Klinik Araştırma
Yıl 2025,
Cilt: 36 Sayı: 1, 72 - 78, 25.04.2025
Öz
Amaç: Kas yorgunluğunun proprioseptif sistemi, merkezi propriosepsiyon sürecini ve güç üretim kapasitesini değiştirdiği bilinmektedir. Bu çalışma, adölesan kız basketbol oyuncularında anaerobik yorgunluğun alt ekstremite propriosepsiyonu üzerindeki etkisini belirlemeyi amaçlamaktadır.
Yöntem: Çalışmaya 12-16 yaşları arasında lisanslı kız basketbol oyuncuları dahil edildi (n=30). Dominant alt ekstremiteleri, diz eklemi pozisyon hissi ölçümleri için değerlendirildi. Aktif ve pasif diz eklemi pozisyon duyusu, izokinetik dinamometre ile istirahatte (test öncesi), anaerobik yorgunluktan hemen sonra ve 10 dakikalık dinlenme döneminden hemen sonra 30° ve 60° derecelerde ölçüldü. Anaerobik yorgunluk oluşturmak için Wingate Anaerobik Güç Testi kullanıldı. Her katılımcı için test öncesi diz eklemi pozisyon algıları kaydedildi.
Sonuçlar: 30 saniyelik anaerobik yorgunluktan sonra, istirahat değerlerine kıyasla 30° ve 60° diz fleksiyonunda aktif eklem pozisyonu algısında önemli bir azalma gözlendi (p>0,017). Yorgunluktan sonra 10 dakikalık bir iyileşmenin ardından, 30° ve 60° diz fleksiyonunda aktif eklem pozisyonu algısı istirahat seviyelerine döndü. Pasif eklem algısında istatistiksel bir değişim gözlenmemiştir.
Tartışma: Anaerobik yorgunluğun adölesan kız basketbol oyuncularında diz proprioception'ını azalttığı belirlendi. Ayrıca, proprioseptif duyarlılığın 10 dakikalık kadar kısa bir iyileşme süresi ile bazal seviyelere döndüğü gözlemlenmiştir.
Anahtar Kelimeler
Etik Beyan
The study was approved by the Istanbul Okan University Clinical Research Ethics Committee (No:37/31.01.2020).
Destekleyen Kurum
None
Kaynakça
- Apostolidis N, Nassis GP, Bolatoglou T, Geladas ND. Physiological and technical characteristics of elite young basketball players. J Sports Med Phys Fitness. 2004;44(2):157-63.
- Billat LV. Interval training for performance: a scientific and empirical practice. Special recommendations for middle- and long-distance running. Part I: aerobic interval training. Sports Med. 2001;31(1):13-31. doi:10.2165/00007256-200131010-00002
- Caine D, Purcell L, Maffulli N. The child and adolescent athlete: a review of three potentially serious injuries. BMC Sports Sci Med Rehabil. 2014;6:22. doi:10.1186/2052-1847-6-22
- Carvalho HM, Leonardi TJ, Soares A, Paes RR, Foster C, Gonçalves CE. Longitudinal changes of functional capacities among adolescent female basketball players. Front Physiol. 2019;10:339. doi:10.3389/fphys.2019.00339
- Erkmen N, Suveren S, Göktepe S, Yazıcıoğlu K. Farklı branşlardaki sporcuların denge performanslarının karşılaştırılması. Spormetre Beden Eğitimi ve Spor Bilimleri Dergisi. 2007;3:115-22.
- Evans RK, Knight KL, Draper DO, Parcell AC. Effects of warm-up before eccentric exercise on direct markers of muscle damage. Med Sci Sports Exerc. 2002;34(12):1892-9.
- Ferraz R, van den Tillaar R, Marques MC. The effect of fatigue on kicking velocity in soccer players. J Hum Kinet. 2012;35:97-107. doi:10.2478/v10078-012-0083-8
- Fleming JD, Ritzmann R, Centner C. Effect of an anterior cruciate ligament rupture on knee proprioception within 2 years after conservative and operative treatment: a systematic review with meta-analysis. Sports Med. 2022;52(5):1091-102. doi:10.1007/s40279-021-01600-z
- Garbenytė-Apolinskienė T, Salatkaitė S, Šiupšinskas L, Gudas R. Prevalence of musculoskeletal injuries, pain, and illnesses in elite female basketball players. Medicina (Kaunas). 2019;55(6):276. doi:10.3390/medicina55060276
- Givoni NJ, Pham T, Allen TJ, Proske U. The effect of quadriceps muscle fatigue on position matching at the knee. J Physiol. 2007;584(Pt 1):111-9. doi:10.1113/jphysiol.2007.134411
- Göktepe M, Çakır E, Göktepe MM, Şenel Ö. Effect of maximal anaerobic loading on lower extremity proprioceptive sense in soccer players. J Educ Train Stud. 2019;7(2):163-8.
- Post EG, Rivera MJ, Robison HJ, Rauh MJ, McGuine TA, Simon JE. Injury risk factors related to sport specialization in high school basketball: a prospective study. J Athl Train. 2024 May 22. doi:10.4085/1062-6050-0066.241. Epub ahead of print. PMID: 38775113.
- Owoeye OBA, Palacios-Derflingher LM, Emery CA. Prevention of ankle sprain injuries in youth soccer and basketball: effectiveness of a neuromuscular training program and examining risk factors. Clin J Sport Med. 2018;28(4):325-31. doi:10.1097/JSM.0000000000000462. PMID: 29864071.
- Hilibrand MJ, Hammoud S, Bishop M, Woods D, Fredrick RW, Dodson CC. Common injuries and ailments of the female athlete; pathophysiology, treatment and prevention. Phys Sportsmed. 2015;43(4):403-11. doi:10.1080/00913847.2015.1092856
- Hindle KB, Whitcomb TJ, Briggs WO, Hong J. Proprioceptive neuromuscular facilitation (PNF): its mechanisms and effects on range of motion and muscular function. J Hum Kinet. 2012;31:105-13. doi:10.2478/v10078-012-0011-y
- Baker H, Rizzi A, Athiviraham A. Injury in the Women's National Basketball Association (WNBA) from 2015 to 2019. Arthrosc Sports Med Rehabil. 2020;2(3). doi:10.1016/j.asmr.2020.02.003. PMID: 32548586; PMCID: PMC7283941.
- Hoffman J. Physiology of basketball. In: McKeag DB, editor. Handbook of sports medicine and science. Basketball. Malden: Blackwell Science Ltd; 2008. p. 12-24.
- Hughes T, Rochester P. The effects of proprioceptive exercise and taping on proprioception in subjects with functional ankle instability: a review of the literature. Phys Ther Sport. 2008;9(3):136-47. doi:10.1016/j.ptsp.2008.06.003
- Kwon OY, Park DS. Effects of muscle fatigue on knee proprioception. J Korean Acad Rehabil Med. 1998;22(4):960-5.
- McInnes SE, Carlson JS, Jones CJ, McKenna MJ. The physiological load imposed on basketball players during competition. J Sports Sci. 1995;13(5):387-97. doi:10.1080/02640419508732254
- Miura K, Ishibashi Y, Tsuda E, Okamura Y, Otsuka H, Toh S. The effect of local and general fatigue on knee proprioception. Arthroscopy. 2004;20(4):414-8. doi:10.1016/j.arthro.2004.01.007
- Mohammadi Bazneshin M, Amiri A, Jamshidi AA, Vasaghi-Gharamaleki B. Quadriceps muscle fatigue and knee joint position sense in healthy men. J Phys Ther. 2015;5(2):109-14. doi:10.15412/J.PTJ.07050207
- Hopper DM, Goh SC, Wentworth LA, et al. Test-retest reliability of knee rating scales and functional hop tests one year following anterior cruciate ligament reconstruction. Phys Ther Sport. 2002;3(1):10-8.
- Inal SH. Spor ve egzersizde vücut biyomekaniği. Ankara: Hipokrat Yayınevi; 2017.
- Ogard WK. Proprioception in sport medicine and athletic conditioning. Strength Cond J. 2011;33(3):111-8. doi:10.1519/SSC.0b013e31821bf3ae
- Paschalis V, Nikolaidis MG, Giakas G, Jamurtas AZ, Pappas A, Koutedakis Y. The effect of eccentric exercise on position sense and joint reaction angle of the lower limbs. Muscle Nerve. 2007;35(4):496-503. doi:10.1002/mus.20723
- Purvi K, Changela K, Ramaprabhu S. A study to evaluate the effect of fatigue on knee joint proprioception and balance in healthy individuals. Indian J Physiother Occup Ther. 2013;7:213-7.
- Ribeiro F, Santos F, Gonçalves P, Oliveira J. Effects of volleyball match-induced fatigue on knee joint position sense. Eur J Sport Sci. 2008;8:397-402. doi:10.1080/02614360802373060
- Ribeiro F, Venâncio J, Quintas P, Oliveira J. The effect of fatigue on knee position sense is not dependent upon the muscle group fatigued. Muscle Nerve. 2011;44(2):217-20. doi:10.1002/mus.22018
- Roberts D, Ageberg E, Andersson G, Fridén T. Effects of short-term cycling on knee joint proprioception in healthy young persons. Am J Sports Med. 2003;31(6):990-4. doi:10.1177/03635465030310064001
- Salgado E, Ribeiro F, Oliveira J. Joint-position sense is altered by football pre-participation warm-up exercise and match-induced fatigue. Knee. 2015;22(3):243-8. doi:10.1016/j.knee.2014.10.002
- Sharon AP, Denise LS. Exercise physiology for health, fitness, and performance. 2nd ed. San Francisco: Benjamin Cummings Publishing; 2003.
- Şimşek D, Ertan H. Postural kontrol ve spor: kassal yorgunluk ve postural kontrol ilişkisi. Spormetre Beden Eğitimi ve Spor Bilimleri Dergisi. 2011;9(4):119-24.
- Miura K, Ishibashi Y, Tsuda E, Okamura Y, Otsuka H, Toh S. The effect of local and general fatigue on knee proprioception. Arthroscopy. 2004;20(4):414-8. doi:10.1016/j.arthro.2004.01.007
- Harris M, Edwards S, Rio E, Cook J, Cencini S, Hannington MC, Bonello C, Docking S. Nearly 40% of adolescent athletes report anterior knee pain regardless of maturation status, age, sex, or sport played. Physical Therapy Sport. 2021; 51:29–35.
Yıl 2025,
Cilt: 36 Sayı: 1, 72 - 78, 25.04.2025
Öz
Purpose: Muscle fatigue is known to alter the proprioceptive system, the central proprioception process, and power generation capacity. This study aims to determine the effect of anaerobic fatigue on lower-extremity proprioception in adolescent female basketball players.
Methods: The study included licensed female basketball players (n=30) between the ages of 12 and 16. Their dominant lower extremities were evaluated for knee joint position-sense measurements. Active and passive knee joint position senses were measured with an isokinetic dynamometer at 30° and 60° degrees prior to, immediately after anaerobic fatigue, and finally after 10 minutes of the recovery period. The Wingate Anaerobic Strength Test was used to induce anaerobic fatigue. We documented the knee joint position sense of each participant.
Results: Following a 30-second anaerobic fatigue, a significant reduction in the sense of active joint perception at 30° and 60° knee flexion was observed compared to baseline values (p> 0.017). The knee joint's proprioception at 30° and 60° flexion returned to baseline levels after a 10-minute recovery from fatigue. The passive joint perception did not show any statistical changes.
Conclusion: Anaerobic fatigue reduces knee proprioception in adolescent female basketball players. Moreover, proprioceptive sensitivity can return to baseline levels with a recovery time of as little as 10 minutes.
Anahtar Kelimeler
Etik Beyan
The study was approved by the Istanbul Okan University Clinical Research Ethics Committee (No:37/31.01.2020).
Destekleyen Kurum
None
Teşekkür
The authors would like to thank the basketball players who agreed to participate in the study.
Kaynakça
- Apostolidis N, Nassis GP, Bolatoglou T, Geladas ND. Physiological and technical characteristics of elite young basketball players. J Sports Med Phys Fitness. 2004;44(2):157-63.
- Billat LV. Interval training for performance: a scientific and empirical practice. Special recommendations for middle- and long-distance running. Part I: aerobic interval training. Sports Med. 2001;31(1):13-31. doi:10.2165/00007256-200131010-00002
- Caine D, Purcell L, Maffulli N. The child and adolescent athlete: a review of three potentially serious injuries. BMC Sports Sci Med Rehabil. 2014;6:22. doi:10.1186/2052-1847-6-22
- Carvalho HM, Leonardi TJ, Soares A, Paes RR, Foster C, Gonçalves CE. Longitudinal changes of functional capacities among adolescent female basketball players. Front Physiol. 2019;10:339. doi:10.3389/fphys.2019.00339
- Erkmen N, Suveren S, Göktepe S, Yazıcıoğlu K. Farklı branşlardaki sporcuların denge performanslarının karşılaştırılması. Spormetre Beden Eğitimi ve Spor Bilimleri Dergisi. 2007;3:115-22.
- Evans RK, Knight KL, Draper DO, Parcell AC. Effects of warm-up before eccentric exercise on direct markers of muscle damage. Med Sci Sports Exerc. 2002;34(12):1892-9.
- Ferraz R, van den Tillaar R, Marques MC. The effect of fatigue on kicking velocity in soccer players. J Hum Kinet. 2012;35:97-107. doi:10.2478/v10078-012-0083-8
- Fleming JD, Ritzmann R, Centner C. Effect of an anterior cruciate ligament rupture on knee proprioception within 2 years after conservative and operative treatment: a systematic review with meta-analysis. Sports Med. 2022;52(5):1091-102. doi:10.1007/s40279-021-01600-z
- Garbenytė-Apolinskienė T, Salatkaitė S, Šiupšinskas L, Gudas R. Prevalence of musculoskeletal injuries, pain, and illnesses in elite female basketball players. Medicina (Kaunas). 2019;55(6):276. doi:10.3390/medicina55060276
- Givoni NJ, Pham T, Allen TJ, Proske U. The effect of quadriceps muscle fatigue on position matching at the knee. J Physiol. 2007;584(Pt 1):111-9. doi:10.1113/jphysiol.2007.134411
- Göktepe M, Çakır E, Göktepe MM, Şenel Ö. Effect of maximal anaerobic loading on lower extremity proprioceptive sense in soccer players. J Educ Train Stud. 2019;7(2):163-8.
- Post EG, Rivera MJ, Robison HJ, Rauh MJ, McGuine TA, Simon JE. Injury risk factors related to sport specialization in high school basketball: a prospective study. J Athl Train. 2024 May 22. doi:10.4085/1062-6050-0066.241. Epub ahead of print. PMID: 38775113.
- Owoeye OBA, Palacios-Derflingher LM, Emery CA. Prevention of ankle sprain injuries in youth soccer and basketball: effectiveness of a neuromuscular training program and examining risk factors. Clin J Sport Med. 2018;28(4):325-31. doi:10.1097/JSM.0000000000000462. PMID: 29864071.
- Hilibrand MJ, Hammoud S, Bishop M, Woods D, Fredrick RW, Dodson CC. Common injuries and ailments of the female athlete; pathophysiology, treatment and prevention. Phys Sportsmed. 2015;43(4):403-11. doi:10.1080/00913847.2015.1092856
- Hindle KB, Whitcomb TJ, Briggs WO, Hong J. Proprioceptive neuromuscular facilitation (PNF): its mechanisms and effects on range of motion and muscular function. J Hum Kinet. 2012;31:105-13. doi:10.2478/v10078-012-0011-y
- Baker H, Rizzi A, Athiviraham A. Injury in the Women's National Basketball Association (WNBA) from 2015 to 2019. Arthrosc Sports Med Rehabil. 2020;2(3). doi:10.1016/j.asmr.2020.02.003. PMID: 32548586; PMCID: PMC7283941.
- Hoffman J. Physiology of basketball. In: McKeag DB, editor. Handbook of sports medicine and science. Basketball. Malden: Blackwell Science Ltd; 2008. p. 12-24.
- Hughes T, Rochester P. The effects of proprioceptive exercise and taping on proprioception in subjects with functional ankle instability: a review of the literature. Phys Ther Sport. 2008;9(3):136-47. doi:10.1016/j.ptsp.2008.06.003
- Kwon OY, Park DS. Effects of muscle fatigue on knee proprioception. J Korean Acad Rehabil Med. 1998;22(4):960-5.
- McInnes SE, Carlson JS, Jones CJ, McKenna MJ. The physiological load imposed on basketball players during competition. J Sports Sci. 1995;13(5):387-97. doi:10.1080/02640419508732254
- Miura K, Ishibashi Y, Tsuda E, Okamura Y, Otsuka H, Toh S. The effect of local and general fatigue on knee proprioception. Arthroscopy. 2004;20(4):414-8. doi:10.1016/j.arthro.2004.01.007
- Mohammadi Bazneshin M, Amiri A, Jamshidi AA, Vasaghi-Gharamaleki B. Quadriceps muscle fatigue and knee joint position sense in healthy men. J Phys Ther. 2015;5(2):109-14. doi:10.15412/J.PTJ.07050207
- Hopper DM, Goh SC, Wentworth LA, et al. Test-retest reliability of knee rating scales and functional hop tests one year following anterior cruciate ligament reconstruction. Phys Ther Sport. 2002;3(1):10-8.
- Inal SH. Spor ve egzersizde vücut biyomekaniği. Ankara: Hipokrat Yayınevi; 2017.
- Ogard WK. Proprioception in sport medicine and athletic conditioning. Strength Cond J. 2011;33(3):111-8. doi:10.1519/SSC.0b013e31821bf3ae
- Paschalis V, Nikolaidis MG, Giakas G, Jamurtas AZ, Pappas A, Koutedakis Y. The effect of eccentric exercise on position sense and joint reaction angle of the lower limbs. Muscle Nerve. 2007;35(4):496-503. doi:10.1002/mus.20723
- Purvi K, Changela K, Ramaprabhu S. A study to evaluate the effect of fatigue on knee joint proprioception and balance in healthy individuals. Indian J Physiother Occup Ther. 2013;7:213-7.
- Ribeiro F, Santos F, Gonçalves P, Oliveira J. Effects of volleyball match-induced fatigue on knee joint position sense. Eur J Sport Sci. 2008;8:397-402. doi:10.1080/02614360802373060
- Ribeiro F, Venâncio J, Quintas P, Oliveira J. The effect of fatigue on knee position sense is not dependent upon the muscle group fatigued. Muscle Nerve. 2011;44(2):217-20. doi:10.1002/mus.22018
- Roberts D, Ageberg E, Andersson G, Fridén T. Effects of short-term cycling on knee joint proprioception in healthy young persons. Am J Sports Med. 2003;31(6):990-4. doi:10.1177/03635465030310064001
- Salgado E, Ribeiro F, Oliveira J. Joint-position sense is altered by football pre-participation warm-up exercise and match-induced fatigue. Knee. 2015;22(3):243-8. doi:10.1016/j.knee.2014.10.002
- Sharon AP, Denise LS. Exercise physiology for health, fitness, and performance. 2nd ed. San Francisco: Benjamin Cummings Publishing; 2003.
- Şimşek D, Ertan H. Postural kontrol ve spor: kassal yorgunluk ve postural kontrol ilişkisi. Spormetre Beden Eğitimi ve Spor Bilimleri Dergisi. 2011;9(4):119-24.
- Miura K, Ishibashi Y, Tsuda E, Okamura Y, Otsuka H, Toh S. The effect of local and general fatigue on knee proprioception. Arthroscopy. 2004;20(4):414-8. doi:10.1016/j.arthro.2004.01.007
- Harris M, Edwards S, Rio E, Cook J, Cencini S, Hannington MC, Bonello C, Docking S. Nearly 40% of adolescent athletes report anterior knee pain regardless of maturation status, age, sex, or sport played. Physical Therapy Sport. 2021; 51:29–35.
Toplam 35 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Fizyoterapi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Erken Görünüm Tarihi | 15 Mayıs 2025 |
| Yayımlanma Tarihi | 25 Nisan 2025 |
| Gönderilme Tarihi | 7 Kasım 2023 |
| Kabul Tarihi | 25 Mart 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 36 Sayı: 1 |
