اثر هشت هفته تمرین منتخب در آب بر میزان خطای فرود در مردان فعال مستعد آسیب رباط صلیبی قدامی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکترای آسیب شناسی و حرکات اصلاحی دانشگاه تهران، پردیس البرز، ایران

2 استادیار، گروه آسیب شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، ایران

3 استاد، گروه آسیب شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران

4 دانشیار، گروه آسیب شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران

چکیده

مقدمه و اهداف
هدف از مطالعه حاضر بررسی اثر هشت هفته تمرین منتخب در آب بر میزان خطای فرود در مردان فعال مستعد آسیب رباط صلیبی قدامی بود.
مواد و روش ­ها
در تحقیق حاضر 30 نفر از دانشجویان پسر رشته تربیت بدنی در معرض خطر آسیب ACL در دو گروه 15 نفره کنترل (با میانگین سنی 66/1±11/20 سال، قد 67/4±34/178 سانتی­متر و وزن 69/7±68/66 کیلوگرم) و تجربی (با میانگین سنی 09/2±63/21 سال، قد 24/5±38/179 سانتی­متر و وزن 75/6±01/69 کیلوگرم) قرار گرفتند. قبل و بعد از اجرای پروتکل تمرینی جهت ارزیابی عوامل خطرساز از آزمون‌های سیستم امتیازدهی خطای فرود (LESS) استفاده شد. سپس گروه تجربی به مدت هشت هفته تمرینات منتخب در آب را انجام دادند. به منظور تجزیه و تحلیل داده­ها، از آزمون t زوجی جهت بررسی تفاوت درون­گروهی و همچنین از آزمون تی مستقل جهت بررسی میزان تغییرات تفاوت­های بین گروهی استفاده شد.
یافته­ ها
نتایج تجزیه و تحلیل آماری نشان داد که تمرینات منتخب در آب به طور معناداری سبب تغییرات در خطای فرود مردان فعال مستعد آسیب رباط صلیبی قدامی شد (05/0≥P)، در حالی که هیچ­گونه تغییر معناداری در گروه کنترل مشاهده نشد.
نتیجه­ گیری
نتایج نشان داد که تمرین در آب سبب بهبود میزان خطای فرود می­گردد؛ لذا کاربرد تمرینات منتخب در آب در کنار سایر روش­های تمرینی جهت بهبودی میزان خطای فرود و کاهش میزان آسیب در افراد مستعد آسیب رباط صلیبی قدامی توصیه می­شود.
 

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of Eight Weeks of Selected Aquatic Exercises on Landing Error in Male Athletes Prone to Anterior Cruciate Ligament Damage

نویسندگان [English]

  • Mohsen Shahidi 1
  • Homan Minoonejad 2
  • Reza Rajabi 3
  • Foad Seidi 4
1 PHD student in Sport Injuries & Corrective Exercise of the Tehran University, Alborz Campus, Iran
2 Assistant Professor, Department of Sport Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran
3 Professor, Department of Sport Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran
4 Associate Professor, Department of Sport Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran.
چکیده [English]

Background and Aim: The purpose of the present study was to investigate the effect of eight weeks of selected aquaticexercises on the amount of landing error in active men susceptible to anterior cruciate ligament injury.
Materials and Methods: A total of 30 male students of Physical Education susceptible to injury were divided in to two groups of control (no= 15, with the average age of 20.11 ± 1.66 years, height: 178.34 ± 4.67 cm, and weight: 66.68 ± 7.69 kg) and experimental (no= 15, with the mean age of 21.63 ± 2.9 years, height: 179.38 ± 5.24 cm, and weight: 69.01 ± 6.75 kg). Prior to and after the exercise protocol, the LESS error rating system was used to evaluate the risk factors. Then, the experimental group performed the selected exercises in water for eight weeks. In order to analyze the data, paired and independent t-tests were used to examine the differences between and within groups.
Results: The results of statistical analyses showed that selected exercises in aquaticwould improve the landing error rate in male athletes susceptible to anterior cruciate ligament injury, while no significant changes were observed in the control group.
Conclusion: The results showed that water practice improves the landing error rate. So, the use of selected exercises in water, along with other training methods, is recommended to improve the rate of landing error and reduce the amount of damage in people who are prone to damage to the anterior cruciate ligament. 

کلیدواژه‌ها [English]

  • Exercise in Water
  • Anterior Cruciate ligament
  • landing error
  • Active men
  1. Nagano Y, H Ida, Akai M, Fukubayashi T. Gender differences in knee kinematics and muscle activity during single limb droP landing. The Knee, 2007; 14(3): 218-223.##
  2. Griffin LY, Albohm MJ, Arendt EA, Bahr R, Beynnon BD, DeMaio M. Understanding and preventing noncontact anterior cruciate ligament injuries. Am J Sport Med, 2006; 34(9): 1512. ##
  3. Norris CM. sports injuries: Diagnosis and management: Butterworth Heinemann, 2004: 33- 45. ##
  4. Boden BP, Torg JS, Knowles SB. Video analysis of anterior cruciate ligament injury: Abnormalities in hip and ankle kinematics. Am J Sport Med, 2009; 37:252-259. ##
  5. Hewett TE, Zazulak BT, Myer GD, Ford KR. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes. Am J Sport Med, 2005; 33(4): 492-501. ##
  6. Myer GD, Ford KR, Hewett TE. Rationale and clinical techniques for anterior cruciate ligament injury prevention among female athletes. J Athl Train, 2004; 39(4): 352-364. ##
  7. Myer GD, Ford KR, Hewett TE. Rationale and clinical techniques for anterior cruciate ligament injury prevention among female athletes. Journal of Athletic Training 2004; 39(4): 352-364. ##
  8. Kennedy JC, Alexander IJ, Hayes KC. Nerve supply of the human knee and its functional importance. Am. J. Sports Med; 1982; 10: 329–335. ##
  9. DiStefano, L. J. Padua, D. A. DiStefano, M. J. Marshall, S. W. Influence of age, sex, technique, and exercise program on movement patterns after an anterior cruciate ligament injury prevention program in youth soccer players. Am J Sports Med. 2009; 37: 495–505. ##
10. Dennis, J. C. Harmer, P. Schiff, M. Epidemiology of injury in Olympic Sports. An IOC Medical Commission Publication by Blackwell Publishing Ltd, City of Hoboken, the state of New Jersey, 2010. ##

11. Ghez C. Posture. In: Kandel ER, Schwartz JH, Jessell TM, eds. Principles of Neural Science. New York, NY: Elsevier Science. 1991; 596–607. ##

12. Lephart SM, Kocher MS, Fu FH, Borsa PA, Harner CD. Proprioception following anterior cruciate ligament reconstruction. J Sport Rehabil.1992; 1:188–196. ##

13. Olsen, O. E. Myklebust, G. Engebretsen, L. Bahr, R. Injury pattern in youth team handball: A comparison of two prospective registration methods. Scand J Med Sci Sports, 2006; 16:426-432. ##

14. Babakhani F, Roomiany S, Khamoshian K, Rezaei J. Effect of aquatic and land-based exercise programs on the pain and motor function of weight lifters with patellofemoral pain syndrome, J Kermanshah Univ Med Sci. 2015; 19(4): 173-80. [In persain] ##

15. Yalfani A, Raeisi Z. Comparison of two methods of strengthening the quadriceps muscle in drought and water environment on pain, performance, static and dynamic balance of women with patellofemoral pain syndrome. Sports Medicine Studies, 2013, 13: 91-108. [In prsaian] ##

16. Prentice. William E. Rehabilitation Techniques for Sports Medicine and Athletic Training. McGraw-Hill Humanities, 2011; PP: 318-336. ##

17. Kim E, Kim T, Kang H, Lee J, Childers MK.(2010). Aquatic Versus Land-based Exercises as Early Functional Rehabilitation for Elite Athletes with Acute Lower Extremity Ligament Injury: A Pilot Study.Journal of PM R; 2: 703-712. ##

18. Malekzadeh M, Ghasemi B, Mirnasuri R. Effect of aquatic exercises on the motor performance and the quality of life in patients with knee joint osteoarthritis, Hormozgan Medical Journal, 18(3): 212-218. [In Persian] ##

19. Hinman RS, Heywood SE, Day AR. Aquatic physical therapy for hip and knee osteoarthritis: results of a singleblind randomized controlled trial. Phys Ther. 2007;87: 32-43. ##

20. Cook G, Burton L, Hoogenboom B. Pre-participation screening: the use of fundamental movements as an assessment of function - part 1. N Am J Sports Phys Ther 2006; 1(2): 62-72. ##

21. Padua DA. et al. The Landing Error Scoring System as a Screening Tool for an Anterior Cruciate Ligament Injury–Prevention Program in Elite-Youth Soccer Athletes. Journal of Athletic Training 2015;50(6):589–595. ##

22. Mohammadi H, Daneshmani M, Shams-Majalan A. Investigating neuromuscular screening tests that are effective in non-invasive injury of the anterior cruciate ligament (marijuana article), Journal of Kurdistan University of Medical Sciences.2014; 20(2): 85-105. [In persian] ##

23. Noyes, F. R. Barber-Westin, S. D. Fleckenstein, C. Walsh, C. West, J. The drop jump screening test, difference in lower limb control by gender and effect of neuromuscular training in female athletes. Is J Sports Med. 2005; 33: 378–387. ##

24. Chappell, J. Yu, B. Kirkendall, D. Garrett, W. A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks. The American Journal of Sports Medicine; 2002; 30: 261–7. ##

25. Rozzi S, Lephart S, Gear W, and Fu F. Knee joint laxity and neuromuscular characteristics of male and female soccer and basketball players. The American Journal of Sports Medicine, 1999(27): 312-319. ##

26. Ford, K. Myer, G. Hewett, T. Valgus knee motion during landing in high school female and male basketball players. Medicine & Science in Sports & Exercise; 2003; 35(10): 1745-1750. ##

27. proprioception on knee injury. The American Journal of Sports Medicine; 2007; 35(3): 368-73. ##

28. Krosshaug T, Nakamae A, and Boden BP. Mechanisms of anterior cruciate ligament injury in basketball: video analysis of 39 cases. american Journal of Sports Medicine, 2007. 35(3): 359-367. ##