Araştırma Makalesi
BibTex RIS Kaynak Göster

Kol ve Bacak Baskınlığı Fonksiyonel Denge Testlerini Etkilemiyor

Yıl 2025, Cilt: 26 Sayı: 2, 144 - 150, 23.06.2025

Emre Söylemez , Mehmet Can

https://doi.org/10.69601/meandrosmdj.1588889

Öz

Amaç: Fonksiyonel denge testleri sıklıkla bireylerin dengesini değerlendirmek, rehabilitasyon sonuçlarını izlemek ve düşme riskini belirlemek için kullanılır. Güç ve doğruluk gerektiren motor görevler dominant ekstremitelerle gerçekleştirilir. Bu nedenle, uzuv baskınlığının fonksiyonel denge testlerini etkileme olasılığı vardır. Literatürdeki çalışmalarda dominant bacağın denge testlerini etkileyip etkilemediği konusunda bir fikir birliği yoktur. Bilgimize göre dominant kol için bir çalışma yoktur. Bu çalışmanın amacı, dominant bacağın tek ayak üzerinde durma testini (TADT) ve tandem duruş testini (TDT) etkileyip etkilemediğini, dominant kolun ise fonksiyonel uzanma testini (FUT) etkileyip etkilemediğini araştırmaktır.
Yöntemler: Bu prospektif kesitsel çalışmaya yüz sağlıklı genç yetişkin dahil edildi. Katılımcıların yaşı, boyu ve kilosu not edildi ve vücut kitle indeksleri (VKİ) hesaplandı. Katılımcılara dominant ve dominant olmayan bacak ile TADT ve TDT uygulandı. FUT ise dominant ve dominant olmayan kol ile uygulandı.
Bulgular: Katılımcıların 93'ünde (%93,0) sağ ekstremite dominant iken, 7'sinde (%7,0) sol ekstremite dominanttı. Dominant ve non-dominant bacakla uygulanan TADT ve TDT skorları açısından fark yoktu (p>0,05). Dominant ve non-dominant kolla uygulanan FUT skoru açısından da fark yoktu (p>0,05).
Sonuç: Çalışmamız bacak baskınlığının TADT’yi ve TDT'yi etkilemediğini ve kol baskınlığının ise FUT'u etkilemediğini ortaya koydu. TADT, TDT ve FUT'u uygulamak için kullanılacak ekstremite katılımcının tercihine bırakılabilir veya duruma uygun şekilde dominant/dominant olmayan ekstremite ile uygulanabilir.

Anahtar Kelimeler

Denge motor dominantlık postüral kontrol fonksiyonel denge kol

Kaynakça

  • 1. Cug M, Özdemir R, Ak E. Influence of Leg Dominance on Single-Leg Stance Performance During Dynamic Conditions: An Investigation into the Validity of Symmetry Hypothesis for Dynamic Postural Control in Healthy Individuals. Turk J Physiother Rehabi. 2014; 60(1): 22-26. https://doi.org/10.5152/tftrd.2014.59354
  • 2. Forth KE, Metter EJ, Paloski WH. Age associated differences in postüral equilibrium control: A comparison between EQscore and minimum time to contact (TTCmin). Gait Posture. 2007; 5:56-62. https://doi.org/10.1016/j.gaitpost.2005.12.008
  • 3. Fetter M. Vestibulo-ocular reflex. Dev Ophthalmol. 2007;40:35-51. doi: 10.1159/000100348. PMID: 17314478.
  • 4. (MacKinnon CD. Sensorimotor anatomy of gait, balance, and falls. Handb Clin Neurol. 2018;159:3-26. . https://doi.org/10.1016/B978-0-444-63916-5.00001-X.
  • 5. Vanicek N, King SA, Gohil R, Chetter IC, Coughlin PA. Computerized dynamic posturography for postural control assessment in patients with intermittent claudication. J Vis Exp. 2013; (82):e51077. https://doi.org/10.3791/51077.
  • 6. Scena S, Steindler R, Ceci M, Zuccaro SM, Carmeli E. Computerized Functional Reach Test to Measure Balance Stability in Elderly Patients With Neurological Disorders. J Clin Med Res. 2016; 8(10):715-20. https://doi.org/10.14740/jocmr2652w
  • 7. Peterka RJ.Sensorimotor integration in human postural control. J Neurophys. 2002; 88: 1097–118. https://doi.org/10.1152/jn.2002.88.3.1097
  • 8. Badian NA. Birth order, maternal age, season of birth, and handedness. Cortex. 1983 Dec;19(4):451-63. https://doi.org/10.1016/s0010-9452(83)80027-6.
  • 9. Geschwind N, Behan P. Left-handedness: association with immune disease, migraine, and developmental learning disorder. Proc Natl Acad Sci USA. 1982;79(16):5097-100. . https://doi.org/10.1073/pnas.79.16.5097.
  • 10. Coren S, Porac C. Birth factors and laterality: effects of birth order, parental age, and birth stress on four indices of lateral preference. Behav Genet. 1980;10(2):123-38. https://doi.org/10.1007/BF01066263.
  • 11. Hepper PG, Shahidullah S, White R. Handedness in the human fetus. Neuropsychologia. 1991;29(11):1107-11. https://doi.org/10.1016/0028-3932(91)90080-r.
  • 12. Annett M. Left, right, hand and brain: The right shift theory. LEA, Hillsdale, NJ, 1985.
  • 13. Paillard T, Noé F. Does monopedal postural balance differ between the dominant leg and the non-dominant leg? A review. Hum Mov Sci. 2020; 74:102686. doi: 10.1016/j.humov.2020.102686. https://doi.org/10.1016/j.humov.2020.102686.
  • 14. MacKinnon CD. Sensorimotor anatomy of gait, balance, and falls. Handb Clin Neurol. 2018; 159:3-26. https://doi.org/10.1016/B978-0-444-63916-5.00001-X.
  • 15. Lanshammar K, Ribom EL. Differences in muscle strength in dominant and non-dominant leg in females aged 20-39 years--a population-based study. Phys Ther Sport. 2011; 12(2):76-9. https://doi.org/10.1016/j.ptsp.2010.10.004.
  • 16. Mala L, Maly T, Zahalkab F. Postural performance in the bipedal and unipedal stance of elite soccer players in different age categories. Acta Kinesiologica. 2017; 11:101–105.
  • 17. Muehlbauer T, Mettler C, Roth R, Granacher U. One-leg standing performance and muscle activity: are there limb differences? J Appl Biomech. 2014; 30(3):407-14. https://doi.org/10.1123/jab.2013-0230
  • 18. Barone R, Macaluso F, Traina M, Leonardi V, Farina F, Di Felice V. Soccer players have a better standing balance in nondominant one-legged stance. Open Access J Sports Med. 2010 Dec 16;2:1-6. https://doi.org/10.2147/OAJSM.S12593.
  • 19. Simoneau M, Bégin F, Teasdale N. The effects of moderate fatigue on dynamic balance control and attentional demands. J Neuroeng Rehabil. 2006;28;3:22. https://doi.org/10.1186/1743-0003-3-22.
  • 20. Ford KR, Myer GD, Hewett TE. Valgus knee motion during landing in high school female and male basketball players. Med Sci Sports Exerc. 2003;35(10):1745-50. https://doi.org/10.1249/01.MSS.0000089346.85744.D9.
  • 21. Melton LJ, Khosla S, Crowson CS, O'Connor MK, O'Fallon WM, Riggs BL. Epidemiology of sarcopenia. J Am Geriatr Soc. 2000; 48(6):625-30.
  • 22. Volpi E, Nazemi R, Fujita S. Muscle tissue changes with aging. Curr Opin Clin Nutr Metab Care. 2004; 7(4):405-10. https://doi.org/10.1097/01.mco.0000134362.76653.b2
  • 23. Weiner DK, Bongiorni DR, Studenski SA, Duncan PW, Kochersberger GG. Does functional reach improve with rehabilitation? Arch Phys Med Rehab. 1993; 74:796-800. https://doi.org/10.1016/0003-9993(93)90003-s.
  • 24. Scena S, Steindler R, Ceci M, Zuccaro SM, Carmeli E. Computerized Functional Reach Test to Measure Balance Stability in Elderly Patients With Neurological Disorders. J Clin Med Res. 2016; 8(10):715-20. https://doi.org/10.14740/jocmr2652w
  • 25. Karabulut M, Gürses R, Aksoy S. An alternative postural control test: Correlation of modified functional reach with limits of stability. JETR. 2023; 10(2):122-31. https://doi.org/10.15437/jetr.992084
  • 26. Nakhostin-Ansari A, Naghshtabrizi N, Naghdi S, Ghafouri M, Khalifeloo M, Mohammadzadeh M, Vezvaei P, Nakhostin Ansari N. Normative values of functional reach test, single-leg stance test, and timed "UP and GO" with and without dual-task in healthy Iranian adults: A cross-sectional study. Ann Med Surg (Lond). 2022; 80:104053. https://doi.org/10.1016/j.amsu.2022.104053

Arm and Leg Dominance Does Not Affect Functional Balance Tests

Yıl 2025, Cilt: 26 Sayı: 2, 144 - 150, 23.06.2025

Emre Söylemez , Mehmet Can

https://doi.org/10.69601/meandrosmdj.1588889

Öz

Objective: Functional balance tests are frequently used to evaluate individuals' balance, monitor rehabilitation outcomes, and determine fall risk. Motor tasks requiring strength and accuracy are performed with the dominant extremities. Therefore, there is a possibility that limb dominance may affect functional balance tests. The purpose of this study is to investigate whether the dominant leg affects the one-leg standing test (OLST) and tandem stance test (TST), while the dominant arm affects the functional reach test (FRT).
Methods: One hundred healthy young adults were included in this prospective cross-sectional study. Participants' age, height, and weight were noted, and their body mass index (BMI) was calculated. Participants underwent OLST and TST on the dominant and non-dominant legs. FRT was applied with the dominant and non-dominant arms.
Results: While 93 (93.0%) of the participants were right extremity dominant, 7 (7.0%) were left extremity dominant. There was no difference in terms of OLST, and TST performed with the dominant and non-dominant leg (p>0.05). There was no difference in terms of FRT applied with the dominant and non-dominant arms (p>0.05).
Conclusion: Our study revealed that leg dominance did not affect OLST and TST, and arm dominance did not affect FRT. The extremity for applying OLST, TST, and FRT can be left to participant preference or applied based on the dominant/non-dominant extremity as appropriate to the situation.

Anahtar Kelimeler

Balance Dominance Functional Arm Leg

Kaynakça

  • 1. Cug M, Özdemir R, Ak E. Influence of Leg Dominance on Single-Leg Stance Performance During Dynamic Conditions: An Investigation into the Validity of Symmetry Hypothesis for Dynamic Postural Control in Healthy Individuals. Turk J Physiother Rehabi. 2014; 60(1): 22-26. https://doi.org/10.5152/tftrd.2014.59354
  • 2. Forth KE, Metter EJ, Paloski WH. Age associated differences in postüral equilibrium control: A comparison between EQscore and minimum time to contact (TTCmin). Gait Posture. 2007; 5:56-62. https://doi.org/10.1016/j.gaitpost.2005.12.008
  • 3. Fetter M. Vestibulo-ocular reflex. Dev Ophthalmol. 2007;40:35-51. doi: 10.1159/000100348. PMID: 17314478.
  • 4. (MacKinnon CD. Sensorimotor anatomy of gait, balance, and falls. Handb Clin Neurol. 2018;159:3-26. . https://doi.org/10.1016/B978-0-444-63916-5.00001-X.
  • 5. Vanicek N, King SA, Gohil R, Chetter IC, Coughlin PA. Computerized dynamic posturography for postural control assessment in patients with intermittent claudication. J Vis Exp. 2013; (82):e51077. https://doi.org/10.3791/51077.
  • 6. Scena S, Steindler R, Ceci M, Zuccaro SM, Carmeli E. Computerized Functional Reach Test to Measure Balance Stability in Elderly Patients With Neurological Disorders. J Clin Med Res. 2016; 8(10):715-20. https://doi.org/10.14740/jocmr2652w
  • 7. Peterka RJ.Sensorimotor integration in human postural control. J Neurophys. 2002; 88: 1097–118. https://doi.org/10.1152/jn.2002.88.3.1097
  • 8. Badian NA. Birth order, maternal age, season of birth, and handedness. Cortex. 1983 Dec;19(4):451-63. https://doi.org/10.1016/s0010-9452(83)80027-6.
  • 9. Geschwind N, Behan P. Left-handedness: association with immune disease, migraine, and developmental learning disorder. Proc Natl Acad Sci USA. 1982;79(16):5097-100. . https://doi.org/10.1073/pnas.79.16.5097.
  • 10. Coren S, Porac C. Birth factors and laterality: effects of birth order, parental age, and birth stress on four indices of lateral preference. Behav Genet. 1980;10(2):123-38. https://doi.org/10.1007/BF01066263.
  • 11. Hepper PG, Shahidullah S, White R. Handedness in the human fetus. Neuropsychologia. 1991;29(11):1107-11. https://doi.org/10.1016/0028-3932(91)90080-r.
  • 12. Annett M. Left, right, hand and brain: The right shift theory. LEA, Hillsdale, NJ, 1985.
  • 13. Paillard T, Noé F. Does monopedal postural balance differ between the dominant leg and the non-dominant leg? A review. Hum Mov Sci. 2020; 74:102686. doi: 10.1016/j.humov.2020.102686. https://doi.org/10.1016/j.humov.2020.102686.
  • 14. MacKinnon CD. Sensorimotor anatomy of gait, balance, and falls. Handb Clin Neurol. 2018; 159:3-26. https://doi.org/10.1016/B978-0-444-63916-5.00001-X.
  • 15. Lanshammar K, Ribom EL. Differences in muscle strength in dominant and non-dominant leg in females aged 20-39 years--a population-based study. Phys Ther Sport. 2011; 12(2):76-9. https://doi.org/10.1016/j.ptsp.2010.10.004.
  • 16. Mala L, Maly T, Zahalkab F. Postural performance in the bipedal and unipedal stance of elite soccer players in different age categories. Acta Kinesiologica. 2017; 11:101–105.
  • 17. Muehlbauer T, Mettler C, Roth R, Granacher U. One-leg standing performance and muscle activity: are there limb differences? J Appl Biomech. 2014; 30(3):407-14. https://doi.org/10.1123/jab.2013-0230
  • 18. Barone R, Macaluso F, Traina M, Leonardi V, Farina F, Di Felice V. Soccer players have a better standing balance in nondominant one-legged stance. Open Access J Sports Med. 2010 Dec 16;2:1-6. https://doi.org/10.2147/OAJSM.S12593.
  • 19. Simoneau M, Bégin F, Teasdale N. The effects of moderate fatigue on dynamic balance control and attentional demands. J Neuroeng Rehabil. 2006;28;3:22. https://doi.org/10.1186/1743-0003-3-22.
  • 20. Ford KR, Myer GD, Hewett TE. Valgus knee motion during landing in high school female and male basketball players. Med Sci Sports Exerc. 2003;35(10):1745-50. https://doi.org/10.1249/01.MSS.0000089346.85744.D9.
  • 21. Melton LJ, Khosla S, Crowson CS, O'Connor MK, O'Fallon WM, Riggs BL. Epidemiology of sarcopenia. J Am Geriatr Soc. 2000; 48(6):625-30.
  • 22. Volpi E, Nazemi R, Fujita S. Muscle tissue changes with aging. Curr Opin Clin Nutr Metab Care. 2004; 7(4):405-10. https://doi.org/10.1097/01.mco.0000134362.76653.b2
  • 23. Weiner DK, Bongiorni DR, Studenski SA, Duncan PW, Kochersberger GG. Does functional reach improve with rehabilitation? Arch Phys Med Rehab. 1993; 74:796-800. https://doi.org/10.1016/0003-9993(93)90003-s.
  • 24. Scena S, Steindler R, Ceci M, Zuccaro SM, Carmeli E. Computerized Functional Reach Test to Measure Balance Stability in Elderly Patients With Neurological Disorders. J Clin Med Res. 2016; 8(10):715-20. https://doi.org/10.14740/jocmr2652w
  • 25. Karabulut M, Gürses R, Aksoy S. An alternative postural control test: Correlation of modified functional reach with limits of stability. JETR. 2023; 10(2):122-31. https://doi.org/10.15437/jetr.992084
  • 26. Nakhostin-Ansari A, Naghshtabrizi N, Naghdi S, Ghafouri M, Khalifeloo M, Mohammadzadeh M, Vezvaei P, Nakhostin Ansari N. Normative values of functional reach test, single-leg stance test, and timed "UP and GO" with and without dual-task in healthy Iranian adults: A cross-sectional study. Ann Med Surg (Lond). 2022; 80:104053. https://doi.org/10.1016/j.amsu.2022.104053
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Kulak Burun Boğaz
Bölüm Araştırma Makalesi
Yazarlar

Emre Söylemez 0000-0002-7554-3048

Mehmet Can 0000-0001-5979-0439

Erken Görünüm Tarihi 22 Haziran 2025
Yayımlanma Tarihi 23 Haziran 2025
Gönderilme Tarihi 20 Kasım 2024
Kabul Tarihi 6 Mayıs 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 26 Sayı: 2

Kaynak Göster

EndNote Söylemez E, Can M (01 Haziran 2025) Arm and Leg Dominance Does Not Affect Functional Balance Tests. Meandros Medical And Dental Journal 26 2 144–150.
 Kapak Resmi İndir