Kronik ayak bileği instabilitesi olan futbolcularda kombine nöro-vestibüler-oküler egzersizler ve myofasyal gevşetmenin propriyosepsiyon ve performans üzerindeki etkisi

The aim of this study is to investigate the effects of myofascial release therapy applied with combined neuro-vestibular-ocular exercises on proprioception and performance in football players with chronic ankle instability. Neuro-vestibular-ocular exercises are an approach that combines neuromuscular training with vestibular-ocular training techniques. As far as we know, there is no study investigating the effectiveness of these treatments in chronic ankle instability and examining the superiority of training programs (myofascial relaxation and neuromuscular-vestibular-ocular exercise). At the same time, there is no study investigating the effectiveness of combined neuromuscular and vestibular-ocular exercises in the football player group. This study was carried out at Asım Kara Sports Facilities and Kartalspor Facilities between September 2022 and April 2023. Gülsuyuspor A team and infrastructure team, Kartalspor A team and infrastructure team players participated in the study. A total of 60 football players between the ages of 18-30 were included in the study on a voluntary basis. has been done. The players were randomly divided into two groups. Demographic information and informed consent form were filled in all subjects who volunteered to participate in the study in accordance with the research criteria. After evaluation, subjects in the NVOE group were transferred to the Neuro-Vestibular-ocular exercise group (n=30). Myofascial release(n=30) was applied to the players in the second group by the physiotherapist. The workouts were done two days a week for eight weeks, and each workout lasted approximately 60 minutes. Participants' CAIT scores were evaluated before and after treatment. By measuring joint position sense with a goniometer, proprioception evaluation and kick speed, 30 m sprint, zig-zag agility test and Landing error score system (LESS) were evaluated under the heading of performance.According to statistical analysis, significant changes were observed in proprioception and performance before and after treatment in both groups. (p<0.05). However, the neuro-vestibular-ocular exercise group was found to be superior between the two treatment groups. (p<0.05). In conclusion, neuro-vestibular-ocular exercises and myofascial release should be included in chronic ankle treatment.