Düzensiz spor aktivitesi olan ofis çalışanlarında sentetik zeminli yüzeylerde ortaya çıkan ön çapraz bağ yaralanmaları
Öz
Gereç ve Yöntem: Sentetik yüzeyli zeminlerde spor esnasında ön çapraz bağ yaralanması olan ve opere edilen 87 hasta retrospektif olarak değerlendirildi. Hastaların opere edilen dizleri ameliyat öncesi ve son kontrollerde Lysholm ve Tegner Aktivite Skalaları ile değerlendirildi. Yaralanma mekanizması, yaralanma esnasında kullanılan ayakkabı tipi, sportif aktivite sıklığı, sportif aktivite öncesi ısınma süresi, spor yapılan sahanın zemin tipi, vücut kitle endeksi ve işe dönüş süresi araştırıldı.
Bulgular: Ameliyat öncesi ve son kontrollerdeki Lysholm ve Tegner aktivite skalalarında istatistiksel olarak anlamlı artış tespit edildi (p<0.001). Altmış beş hastada temassız travmalar sonucunda, 22 hastada ise direkt temaslı travmalar sonucunda ön çapraz bağ yırtığı oluştuğu tespit edildi. Hastaların sentetik zeminli yüzeylerde yaptıkları sportif aktiviteleri sosyal aktivite olarak gördükleri tespit edildi. Sentetik zeminli yüzeyler için uygun ayakkabı kullanımı düşük oranda idi. Hastaların aylık ortalama sportif aktivite sayıları 1.4, ortalama ısınma süresi 6.42 dk olarak bulundu. Sentetik yüzeyli sahaların 69’u 3. jenerasyon, 18’inin ise 2. jenerasyon yüzeyler idi. Hastaların ortalama vücut kitle endeksi 23.32 kg/m² idi. Cerrahi girişim sonrası işe dönüş süresi 17.41 hafta olarak belirlendi.
Sonuç: Uygunsuz ekipman ve düzensiz spor aktivitesi olan kişilerin sentetik zeminli yüzeylerde yaptıkları sportif aktiviteler cerrahi tedavi gerektiren ön çapraz bağ yaralanmalarına neden olabilmektedir. Bunun sonucunda çalışma zamanında azalma ve ekonomik kayıplar ortaya çıkmaktadır.
Anahtar Kelimeler
Ön çapraz bağ sentetik yüzeyli spor alanları ofis çalışanları
Kaynakça
- Drakos MC, Taylor SA, Fabricant PD, Haleem AM. Synthetic playing surfaces and athlete health. J Am Acad Orthop Surg 2013;21(5):293-302.
- Levy IM, Skovron ML, Agel J. Living with artificial grass: A knowledge update. Part 1: Basic science. Am J Sports Med 1990;18(4):406-12.
- Gorse K, Mickey CA, Bierhals A. Conditioning injuries associated with artificial turf in two preseason football training programs. J Athl Train 1997;32(4):304-8.
- Guskiewicz KM, Weaver NL, Padua DA, Garrett WE Jr. Epidemiology of concussion in collegiate and high school football players. Am J Sports Med 2000;28(5):643-50.
- Hagel BE, Fick GH, Meeuwisse WH. Injury risk in men’s Canada West University football. Am J Epidemiol 2003;157(9):825-33.
- Ramirez M, Schaffer KB, Shen H, Kashani S, Kraus JF. Injuries to high school football athletes in California. Am J Sports Med 2006;34(7):1147-58.
- Bradley J, Honkamp NJ, Jost P, West R, Norwig J, Kaplan LD. Incidence and variance of knee injuries in elite college football players. Am J Orthop 2008;37(6):310-4.
- Fédération Internationale de Football Association. FIFA Laws of the Game; July 2004.
- Turkish Football Federation, Halı Sahaların Denetimi ve Sınıflandırılması Hakkında Genelge, 1 Aralık 2009; www.tff.org
- Fleming P. Artificial turf systems for sport surfaces: Current knowledge and research needs. J Sports Engineering Tech 2011;225(2):43-63.
- Ekstrand J, Nigg BM. Surface-related injuries in soccer. Sports Med 1989;8(1): 56-62.
- Cawley PW, Heidt RS Jr, Scranton PE Jr, Losse GM, Howard ME. Physiologic axial load, frictional resistance, and the football shoe-surface interface. Foot Ankle Int 2003;24(7):551-6.
- Dragoo JL, Braun HJ, Durham JL , Chen MR, Harris AHS. Incidence and risk factors for injuries to the anterior cruciate ligament in National Collegiate Athletic Association Football data from the 2004-2005 through 2008-2009 National Collegiate Athletic Association Injury Surveillance System. Am J Sports Med 2012;40(5):990-5.
- Daneshjoo A, Mokhtar A, Rahnama N, Yusof A. The effects of injury prevention warm-up programmes on knee strength in male soccer players. Biol Sport 2013,30(4):281-8.
- Alentorn-Geli E, Myer GD, Silvers HJ, et al. Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 1: Mechanisms of injury and underlying risk factors. Knee Surg Sports Traumatol Arthrosc 2009;17(7):705-29.
- Kiani A, Hellquist E, Ahlqvist K, Gedeborg R, Michaëlsson K, Byberg L. Prevention of soccer related knee injuries in teenaged girls. Arch Intern Med 2010;170(1):43-7.
- Steffen K, Meeuwisse WH, Romiti M, et al. Evaluation of how different implementation strategies of an injury prevention programme (FIFA 11+) impact team adherence and injury risk in Canadian female youth football players: A cluster-randomised trial. Br J Sports Med 2013;47(8):480–8.
- Mandelbaum BR, Silvers HJ, Watanabe DS, et al. Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. Am J Sports Med 2005;33(7):1003-10.
- Marzo JM, Warren RF. Acute Anterior Cruciate and Medial Collateral Ligament injuries. Insall J, Windsor R (eds). Surgery of The Knee. 2nd ed, New York, Churchill Livingstone, 1993:403-24.
- Bradley JP, Klimkiewicz JJ, Rytel MJ, Powell JW. Anterior cruciate ligament injuries in the National Football League: Epidemiology and current treatment trends among team physicians. Arthroscopy 2002;18(5):502-9.
- Nicholas JA, Rosenthal PP, Gleim GW. A historical perspective of injuries in professional football: Twenty-six years of game-related events. JAMA 1988;260(7):939-44.
- Scranton PE Jr, Whitesel JP, Powell JW, et al. A review of selected noncontact anterior cruciate ligament injuries in the National Football League. Foot Ankle Int 1997;18(12):772-6.
- Gundogan K, Bayram F, Gedik V, et al. Metabolic syndrome prevalence according to ATP III and IDF criteria and related factors in Turkish adults. Arch Med Sci 2013;9(2):243-53.
- Republic of Turkey. Ministry of Health, Health Statistics Yearbook 2011. Ministry of Health, Ankara, 2012;42
- Erickson BJ, Harris JD, Fillingham YA, et al. Anterior cruciate ligament reconstruction practice patterns by NFL and NCAA football team physicians. Arthroscopy 2014;30(6):731-8.
Anterior cruciate ligament injuries at the office workers who have irregular sport activity on the artificial surfaced playing areas
Öz
Materials and Methods: Eighty-seven patients who were operated for anterior cruciate ligament tear that had injuries on artificial surfaced playing areas (ASPA)s were evaluated retrospectively. Evaluations were undertaken using Lysholm and Tegner Activity Scale pre-operatively and in the last follow-up. Injury mechanisms, shoe types, frequency of sporting activity, time of warm-up exercises before sporting activity were assessed. Types of ASPA’s, body mass index (BMI) and return to work period were also determined.
Results: Increase in Lysholm and Tegner activity scale between the preoperative and postoperative scores was found to be statistically significant (p<0.001). ACL tear occurred with non-contact injury in 65 patients, 22 patients had ACL tear with direct contact trauma. Football activity on the ASPAs is social allocation rather than a sportive activity. The rate of wearing special designed shoes for ASPA in sporting activities was low. The mean frequency of sporting activity was 1.4 times/month and the mean warm-up exercise time was 6.42 minutes. Sixty-nine ASPAs were made with 3th generation turf, 18 were 2nd generation turf. The mean BMI was 23.32 kg/m². The mean period for return to work was 17.41 weeks.
Conclusion: Irregular sportive activity with insufficient equipment on the ASPA causes serious ACL injuries that have to be managed by surgical procedures with loss of working time and economical casualties.
Anahtar Kelimeler
Anterior cruciate ligament artificial playing surface office workers
Kaynakça
- Drakos MC, Taylor SA, Fabricant PD, Haleem AM. Synthetic playing surfaces and athlete health. J Am Acad Orthop Surg 2013;21(5):293-302.
- Levy IM, Skovron ML, Agel J. Living with artificial grass: A knowledge update. Part 1: Basic science. Am J Sports Med 1990;18(4):406-12.
- Gorse K, Mickey CA, Bierhals A. Conditioning injuries associated with artificial turf in two preseason football training programs. J Athl Train 1997;32(4):304-8.
- Guskiewicz KM, Weaver NL, Padua DA, Garrett WE Jr. Epidemiology of concussion in collegiate and high school football players. Am J Sports Med 2000;28(5):643-50.
- Hagel BE, Fick GH, Meeuwisse WH. Injury risk in men’s Canada West University football. Am J Epidemiol 2003;157(9):825-33.
- Ramirez M, Schaffer KB, Shen H, Kashani S, Kraus JF. Injuries to high school football athletes in California. Am J Sports Med 2006;34(7):1147-58.
- Bradley J, Honkamp NJ, Jost P, West R, Norwig J, Kaplan LD. Incidence and variance of knee injuries in elite college football players. Am J Orthop 2008;37(6):310-4.
- Fédération Internationale de Football Association. FIFA Laws of the Game; July 2004.
- Turkish Football Federation, Halı Sahaların Denetimi ve Sınıflandırılması Hakkında Genelge, 1 Aralık 2009; www.tff.org
- Fleming P. Artificial turf systems for sport surfaces: Current knowledge and research needs. J Sports Engineering Tech 2011;225(2):43-63.
- Ekstrand J, Nigg BM. Surface-related injuries in soccer. Sports Med 1989;8(1): 56-62.
- Cawley PW, Heidt RS Jr, Scranton PE Jr, Losse GM, Howard ME. Physiologic axial load, frictional resistance, and the football shoe-surface interface. Foot Ankle Int 2003;24(7):551-6.
- Dragoo JL, Braun HJ, Durham JL , Chen MR, Harris AHS. Incidence and risk factors for injuries to the anterior cruciate ligament in National Collegiate Athletic Association Football data from the 2004-2005 through 2008-2009 National Collegiate Athletic Association Injury Surveillance System. Am J Sports Med 2012;40(5):990-5.
- Daneshjoo A, Mokhtar A, Rahnama N, Yusof A. The effects of injury prevention warm-up programmes on knee strength in male soccer players. Biol Sport 2013,30(4):281-8.
- Alentorn-Geli E, Myer GD, Silvers HJ, et al. Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 1: Mechanisms of injury and underlying risk factors. Knee Surg Sports Traumatol Arthrosc 2009;17(7):705-29.
- Kiani A, Hellquist E, Ahlqvist K, Gedeborg R, Michaëlsson K, Byberg L. Prevention of soccer related knee injuries in teenaged girls. Arch Intern Med 2010;170(1):43-7.
- Steffen K, Meeuwisse WH, Romiti M, et al. Evaluation of how different implementation strategies of an injury prevention programme (FIFA 11+) impact team adherence and injury risk in Canadian female youth football players: A cluster-randomised trial. Br J Sports Med 2013;47(8):480–8.
- Mandelbaum BR, Silvers HJ, Watanabe DS, et al. Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. Am J Sports Med 2005;33(7):1003-10.
- Marzo JM, Warren RF. Acute Anterior Cruciate and Medial Collateral Ligament injuries. Insall J, Windsor R (eds). Surgery of The Knee. 2nd ed, New York, Churchill Livingstone, 1993:403-24.
- Bradley JP, Klimkiewicz JJ, Rytel MJ, Powell JW. Anterior cruciate ligament injuries in the National Football League: Epidemiology and current treatment trends among team physicians. Arthroscopy 2002;18(5):502-9.
- Nicholas JA, Rosenthal PP, Gleim GW. A historical perspective of injuries in professional football: Twenty-six years of game-related events. JAMA 1988;260(7):939-44.
- Scranton PE Jr, Whitesel JP, Powell JW, et al. A review of selected noncontact anterior cruciate ligament injuries in the National Football League. Foot Ankle Int 1997;18(12):772-6.
- Gundogan K, Bayram F, Gedik V, et al. Metabolic syndrome prevalence according to ATP III and IDF criteria and related factors in Turkish adults. Arch Med Sci 2013;9(2):243-53.
- Republic of Turkey. Ministry of Health, Health Statistics Yearbook 2011. Ministry of Health, Ankara, 2012;42
- Erickson BJ, Harris JD, Fillingham YA, et al. Anterior cruciate ligament reconstruction practice patterns by NFL and NCAA football team physicians. Arthroscopy 2014;30(6):731-8.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2018 |
| Gönderilme Tarihi | 26 Aralık 2016 |
| Yayımlandığı Sayı | Yıl 2018Cilt: 57 Sayı: 1 |
