مقایسه قوس‌های توراسیک و کمر بین افراد دچار جلو آمدگی سر و افراد سالم

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران

2 دانشیار گروه فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران

چکیده

مقدمه و اهداف
در زندگی امروزی با پیشرفت تکنولوژی، شرایط مدرن زندگی، وجود کامپیوتر و کار کردن در وضعیت نادرست بدون انجام فعالیت فیزیکی کافی، آناتومی و بیومکانیک ستون فقرات تغییر پیدا می‌کند، بنابراین تشخیص انحرافات پاسچرال و ارتباط کینماتیکی آنها در پیشگیری و درمان این اختلالات از اهمیت ویژه‌ای برخوردار است. یکی از اختلالات شایع پاسچرال، پاسچر جلو آمده سراست. هدف از مطالعه حاضر ارزیابی قوس‌های ستون فقرات افراد با پاسچر جلو آمده سر و مقایسه آن با افراد سالم می‌باشد.
مواد و روش‌ها
در مطالعه حاضر  51 نفر مبتلابه جلو آمدگی سر و 50 نفر سالم که از نظر قد، وزن و سن با یکدیگر یکسان‌سازی شده بودند، شرکت نمودند. جهت ارزیابی و تشخیص پاسچر جلو آمده سر از روش فوتوگرافی و محاسبه زاویه کرانیوورتبرال و برای اندازه‌گیری زاویه قوس‌های ستون فقرات از خط‌کش منعطف به‌عنوان یک روش اندازه‌گیری غیرتهاجمی و معتبر استفاده شد. تمام اندازه‌گیری‌ها در دو وضعیت ایستاده و نشسته انجام پذیرفت.
یافته‌ها
نتایج آزمون آماری نشان داد که کاهش زاویه کرانیوورتبرال با افزایش کایفوز سینه‌ای و لوردوز کمری همراه بوده است و همچنین نتایج نشان داد که زاویه کرانیوورتبرال، تیلت سر، لوردوز کمری و کایفوز سینه‌ای بین دو گروه در هر دو وضعیت نشسته و ایستاده، اختلاف معنادار آماری وجود دارد (05/0>P).
نتیجه‌گیری
به نظر می‌رسد که احتمالاً افزایش جلو آمدگی سر در حالت ایستاده با افزایش کایفوز سینه‌ای و همچنین افزایش لوردوز کمری همراه می‌باشد و در حالت نشسته احتمالاً تنها با افزایش کایفوز سینه‌ای توام است.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Comparison of Thoracic Kyphosis and Lumbar Lordosis in Healthy Individuals and Patients with Forward Head Posture

نویسندگان [English]

  • Mehrnoosh Fuladi 1
  • Amir Ahmadi 2
  • Nader Maroufi 2
  • Javad Sarrafzadeh 2
  • Minoo Esmaeelnezhad 1
1 MSc Student in Physical Therapy, Department of Physiotherapy, Rehabilitation Faculty, Iran University of Medical Sciences, Tehran, Iran
2 Associate Professor, Department of Physiotherapy, Rehabilitation Faculty, Iran University of Medical Sciences, Tehran, Iran
چکیده [English]

Background and purpose: Anatomy and biomechanics of the spine have been changed because of modern life style and working in unhealthy environments; therefore, diagnosis of postural deviations and their kinematic relationship has particular importance in detection, prevention, and treatment of these disorders. One of the most common postural abnormalities is forward head posture which could be created independently or after other postural disorders. The aim of the present study was to evaluate spine curves in patients with forward head posture and to compare it with healthy individuals.
Materials and methods: In the current study, 51 patients and 50 healthy participants, matched height, weight, and age, were recruited. To evaluate and diagnose the forward head posture, photography method and calculation of craniovertabral angle were used and to measure the spinal curvatures, flexi curve, as a noninvasive and valid method, was used. All measurements were performed in both standing and sitting positions.
Results:Statistical results showed that by reducing the craniovertabral angle, thoracic kyphosis and lumbar lordosis increased and also there is a significant difference in craniovertabral angle, head tilt angle, thoracic kyphosis, and lumbar lordosis between the two groups and also between sitting and standing position (p<0.05).
Conclusion: Our results indicated that the increase of forward head posture in standing position is associated with the increase of thoracic kyphosis and also lumbar lordosis and in sitting position it is associated with the increase of thoracic kyphosis.

کلیدواژه‌ها [English]

  • Forward Head Posture
  • Thoracic Kyphosis
  • Lumbar Lordosis
  • Craniovertabral Angle
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