پارگی عضله همسترینگ مقدمه ای برای آسیب های بیومکانیکی زانو در ورزشکاران، مطالعه مروری

نوع مقاله: مقاله مروری

نویسندگان

1 دانشجوی دکترای آسیب شناسی ورزشی و حرکات اصلاحی، گروه طب ورزش، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران

2 دکترای طب ورزشی، استاد گروه طب ورزش، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران

3 دکترای آسیب شناسی ورزشی و حرکات اصلاحی، استادیارگروه طب ورزش، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران

4 دکترای بیومکانیک ورزشی، دانشیار گروه بیومکانیک ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه مازندران، بابلسر، ایران

چکیده

مقدمه و اهداف
کشیدگی عضله همسترینگ یکی از شایع ترین آسیب های ورزشی است که دوره درمان طولانی دارد و آثار آن تا مدت ها بر عملکرد این عضله تاثیر می گذارد. با وجود نقش مهم عضله همسترینگ در بیومکانیک زانو و رابطه منطقی فعالیت این عضله با عملکرد رباط صلیبی قدامی (ACL)، هدف از مطالعه مروری حاضر بررسی نقش کشیدگی همسترینگ در تغییرات بیومکانیکی زانو و در نهایت تاثیر آن بر پارگی ACL، به عنوان یکی از آسیب های شایع و پرهزینه در ورزشکاران است.
مواد و روش ها
برای انجام پژوهش حاضر مقالات انگلیسی چاپ شده در بانک های اطلاعاتی GoogleScholar, PubMed و ScienceDirect جستجو شد. در این جستجو که محدود به مطالعات سال های 2000 تا 2016 بود، از کلیدواژه هایKnee, Athletes, Hamstring  و ترکیبی از آنها استفاده شد.
یافته ها
از میان تقریباً مقالات مرتبط با موضوع، 32 مقاله برای بررسی انتخاب شده است که بر اساس موضوع مورد بررسی به سه گروه تقسیم شد. گروه اول شامل مقالاتی است که تغییرات نوروماسکولار عضله همسترینگ را پس از کشیدگی آن بررسی کرده اند و گروه دوم نقش پارگی عضله همسترینگ را بر بیومکانیک زانو مورد بررسی قرار داده اند و گروه سوم به همکاری عضله همسترینگ با سایر عضلات اندام تحتانی پرداخته‌اند.
نتیجه گیری
با توجه به آثار ماندگار پارگی عضله همسترینگ، دوره طولانی درمان و نقش بیومکانیکی مهم این عضله در مهارت های حرکتی زانو، چنین به نظر می رسد که نقص عملکرد این عضله می تواند زمینه ساز تغییرات بیومکانیکی زانو و در نهایت آسیب های غیربرخوردی این مفصل از جمله پارگی ACL باشد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Hamstring injury as a preview of athletic biomechanical knee injuries: A review article

نویسندگان [English]

  • Rose Fouladi 1
  • Reza Rajabi 2
  • Hooman Minoonejad 3
  • Mansour Eslami 4
1 PhD student of sport injuries and corrective exercise, Faculty of sports science, University of Tehran, Tehran, Iran
2 Professor in sports medicine, Faculty of sports science, University of Tehran, Tehran, Iran
3 Assistant Professor in sports injuries, Faculty of sports science, University of Tehran, Tehran, Iran
4 Associated professor of sports biomechanics, Faculty of sports science, University of Mazandaran, Babolsar, Iran
چکیده [English]

Back ground and aim: Hamstring strain is the most prevalent injury with long term complications and the attendant poor function. As previousely known, hamstring has an important role in knee joint biomechanics and there is a link between its function and the function of Anterior Cruciate Ligament (ACL). The aim of the present study was to review the hamstring injury effects on the knee biomechanical changes and its role in increasing the incidence of non-contact knee injuries such as ACL tearing as the most common injury.
Materials and Methods: PubMed, ScienceDirect, and GoogleScholar databases were searched for studies published in English between 2000 and 2016. The following terms: knee, athletes, and hamstring injury, as well as the combination of these terms were used.
Results: Among the relevant studies, 32 studies were selected based on the topics and then divided into three groups: 1) hamstring neuromuscular changes after injury; 2) role of hamstring injury on the knee biomechanical changes, and 3) hamstring co-activation with the other lower extremity muscles.
Conclusion: Because of long term defect after hamstring injury, long term period of treatment, and its effects on the knee joint biomechanics in some special tasks, hamstring injury could be the reason of knee joint biomechanical changes and non-contact injuries, such as ACL tearing.

کلیدواژه‌ها [English]

  • knee
  • Athletes
  • Hamstring Injury
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