تاثیر 6 هفته آب درمانی در دو عمق مختلف برتعادل ایستا و درد در دختران مبتلا به سندروم درد پاتلوفمورال

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد آسیب شناسی و حرکت اصلاحی دانشگاه شهید باهنر کرمان

2 عضو هیئت علمی دانشگاه شهید باهنر کرمان

3 دانشیار گروه حرکت اصلاحی آسیب شناسی ورزشی. دانشگاه شهید باهنر کرمان. کرمان، ایران

10.22037/jrm.2016.1100247

چکیده

مقدمه و اهداف
سندروم درد پاتلوفمورال یکی از آسیب­های شایع به خصوص در زنان است که با درد در ناحیه کشکک همراه است. هدف از تحقیق حاضر بررسی اثر یک دوره تمرینات آب درمانی در دو عمق مختلف بر روی تعادل ایستا و درد دانشجویان دختر دارای سندروم کشککی رانی بود.
 موادو روش
پس از ارزیابی های اولیه و تعیین افراد مبتلا به سندرم کشککی رانی،32 نفر از بین 60 نفر (سن 8/1±6/22 سال، وزن 5/6±7/53 کیلوگرم و قد 1/0±56/1 متر) به­عنوان نمونه آماری انتخاب و به صورت تصادفی به 3 گروه تمرین در آب کم عمق، عمیق و کنترل تقسیم شدند. قبل و بعد از یک دوره تمرینات 6 هفته­ای (3جلسه در هفته) در شرایط مشابه زمانی و مکانی، تعادل ایستا با استفاده از دستگاه تعادل سنج بایودکس و درد به­وسیله پرسشنامه VASاندازه گیری شد. در مدت زمان تحقیق گروه کنترل هیچ گونه تمرینات آب درمانی را تجربه نکردند.
یافته ها
نتایج آزمون سنجش مکرر ترکیبی نشان داد که تفاوت معناداری بین پیش آزمون و پس آزمون در تمامی گروه ها وجود دارد (001/0=P). کاهش معناداری در هر دو گروه تمرینی در میزان تعادل (کم عمق: 016/0=P ، عمیق: 047/0=P) و درد (کم عمق: 046/0=P ، عمیق: 001/0=P) در پس آزمون مشاهده شد، اما درگروه کنترل (تعادل: 063/0=P ، درد: 468/0=P) تفاوت معناداری مشاهده نشد.
نتیجه گیری
بر اساس یافته­های تحقیق حاضر انجام تمرینات آب درمانی موجب بهبود تعادل ایستا و درد در افراد مبتلا به سندروم درد پاتلوفمورال می­شود. اما با وجود بهبودی بیشتر در تعادل ایستا و درد در آب عمیق تفاوتی در میزان بهبود تعادل ایستا و درد در این دو گروه آب درمانی وجود ندارد. با توجه به نتایج تحقیق حاضر می­توان آب درمانی را به­عنوان یکی از روش­های بهبود تعادل ایستا و کاهش درد در افراد دارای سندروم درد پاتلوفمورال توصیه کرد.
 

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of six weeks shallow and deep water exercises on static balance and pain of girls with patellofemoral pain

نویسندگان [English]

  • Aida Tavakol 1
  • Abdolhamid Daneshjoo 2
  • Mansour Sahebozamani 3
1 MSc Student in Corrective Exercises and Sports Injuries, School of Physical Education and Sport Sciences, Shahid Bahonar University of Kerman, Kerman, Iran
2 Assisstent Professor, Department of Corrective Exercises and Sports Injuries, School of Physical Education and Sport Sciences, Shahid Bahonar University of Kerman, Kerman, Iran
3 Associated Professor, Department of Corrective Exercises and Sports Injuries, School of Physical Education and Sport Sciences, Shahid Bahonar University of Kerman, Kerman, Iran
چکیده [English]

Background and Aim: Patellofemoral syndrome is one of the common injuries especially among women which is accompanied by a pain in patella. The purpose of the current study was to investigate the effects of the water exercise in two different depths on the balance and pain caused by patellofemoral pain in female students.
Method and procedure: A total of 32 female students (age: 6.22±8.1, weight: 7.53±5.6 kg, height: 1.56±.1 cm( from among 60 students with patellofemoral pain were selected and randomly divided into three groups: shallow water, deep water, and control groups. Static balance was measured before and after water exercise, three times per week, using Biodex Balance System and pain was measured using Visual Analogue Scale. The control group did not perform any exercises during the study.
Results: The mixed-repeated measure showed that there was a significant difference between the pre-test and post-test for all the three groups (p=0.001). There were significant differences between the pre-test and post-test in both water exercise groups in balance )shallow: 0.016, deep: p=0.047; respectively (and pain )shallow: p=0.046, deep: p=0.00), while no significant difference was found for the same variables in the control group (balance: p=0.063, pain: p=0.468, respectively).
Conclusion: It can be concluded that water exercise can improve balance and decrease knee pain among female students. Despite more improvement and less pain in deep water group, there were no significant differences observed in balance and pain between the two experimental groups. It can be suggested that water exercise can be used as a modality protocol treatment for improving balance and pain among female patients with patellofemoral pain.

کلیدواژه‌ها [English]

  • Patellofemoral
  • Water exercise
  • Balance
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