybex testleri sonucunda iki ay boyunca teste katılan kadın sporcunun sağ ve sol diz ekstansiyon-fleksiyon pik tork kuvvet farkı değerleri (Ekstansiyon Bazal: % 26, 1. ay: % 15, 2. ay: %5 Fleksiyon Bazal: % 11, 1. ay: %19, 2. ay: % 8) üç ay boyunca teste katılan kadın sporcunun sağ ve sol diz ekstansiyon-fleksiyon pik tork kuvvet farkı değerleri (Ekstansiyon Bazal: % 40, 1. ay: % 34, 2. ay: % 24 3. ay: % 14 Fleksiyon Bazal: % 19, 1. ay: %9, 2. ay: % 5, 3. ay: % 3) olarak bulunmuştur. ACL ameliyatlarından 16 hafta sonra uygulanmaya başlanan Cybex protokolünün sporcuların ekstremiteler arası kuvvet farklarını azaltarak spora dönüş sürecini hızlandırdığı ifade edilebilir.
In addition to the fact that the knee extender and flexor muscles are important dynamic stabilizers during activity, the stability of the knee joint is significantly reduced in the event of a decrease in strength values in this muscle group. Based on these findings, this study aimed at studying the impact of two female athletes in front cross connections (ACL) and medial meniscus breaking in the right and left knees as a result of the excessive lateral rotation movement in the basketball competition and the impact of the regular Cybex test protocol on the muscle strength values applied to a person 16 weeks after the operation. According to the bilateral fraction and extension pre-test measurement values of the knee joint, women athletes involved in the study were subjected to an ACL rehabilitation protocol, which contains 3 different types of contractions per week, including 8 weeks and 12 weeks, using the Cybex isochinetic dynamometer (US). Cybex tests resulted in two months of testing, the right and left knee extension-flexion pictur strength difference values (Extension Basal: 26, 1st month: 15, 2nd month: 5%; Flexion Basal: 11, 1st month: 19%, 2nd month: 8%); the right and left knee extension-flexion pictur strength difference values (Extension Basal: 40, 1st month: 34, 2nd month: 24%; 3rd month: 14%; Flexion Basal: 19, 1st month: 9, 2nd month: 5, 3rd month: 3%); The Cybex protocol, which began to be applied 16 weeks after ACL surgery, can be stated that it has accelerated the process of return to the sport by reducing athletes’ inter-end strength differences.
Knee extensor and flexor muscles are functioning as essential dynamic stabilizers during activity and a possible strength loss in these muscle groups considerably resulted in knee joint stability. According to these findings, it was aimed to examine the effect of the anterior cruciate ligament rupture (ACL) and medial meniscus tear of two female basketball players who injured due to excessive lateral rotation of the knee movement during competition and whether a Cybex protocol could be useful to improve the muscle strength parameters applied to the participants 16 weeks after following an ACL reconstruction surgery. An ACL rehabilitation protocol that enables different contraction patterns was conducted using a Cybex dynamometer (USA), which is an isokinetic measuring device, 3 times/week throughout 8 and 12 weeks based on the examination results of the flexion and extension strengths of the knee joint of participants. Bilateral knee extension-flexion muscle strength deficit of the participant following two months of testing session (Extension Baseline: 26 %, 1st Month: 15%, 2nd month: 5%; Flexion Baseline: 11%, 1st Month: 19 %, 2nd Month: 8 %); and following three months of rehabilitation session were found (Extension Baseline: 40%, 1st Month:34 %, 2nd Month: 24 %, 3rd Month: 14%; Flexion Baseline: 19%, 1st Month: 9%, 2nd Month: 5%, 3rd Month: 3%), respectively. As a result, it can be stated that Cybex protocol, which was started 16 weeks after ACL operations, accelerated the return to sports by decreasing the strength differences between the extremities of athletes.
Field : Spor Bilimleri
Journal Type : Ulusal
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