Öz
Amaç: Os good schlatter (OGS), büyüme döneminde sporcular için sık görülen
bir durumdur. Etiyoloji halen belirsizdir. Traksiyon apofiziti şeklinde
tanımlanmaktadır. OGS dizlerde daha güçlü kas gücü olduğu düşünülmektedir.
Çalışmamızın amacı; OGS olanlarda kas gücünü değerlendirmektir.
Yöntem: Kliniğimize başvuran 96 sporcuyu
inceledik. Dizleri OGS olan ve OGS olmayan dizler şeklinde iki gruba ayırarak
kas kuvvetini değerlendirdik. Diz kasları 60 ve 180 derece / saniye izokinetik dinamometre CYBEX NORM (CSMI Humac
Norm, ABD) ile ölçüldü. Tepe torku (PT), zirve torku / vücut ağırlığı (PT / BW)
, PT / BW E zirve torku / vücut ağırlığı ekstansiyon, PT / BW F zirve torku /
vücut ağırlığı fleksiyon ve agonist / antagonist (fleksör / ekstansör, AG / AN)
değerleri belirlendi. İstatistiksel değerlendirme için bağımsız örneklem
t-testi kullanıldı.
Bulgular: 60 derecede, PTE, PTF, PT / BW E ve PT / BW
F arasında anlamlı bir fark bulduk (p = 0.02, p = 0.002). PTE, PDF, PT / BWF,
180 derecede istatistiksel olarak anlamlıydı (p = 0,00).
Sonuç: OGS olmayan gruptaki sporcuların kas
kuvvetleri ,OGS grubuna göre istatistiksel olarak daha güçlü idi. OGS olan
sporcuların daha iyi performans sergilemeleri için, kas kuvvetlerini arttırmak
yönelik antrenmanlar düzenlenmelidir.
Anahtar Kelimeler
Kaynakça
- 1. Blankstein A, Cohen I, Heim M , Diamant L, Salai M, Chechick A, Ganel A. Ultrasonography as a diagnostic modality in Osgood-Schlatter disease: A clinical study and review of the literature. Arch Orthop Trauma Surg .2001; 121: 536-539.
- 2. Flowers MJ, Bhadreshwar DR. Tibial tuberosity excision for symptomatic Osgood-Schlatter disease. J PediatrOrthop. 1995;15:292-297. 3. Gholve PA, Scher DM, Khakharia S et al. Osgood Schlatter syndrome. CurrOpinPediatr. 2007; 19:44-50.
- 4. Osgood RB. Lesions of the tibia tubercle occurring during adolescence. Boston Med SurgJ. 1903; 148:114–117.
- 5. De Lucena GL, dos Santos Gomes C,Guerra RO. Prevalence and associated factors of Osgood-Schlatter syndrome in apopulation-based sample of Brazilian adolescents. Am J Sports Med. 2011;39 :415-420.
- 6. Dubravcic-Simunjak S, Pecina M, Kuipers H, Moran J, Haspl M.The incidence of injuries in elite junior figure skaters. AmJSportsMed. 2003; 31:511-517.
- 7. Gigante A, Bevilacqua C, Bonetti MG,Greco F. Increased external tibial torsion in Osgood-Schlatter disease. Acta Orthop Scand. 2003;74 :431-36.
- 8. Morales G, Barraza J, Aquino G. Osgood-Schlatter en futbolistas escolares y adolescentes. ActaOrtop Mex. 2005;19:135-138.
- 9. Smith AD, Stroud L, McQueen C. Flexibility and anterior knee pain in adolescent elite figure skaters. J Pediatr Orthop.1991;11 :77-82.
- 10. Nakase J, Aiba T, Goshima K, Takahashi R, Toratani T, Kosaka M, Ohashi Y, Tsuchiya H. Relationship between the skeletal maturation of the distal attachment of the patellar tendon and physical features in preadolescent male football players.KneeSurg Sports Traumatol Arthrosc. 2014 Jan; 22:195-9.
- 11. Thévenin-Lemoine C, Ferrand M, Courvoisier A ,Damsin JP, Ducou le Pointe H, Vialle R. Is the Caton-Deschamps index a valuable ratio to investigate patellar height in children? J Bone Joint Surg. Am 2011;93:35.
- 12. Baltzopoulos V, Brodie DA.Isokinetic Dynamometry Applications and Limitations.Sports Medicine. 1989; 8:101-116.
- 13. Perrin, DH. Isokinetic exercise and assessment. Champaign, IL : Human Kinetics Publishers, 1993.
- 14. Krause BL, Williams JP, Catterall A. Natural history of Osgood-Schlatter disease. J Pediatr Orthop.1990;10:65-68.
- 15. Antich TJ, Lombardo SJ.Clinical presentation of osgood- schlatter disease in the adolescent population. JOrthop Sports Phys Ther. 1985; 7:1-4.
- 16. Ehrenborg G. The Osgood–Schlatter lesion: a clinical study of 170 cases. Acta Chir Scand .1962; 124:89–105.
- 17. Bloom OJ, Mackler L. Clinical injuries: What is the best treatment for Osgood–Schlatter disease? J Fam Pract. 2004; 53:153–156.
- 18. Marx JA, Hockberger RS, Walls RM, Adams J. Rosen’s emergency medicine:concepts and clinical practice. 5th ed. St Louis Musculoskeleteal Disorders. 2002; Chapter 174:2245-2268.
- 19. Wall EJ. Osgood–Schlatter disease: practical treatment for a self-limited condition. Phys Sport Med .1998; 26:29–34.
- 20. Jakob RP, von Gumppenberg S, Engelhardt P. Does Osgood--Schlatter disease influence the position of the patella? J Bone Joint SurgBr. 1981; 63:579-82.
- 21. Nakase J, Goshima K, Numata H, Oshima T, Takata Y, Tsuchiya H. Precise risk factors for Osgood–Schlatterdisease. Arch Orthop Trauma Surg.2015; 135:1277-81.
- 22. Warren BL, Abellanida M. Bilateral strength testing in dominant and non-dominant plant leg in soccer players. Portuguese Journal of Sport Sciences. 2011; 11:137-140.
- 23. Rahnama N, Lees A, Bambaecichi E.A comparison of muscle strength and flexibility between the preferred and non-preferred leg in English soccer players.Ergonomics.2005;48:11-14.
Öz
Aim: Os Good Schlatter
Disease (OGS) is a common condition for sportspeople during the growth
period. The etiology is still unclear. Its definition is traction
apophysis. The OGS knees are thought to have stronger muscle power. The aim of
this study is to evaluate muscle strength in OGS knees.
Materials and methods:
We examined 96 athletes who applied to our clinic. We evaluated the muscular
strength by separating the knees in two groups as the knees with OGS and
without OGS. Knee muscle strength was measured in 60 and 180
degrees/second with isokinetic dynamometer CYBEX NORM (CSMI Humac Norm, ABD).
Peak torque (PT), peak torque/body weight (PT/BW) and agonist/antagonist
(flexor/extensor, AG/AN) values were collected. Independent samples t-test was
used for statistical evaluation.
Results: At 60 degrees, we
found a significant difference between PTE, PTF, PT / BW E and PT / BW
F (p= 0.02, p= 0.002). PTE, PDF, PT/ BWF were
statistically significant also at 180 degrees (p=0,00 ).
Conclusion: Muscle strengths of
the non-OGS group were statistically stronger than those of OGS group. In
order to demonstrate better performance of the athletes with OGS, training
plans should be conducted to increase their muscle strength.
Anahtar Kelimeler
Kaynakça
- 1. Blankstein A, Cohen I, Heim M , Diamant L, Salai M, Chechick A, Ganel A. Ultrasonography as a diagnostic modality in Osgood-Schlatter disease: A clinical study and review of the literature. Arch Orthop Trauma Surg .2001; 121: 536-539.
- 2. Flowers MJ, Bhadreshwar DR. Tibial tuberosity excision for symptomatic Osgood-Schlatter disease. J PediatrOrthop. 1995;15:292-297. 3. Gholve PA, Scher DM, Khakharia S et al. Osgood Schlatter syndrome. CurrOpinPediatr. 2007; 19:44-50.
- 4. Osgood RB. Lesions of the tibia tubercle occurring during adolescence. Boston Med SurgJ. 1903; 148:114–117.
- 5. De Lucena GL, dos Santos Gomes C,Guerra RO. Prevalence and associated factors of Osgood-Schlatter syndrome in apopulation-based sample of Brazilian adolescents. Am J Sports Med. 2011;39 :415-420.
- 6. Dubravcic-Simunjak S, Pecina M, Kuipers H, Moran J, Haspl M.The incidence of injuries in elite junior figure skaters. AmJSportsMed. 2003; 31:511-517.
- 7. Gigante A, Bevilacqua C, Bonetti MG,Greco F. Increased external tibial torsion in Osgood-Schlatter disease. Acta Orthop Scand. 2003;74 :431-36.
- 8. Morales G, Barraza J, Aquino G. Osgood-Schlatter en futbolistas escolares y adolescentes. ActaOrtop Mex. 2005;19:135-138.
- 9. Smith AD, Stroud L, McQueen C. Flexibility and anterior knee pain in adolescent elite figure skaters. J Pediatr Orthop.1991;11 :77-82.
- 10. Nakase J, Aiba T, Goshima K, Takahashi R, Toratani T, Kosaka M, Ohashi Y, Tsuchiya H. Relationship between the skeletal maturation of the distal attachment of the patellar tendon and physical features in preadolescent male football players.KneeSurg Sports Traumatol Arthrosc. 2014 Jan; 22:195-9.
- 11. Thévenin-Lemoine C, Ferrand M, Courvoisier A ,Damsin JP, Ducou le Pointe H, Vialle R. Is the Caton-Deschamps index a valuable ratio to investigate patellar height in children? J Bone Joint Surg. Am 2011;93:35.
- 12. Baltzopoulos V, Brodie DA.Isokinetic Dynamometry Applications and Limitations.Sports Medicine. 1989; 8:101-116.
- 13. Perrin, DH. Isokinetic exercise and assessment. Champaign, IL : Human Kinetics Publishers, 1993.
- 14. Krause BL, Williams JP, Catterall A. Natural history of Osgood-Schlatter disease. J Pediatr Orthop.1990;10:65-68.
- 15. Antich TJ, Lombardo SJ.Clinical presentation of osgood- schlatter disease in the adolescent population. JOrthop Sports Phys Ther. 1985; 7:1-4.
- 16. Ehrenborg G. The Osgood–Schlatter lesion: a clinical study of 170 cases. Acta Chir Scand .1962; 124:89–105.
- 17. Bloom OJ, Mackler L. Clinical injuries: What is the best treatment for Osgood–Schlatter disease? J Fam Pract. 2004; 53:153–156.
- 18. Marx JA, Hockberger RS, Walls RM, Adams J. Rosen’s emergency medicine:concepts and clinical practice. 5th ed. St Louis Musculoskeleteal Disorders. 2002; Chapter 174:2245-2268.
- 19. Wall EJ. Osgood–Schlatter disease: practical treatment for a self-limited condition. Phys Sport Med .1998; 26:29–34.
- 20. Jakob RP, von Gumppenberg S, Engelhardt P. Does Osgood--Schlatter disease influence the position of the patella? J Bone Joint SurgBr. 1981; 63:579-82.
- 21. Nakase J, Goshima K, Numata H, Oshima T, Takata Y, Tsuchiya H. Precise risk factors for Osgood–Schlatterdisease. Arch Orthop Trauma Surg.2015; 135:1277-81.
- 22. Warren BL, Abellanida M. Bilateral strength testing in dominant and non-dominant plant leg in soccer players. Portuguese Journal of Sport Sciences. 2011; 11:137-140.
- 23. Rahnama N, Lees A, Bambaecichi E.A comparison of muscle strength and flexibility between the preferred and non-preferred leg in English soccer players.Ergonomics.2005;48:11-14.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | İç Hastalıkları |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 12 Mart 2018 |
| Gönderilme Tarihi | 7 Kasım 2017 |
| Kabul Tarihi | 20 Kasım 2017 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 2 Sayı: 1 |
Cited By
Adolesan Sporcularda D Vitamini Düzeyi İle İzokinetik Kas Kuvvetinin İlişkisi
Acta Medica Alanya
Sabriye ERCAN
https://doi.org/10.30565/medalanya.527532
Bu Dergi Creative Commons Atıf-GayriTicari-AynıLisanslaPaylaş 4.0 Uluslararası Lisansı ile lisanslanmıştır.