Hamstring Kas Grubu Üzerine Uygulanan Farklı Modalitelerin Eklem Hareket Açıklığına Etkileri: Randomize Tek Kör Çalışma

Year 2017, Volume: 2 Issue: 4, 54 - 64, 28.12.2017

Emir İbrahim Işık , Ferdi Başkurt , Zeliha Başkurt

Abstract

Çalışmanın
amacı kısa hamstring kas grubu üzerine uygulanan germe, masaj ve germe, sıcak uygulama ve germe
uygulamalarının diz eklemi hareket açıklığı performansı üzerindeki anlık
etkilerini karşılaştırmaktır. Çalışmaya yaş; 21.73±1.5, boy uzunluğu; 176 ± 5.1 cm, vücut ağırlığı; 73.23 ± 9.86
kg, Beden Kütle İndeksi (BKİ); 23.38 ± 2.86 kg/m² olan 60 gönüllü birey dahil
edildi. Gönüllüler rastgele 20’şerli 3 gruba ayrıldı. 1. gruba sadece 10’ar
saniyelik dinlenme periyodu ile 3*30 saniyelik germe, 2. gruba 9-12 dakikalık
klasik masaj ve sonrasında germe, 3. gruba ise 20 dakika sıcak uygulama ve
sonrasında germe uygulandı. Uygulamaların öncesi ve hemen sonrasında hamstring
fleksibilitesi ölçümleri kaydedildi. Hamstring fleksibilitesinin ölçümünde
Aktif Diz Ekstansiyon (ADE) testi kullanıldı. Grupların ADE-ilk ölçüm ortalamaları
açısından istatistiksel olarak anlamlı bir fark bulunmadı. Grupların ADE-son
parametreleri açısından ise istatistiksel olarak anlamlı farklar saptandı. Bu
farklar incelendiğinde germenin etkinliğini arttırmada germe öncesi sıcak
uygulama ve masajın olumlu etkileri olduğu ve germe öncesi bu iki girişimden de
sıcak uygulamanın etki büyüklüğünün daha fazla olduğu tespit edildi. Sonuç
olarak bu çalışma, sadece statik
germe ve germe ile kombine uygulanan girişimlerin hamstring kas uzunluğunu
arttırmada etkili olduğunu göstermiştir.  

Keywords

Hamstring, Germe, Masaj, Sıcak Uygulama

The Effects of Different Modalities on Range of Motion of Hamstring Muscle Group: A Randomized Single-Blinded Trial

Abstract

The
aim of the study is to compare the immediate effects of stretching, massage and
stretching, hot application and stretching exercises applied on the range of
motion of short hamstring muscle group on knee joint. Sixty volunteers were
included in the study: age; 21.73 ± 1.5 years, height; 176 ± 5.1 cm, body
weight; 73.23 ± 9.86 kg and (Body Mass Index) BMI; 23.38 ± 2.86 kg / m². The
volunteers were randomly divided into 3 groups of 20 people. The 1st group was
stretched by 3*30 seconds with a rest period of only 10 seconds, the 2nd group
was 9-12 minutes of classical massage followed by stretching and 3rd group was
applied 20 minutes hot-pack afterwards stretching. Measurements of hamstring
flexibilites were recorded before and immediately after interventions. Active
Knee Extension (AKE) test was used to measure hamstring flexibilty. There was
no statistically significant difference between groups in terms of AKE-first
measurement averages. Statistically significant differences were found in terms
of AKE-end parameters of the groups. When these differences were examined, it
was determined that hot-pack before stretching and massage before stretching
were positive effects on increasing of stretching performance, and it was found
that the effect size of the hot-pack was higher than those of the two
interventions. In conclusion, this
study showed that only the static stretching and stretching-induced
interventions were effective in increasing the hamstring muscle length.

Keywords

Hamstring, Stretching, Massage, Hot-pack

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