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
1403
2
1
gregorian
2024
5
1
23
1
online
1
fulltext
fa
تأثیر تمرینات Egoscue و تمرینات آکادمی ملی طب آمریکا همراه با مانور تو کشیدن شکم بر درد و زاویه لوردوز در زنان مبتلا به کمردرد مزمن: پروتکل یک کارآزمایی بالینی تصادفیشده کنترلدار
The Effect of Egoscue and American National Academy of Sports Medicine Exercises Along with Abdominal Drawing-in Maneuver on Pain and Lordosis Angle in Women with Chronic Low Back Pain: A Protocol for a Randomized Controlled Clinical Trial
توانبخشي و فيزيوتراپي
Rehabilitation
پژوهشي
Research
<div style="text-align: justify;"><span style="font-size:10pt"><span style="line-height:125%"><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:125%"><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:125%"><span style="font-family:"B Nazanin"">هایپرلوردوزیس افزایش بیش از حد طبیعی تعقر در مهره­های کمری است که به عنوان یکی از علل شیوع بیماری کمردرد مزمن شناخته شده است. به نظر می­رسد انجام تمرینات تخصصی با هدف کاهش این زاویه می</span></span></span>­<span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">تواند در بهبود بیماران مبتلا به کمردرد مزمن کمک کننده باشد. هدف از این مطالعه تعیین تأثیر تمرینات</span></span></span> Egoscue <span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">و تمرینات آکادمی ملی طب آمریکا همراه با مانور تو کشیدن شکم بر درد و زاویه لوردوز در زنان مبتلا به کمردرد مزمن می­باشد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><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:125%"><span style="font-family:"B Nazanin"">مواد و روش­ها: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">این</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">کارآزمایی بالینی تصادفی­شده کنترل­دار در سال ۱۴۰۲ در شهر قم انجام خواهد شد. تعداد ۷۵</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">زن مبتلا به کمردرد مزمن غیراختصاصی و زاویه لومبارلوردوزیس افزایش یافته در مطالعه حاضر شرکت خواهند کرد. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">شرکت­کنندگان به­طور تصادفی به یک گروه کنترل و دو گروه تجربی </span></span></span>Egoscue <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">و </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">تمرینات آکادمی ملی طب آمریکا </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">همراه با مانور تو کشیدن شکم تقسیم خواهند شد (هر گروه ۲۵ نفر). </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">تمرینات در گروه­های مداخله به مدت هشت هفته، سه جلسه در هر هفته انجام می­شود. در این مدت گروه کنترل روال عادی زندگی خود را خواهد داشت. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">زاویه لوردوز</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">،</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> درد، ناتوانی، کیفیت زندگی، ترس از حرکت، آگاهی بدنی و خودکارآمدی درد به ترتیب با استفاده از خطکش منعطف، پرسشنامههای مقیاس سنجش بصری درد، </span></span></span>McGill<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">، </span></span></span>Roland-Morris<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">، کیفیت زندگی ۳۶ سؤالی، </span></span></span>Tampa<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">، آگاهی بدنی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">و </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">خودکارآمدی درد </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">در پایان هفته­های چهارم و هشتم ارزیابی خواهند شد. </span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><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:125%"><span style="font-family:"B Nazanin"">بحث:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> مقایسه اثربخشی­ شیوه­های مختلف تمرینی در زمان­های متفاوت، می­تواند با شناسایی مؤثرترین تمرینات در کمترین زمان، جهت بهبود زنان مبتلا به کمردرد مزمن و هایپرلوردوزیس کمک کننده باشد. </span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><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:125%"><span style="font-family:"B Nazanin"">واژه­های کلیدی:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> کمردرد، لوردوزیس، کیفیت زندگی، کینزیوفوبیا، آگاهی بدنی، خودکارآمدی درد</span></span></span></span></span></span></span></span><br>
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" style="position:absolute; left:0; text-align:left; width:494.15pt; height:431pt; z-index:-251659264; v-text-anchor:top"> <w:wrap anchorx="margin"> </w:wrap></v:roundrect><b><span style="font-size:9.0pt"><span style="line-height:150%">Background and Objectives:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Hyperlordosis (HL) is an excessive increase in the curvature of the lumbar vertebrae, which is known as one of the causes of the prevalence of chronic low back pain (CLBP). It seems that performing specialized exercises to reduce this angle can help improve patients with chronic back pain. This study aims to determine the effect of Egoscue exercises and the National Academy of Sports Medicine (NASM) exercises along with the Abdominal Drawing-in Maneuver (ADIM) on pain and lordosis angle in women with CLBP.</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 randomized controlled clinical trial will be conducted in Qom City in 2024. Seventy-five women with CLBP and HL participated in the study. The participants were randomly divided into one control and two experimental groups of Egoscue and NASM exercises along with ADIM (25 people in either group). Exercises in the intervention groups were performed for eight weeks, three sessions per week. During this time, the control group had their usual life routine. Lordosis angle, pain, disability, quality of life, kinesiophobia, body awareness, and pain self-efficacy were evaluated at the end of the fourth and eighth weeks, using a flexible ruler, Visual Analog, McGill, Roland-Morris, SF-36, Tampa, Body Awareness, and Pain Self-Efficacy Questionnaires, respectively.</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%"> Discussion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Comparing the effectiveness of different exercise methods at different times can help improve women with CLBP and HL by identifying the most effective exercises in the shortest time.</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%">Keywords: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Low back pain, Lordosis, Quality of life, Kinesiophobia, Body awareness, Pain self-efficacy</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 will 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 Arak University, Arak (Iran), approved the study protocol (IR.ARAKU.REC.1402.007). </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%">Zahra Reeisi</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%">Zahra Reeisi, Sara Najmi</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%">Sara Najmi</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%">Zahra Reeisi</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%">Zahra Reeisi</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%">Zahra Reeisi</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%"> Sara Najmi</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 and editing: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Zahra Reeisi</span></span><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
کمردرد, لوردوزیس, کیفیت زندگی, کینزیوفوبیا, آگاهی بدنی, خودکارآمدی درد
Low back pain, Lordosis, Quality of life, Kinesiophobia, Body awareness, Pain self-efficacy
61
75
http://journal.rums.ac.ir/browse.php?a_code=A-10-6593-1&slc_lang=fa&sid=1
Zahra
Raeisi
زهرا
رئیسی
z_raisi13@yahoo.com
6900319475328460057047
6900319475328460057047
Yes
Arak University
دانشگاه اراک
Sara
Najmi
سارا
نجمی
njsara772@gmail.com
6900319475328460057048
0009-0006-0640-7452
No
Arak University
دانشگاه اراک