Farklı Fizyoterapi - Rehabilitasyonuygulamalarının El Bileği Propriosepsiyonu Üzerine Olan Etkinliğinin Karşılaştırılması
Abstract
Although studies concerned with proprioception goes on with arising interest in recent decades, there are very few researches existed about wrist proprioception. 60 healthy volunteers participated in this study which is arranged in order to seek the affects of different physiotherapy-rehabilitation practices to hand sensation and wrist proprioception. After dividing subjects randomizingly into four groups such as control group, vibration group, exercise group and proprioceptive exercise group; joint position sense assessed with a wrist goniometer originally designed by us, grip sensitivity evaluated with hand dynamometer, palm pressure sensitivity measured with Stabilizer Pressure Biofeedback®, sense perception threshold measured with Semmes Weinstein Monofilaments® and two point discrimination threshold detected with discriminator. With a diapason, vibration application was performed to wrist in vibration group, traditional wrist strengthening exercises were accomplished to exercise group three times per week, a total of three weeks and proprioception exercises including stretching, stabilization, perturbation, PNF techniques, approximation and manual traction were trained in proprioceptive exercise group three times per week, a total of three weeks. Then all measurements were repeated. Possible differences were inquired intra groups and inter groups. Statistically significant improvements were obtained in favor of proprioceptive exercise group in 30° flexion joint position sense, grip sensitivity and two point discrimination threshold (except index finger) (p<0.05). Also significant progresses established in palm pressure sensitivity in both exercise groups (p<0.05). In sense perception threshold assessment a significant difference was obtained only in ring finger sensitivity of proprioception group. On the other hand, a decrease in sensitivity of index finger was detected in vibration group after vibration application (p<0.05). According to our results; though a positive contribution was obtained in proprioceptive exercise training to wrist and hand proprioception, due to no study existed in the literature about wrist proprioception which we can compare our results, complicates making more exact conclusions. Hand and wrist proprioception can be assess much better with these newe parameters such as grip sensitivity and palm pressure sensitivity. In proprioception; there is need to be perform comparative researches related to wrist pathologies with wide series and studies among investigating the affects of exercises. In this respect, we hope our study will be a reference to further studies.