Elit kadın güreşçilerde alt ekstremite yaralanma riskinin öngörülmesinde iniş mekaniği: Prospektif bir çalışma
Özet Görüntüleme: 10
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DOI:
https://doi.org/10.70736/jrolss.590Anahtar Kelimeler:
Biyomekanik, Elit Kadın Güreşçiler, İniş Hata Puanlama Sistemi, Ön çapraz bağ yaralanması, Yaralanma önlemeÖzet
Bu çalışmanın amacı, sıçrama-iniş mekaniği ile elit kadın güreşçilerde alt ekstremite yaralanma riski arasındaki ilişkiyi incelemekti. Hipotez, güreşin biyomekanik gereksinimleri göz önünde bulundurulduğunda, yüksek LESS skorlarının artan yaralanma riski ile ilişkili olacağıydı yönündeydi. Çalışma, Türkiye milli takımından 47 elit kadın güreşçi ile yürütülen prospektif kohort araştırma desenine sahipti. Katılımcılar, yarışma sezonu öncesinde sıçrama-iniş mekaniği değerlendirmesinden geçirildi ve LESS skorları kaydedildi. Yaralanma durumları iki sezon boyunca takip edildi. ROC eğrisi analizi, yaralanmaları öngörmek için optimal LESS eşik değerini belirlemek amacıyla uygulandı. LESS skorları ile yaralanma riski arasındaki ilişkiyi incelemek için Pearson Ki-kare ve Fisher’s exact testi kullanıldı. Analiz sonucunda, LESS için optimal eşik değeri 5.5 olarak belirlendi (AUC = 0.683, p = 0.025) ve bu değer, %71.43 duyarlılık ve %65.38 özgüllük gösterdi. LESS skoru 5’in üzerinde olan sporcular, anlamlı derecede daha yüksek yaralanma insidansı sergiledi (p = 0.012). Ayrıca, LESS skoru eşik değerinin üzerinde olan 21 sporcunun 15’inin yaralanma yaşadığı kaydedildi. Yüksek LESS skorlarının, elit kadın güreşçilerde artan alt ekstremite yaralanma riski ile ilişkili olduğu gözlendi. Bu bulgular, LESS’in yaralanma önleme stratejileri için etkili bir tarama aracı olarak kullanılabileceğini vurgulamaktadır. Gelecekteki çalışmalar, iniş mekaniğini geliştirmek ve yaralanma riskini azaltmak amacıyla hedefe yönelik nöromusküler antrenman programlarının etkinliğini araştırmalıdır.
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