Showing 3 results for Asgarpoor
Ali Yalfani, Azadeh Asgarpoor,
Volume 23, Issue 6 (10-2024)
Abstract
Background and Objectives: Chronic non-specific low back pain (CNSLBP) is a common health issue caused by a mix of biological, psychological, and social factors. Cognitive functional therapy (CFT) is a multidimensional approach that considers the interaction between motor control and psychological factors as an important part of the rehabilitation protocol. The aim of the present study was determining the effect of cognitive functional therapy on gait parameters and psychological variables in women with CNSLBP.
Materials and Methods: This clinical trial was carried out at the University of Bu-Ali Sina in 2022. Forty women with CNSLBP were selected by convenience sampling method and randomly assigned into experimental and control groups (20 people in each group). The experimental group performed CFT exercises for 8 weeks, while the control group did not receive any intervention. The primary outcome included pain, disability, and kensiophobia (fear of movement) and the secondary outcome was vertical ground reaction force (VGRF) parameters. Data was analyzed using multivariate analysis of covariance (MANCOVA).
Results: The covariance results showed that the CFT intervention had a significant effect in the experimental group compared to the control group in reducing pain, disability, and kinesiophobia (p<0.001). Also, CFT intervention had a significant effect on improving gait kinetics (p<0.001).
Conclusion: Cognitive functional therapy reduced pain, disability, and kinesiophobia. In addition, some modifications in gait kinetics were observed in people with non-specific chronic back pain. Cognitive functional therapy appears to be an appropriate and applicable treatment in clinical setting.
Keywords: Chronic non-specific low back pain, Cognitive functional therapy, Gait kinetics, Kinesiophobia
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical Considerations: The Ethics Committee of Bu-Ali Sina University approved the study (IR.BASU.REC.1401.026).
Authors’ Contributions:
- Conceptualization: Ali Yalfani, Azadeh Asgarpoor
- Methodology: Ali Yalfani, Azadeh Asgarpoor
- Data Collection: Azadeh Asgarpoor
- Formal analysis: Azadeh Asgarpoor
- Supervision: Ali Yalfani
- Project administration: Ali Yalfani
- Writing – original draft: Ali Yalfani
- Writing – review & editing: Ali Yalfani, Azadeh Asgarpoor
Citation: Yalfani A, Asgarpoor A. The Effect of Cognitive Functional Therapy on Gait Kinetics in Women with Chronic Non-Specific Low Back Pain: A Clinical Trial Study. J Rafsanjan Univ Med Sci 2024; 23 (6): 552-67. [Farsi]
Fatemeh Ahadi, Ali Yalfani, Mohammadreza Ahmadi, Azadeh Asgarpoor,
Volume 23, Issue 8 (1-2025)
Abstract
Background and Objectives: Vertical ground reaction force (Vertical ground reaction force; VGRF) is a kinetic variable that plays an important role in developing patellofemoral pain (Patellofemoral pain; PFP). This clinical trial aimed to determine the effect of hip and knee strengthening exercises along with gait retraining on VGRF and loading rate in women with PFP while walking.
Materials and Methods: In this clinical trial, 40 women with PFP were enrolled and randomly assigned to experimental (n=20) and control groups (n=20). In the experimental group, the patients received the relevant intervention for 8 weeks. The patients in the control group did not receive any intervention. Pain intensity, fear of movement, quadriceps muscle strength, hip abductor, hip extensor, VGRF components, and loading rate were the variables of this research which were evaluated in pre-test and post-test. Data was analyzed using multivariate analysis of covariance (MANCOVA).
Results: The results showed that there was a significant effect in the experimental group compared to the control group in pain intensity, fear of movement, quadriceps muscle strength, hip abductor muscle strength, hip extensor muscle strength, first force peak, valley, second force peak, and loading rate (p<0.001).
Conclusion: It appears that 8 weeks of hip and knee muscle strengthening exercises along with gait retraining can decrease pain intensity and fear of movement and increase muscle strength, and subsequently the first and second peak forces increase and the loading rate and valley decrease. It is recommended to combine strengthening exercises with movement pattern retraining to obtain better clinical results in the rehabilitation of women with PFP.
Key words: Patellofemoral pain, Vertical ground reaction force, Loading rate, Strengthening exercises, Gait retraining
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical Considerations: The Ethics Committee of Bu-Ali Sina University approved the study (IR.BASU.REC.1402.012).
Authors’ Contributions:
- Conceptualization: Ali Yalfani, Fatemeh Ahadi
- Methodology: Ali Yalfani, Fatemeh Ahadi
- Data collection: Fatemeh Ahadi, Mohammadreza Ahmadi, Azadeh Asgarpoor
- Formal analysis: Fatemeh Ahadi, Mohammadreza Ahmadi, Azadeh Asgarpoor
- Supervision: Ali Yalfani
- Project administration: Ali Yalfani
- Writing – original draft: Ali Yalfani
- Writing – review & editing: Fatemeh Ahadi, Mohammadreza Ahmadi, Azadeh Asgarpoor
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Citation: Ahadi F, Yalfani A, Ahmadi MR, Asgarpoor A. The Effect of Hip and Knee Strengthening Exercises Along with Gait Retraining on Vertical Ground Reaction Force and Loading Rate in Women with Patellofemoral Pain: A Clinical Trial Study. J Rafsanjan Univ Med Sci 2024; 23 (8): 705-20. [Farsi]
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Mr Ali Yalfani, Mrs Fatemeh Sori, Mohammadreza Ahmadi, Azadeh Asgarpoor,
Volume 23, Issue 12 (3-2025)
Abstract
Background and Objectives: Motor control disorder in patients with chronic non-specific low back pain (NSCLBP) can change the plantar pressure distribution, increase the spine loading, and lead to the development of NSCLBP. The present study aimed to determine the effect of adding pain neuroscience education to motor control exercises in water and dry environments on plantar pressure distribution symmetry in women with NSCLBP.
Materials and Methods: This clinical trial was conducted in 2024 at Bu Ali Sina University, Hamadan. Sixty women with NSCLBP were conveniently selected and randomly assigned into experimental and control groups (n=30). The experimental group received motor control exercises in water and land environments along with neuroscience education for 4 weeks, and the control group did not receive any intervention. Pain intensity, kinesiophobia, and plantar pressure distribution were assessed in the pre-test and post-test stages. Multivariate analysis of covariance (MANCOVA) was used to analyze the data.
Results: Comparison of the results between the groups showed that there was a significant difference in pain reduction (p<0.001), kinesiophobia (p<0.001), and improvement in plantar pressure distribution symmetry in the experimental group compared to the control group (p<0.001).
Conclusion: Combination of neuroscience education and motor control exercises over a 4-week period significantly reduced pain intensity and kinesiophobia with a medium effect size and improved the plantar pressure distribution symmetry. Therefore, it is suggested that physiotherapists consider the mentioned exercises for the rehabilitation of patients with NSCLBP Keywords: Chronic non-specific low back pain, Plantar pressure distribution, Motor control, Pain neuroscience training, Hydrotherapy
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical considerations: The Ethics committee of Bu-Ali Sina University approved the study (IR.BASU.REC.1402.095).
Authors’ contributions:
- Conceptualization: Ali Yalfani, Fatemeh Sori
- Methodology: Ali Yalfani, Fatemeh Sori
- Data collection: Fatemeh Sori, Mohammadreza Ahmadi, Azadeh Asgarpoor
- Formal analysis: Fatemeh Sori, Mohammadreza Ahmadi, Azadeh Asgarpoor
- Supervision: Ali Yalfani
- Project administration: Ali Yalfani
- Writing – original draft: Ali Yalfani
- Writing – review & editing: Fatemeh Sori, Mohammadreza Ahmadi, Azadeh Asgarpoor
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Citation: Sori F, Yalfani A, Ahmadi MR, Asgarpoor A. The Effect of Adding Pain Neuroscience Education to Motor Control Exercises in Water and Dry Environments on Plantar Pressure Distribution Symmetry in Women with Non-Specific Chronic Low Back Pain: A Clinical Trial. J Rafsanjan Univ Med Sci 2025; 23 (12): 1076-92. [Farsi]
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