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Sedanter Kadınlarda Hamstring-Quadriseps Gelişimi: 6 Ay Takipli Stabilizasyon ve Aerobik Eğitimin Karşılaştırılması

Year 2017, Volume: 7 Issue: 2, 45 - 51, 15.06.2017

Abstract

Amaç: Bu çalışmada yetişkin kadınlarda aerobik ve spinal stabilizasyon egzersiz eğitiminin dizde hamstring-quadriseps kas kuvvetleri oranına (H/Q) etkisinin belirlenmesi ve karşılaştırılması amaçlandı.

 

Yöntemler: Spor salonuna başvuran 85 kadından 70'i rastgele spinal stabilizasyon ve aerobik eğitim gruplarına atandı (1, 2). Herhangi bir spor ya da egzersiz programına katılmayan, üniversite bölümlerinde çalışan 35 sedanter kadından 21'i kontrol grubu olarak takip edildi. Programlar haftada 3 gün olmak üzere 6 ay boyunca uygulandı. Tüm bireyler eğitim öncesinde ve eğitimin 3. ve 6. aylarında değerlendirildi. Değerlendirmeler Isomed 2000 (D&R Ferstl GmbH, Hemau, Germany) izokinetik sistem ile yapıldı. Tepe torku ve toplam işin H/Q oranı hesaplandı. Tekrarlı ölçümler ve "tedaviyi tamamlayanlar" protokolü (spinal stabilizasyon (n=28), aerobik eğitim (n=23)) istatistiksel analizde kullanıldı.

 

Bulgular: Aerobik eğitim grubunun dominant taraf tepe torku H/Q oranı eğitim öncesi (0,732±0,12) ve eğitimin 6. ayında (0,847±0,11) arttı (F=6,08; p=0,03). Stabilizasyon eğitimi grubunun dominant taraf toplam iş H/Q oranı eğitim öncesi (0,773±0,15) ve eğitimin 3. ayında (0,855±0,12) arttı (F=6,402; p=0,002). Aerobik eğitim grubunda H/Q oranı eğitim öncesi (0,707±0,17) ve eğitimin 6. ayında (0,777±0,13) arttı.

 

Sonuç: Hem aerobik hem de stabilizasyon eğitimi toplam iş H/Q oranını geliştirdi. Sedanter kadınlarda H/Q oranının hızlı gelişimi için stabilizasyon eğitimi önerilebilir. 

References

  • 1. Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. CMAJ 2006; 174: 801-9. [CrossRef] 2. Brockie J. Exercise for women in the early postmenopausal years. J Br Menopause Soc 2006; 12: 126-7. [CrossRef] 3. Brown WJ1, Burton NW, Rowan PJ. Updating the evidence on physical activity and health in women. Am J Prev Med 2007; 33: 404-11. [CrossRef] 4. Alex C, Lindgren M, Shapiro PA, McKinley PS, Brondolo EN, Myers MM, et al. Aerobic exercise and strength training effects on cardiovascular sympathetic function in healthy adults: a randomized controlled trial. Psychosom Med 2013; 75: 375-81. [CrossRef] 5. Crane JD, Macneil LG, Tarnopolsky MA. Long-term aerobic exercise is associated with greater muscle strength throughout the life span. J Gerontol A Biol Sci Med Sci 2013; 68: 631-8. [CrossRef] 6. Donnelly JE, Honas JJ, Smith BK, Mayo MS, Gibson CA, Sullivan DK, et al. Aerobic exercise alone results in clinically significant weight loss for men and women: midwest exercise trial 2. Obesity (Silver Spring) 2013; 21: E219-28. [CrossRef] 7. Kloubec JA. Pilates for improvement of muscle endurance, flexibility, balance, and posture. J Strength Cond Res 2010; 24: 661-7. [CrossRef] 8. Guimarães GV, Carvalho VO, Bocchi EA, d’Avilla VM. Pilates in heart failure patients: a randomized controlled pilot trial. Cardiovasc Ther 2012; 30: 351-6. [CrossRef] 9. Kaya DO, Ergun N, Hayran M. Effects of different segmental spinal stabilization exercise protocols on postural stability in asymptomatic subjects: randomized controlled trial. J Back Musculoskelet Rehabil 2012; 25: 109- 16. [CrossRef] 10. Sharma A, Geovinson SG, Singh Sandhu J. Effects of a nine-week core strengthening exercise program on vertical jump performances and static balance in volleyball players with trunk instability. J Sports Med Phys Fitness 2012; 52: 606-15. 11. Jamison ST, McNeilan RJ, Young GS, Givens DL, Best TM, Chaudhari AM. Randomized controlled trial of the effects of a trunk stabilization program on trunk control and knee loading. Med Sci Sports Exerc 2012; 44: 1924-34. [CrossRef] 12. Yılmaz Yelvar GD, Baltacı G, Bayrakcı Tunay V, Atay AÖ. The effect of postural stabilization exercises on pain and function in females with patellofemoral pain syndrome. Acta Orthop Traumatol Turc 2015; 49: 166- 74. [CrossRef] 13. Heiden TL, Lloyd DG, Ackland TR. Knee extension and flexion weakness in people with knee osteoarthritis: is antagonist cocontraction a factor? J Orthop Sports Phys Ther 2009; 39: 807-15. [CrossRef] 14. Jinks C, Jordan K, Croft P. Osteoarthritis as a public health problem: the impact of developing knee pain on physical function in adults living in the community: (KNEST 3). Rheumatology 2007; 46: 877-81. [CrossRef] 15. Ali F, Jinks C, Ong BN. “…Keep mobile, I think that’s half the battle.” A qualitative study of prevention of knee pain in symptomless older adults. BMC Public Health 2012; 12: 753. [CrossRef] 16. Costa PB, Ryan ED, Herda TJ, DeFreitas JM, Beck TW, Cramer JT. Effects of stretching on peak torque and the H:Q ratio. Int J Sports Med 2009; 30: 60-5. [CrossRef] 17. Devan MR, Pescatello LS, Faghri P, Anderson J. A prospective study of overuse knee injuries among female athletes with muscle imbalances and structural abnormalities. J Athl Train 2004; 39: 263-7. 18. Palmer KT, Reading I, Calnan M, Linaker C, Coggon D. Does knee pain the community behave like a regional pain syndrome? Prospective cohort study of incidence and persistence. Ann Rheum Dis 2007; 66: 1190-4. [CrossRef] 19. Aagaard P, Simonsen EB, Magnusson SP, Larsson B, Dyhre-Poulsen P. A new concept for isokinetic hamstring: quadriceps muscle strength ratio. Am J Sports Med 1998; 26: 231-7. 20. Coombs R, Garbutt G. Developments in the use of the hamstring/quadriceps ratio for the assessment of muscle balance. J Sports Sci Med 2002; 1: 56-62. 21. Holcomb WR, Rubley MD, Lee HJ, Guadagnoli MA. Effect of hamstring-emphasized resistance training on hamstring: quadriceps strength ratios. J Strength Cond Res 2007; 21: 41-7. [CrossRef] 22. Ahmad CS, Clark AM, Heilmann N, Schoeb JS, Gardner TR, Levine WN. Effect of gender maturity on quadriceps-to-hamstring strength ratio and anterior cruciate ligament laxity. Am J Sports Med 2006; 34: 370-4. [CrossRef ] 23. Tsang KK, DiPasquale AA. Improving the Q:H strength ratio in women using plyometric exercises. J Strength Cond Res 2011; 25: 2740-5. [CrossRef ] 24. Karatrantou K, Gerodimos V, Dipla K, Zaferidis A. Whole- body vibration training improves flexibility, strength profile of knee flexors, and hamstrings-to-quadriceps strength ratio in females. J Sci Med Sport 2013; 16: 477-81. [CrossRef] 25. Dirnberger J, Huber C, Hoop D, Kösters A, Müller E. Reproducibility of concentric and eccentric isokinetic multi-joint leg extension measurements using the IsoMed 2 000-system. Isokinet Exerc Sci 2013; 21: 195- 202. 26. Bernardo LM. The effectiveness of Pilates training in healthy adults: An appraisal of the research literature. J Bodyw Mov Ther 2007; 11: 106-10. [CrossRef] 27. Whaley M. American College of Sports Medicine: Guidelines for Exercise Testing and Prescription, Vol 7, Philadelphia, PA, Lippincott Williams & Wilkins, 2006. 28. Jinks C, Jordan K, Ong BN, Croft P. A brief screening tool for knee pain in primary care (KNEST). 2. Results from a survey in the general population aged 50 and over. Rheumatology 2004; 43: 55-61. [CrossRef] 29. Ebben WP. Hamstring activation during lower body resistance training exercises. Int J Sports Physiol Perform 2009; 4: 84-96. [CrossRef] 30. El-Ashker S, Carson BP, Ayala F, De Ste Croix M. Sex-related differences in joint-angle-specific functional hamstring-to-quadriceps strength ratios. Knee Surg Sports Traumatol Arthrosc 2015. [CrossRef]

Improving the Hamstrings-to-Quadriceps Strength Ratio in Sedentary Women: Comparison of Stabilization Training and Aerobic Training After a 6-Months Follow-up

Year 2017, Volume: 7 Issue: 2, 45 - 51, 15.06.2017

Abstract

Objective: The goals of this study were to investigate and compare the effects of aerobic and spinal stabilization training on the knee muscle hamstring-to-quadriceps (H/Q) ratio in adult women.

 

Methods: Seventy of 85 women who applied to the fitness center were randomly assigned to spinal stabilization or aerobic training groups (1, 2). Twenty-one women out of 35 sedentary women from the university who had not participated to any sport or exercise program were followed as controls. The training programs were conducted for 3 days/week for six months. All subjects were assessed before training, at the 3rd, and 6th month of training. Assessments were performed with the Isomed 2000 isokinetic system (D&R Ferstl GmbH, Hemau, Germany). The peak torque and total work of H/Q ratios were calculated. Repeated measures and the “as treated” protocol (spinal stabilization (n=28), aerobic training (n=23)) were used for the analysis.

 

Results: The hamstring-to-quadriceps ratio of peak torques on the dominant side increased between pre-training (0.732±0.12) and the 6th month of training (0.847±0.11) in the aerobic training group (F=6.08; p=0.03). The H/Q ratio of the total work increased on the dominant side in the stabilization training group between pre-training (0.773±0.15) and the 3rd month (0.855±0.12), (F=6.402; p=0.002) of training. It increased pre-training (0.707±0.17) and in the 6th month of training (0.777±0.13) in aerobic training group.

 

Conclusion: Both aerobic and stabilization trainings improved the total work of the H/Q ratio. Stabilization training could be recommended for prompt improvement of the H/Q ratio for sedentary women. 

References

  • 1. Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. CMAJ 2006; 174: 801-9. [CrossRef] 2. Brockie J. Exercise for women in the early postmenopausal years. J Br Menopause Soc 2006; 12: 126-7. [CrossRef] 3. Brown WJ1, Burton NW, Rowan PJ. Updating the evidence on physical activity and health in women. Am J Prev Med 2007; 33: 404-11. [CrossRef] 4. Alex C, Lindgren M, Shapiro PA, McKinley PS, Brondolo EN, Myers MM, et al. Aerobic exercise and strength training effects on cardiovascular sympathetic function in healthy adults: a randomized controlled trial. Psychosom Med 2013; 75: 375-81. [CrossRef] 5. Crane JD, Macneil LG, Tarnopolsky MA. Long-term aerobic exercise is associated with greater muscle strength throughout the life span. J Gerontol A Biol Sci Med Sci 2013; 68: 631-8. [CrossRef] 6. Donnelly JE, Honas JJ, Smith BK, Mayo MS, Gibson CA, Sullivan DK, et al. Aerobic exercise alone results in clinically significant weight loss for men and women: midwest exercise trial 2. Obesity (Silver Spring) 2013; 21: E219-28. [CrossRef] 7. Kloubec JA. Pilates for improvement of muscle endurance, flexibility, balance, and posture. J Strength Cond Res 2010; 24: 661-7. [CrossRef] 8. Guimarães GV, Carvalho VO, Bocchi EA, d’Avilla VM. Pilates in heart failure patients: a randomized controlled pilot trial. Cardiovasc Ther 2012; 30: 351-6. [CrossRef] 9. Kaya DO, Ergun N, Hayran M. Effects of different segmental spinal stabilization exercise protocols on postural stability in asymptomatic subjects: randomized controlled trial. J Back Musculoskelet Rehabil 2012; 25: 109- 16. [CrossRef] 10. Sharma A, Geovinson SG, Singh Sandhu J. Effects of a nine-week core strengthening exercise program on vertical jump performances and static balance in volleyball players with trunk instability. J Sports Med Phys Fitness 2012; 52: 606-15. 11. Jamison ST, McNeilan RJ, Young GS, Givens DL, Best TM, Chaudhari AM. Randomized controlled trial of the effects of a trunk stabilization program on trunk control and knee loading. Med Sci Sports Exerc 2012; 44: 1924-34. [CrossRef] 12. Yılmaz Yelvar GD, Baltacı G, Bayrakcı Tunay V, Atay AÖ. The effect of postural stabilization exercises on pain and function in females with patellofemoral pain syndrome. Acta Orthop Traumatol Turc 2015; 49: 166- 74. [CrossRef] 13. Heiden TL, Lloyd DG, Ackland TR. Knee extension and flexion weakness in people with knee osteoarthritis: is antagonist cocontraction a factor? J Orthop Sports Phys Ther 2009; 39: 807-15. [CrossRef] 14. Jinks C, Jordan K, Croft P. Osteoarthritis as a public health problem: the impact of developing knee pain on physical function in adults living in the community: (KNEST 3). Rheumatology 2007; 46: 877-81. [CrossRef] 15. Ali F, Jinks C, Ong BN. “…Keep mobile, I think that’s half the battle.” A qualitative study of prevention of knee pain in symptomless older adults. BMC Public Health 2012; 12: 753. [CrossRef] 16. Costa PB, Ryan ED, Herda TJ, DeFreitas JM, Beck TW, Cramer JT. Effects of stretching on peak torque and the H:Q ratio. Int J Sports Med 2009; 30: 60-5. [CrossRef] 17. Devan MR, Pescatello LS, Faghri P, Anderson J. A prospective study of overuse knee injuries among female athletes with muscle imbalances and structural abnormalities. J Athl Train 2004; 39: 263-7. 18. Palmer KT, Reading I, Calnan M, Linaker C, Coggon D. Does knee pain the community behave like a regional pain syndrome? Prospective cohort study of incidence and persistence. Ann Rheum Dis 2007; 66: 1190-4. [CrossRef] 19. Aagaard P, Simonsen EB, Magnusson SP, Larsson B, Dyhre-Poulsen P. A new concept for isokinetic hamstring: quadriceps muscle strength ratio. Am J Sports Med 1998; 26: 231-7. 20. Coombs R, Garbutt G. Developments in the use of the hamstring/quadriceps ratio for the assessment of muscle balance. J Sports Sci Med 2002; 1: 56-62. 21. Holcomb WR, Rubley MD, Lee HJ, Guadagnoli MA. Effect of hamstring-emphasized resistance training on hamstring: quadriceps strength ratios. J Strength Cond Res 2007; 21: 41-7. [CrossRef] 22. Ahmad CS, Clark AM, Heilmann N, Schoeb JS, Gardner TR, Levine WN. Effect of gender maturity on quadriceps-to-hamstring strength ratio and anterior cruciate ligament laxity. Am J Sports Med 2006; 34: 370-4. [CrossRef ] 23. Tsang KK, DiPasquale AA. Improving the Q:H strength ratio in women using plyometric exercises. J Strength Cond Res 2011; 25: 2740-5. [CrossRef ] 24. Karatrantou K, Gerodimos V, Dipla K, Zaferidis A. Whole- body vibration training improves flexibility, strength profile of knee flexors, and hamstrings-to-quadriceps strength ratio in females. J Sci Med Sport 2013; 16: 477-81. [CrossRef] 25. Dirnberger J, Huber C, Hoop D, Kösters A, Müller E. Reproducibility of concentric and eccentric isokinetic multi-joint leg extension measurements using the IsoMed 2 000-system. Isokinet Exerc Sci 2013; 21: 195- 202. 26. Bernardo LM. The effectiveness of Pilates training in healthy adults: An appraisal of the research literature. J Bodyw Mov Ther 2007; 11: 106-10. [CrossRef] 27. Whaley M. American College of Sports Medicine: Guidelines for Exercise Testing and Prescription, Vol 7, Philadelphia, PA, Lippincott Williams & Wilkins, 2006. 28. Jinks C, Jordan K, Ong BN, Croft P. A brief screening tool for knee pain in primary care (KNEST). 2. Results from a survey in the general population aged 50 and over. Rheumatology 2004; 43: 55-61. [CrossRef] 29. Ebben WP. Hamstring activation during lower body resistance training exercises. Int J Sports Physiol Perform 2009; 4: 84-96. [CrossRef] 30. El-Ashker S, Carson BP, Ayala F, De Ste Croix M. Sex-related differences in joint-angle-specific functional hamstring-to-quadriceps strength ratios. Knee Surg Sports Traumatol Arthrosc 2015. [CrossRef]
There are 1 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

İrem Düzgün

Derya Özer Kaya This is me

Gül Baltacı This is me

Selma Karacan This is me

Filiz Çolakoğlu This is me

Publication Date June 15, 2017
Submission Date July 18, 2016
Published in Issue Year 2017 Volume: 7 Issue: 2

Cite

APA Düzgün, İ., Özer Kaya, D., Baltacı, G., Karacan, S., et al. (2017). Improving the Hamstrings-to-Quadriceps Strength Ratio in Sedentary Women: Comparison of Stabilization Training and Aerobic Training After a 6-Months Follow-up. Clinical and Experimental Health Sciences, 7(2), 45-51.
AMA Düzgün İ, Özer Kaya D, Baltacı G, Karacan S, Çolakoğlu F. Improving the Hamstrings-to-Quadriceps Strength Ratio in Sedentary Women: Comparison of Stabilization Training and Aerobic Training After a 6-Months Follow-up. Clinical and Experimental Health Sciences. June 2017;7(2):45-51.
Chicago Düzgün, İrem, Derya Özer Kaya, Gül Baltacı, Selma Karacan, and Filiz Çolakoğlu. “Improving the Hamstrings-to-Quadriceps Strength Ratio in Sedentary Women: Comparison of Stabilization Training and Aerobic Training After a 6-Months Follow-up”. Clinical and Experimental Health Sciences 7, no. 2 (June 2017): 45-51.
EndNote Düzgün İ, Özer Kaya D, Baltacı G, Karacan S, Çolakoğlu F (June 1, 2017) Improving the Hamstrings-to-Quadriceps Strength Ratio in Sedentary Women: Comparison of Stabilization Training and Aerobic Training After a 6-Months Follow-up. Clinical and Experimental Health Sciences 7 2 45–51.
IEEE İ. Düzgün, D. Özer Kaya, G. Baltacı, S. Karacan, and F. Çolakoğlu, “Improving the Hamstrings-to-Quadriceps Strength Ratio in Sedentary Women: Comparison of Stabilization Training and Aerobic Training After a 6-Months Follow-up”, Clinical and Experimental Health Sciences, vol. 7, no. 2, pp. 45–51, 2017.
ISNAD Düzgün, İrem et al. “Improving the Hamstrings-to-Quadriceps Strength Ratio in Sedentary Women: Comparison of Stabilization Training and Aerobic Training After a 6-Months Follow-up”. Clinical and Experimental Health Sciences 7/2 (June 2017), 45-51.
JAMA Düzgün İ, Özer Kaya D, Baltacı G, Karacan S, Çolakoğlu F. Improving the Hamstrings-to-Quadriceps Strength Ratio in Sedentary Women: Comparison of Stabilization Training and Aerobic Training After a 6-Months Follow-up. Clinical and Experimental Health Sciences. 2017;7:45–51.
MLA Düzgün, İrem et al. “Improving the Hamstrings-to-Quadriceps Strength Ratio in Sedentary Women: Comparison of Stabilization Training and Aerobic Training After a 6-Months Follow-up”. Clinical and Experimental Health Sciences, vol. 7, no. 2, 2017, pp. 45-51.
Vancouver Düzgün İ, Özer Kaya D, Baltacı G, Karacan S, Çolakoğlu F. Improving the Hamstrings-to-Quadriceps Strength Ratio in Sedentary Women: Comparison of Stabilization Training and Aerobic Training After a 6-Months Follow-up. Clinical and Experimental Health Sciences. 2017;7(2):45-51.

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