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
3
1
gregorian
2025
6
1
24
3
online
1
fulltext
fa
تأثیر هشت هفته تمرینات اصلاحی بر افت ناوی، حس عمقی و تعادل دختران 10 الی 13 سال مبتلا به کف پای صاف با و بدون زانوی ضربدری: یک مطالعه کارآزمایی بالینی
Effect of Eight Weeks of Corrective Exercises on Navicular Drop, Proprioception, and Balance in 10–13-Year-Old Girls with Flat Foot with and Without Genu Valgum: A Clinical Trial Study
توانبخشي و فيزيوتراپي
Rehabilitation
كاربردي
Applicable
<p dir="RTL" style="text-align:justify"><span style="font-size:10pt"><span style="line-height:120%"><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:120%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">ناهنجاری</span></span></span><b></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">های زانو و مچ پا شیوع بالایی دارند که میتوانند به هم مرتبط باشند. هدف مطالعه حاضر تعیین تأثیر هشت هفته تمرینات اصلاحی بر افت ناوی، حس عمقی و تعادل دختران 10 الی 13 سال مبتلا به کف پای صاف با و بدون زانوی ضربدری </span></span></span><span lang="AR-BH" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">بود.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><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:120%"><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:120%"><span style="font-family:"B Nazanin"">این مطالعه </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">کارآزمایی بالینی در سال 1402انجام شد. ابتدا تعداد </span></span></span><b></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">40 دانشآموز دختر مبتلا به کف پای صاف منعطف (سن: 13-10 سال)، شهرستان تبریز که به سن بلوغ نرسیدهاند به روش در دسترس و هدفمند انتخاب شدند و سپس در دو گروه مساوی شامل (20 نفر دارای کف پای صاف با ناهنجاری زانوی ضربدری و 20 نفر دیگر دارای کف پای صاف بدون زانو ضربدری) قرار گرفتند. در پیشآزمون و پسآزمون جهت ارزیابی زانوی ضربدری از کولیس، وضعیت کف پا از روش افت استخوان ناوی، حس عمقی مچ پا از گونیامتر و تعادل ایستا از آزمون لکلک</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">استفاده شد. جهت </span></span></span><span lang="AR-BH" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">مقایسه میانگین متغیرها در دو گروه از </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">آنالیز کوواریانس چندمتغیره </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">استفاده شد. </span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><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:120%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> نتایج، اختلاف معناداری را بین گروه مبتلا به کف پای صاف با و بدون زانوی ضربدری در متغیرهای افت ناوی </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">(0</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">03</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">/0=</span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">)</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> و تعادل ایستا </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">(0</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">01</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">/0=</span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">) </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">نشان داد</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">، اما در متغیر حس عمقی مچ پا بین گروه با و بدون زانوی ضربدری اختلاف معناداری مشاهده نشد </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">(220/0=</span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><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:120%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> نتایج مطالعه حاضر نشان دهنده بهبود میزان افت ناوی و تعادل دختران دارای کف پای صاف با زانوی ضربدری میباشد. بنابراین</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">به</span></span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">متخصصین</span></span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">پیشنهاد</span></span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">میشود</span></span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">جهت</span></span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">بهبود این متغیرها، تمرینات اصلاحی را مدنظر قرار دهند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><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:120%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> تمرینات اصلاحی، زانوی ضربدری، کف پای صاف</span></span></span><span lang="AR-BH" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">، افت ناوی، حس عمقی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
</p>
<p><span style="font-size:10pt"><span style="line-height:150%"><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:150%">Background and Objectives: </span></span></b></a><span style="font-size:9.0pt"><span style="line-height:150%">Knee and ankle abnormalities are highly prevalent and may be related. The aim of the present study was to determine the effect of eight weeks of corrective exercises on navicular drop, proprioception, and balance in 10–13-year-old girls with flat foot with and without <a name="_Hlk189895727">genu valgum</a>.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> This clinical trial study was conducted in 2024. A total of 40 female students aged 10 to 13 years with flexible flat feet, who had not reached puberty, were selected from Tabriz City using convenience and purposive sampling methods. The samples were divided into two equal groups (20 with flat feet with a genu valgum and another 20 with flat feet without a genu valgum). In the pre-test and post-test, the genu valgum was assessed using a Collis, the posture of the foot was assessed using the navicular bone drop method, the ankle proprioception was assessed using a goniometer, and the static balance was assessed using the Stork test. Multivariate analysis of covariance was used to compare the mean of the variables across the two groups.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The results showed a significant difference between the two groups with flat feet with and without genu valgum in the variables of navicular drop (p=0.003) and static balance (p=0.001). Furthermore, there was no significant difference between the two groups with flat feet with and without genu valgum in ankle proprioception (p=0.220).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The results of the current study show an improvement in foot drop and balance in girls with flat foot and <a name="_Hlk189897004">genu valgum</a>. Therefore, it is recommended that specialists consider corrective exercises to improve these variables.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Key words:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Corrective exercises, Genu valgum, Flat foot, Navicular drop, Sense of proprioception</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span style="font-size:3.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> This study did not have any funds</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> None declared. </span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Ethical considerations:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The Ethics Committee of Urmia University approved the study (IR.URMIA.REC.1402.030).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Authors’ contributions:</span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Conceptualization:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Sajad Roshani, Mehrnaz Zolfeghary, Ebrahim Mohammad Ali Nasab Firouzjah </span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Methodology:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Sajad Roshani, Mehrnaz Zolfeghary</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Data collection:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Mehrnaz Zolfeghary, Ebrahim Mohammad Ali Nasab Firouzjah</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Formal analysis:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Mehrnaz Zolfeghary</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Supervision:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Sajad Roshani, Ebrahim Mohammad Ali Nasab Firouzjah</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Project administration:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Sajad Roshani</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Writing - original draft:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Sajad Roshani</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><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:150%">Writing – review & editing:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Sajad Roshani, Mehrnaz Zolfeghary</span></span></span></span></span></span></span><br>
</p>
تمرینات اصلاحی, زانوی ضربدری, کف پای صاف, افت ناوی, حس عمقی
Corrective exercises, Genu valgum, Flat foot, Navicular drop, Sense of proprioception
215
227
http://journal.rums.ac.ir/browse.php?a_code=A-10-6933-1&slc_lang=fa&sid=1
Mehrnaz
Zolfeghary
مهرناز
ذوالفقاری
zolfegharymehrnaz@yahoo.com
6900319475328460060654
0009-0005-2973-8513
No
Urmia University
دانشگاه ارومیه
Sajad
Roshani
سجاد
روشنی
s.roshani@urmia.ac.ir
6900319475328460060655
6900319475328460060655
Yes
Urmia University
دانشگاه ارومیه
Ebrahim
Mohammad Ali Nasab Firouzjah
ابراهیم
محمدعلی نسب فیروزجاه
ebrahim.mzb@gmail.com
6900319475328460060656
6900319475328460060656
No
Urmia University
دانشگاه ارومیه