تاثیر خستگی عملکردی عضلات مرکزی بدن بر برخی از پارامترهای کینماتیکی مرتبط با آسیب لیگامان صلیبی قدامی طی مانور توقف-پرش تک پا در زنان ورزشکار

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد آسیب شناسی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران

2 استادیار بیومکانیک ورزشی، گروه بهداشت و طب ورزش، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران

3 دانشیار آسیب شناسی ورزشی و حرکات اصلاحی ، گروه بهداشت و طب ورزش، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران

چکیده

مقدمه و اهداف
عوامل خطرآفرین درونی و بیرونی آسیب ACL به طور وسیعی مورد مطالعه قرار گرفته است، اما عوامل خطر بیومکانیکی و عصبی-عضلانی که زنان را در معرض این آسیب قرار می­دهد هنوز مبهم است. ضعف عضلانی از عوامل دخیل در آسیب ACL می­باشد. تحقیقات کنونی به سوی مطالعه اینکه چگونه ضعف و یا قدرت عضلات، خصوصا عضلات مرکزی می­تواند بر روی عملکرد و آسیب اندام تحتانی موثر باشد، سوق یافته است. همچنین خستگی نیز یکی از عوامل تاثیرگذار منفی بر عملکرد عضلات ناحیه مرکزی بدن می‌باشد. از این رو هدف تحقیق حاضر تاثیر خستگی عملکردی عضلات مرکزی بدن بر برخی از پارامترهای کینماتیکی مرتبط با آسیب ACL طی مانور توقف-پرش تک­پا در زنان ورزشکار می­باشد.
مواد و روش‌ها
تعداد 30 زن ورزشکار انتخاب و به دو گروه کنترل 14 نفر و تجربی 16 نفر تقسیم شدند. در تحقیق حاضر از پروتکل خستگی عملکردی برای خسته کردن عضلات ناحیه مرکزی و از دستگاه Vicon Motion Analyses برای تحلیل پارامترهای کینماتیکی استفاده شد.
یافته‌ها
میزان زاویه فلکشن و والگوس زانو در لحظه تماس اولیه پا با زمین، حداکثر میزان فلکشن و والگوس زانو درحین مانور توقف-پرش تک­پا اندازه­گیری شد. بین میزان فلکشن زانو قبل (82/6) و بعد از مداخله (36/2) و والگوس زانو قبل (10/3) و بعد از مداخله (80/5 ) در لحظه تماس اولیه پا  و بین حداکثر میزان فلکشن زانو قبل (45/12) و بعد از مداخله (35/23) و حداکثر میزان والگوس زانو قبل (06/13) و بعد از مداخله (68/16) در گروه تجربی تفاوت معناداری مشاهده شد (p≤0/05).
نتیجه‌ گیری
نتیجه تحقیق حاضر نشان می­دهد که خستگی عضلات ناحیه مرکزی بدن بر میزان زاویه فلکشن و والگوس زانو در لحظه تماس اولیه پا با زمین و حداکثر آن تاثیر دارد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of Core Muscle Functional Fatigue on Some of Kinematics Parameters Related to ACL Injury during Single-Leg Stop-Jump Task in Female Athletes

نویسندگان [English]

  • Safiyeh Khosravi 1
  • Elham Shirzad Eraghi 2
  • Foad Seydi 3
1 MSc in Corrective Exercises and Sport Injury, Faculty of Physical education, University of Tehran, Tehran, Iran
2 Assistant Professor of Corrective Exercises and Sport Injury, Faculty of Physical education, University of Tehran, Tehran, Iran
3 Associated Professor of Corrective Exercises and Sport Injury, Faculty of Physical education, University of Tehran, Tehran, Iran
چکیده [English]

Background and Aim: Although the internal and external risk factors of anterior cruciate ligament (ACL) injury have extensively been studied, biomechanical and neuromuscular risk factors that put women at risk for this injury are unclear. Since muscle weakness is a contributing factor in ACL injury, the current research was conducted to study how weakness or strength of muscle, especially core muscles, can affect lower limbs performance and injury. Fatigue is also a negative contributing factor to the performance of core muscles. In this regard, the present study aimed at evaluating the effect of core muscles fatigue on some kinematic parameters associated with ACL injury during single-leg stop-jump maneuver in female athletes.
Materials and Methods: A total of 30 female athletes were selected and divided into two groups of control and experimental. We used a protocol for recorded fatigue to exhaust the core muscles and the Vicon Motion Analysis device to analyze kinematic parameters.
 Results: The flexion angle and knee valgus at the moment of initial contact of the foot with the ground and the maximum amount of flexion and knee valgus during single-leg stop-jump maneuver were measured. A significant difference was observed between flexion angle of the knee at the moment of initial contact of the foot with the ground before (6.82) and after (2.36) intervention and knee valgus before (3.10) and after (5.80) intervention in the experimental group (p<0.05). Also, a significant difference was observed between the maximum amount of knee flexion before (12.45) and after (23.35) and maximum amount of knee valgus before (13.06) and after (16.68) intervention in the experimental group (p<0.05).   
Conclusion: It is concluded from the results of the present study that core muscles fatigue can influence the flexion angle and knee valgus and the maximum amount of flexion and knee valgus.

کلیدواژه‌ها [English]

  • Core muscles
  • Fatigue
  • Kinematic
  • Single-Leg Stop-jump Maneuver
  • ACL injury
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