تأثیر سرمادهی مفصل زانو بعد از خستگی موضعی بر حس عمقی زنان جوان تمرین کرده

نوع مقاله: مقاله پژوهشی

نویسندگان

1 بیومکانیک ورزشی، گروه علوم ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه شیراز، شیراز، ایران

2 کارشناسی‌ ارشد، گروه بیومکانیک و آسیب شناسی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه خوارزمی، تهران، ایران

چکیده

مقدمه و اهداف
حس عمقی در رفلکس عضلانی، ثبات دینامیک مفصل و برنامه­ریزی حرکت برای کنترل عصبی-عضلانی نقش دارد. هدف پژوهش حاضر، بررسی تأثیر سرمادهی مفصل زانو بعد از خستگی موضعی بر حس عمقی زنان جوان تمرین­کرده بود.
مواد و روش‌ها
مطالعه حاضر به روش نیمه­تجربی و طرح پیش­آزمون-پس­آزمون انجام شده است. 40 آزمودنی زن تمرین­کرده سالم (میانگین سن 05/1±06/22 سال، قد 96/6±22/165 سانتی­متر، و وزن 41/9±72/55 کیلوگرم) در چهار گروه (کنترل، سرمادهی، خستگی و سرمادهی بعد از خستگی) شرکت داشتند. اعمال سرما با استفاده از کیسه یخ بر روی مفصل زانو، برای هر دو گروه سرمادهی و سرمادهی بعد از خستگی انجام گرفت و گروه خستگی و سرمادهی بعد از خستگی، پروتکل خستگی عصبی-عضلانی موضعی شامل انواع حرکات پلایومتریک، را اجرا کردند. حس عمقی مفصل زانو، قبل و بلافاصله بعد از سرمادهی (بلافاصله بعد از خستگی در گروه خستگی) و 20 دقیقه بعد از سرمادهی، از طریق اندازه­گیری خطای بازسازی زوایای 30، 45 و 60 درجه مفصل زانو با استفاده از دینامومتر ایزوکنتیک ارزیابی شد. اطلاعات به دست آمده در نرم­افزار SPSS  و با استفاده از روش تحلیل واریانس با داده­های تکراری و آزمون t مستقل، در سطح معناداری 05/0≥α و آزمون تعقیبی بونفرونی تحلیل شد.
یافته‌ها
یافته­های تحقیق حاضر نشان داد با وجود کاهش معنادار دمای پوست، بعد از سرمادهی، حس عمقی مفصل زانو در هیچ یک از گروه­ها در زمان­های مختلف، تفاوت معناداری نداشت و بین گروه­ها نیز تفاوت معناداری مشاهده نشد.
نتیجه‌ گیری
به نظر می­رسد که پروتکل سرمادهی مورد استفاده در پژوهش، تنها بر گیرنده­های پوستی تأثیر­گذار بوده و بر دوک­های عضلانی و گیرنده­های مفصلی که نقش اصلی را در حس وضعیت مفصل دارند، تأثیرگذار نبوده است؛ بنابراین می­توان نتیجه گرفت این روش سرمادهی حتی در حالت خستگی، خطری برای ورزشکاران جهت ادامه فعالیت ندارد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of Knee Cooling after Local Fatigue on Proprioception in Trained Women

نویسندگان [English]

  • fereshteh eftekhari 1
  • Torkan Abbasi 2
1 Sport biomechanics,Department of Sport Sciences ,School of education and psychology,Shiraz University,Shiraz, Iran
2 MSc in, Biomechanics and Sport Injuries Group, Physical Education Department, Kharazmi University, Tehran, Iran
چکیده [English]

Background and Aims: Proprioception affects muscle reflexes, joint dynamic stability control, and motion planning for neuromuscular control. The aim of the present study was to determine the effect of knee cooling after local fatigue on proprioception in athletic women.
Materials and Methods: The current study was done using semi-experimental method with pretest-posttest. Participants included 40 healthy athletic women divided into four groups (control, cooling, fatigue, cooling after fatigue). Cooling with ice pack on knee was used for both groups of cooling and cooling after fatigue. Also, fatigue and cooling after fatigue groups performed neuromuscular local fatigue protocol including a variety of plyometric exercises. Knee proprioception before and after cooling (immediately after fatigue in fatigue group) and 20 minutes after cooling was evaluated by measuring angle error 30, 45, and 60 degree knee joint using isokinetic dynamometer. Data obtained was analyzed using SPSS software and running repeated measure ANOVA, independent T-test, and bonferroni correction. The significance value was set at α≤ 0.05.
Results: The results showed that despite significant decrease in skin temperature after cooling, there was no significant difference in the groups in different time period neither was any significant difference between the groupsstudied.
Conclusion: It seems that cooling protocol used in the present study only affects the skin receptors. Muscle and joint receptors that play a role in joint position sense are not affected. Therefore, it can be concluded that this method of cooling, even in case of fatigue, will have no danger for athletes to continue their activities.

کلیدواژه‌ها [English]

  • Proprioception
  • Fatigue
  • Cooling
  • Knee joint
  1. Cordo P, et al., Proprioceptive coordination of movement sequences. role of velocity and position information. J Neurophysiol 1994; 71(5):1848-61.##
  2. Hiemstra, L.A., I.K. Lo, and P.J. Fowler, Effect of fatigue on knee proprioception: implications for dynamic stabilization. J Orthop Sports Phys Ther 2001; 31(10):598-605. ##
  3. Rozzi, S., Yuktananandan, P., Pincervero, D., & Lephart, S. Role of fatigue on proprioception and neuromuscular control. Human kinetics 2000; 41(5):375-384. ##
  4. Prentic, W.E., Rehabilitation techniques in sports medicine, ed. second. USA: Baltimore;1994. ##
  5. Zimny, M.L., M. Schutte, and E. Dabezies. Mechanoreceptors in the human anterior cruciate ligament. Anat Rec 1986; 214(2):204-9. ##
  6. Brand, R.A., A neurosensory hypothesis of ligament function. Med Hypotheses 1989;4(29): 245-50. ##
  7. Clark, F.J., P. Grigg, and J.W. Chapin. The contribution of articular receptors to proprioception with the fingers in humans. J Neurophysiol 1989; 61(1):186-93. ##
  8. Grigg, P., Biophysical studies of mechanoreceptors. J Appl Physiol 1985; 60(4):1107-15. ##
  9. Krauspe, R., M. Schmidt, and H.G. Schaible, Sensory innervation of the anterior cruciate ligament. An electrophysiological study of the response properties of single identified mechanoreceptors in the cat. J Bone Joint Surg Am 1992; 74(3):390-7. ##
10. Boyle, J. and V. Negus, Joint position sense in the recurrently sprained ankle. Aust J Physiother 1998; 44(3):159-163. ##

11. Konradsen, L., J.B. Ravn, and A.I. Sorensen, Proprioception at the ankle. the effect of anaesthetic blockade of ligament receptors. J Bone Joint Surg Br 1993; 75(3):433-6. ##

12. Mirbagheri, M.M., H. Barbeau, and R.E. Kearney. Intrinsic and reflex contributions to human ankle stiffness. variation with activation level and position. Exp Brain Res 2000; 135(4):423-36. ##

13. Chaffin, D.B., Localized muscle fatigue--definiton and measurement. J Occup Med 1973; 15(4):346-54. ##

14. Enoka, R.M. and D.G. Stuart, Neurobiology of muscle fatigue. J Appl Physiol 1992; 72(5):48-1631. ##

15. Fitts, R.H., Muscle fatigue: the cellular aspects. Am J Sports Med 1996; 24(6):9-13. ##

16. Fitts, R.H. and E.M. Balog, Effect of intracellular and extracellular ion changes on E-C coupling and skeletal muscle fatigue. Acta Physiol Scand1996; 156(3):169-81. ##

17. Green, J.M., et al., Overall and differentiated ratings of perceived exertion at the respiratory compensation threshold. effects of gender and mode. Eur J Appl Physiol 2003; 89(5):445-50. ##

18. Sjolander, P., H. Johansson, and M. Djupsjobacka, Spinal and supraspinal effects of activity in ligament afferents. J Electromyogr Kinesiol 2002; 12(3):167-76. ##

19. Loscher, W.N., A.G. Cresswell, and A. Thorstensson. Central fatigue during a long-lasting submaximal contraction of the triceps surae. Exp Brain Res 1996; 108(2):305-14. ##

20. Skinner, H.B., et al., Effect of fatigue on joint position sense of the knee. J Orthop Res 1986; 4(1):112-8. ##

21. Lattanzio, P.J., et al., Effects of fatigue on knee proprioception. Clin J Sport Med 1997; 7(1):22-7. ##

22. Marks, R., Effect of exercise-induced fatigue on position sense of the knee. Aust J Physiother 1994; 40(3):175-81. ##

23. Changela, P.K., K. Selvamani, and Ramaprabhu, A study to evaluate the effect of fatigue on knee joint proprioception and balance in healthy individuals. international journal of scienstific and research publications 2012; 2(3):2250-3153. ##

24. Majewski, M., H. Susanne, and S. Klaus, Epidemiology of athletic knee injuries: A 10-year study. Knee 2006; 13(3):184-8. ##

25. Ribeiro, F., et al., Effects of volleyball match-induced fatigue on knee joint position sense. European Journal of Sport Science 2008; 8(6):397-402. ##

26. Martin, B., & Jorklund. Effect of repetitive work on proprioception and of stretching on sensory mechanisms Umea university medical dissertation new series 2004; 90(8):77-91. ##

27. Lattanzio, P.J. and R.J. Petrella, Knee proprioception: a review of mechanisms, measurements, and implications of muscular fatigue. Orthopedics 1998; 21(4):463-70. ##

28. Marks, R. and H.A. Quinney, Effect of fatiguing maximal isokinetic quadriceps contractions on ability to estimate knee-position. Percept Mot Skills 1993; 77(3):1195-202.v

29. Bjorklund, M., et al., Position sense acuity is diminished following repetitive low-intensity work to fatigue in a simulated occupational setting. Eur J Appl Physiol 2000; 81(5):361-7. ##

  1. 30.
31. Hopper, D., D. Whittington, and J. Davies, Does ice immersion influence ankle joint position sense? Physiother Res Int 1997; 2(4):223-36. ##

32. Uchio, Y., et al., Cryotherapy influences joint laxity and position sense of the healthy knee joint. Arch Phys Med Rehabil 2008; 84(1):131-5. ##

33. Oliveira, R., F. Ribeiro, and J. Oliveira, Cryotherapy impairs knee joint position sense. Int J Sports Med 2010; 31(3):198-201. ##

34. Algafly, A.A. and K.P. George, The effect of cryotherapy on nerve conduction velocity, pain threshold and pain tolerance. Br J Sports Med 2007; 41(6):365-9. ##

35. Herrera, E., et al., Motor and sensory nerve conduction are affected differently by ice pack, ice massage, and cold water immersion. Phys Ther 2010; 90(4):581-91. ##

36. Bleakley, C., S. McDonough, and D. MacAuley, The use of ice in the treatment of acute soft-tissue injury: a systematic review of randomized controlled trials. Am J Sports Med 2004; 32(1):251-61. ##

37. Enwemeka, C.S., et al., Soft tissue thermodynamics before, during, and after cold pack therapy. Med Sci Sports Exerc 2002; 34(1):45-50. ##

38. Costello, J.T. and A.E. Donnelly, Effects of cold water immersion on knee joint position sense in healthy volunteers. J Sports Sci 2011; 29(5):449-56. ##

39. LaRiviere, J., & Osternig, L. The effect of ice immersion on joint position sense. J Sport Rehabilitation 1994; 3(2):58-67. ##

40. Dover, G. and M.E. Powers, Cryotherapy does not impair shoulder joint position sense. Arch Phys Med Rehabil 2004; 85(8):1241-6. ##

41. Ozmun, J., Thieme, H., Ingersoll, C., & Knight, K. cooling does not affect knee proprioceptive Acuity in the Quadriceps Muscle. Athletic Training 2008; 36(2):119-123. ##

42. Wassinger, C.A., et al., Proprioception and throwing accuracy in the dominant shoulder after cryotherapy. J Athl Train 2007; 42(1):84-9. ##

43. Schmid, S., M. Moffat, and G.M. Gutierrez, Effect of knee joint cooling on the electromyographic activity of lower extremity muscles during a plyometric exercise. J Electromyogr Kinesiol 2010; 20(6):1075-81. ##

44. Furmanek, M.P., K. Slomka, and G. Juras, The effects of cryotherapy on proprioception system. Biomed Res Int 2014; 25(2):397-696. ##

45. Ahmad Abadi, S., et al., The effect of fatique due to plyometric training on activity pattern of rectus femoris muscle in different phases of deep jump on active girl. medical science, Tehran 1398; 8(4):11-20. ##

46. Gear, W.S., Effect of different levels of localized muscle fatigue on knee position sense. J Sports Sci Med 2011; 10(4):725-3. ##

47. Wassinger, C. A., Myers, J. B., Gatti, J. M., Conley, K. M., & Lephart, S. M.Proprioception and throwing accuracy in the dominant shoulder after cryotherapy. J Athl Train 2007; 42(1): 84-89. ##

48. Barrack, R.L., H.B. Skinner, and S.L. Buckley, Proprioception in the anterior cruciate deficient knee. Am J Sports Med 1989; 17(1):1-6. ##

49. Olsson, L., et al., Test–retest reliability of a knee joint position sense measurement method in sitting and prone position. Advances in Physiotherapy 2004; 6(1):37-47. ##

50. Khanmohammadi, R., M. Someh, and F. Ghafarinejad, The effect of cryotherapy on the normal ankle joint position sense. Asian J Sports Med 2011; 2(2):91-8 . ##

51. Ruiz, D.H., et al., Cryotherapy and sequential exercise bouts following cryotherapy on concentric and eccentric strength in the quadriceps. J Athl Train 1993; 28(4):320-3. ##

52. McMeeken, N., et al., the effect of two cooling modalities on skin and tendon temperature. Proceedings of the American college of sports medicine conference 2014; 25(3):250-56.

53. Cameron, M. Superficial Cold and heat. Philadelphia: Physical Agents in rehabilitation 2014. 4th ed: 129-173. ##

54. Miura, K., et al., The effect of local and general fatigue on knee proprioception. Arthroscopy 2004; 20(4):414-8. ##

55. Malone, T., Hardaker, W., & Garret, W. Relationship of gender to anterior cruciate ligament injuries in intercollegiate basketball players. J South Orthop  Assoc 1993; 2(1):36-39##

56. Whiteside, P. Men’s and women’s injuries in comparable sports. Physician Sports Med 1980; 8(1):130-140. ##

57. Skinner, H. B., Wyatt, M. P., Hodgdon, J. A., Conard, D. W., & Barrack, R. L. Effect of fatigue on joint position sense of the knee. J Orthop Res 1986; 4(1):112-11. ##