Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1404
5
1
gregorian
2025
8
1
24
5
online
1
fulltext
fa
تأثیر 8 هفته تمرینات اصلاحی بر درد، دامنه حرکتی و زاویه کرانیوورتبرال بیماران مبتلا به میگرن همراه با سر به جلو: یک مطالعه نیمهتجربی
The Effect of 8 Weeks of Corrective Exercises on Pain, Range of Motion, and Craniovertebral Angle in Migraine Patients with Forward Head: A Semi-Experimental Study
تربيت بدني
تربيت بدني
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> میگرن یکی از اختلالات عصبی است و معمولاً</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> وضعیت</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> سر و گردن با سردرد </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">میگرن</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> همراه است. لذا هدف از این مطالعه تعیین تأثیر 8 هفته تمرینات اصلاحی بر درد، دامنه حرکتی و زاویه کرانیوورتبرال بیماران مبتلا به میگرن دارای ناهنجاری سر به جلو میباشد.</span></span></span><b> </b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">مطالعه حاضر از نوع نیمهتجربی با طرح پیشآزمون-پسآزمون با گروه کنترل بود که بر روی 26 نفر از مبتلایان مبتلا به میگرن همراه با ناهنجاری سر به جلو در شهر یزد </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">در سال 1403 </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">انجام گرفت که بهطور تصادفی به گروه تمرین (12 نفر) و کنترل (14 نفر) تخصیص داده شدند. گروه تمرین </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">8 هفته تمرینات اصلاحی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">را انجام دادند و گروه کنترل زندگی عادی خود را داشتند. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">درد با پرسشنامه </span></span></span>McGill<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> و دامنه حرکتی با استفاده از گونیامتر اندازهگیری گردید. دادهها با استفاده از آنالیز کوواریانس چندمتغیره تجزیه و تحلیل شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">یافته</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">ها:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">نتایج نشان داد، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">8 هفته تمرینات اصلاحی بر مؤلفههای درد افراد دارای میگرن با ناهنجاری عضلانی-اسکلتی گردن تأثیر </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">دارد (001/0></span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">) که بیشترین تأثیر بر مؤلفه دردهای متنوع با کاهش 65/28 درصدی بود. همچنین، این</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> تمرینات بر دامنه حرکتی چرخشی گردن </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">(001/0></span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">) </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">تأثیر داشت.</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">زاویه </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">کرانیوورتبرال </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">نمونهها با انجام این تمرینات افزایش معنیدار داشت </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">(001/0></span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">)</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">اصلاح ناهنجاری سر به جلو و متعاقب آن اصلاح وضعیت بدنی میتواند موجب کاهش درد، بهبود دامنه حرکتی عضلات در ناحیه گردن بیماران دارای میگرن گردد. لذا پیشنهاد میشود تمرینات اصلاحی برای ناهنجاریهای سر به جلو در مداخلات درمانی برای این بیماران دارای میگرن لحاظ گردد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> میگرن، سر به جلو، حرکات اصلاحی، درد، ناهنجاری</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:135%">Background and Objectives: </span></span></b></a><span style="font-size:9.0pt"><span style="line-height:135%">Migraine is one of neurological disorders and is often associated with head and neck posture. Therefore, the aim of this study was to determine the effect of 8 weeks of corrective exercises on pain, range of motion, and the craniovertebral angle in migraine patients with forward head posture.</span></span><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">Material and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> This quasi-experimental study with a pre-test/post-test design and a control group was conducted on 26 migraine patients with forward head posture in Yazd, Iran, in 2024. Participants were randomly divided into two groups included 12 in the exercise group and 14 in the control group. The exercise group performed 8 weeks of corrective exercises including strength and stretching exercises, while the control group continued their normal daily activities. Pain was measured using the McGill Pain Questionnaire, and range of motion was assessed using a goniometer. Data were analyzed using multivariate analysis of covariance (MANCOVA).</span></span><b><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:135%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> The results indicated that 8 weeks of corrective exercises significantly affected pain components in migraine patients with musculoskeletal neck abnormalities (p<0.001), with the greatest impact on pain perception, showing a 28.65% reduction. Additionally, these exercises significantly improved the rotational range of motion of the neck (p<0.001). The craniovertebral angle of the participants also showed a significant increase following the exercises (p<0.001). </span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Correcting forward head posture and subsequently improving body posture can reduce pain and enhance the range of motion in the neck muscles of migraine patients. Therefore, it is recommended that corrective exercises for forward head posture be included in therapeutic interventions for migraine patients.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">Keywords:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Migraine,</span></span> <span style="font-size:9.0pt"><span style="line-height:135%">Forward head posture, C<a name="_Hlk142813551">orrective exercises, </a>Pain, Deformity</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span style="font-size:9.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">Funding: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">This study was funded by Yazd University.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">Conflict of interest:</span></span></b><b> </b><span style="font-size:9.0pt"><span style="line-height:135%">None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">Ethical considerations: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">The Ethics Committee of Yazd University approved the study (IR.YAZD.REC.1403.071).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">Authors’ contributions:</span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Conceptualization: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Zeinab Karimi, Saeed Abedinzadeh<b> </b></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Methodology: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Saeed Abedinzadeh, Hamid Abbasi, Reza Sharifatpour</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Data collection: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Zeinab Karimi, Reza Sharifatpour</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Formal analysis: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Hamid Abbasi, Reza Sharifatpour</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Supervision: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Saeed Abedinzadeh</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Project administration: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Saeed Abedinzadeh</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Writing – original draft: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Zeinab Karimi, Hamid Abbasi, Reza Sharifatpour</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Writing – review & editing: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Saeed Abedinzadeh, Hamid Abbasi, Reza Sharifatpour</span></span></span></span></span></span></span><br>
میگرن, سر به جلو, حرکات اصلاحی, درد, ناهنجاری
Migraine, Forward head posture, Corrective exercises, Pain, Deformity
409
421
http://journal.rums.ac.ir/browse.php?a_code=A-10-6011-3&slc_lang=fa&sid=1
Zeinab
Karimi
زینب
کریمی
by.zeinab.karimi@gmail.com
6900319475328460061102
0009-0001-1420-9480
No
Yazd University
دانشگاه یزد
Saeed
Abedinzadeh
سعید
عابدین زاده
sabedin@yazd.ac.ir
6900319475328460061103
6900319475328460061103
Yes
Yazd University
دانشگاه یزد
Reza
Sharifatpour
رضا
شریفات پور
Reza.sharifatpour@ut.ac.ir
6900319475328460061104
6900319475328460061104
No
Yazd University
دانشگاه یزد
Hamid
Abbasi
حمید
عباسی
habbassi@yazd.ac.ir
6900319475328460061105
6900319475328460061105
No
Yazd University
دانشگاه یزد