مقایسه تاثیر و ماندگاری مجزا و ترکیبی تمرین ثبات مرکزی و ماساژ رفلکسولوژی بر استقامت عضلانی و درد زنان مبتلا به کمردرد مزمن غیراختصاصی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد، حرکات اصلاحی و آسیب‌شناسی ورزشی، دانشگاه آزاد اسلامی واحد کرج، کرج، ایران

2 استادیار، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه خوارزمی، تهران، ایران

3 مربی، حرکات اصلاحی و آسیب‌شناسی ورزشی، دانشگاه آزاد واحد کرج، کرج، ایران

چکیده

مقدمه و اهداف
کمردرد مزمن غیراختصاصی یکی از زیرگروه­های کمردرد می­باشد. درد، ناتوانی عملکردی و کاهش استقامت عضلانی در این بیماران شایع است. هدف از انجام تحقیق حاضر مقایسه تاثیر و ماندگاری مجزا و ترکیبی تمرینات ثباتی و رفلکسولوژی بر درد و استقامت عضلانی بیماران دارای کمردرد بود.
مواد و روش ها
تحقیق شبه­تجربی بر روی 47 بیمار دامنه سنی 30 تا 35 سال دارای کمردرد انجام شد. آزمودنی­ها به چهار گروه تقسیم­بندی شدند؛ گروه کنترل که تمرینات معمول انجام می­دادند، گروه تمرینات ثباتی که تمرینات ثباتی را انجام می­دادند، گروه رفلکسولوژی و گروه ترکیبی ثباتی و رفلکسولوژی به مدت هشت هفته تحت مداخله قرار گرفتند. درد و استقامت عضلانی در سه مرحله پیش­آزمون، پس­آزمون و پیگیری یک ماهه اندازه­گیری شد. داده­ها با استفاده از تحلیل واریانس اندازه­های تکراری، تحلیل کوواریانس، تی مستقل و وابسته مورد تحلیل قرار گرفت.
یافته­ ها
نتایج نشان داد که بعد از درمان، استقامت عضلانی و درد در گروه­های تمرینات ثباتی و ترکیبی بهبود پیدا کرده و دارای ماندگاری یک ماهه نیز می­باشد، اما ماساژ رفلکسولوژی فقط بر روی درد تاثیر داشته است.
نتیجه­ گیری
به دلیل تاثیر و ماندگاری تمرینات ثباتی در کاهش درد و بهبود استقامت عضلانی، استفاده از این روش در افراد دارای کمردرد مزمن پیشنهاد می­شود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Comparison of the Effects and Durabilities of Isolated and Combined Core Stabilization Exercise and Reflexology Massage on Muscle Endurance and Pain in Females with Chronic Non-Specific Low Back Pain

نویسندگان [English]

  • Shamim Ghorbani 1
  • Amir Letafatkar 2
  • Mehdi Kasbparast 3
1 MA, Corrective Exercises and Sport Injuries, Islamic Azad University, Karaj branch, Karaj, Iran
2 Assistant Professor, Faculty of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran
3 Lecturer, Corrective Exercises and Sport Injuries, Islamic Azad University, Karaj branch, Karaj, Iran
چکیده [English]

Background and Aims: Non-specific chronic low back pain is one of the subgroups of low back pain. Pain, functional disability, and reduced muscle endurance are common in such patients. The objective of the present study was to compare the effects and durabilities of isolated and combined stabilization exercises and reflexology massage on pain and muscle endurance in patients with low back pain.
Materials and Methods: A quasi experimental study was carried out on 47 patients aged between 30-35 years who had low back pain. They were divided into four groups: the control group underwent routine exercises only, while the core stabilization group performed stabilization training, reflexology group underwent a reflexology, and combined core-reflexology group underwent complex intervention for eight weeks. The pain and muscle endurance were evaluated three times (before, post treatment, and after one month detraining). The data were analyzed using repeated measure ANOVA, analysis of covariance (ANCOVA), sample, and paired t tests.
Results: The results revealed that after treatment, the pain and trunk muscle endurance, improved significantly in core and core-reflexology groups and demonstrated durability, but reflexology has only effect on pain.
Conclusion: Considering the positive effects and durability of stabilization exercises on the reduction of pain intensity and increase in muscle endurance, it is recommended that this method be used in the treatment of patients with LBP.

کلیدواژه‌ها [English]

  • Stabilization Exercise
  • Reflexology
  • Low back pain
  • Pain
  • Functional Disability
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