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
1400
6
1
gregorian
2021
9
1
20
6
online
1
fulltext
fa
تأثیر تمرینات الگوی حرکتی بر روی کینماتیک منتخب فرود در ورزشکاران با کمردرد مزمن غیراختصاصی: یک کارآزمایی بالینی تصادفیشده
The Effect of Movement-Pattern Training on Selected Landing Kinematic Variables in Athletes with Non-Specific Chronic Low Back Pain: A Randomized Clinical Trial
توانبخشي و فيزيوتراپي
Rehabilitation
پژوهشي
Research
<strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">زمینه و هدف:</span></span></strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> کینماتیک</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">غیرطبیعی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">اختلال</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">عملکرد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">عضلات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ران</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">با</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ناهنجاری­های</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">اسکلتی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">عضلانی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">متعددی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مانند</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">درد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کشککی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">رانی، آسیب­های</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">لیگامان­ها،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کمردرد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آسیب</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مفصل</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ران</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ارتباط</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">است. لذا هدف</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">از تحقیق</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">حاضر</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تعیین</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تأثیر</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تمرینات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">الگوی حرکتی روی کینماتیک منتخب فرود در ورزشکاران</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">دارای</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کمردرد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مزمن</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">غیر</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">اختصاصی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بود.</span></span><br>
<strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مواد</span></span></strong> <strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span></strong> <strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">روش­ها:</span></span></strong> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">این</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مطالعه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کارآزمایی بالینی در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">سال</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">1397</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در دانشگاه محقق اردبیلی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">انجام شد. ابتدا</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">30</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مرد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">دارای</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">عارضه کمردرد مزمن</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">غیراختصاصی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">صورت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">نمونه­گیری</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">دسترس</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">انتخاب</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">سپس</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">صورت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تصادفی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">دو</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">گروه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کنترل</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">(15 نفر)</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تجربی (15 نفر)</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تقسیم</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شدند.</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آزمون­ها</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">صورت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">پیش</span></span><span dir="LTR"></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آزمون</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و پس</span></span><span dir="LTR"></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آزمون صورت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">گرفت. تمرینات الگوی حرکتی طی مدت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">زمان</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">6</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">هفته­ بر</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">روی گروه تجربی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">اجرا</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شد. به منظور رعایت اخلاق در پژوهش، بعد از 6 هفته، تمرینات پی­گیری بر روی گروه کنترل نیز انجام شد. از آزمون آنالیز کوواریانس جهت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تحلیل</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آماری</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">داده­ها</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">استفاده</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شد.</span></span><br>
<strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">یافته­ها:</span></span></strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> نتایج</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">نشان</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">داد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">که</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تمرینات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">الگوی حرکتی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">منجر</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بهبود (افزایش) متغیرهای</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کینماتیکی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بیماران</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">دچار</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کمردرد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مزمن</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">غیر</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">اختصاصی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">می­گردد (001/0=</span></span><span dir="LTR">P</span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">).</span></span><br>
<strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">نتیجه­گیری:</span></span></strong> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">نتایج مطالعه نشان داد تمرینات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">الگوی حرکتی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تغییرات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">قابل</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">توجهی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">متغیرهای</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کینماتیکی به­وجود آورده است</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">که</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">می­تواند</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مورد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">توجه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مطالعات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آینده</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">جهت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کمک</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مراقبت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">پیش­گیری</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بیماران</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مبتلا</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">به کمردرد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">قرار</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">گیرد.</span></span><br>
<strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">واژه­های کلیدی:</span></span></strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> کمردرد، کینماتیک، تمرینات الگوی حرکتی</span></span><span style="font-family:B Nazanin;"><span style="font-size:3.0pt;"></span></span>
<strong>Background and Objectives: </strong>Abnormal hip kinematic and impaired hip muscle performance have been associated with various musculoskeletal disorders, such as patellofemoral pain, ligaments injuries, low back pain, and hip joint pathology. Therefore, the aim of this study was to determine the effect of movement-pattern training on selected landing kinematic variables in athletes with non-specific chronic low back pain.<br>
<strong>Materials and Methods:</strong> This clinical trial was carried out at the University of Mohaghegh Ardabili at 2018. Firstly, 30 males with non-specific chronic low back pain were selected by available sampling and randomly divided into the control (15 subjects) and experimental (15 subjects) groups. Tests were done in the form of pre and post-tests. Movement pattern exercises were performed on the experimental group over a 6-week period. Ethically, the training protocol was done on the control group after the post-test. ANCOVA test was used for statistical analysis of data.<br>
<strong>Results:</strong> The results showed that movement pattern exercises improved (increase) the kinematic variables in patients with chronic non-specific low back pain (p=0.001).<br>
<strong>Conclusion:</strong> Findings demonstrated that implementation of movement pattern exercises significantly altered kinematic variables that could be beneficial for future researches in order to prevent and treat individuals with low back pain.<br>
<strong>Key words: </strong>Low back pain, Kinematic, Movement pattern training<span dir="RTL"></span><br>
<br>
<strong>Funding:</strong> This study was funded by Tehran University of Kharazmi.<span dir="RTL"></span><br>
<strong>Conflict of interest:</strong> None declared.<span dir="RTL"></span><br>
<strong>Ethical approval:</strong> The Ethics Committee of Shahid Beheshti University of Medical Sciences approved the study (IR.SBU.REC.1399.060).<br>
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<strong>How to cite this article:</strong> Jafarnezhadgero AA, Oroji A, Letafatkar A, Shojaodin SS. The Effect of Movement-Pattern Training on Selected Landing Kinematic Variables in Athletes with Non-Specific Chronic Low Back Pain: A Randomized Clinical Trial. <em>J Rafsanjan</em> <em>Univ Med Sci</em> 2021; 20 (6): 631-44. [Farsi]
کمردرد, کینماتیک, تمرینات الگوی حرکتی
Low back pain, Kinematic, Movement pattern training
631
644
http://journal.rums.ac.ir/browse.php?a_code=A-10-3488-10&slc_lang=fa&sid=1
A. A.
Jafarnezhadgero
امیرعلی
جعفرنژادگرو
amiralijafarnezhad@gmail.com
6900319475328460046370
6900319475328460046370
Yes
University of Mohaghegh Ardabili
دانشگاه محقق اردبیلی
A.
Oroji
افشین
اروجی
afshiinorouji@gmail.com
6900319475328460046371
6900319475328460046371
No
University of Kharazmi
دانشگاه خوارزمی
A.
Letafatkar
امیر
لطافتکار
afshiinorouji@gmail.com
6900319475328460046372
6900319475328460046372
No
University of Kharazmi
دانشگاه خوارزمی
S.S.
Shojaodin
سیدصدرالدین
شجاع الدین
afshiinorouji@gmail.com
6900319475328460046373
6900319475328460046373
No
University of Kharazmi
دانشگاه خوارزمی