Ön Çapraz Bağ Tamiri Sonrası Gövde Stabilizasyon Egzersizlerinin Postüral Stabilite ve Alt Ekstremite Fonksiyonu Üzerine Etkisinin Araştırılması
Çınar Medeni, Özge
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The aim of this study was to compare the effects of core stabilization exercises and conventional rehabilitation protocol after anterior cruciate ligament reconstruction in terms of knee joint laxity, knee and hip muscle strength, postural stability and functional tests. 28 patients reconstructed with hamstring tendon were included. 13 patient included in conventional rehabilitation, 15 included in core stabilization programme. Postural stability assessment, trunk endurance tests, isometric hip muscle strength test, isokinetic knee muscle strength test, instrumented ligament laxity test, functional hop tests and Lysholm knee scoring scale were done to both groups at the end of 16th week. Comparisons within group were done by using Wilcoxon test, between groups by Mann-Whitney U test and comparisons of proportions by chi-square test. In core stability group no difference was found between operated and uninvolved extremities, in classic rehabilitation group reconstructed limb?s overall stability index was higher than other extremity in eyes-closed condition (p<.05). In eyes-closed condition, overall stability and sway index and mediolateral sway index were better in uninvolved limb in classic rehabilitation group (p<.05). Rate of increase of mediolateral and overall sway index in operated limb, and mediolateral sway index in uninvolved limb in eyes closed condition according to eyes open condition were lower in core stability group (p<.05). 4 cases could not succeed postural stability test on foam surface. Success rnumbers between groups were different (p<.05). Differences were found in favor of core stabilizatin group in hip abduction, adduction and hamstring/quadriceps strength ratio and hamstring/quadriceps strength ratio difference between groups (p<.05). Knee joint laxity, core muscle endurance, functional hop tests and Lyholm scores were not different between groups (p>.05). Core stabilization exercises improves knee and hip muyscle strength and postural stability more than classic rehabilitation.