تاثیر برنامۀ جامع پیشگیری از آسیب فیفا +11 بر فاکتورهای الکترومایوگرافی و کینتیکی مفصل زانو در فوتبالیست‌های نوجوان پسر 12-10 ساله

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری آسیب‌شناسی و حرکات اصلاحی دانشکده تربیت بدنی و علوم ورزشی، دانشگاه خوارزمی تهران، تهران، ایران

2 دکترای تخصصی حرکات اصلاحی و آسیب شناسی ورزشی، دانشگاه خوارزمی، تهران، ایران

3 استادیار گروه آسیب‌شناسی و حرکات اصلاحی دانشکده تربیت بدنی و علوم ورزشی، دانشگاه خوارزمی، تهران، ایران

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

5 استادیار فیزیوتراپی گروه فیزیوتراپی، دانشکده علوم توانبخشی مرکز تحقیقات توانبخشی بیماری اسکلتی و عضلانی، دانشگاه علوم پزشکی جندی شاپور، اهواز، ایران

چکیده

مقدمه و اهداف
مطالعات نشان داده‌اند برنامه +11 فیفا به طور قابل توجهی آسیب‌های ورزشی بازیکنان فوتبال را کاهش می‌دهد، اما اطلاعات محدودی در مورد تاثیر این برنامه بر فاکتورهای الکترومایوگرافی و کینتیکی کودکان فوتبالیست وجود دارد؛ بنابراین هدف مطالعه حاضر تاثیر برنامۀ جامع پیشگیری از آسیب +11 فیفا بر شاخص ­های الکترومایوگرافی و کینتیکی مفصل زانو در فوتبالیست‌های نوجوان پسر 12-10 ساله است.
مواد و روش‌ها
30 نفر فوتبالیست پسر با میانگین سن 0/39±10/88سال، قد 4/91±146/69 سانتی‌متر و وزن 6/31±43/95 کیلوگرم برای انجام پژوهش حاضر انتخاب شدند و به صورت تصادفی به دو گروه تمرینات +11 فیفا (15 نفر) و کنترل (15 نفر) تقسیم‌ شدند. گروه +11 فیفا تمرینات را به مدت هشت هفته و سه جلسه در هفته انجام دادند. همچنین مدت تمرین در هر جلسه 20 دقیقه طول کشید. با استفاده از دستگاه الکترومایوگرافی و صفحه نیرو به ترتیب شاخص‌های الکترومایوگرافی و کینتیکی در طول فرود اندازه‌گیری شد. جهت تجزیه­وتحلیل اطلاعات از آزمون­های آماری t زوجی و مستقل و تحلیل واریانس با اندازه­گیری مکرر استفاده شد.
یافته‌ها
نتایج تحلیل آماری نشان داد تمرین +11 فیفا تاثیر معناداری بر افزایش فعالیت الکترومایوگرافی عضلات گلوتئوس مدیوس و واستوس مدیالیس داشته، اما میزان فعالیت عضلات لترال همسترینگ و لترال گاستروکنمیوس کاهش یافت، درحالی­که در میزان فعالیت عضله واستوس لترالیس کاهش معناداری مشاهده نشد. همچنین حداکثر نیروهای عکس‌العمل زمین در جهات عمودی و خلفی و مقادیر زمان رسیدن به پایداری در دو جهت قدامی-خلفی و داخلی-خارجی به طور معناداری کاهش یافت.
نتیج ه‌گیری
نتایج مطالعه حاضر نشان داد تمرینات جامع گرم کردن +11 فیفا می‌تواند موجب بهبود ویژگی‌های کینتیکی و نروماسکولار اندام تحتانی در فوتبالیست‌های نوجوان شود و به طور بالقوه ریسک آسیب ACL به هنگام فرود را کاهش دهد؛ لذا به مربیان و ورزشکاران پیشنهاد می‌شود به منظور پیشگیری از آسیب لیگامان ACL از تمرینات گرم کردن +11 فیفا در ابتدای جلسات تمرینی بهره‌مند شوند.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of Comprehensive FIFA +11 Injury Prevention Program on EMG and Kinetic Factors of Knee Joint in 10-12 Year-Old Soccer Players

نویسندگان [English]

  • Yaber Karamollachaab 1
  • Seyed Sadradin Shojaedin 2
  • Amir Letafatkar 3
  • Maliheh Hadadnejad 4
  • Shahin Goharpay 5
1 PhD Candidate of sport injury and corrective exercises, Faculty of physical education and sport sciences, Kharazmi university, Tehran, Iran.
2 PhD, Associate professor of sport injury and corrective exercises, Faculty of physical education and sport Sciences, Kharazmi university, Tehran, Iran
3 PhD, Assistant professor of sport injury and corrective exercises, Faculty of physical education and sport sciences, Kharazmi university, Tehran, Iran
4 PhD, Assistant Professor of sport injury and corrective exercises, Faculty of physical education and sport sciences, Kharazmi university, Tehran, Iran
5 Assistant Professor of Physiotherapy School of Paramedical Sciences Musculoskeletal Rehabilitation Research Center, Jundishapur University of Medical sciences, Ahvaz, Iran
چکیده [English]

Background and Aims: The previous studies have shown that FIFA +11 program considerably reduces soccer players' sport injuries, but there is limited information about the effect of this program on EMG and kinetic factors of adolescent soccer players. Thus, the aim of the current study was to investigate the effect of comprehensive FIFA +11 injury prevention program on EMG and kinetic factors of knee joint in 10-12 year-old soccer players.
Material and methods: A total of 30 males (aged 10.88±0.39 years, height 146.69±4.91 cm, and weight 43.95±6.31 kg) were randomly assigned to FIFA 11+ (n=15) and control (n=15) groups. The FIFA 11+ group completed training 3 times a week for 8 weeks; training lasted for 20 min for each session. EMG and kinetic factors were respectively measured using EMG and forceplate sets during landing. For data analysis, repeated measures analysis of variance, independent-sample, and paired t tests were used.
Results: It was found that FIFA11+ training caused significantly increased EMG activity of vastus medialis, gluteus medius muscles, and decreased EMG activity of lateral hamstring and lateral gastrocnemius muscles, but there was no significant decrease in EMG activity of vastus lateralis. Also, peek vertical and posterior ground reaction forces and anteroposterior and mediolateral time to stabilization values decreased significantly.
Conclusion: We found that FIFA11+ program can improve the neuromuscular and kinetic characteristics of lower extremities in adolescent soccer players, and potentially reduce the risk of ACL injury during landing. Thus, it is recommended that coaches and athletes use the FIFA 11+ trainings at the beginning of training sessions to reduce the risk factors associated with anterior cruciate ligament injury.

کلیدواژه‌ها [English]

  • Injury prevention
  • FIFA 11+
  • Anterior Cruciate ligament
  • Electromyogeraphy
  • Kinetic
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