Ayak Bileği Burkulmalarına Voleybolcu Sağlığı Perspektifinden Bir Bakış

Yazarlar

Celil Kaçoğlu
https://orcid.org/0000-0002-1817-5234
Anıl Onur Mercanoğlu
Gülsün Güven

Özet

Bu çalışma, voleybol sporu alanında en sık karşılaşılan akut yaralanma türü olan ayak bileği burkulmalarını sıklık, mekanizma, risk faktörleri, korunma stratejileri ve rehabilitasyon süreçleri çerçevesinde kapsamlı bir şekilde ele almaktadır. Voleybolda görülen akut yaralanmaların yaklaşık yarısını oluşturan ayak bileği burkulmaları; ağırlıklı olarak smaç ve blok aktiviteleri esnasındaki sıçrama, yere konma, file altında rakip veya takım arkadaşının ayağına basma ile ani yön değiştirmeler sonucunda meydana gelmektedir. Yaralanma riskinde sporcunun yaşı, vücut kitle indeksi, önceden geçirilmiş sakatlık geçmişi, denge ve propriyosepsiyon kapasitesi gibi içsel faktörler ile ayakkabı yapısı, zemin ve mevki gibi dışsal faktörler rol oynamaktadır. Ayak bileği burkulmalarından korunmak ve tekrarlayan kronik instabilite riskini en aza indirmek için şok emici ve lateral destekli ayakkabılar, uygun bantlama ve breys kullanımı, nöromüsküler ön aktivasyon ile düzenli denge tahtası egzersizleri büyük önem taşımaktadır. Akut yaralanma durumunda PRICE veya POLICE gibi fonksiyonel tedavi protokolleri, erken mobilizasyon, kademeli eklem hareket açıklığı, peroneal ve kalça kas grubu kuvvetlendirmesi ile myofasiyal gevşeme uygulamaları bir arada yürütülmelidir. Spora güvenli ve ağrısız dönüşün sağlanması amacıyla fiziksel rehabilitasyonun yanı sıra kinezyofobi ve yaralanma korkusuna yönelik psikolojik destek mekanizmaları ile PAASS prosedürüne uygun bireyselleştirilmiş takip süreçleri titizlikle uygulanmalıdır.

This study comprehensively examines ankle sprains, the most frequently encountered type of acute injury in volleyball, within the framework of incidence, mechanisms, risk factors, prevention strategies, and rehabilitation processes. Accounting for approximately half of acute injuries observed in volleyball, ankle sprains primarily occur as a result of jumping, landing, stepping on an opponent's or teammate's foot under the net, and sudden directional changes during spiking and blocking activities. Injury risk is influenced by intrinsic factors such as the athlete's age, body mass index, prior injury history, balance, and proprioceptive capacity, as well as extrinsic factors including footwear design, playing surface, and player position. To prevent ankle sprains and minimize the risk of recurrent chronic instability, shock-absorbing laterally supportive footwear, proper taping and bracing, neuromuscular pre-activation, and regular balance board exercises are of paramount importance. In cases of acute injury, functional treatment protocols such as PRICE or POLICE, early mobilization, progressive range of motion, strengthening of peroneal and hip muscle groups, and myofascial release techniques should be implemented concurrently. To ensure a safe and pain-free return to sport, along with physical rehabilitation, psychological support mechanisms targeting kinesiophobia and fear of re-injury, together with individualized monitoring processes adhering to the PAASS protocol, must be meticulously applied.

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