بررسی اثر شش هفته تمرینات حس عمقی بر درد گردن و ناتوانی گردن دندان پزشکان عمومی زن

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دکترای حرکات اصلاحی و آسیب شناسی ورزشی، مرکز تحقیقات بهداشت کار، دانشگاه علوم پزشکی ایران، تهران، ایران.

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

3 استاد گروه طب فیزیکی و توانبخشی، مرکز تحقیقات عصبی-عضلانی و اسکلتی، دانشگاه علوم پزشکی ایران، تهران، ایران

4 دانشیار گروه حرکات اصلاحی و آسیب شناسی ورزشی، دانشگاه خوارزمی، تهران، ایران

5 متخصص پروتزهای دندانی، گروه پروتز دانشکده دندان پزشکی دانشگاه آزاد، تهران، ایران

چکیده

مقدمه و اهداف
اختلالات اسکلتی- عضلانی و درد گردن بین دندان­پزشکان بسیار شایع می­باشد. هدف از مطالعه حاضر تاثیر تمرینات حس عمقی بر درد گردن و ناتوانی گردن دندان­پزشکان زن با درد گردن مزمن غیراختصاصی می­باشد.
مواد و روش­ ها
بر اساس پرسش­نامه ­ای که بین دندان­پزشکان توزیع شد، 24 نفر از دندان­پزشکان که بر اساس سن و جنس همگن بودند و در سه ماه گذشته درد گردن داشتند، انتخاب شدند. آزمودنی­ ها به صورت تصادفی به دو گروه تقسیم شدند؛ گروه اول تمرینات حس عمقی دریافت کردند و گروه دوم هیچ مداخله­ای دریافت نکردند. اندازه­ گیری درد گردن و ناتوانی گردن در ابتدا و پس از شش هفته مداخله صورت گرفت. آزمون­های آماری کولموگروف-اسمیرنف و ویلکاکسون برای تجزیه و تحلیل آماری داده­ها استفاده شد (05/0≥α).
یافته ­ها
نتایج تحقیق بیانگر کاهش معنادار درد گردن (0/006=P) و ناتوانی (0/008=P) بعد از شش هفته تمرینات حس عمقی بود.
نتیجه­ گیری
نتایج تحقیق حاضر نشان داد مداخله تمرینات حس عمقی در کاهش درد و ناتوانی گردن در دندان­پزشکان دارای گردن­درد مزمن موفق بوده است. با توجه به اندازه اثر بالای گزارش­شده برای تمرینات حس عمقی، پیشنهاد می­شود که این برنامه تمرینی برای اصلاح گردن­درد مزمن و عدم تعادل عضلانی مورد استفاده قرار بگیرد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Efficacy of Six Weeks of Proprioceptive Exercises on Neck Pain and Disability Index in General Woman Dentists

نویسندگان [English]

  • Anahita Bolandian 1
  • Amir Letafatkar 2
  • Bijan Forogh 3
  • Sadredin Shojaedin 4
  • Pantea Bolandian 5
1 PhD of Corrective Exercise and Sport Injury, Occupational Health Research Center, Iran University of Medical Sciences, Tehran, Iran
2 Assistant Professor, Department of Biomechanic and Sport Injury, School of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran
3 Professor of Physical Medicine and Rehabilitation, Neuromusculoskeletal Research Center, Iran University of Medical Sciences, Tehran, Iran
4 Associate Professor, Department of Corrective Exercises and Sport Injury, Kharazmi University, Tehran, Iran
5 Department of Prosthodontics, School of Dentistry, Azad University of Medical Sciences. Tehran,
چکیده [English]

Background and Aim: Neck musculoskeletal disorders are common among dentists. The aim of the current study was to investigate the effect of proprioceptive exercises on pain and disability index in female dentists with nonspecific chronic neck pain.
Materials and Methods: The questionnaire was distributed among 24 female dentists matched by age, gender, and neck pain complaints in the past three months. Particpants were randomly divided into two groups: the first group received proprioceptive exercises and the second group were not give any intervention. The pain and disability assessment were administered in the baseline and after six weeks of exercises. The Kolmogorov Smirnoff and Wilcoxon were used for statistical data analysis (α≥0.05).
Results: The results of the present study revealed significant decrease in neck pain (P=0.006) and disability index (P=0.008) after six weeks of proprioceptive exercise.
Conclusion: According to the results, the proprioceptive exercise intervention was successful in decreasing pain and disability in female dentists with chronic neck pain. Considering the extreme effect of the proprioceptive exercise group, we recommend that this program be used in the correction of individuals with chronic neck pain and muscles imbalance.

کلیدواژه‌ها [English]

  • Proprioceptive exercise
  • Neck pain
  • Surface neck muscles
  1. Côté P, Cassidy JD, Carroll LJ, Kristman V. The annual incidence and course of neck pain in the general population: a population-based cohort study. Pain. 2004;112(3):267-73.##
  2. Gupta BD, Aggarwal S, Gupta B, Gupta M, Gupta N. Effect of Deep Cervical Flexor Training vs. Conventional Isometric Training on Forward Head Posture, Pain, Neck Disability Index In Dentists Suffering from Chronic Neck Pain. Journal of clinical and diagnostic research : JCDR. 2013;7(10):2261-4. ##
  3. O'Leary S, Jull G, Kim M, Vicenzino B. Specificity in retraining craniocervical flexor muscle performance. The Journal of orthopaedic and sports physical therapy. 2007;37(1):3-9. ##
  4. McCarthy M, Grevitt M, Silcocks P, Hobbs G. The reliability of the Vernon and Mior neck disability index, and its validity compared with the short form-36 health survey questionnaire. European Spine Journal. 2007;16(12):2111-7. ##
  5. Cleland JA, Childs JD, Whitman JM. Psychometric properties of the Neck Disability Index and Numeric Pain Rating Scale in patients with mechanical neck pain. Archives of physical medicine and rehabilitation. 2008;89(1):69-74. ##
  6. Udoye C, Aguwa E. Musculoskeletal symptoms: A survey amongst a selected nigerian dentists. The internet Journal of dental science. 2007;5(1):211-21. ##
  7. Ylinen J, Salo P, Nykänen M, Kautiainen H, Häkkinen A. Decreased isometric neck strength in women with chronic neck pain and the repeatability of neck strength measurements. Archives of physical medicine and rehabilitation. 2004;85(8):1303-8. ##
  8. Ratzon NZ, Yaros T, Mizlik A, Kanner T. Musculoskeletal symptoms among dentists in relation to work posture. Work. 2000;15(3):153-8. ##
  9. SCHÜLDT K, EKHOLM J, HARMS-RINGDAHL K, NÉMETH G, ARBORELIUS UP. Effects of changes in sitting work posture on static neck and shoulder muscle activity. Ergonomics. 1986;29(12):1525-37. ##
10. Choobineh A, Tosian R, Alhamdi Z, Davarzanie M. Ergonomic intervention in carpet mending operation. Applied ergonomics. 2004;35(5):493-6. ##

11. asgari ashtiani ar, ebrahimi i, mohammadi m. The effect of stabilization and maximum isometric exercises on cross sectional area of deep flexor muscles in chronic non-specific neck pain. Physical Treatments. 2014;3(4):52-8. ##

12. Guez M, Hildingsson C, Stegmayr B, Toolanen G. Chronic neck pain of traumatic and non-traumatic origin: a population-based study. Acta orthopaedica Scandinavica. 2003;74(5):576-9. ##

13. Jull G, Trott P, Potter H, Zito G, Niere K, Shirley D, et al. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine. 2002;27(17):1835-43. ##

14. Falla D, Jull G, Russell T, Vicenzino B, Hodges P. Effect of neck exercise on sitting posture in patients with chronic neck pain. Physical therapy. 2007;87(4):408. ##

15. Akbari A, Ghiasi F, Barahoie M, Arab-Kangan M. The comparison of effectiveness of muscles specific stabilization training and dynamic exercises on the chronic neck pain and disability. Journal of Gorgan University of Medical Sciences. 2010;11(4):29-112. ##

16. Kallenberg LA, Hermens HJ, Vollenbroek-Hutten MM. Distinction between computer workers with and without work-related neck–shoulder complaints based on multiple surface EMG parameters. International journal of industrial ergonomics. 2006;36(10):921-9. ##

17. Iqbal ZA, Rajan R, Khan SA, Alghadir AH. Effect of deep cervical flexor muscles training using pressure biofeedback on pain and disability of school teachers with neck pain. Journal of physical therapy science. 2013;25(6):657-61. ##

18. Janda V. Muscles and motor control in cervicogenic disorders: assessment and management. Physical therapy of the cervical and thoracic spine New York: Churchill Livingstone. 1994:195-216. ##

19. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. Clinical Spine Surgery. 1992;5(4):383-9. ##

20. Cote P, Cassidy JD, Carroll L. The Saskatchewan Health and Back Pain Survey. The prevalence of neck pain and related disability in Saskatchewan adults. Spine. 1998;23(15):1689-98. ##

21. Ask T, Strand LI, Skouen JS. The effect of two exercise regimes; motor control versus endurance/strength training for patients with whiplash-associated disorders: a randomized controlled pilot study. Clinical rehabilitation. 2009;23(9):812-23. ##

22. Falla D, Jull G, Hodges P, Vicenzino B. An endurance-strength training regime is effective in reducing myoelectric manifestations of cervical flexor muscle fatigue in females with chronic neck pain. Clinical Neurophysiology. 2006;117(4):828-37. ##

23. Griffiths C, Dziedzic K, Waterfield J, Sim J. Effectiveness of specific neck stabilization exercises or a general neck exercise program for chronic neck disorders: a randomized controlled trial. The Journal of rheumatology. 2009;36(2):390-7. ##

24. Ghanjal A, Motaqhey M, Hatef B, Askari Ashtiani A. Effect of Action Observation on Symmetry of Weight Distribution and Stability Indices In Semi-Dynamic Stability among Healthy Older People. Journal of Mazandaran University of Medical Sciences. 2016;26(135):75-86. ##