FUTBOLCULARDA CORE KUVVETİ, FONKSİYONEL HAREKET TARAMASI VE DİNAMİK DENGENİN YARALANMA HİKÂYESİ ÜZERİNE ETKİLERİ

Year 2023, Volume: 1 Issue: 1, 25 - 32, 29.12.2023

Fatma Ünver , Hilal Şeyma Nur Binbir , Veysel Uludağ

Abstract

Amaç: Futbolcularda temassız kas iskelet yaralanmalarının oldukça yaygın olduğu bilinmektedir. Bu yaralanmaları önceden tahmin edebilmek ve yaralanmadan korunmak için önlemler almak hem sporcu hem de fizyoterapist ve antrenörler açısından oldukça önemlidir. Bu nedenle futbolcularda Fonksiyonel Hareket Taraması, Y Denge Testi ve gövde stabilizatör kas kuvvetinin spor yaralanması üzerine olan etkisini incelemek amacıyla çalışma planlanmıştır.
Yöntem: Denizli ilinde amatör futbol liginde oynayan 74 gönüllü amatör futbol oyuncusu çalışmaya dâhil edildi. Futbolcuların Fonksiyonel Hareket Taraması, Y Denge Testi ve gövde stabilizasyon ölçümleri alındı. Yaralanma hikâyesi yaralanma formu ile sorgulandı.
Sonuçlar: Yapılan regresyon analizi sonucunda; Fonksiyonel Hareket Taramasının sağ omuz hareketliliği (p=0,028 O.R: 3,033) ve sol rotasyon stabilitesi (p=0, 045 O.R:3.443), Y Denge testinde sol posteromedial (p=0044 O.R: 1,055), sol posterolateral (p=0,029 O.R: 1,055) ve posterolateral asimetri varlığı (p=0,014 O.R: 0,300), gövde stabilizasyonda ise sağ ve sol kuş-köpek(bird dog) parametrelerinin (p=0,017 O.R: 1,091 ve p=0,008 O.R: 1,134) yaralanma hikâyesi üzerinde etkisi olduğu bulundu.
Tartışma: Çalışmamız sonucunda Y denge parametreleri, gövde stabilizasyonunun tüm değerleri ile Fonksiyonel Hareket Taraması parametrelerinden de çapraz adımla, omuz hareketliliği, rotasyon stabilitesi ve sağ aktif düz bacak kaldırma parametreleri spor yaralanma hikâyesini pozitif yönde etkilemektedir. Fizyoterapistler, antrenörler ve sporcu koçlarının bu çalışma sonucunu dikkate alarak futbolcularda yaralanma riski belirleme ve önleme programlarını belirlerken core, Y denge testi ve fonksiyonel hareket taraması testleri kullanılarak daha güvenli prosedürler geliştirebileceği düşünülmektedir.

Keywords

Fonksiyonel hareket taraması, Y denge testi, core kuvveti, spor yaralanması

EFFECTS OF CORE STRENGTH, FUNCTIONAL MOVEMENT SCREENING AND DYNAMIC BALANCE ON INJURY HISTORY IN FOOTBALL PLAYERS

Abstract

ABSTRACT
Purpose: It is known that muscle injuries are quite common in soccer players. Predicting these injuries and taking precautions before the injury occurs is very important for both athletes and physiotherapists and coaches. The aim of this study was to investigate the effect of Functional movement screening, Y balance test and core strength on sports injury in soccer players.
Methods: A total of 74 amateur league soccer players in Denizli province were voluntarily included in the study. Functional movement screening, Y balance test and core strength measurements were taken by experienced physiotherapists. Injury history was questioned with an injury form.
Results: Right shoulder mobility (p=0.028 O.R: 3.033) and left rotation stability (p=0.045 O.R: 3.443) in Functional movement screening, left posteromedial (p=0044 O.R: 1.055), left posterolateral (p=0.029 O. R: 1.055) and posterolateral asymmetry (p=0.014 O.R: 0.300), and right and left bird dog parameters in core strength (p=0.017 O.R: 1.091 and p=0.008 O.R: 1.134).
Conclusion: As a result of our study, Y balance parameters, all values of core strength and Functional movement screening parameters of cross-stepping, shoulder mobility, rotation stability and active straight leg raising right parameter positively affect sports injury history. It is thought that physiotherapists, trainers and athletic coaches can develop safer procedures to prevent injuries in the training and physical education of soccer players by considering the results of this study.

Keywords

Functional movement screening, Y balance test, core strength, sports injury

References

• Huxel Bliven KC, Anderson BE. Core stability training for injury prevention. Sports Health. 2013;5(6):514-22.
• Faude O, Junge A, Kindermann W, Dvorak J. Injuries in female soccer players: a prospective study in the German national league. Am J Sports Med. 2005;33(11):1694-700.
• Pierpoint LA, Collins C. Epidemiology of Sport-Related Concussion. Clin Sports Med. 2021;40(1):1-18.
• Collins J, Maughan RJ, Gleeson M, Bilsborough J, Jeukendrup A, Morton JP, et al. UEFA expert group statement on nutrition in elite football. Current evidence to inform practical recommendations and guide future research. Br J Sports Med. 2021;55(8):416.
• Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function-part 2. Int J Sports Phys Ther. 2014;9(4):549-63.
• Minthorn LM, Fayson SD, Stobierski LM, Welch CE, Anderson BE. The Functional Movement Screen's Ability to Detect Changes in Movement Patterns After a Training Intervention. J Sport Rehabil. 2015;24(3):322-6.
• Kiesel KB, Butler RJ, Plisky PJ. Prediction of injury by limited and asymmetrical fundamental movement patterns in american football players. J Sport Rehabil. 2014;23(2):88-94.
• Mokha M, Sprague PA, Gatens DR. Predicting Musculoskeletal Injury in National Collegiate Athletic Association Division II Athletes From Asymmetries and Individual-Test Versus Composite Functional Movement Screen Scores. J Athl Train. 2016;51(4):276-82.
• Moran RW, Schneiders AG, Mason J, Sullivan SJ. Do Functional Movement Screen (FMS) composite scores predict subsequent injury? A systematic review with meta-analysis. Br J Sports Med. 2017;51(23):1661-9.
• Whittaker JL, Booysen N, de la Motte S, Dennett L, Lewis CL, Wilson D, et al. Predicting sport and occupational lower extremity injury risk through movement quality screening: a systematic review. Br J Sports Med. 2017;51(7):580-5.
• Bonazza NA, Smuin D, Onks CA, Silvis ML, Dhawan A. Reliability, Validity, and Injury Predictive Value of the Functional Movement Screen: A Systematic Review and Meta-analysis. Am J Sports Med. 2017;45(3):725-32.
• Onofrei RR, Amaricai E, Petroman R, Surducan D, Suciu O. Preseason Dynamic Balance Performance in Healthy Elite Male Soccer Players. Am J Mens Health. 2019;13(1):1557988319831920.
• Plisky PJ, Rauh MJ, Kaminski TW, Underwood FB. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. J Orthop Sports Phys Ther. 2006;36(12):911-9.
• Hartley EM, Hoch MC, Boling MC. Y-balance test performance and BMI are associated with ankle sprain injury in collegiate male athletes. J Sci Med Sport. 2018;21(7):676-80.
• Plisky P, Schwartkopf-Phifer K, Huebner B, Garner MB, Bullock G. Systematic Review and Meta-Analysis of the Y-Balance Test Lower Quarter: Reliability, Discriminant Validity, and Predictive Validity. Int J Sports Phys Ther. 2021;16(5):1190-209.
• Smith CA, Chimera NJ, Warren M. Association of y balance test reach asymmetry and injury in division I athletes. Med Sci Sports Exerc. 2015;47(1):136-41.
• Gonell AC, Romero JA, Soler LM. Relatıonshıp Between The Y Balance Test Scores And Soft Tıssue Injury Incıdence In A Soccer Team. Int J Sports Phys Ther. 2015;10(7):955-66.
• Butler RJ, Lehr ME, Fink ML, Kiesel KB, Plisky PJ. Dynamic balance performance and noncontact lower extremity injury in college football players: an initial study. Sports health. 2013;5(5):417-22.
• Panagoulis C, Chatzinikolaou A, Avloniti A, Leontsini D, Deli CK, Draganidis D, et al. In-Season Integrative Neuromuscular Strength Training Improves Performance of Early-Adolescent Soccer Athletes. J Strength Cond Res. 2020;34(2):516-26.
• Jo SH, Choi HJ, Cho HS, Yoon JH, Lee WY. Effect of Core Balance Training on Muscle Tone and Balance Ability in Adult Men and Women. Int J Environ Res Public Health. 2022;19(19).
• Sasaki S, Tsuda E, Yamamoto Y, Maeda S, Kimura Y, Fujita Y, et al. Core-Muscle Training and Neuromuscular Control of the Lower Limb and Trunk. J Athl Train. 2019;54(9):959-69.
• Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36(3):189-98.
• Willson JD, Dougherty CP, Ireland ML, Davis IM. Core stability and its relationship to lower extremity function and injury. J Am Acad Orthop Surg. 2005;13(5):316-25.
• Kiesel K, Plisky PJ, Voight ML. Can Serious Injury in Professional Football be Predicted by a Preseason Functional Movement Screen? N Am J Sports Phys Ther. 2007;2(3):147-58.
• Powden CJ, Dodds TK, Gabriel EH. The Relıabılıty Of The Star Excursıon Balance Test And Lower Quarter Y-Balance Test In Healthy Adults: A Systematıc Revıew. Int J Sports Phys Ther. 2019;14(5):683-94.
• Mitchell UH, Johnson AW, Adamson B. Relationship between functional movement screen scores, core strength, posture, and body mass index in school children in Moldova. J Strength Cond Res. 2015;29(5):1172-9.
• McCrory P, Feddermann-Demont N, Dvořák J, Cassidy JD, McIntosh A, Vos PE, et al. What is the definition of sports-related concussion: a systematic review. Br J Sports Med. 2017;51(11):877-87.
• Li Y, Wang X, Chen X, Dai B. Exploratory factor analysis of the functional movement screen in elite athletes. J Sports Sci. 2015;33(11):1166-72.
• Rusling C, Edwards K, Bhattacharya A, Reed A, Irwin S, Boles A, et al. The functional movement screening tool does not predict injury in football. Progress in Orthopedic Science. 2015;1(2):41-6.
• Chalmers S, Debenedictis TA, Zacharia A, Townsley S, Gleeson C, Lynagh M, et al. Asymmetry during Functional Movement Screening and injury risk in junior football players: A replication study. Scand J Med Sci Sports. 2018;28(3):1281-7.
• Chorba RS, Chorba DJ, Bouillon LE, Overmyer CA, Landis JA. Use of a functional movement screening tool to determine injury risk in female collegiate athletes. N Am J Sports Phys Ther. 2010;5(2):47-54.
• Powden CJ, Dodds TK, Gabriel EH. The reliability of the star excursion balance test and lower quarter y-balance test in healthy adults: a systematic review. International journal of sports physical therapy. 2019;14(5):683.
• Wilkerson GB, Giles JL, Seibel DK. Prediction of core and lower extremity strains and sprains in collegiate football players: a preliminary study. J Athl Train. 2012;47(3):264-72.
• Reeves NP, Sal YRCVG, Ramadan A, Popovich JM, Jr., Radcliffe CJ, Choi J, et al. Quantifying trunk neuromuscular control using seated balancing and stability threshold. J Biomech. 2020;112:110038.
• Ünver F, Tekin E, Uludağ V, Şenol H. Investigation of Injury Risk Factors in Adolescent Basketball Players. Spor Hekimligi Dergisi/Turkish Journal of Sports Medicine. 2020;55(4).
• Smith PD, Hanlon MP. Assessing the effectiveness of the functional movement screen in predicting noncontact injury rates in soccer players. The Journal of Strength & Conditioning Research. 2017;31(12):3327-32.
• De Blaiser C, De Ridder R, Willems T, Vanden Bossche L, Danneels L, Roosen P. Impaired Core Stability as a Risk Factor for the Development of Lower Extremity Overuse Injuries: A Prospective Cohort Study. Am J Sports Med. 2019;47(7):1713-21.