Öz
Amaç: Yüksek düzeyde postüral kontrol, kuvvet, aerobik ve solunum kas enduransı gerektiren hent-bolda postüral kontrol ve solunum iş birliği çok önemlidir. Literatürde hentbol oyuncularında solu-num-kor endurans ilişkisini inceleyen çalışmaya rastlanmamıştır. Bu çalışma elit hentbol oyuncuların-da gövde kas dayanıklılığı ile solunum kas fonksiyonu arasındaki ilişkiyi incelemeyi amaçlamaktadır.
Materyal ve Metod: Çalışmaya 24 (22.17±3.42 yıl) kadın hentbol oyuncusu dahil edildi. Sporcularda kor endurans, Zorlu Vital Kapasite (FVC), 1. saniyedeki Zorlu Ekspirasyon Hacmi (FEV1), FEV1/FVC, Zirve Ekspiratuar Akım Hızı (PEF)’nı içeren pulmoner fonksiyonlar, solunum kas kuvveti (Maksimal İnspiras-yon Basıncı; MIP, Maksimal Ekspirasyon Basıncı; MEP) ve enduransı değerlendirildi.
Bulgular: Baskın ekstremite duvar destekli oturma tutma testi süresi (s) ile solunum kas performansını içeren solunum kası enduransı (cmH2Oxs) (r=0,536) ve süresi (Tmax) (r=0,441), MIP (r=0,446; r=0,439), MEP (r=0,482; r=0,546) (cmH2O/%) arasında pozitif yönde anlamlı ilişki vardı. Baskın olmayan ekstre-mite duvar destekli oturma süresi ile MIP (r=0,534; r=0,548) (cmH2O/%), MEP (r=0,442) (%) arasında pozitif yönde anlamlı ilişki gözlemlendi (p≤0,05). Solunum kas enduransı ve ekspiratuar kas kuvveti değerleri (%53,4, p=0,001; r=0,764) kor kas enduransı üzerinde önemli bir etkiye sahiptir.
Sonuç: Hentbol oyuncularında daha iyi postüral kontrol, kuvvet ve dayanıklılık için kor-solunum kası iş birliği içeren antrenmanlar geliştirilmelidir. Postüral stabiliteyi ve solunum fonksiyonunu iyileştirme-ye yönelik kapsamlı bir eğitim programının atletik performansa katkısı araştırılmalıdır.
Anahtar Kelimeler
Endurans Maksimal İnspirasyon Basıncı Maksimal Ekspirasyon Basıncı Sporcular Diyafram
Kaynakça
- 1. Tiller NB. Pulmonary and respiratory muscle function in re-sponse to marathon and ultra-marathon running: a review. Sports Med. 2019;49(7):1031-41.
- 2. Romer LM, Polkey MI. Exercise-induced respiratory muscle fatigue: implications for performance. J Appl Physiol. 2008;104(3):879-88.
- 3. Troosters T, Gosselink R, Decramer M. Respiratory muscle assessment. Eur Respir Mon. 2005;31:57.
- 4. Hodges PW, Gandevia SC. Activation of the human diaphragm during a repetitive postural task. J Physiol. 2000;522(1):165-75.
- 5. Key J. ‘The core’: understanding it, and retraining its dysfunc-tion. J Bodyw Mov Ther. 2013;17(4):541-59.
- 6. Manchado C, Pers J, Navarro F, Han A, Sung E, Platen P. Time-motion analysis in women’s team handball: importance of aerobic performance. J Hum Sport Exerc. 2013;8(2),376–390.
- 7. Bauer J, Gruber M, Muehlbauer T. Correlations between core muscle strength endurance and upper-extremity performance in adolescent male sub-elite handball players. Front Sports Act Living. 2022;4:1050279.
- 8. Plummer HA, Wilkerson GB, Bruce JR, Lamour RJ, Ostrander III RV. Preliminary Findings of Lower Extremity Injury Risk Categorization Through Lumbopelvic-Hip Endurance Screening of High School Basketball Players. Athl. Train. Sports Health Care. 2020;12(3):127-34.
- 9. De Blaiser C, Roosen P, Willems T, Danneels L, Bossche LV, De Ridder R. Is core stability a risk factor for lower extremity in-juries in an athletic population? A systematic review. Phys Ther Sport. 2018;30:48-56.
- 10. Bruce SL, Rush JR, Torres MM, Lipscomb KJ. Test-retest and interrater reliability of core muscular endurance tests used for injury risk screening. Int J Athl Ther Train. 2017;22(2):14-20.
- 11. Woszezenki CT, Heinzmann-Filho JP, Vendrusculo FM, Piva TC, Levices I, Donadio MVF. Reference values for inspiratory mus-cle endurance in healthy children and adolescents. PLoS One. 2017;12(1):e0170696.
- 12. Lista-Paz A, Langer D, Barral-Fernández M, Quintela-del-Río A, Gimeno-Santos E, Arbillaga-Etxarri A, et al. Maximal respirato-ry pressure reference equations in healthy adults and cut-off points for defining respiratory muscle weakness. Arch Bron-coneumol. 2023.
- 13. American Thoracic Society. Lung function testing: selection of reference values and interpretative strategies. Am Rev Respir Dis. 1991;144:1202-18.
- 14. Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr. 2000;72(3):694-701.
- 15. Hopkins W, Marshall S, Batterham A, Hanin J. Progressive statistics for studies in sports medicine and exercise science. Med Sci Sports Exerc. 2009;41(1):3.
- 16. Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexi-ble statistical power analysis program for the social, behavior-al, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91.
- 17. Wagner H, Finkenzeller T, Würth S, Von Duvillard SP. Individ-ual and team performance in team-handball: A review. J Sports Sci Med. 2014;13(4):808.
- 18. Hodges PW, Gandevia SC. Changes in intra-abdominal pres-sure during postural and respiratory activation of the human diaphragm. J Physiol. 2000;89(3):967-76.
- 19. Chimera NJ, Knoeller S, Cooper R, Kothe N, Smith C, Warren M. Prediction of functional movement screen™ performance from lower extremity range of motion and core tests. Int J Sports Phys Ther. 2017;12(2):173.
- 20. Beales DJ, O’Sullivan PB, Briffa NK. Motor control patterns during an active straight leg raise in pain-free subjects. Spine. 2009;34(1):E1-E8.
- 21. Yüksel F, Guzel NA, Taspinar B, Balaban A. Relationship be-tween trunk muscle endurance, pulmonary function, and res-piratory muscle strength in healthy individuals. Turk J Physi-other Rehabil. 2020;31(3):255-62.
- 22. Aktan ÖO, Aktan R, Yakut H, Özalevli S, Bilge K. The effects of respiratory muscle functions on trunk muscle endurance in healthy young adults. JBACHS 2021;7(2):652-9.
- 23. Åberg MA, Åberg ND, Hedbäcker H, Oscarsson J, Eriksson PS. Peripheral infusion of IGF-I selectively induces neurogenesis in the adult rat hippocampus. J Neurosci. 2000;20(8):2896-903.
- 24. Mackała K, Kurzaj M, Okrzymowska P, Stodółka J, Coh M, Rożek-Piechura K. The effect of respiratory muscle training on the pulmonary function, lung ventilation, and endurance per-formance of young soccer players. Int J Environ Res Public Health. 2020;17(1):234.
- 25. Saeterbakken AH, Van den Tillaar R, Seiler S. Effect of core stability training on throwing velocity in female handball players. J Strength Cond Res. 2011;25(3):712-8.
- 26. Hodges PW, Heijnen I, Gandevia SC. Postural activity of the diaphragm is reduced in humans when respiratory demand increases. J Physiol. 2001;537(3):999-1008.
- 27. Kocjan J, Gzik-Zroska B, Nowakowska K, Burkacki M, Suchoń S, Michnik R, et al. Impact of diaphragm function parameters on balance maintenance. PloS One. 2018;13(12):e0208697.
- 28. León-Morillas F, Lozano-Quijada C, Lérida-Ortega MÁ, León-Garzón MC, Ibáñez-Vera AJ, de Oliveira-Sousa SL, editors. Rela-tionship between respiratory muscle function and postural stability in male soccer players: A case-control study. Healthcare. 2021;29;9(6):644.
- 29. Hubscher M, Zech A, Pfeifer K, Hansel F, Vogt L, Banzer W. Neuromuscular training for sports injury prevention: a sys-tematic review. Med Sci Sports Exerc. 2010;42:413-421.
Öz
Background: Postural and respiratory control cooperation is crucial in handball, which requires high levels of postural control, strength, aerobic and respiratory endurance. In the literature, no study has been found that examines the relationship between respiratory and core endurance in handball players. This study aims to investigate the correlation between core muscle endurance and respira-tory muscle function in elite handball players.
Materials and Methods: Twenty-four female handball players were (22.17±3.42 years) included in the study. Core endurance, pulmonary functions including Forced Vital Capacity (FVC), Forced Expiratory Volume in First Second (FEV1), FEV1/FVC, Peak Expiratory Flow (PEF), respiratory muscle endurance and strength (Maximal Inspiratory Pressure; MIP, Maximal Expiratory Pressure; MEP) were evaluated in players.
Results: There were positive significant correlations between dominant wall sit hold test duration (s) and respiratory muscle performance, including respiratory muscle endurance (cmH2Oxs) (r=0.536) and duration (Tmax) (r=0.441), MIP (r=0.446; r=0.439), MEP (r=0.482;r=0.546) (cmH2O/%). The positive significant correlations were observed between non-dominant wall sit hold duration and MIP (r=0.534; r=0.548) (cmH2O/%), MEP (r=0.442) (%) (p≤0.05). The respiratory muscle endurance and expiratory muscle strength values (53.4%, p=0.001; r=0.764) have a significant influence on core muscle endurance.
Conclusions: Trainings that include core-respiratory muscle cooperation should be developed for better postural control, strength and endurance in handball players. The contribution of a compre-hensive training program to improve postural stability and respiratory function on athletic perfor-mance should be investigated.
Anahtar Kelimeler
Endurance Maximal Inspiratory Pressure Maximal Expiratory Pressure Handball Diaphragm
Etik Beyan
This study was approved by the local Ethics Committee of the Gazi University (2023-1199).
Destekleyen Kurum
Authors declared no financial support.
Teşekkür
The authors would like to thank Gazi University Academic Writing Research and Application Centre for proofreading this article.
Kaynakça
- 1. Tiller NB. Pulmonary and respiratory muscle function in re-sponse to marathon and ultra-marathon running: a review. Sports Med. 2019;49(7):1031-41.
- 2. Romer LM, Polkey MI. Exercise-induced respiratory muscle fatigue: implications for performance. J Appl Physiol. 2008;104(3):879-88.
- 3. Troosters T, Gosselink R, Decramer M. Respiratory muscle assessment. Eur Respir Mon. 2005;31:57.
- 4. Hodges PW, Gandevia SC. Activation of the human diaphragm during a repetitive postural task. J Physiol. 2000;522(1):165-75.
- 5. Key J. ‘The core’: understanding it, and retraining its dysfunc-tion. J Bodyw Mov Ther. 2013;17(4):541-59.
- 6. Manchado C, Pers J, Navarro F, Han A, Sung E, Platen P. Time-motion analysis in women’s team handball: importance of aerobic performance. J Hum Sport Exerc. 2013;8(2),376–390.
- 7. Bauer J, Gruber M, Muehlbauer T. Correlations between core muscle strength endurance and upper-extremity performance in adolescent male sub-elite handball players. Front Sports Act Living. 2022;4:1050279.
- 8. Plummer HA, Wilkerson GB, Bruce JR, Lamour RJ, Ostrander III RV. Preliminary Findings of Lower Extremity Injury Risk Categorization Through Lumbopelvic-Hip Endurance Screening of High School Basketball Players. Athl. Train. Sports Health Care. 2020;12(3):127-34.
- 9. De Blaiser C, Roosen P, Willems T, Danneels L, Bossche LV, De Ridder R. Is core stability a risk factor for lower extremity in-juries in an athletic population? A systematic review. Phys Ther Sport. 2018;30:48-56.
- 10. Bruce SL, Rush JR, Torres MM, Lipscomb KJ. Test-retest and interrater reliability of core muscular endurance tests used for injury risk screening. Int J Athl Ther Train. 2017;22(2):14-20.
- 11. Woszezenki CT, Heinzmann-Filho JP, Vendrusculo FM, Piva TC, Levices I, Donadio MVF. Reference values for inspiratory mus-cle endurance in healthy children and adolescents. PLoS One. 2017;12(1):e0170696.
- 12. Lista-Paz A, Langer D, Barral-Fernández M, Quintela-del-Río A, Gimeno-Santos E, Arbillaga-Etxarri A, et al. Maximal respirato-ry pressure reference equations in healthy adults and cut-off points for defining respiratory muscle weakness. Arch Bron-coneumol. 2023.
- 13. American Thoracic Society. Lung function testing: selection of reference values and interpretative strategies. Am Rev Respir Dis. 1991;144:1202-18.
- 14. Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr. 2000;72(3):694-701.
- 15. Hopkins W, Marshall S, Batterham A, Hanin J. Progressive statistics for studies in sports medicine and exercise science. Med Sci Sports Exerc. 2009;41(1):3.
- 16. Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexi-ble statistical power analysis program for the social, behavior-al, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91.
- 17. Wagner H, Finkenzeller T, Würth S, Von Duvillard SP. Individ-ual and team performance in team-handball: A review. J Sports Sci Med. 2014;13(4):808.
- 18. Hodges PW, Gandevia SC. Changes in intra-abdominal pres-sure during postural and respiratory activation of the human diaphragm. J Physiol. 2000;89(3):967-76.
- 19. Chimera NJ, Knoeller S, Cooper R, Kothe N, Smith C, Warren M. Prediction of functional movement screen™ performance from lower extremity range of motion and core tests. Int J Sports Phys Ther. 2017;12(2):173.
- 20. Beales DJ, O’Sullivan PB, Briffa NK. Motor control patterns during an active straight leg raise in pain-free subjects. Spine. 2009;34(1):E1-E8.
- 21. Yüksel F, Guzel NA, Taspinar B, Balaban A. Relationship be-tween trunk muscle endurance, pulmonary function, and res-piratory muscle strength in healthy individuals. Turk J Physi-other Rehabil. 2020;31(3):255-62.
- 22. Aktan ÖO, Aktan R, Yakut H, Özalevli S, Bilge K. The effects of respiratory muscle functions on trunk muscle endurance in healthy young adults. JBACHS 2021;7(2):652-9.
- 23. Åberg MA, Åberg ND, Hedbäcker H, Oscarsson J, Eriksson PS. Peripheral infusion of IGF-I selectively induces neurogenesis in the adult rat hippocampus. J Neurosci. 2000;20(8):2896-903.
- 24. Mackała K, Kurzaj M, Okrzymowska P, Stodółka J, Coh M, Rożek-Piechura K. The effect of respiratory muscle training on the pulmonary function, lung ventilation, and endurance per-formance of young soccer players. Int J Environ Res Public Health. 2020;17(1):234.
- 25. Saeterbakken AH, Van den Tillaar R, Seiler S. Effect of core stability training on throwing velocity in female handball players. J Strength Cond Res. 2011;25(3):712-8.
- 26. Hodges PW, Heijnen I, Gandevia SC. Postural activity of the diaphragm is reduced in humans when respiratory demand increases. J Physiol. 2001;537(3):999-1008.
- 27. Kocjan J, Gzik-Zroska B, Nowakowska K, Burkacki M, Suchoń S, Michnik R, et al. Impact of diaphragm function parameters on balance maintenance. PloS One. 2018;13(12):e0208697.
- 28. León-Morillas F, Lozano-Quijada C, Lérida-Ortega MÁ, León-Garzón MC, Ibáñez-Vera AJ, de Oliveira-Sousa SL, editors. Rela-tionship between respiratory muscle function and postural stability in male soccer players: A case-control study. Healthcare. 2021;29;9(6):644.
- 29. Hubscher M, Zech A, Pfeifer K, Hansel F, Vogt L, Banzer W. Neuromuscular training for sports injury prevention: a sys-tematic review. Med Sci Sports Exerc. 2010;42:413-421.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Tıbbi Fizyoloji (Diğer) |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Erken Görünüm Tarihi | 12 Mart 2025 |
| Yayımlanma Tarihi | 26 Mart 2025 |
| Gönderilme Tarihi | 13 Eylül 2024 |
| Kabul Tarihi | 7 Şubat 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 22 Sayı: 1 |
Harran Üniversitesi Tıp Fakültesi Dergisi / Journal of Harran University Medical Faculty